산업융합연구 (Journal of Industrial Convergence)

  • 제21권2호
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  • Pages.43-52
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  • 2023
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  • 2635-8875(pISSN)
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  • 2672-0124(eISSN)
대한산업경영학회 (DAEHAN Society of Industrial Management)
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COVID-19 팬데믹 동안 간호사의 불안, 회복탄력성, 자기효능감이 전문직 역량에 미치는 영향

Effects of Anxiety, Resilience, and Self-efficacy on the Professional Competence of Nurses during the COVID-19 Pandemic

  • ;
  • 김진숙 (우송대학교 보건복지대학 간호학과) ;
  • 정수경 (우송대학교 보건복지대학 간호학과)
  • 투고 : 2022.11.15
  • 심사 : 2023.02.20
  • 발행 : 2023.02.28
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초록

본 연구는 COVID-19 팬데믹 상황에서 COVID-19 환자가 입원한 병원에서 근무하는 간호사들의 불안, 회복력, 자기효능감 및 전문직 역량 간의 관계를 파악하고, 간호사의 전문직 역량에 미치는 요인을 파악하고자 시행되었다. 2021년 2월 9일부터 19일까지 코로나 환자가 입원한 병원에서 환자간호에 참여하는 간호사들을 대상으로 온라인 설문 조사하였으며 총 120명이 참여하였다. 자료분석은 Pearson's correlation과 stepwise multiple regression을 사용하였다. 연구결과 간호사의 전문직 역량은 자기효능감(r=.58, p<.001) 및 회복탄력성(r=.56, p<.001)과 양의 상관관계가 있었다. 전문직 역량에 미치는 요인은 자기효능감(β=.36, p=.004) 과 회복탄력성(β=28, p=.021)이었으며 이 모형의 설명력은 전문직 역량 분산의 약 35%를 설명하는 것으로 나타났다. COVID-19 팬데믹 동안 간호사의 전문직 역량을 제대로 발휘할 수 있도록 병원 기반 프로그램을 개발하고 적용하여 자기효능감과 회복탄력성을 향상시켜야 한다. 예상보다 긴 COVID-19 팬데믹 상황에서 간호사의 소진을 예방하기 위해서는 간호사의 자기효능감과 회복탄력성을 체계적으로 관리하고 모니터링할 수 있는 간호조직 차원의 노력과 정책이 필요하다.

This study was conducted to examine the relationship of the COVID-19-related anxiety, self-efficacy, resilience, and professional competence of nurses working in hospitals where COVID-19 patients are hospitalized. Additionally, this study attempted to identify factors that affect the professional competence of nurses. Using a cross-sectional descriptive study design, an online survey of 120 nurses working at hospitals where COVID-19 patients were hospitalized was conducted between February 9 and February 19, 2021. Pearson's correlations were used to assess correlations between the main variables, and stepwise multiple regression was used to identify factors influencing professional competence. Results of the study showed that the professional competence of nurses was positively correlated with self-efficacy (r=.58, p<.001) and resilience (r=.56, p<.001). The correlation between professional competence and COVID-related anxiety was not significant (r=-.03, p=.766). Factors affecting professional competence included self-efficacy (β=.36, p=.004) and resilience (β=28, p=.021). The model explained approximately 35% of the variance in nurse professional competence (F=33.65, p<.001). To fully demonstrate the professional competence of nurses during the COVID-19 pandemic, institution-based programs should be developed and applied to improve their self-efficacy and resilience. In order to prevent the burnout of nurses in the longer-than-expected COVID-19 pandemic, efforts and policies at the nursing organization level are needed to systematically manage and monitor self-efficacy and resilience of nurses.

키워드

과제정보

This paper was funded by a research grant from Woosong University.

