본문 바로가기
KERD
논문KCI 등재

요양병원 간호사의 전문직 자아개념, 셀프 리더십이 노인간호수행도에 미치는 영향

Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses

0

조회

0

다운로드

9

인용

0

참고문헌

키워드

초록

Objectives: The objectives of this study were to elucidate the relationship between geriatric care hospital nurses’ professional self-concept, self-leadership, and their geriatric nursing performance and to clarify factors that affect geriatric nursing performance. Methods: A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals. To evaluate professional self-concept, Nurses’ Self-Concept Instrument (NSCI) developed by Angel et al. were used. And, The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA, multiple regression conducted using SPSS 18.0. Scheffé test was utilized for post hoc tests. Results: The average score of professional self-concept was 6.02±0.84 out of 8 points, that of self-leadership was 3.69±0.44 out of 5 points, and that of geriatric nursing performance was 3.79±0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. ‘Knowledge’ subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t=2.83, p=0.005), and that it additionally explained 30% of sleep quality care nursing performance after controlling for general characteristics. As for communication in nursing, ‘staff relation’ of professional self-concept (t=2.21, p=0.029) and ‘rehearsal’ subcategory of self-leadership (t=2.24, p=0.027) were significant factor, and 26% explaining change of communication in nursing. Conclusions: Influencing factors of geriatric nursing performance were participants’ socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses’ professional self-concept and self-leadership should be needed for enhancing nursing performance in geriatric hospitals.

Abstract

Objectives: The objectives of this study were to elucidate the relationship between geriatric care hospital nurses’ professional self-concept, self-leadership, and their geriatric nursing performance and to clarify factors that affect geriatric nursing performance. Methods: A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals. To evaluate professional self-concept, Nurses’ Self-Concept Instrument (NSCI) developed by Angel et al. were used. And, The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA, multiple regression conducted using SPSS 18.0. Scheffé test was utilized for post hoc tests. Results: The average score of professional self-concept was 6.02±0.84 out of 8 points, that of self-leadership was 3.69±0.44 out of 5 points, and that of geriatric nursing performance was 3.79±0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. ‘Knowledge’ subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t=2.83, p=0.005), and that it additionally explained 30% of sleep quality care nursing performance after controlling for general characteristics. As for communication in nursing, ‘staff relation’ of professional self-concept (t=2.21, p=0.029) and ‘rehearsal’ subcategory of self-leadership (t=2.24, p=0.027) were significant factor, and 26% explaining change of communication in nursing. Conclusions: Influencing factors of geriatric nursing performance were participants’ socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses’ professional self-concept and self-leadership should be needed for enhancing nursing performance in geriatric hospitals.

참고문헌 (29)

