한국융합학회논문지 (Journal of the Korea Convergence Society)

  • 제11권4호
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  • Pages.369-380
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  • 2020
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  • 2233-4890(pISSN)
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  • 2713-6353(eISSN)
한국융합학회 (Korea Convergence Society)
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신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과에 대한 융복합적 연구

Convergence Study on Mediating Effect of Clinical Competence on the Relationship between Grit and Retention Intention among New Graduate Nurses

  • 고진희 (춘해보건대학교 간호학과) ;
  • 구미옥 (경상대학교 간호대학, 경상대학교 건강과학연구원 노인건강연구센터)
  • Ko, Jin-Hee (Department of Nursing, Choonhae College of Health Sciences) ;
  • Gu, Mee-Ock (College of Nursing, Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2020.03.04
  • 심사 : 2020.04.20
  • 발행 : 2020.04.28
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초록

본 연구는 신규간호사의 그릿과 재직의도의 관계에서 임상수행능력의 매개효과를 규명하기 위해 시도된 서술적 상관관계연구이다. 연구대상은 2개 광역시와 1개 도의 300병상 이상 종합병원에서 근무하는 신규간호사 232명이었다. 자료분석은 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient로 하였고, 매개효과 분석은 Baron과 Kenny의 다중회귀분석을 활용한 3단계 분석방법과 Sobel test로 하였다. 연구결과 신규간호사의 그릿과 임상수행능력(r=.38, p=.011), 그릿과 재직의도(r=.32, p=.016), 임상수행능력과 재직의도(r=.33, p<.001)는 유의한 정적관계가 있었고, 그릿과 재직의도의 관계에서 임상수행능력은 부분 매개효과가 있는 것으로 확인되었다(z=3.14, p<.001). 본 연구결과를 근거로 신규간호사의 임상수행능력과 재직의도를 높여주기 위해 그릿을 향상시킬 수 있는 중재수행을 적극 권장한다.

This study was conducted to examinate the mediating effect of clinical competence on the relationship between grit and retention intention among new graduate nurses. Participants were 232 nurses working at hospitals with over 300 beds in Korea. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. As a result, There were significant relationships between grit and clinical competence(r=.38, p=.011), grit and retention intention(r=.32, p=.016), and clinical competence and retention intention(r=.33, p<.001). Clinical competence showed partial mediating effect in the relationship between grit and retention intention(z=3.14, p<.001). The results of this study suggest that interventions enhancing grit would be useful to improve retention intention of new graduate nurses.

