Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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The Effect of Nurse's Grit, Health Perception on Health Promotion Behaviors: The Mediating effect of Self-efficiency

간호사의 그릿, 건강지각이 건강증진행위에 미치는 영향: 자기효능감의 매개효과

  • Park, Jung-Hee (Dept. of Emergency Medical Service, Konyang University) ;
  • Kim, Nam-Yi (Department of Nursing, Daejeon Institute of Science and Technology University)
  • 박정희 (건양대학교 응급구조학과) ;
  • 김남이 (대전과학기술대학교 간호학과)
  • Received : 2020.09.29
  • Accepted : 2020.12.20
  • Published : 2020.12.28
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Abstract

The purpose of this study was to identify the mediating effect of self-efficiency on the relationship between grit, health perception and health promotion behaviors of nurses and to provide baseline data to improve health promotion. A structured questionnaire survey was carried on 242 nurses at an university hospital in D-city. The strong and positive effects of grit, self-efficiency and health perception on health promotion behaviors were found. Self-effica -cy had a perfect mediating effection the effects of grit on health promotion behavior and a partial mediating effect on the effects of health perception on health promotion behavior. The study results suggest the need for various intervention programs based on multiple factors associated with grit, health perception and self-efficiency in order to enhance health promotion behaviors of nurses.

이 연구는 대학병원에 근무하는 간호사를 대상으로 그릿, 건강지각과 건강증진행위의 관계에서 자기효능감의 매개효과를 파악하고 건강증진행위를 향상시키는데 기초자료를 제공하기 위해 시도되었다. D소재 일개 대학병원 간호사 242명을 대상으로 구조화된 설문지를 이용하여 자료수집하였다. 건강증진행위는 그릿(r=.29, p=<.001), 건강지각(r=.33, p=<.001), 자기효능감(r=.40, p=<.001)과 양의 상관관계를 나타냈으며 통계적으로 유의하였다. 그릿이 건강증진행위에 미치는 영향에 있어서 자기효능감이 완전매개효과(Z=4.41, p<.001)가 있는 것으로 나타났으며 건강지각이 건강증진행위에 미치는 영향에 있어서 자기효능감이 부분매개효과(Z=3.36, p<.001)가 있는 것으로 나타났다. 이에 따라 간호사의 그릿, 자기효능감, 건강지각에 영향을 미치는 요인을 확인하여 건강증진 행위를 향상시키는 중재방안을 마련해야 할 것이다.

