DOI QR코드

DOI QR Code

Analysis of the importance of nursing care and performance confidence perceived by nurses in the neonatal intensive care unit

신생아중환자실 간호사가 인식한 간호업무의 중요도와 수행 자신감

  • Lim, Heemoon (Severance Hospital, Neonatal Intensive Care Unit) ;
  • Lee, Hyejung (College of Nursing, Yonsei University.Mo-Im Kim Nursing Research Institute) ;
  • Kim, Eunsook (College of Nursing, Yonsei University) ;
  • Kim, Hyoyeong (Severance Hospital, Neonatal Intensive Care Unit) ;
  • Jang, Eunkyung (Severance Hospital, Neonatal Intensive Care Unit)
  • Received : 2021.09.16
  • Accepted : 2021.12.10
  • Published : 2022.02.28

Abstract

Purpose: Neonatal nurses are expected to have clinical competency to provide qualified and safe care for high-risk infants. An educational intervention to enhance nurses' clinical competence is often a priority in the nursing field. This study was conducted to explore nurses' perceived importance and performance confidence of nursing care activities in neonatal intensive care units. Methods: One hundred forty-one neonatal nurses from seven hospitals across South Korea participated in the online survey study. The scale of neonatal nursing care activity consisted of 8 subdomains including professional practice (assessment, diagnosis, planning, intervention, evaluation, education, research, and leadership). The Importance-Performance Matrix was used to analyze the importance of and confident performance in each of the nursing subdomains. Results: Both importance and performance confidence increased as nurses' age (p=.042 and p<.001) and clinical experience (p=.004 and p<.001). Participants scored relatively higher in importance and performance confidence in the professional practice subdomains (assessment, intervention, evaluation), but scored lower in the education and research subdomains. Conclusion: To provide evidence-based nursing care for high-risk infants in neonatal intensive care units, educational interventions should be developed to support nurses based on the findings of the research.

