DOI QR코드

DOI QR Code

Effect of Self-Leadership, Organizational Commitment, Nurse Practice Environment on Clinical Competency of Nurses in Small and Medium sized Hospitals

중소병원 간호사의 셀프리더십, 조직몰입, 간호근무환경이 임상수행능력에 미치는 영향

  • Received : 2023.07.31
  • Accepted : 2023.09.05
  • Published : 2023.09.30

Abstract

This study aimed to examine the effect of self-leadership, organizational commitment, nursing work environment on clinical competency of nurses in small and medium-sized hospitals. The participants were 123 nurses working shifts at three small and medium-sized hospitals in Daejeon city and Chungcheongbuk-do. Data analysis were performed by using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis. The results showed that organizational commitment and self-leadership were significant predictors of clinical competency, and the overall model explained 15.4% of the variance. Therefore, it is necessary to develop and implement programs aimed at enhancing organizational commitment and self-leadership of nurses working in small and medium-sized hospitals to improve their clinical competency.

본 연구는 중소병원 간호사의 셀프리더십, 조직몰입 및 간호근무환경과 임상수행능력 간의 관계를 확인하고, 이들 요인이 임상수행능력에 미치는 영향을 규명하고자 시도되었다. 연구대상자는 대전 및 충청북도 지역의 300병상 미만의 중소병원 3곳에서 교대 근무를 하는 간호사 123명이며, 자료수집은 2022년 4월동안 시행되었다. 자료분석은 기술통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis를 이용하여 시행되었다. 연구결과 대상자의 임상수행능력에 영향을 미치는 주요 요인은 조직몰입과 셀프리더십으로 나타났으며, 모형의 전체 설명력은 15.4%로 나타났다. 따라서 중소병원 간호사의 임상수행능력을 높이기 위해서 조직몰입과 셀프리더십을 향상시킬 수 있는 프로그램 개발 및 적용이 필요하다.