Keywords

References

  1. K. S. Bang, I. S. Lee, S. J. Kim, M. K. Song & S. E. Park. (2016). The Effects of Urban Forest -walking Program on Health Promotion Behavior, Physical Health, Depression, and Quality of Life: A Randomized Controlled Trial of Office-workers. journal of korean academy of nursing, 46(1), 140-148. DOI : 10.4040/jkan.2016.46.1.140
  2. N. J. Pender.(1996). Health Promotion in Nursing Practice(3rd ed) stamford, CT: Appleton & Lange.
  3. A. L. Duckworth, C. Peterson, M. D. Matthews, & D. R. Kelly. (2007). Grit; Perseverance and passion for long-term goals. Journal of Personality and Social Psychology, 92(6), 1087-1101. DOI : 10.1037/0022-3514.92.6.1087
  4. J. Y. Jeong et al. (2019). The Influence of Grit on Turnover Intention of University Hospital Nurses: The Mediating Effect of Job Involvement. journal of korean academy of Nursing, 49(2), 181-190. DOI : 10.4040/jkan.2019.49.2.181
  5. E. Jeong & M. R. Jung. (2018). Effects of Positive Psychological Capital, Academic Stress and Academic Achievement in Nursing Student on Grit. journal of Digital Convergence, 16(9), 309-317. DOI : 1014400/JDC.2018.16.9.309 https://doi.org/10.14400/JDC.2018.16.9.309
  6. B. Jin & J. Kim. (2017). Grit, basic needs satisfaction, and subjective well-being. Journal of Individual Differences, 38(1), 29-35. DOI : 10.1027/1614-0001/a000219
  7. M. R. Jung & E. Jeong. (2018). Effects of Academic Stress, Academic Self-Efficacy and Major Satisfaction in Nursing Student on Grit. The journal of Korea Contents Association, 18(6), 414-423. DOI : 10.5392/JKCA.2018.18.06.414
  8. J. I. Jin & N. C. Kim. (2017). Grit, Academic Resilience, and Psychological Well-being in Nursing Students. The journal of Academic Society of Nursing Education, 23(2), 175-183. DOI : 10.5977/jkasne.2017.23.2.175
  9. H. K. Lee, S. H. Cho, J. H. Kim, Y. K. Kim & H. I. Choo. (2014). Influence of Self Efficacy, Social Support and Sense of Community on Health-related Quality of Life for Middle-aged and Elderly Residents Living in a Rural Community. journal of korean academy of nursing, 44(6), 608-616. DOI : 10.4040/jkan.2014.44.6.608
  10. K. Glanz & B. K. Rimer & K. Viswanath, editor. (2008). Health behavior and health education :Theory, reserch and practice. 4thed SanFrancisco, CA:JOSSEY-Bass.
  11. H. S. Park, Y. S. Kang & K. Y. Park. (2016). A Study on Health Perception and Health Promoting Behavior in Chronic Back Pain Patients. Journal of korean academy of nursing, 36(3),439-448. DOI : 10.4040/jkan.2006.36.3.439
  12. J. Y. Ha et al.(2010) The Relationship between Work Stress and Health Perception of Nurses. The Korean Journal of Women's Health, 11(1), 23-36.
  13. Y. J. Choi, Y. H. Sung. (2013). Psychological Well-being, Perceived Health Status, and Health Promoting Behaviorof Clinical Nurses. Journal of Korean Academy of Nursing Administration, 19(5), 589-598. DOI : 10.11111/jkana.2013.19.5.589
  14. J. H. Bark & H. J. Kim. (2019). Factors Affecting Nurse's Health Promoting Behaviours: Focus on Ego-Resilience, Subjective Well-Being. Asia-pacific Journal of Multimed Services Convergent with Art, Humanities and Society, 9(3), 459-470. DOI : 10.35873/ajmahs.2019.9.3.043
  15. Y. J. Son & Y. R. Park. (2011). Relationships between Sleep Quality, Fatigue and Depression on Health Promoting Behavior by Shift-Work Patterns in University Hospital Nurses. J Korean Biol Nurs Sci, 13(3), 229-237.
  16. S. R. Lee & Y.W Sohn. (2013). What are the strong predictors of academic achievement Deliberate practice and Grit. The Korean Journal of School Psychology, 10(3), 349-366. DOI : 10.16983/kjsp.2013.10.3.349
  17. J. E Ware. (1979). Scale for measuring general health perception. Health Serv Res. 11, 396-415.
  18. J. S. Yoo, C. J. Kim & J. W. Park. (1985). A Study of the Correlation Between Health Perception, Health Behavior, and Status of Adolescents. Yonsei Lon Chnog, 21, 169-187.
  19. K. S. Lee & Y. S. Chung. (1998). A Study on Health Perception and Health Promoting Behavior in the Elderly. Journal of korean academy of community health nursing, 9(1), 72-88.
  20. M. Sherer, & C. H. Adams. (1983). Construct validation of the self-efficacy scale. Psychological reports, 53(3), 899-902. https://doi.org/10.2466/pr0.1983.53.3.899
