DOI QR코드

DOI QR Code

Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership

아동병동 간호사의 임상의사결정 능력이 직무만족도에 미치는 효과: 아동병동 간호사-환아 부모 간 파트너십 매개효과를 중심으로

  • 신경숙 (경산세명병원 소아과병동) ;
  • 김혜영 (계명대학교 간호대학)
  • Received : 2017.09.11
  • Accepted : 2018.01.15
  • Published : 2018.01.31

Abstract

Purpose: The purpose of this descriptive survey study was to characterize the relationship between clinical decision-making and job satisfaction among pediatric nurses and to elucidate the mediating effects of the nurse-parent partnership on that relationship. Methods: The subjects of the study were 174 nurses who had worked in a pediatric ward in a university hospital, general hospital, or children's hospital. Data were collected from June 20, 2016 to August 10, 2016 and analysed using descriptive statistics, the t-test, analysis of variance, the Pearson correlation coefficient, and three-step mediated regression analysis in SPSS version 22.0 for Windows. Results: The nurse-parent partnership had significant effects on clinical decision-making and job satisfaction, with an explanatory power of 19% and 26%, respectively. The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction (Sobel test: Z=4.31, p<.001). Conclusion: The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction among pediatric nurses. Therefore, in order to improve the job satisfaction of pediatric nurses, it is necessary to develop effective educational programs and strategies to address their clinical decision-making and their experiences of the nurse-parent partnership.

