Browse > Article
http://dx.doi.org/10.5762/KAIS.2017.18.12.300

The Mediating Effects of Self-efficacy in the Relationship between Communicative Competence within the Medical team and Turnover Intention in Hospital Nurses  

Son, Hyun Mi (Gyeongsang National University Hospital)
Sung, Kyung Mi (College of Nursing & Institute of Health Sciences, Gyeongsang National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.18, no.12, 2017 , pp. 300-309 More about this Journal
Abstract
This study was conducted to investigate the mediated effects of self-efficacy in relation to communication competency within the medical team and turnover intention of hospital nurses. Data were collected from 208 nurses working at two university hospitals. In analyzing data using SPSS/WIN 23.0 program, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and after analyzed with Multiple regression analysis using Baron & Kenny's 3 stage procedure, confirmed indirect effect with Sobel test. Evaluation of relationships among communication competency, turnover intention and self-efficacy of subjects revealed a negative relationship(r=-0.22, p=0.001) between communication competency and turnover intention, a positive relationship(r=0.61, p<0.001) between communication competency and self-efficacy and a negative relationship(r=-0.25, <0.001) between self-efficacy and turnover intention. Concerning the mediated effect of self-efficacy in the relationship between communication competency and turnover intention, the influence of communication competency at stage 1 on turnover intention was significant(${\beta}=-0.22$, p<0.001), but communication competency at stage 3 had no significant influence on turnover intention(${\beta}=-0.11$, p=0.194). Accordingly, the mediated effect of self-efficacy in the relationship between communication competency and turnover intention fully mediated and the mediated effect of self-efficacy was significant(z=-2.15, p=0.032). Heightening self-efficacy by improving communication competency could effectively reduce the turnover intention of nurses.
Keywords
Communicative Competence; Hospital Nurses; Mediating Effects; Self-efficacy; Turnover Intention;
Citations & Related Records
Times Cited By KSCI : 8  (Citation Analysis)
연도 인용수 순위
1 L. M. Larson, L. A. Suzuki, K. N. Gillespie, M. T. Potenza, M. A. Bechtel, A. Touloues, "Development and validation of the counseling Self-estimate Inventory", Journal of Counseling Psychology, Vo;.39, no. 1, pp. 105-120, 1992. DOI: https://doi.org/10.1037/0022-0167.39.1.105   DOI
2 S. J. Yoon, H. J. Park, "Organization Socialization and intention to leave in Operating Room Nurses Working at Secondary General University Hospitals", The Journal of Korean Nursing Administration Academic Society, vol. 21, no. 1, pp. 88-98, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.1.88   DOI
3 H. S. Park, "Relationship between Perceived Nursing Care Role Orientation, Job Characteristics, and Turnover among Nurses", Unpoblished master's thesis, Yonsei University, Seoul, 2002.
4 G. S. Oh, Concept of Nursing Library book, Yonsei University, 1993.
5 Y. C. Park, H. T. S. Park, "Clinical Competence and Organizational Socialization according to Communication Style of Preceptors as Perceived by New Nurses", The Korean Journal of Fundamentals of Nursing, vol. 23, no. 1, pp. 42-50, 2016. DOI: https://doi.org/10.7739/jkafn.2016.23.1.42   DOI
6 Y. S. Seo, O. S. Kim, "Related Factors with Turnover Intention of New glade Nurse and Career Nurses", Journal of Korean Academy of Nursing Symposium, pp. 279-279, 2010.
7 S. J. Moon, S. S. Han, "A Predictive Model on Turover Intention of Nurses in Korea", Journal of Korean Academy of Nursing, vol. 41, no. 5, pp. 633-641, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.5.633   DOI
8 S. H. Lee, "Study on the Relationship between Professional Self-concept, Self-efficacy and Job Satisfaction in Clinical Nurses", The Journal of Korean Academic Society of Adult Nursing, vol. 20, no. 1, pp. 10-20, 2008.
9 E. J. Cho, K. S. Bang, "Nursing Professionalism, Self-efficacy and Nurse Parent Partnership in Pediatric Nurses", Child Health Nursing Research, vol. 19, no. 2, pp. 94-101, 2013. DOI: https://doi.org/10.4094/chnr.2013.19.2.94   DOI
10 Korea Health Industry Development Istitute, "Hospital Business Analysis", Korea Health Industry Statistics System Data, 2008.
