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http://dx.doi.org/10.5762/KAIS.2018.19.7.463

Impacts of Professional Autonomy and Role Conflict Clinical Decision-Making Ability of Nurses on Comprehensive Nursing Care Service Wards  

Son, Yu-Lim (Department of Nursing, MunKyung College)
Kim, Eun-Ha (Department of Nursing, MunKyung College)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.19, no.7, 2018 , pp. 463-473 More about this Journal
Abstract
This investigation was a descriptive study that examined the relationship among factors including professional autonomy, role conflict, and clinical decision-making ability of nurses on comprehensive nursing service wards. To accomplish this, a survey of 234 nurses working at D city and G city who were selected based on convenience sampling was conducted. Data were collected using a self-reported questionnaire completed by 234 nurses at four clinical hospitals from October 12, 2017 to November 30, 2017. The collected data were evaluated by t-tests, ANOVA, Pearson's correlation and stepwise multiple regression analysis. The mean clinical decision-making ability score was $3.38{\pm}0.78$, which corresponded to an intermediate level of clinical decision-making ability. Clinical decision making ability was positively correlated with professional autonomy, but role conflict showed a negative correlation. The factors having the greatest impact on clinical decision-making ability were found to be, in order, length of work, education level, professional autonomy and role conflict, which together accounted for 38.7% of the total impact. To improve clinical decision making ability, it is important to improve autonomy and role conflict. Additionally, to improve clinical decision-making ability, it is necessary to improve clinical decision-making ability to determine nurses tasks through professional autonomy and role conflict. Overall, the results of this study can be utilized as baseline data when developing a program to enhance nurses' clinical decision making ability. Moreover, it is suggested that an interventional study analyzing validity and effectiveness of developed education programs be conducted.
Keywords
Comprehensive; Autonomy; Role conflict; Nursing; Decision Making;
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