• 간호행정학회지
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• 제20권4호
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• pp.437-445
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• 2014

Purpose: The aim in this study was to identify head nurses' nursing performance according to their managerial competencies and professional nurse autonomy. Methods: From January 15 to January 31, 2013 a survey was distributed to 200 head nurses working in 5 tertiary hospitals in B city and J city. The response rate was 80% (160 responses). The survey content included the Managerial Competencies Scale (MCS), Schutzenhofer professional nurse autonomy Scale (SPNA), and Nursing Performance Scale (SPNA). Results: The score for MCS was 4.53, for SPNA, 177.05, and for SPNA, 4.62. Nursing performance was related to managerial competencies (${\beta}=0.741$; p<.001; SE=0.059) and professional autonomy (${\beta}=0.135$; p=.010; SE=0.001). These factors accounted for 64.8~67.3% of the variability in nursing performance. Conclusion: Results indicate that head nurses' performance would be improved through increased nursing managerial competencies and expansion of professional autonomy suggesting a need to develop work systems designed to achieve high managerial competency and professional autonomy in head nurses.

• 기본간호학회지
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• 제17권2호
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• pp.274-281
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• 2010

Purpose: The purpose of this study was to identify the correlation between level of professional autonomy and clinical decision making abilities in clinical nurses, and to provide basic information for promoting competency nurses in making independent decisions. Method: Data were collected from July 1 to July 18, 2008, and participants were 202 clinical nurses in general hospitals. Collected data were analyzed using descriptive statistics: frequency and percentage and Pearson correlation coefficients with the SPSS WIN 14.0 program. Results: The professional autonomy index for the nurses was 159.63 points. The clinical decision making ability index was 119.79 points. The most highly ranked factor in clinical decision making was search for information and unbiased assimilation of new information. There was a statistically significant difference in professional autonomy according to age, clinical experience, and type of duty. Relation between level of professional autonomy and clinical decision making showed a positive correlation. Conclusion: As a results show a significant correlation between professional autonomy and clinical decision making in clinical nurses, improvement in professional autonomy of clinical nurses, would be promoted through continuous support and training.

• 한국직업건강간호학회지
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• 제22권4호
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• pp.285-294
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• 2013

Purpose: This study aimed to explore professional autonomy, nursing work environment, and clinical decision making ability and to determine predictors of clinical decision making ability among clinical nurses. Methods: A cross-sectional design was used in this study and 263 clinical nurses were selected from advanced-level hospitals with over 500 beds located in D metropolitan city. Independent t-test, ANOVA, Pearson's correlation coefficients and hierarchical multiple regression analyses were done with the SPSS/WIN 20.0 program. Results: Clinical nurses reported moderate levels of professional autonomy, nursing work environment and clinical decision making ability. Marital status, professional autonomy and nursing work environment accounted for 25% of variance in clinical decision making ability required in various clinical settings. Importantly, being married, higher level of professional autonomy, and greater satisfaction with work environment were significantly associated with better decision making ability. Conclusion: Findings indicate that improving the quality of decision making in the healthcare settings requires awareness of the multiple effects of individual, occupational and environmental features. Nurses' ability to make effective clinical decisions may rely on personal characteristics, the degree of autonomy in their job, and nurses' satisfaction with their work environment.

• 가정∙방문간호학회지
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• 제25권3호
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• pp.232-239
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• 2018

Purpose: The aim of this study was to investigate the influences of professional autonomy and communication competency on the job satisfaction of psychiatric nurses. Methods: Participants were 141 psychiatric nurses working in psychiatric departments in 5 provincial hospitals. The questionnaire was composed of a total of 88 questions: general characteristics of participants (12 items), professional autonomy (30 questions), communication competency (15 questions), job satisfaction (30 questions). Data were collected and analyzed using t-tests, ANOVA, Pearson's correlation coefficients, and Multiple regression analysis with SPSS/WIN 24.0. Results: Job Satisfaction had significant positive correlations with both professional autonomy (r=.18, p<.001) and communication competency (r=.32, p<.001). These variables explained 24.3% of the variance in psychiatric nurses' job satisfaction. Conclusion: Thease findings indicate that professional autonomy and communication competency are important variables influencing job satisfaction for psychiatric nurses. Development and provision of intervention programs to increase professional autonomy and communication competency will help to increase psychiatric nurses' job satisfaction.

