Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
권호 표지

Effect of Professional Autonomy and Professional Self-concept on Job Satisfaction of Emergency Nurses

응급실 간호사의 전문직 자율성과 전문직 자아개념이 직무만족도에 미치는 영향

  • Park, Ji Ae (Dongnam Institute of Radiological and Medical Sciences) ;
  • Yeo, Jung Hee (Department of Nursing, Dong-A University)
  • 박지애 (동남권원자력의학원) ;
  • 여정희 (동아대학교 의과대학 간호학과)
  • Received : 2015.04.28
  • Accepted : 2015.06.09
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study is a descriptive research study to determine the level of professional autonomy, professional self-concept, and job satisfaction of emergency nurses, and to investigate their correlations and verify the effects of professional autonomy and professional self-concept on job satisfaction. Method: The subjects were 189 emergency nurses with a work experience of 1 year or more, in 14 hospitals located in B and U Metropolitan Cities. The study was conducted from July 20, 2014, to August 30, 2014. The measurement instruments for professional autonomy, professional self-concept, and job satisfaction were used as the measurement tools. The collected data were analyzed using the t-test, analysis of variance, Scheffe's test, Pearson's correlation coefficient, and multiple linear regression. Results: Job satisfaction among emergency nurses showed a significant positive correlation with professional autonomy (r=.28, p <.001), and with professional selfconcept (r=.50, p <.001) with sub-areas of professional practice (r=.79, p <.001), satisfaction (r=.64, p <.001), and communication (r=.25, p <.001). Factors affecting job satisfaction were satisfaction (${\beta}$=0.60, p <.001), followed by low professional autonomy (${\beta}$=-0.24, p <.001) and communication (${\beta}$=0.14, p =.008), which accounted in total for 48.3% of the effect. Conclusion: This study suggests that enhancing professional satisfaction, maintaining proper communication, and securing autonomy are required to improve the job satisfaction among emergency nurses.