참고문헌

  1. Tangcharoensathien, V., Bassett, M. T., Meng, Q., & Mills, A. (2021). Are overwhelmed health systems an inevitable consequence of covid-19? Experiences from China, Thailand, and New York State. The BMJ, 372. DOI : 10.1136/bmj.n83
  2. Luo, M., Guo, L., Yu, M., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public A systematic review and meta-analysis. Psychiatry Research, 291(June), 113190. DOI : 10.1016/j.psychres.2020.113190
  3. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, Anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88(May), 901907. DOI : 10.1016/j.bbi.2020.05.026
  4. Xiong, H., Yi, S., & Lin, Y. (2020). The Psychological Status and Self-Efficacy of Nurses During COVID-19 Outbreak: A Cross-Sectional Survey. Inquiry, 57(201). DOI : 10.1177/0046958020957114
  5. International Council of Nurses. (2020). International Council of Nurses Covid-19 Update. January, 14. https://www.icn.ch/sites/default/files/inline-files/ICN%20COVID19%20update%20report%20FINAL.pdf
  6. Sabetian, G., Moghadami, M., Hashemizadeh Fard Haghighi, L., Shahriarirad, R., Fallahi, M. J., Asmarian, N., & Moeini, Y. S. (2021). COVID-19 infection among healthcare workers: a cross-sectional study in southwest Iran. Virology Journal, 18(1), 18. DOI : 10.1186/s12985-021-01532-0
  7. Labrague, L. J., & De los Santos, J. A. A. (2020). COVID-19 anxiety among frontline nurses: Predictive role of organisational support, personal resilience and social support. Journal of Nursing Management, 28(7), 16531661. DOI : 10.1111/jonm.13121
  8. Cho, M., Kim, O., Pang, Y., Kim, B., Jeong, H., Lee, J., Jung, H., Jeong, S. Y., Park, H.-Y., Choi, H., & Dan, H. (2021). Factors affecting frontline Korean nurses' mental health during the COVID-19 pandemic. International Nursing Review, 68(2), 256-265. DOI : 10.1111/inr.12679
  9. Manomenidis, G., Panagopoulou, E., & Montgomery, A. (2019). Resilience in nursing: The role of internal and external factors. Journal of Nursing Management, 27(1), 172178. DOI : 10.1111/jonm.12662
  10. Roberts, N. J., McAloney-Kocaman, K., Lippiett, K., Ray, E., Welch, L., & Kelly, C. (2021). Levels of resilience, Anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respiratory Medicine, 176, 106219. DOI : 10.1016/j.rmed.2020.106219
  11. Walpita, Y. N., & Arambepola, C. (2020). High resilience leads to better work performance in nurses: Evidence from South Asia. Journal of Nursing Management, 28(2), 342350. DOI : 10.1111/jonm.12930
  12. Quality and safety education for nurses. (2020). https://qsen.org/competencies/pre-licensure-ksas/
  13. Fukada, M. (2018). Nursing competency: Definition, structure and development. Yonago Acta Medica, 61(1), 1-7. DOI : 10.33160/yam.2018.03.001
  14. Rizany, I., Hariyati, R. T. S., & Handayani, H. (2018). Factors that affect the development of nurses' competencies: a systematic review. Enfermeria Clinica, 28, 154157. DOI : 10.1016/S1130-8621(18)30057-3
  15. Falk-Brynhildsen, K., Jaensson, M., Gillespie, B. M., & Nilsson, U. (2019). Swedish Operating Room Nurses and Nurse Anesthetists' Perceptions of Competence and Self-Efficacy. Journal of Perianesthesia Nursing, 34(4), 842850. DOI : 10.1016/j.jopan.2018.09.015
  16. Ke, Y. T., Kuo, C. C., & Hung, C. H. (2017). The effects of nursing preceptorship on new nurses' competence, professional socialization, job satisfaction and retention: A systematic review. Journal of Advanced Nursing, 73(10), 22962305. DOI : 10.1111/jan.13317
  17. Afshari, D., Nourollahi-Darabad, M., & Chinisaz, N. (2021). Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work, 68(2), 297-303. DOI : 10.3233/WOR-203376
  18. Bodys-Cupak, I., Majda, A., Zalewska-Puchaa, J., & Kamiska, A. (2016). The impact of a sense of self-efficacy on the level of stress and the ways of coping with difficult situations in Polish nursing students. Nurse Education Today, 45, 102107. DOI : 10.1016/j.nedt.2016.07.004
  19. Simonetti, V., Durante, A., Ambrosca, R., Arcadi, P., Graziano, G., Pucciarelli, G., Simeone, S., Vellone, E., Alvaro, R., & Cicolini, G. (2021). Anxiety, sleep disorders and selfefficacy among nurses during COVID-19 pandemic: A large cross-sectional study. Journal of Clinical Nursing, 30(10), 1360-1371. DOI : 10.1111/jocn.15685
