Browse > Article
http://dx.doi.org/10.14400/JDC.2020.18.9.229

The Relationship among Moral Sensitivity, Self-leadership, Fatigue and Compliance with Standard Precautions of Intensive Care Nurses  

Park, Ju Young (College of Nursing Konyang University)
Woo, Chung Hee (College of Nursing Konyang University)
Publication Information
Journal of Digital Convergence / v.18, no.9, 2020 , pp. 229-237 More about this Journal
Abstract
The study was done to identify relations among moral sensitivity, self-leadership, fatigue and compliance with standard precautions and to identify the influencing factors on compliance with standard precautions for intensive care nurses. Data were collected from 153 intensive care nurses in March 2019 and were analyzed using Descriptive statistics, Pearson correlation coefficients, and Stepwise multiple regression with SPSS/WIN 24.0 version. The compliance with standard precautions has positive correlation with their self-leadership (r=.17, p=.042). The self-leadership (β=.17, p=.042) was a significant predictor of the compliance with standard precautions. It was statistically significant (R2=.03, F=4.21, p=.042). Based on the findings of this study, each institution needs to make efforts to strengthen the capacity of nurses for self-leadership.
Keywords
Standard precautions; Self-leadership; Moral sensitivity; Nursing; Intensive care nurses;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 C. Choi, I. Ko & Y. Yim. (2016). Factors influencing nursing students' performance of infection control. Journal of Korean Academy of Fundamentals of Nursing, 22(2), 136-148. DOI : 10.7739/jkafn.2016.23.2.136   DOI
2 T. C. Horan, M. Andrus & M. A. Dudeck. (2008). CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. American Journal of Infection Control, 36(5), 309-332. DOI : 10.1016/j.ajic.2008.03.002   DOI
3 H. Park. (2019). Analysis of the fatigue concept of nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 9(6), 467-477. DOI : 10.21742/AJMAHS.2019.06.45   DOI
4 K. Lee, H. Kim, Y. H. Lee & O. K. Ham. (2012). Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. The Korean journal of fundamentals of nursing, 19(3), 302-312. DOI : 10.7739/jkafn.2012.19.3.302   DOI
5 S. J. Hwang. (2013). Effects of self-leadership of nursing staff on professionalism. Master thesis. Keimyung University, Daegu.
6 S. Shim. (2008). The standard for the prevention of infections of a local medical workers centered on the nurse's moral sensitivity, infection management, standard precaution. Master thesis. Kaya University, Busan.
7 E. S. Park, H. Y. Jin, S. Y. Jeong et al. (2011). Healthcare-associated infection surveillance in small and medium sized hospitals. Korean Journal of Nosocomial Infection Control, 16(2), 54-62.
8 L. M. Barker & M. A. Nussbaum. (2011). Fatigue, performance and the work environment: A survey of registered nurses. Journal of advanced nursing, 67(6), 1370-1382. DOI : 10.1111/j.1365-2648.2010.05597.x   DOI
9 M. Kim & S. Yun. (2018). A convergence study on the factors influencing nursing students' attitudes toward standard precautions: Focusing on the health belief model. Journal of the Korea Convergence Society, 9(6), 77-88. DOI : 10.15207/JKCS.2018.9.6.077   DOI
10 A. Park, I. Kwon & Y. Cho. (2009). Fatigue symptoms and its related factors among general hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society, 10(8), 2164-2172.   DOI
11 H. S. Kim. (2003). Relationship between self-leadership and job satisfaction of middle school teachers. Master thesis. Soongsil University, Seoul.
12 K. Lutzen, G. Nordstrom & M. Evertzon. (1995). Moral sensitivity in nursing practice. Scandinavian Journal of Caring Sciences, 9(3), 131-138. DOI : 10.1111/j.1471-6712.1995.tb00403.x   DOI
13 S. Han, J. Kim, Y. Kim & S. Ahn. (2010). Validation of a Korean version of the moral sensitivity questionnaire. Nursing Ethics, 17(1), 99-105. DOI : 10.1177/0969733009349993   DOI
14 C. C. Manz. (1983). The art of self-leadership: Strategies for personal effectiveness in your life and work. Prentice-Hall.
15 E. H. Jang. Development of fatigue scale for nurse. Doctoral dissertation. Chung-Ang University, Seoul.
16 G. L. Cho. (2007). Influencing factors on the compliance about standard precautions among ICU and ER nurses. Master thesis. Seoul National University, Seoul.
17 M. Sung, N. L. Kim & H. Y. Choi. (2007). Factors influencing performance of the nurses about the management of nosocomial infection. Korean Journal of Occupational Health Nursing, 16(1), 5-14.
18 Korean Society for Healthcare-associated Infection Control and Prevention. (2019). Manual Establishment and Pilot Survey of National Healthcare-associated Infections Surveillance (2018-2019). Korea Centers for Disease Control and Prevention. http://www.prism.go.kr/homepage/lately/retrieveLatelyDetail.do;jsessionid=F6D0A624DB9799F92D24D8818BCA6AD5.node02?research_id=1351000-201800274.