  21. K. M. Yang. (1999). Analysis of the relationship between the empowerment the job-related individual characteristics and the work performance of nurses. Journal of Korean Academy of Nursing Administratio, 5(1), 39-61.
  22. S. N. Walker, K. R. Sechrist & N. J. Pender. (1995). Health promotion model-instruments to measure health promoting lifestyle: Health-promoting lifestyle profile [HPLP II] (Adult version).
  23. H. M. Seo & Y. S. Hah. (2004). A Study of Factors Influencing on Health Promoting Lifestyle in the Elderly - Application of Pender's Health Promotion Model. The Journal of Korea Academy of Nursing, 34(7), 1288-1297. DOI : 10.4040/jkan.2004.347.1288
  24. N. Y. Kim & M. S. Shim. (2009). A Study on Health Promoting Lifestyle and its Affecting Factors of General Hospital Worker. The Journal of the Korea Academia-Industrial cooperation Society, 10(4), 728-735. DOI : 10.5762/kais.2009.10.4.728
  25. J. H. Ko & M.O. Gu. (2020). Convergence Study on Mediating Effect of Clinical Competence on the Relationship between Grit and Retention Intention among New Graduate Nurses. Journal of the Korea Convergence Societ, 11(4), 369-380. DOI : 10.15207/JKCS.2020.11.4.369
  26. J. Y. Park, C. H. Woo & J. E. Kim. (2018). Convergence Factors Affecting the Grit of Nursing Students Experiencing Clinical Practice. Journal of Digital Convergence, 16(1), 165-175. DOI : 10.14400/JDC.2018.16.1.165
  27. J. S. Song & S.Y. Huh. (2018). Moderating Effects of Self-Efficacy and Social Support on the Relationship between Resilience and Burnout: Focusing on Nurses' Experiences. Health and Social Welfare Review, 38(4), 544-570. DOI : 10.15709/hswr.2018.38.4.544
  28. E. H. Kim (2016). A Convergence Study about Influences of Self-efficacy and Mindfulness on Job Satisfaction on General Hospital Nurses. Journal of the Korea Convergence Society, 7(5), 107-116. DOI : 10.15207/JKCS.2016.7.5.107
  29. N. H. Kim & C. H Woo. (2018). Mediating Effect of Self-efficacy in the Relationship between Informal Learning, Shared Leadership and Organizational Socialization of Beginner Advanced Beginner Nurses. Journal of Korean Academy of Nursing Administration, 24(1), 1-9. DOI : 10.11111/jkana.2018.24.1.1
  30. E. Y. Hong. (2014). Factors Affecting Nurse's Health Promoting Behavior: Focusing on Self-efficacy and Emotional Labor. Korean. Journal of Occupational Health Nursing, 23(3), 154-162. DOI : 10.5807/kjohn.2014.23.3.154
  31. S. Kang. (2018). Influence of Fatigue, Health Perception, and Happiness on Health Promoting Behaviors among General Hospital Nurses. Journal of the Korean Academia Industrial, 19(8), 456-465. DOI : 10.5762/KAIS.2018.19.8.456
  32. Y. M. Jang & J. Y. Park. (2018). The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment. Korean Journal of Occupational Health nursing, 27(3), 160-170. DOI : 10.5807/kjohn.2018.27.3.160
  33. M. Y. Kim, S. O. Choi & J. H. Yeun. (2018). The Effects of Nurses' Fatigue and Perceived Health Status on Health Promoting Behavior. Journal of the Korean Data Analysis Society, 20(5), 2665-2677. DOI : 10.37727/jkdas.2018.20.5.2665
  34. Y. I. Kim. (2011). Effect Factors on Health Promotion Lifestyle of Shift Work Nurses. Korean Journal of Occupational Health nursing, 21(3), 356-364. DOI : 10.5807/kjohn.2011.20.3.356
  35. E. Y. Jeon, S. R. Choi & S. S. Han. (2007). Influencing Factors on Health-Promotion Lifestyle of Nurses. Journal of East-West nursing reserch, 13(1), 40-47.
  36. J. W. Lee. (2008). Health Promoting Lifestyle and Related Factors Among Hospital Nurses: Pender's Health Promoting Model. Journal of the Korean Data Analysis Society, 20(4), 1947-1960.
  37. D. Y. Park & M. J. Kim. (2017). The Effects of Family Function, Health Perception, and Self-efficacy on Health Promoting Behaviors of Nursing College Students. The Journal of the korea Contents Association, 17(6), 561-570. DOI : 10.5392/JKCA.2017.17.06.561
  38. Duckworth, A, L.(2016), Grit: The power of passion and perseverance. American New York: Simon and Schuster.
  39. I, H. Park, B. J. Oh, G. H. Lee, J. S. Park & S. H. Lee. (2018). Improvement of Health Indicators after Participating in Health Promotion Program of General Hospital Staff: A Pilot Study. Korean Journal Health Promotion, 18(1), 15-22. DOI : 10.15384/kjhp.2018.18.1.15