DOI QR코드

DOI QR Code

The Influence of Nursing Professionalism, Learning Agility, and Nursing Practice Environment on Nurses' Performance in Small and Medium Hospitals

중소병원 간호사의 간호전문직관, 학습민첩성, 간호근무환경이 간호업무성과에 미치는 영향

  • Received : 2023.11.20
  • Accepted : 2023.12.04
  • Published : 2023.12.31

Abstract

Purpose: This study attempted to discern the factors that influence nursing professionalism, learning agility, and the nursing practice environment on the performance of nurses. Methods: Data were collected from 202 clinical nurses who both consented to participate and who have worked for more than one year in one of five small- and medium-sized hospitals located in three regions of Korea. The data were analyzed using the SPSS/WIN 26.0 statistical programs. Results: The nurses' performance showed a statistically significant correlation with nursing professionalism (r=.50, p<.001), learning agility (r=.54, p<.001), and nursing practice environment (r=.37, p<.001). Factors affecting the results of nurses' performance in relation to the subjects are those of learning agility (β=.33, p<.001), nursing professionalism (β=.25, p<.001), clinical career (β=.24, p=.001), education level (β=.16, p=.011), and nursing practice environment (β=.15, p=.016). Conclusion: To improve the performance of nurses in medium-sized hospitals, it is necessary to develop a nursing practice environment, programs, and strategies for enhancing nursing professionalism and learning agility.