Keywords

References

  1. Arthur, D. (1992). Measuring the professional self-concept of nurses: a critical review. Journal of Advanced Nursing, 17 (6), 712-719. https://doi.org/10.1111/j.1365-2648.1992.tb01969.x
  2. Cho, J. Y., Lee, Y. W., Kim, H. S., & Kim, S. H. (2011). Relationships among response for violence experience, hardiness, and job satisfaction of nurses working in emergency department. Korean Journal of Adult Nursing, 23 (5), 494-502.
  3. Choi, E. Y., & Kim, G. H. (2000). A study on the professional self concept, self efficacy and job satisfaction of nephrology nurses. Korean Journal of Adult Nursing, 12 (3), 345-355.
  4. Cole, F. L., Ramirez, E., & Launa-Gonzales, H. (1999). Scope of practice for the nurse practitioner in the emergency care setting. Unpublished master's thesis, University of Texas-Houston, Texas, USA.
  5. Cornock, M. (2002). Legal basis of decision-making in critical care. Nursing in Critical Care, 7 (5), 235-240.
  6. Gundersen, R. J. (2002). Professional autonomy and job satisfaction in nursing for the year 2002. Unpublished master's thesis, Central Missouri State University, Missouri, USA.
  7. Han, K. J., Strickland, O. L., & Waltz, C. F. (1994). Measurement of nursing outcomes. Seoul: Hyeonmunsa Publishing.
  8. Hooper, C., Craig, J., Janvrin, D. R., Wetsel, M. A., & Reimels, E. (2010). Compassion satisfaction, burnout, and compassion fatigue among emergency nurses compared with nurses in other selected inpatient specialties. Journal of Emergency Nursing, 36 (5), 420-427. https://doi.org/10.1016/j.jen.2009.11.027
  9. Iliopoulou, K. K., & While, A. E. (2010). Professional autonomy and job satisfaction: survey of critical care nurses in mainland Greece. Journal of Advanced Nursing, 66 (11), 2520-2531. https://doi.org/10.1111/j.1365-2648.2010.05424.x
  10. Im, S. H. & Yeo, J. S. (2001). A study on attitudes toward professional autonomy and job satisfaction of pediatric nurses. Journal of Korean Clinical Nursing Research, 5 , 37-54.
  11. Jang, H. J., Yang, S. O., & Lee, M. O. (2007). Professional selfconcept and self-efficacy according to the need for advanced practice nurse among Korean nurses. Journal of Korean Academy of Fundamentals of Nursing, 14 (1), 110-119.
  12. Kim, M. J., Park, J. M., Lee, J. H., Cho, J. H., & Chung, S. P. (2008). Cause, effect and coping skills of stress in physicians and nurses of an emergency department. Journal of the Korean Society of Emergency Medicine, 19 (4), 428-433.
  13. Kwon, K. J., Chu, M. S., & Kim, J. A. (2009). The impact of nursing professionalism on the nursing performance, job satisfaction and retention intention among clinical nurses. Journal of Korean Academy of Nursing Administration, 15 (2), 182-192.
  14. Lee, K. M., & Hong, M. S. (2003). A study on relationships of work stress, fatigue, and job satisfaction in emergency room nurses. Journal of Nursing Science, 8 (1), 87-103.
  15. Lee, S. H. (2008). Study on the relationship between professional self-concept, self-efficacy and job satisfaction in clinical nurses. Korean Journal of Adult Nursing, 20 (1), 10-20.
  16. Lee, Y. H. (2010). A study on job stress and job satisfaction of nurses in long-term care hospital. Unpublished master's thesis, Hanyang University, Seoul.
  17. McDonald, C. (2002). Nurses autonomy as relational. Nursing Ethics, 9 (2), 194-201. https://doi.org/10.1191/0969733002ne498oa
  18. National Emergency Medical Center. (2013, September 2). Statistics of emergency medical. Retrieved December 30, 2014, from http://www.nemc.or.kr/egen/inf.bor42.do?pageflag=2&flag=4&strid=69452&strnum=2
  19. Oh, S. B., Lee, K. H., Cha, K. C., Ji, H. J., Kim, H. J., Kim, H., et al. (2004). Comparison of the prehospital death and emergency department death between 1991 and 2001. Journal of The Korean Association of Traumatology, 17 (2), 206-212.
  20. Park, S., & Yun, S. N. (1992). Measurement of job satisfaction of nurses and health workers in health centers. Journal of Korean Academy of Nursing, 22 (3), 316-324.
  21. Saber, D. A. (2014). Frontline registered nurse job satisfaction and predictors over three decades: a meta-analysis from 1980 to 2009. Nursing Outlook, 62 (6), 402-414. https://doi.org/10.1016/j.outlook.2014.05.004
  22. Schutzenhofer, K. K. (1983). The development of autonomy in adult women. Journal of Psychosocial Nursing and Mental Health Services, 21 (4), 25-30.
  23. Sohng, K. Y., & Noh, C. H. (1996). An analytical study of the professional self-concept of hospital nurses in korea. Journal of Korean Academy of Nursing, 26 (1), 94-106.
  24. Song, K. H., & Ahn, K. Y. R. (2013). The effect of employee's communication competence and communication satisfaction on job satisfaction. The Journal of the Korean Association of Psychotherapy, 5 (2), 117-129.
  25. Stamps, P. L., Piedmont, E. B., Slavitt, D. B., & Haase, A. M. (1978). Measurement of work satisfaction among health professionals. Medical Care, 337-352.
  26. Sung, M. H., Kim, Y. A., & Ha, M. J. (2011). The relationships of professional self-concept, professional autonomy and selfesteem to job satisfaction of clinical nurses. The Korean Journal of Fundamentals of Nursing, 18 (4), 547-555.
  27. Sung, M. H., & Oh, M. O. (2011). The relationships of professional self-concept, role conflict and job satisfaction on emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing, 18 (1), 107-115.
  28. Varjus, S. L., Suominen, T., & Leino-Kilpi, H. (2003). Autonomy among intensive care nurses in Finland. Intensive and Critical Care Nursing, 19 (1), 31-40. https://doi.org/10.1016/S0964-3397(03)00007-7
  29. Yoon, J. W., & Park, Y. S. (2008). Communication type related to job satisfaction of nurses in general hospital's emergency room. Keimyung Journal of Nursing Science, 12 (1), 1-12.