  20. Lee, S. A. (2020). Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Studies, 44(7), 393-401. DOI : 10.1080/07481187.2020.1748481
  21. Choi, E., Lee, J., & Lee, S. A. (2022). Validation of the Korean version of the obsession with COVID-19 scale and the Coronavirus anxiety scale. Death Studies, 46(3), 608-614. DOI : 10.1080/07481187.2020.1833383
  22. Baek, H-S., Lee, K-U., Joo, E-J., Lee, M-Y. & Choi, K-S. (2010). Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale. Psychiatry Investigation, 7(2), 109-115. DOI : 10.4306/pi.2010.7.2.109
  23. Connor, K. M., & Davidson, J. R. (2003). Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety, 18(2), 76-82. DOI : 10.1002/da.10113
  24. Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51(2), 663-671. DOI : 10.2466/pr0.1982.51.2.663
  25. Lee, J. H. (1998). A Study on the Predictive Factors of Health Promotion Behavior of Nurses Working at a Medical Center. Unpublished master thesis. Korea University. Seoul.
  26. Jung, A. S. (2007). A study on the relations between a health promoting behaviors and self-efficacy in general hospital nurse. Unpublished master thesis. Hanyang University. Seoul.
  27. Nilsson, J., Engstrm, M., Florin, J., Gardulf, A., & Carlsson, M. (2018). A short version of the nurse professional competence scale for measuring nurses' self-reported competence. Nurse Education Today, 71, 233-239. DOI : 10.1016/j.nedt.2018.09.028
  28. Dawes, J. (2008). Do data characteristics change according to the number of scale points used? An experiment using 5-point, 7-point and 10-point scales. International Journal of Market Research, 50(1), 61-104. DOI : 10.1177/147078530805000106
  29. Bae, J. Y., Lee, E. K., Kim, B. J., & Lee, E. J. (2021). The influencing factors of burnout in nurses in the COVID-19 pandemic disaster. Korean Journal of Stress Research, 29(2), 80-86. DOI : 10.17547/kjsr.2021.29.2.80
  30. Afshari, D., Nourollahi-Darabad, M., & Chinisaz, N. (2021). Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work, 68(2), 297303. DOI : 10.3233/WOR-203376
  31. Balay-Odao, E. M., Alquwez, N., Inocian, E. P., & Alotaibi, R. S. (2020). Hospital preparedness, resilience, and psychological burden among clinical nurses in addressing the COVID-19 crisis in Riyadh, Saudi Arabia. Frontiers in Public Health, 8. 573932. DOI : 10.3389/fpubh.2020.573932
  32. Yldrm, M., & Gler, A. (2022). COVID-19 severity, self-efficacy, knowledge, preventive behaviors, and mental health in Turkey. Death Studies, 46(4), 979-986. DOI : 10.1080/07481187.2020.1793434
  33. Ahn, J-Y. & Eun, Y. (2021). The Effect of Nursing Competence on Patient-Centered Care among Nurses Caring for Patients with Chronic Disease: The Mediating Effect of Burnout and the Moderating Effect of Nursing Work Environment. Korean Journal of Adult Nursing, 33(2), 134-144. DOI : 10.7475/kjan.2021.33.2.134
  34. Zeng, W., Wu, X., Xu, Y., Wu, J., Zeng, Y., Shao, J., ... & Zhu, Z. (2021). The Impact of General Self-Efficacy on Psychological Resilience During the COVID-19 Pandemic: The Mediating Role of Posttraumatic Growth and the Moderating Role of Deliberate Rumination. Frontiers in Psychology, 12. DOI : 10.3389/fpsyg.2021.684354
  35. Jo, M. J. & Sung, M-H. (2018). Impact of role conflict, self-efficacy, and resilience on nursing task performance of emergency department nurses. Korean Journal of Occupational Health Nursing, 27(1), 59-66. DOI : 10.5807/kjohn.2018.27.1.59
  36. Lee, S. Y., & Kim, Y. Y. (2016). The effects of self-efficacy and self-directed learning readiness to self-leadership of nursing student. Journal of Digital Convergence, 14(3), 309-318. DOI : 10.14400/JDC.2016.14.3.309
  37. Im, S. B., Cho, M. K., & Heo, M. L. (2013). Factors to affect turnover intention of nurse: focusing on personal, situational and interpersonal relation variables. Korean Journal of Occupational Health Nursing, 22(4), 314-323. DOI : 10.5807/kjohn.2013.22.4.314
  38. Lee, S. M., & Sung, K. M. (2017). The effects of violence coping program based on middlerange theory of resilience on emergency room nurses' resilience, violence coping, nursing competency and burnout. Journal of Korean Academy of Nursing, 47(3), 332-344. DOI : 10.4040/jkan.2017.47.3.332