Keywords

References

  1. Ahn, H. J. (2019). The improvement of career ladder system for the intensive care unit nurses: Focusing on the analysis of the experience of nurses in one hospital. Unpublished master's thesis, Yonsei University, Seoul.
  2. Cho, E., Choi, M., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  3. Chung, M. J. (2012). Study on the needs, accommodation and satisfaction toward the nursing practice programs of the nurses in small to medium sized hospitals. Unpublished master's thesis, Nambu University, Gwangju.
  4. Ha, N. S., & Choi, J. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration, 16(3), 286-294. https://doi.org/10.11111/jkana.2010.16.3.286
  5. Han, S. S., Kim, M. H., & Yung, E. K. (2008). Factors affecting nursing professionalism. The Journal of Korean Academic Society of Nursing Education, 14(1), 73-79. https://doi.org/10.5977/JKASNE.2008.14.1.073
  6. Hong, J. Y., Chae, J., Song, M. R., & Kim, E. M. (2017). A utilization strategy of nursing staff by types of medical institutions-nurse staffing level of medium and small-sized hospitals. Journal of the Korea Academia-Industrial cooperation Society, 18(8), 162-170. https://doi.org/10.5762/KAIS.2017.18.8.162
  7. Im, C. H., Wee, Y. E., & Lee, H. S. (2017). A study on the development of the learning agility scale. The Korean Journal of Human Resource Development Quarterly, 19(2), 81-108. https://doi.org/10.18211/kjhrdq.2017.19.2.004
  8. Jang, J. H., Jung, M. S., Ko, G. Y., Soun, E. J., & Choi, Y. S. (2018). The influence of job satisfaction, workplace learning on nursing performance among clinical nurses. International Journal of Advanced Nursing Education and Research, 3(1), 13-18. https://doi.org/10.21742/ijaner.2018.3.1.03
  9. Jeong, E., & Han, S. (2020). Communication competence, nursing professionalism and job performance among home healthcare nurses. Journal of Korean Academy of Nursing Administration, 409-418. https://doi.org/10.11111/jkana.2020.26.4.409
  10. Kang, Y. J., & Jung, K. I. (2019). Effects of emotional intelligence and nursing working environment on nursing performance of nurses caring for cancer patients in small and medium hospitals: The mediating effect of communication competence. Asian Oncology Nursing, 19(4), 233-241. https://doi.org/10.5388/aon.2019.19.4.233
  11. Kim, J., & Lee, T. W. (2016). The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Korean Clinical Nursing Research, 22(2), 109-117. https://doi.org/10.22650/JKCNR.2016.22.2.109
  12. Kim, M. K. (2017). Influence of stress coping ability, resilience on nursing performance. Unpublished master's thesis, Seoul National University, Seoul.
  13. Ko, Y. K. (2009). Group performance and the team learning climate as perceived by hospital nurse. Journal of Korean Academy of Nursing Administration, 15(1), 72-80.
  14. Ko, Y. K., Lee, T. W., & Lim, J. Y. (2007). Development of a performance measurement scale for hospital nurses. Journal of Korean Academy of Nursing, 37(3), 286-294. https://doi.org/10.4040/jkan.2007.37.3.286
  15. Kwon, J. O., & Kim, E. Y. (2012). Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. https://doi.org/10.11111/jkana.2012.18.4.414
  16. Lake, E. T. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  17. Lee, H. S., & Yom, Y. H. (2015). Role of self-leadership and social support in the relationship between job embeddedness and job performance among general hospital nurses. Journal of Korean Academy of Nursing Administration, 21(4), 375-385. https://doi.org/10.11111/jkana.2015.21.4.375
  18. Lee, M. A., Kang, S., & Hyun, H. S. (2019). Relationship among nursing professionalism, nursing work environment, and patient safety nursing activities in general hospital nurses. Journal of Korean Academy of Nursing Administration, 25(4), 317-328. https://doi.org/10.11111/jkana.2019.25.4.317
  19. Lee, M. H., & Kim, J. K. (2013). A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration, 19(4), 470-479. https://doi.org/10.11111/jkana.2013.19.4.470
  20. Lombardo, M. M., & Eichinger, R. W. (2000). High potentials as high learners. Human Resource Management, 39(4), 321-329. https://doi.org/10.1002/1099-050X(200024)39:4<321::AID-HRM4>3.0.CO;2-1
  21. Ministry of Health and welfare. (2022, February). National medical care resources and utilization survey. Retrieved October 20, 2023, from: https://www.mohw.go.kr/board.es?mid=a10411010100&bid=0019.
  22. Oh, M. G., & Kim, W. C. (2020). Examining the structural relationships between learning agility, positive psychological capital, customer orientation, and the sales performances of company a automobile salespeople. Journal of Competency Development & Learning, 15(1), 57-87. https://doi.org/10.21329/khrd.2020.15.1.57
  23. Park, J. R., & Kwon, S. H. (2018, November). The effects of job characteristics, nursing professionalism and intrinsic motivation on job satisfaction of nurses in small and medium sized hospitals. Poster session presented at the annual meeting of the Korean Association of Gerontology and Geriatrics, Seoul, Korea.
  24. Park, J. Y., & Hwang, J. I. (2021). Relationships among non-nursing tasks, nursing care left undone, nurse outcomes and medical errors in integrated nursing care wards in small and medium-sized general hospitals. Journal of Korean Academy of Nursing, 51(1), 27-39. https://doi.org/10.4040/jkan.20201
  25. Ryu, Y. O., & Ko, E. (2015). Influence of emotional labor and nursing professional values on job satisfaction in small and medium-sized hospital nurses. Journal of Korean Academy of Fundamentals of Nursing, 22(1), 7-15. https://doi.org/10.7739/jkafn.2015.22.1.7
  26. Song, T., & Kim, G. (2012). Structural equation modeling for health & welfare research. Seoul: Hannarae Publishing Co.
  27. Wee, Y. E., Kim, W. C., & Im, C. H. (2020). Examining structural relationships between learning agility, organizational support, professional commitment, and organizational commitment in Korean public TVET institutions. The Journal of Vocational Education Research, 39(4), 69-90. https://doi.org/10.37210/JVER.2020.39.4.69
  28. Yeun, E. J., Kwon, Y. M., & Ahn, O. H. (2005). Development of a nursing professional values scale. Journal of Korean Academy of Nursing, 35(6), 1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  29. Yim, K. H., & Lee, I. S. (2021). The effect of achievement motivation on learning agility of nursing students: The mediating effect of self-leadership. The Journal of Korean Academic Society of Nursing Education, 27(1), 80-90. https://doi.org/10.5977/jkasne.2021.27.1.80