키워드

참고문헌

  1. M. Y. Kim. (2018). The effects of nurses' working environment and reliability with superious on turnover intention. Journal of Korea Convergence Society, 9(10), 457-465. https://doi.org/10.15207/JKCS.2018.9.10.457
  2. OECD. (2019). Health Statistics 2019. Organization for Economic Cooperation and Development. Paris. http://www.oecd.org/els/health-systems/health-data.htm
  3. HNA. (2017). Survey on the status of hospital nursing staff placement. Seoul: Hospital Nurses Association.
  4. E. J. Lee. (2017. 9. 25). Nurses, and nurses leave the medical field for medical reasons [Internet]. http://news.chosun.com/site/data/html_dir/2017/09/24/2017092401196.html
  5. H. Ebrahimi, H. Hassankhani, R. Negarandeh, A. Azizi & M. Gillespie. (2016). Barriers to support for new graduated nurses in clinical settings: A qualitative study. Nurse Education Today, 37, 184-186. Doi: 10.1016/j.nedt.2015.11.008
  6. H. S. Laschinger, C. A. Wong & A. L. Garu. (2012). The influence of authentic leadership on newly graduated nurses' experiences of workplace bullying, burnout and retention outcomes: A cross-sectional study. International Journal of Nursing Studies, 49(2012), 1266-1276. Doi: 10.1016/j.ijnurstu.2012.05.012
  7. N. North, W. Leung, T. Ashton, E. Rasmussen, F. Hughes & M. Finlayson. (2012). Nurse turnover in New Zealand: costs and relationships with staffing practises and patient outcomes. Journal of nursing management, 21(3), 419-428. Doi: 10.1111/j.1365-2834.2012.01371.x
  8. L. S. Cowin. (2002). The effect of nurses's job satisfaction on retention. Journal of Nursing Association, 32(5), 283-291. Doi: 10.1097/00005110-200205000-00008
  9. M. Yu, K. J. Kang, S. J. Yu & M. S. Park. (2017). Factors affecting retention intention of male nurses working health care institution in Korea. Journal of Korean Academy of Nursing Administration, 23(3), 280-289. https://doi.org/10.11111/jkana.2017.23.3.280
  10. E. K. Kim, S. Y. Kim, M. S. Jung, J. K. Kim & S. J. You. (2018). Affecting factors of new nurse's intention to retention in hospitals. Korea Society of Nursing Science, 2018(10), 322-322.
  11. J. N. Jeon. (2018). Factors affecting the new nurses' intention of retention. Master's thesis, Ulsan University, Ulsan.
  12. S. H. Moon. (2013). The effects of newly graduated nurses' communication skill and problem-solving ability on intention of retention. Master's thesis, Yonsei University, Seoul.
  13. H. M. Son, E. H. Lee & K. S. Cho. (2017). Affecting factors of new nurse's intention to retention in hospitals. Journal of Muscle Joint Health, 24(3), 205-216.
  14. R. Hussein, Y. Salamonson, W. Hu & B. Everett. (2018). Clinical supervision and ward orientation predict new graduate nurses' intention to work in critical care: Findings from a prospective observational study. Australian Critical Care, 32(2019), 397-402. Doi: 10.1016/j.aucc.2018.09.003
  15. K. J. Jim & M. S. Yoo. (2018). The influence of psychological capital and work engagement on intention to retentioin of new graduate nurses. The Journal of Nursing Administraion, 48(9), 459-465. https://doi.org/10.1097/NNA.0000000000000649
  16. C. Blanzola, R. Lindeman & M. L. King. (2004). Nurse internship pathway to clinical comfort, confidence and competency. Journal for Nurses in Staff Development, 20(1), 27-37. https://doi.org/10.1097/00124645-200401000-00006
  17. Y. S. Kim & K. Y. Park. (2013). The mediating effect of professionalism in the relationship between clinical competence and field adaptation in newly graduated nurses. Journal of Korean Academy of Nursing Administration, 19(4), 536-543. https://doi.org/10.11111/jkana.2013.19.4.536
  18. S. K. Lee, S. N. Park & S. H. Jeong. (2012). Nursing core competencies needed in the fields of nursing practice for graduates in nursing. Journal of Korean Academy of Nursing Administration, 18(4), 460-473. https://doi.org/10.11111/jkana.2012.18.4.460
  19. S. Y. Lee, E. J. Oh & K. M. Sung. (2013). The experiences of turnover intention in early stage nurses. Journal of East-West Nursing Research, 19(2), 168-176. https://doi.org/10.14370/jewnr.2013.19.2.168
  20. C. Y. Cheng, H. M. Tsai, C. H. Chang & S. R. Liou. (2014). New graduate nurse's clinical competence, clinical stress, and intention to leave: a longiutudinal study in Taiwan. The Scientific World Journal, 2014, 1-9. Doi: 10.1155/2014/748389
  21. A. L. Duckworth, C. Peterson, M. D. Matthews & D. R. Kelly. (2007). Grit: perserverance and passion for long-term goals. Journal of Personality and Social Psychology. 92(6), 1087-1101. Doi: 10.1037/0022-3514.92.6.1087
  22. J. G. Kim & D. E. Park. (2017). The longitudinal effects of theory of implicit intelligence on academic achievement: The mediating effect of grit. The Korean Society Of Educational Psychology, 31(1), 15-162.
  23. J. A. Choi. (2018). The effects of academic self-efficacy, goal-self concordance, grit on academic related efforts. The Journal of Educational Research, 16(1), 41-63.
  24. A. Ion, A. Mindu & A. Gorbanescu. (2017). Grit in the workplace: hype or ripe?. Personality and Individual Differences, 111(1), 163-168. Doi: 10.1016/j.paid.2017.02.012
