Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses

간호정보역량, 미완료간호, 환자간호의 질이 간호생산성에 미치는 영향에 관한 경로분석

  • Yu, Mi (College of Nursing, Institute of Health Sciences, Gyeongsang National University) ;
  • Kim, Se Young (Department of Nursing, Changwon National University) ;
  • Ryu, Ji Min (Department of Nursing, Gyeongsang National University Hospital)
  • 유미 (경상국립대학교 간호대학, 건강과학연구원) ;
  • 김세영 (국립창원대학교 간호학과) ;
  • 류지민 (경상국립대학교병원 간호부)
  • Received : 2022.09.13
  • Accepted : 2023.03.15
  • Published : 2023.04.30
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Abstract

Purpose: Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established. Methods: Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p = .741), normed χ2 (χ2 /df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%. Conclusion: Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.

Keywords

Acknowledgement

This study was supported by Gyeongsang National University.

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