Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Effect of Clinical Nurses's Basic Psychological Need, Self-Leadership and Job Stress on Nursing Performance

임상간호사의 기본심리욕구, 셀프리더십, 직무스트레스가 간호업무 성과에 미치는 영향

  • 조영문 (동신대학교 한의과 대학 간호학과) ;
  • 최명심 (포항세명기독병원 간호부)
  • Received : 2016.06.09
  • Accepted : 2016.08.20
  • Published : 2016.08.28
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Abstract

This study was done to identify variables predicting of nursing performance with basic psychological need, self-leadership and job stress in clinical nurses. The participants were 160 clinical nurses, located in P city and D province in korea. Data were collected from Feb to March, 2016 by questionnaire survey. Data analysis was done by using SPSS WIN 18.0 program with independent t-test and analysis of variance, Pearson's correlation analysis, and multiple linear regression. This study shows positive correlations between nursing performance and basic psychological needs(r=.59, p<.001), autonomy(r=.31, p<.001), competency(r=.68, p<.001), relatedness(r=.48, p<.001), self-leadership(r=.58, p<.001), job stress(r=.19, p<.05). Basic psychological needs(${\beta}$=.43), self-leadership(${\beta}$=.33), job stress(${\beta}$=.21) have a 47.3%(Adj $R^2$ .473) explanatory power for the nursing performance in clinical nurses. This study confirmed that basic psychological needs, self-leadership and job stress were identified to improve nursing performance. Therefore we should develop programs in order to increase basic psychological needs and self-leadership.

본 연구는 임상간호사의 기본심리욕구, 셀프리더십, 직무스트레스가 간호업무성과에 미치는 영향을 알아보기 위한 서술적 조사연구다. 연구대상자는 2016년 2월부터 2016년 3월까지 P시와 D도에 소재한 3차 의료기관에 근무하는 간호사 160명을 할당표집 하였으며, 자료수집은 자가보고 설문지법을 사용하였다. 자료 분석은 SPSS/WIN 18.0프로그램으로 t-test와 분산분석, 상관분석, 다중회귀분석의 방법을 이용하였다. 연구결과 간호업무성과는 일반적 특성 중 연령, 결혼여부, 임상경력, 직위, 근무형태에 따라, 셀프리더십은 연령, 결혼여부, 종교, 임상경력, 직위와 근무위형에 따라, 직무스트레스는 직위에 따라 유의미한 차이를 보였다. 간호업무성과는 기본심리욕구(r=.59, p<.001), 자율성(r=.31, p<.001), 유능감(r=.68, p<.001), 관계성(r=.48, p<.001, 셀프리더십(r=.58, p<.001) 및 직무스트레스(r=.19, p<.05)와 정적상관 관계가 있었다. 간호업무성과에 대하여 기본심리욕구(${\beta}$=.43), 셀프리더십(${\beta}$=.33), 직무스트레스(${\beta}$=.21)은 47.3%의 설명력을 보였다. 본 연구결과 기본심리욕구, 셀프리더십, 직무스트레스는 간호업무성과를 향상시키는 것으로 확인되었다. 그러므로 임상간호사의 간호업무 향상을 위한 간호사의 기본심리욕구와 셀프리더십을 증가시키기 위한 프로그램 개발이 요구된다.