  25. H. L. Jung & Y. M. Seo. (2019). The relationship among mindset, social support, and grit perceived by pre-Service kindergarten teachers. International Journal of Early Childhood Education, 25(1), 135-154. https://doi.org/10.18023/ijece.2019.25.1.007
  26. C. R. Kraft & A. L. Duckworth. (2014). True grit: trait-level perseverance and passion for long-term goals predicts effectiveness and retention among novice teachers. Teacher Colleage Record, 116(3), 1-27.
  27. L. E. Winkler, E. P. Shulman, S. A. Beal & A. L. Duckworth. (2014). The grit effect: predicting retention in the military, the workplace, school and marriage. Personality and Social Psychology, 5(36), 1-12. Doi: 10.3389/fpsyg.2014.00036
  28. M. H. Park & S. H. Cho. (2019). Relationships among grit, job satisfaction, and the intention to stay of clinical nurses in Korea. Journal of Korean Clinical Nursing Research, 25(3), 285-293. https://doi.org/10.22650/JKCNR.2019.25.3.285
  29. J. Y. Jeong et al. (2019). The influence of grit on turnover intention of university hospital nurses: the mediating effect of job involvement. Journal of Korean Academy of Nursing, 49(2), 181-190. https://doi.org/10.4040/jkan.2019.49.2.181
  30. S. R. Lee & W. S. Young. (2013). What are the strong predictors of academic achievement? deliberate practice and grit. The Korean Journal of School Psychology, 10(3), 349-366. https://doi.org/10.16983/kjsp.2013.10.3.349
  31. W. S. Lee & T. H. Lee. (2016). A prediction model of role transition for graduated nurses. Korean Society of Nursing Science, 2016(10), 278.
  32. M. J. Kim. (2006). The effect of nursing organizational culture on nurses' intention of retention. Master's thesis, Hanyang University, Seoul.
  33. R. M. Baron & D. A. Kenny. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. Doi: 10.1037/0022-3514.51.6.1173
  34. M. E. Sobel. (1982). Asymptotic intervals for indirect effects in sturctural equations models. In S. leinhart (Ed.), Sociological methodology 1982(pp. 290-312). San Francisco: Jossey-Bass.
  35. S. J. Kim, H. R. Ji, Y. J. Lim & N. Y. Kim. (2019). Survey on the intention to stay, field adaptation, and educational demands in new nurses and reemployment nurses. The Korea contents association review, 19(7), 506-517.
  36. S. Y. Park, S. J. Lee & M. H. Hyun. (2012). The relationship between intrinsic religious orientation, religious coping and gratitude. The Korean Journal of Health Psychology, 17(2), 449-460. https://doi.org/10.17315/kjhp.2012.17.2.011
  37. S. O. Choi & J. H. Kim. (2013). Relationship among job stress, nursing performance, and retention intention of clinical nurses. Journal of Korean Public Health Nursing, 27(1), 142-152. https://doi.org/10.5932/JKPHN.2013.27.1.142
  38. M. H. Sung & C. E. Young. (2012). The relationships between professional self- concept, nursing performance and retention intention of emergency department nurses. Korean Academy Fundamentals of Nursing, 19(2), 244-252. https://doi.org/10.7739/jkafn.2012.19.2.244
  39. M. S. Yoo, M. R. Jeong, K. J. Kim & Y. J. Lee. (2019). Factors influencing differences in turnover intention according to work periods for newly graduated nurses. Journal of Korean Academy of Nursing Administration, 25(5), 489-498. https://doi.org/10.11111/jkana.2019.25.5.489
  40. J. H. Park & M. H. Lee. (2017). Effects of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency, critical thinking and turnover rate. Journal of Digital Convergence. 15(7), 191-199. https://doi.org/10.14400/JDC.2017.15.7.191
  41. H. J. Park. (2018). Effects of simulation practice rducation on the clinical competency, critical thinking disposition and self-confidence of nursing process in new graduated nurses. Journal of Korean Society for Simulation in Nursing, 6(1), 45-56. https://doi.org/10.17333/JKSSN.2018.6.1.45
  42. S. J. Shin, Y. W. Park, M. J. Kim, J. H. Kim & I. Y. Lee. (2019). Survey on the education system for new graduate nurses in hospitals: focusing on the preceptorship. Korean Medical Education Review, 21(2), 112-122. https://doi.org/10.17496/KMER.2019.21.2.112
  43. O. H. Cho & K. H. Hwang. (2014). The Influences between new nurses' nursing performance, emotional intelligence, self-resiliency and core self-evaluation. The Korea contents association review, 14(1), 291-301. https://doi.org/10.5392/JKCA.2014.14.07.291
  44. Duckworth, A. L. (2016). Grit: The power of passion and perseverance. Americas New York: Simon and Schuster.
  45. C. Barrett & F. Myrick. (1988). "Job satisfaction in preceptorship and its effect on the clinical performance of the preceptee", Journal of Advenced Nursing, 7(2), 364-371. Doi: 10.1046/j.1365-2648.1998.00511.x
  46. K. Rimfeld, Y. Kovas, P. S. Dale & R. Plomin. (2016). True grit and genetics: predicting academic achievement from personality. American Psychological Association, 111(5), 780-789.
  47. K. R. Von, E. Tsukayama & A. L. Duckworth. (2014). Unpacking grit: motivational correlates of perseverance and passion for long-term goals. The Journal of Positive Psychology, 9(4), 306-312. Doi: 10.1080/17439760.2014.898320