19 Korea Centers for Disease Control and Prevention. (2017). Guidelines for prevention and control of Healthcare associated infections. Korea Centers for Disease Control and Prevention. http://www.medric.or.kr/Uploads/BLibrary/%EC%9D%98%EB%A3%8C%EA%B4%80%EB%A0%A8%EA%B0%90%EC%97%BC%20%ED%91%9C%EC%A4%80%EC%98%88%EB%B0%A9%EC%A7%80%EC%B9%A8(2017).pdf.
20 Health Insurance Review & Assessment Service. (2018). Results of 2017 intensive care unit adequacy assessment. Health Insurance Review & Assessment Service. https://www.hira.or.kr/cms/open/04/04/12/2018_13.pdf.
21 D. Han, K. Seo, E. Kim & H. Kim. (2018). Influences of moral sensitivity and safety environment on compliance with standard precautions among nurses. Journal of the Korea Academia-Industrial cooperation Society, 19(3), 364-375. DOI : 10.5762/KAIS.2018.19.3.364   DOI
22 M. Yoo & K. Shon. (2012). Effects of nursing ethics education on biomedical ethics awareness, moral sensitivity and moral judgment of nursing students. Journal of the Korean Bioethics Association, 12(2), 61-76.
23 M. Park, D. Kjervik, J. Crandell & M. H. Oermann. (2012). The relationship of ethics education to moral sensitivity and moral reasoning skills of nursing students. Nursing ethics, 19(4), 568-580. DOI : 10.1177/0969733011433922   DOI
24 K. Yu, H. Park & K. Jang. (2018). Factors related to self-leadership of Korean clinical nurses: A systematic review and meta-analysis. Journal of Korean Academy of Nursing Administration, 24(5), 410-422. DOI : 10.11111/jkana.2018.24.5.410.   DOI
25 Y. H. Suh & H. Y. Oh. (2010). Knowledge, perception, safety climate, and compliance with hospital infection standard precautions among hospital nurses. Journal of Korean Clinical Nursing Research, 16(1), 61-70.
26 Y. Do & Y. Kang. (2019). Influence of professional self-concept, moral sensitivity on elderly care performance of geriatric hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society, 20(5), 128-136. DOI : 10.5762/KAIS.2019.20.5.128   DOI
27 J. Lee & S. Ahn. (2019). The impact of moral sensitivity and moral distress on end-of-life care performance among intensive care unit nurses. The Korean Society for Medical Ethics, 22(2), 140-160. DOI : 10.35301/ksme.2019.22.2.140   DOI
28 S. Seo. (2012). Emotional intelligence, self-leadership, and clinical decision making in intensive care nurses. Master thesis. Catholic University, Seoul.
29 K. Kang, J. Kim & J. H. (2018). Mediation effect of self leadership between awareness and performance on the standard precaution of nursing student and clinical nurse. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(1), 457-469. DOI : 10.35873/ajmahs.2018.8.1.047
30 E. J. Lim, J. Shin & Y. Kim. (2019). Influence of perception of patient safety culture and fatigue on safety management activities of university hospital nurses. Nursing and Health Issues, 24(2), 96-105. DOI : 10.33527/nhi2019.24.2.96
31 U. Choi & H. Kim. (2016). The impact of safety climate and fatigue on safety performance of operating room nurses. Journal of Korean Academy of Nursing Administration, 22(5), 471-479. DOI : 10.11111/jkana.2016.22.5.471   DOI
32 J. D. Siegel, E. Rhinehart, M. Jackson & L. Chiarello. (2007). 2007 guideline for isolation precautions: Preventing transmission of infectious agents in health care settings. American Journal of Infection Control, 35(10), S65-S164. DOI : 10.1016/j.ajic.2007.10.007   DOI
33 H. Tuvesson & K. Lutzen. (2017). Demographic factors associated with moral sensitivity among nursing students. Nursing ethics, 24(7), 847-855. DOI : 10.1177/0969733015626602   DOI
34 K. Lutzen, V. Dahlqvist, S. Eriksson & A. Norberg. (2006). Developing the concept of moral sensitivity in health care practice. Nursing ethics, 13(2), 187-196. DOI : 10.1191/0969733006ne837oa   DOI
35 F. Borhani, A. Abbaszadeh, E. Mohamadi, E. Ghasemi & M. J. Hoseinabad-Farahani. (2017). Moral sensitivity and moral distress in Iranian critical care nurses. Nursing ethics, 24(4), 474-482. DOI : 10.1177/0969733015604700   DOI
36 T. C. DiLiello & J. D. Houghton. (2006). Maximizing organizational leadership capacity for the future: Toward a model of self-leadership, innovation and creativity. Journal of Managerial Psychology, 21(4), 319-337. DOI : 10.1108/02683940610663114   DOI
37 H. J. Won & S. H. Cho. (2013). A review of research on self-leadership in nurses. Journal of Korean Academy of Nursing Administration, 19(3), 382-393. DOI: 10.11111/jkana.2013.19.3.382   DOI
38 S. Jung. (2011). How to prevent transmission of infectious agents in healthcare settings. Hanyang Medical Reviews, 31(3), 190-199.   DOI
39 International Labour Organization. (2015). The organization of working time and its effects in the health services sector: A comparative analysis of Brazil, South Africa and the Republic of Korea. Conditions of Work and employment Series, 56. 1-65. https://www.ilo.org/travail/whatwedo/publications/WCMS_342363/lang--en/index.htm.