Keywords

References

  1. Chen SL, Hsu HY, Chang CF, Lin ECL. An exploration of the correlates of nurse practitioners' clinical decision-making abilities. Journal of Clinical Nursing. 2016;25(7-8):1016-1024. https://doi.org/10.1111/jocn.13136
  2. Jenkins HM. A research tool for measuring perceptions of clinical decision making. Journal of Professional Nursing. 1985;1(4):221-229. https://doi.org/10.1016/S8755-7223(85)80159-9
  3. Hwang IJ. Clinical decision making patterns of pediatric nurses. Korean Parent-Child Health Journal. 2012;15(1):20-32.
  4. Lipstein EA, Brinkman WB, Fiks AG, Hendrix KS, Kryworuchko J, Miller VA, et al. An emerging field of research: Challenges in pediatric decision making. Society for Medical Decison Making. 2015; 35(3):403-408. https://doi.org/10.1177/0272989x14546901
  5. Jung SC, Jung DY. Relationship between critical thinking disposition, clinical decision making and job satisfaction of cancer center nurses. Journal of Korean Academy of Nursing Administration. 2011;17(4):443-450. https://doi.org/10.11111/jkana.2011.17.4.443
  6. Park SM, Kwon IG. Factors influencing nurses' clinical decision making: Focusing on critical thinking disposition. Journal of Korean Academy of Nursing. 2007;37(6):863-871. https://doi.org/10.4040/jkan.2007.37.6.863
  7. Abraham M, Moretz JG. Implementing patient- and family-centered Care: Part I--understanding the challenges. Pediatric Nursing. 2012;38(1):44-47.
  8. Lichtenstein R. Measuring the job satisfaction of physicians in organized settings. Medical Care. 1984;22(1):56-68. https://doi.org/10.1097/00005650-198401000-00005
  9. Kim BN, Oh HS, Park YS. A study of nurses' resilience, occupational stress and satisfaction. Korean Journal of Occupational Health Nursing. 2011;20(1):14-23 https://doi.org/10.5807/kjohn.2011.20.1.014
  10. Jeong E, Kwon IS. Nursing needs and nursing performance as perceived by caregivers with hospitalized children. Child Health Nursing Research. 2015;21(3):244-252. https://doi.org/10.4094/chnr.2015.21.3.244
  11. Corlett J, Twycross A. Negotiation of parental roles within familycentred care: A review of the research. Journal of Clinical Nursing. 2006;15(10):1308-1316. https://doi.org/10.1111/j.1365-2702.2006.01407.x
  12. Choi MY, Kim JS. Associated factors in pediatric nurse parent partnership. Child Health Nursing Research. 2014;20(3):176-184. https://doi.org/10.4094/chnr.2014.20.3.176
  13. Wyatt J, Harrison M. Certified pediatric nurses' perceptions of job satisfaction. Pediatric Nursing. 2010;36(4):205-208.
  14. Coyne I, O'Neill C, Murphy M, Costello T, O'Shea R. What does family centred care mean to nurses and how do they think it could be enhanced in practice. Journal of Advanced Nursing. 2011;67(12):2561-2573. https://doi.org/10.1111/j.1365-2648.2011.05768.x
  15. Cho HR, Oh JN, Jung DY. Development of an instrument to measure the quality of care through patients' eyes for hospitalized child. Child Health Nursing Research. 2015;21(5):131-140. https://doi.org/10.4094/chnr.2015.21.2.131
  16. Giambra BK, Stiffler D, Broome ME. An integrative review of communication between parents and nurses of hospitalized technology-dependent children. Worldviews on Evidence-Based Nursing. 2014;11(6):369-375. https://doi.org/10.1111/wvn.12065
  17. Yoon HK, Choi J, Lee EY, Lee H, Park M. Effects of decision making competency, nursing professionalism, and job satisfaction on turnover impulse among nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):658-667. https://doi.org/10.11111/jkana.2013.19.5.658
  18. Hong E, Yang YJ. Factors affecting job stress of pediatric nurses: Focusing on self-efficacy, emotional labor, pediatric nurse-parent partnership. Child Health Nursing Research. 2015;21(3):236-243. https://doi.org/10.4094/chnr.2015.21.3.236
  19. Lee SY, Lee MH, Kim HK, Park OL, Sung BJ. Effects of head nurses' servant leadership on organizational commitment among clinical nurses: Focused on the mediating effect of empowerment. Journal of Korean Academy of Nursing Administration. 2015;21(5):552-560. https://doi.org/10.11111/jkana.2015.21.5.552
  20. Baek M. Relationship between level of autonomy and clinical decision-making in nursing scale of ET nurse [master's thesis]. Seoul: Yonsei University; 2005. p. 1-73.
  21. Song M. The analysis of the influence of nurses' task satisfaction factor and task satisfaction degree on the satisfaction of patients [master's thesis]. Deagu: Keimyung University; 2005. p. 1-52.
  22. Choi MY, Bang KS. Development and testing of a Pediatric Nurse Parent Partnership Scale. Journal of Korean Academy of Nursing. 2013;43(2):194-202. https://doi.org/10.4040/jkan.2013.43.2.194
  23. Baron RM, Kenny DA. The moderator-mediator variable distinction in socialpsychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173-1182. https://doi.org/10.1037/0022-3514.51.6.1173
  24. Kim YS, Park JS. The relationship between nursing professionalism, clinical decision making abilities, and job performance in advanced practice nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):613-621. https://doi.org/10.11111/jkana.2013.19.5.613
  25. Sung MH, Eum OB. Professional autonomy and clinical decision making ability in clinical nurses. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(2):274-281.
  26. Jeong YH, Lee CS, Choe H, Park JY. Emotional labor, job satisfaction and turnover intension of nurses in the regional general hospital. The Journal of the Korea Contents Association. 2016;16(1): 708-719. https://doi.org/10.5392/JKCA.2016.16.01.708
  27. Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration. 2013;19(4):470-479. https://doi.org/10.11111/jkana.2013.19.4.470
  28. Cho EJ, Bang KS. Nursing professionalism, self-efficacy and nurse parent partnership in pediatric nurses. Child Health Nursing Research. 2013;19(2):94-101. https://doi.org/10.4094/chnr.2013.19.2.94
  29. Choi MY. Parent participation in care of hospitalized children: Concept analysis. Child Health Nursing Research. 2014;20(2):105-112. https://doi.org/10.4094/chnr.2014.20.2.105
  30. Callery P, Milnes L. Communication between nurses, children and their parents in asthma review consultations. Journal of Clinical Nursing. 2012;21(11-12):1641-1650. https://doi.org/10.1111/j.1365-2702.2011.03943.x

Cited by

  1. The Experience of Emotional Labor and Its Related Factors among Nurses in General Hospital Settings in Republic of Korea: A Systematic Review and Meta-Analysis vol.13, pp.21, 2018, https://doi.org/10.3390/su132111634