Keywords

References

  1. Y.H. Kim. "Effect of Nursing Workplace Spirituality, Grateful Disposition, Hope on Nursing Performance among General Hospital Nurses," The Journal of the Convergence on Culture Technology, Vol.9, No.1, pp. 257-266, 2023. https://doi.org/10.17703/JCCT.2023.9.1.257
  2. S.Y. Kwak, Y.S. Kim, K.J. Kim, and M.Y. Kim. "Influence of Nursing Informatics Competencies and Problem-solving Ability on Nursing Performance Ability among Clinical Nurses," The Journal of Korean Academic Society of Nursing Education, Vol. 23, No. 2, pp. 146-155, 2017. https://doi.org/10.5977/jkasne.2017.23.2.146
  3. S.H. Kim, H.O. Park. "Effects of Ago-resilience, Nursing Professionalism and Empathy on Clinical Competency of General Hospital Nurses," The Journal of Korean Academic Society of Nursing Education, Vol. 26, No. 2, pp. 101-110, 2020. https://doi.org/10.5977/jkasne.2020.26.2.101
  4. K.O. Park, S.Y. Park, S.H, Park, E.H. Lee, M. Y. Kim, and W.H. Kwag. "Revision of Performance Appraisal Tool and Verification of Reliability and Validity," Journal of Korean Clinical Nursing Research, Vol. 17, No. 1, pp. 70-80, 2011. https://doi.org/10.5977/JKASNE.2011.17.2.267
  5. Korea Health Industry Development Institute, "Small and Medium-sized Hospitals Management Support and Policy Development Support Porject Report", July 2023. https://www.khidi.or.kr/kps/search/result
  6. Korean Hospital association, "National Hospital Directory", July 2023. https://www.kha.or.kr/main
  7. K.J. Ji. "A Study on Medical Service Quality Affecting Percieved Value, Satisfaction and Intention of Revisit in Middle Hospitals," The Korean Journal of Health Service Management, Vol. 7, No. 2, pp. 53-67, 2013. https://doi.org/10.12811/kshsm.2013.7.2.053
  8. R.Y. Jang. Influence of Self-Leadership and Clinical Decision Making Ability on Clinical Nurses' Performance in Small and Medium sized Hospitals. Master's Thesis, Keimyung University, Daegu, 2017.
  9. J.H. Park. "Effect of PBL on Self Leadership, Nursing Leadership, Confidence in Nursing Students Applying Flipped Learning," The International Journal of Advanced Culture Technology, Vol. 9, No. 4, pp. 162-168, 2021. https://doi.org/10.17703/IJACT.2021.9.4.162
  10. Y.H. Han, Y.R. Park. "Effects of Self-Leadership and Job Involvement on Clinical Competence in General Hospital Nurses," Journal of Korean Academy of Nursing Administration, Vol. 19, No. 4, pp. 462-469, 2013. https://doi.org/10.11111/jkana.2013.19.4.462
  11. M.S. Koh. "A study on the Influence of Empowerment on Job Satisfaction and Organizational Commitment of Clinical Nurses," Korean Journal of Hospital Management, Vol. 9, No. 2, pp. 5-30, 2004.
  12. K.N. Park. A Study on Nurses' Self-Leadership, Organizational Commitment and the Nursing Performance. Master's Thesis, Nambu University, Kwangju, 2007.
  13. S.Y. Kang, Y.R. Um, and S.S. Han. "A Professional Nursing Practice Environment and Its Impact on Nurses' Task Motivation," Journal of Korean Academy of Nursing, Vol. 35, No. 2, pp. 353-361, 2005. https://doi.org/10.4040/jkan.2005.35.2.353
  14. M.D. Kong. Influence of Competencies on the Performance of Local Small and Medium-sized Hospitals and the Moderating Effect of Organizational Structure. Master's Thesis, Inje University, Gyeongsangnam-do, 2012.
  15. Manz, C. C. The Art of Self-leadership: Strategies for Personal Effectiveness in Your Life and Work, Prentice Hall, New Jersey. 1983.
  16. K.H. Cho. The Influence of Self-leadership about Job-satisfaction and Outcome of Nursing Practice. Master's Thesis, Korea University, Seoul, 2003.
  17. Allen, N. J., & Meyer, J. P. "The Measurement and Antecedents of Affective, Continuance and Normative Commitment," Journal of Occupational Psychology, Vol. 63, No. 1, pp. 1-18, 1990. https://doi.org/10.1111/j.2044-8325.1990.tb00506.x
  18. J.H. Chun. J.H. Lee, and J.Y. Yoo. "The Effect of Organizational Culture Types on Organizational Commitment and Organizational Citizenship Behavior in Small and Medium Hospitals," Journal of Digital Convergence, Vol. 11, No. 7, pp. 289-296, 2013. https://doi.org/10.14400/JDPM.2013.11.7.289
  19. Lake, E. T. "Development of the Practice Environment Scale of the Nursing Work Index," Research in Nursing & Health, Vol. 25, No. 3, pp. 176-188, 2002. https://doi.org/10.1002/nur.10032
  20. E.H. Cho, M.N. Choi, E.Y. Kim, I.Y. Yoo, and N.J. Lee. "Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses," Journal of Korean Academy of Nursing, Vol. 41, No. 3, pp. 325-332, 2011. https://doi.org/10.4040/jkan.2011.41.3.325
  21. H.M. Jo. The Relationship between Clinical Competence and Patient-centered Communication Competence among Intensive Care Unit Nurses. Master's Thesis, Ajou University, Gyeonggi-do, 2021.
  22. J.A. Park. A Study on the Critical Thinking Disposition and Clinical Competency in General Hospital Nurse. Master's Thesis, Ulsan University, Ulsan, 2008.
  23. M.J. Kim, M.O. Kim. "Factors Influencing Clinical Competence in General Hospital Nurses," The Journal of the Korea Contents Association, Vol. 21, No. 10, pp. 668-678, 2021. DOI : 10.5392/JKCA.2021.21.10.668
  24. H.O. Kim. Nurses' Work Experiences in the Organizational Environment of Medium sized Hospitals. Doctoral Thesis, Keimyung University, Daegu, 2002.
  25. H.S. Kim. A Study of Organizational Commitment and the Performance of Nursing Practice in Operating Room Nurses. Master's Thesis, Kyung Hee University, Seoul, 2004.
  26. Y.S. Seo, Y.L. Son, and C.Y. Jung. "Mediation Effect of Nursing Competency between Transformational Leadership and Organizational Commitment of Nurses in Hospitals," Journal of Korean Clinical Health Science, Vol. 3, No. 3, pp. 419-426, 2015. DOI: http://dx.doi.org/10.15205/kschs.2015.3.3.419
  27. J.Y. Han. Factors Affecting the Turnover Intention of Small and Medium-Sized Hospital Workers. Master's Thesis, Ajou University, Gyeonggi-do, 2023.
  28. E.J. Jeon, Y.S. Song, and H.S. Lee. "The Influence of the Characteristics of S-OJT Programs on Organizational Commitment and Turnover Intention," Asia Pacific Journal of Small Business, Vol.33, No. 4, pp. 177〜199, 2011.
  29. S.H. Lee, E.J. Lee. "Influence of Nurses' Critical Thinking Disposition and Self-Leadership on Clinical Competency in Medium Sized Hospitals," Journal of Korean Clinical Nursing Research, Vol. 24, No. 3, pp. 336-346, 2018. DOI : 10.22650/JKCNR.2018.24.3.336
  30. J.O. Kwon. "Nursing Performance and Innovative Behavior as Factors Affecting the Self-leadership of Geriatric Hospital Nurses," The Korean Journal of Health Service Management, Vol. 10, No. 1, pp. 53-66. 2016. https://doi.org/10.12811/kshsm.2016.10.1.053
  31. E.H. Park. Development and the Effects of Self-leadership Reinforcement Program for Hospital Nurses. Doctoral Thesis, Kangwon National University, Gangwon State, 2016.