Keywords

References

  1. G. A. Seomun, S. O. Chang, K. H. Cho, I. A. Kim, S. J. Lee, “The Relation between Self-leadership and Outcome of Nursing Practice,” The Journal of Korean Nursing Administration Academic Society, Vol. 12, No. 1, pp. 151-158, 2006.
  2. J. S. Kang, S. J. Kim. W. J. Kim, “The autonomy, nursing performance based on the awareness and satisfaction of EMR system for nurses,” Journal of the Korean Academia-Industrial cooperation Society, Vol. 16, No. 9, pp. 6061-6070, 2015. https://doi.org/10.5762/KAIS.2015.16.9.6061
  3. N. Y. Yang, J. S. Chol, “Relationships of nurses' perception, nursing performance, job stress, and burnout in relation to the joint commission international hospital accreditation,” The Journal of Korean Nursing Administration Academic Society, Vol. 20, No. 1, pp. 1-9, 2014. https://doi.org/10.11111/jkana.2014.20.1.1
  4. S. M. Wi, Y. J. Yi, “Influence of Emotional Labor on Job Satisfaction, Intent to Leave, and Nursing Performance of Clinical Nurses,” The Journal of Korean Nursing Administration Academic Society, Vol. 18, No. 3, pp. 310-319, 2012. https://doi.org/10.11111/jkana.2012.18.3.310
  5. Deci E. L., Ryan R. M., "Avoiding death or engaging life as accounts of meaning and culture, Psychological Bulletin," May:130(3), pp. 473-477, 2004. https://doi.org/10.1037/0033-2909.130.3.473
  6. S. O. Heo, "Mediating Effects of Basic Psychological Needs between Transformational Leadership and Job Performance," Unpublished master's thesis, Jeju National University. 2013.
  7. Y. M. Cho, “The Influence of Autonomy, Competency, Relatedness on Burnout among Nurses,” Journal of Digital Convergence, Vol. 12, No. 6, pp. 491-500, 2014.
  8. M. S. Chung, “Mediating effects of job stress and moderating effects of autonomy on the relationship between emotional labor and organizational commitment,” Korean Journal of Counseling, Vol. 16, No. 3, pp. 121-138, 2015.
  9. A. L. Han, "The Effects of Self-Leadership and Self-Efficacy on Nursing Performance of Nurses Working in Long-term Care Hospitals," Unpublished master's thesis, Kosin University. 2015.
  10. Hancock, D., “Cooperative learning and peer orientation on motivation and achievemen,” Journal of Educational Research, Vol. 97, No. 3, pp. 159-166, 2004. https://doi.org/10.3200/JOER.97.3.159-168
  11. Neck C. P., Houghton J. D., “Two decades of self-leadership theory and research,” Journal of Managerial Psychology, Vol. 21, No. 4, pp. 270-295, 2006. https://doi.org/10.1108/02683940610663097
  12. K. B. Shin, “The Effects Of Self-Leadership On Self-Efficacy And Job Performance of Service Employees,” Journal of Human Resource Management Research, Vol. 17, No. 1, pp. 91-104, 2010.
  13. Jung-Heun Yoon, “The Structural Relationship among Self-leadership, Teamwork and Service Quality of Employees in Hotel Industry,” Journal of Human Resource Management Research, Vol. 14, No. 1, pp. 149-166, 2007.
  14. Y. S. Kang, Y. J. Choi, D. L. Park, I. J. Kim, “A Study on Nurses' Self-Leadership, Self-Esteem, and Organizational Effectiveness,” The Journal of Korean Nursing Administration Academic Society, Vol. 16, No. 2, pp. 143-151, 2010. https://doi.org/10.11111/jkana.2010.16.2.143
  15. Y. K. Ko, T. H. Lee, J. Y. Lim, “Development of a Performance Measurement Scale for Hospital Nurses,” Journal of Korean Academy of Nursing., Vol. 37, No. 3, pp. 286-294, 2007. https://doi.org/10.4040/jkan.2007.37.3.286
  16. Ryan, R. M., & Deci, E. L, "Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being," American Psychologist, Vol. 55, pp68-78, 2000. https://doi.org/10.1037/0003-066X.55.1.68