11 Hospital Nurses Association(2014). Hospital Nurses Association business report: A Survey Study on the Arrangement situation of Hospital Nurses. Seoul.
12 Hospital Nurses Association(2015). Hospital Nurses Association business report: A Survey Study on the Arrangement situation of Hospital Nurses. Seoul.
13 E. J. Lim, Y. J. Yi, "Comparison of Operating Room Nueses and General Ward Nurses on communicative Competence and Interpersonal Relationship Ability within the Medical Team", The Journal of Korean Nursing Administration Academic Society, vol. 20, no. 3, pp. 313-321, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.3.313   DOI
14 F. Dawn, S. Theodore, "The heart of the art: Emotional Intelligence in nurse education", Nursing Inquiry, vol. 11, no. 2, pp. 91-98, 2004. DOI: https://doi.org/10.1111/j.1440-1800.2004.00198.x   DOI
15 S. O. Chang, Y. J. Park, "The Study on the Communication Barrier for Nurses in Clinical Settings", The Korean Journal of Fundamentals of Nursing, vol. 6, no. 1, pp. 130-140, 1999.
16 The Joint Commission. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety, 2007.
17 H. S. Lee, J. K. Kim, "Relationship among Communication Competence, Communication Types, and Organizational Commitment in Hospital Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 16, no. 4, pp. 488-496, 2010. DOI: https://doi.org/10.11111/jkana.2010.16.4.488   DOI
18 Y. A. Cho, M. K. Kim, M. S. Cho, E. Y. Nam, "Nurses Communications with Health Professionals", Journal of Korean Clinical Nursing Research, vol. 19, no. 1, pp. 20-32, 2013.   DOI
19 Y. S. Kim, J. H. Park, K. Y. Lim, "Original Articles : Interpersonal Conflicts and Communication among Medical Residents, Nurses and Technologists", Korean Journal of Hospital Management, vol. 11, no. 2, pp. 16-31. 2006.
20 A. K. Lee, J. Y. Yeo, S. W. Jung, S. S. Byun, "Relations on Communication Competence, Job-stress and Job-satisfaction of Clinical Nurse", The Korea Contents Association, vol. 13, no. 12, pp. 299-308, 2013.
21 Y. J. Son, Y. A. Lee, K. N. Sim, S. S. Kong, Y. S. Park, "Influence of Communication Competence and Burnout on Nursing Performance of Intensive Care Units Nurses", The Korean Journal of Fundamentals of Nursing, vol. 20, no. 3, pp. 278-289, 2013. DOI: https://doi.org/10.7739/jkafn.2013.20.3.278   DOI
22 J. H. Jeong, J. S. Kim, K. H. Kim, "The Risk Factors Inflencing Turnover Intention of Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 14. no. 1, pp. 35-44, 2008.
23 I. S. Kim, "The Role of Self-efficacy and Social Support in the Relationship between Emotional Labor and Burnout, Turnover Intention among Hospital Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 15, no. 4, pp. 515-526, 2009.
24 H. S. Kang, Y. Y. Kim, "Influence of Emotional Intelligence, Communication Competence and stress coping on Turnover Intention in Psychiatric Nurses", Journal of Korea Academia-Industrial cooperation Society, vol. 17, no. 1, pp. 141-151, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.1.141   DOI
25 Y. O. Park, K. J. Lee, E. H. Jo, H. J. Park. "Factors Affecting Turnover Intention of Nurses in Long-term Care Facilities for Elderly People", Journal of Korean Gerontological Nursing. vol. 22, no. 1, pp. 81-89, 2009.
26 S. H. Kim, M. A. Lee, " Effects of Emotional Labor and Communication Compentence on Turnover Intention in Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 20, no. 3, pp. 332-341, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.3.332
27 S. K. Seo. A Study of Communication Ability and Self-Efficacy Depending on Types of Nurses' Conflict Management. Unpoblished master's thesis, sunchon University, Jeonnam. 2015.
28 M. O. Kim, " Study on Self-efficacy, Communication Competency, Critical thinking disposition and Clinical performance ability of Nursing Students", Journal of Korea Academia-Industrial cooperation Society, vol. 17, no. 6, pp. 609-617, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.6.609   DOI
29 Y. M. Kim, Y. S. Kang, "Effects of Self-efficacy, Career Plateau, Job Embeddedness, and Organizational Commitment on the Turnover Intention of Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 21, no. 5, pp. 530-541, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.5.530   DOI