Keywords

References

  1. Korea Statistical Information Service, Population of Korean. 2018 [Internet]. Korea: Korea Statistics Information Service; 2019 [cited 2019 August 28]. Available from: https://kostat.go.kr/assist/synap/preview/skin/miri_mobile.xhtml?fn=e0c7368243479031042523&rs=/assist/synap/preview
  2. Healy P, Fallon A. Developments in neonatal care and nursing responses. British Journal of Nursing. 2014;23(1):21-24. https://doi.org/10/12968/bjon.2014.23.1.21 https://doi.org/10.12968/bjon.2014.23.1.21
  3. Lee SK, Park SN, Jeong SH. Nursing core competencies needed in the fields of nursing practice for graduates in nursing. Journal of Korean Academy of Nursing Administration. 2012;18(4):460-473. https://doi.org/10.11111/jkana.2102.18.4.460
  4. Kirrane HJ. The chance of a lifetime. London: Bliss; 2010. p. 1-20.
  5. Kenner C. The role of neonatal nurses in palliative care. Newborn and Infant Nursing Reviews. 2016;16(2):74-77. https//doi.org/10.1053/j.nainr.2016.03.009
  6. Green J, Fowler C, Petty J, Whiting L. The transition home of extremely premature babies: An integrative review. Journal of Neonatal Nursing. 2021;27(1):26-32. https://doi.org/10.1016/j.jnn.2020.09.011
  7. Yu M, Kim DY, Yoo CS. Development of Korean patient classification system for neonatal care nurses. Journal of Korean Clinical Nursing Research. 2016;22(2):205-216. https://doi.org/10.22650/JKCNR.2016.22.2.205
  8. Kim KS, Kim JA, Park YR. Educational needs based on analysis of importance, frequency and difficulty of ICU nursing practice for ICU nurses. Journal of Korean Academy of Fundamentals of Nursing. 2011;18(3):373-382.
  9. Park H, Kim Y, Chu SH. Importance-performance analysis (IPA) to improve emergency care for novice nurses. Journal of Korean Academy of Fundamentals of Nursing. 2019;26(3):155-165. https://doi.org/10.7739jkafn.2019.26.3.155 https://doi.org/10.7739jkafn.2019.26.3.155
  10. Kwon IG, Cho MS, Shin HY. The perceived importance and performance frequency of nursing interventions in the oncology units in a tertiary hospital. Korean Jounal of Adult Nursing. 2007;19(2):260-273.
  11. Song JH, Moon MJ. Frequency and importance of nursing practice between novice nurses and student nurses. Journal of Korean Academy of Fundamentals of Nursing. 2008;15(1):22-33.
  12. Park SH, Kang HS, Hyun KS, Kim WO, Sok SHR, Lee JA. Performance and importance of nursing jobs in general hospitals according to levels of work experience of nursing staff. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(2):267-273.
  13. Hwang I, Yu S. Importance and performance analysis of competency for advanced beginner-stage nurses of ward. Journal of Health Informatics and Statistics. 2019;44(3):292-300. https://doi.org/10.21032/jhis.2019.44.3.292
  14. Siniscalchi JM, Beale EK, Fortuna A. Using importanceperformance analysis to evaluate training. Performance Improvement. 2008;47(10):30-35. https://doi.org/10.1002/pfi.20037
  15. Ghanbari A, Hasandoost F, Lyili EK, Khomeiran RT, Momeni M. Assessing emergency nurses' clinical competency: An exploratory factor analysis study. Iiranian Journal of Nursing and Midwifery Research. 2017;22(4):280-286. https://doi.org/10.4103/1735-9066.212990
  16. Karami A, Farokhzadian J, Foroughameri G. Nurses' professional competency and organizational commitment: Is it important for human resource management?. PloS one. 2017;12(11):e0187863. https://doi.org/10.1371/jounal.pone.0187863
  17. Park KO, Lee YY. Developing a performance appraisal tool for neonatal intensive care unit registered nurses. The Journal of Korean Academic Society of Nursing Education. 2011;17(2):267-276. https://doi.org/10.5977/JKASNE2011.17.2.267
  18. Trajkovski S, Schmied V, Vickers M, Jackson D. Neonatal nurses' perspectives of family-centred care: A qualitative study. Journal of Clinical Nursing. 2012;21(17-18):2477-2487. https://doi.org/10.1111/j.1365-2702.2012.04138.x
  19. Fullard F. A model to evaluate the effectiveness of enterprise training programmes. Entrepreneurship and Management Journal. 2007;3:263-276. https://doi.org/10.1007/s11365-006-0034-8
  20. Kim S, Jeong SH, Lee MH, Kim HK. Importance, performance and rates of nurse performance of nursing interventions in long-term care hospitals. Journal of Korean Academy of Nursing Administration. 2017;23(4):359-372. https://doi.org/10.11111/jkana.2017.23.4.359
  21. Song MR. The relationship between the degree of work performance and Job satisfaction among nurses in some neonatal intensive care units [master's dissertation]. Gwangju: The Chosun University; 2016. p. 1-49.
  22. Ahn S, An H. Evaluating nursing needs in the neonatal intensive care unit with the Korean patient classification system for neonatal intensive care nurses. Journal of Korean Critical Care Nursing. 2020;13(2):24-35. https://doi.org/10.34250/jkccn.2020.13.2.24
  23. Feliciano E, Boshra A, Mejia P, Feliciano A, Maniago J, Alsharyah H, et al. Understanding Philippines nurses' competency in the delivery of healthcare services. Journal of Patient Care. 2019;5(1):146. https://doi.org/10.4172/2573-4598.1000146
  24. Ha NS, Choi J. An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration. 2010;16(3):286-294. https://doi.org/10.11111/jkana.2010.16.3.286
  25. Shin S, Hwang E, Kang Y, Oh H. Analysis of participation status in clinical nursing education and needs for continuing education among clinical nurses according to hospital type. Journal of East-West Nursing Research. 2020;26(2):196-204. https://doi.org/10.14370/jewnr.2020.26.2.196
  26. Meretoja R, Numminen O, Isoaho H, Leino-Kilpi H. Nurse competence between three generational nurse: A cross-sectional study. International Journal of Nursing Practice. 2015;21(4):350-358. https://doi.org/10.1111/ijn.12297
  27. Flodgren G, Rojas-Reyes MX, ColeN, Foxcroft DR. Effectiveness of organisational infrastructures to promote evidence-based nursing practice. Cochrane Database of Systematic Reviews. 2012;(2):1-47. https://doi.org/10.1002/14651858.CD002212.pub2
  28. Oh EG, Oh HJ, Lee YJ. Nurses' research activities and barriers of research utilization. Journal of Korean Academy of Nursing. 2004;34(5):838-848. https://doi.org/10.4040/jkan.2004.34.5.838
  29. Ryu S, Yun SW, Kim YS. Trends in evidence-based nursing research in South Korea. Journal of Korean Academy of Nursing Administration. 2017;23(4):385-396. https://doi.org/10.11111/jkana.2017.23.4.385