  1. "Health insurance statistics. Daejeon: Statistics Korea" (2015)[URL]
  2. 심미라, "요양병원 간호사와 간호조무사의 직무만족과 자존감 및 간호업무성과에 관한 연구", 간호행정학회지, 16(4), pp.446~454 (2010), 간호행정학회
  3. 양윤서, "일 지역 요양병원 간호사의 간호행위 위임정도에 따른 전문직업성 및 직무만족도", 노인간호학회지, 15(2), pp.175~184 (2013), 노인간호학회
  4. 김은재, "요양병원 간호사의 간호역량 중요성 인식과 간호역량수준 및 영향요인 분석", 한국산학기술학회논문지, 16(3), pp.1989~2001 (2015), 한국산학기술학회[DOI]
  5. Kim SS, "The experiences in long-term care hospital as a nurse", 석사, pp.2014
  6. 김명희, "요양병원 간호 인력의 간호행위 수행 실태", 한국산학기술학회논문지, 15(2), pp.940~951 (2014), 한국산학기술학회[DOI]
  7. 김정선, "간호사의 노인간호에 대한 지식과 실무 교육 요구도", 노인간호학회지, 12(2), pp.177~189 (2010), 노인간호학회
  8. 서문경애, "간호사의 셀프리더십과 간호업무성과간의 관계", 간호행정학회지, 12(1), pp.151~158 (2006), 간호행정학회
  9. 김지은, "요양병원 간호사의 노인변비 간호지식과 간호활동에 관한 연구", 노인간호학회지, 13(3), pp.172~184 (2011), 노인간호학회
  10. Arthur D, "Measurement of the professional self-concept of nurses: developing a measurement instrument", Nurse Educ Today, 15(5), pp.328~335 (1995)
  11. Kim HE, "Nurses’ knowledge and attitude of the elderly, and performance on elderly care", 석사, pp.2009
  12. 김순자, "노인시설 간호사의 간호역량에 미치는 변인", 노인간호학회지, 12(1), pp.29~39 (2010), 노인간호학회
  13. Brown K, "Give nurses the skills to create transparent and safe cultures", Nursing Times, 108(50), pp.7~ (2012)
  14. 한용희, "종합병원 간호사의 셀프리더십과 직무몰입이 임상수행능력에 미치는 영향", 간호행정학회지, 19(4), pp.462~469 (2013), 간호행정학회[DOI]
  15. Angel E, "The nurses’ self-concept instrument (NSCI): a comparison of domestic and international student nurses’professional self-concepts from a large Australian university", Nurse Educ Today, 32(6), pp.636~640 (2012)[DOI]
  16. Manz CC, "The art of self-leadership: strategies for personal effectiveness in your life and work" (1983), Prentice Hall Inc
  17. Kim HS, "The relationship between self-leadership and job satisfaction of middle school teacher", 석사, pp.2002
  18. 권윤희, "노인전문병원 간호사의 노인에 대한 지식, 태도 및 간호실천", 한국산학기술학회논문지, 14(11), pp.5785~5791 (2013), 한국산학기술학회[DOI]
  19. Holloway K, "Descriptive, exploratory study of the role of nursing assistants in Australian residential aged care facilities: The example of pain management", Int J Ageing, 28(2), pp.10~1111 (2009)
  20. 최준희, "간호사의 학습 관련 자기주도성이 간호실무 수행능력에 미치는 영향", 임상간호연구, 17(1), pp.16~26 (2011), 병원간호사회
  21. 정지영, "요양병원 간호인력에 따른 노인에 대한 지식, 태도, 직접간호수행 정도 및 노인학대 인지도", 노인간호학회지, 14(3), pp.233~241 (2012), 노인간호학회
  22. 하은, "광주 · 전남지역 요양병원 간호사의 포괄수가제에 대한 인식 및 적용 후 간호업무 변화", 간호행정학회지, 18(2), pp.176~188 (2012), 간호행정학회
  23. Okamoto N, "Relationship between swallowing problems and tooth loss in community-dwelling independent elderly adults: the Fujiwara-Kyo study", Int J Gerontol Soc, 60(5), pp.849~853 (2012)[DOI]
  24. Moore Z, "Pressure ulcer prevalence and prevention practices in care of the older person in the republic of Ireland", J Clini Nurs Res, 21(3-4), pp.362~371 (2011)[DOI]
  25. O’Tuathail C, "Evaluation of three commonly used pressure ulcer risk assessment scales", British J Nurs, 20(6), pp.S27~S32 (2011)
  26. Large J, "A cost-effective pressure damage prevention strategy", British J Nurs, 20(6), pp.S24~S25 (2011)
  27. Eun Y, "Introduction to geriatric nursing", pp.212~213 (2010), Hyunmoom Co
  28. Lim LM, "Registered nurses’ medication management of the elderly in aged care facilities", Int Nurs Review, 57(1), pp.98~106 (2010)[DOI]
  29. 류영선, "요양병원 간호사의 치매 환자 통증관리에 대한 인식과 수행", Global Health and Nursing (글로벌 건강과 간호), 6(1), pp.40~50 (2016), 간호과학연구소

관련 논문AI추천

이 간행물의 다른 논문 (9건)