  17. M. H. Lee, A. Y. Kim, “Development and Construct Validation of the Basic Psychological Needs Scale for Korean Adolescents: Based on the Self-Determination Theory,” The Korean Journal of Social and Personality Psychology, Vol. 22, No. 4, pp. 157-174, 2008.
  18. Manz, C. C., “Improving performance through self-leadership,” National Productivity Review, Vol. 2, No. 3, pp. 288-297, 1983. https://doi.org/10.1002/npr.4040020308
  19. H. S. Kim, "Relationship between Teacher's Self-Leadership and the jobs Satisfaction at Middle Schools," Unpublished master's thesis, Soongsil University. 2003.
  20. M. J. Kim, M. O. Gu, “The development of the stresses measurement tool for staff nurses,” Journal of Korean Academy of Nursing, Vol. 14, No. 2, pp. 28-37, 1984.
  21. E. J. Choi, "The Effect of Job Stress and Stress Coping Type on Nursing Performance among a University Hospital Nurses," Unpublished master's thesis, Inje University. 2010.
  22. S. I. Im, J. Park, H. S. Kim, “The Effects of Nurse's Communication and Self-Leadership on Nursing Performance,” Journal of Korean Academic society of Occupational Health Nursing, Vol. 21, No. 3, pp. 274-282, 2012. https://doi.org/10.5807/kjohn.2012.21.3.274
  23. Y. S. Kim, Y. S. Eo, N. Y. Lee, "Effects of Head Nurses' Managerial Competencies and Professional Nurse Autonomy in Nursing Performance," Journal of Korean Nursing Administration Academic Society, Vol. 20 No. 4, pp. 437-445, 2014. https://doi.org/10.11111/jkana.2014.20.4.437
  24. S. Min, Y. J. Jeong, H. S. Kim, S. Y. Ha, Y. J. Ha, E. A. Kim, “The Moderating Effect of Self-leadership in Relationship between Self-image and Work Performance of Nurses,” Journal of Korean Nursing Administration Academic Society, Vol. 15, No. 3, pp. 355-364, 2009.
  25. S. Y. Kang, “The Experiences of Job Stress on Head Nurses in General Hospitals,” Journal of Korean Academy of Nursing, Vol. 37, No. 4, pp. 501-509, 2007. https://doi.org/10.4040/jkan.2007.37.4.501
  26. J. W. Hwang, K. M. Park, “The impacts of job competency, self-leadership and organizational culture on job performance: Focused on agricultural cooperative federation,” Journal of Digital Convergence, Vol. 12, No. 1, pp. 193-207, 2014.
  27. S. K. Kwon, S. H. Oh, B. I. Choi, "Job Characteristics, Autonomous Motivation, and Positive Affect," Korean Academy of Organization and Management., Vol. 2014, No. 1. pp. 321-339, 2014.
  28. Gagne, M., & Deci, E. L., “Self-determination theory and work motivation,” Journal of Organizational Behavior, Vol. 26, No. 4, pp. 331-362, 2005. https://doi.org/10.1002/job.322
  29. J. M. Yoon, D. H. Ahn, “Personal characteristics influencing self-leadership among adults,” Journal of Employment and Skills Development, Vol. 14, No. 1, pp. 195-219, 2011.
  30. Yun, S., Cox, J. & Sims Jr, H. P., “The forgotten follower: A contingency model of leadership and follower self-leadership,” Journal of Managerial Psychology, Vol. 21, No. 4, pp. 374-388, 2006. https://doi.org/10.1108/02683940610663141
  31. S. K. Lee, D. J. Lee , J. M. Bae, S. W. Lee, “A study on the influence of self-leadership to technology innovation: Mediate effect of emotional intelligence,” Journal of Digital Convergence, Vol. 9, No. 6, pp. 277-293, 2011.
  32. M. S. Chung, “Mediating Effects of Job Stress and Moderating Effects of Autonomy on the Relationship between Emotional Labor and Organizational Commitment,” Korea Journal of Counselling, Vol. 16, No. 3, pp. 121-138, 2015.
  33. Carmeil, A., Meitar, R., & Weisberg, J., “Self leadership skill and innovative behavior at work,” International Journal of Manpower, Vol. 27, No. 1, pp. 75-90, 2006. https://doi.org/10.1108/01437720610652853

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