• 한국기록관리학회지
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• 제20권2호
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• pp.85-106
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• 2020

공공기록물법 제정 20년이 넘었으나, 기록 외의 업무 등으로 기록관리 전문인력이 기록물 관리에 몰입하기 어려운 현실이다. 기록관리 비(非) 전문인력이 주류인 조직, 특히 개별 행위보다 부서장 중심 행위에 대한 몰입을 강조하는 육군에선, 기록물관리에 대한 몰입 및 전문성 발휘가 더 어려울 수 있다. 이에 따라, 본 연구는 육군 기록관리 전문인력의 전문직몰입과 조직몰입 간의 관계를 파악하고, 전문직성이 전문직과 조직에 대한 이중몰입에 미치는 영향을 알아보고자 하였다. 육군의 공식 승인을 받아 야전에서 기록물관리 임무 수행 중인 135명 중 104명(77.0%)으로부터 응답을 회수하여, 요인분석, 상관관계분석, 다중회귀분석 등을 실시하였으며, 평행모델을 접근법으로 채택하였다. 분석결과, 1) 전문직몰입과 조직몰입은 상호 보완적 관계로 이중몰입이 가능하며, 2) 자율성의 전문직성 강화가 오히려 조직몰입 향상에 기여한다. 3) 전문직성 중 소명의식이 높을수록 전문직몰입은 높아지지만 조직몰입은 낮아졌으며, 가치관에 의한 갈등은 전문직몰입과 조직몰입 모두를 떨어뜨리는 이중몰입의 공통결정요인으로 도출되었다. 본 연구를 통해 비(非) 전문인력이 주류인 조직에서의 기록관리 전문인력이 갖는 전문직성의 의미를 고찰하고, 몰입 향상 방안을 도출할 수 있을 것이다.

• 중환자간호학회지
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• 제8권1호
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• pp.62-70
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• 2015

Purpose: This study is a descriptive research study to determine the level of professional autonomy, professional self-concept, and job satisfaction of emergency nurses, and to investigate their correlations and verify the effects of professional autonomy and professional self-concept on job satisfaction. Method: The subjects were 189 emergency nurses with a work experience of 1 year or more, in 14 hospitals located in B and U Metropolitan Cities. The study was conducted from July 20, 2014, to August 30, 2014. The measurement instruments for professional autonomy, professional self-concept, and job satisfaction were used as the measurement tools. The collected data were analyzed using the t-test, analysis of variance, Scheffe's test, Pearson's correlation coefficient, and multiple linear regression. Results: Job satisfaction among emergency nurses showed a significant positive correlation with professional autonomy (r=.28, p <.001), and with professional selfconcept (r=.50, p <.001) with sub-areas of professional practice (r=.79, p <.001), satisfaction (r=.64, p <.001), and communication (r=.25, p <.001). Factors affecting job satisfaction were satisfaction (${\beta}$=0.60, p <.001), followed by low professional autonomy (${\beta}$=-0.24, p <.001) and communication (${\beta}$=0.14, p =.008), which accounted in total for 48.3% of the effect. Conclusion: This study suggests that enhancing professional satisfaction, maintaining proper communication, and securing autonomy are required to improve the job satisfaction among emergency nurses.

• 디지털융복합연구
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• 제20권4호
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• pp.715-724
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• 2022

본 연구는 병원 간호사의 환자안전관리 중요성 인식, 전문직 자율성 및 안전분위기가 환자안전간호활동에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 종합병원 간호사 211명을 대상으로, 2021년 1월 11일부터 1월 25일까지 자료수집이 이루어졌다. 자료분석은 SPSS 21.0 program을 이용하여 독립표본 t-검정, 일원분산분석, 피어슨상관계수, 단계적 회귀분석으로 하였다. 병원간호사의 환자안전간호활동 영향요인은 안전분위기(β=.297, p<.001), 환자안전관리 중요성 인식(β=.287, p<.001), 근무부서(β=.169 p=.004)이었다. 연구결과를 종합해 볼 때, 환자안전간호활동의 증진을 위해서는 간호사의 근무부서의 업무고려 및 다양한 특성을 고려한 교육프로그램 개발 및 적용, 환자안전관련 중요성 인식의 향상, 긍정적인 안전분위기의 형성이 이루어져야 한다. 본 연구는 병원 간호사의 환자안전간호활동 증진의 방안마련에 토대가 되는 자료를 제공한다는 점에서 그 의의가 있다.

• 한국의료윤리학회지
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• 제21권4호
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• pp.316-329
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• 2018

의사들의 소셜미디어의 활용은 의학전문직업성에서 중요한 문제가 되어가고 있다. 그러나 전문직 단체에서는 이에 관한 명확한 가이드라인을 아직 제공하지 못하고 있으며, 관련된 규정으로 새로 개정된 대한의사협회 의사윤리지침에서 소셜미디어를 활용할 때 품위를 유지할 것을 요구하고 있는 것이 전부이다. '품위 유지'라는 개념은 전문직의 의무로서 제시되어 왔지만, 이 개념이 갖는 모호함이나 전근대적 어감 등이 품위 유지의 의무가 전문직의 자율 규제의 규준으로서 쓰이는 데에 장애물이 되어 왔다. 저자들은 의료전문직의 품위 유지 개념을 검토하고 만일 이 개념을 명료하고 정당화 가능하게 재정의할 경우, 이 개념은 소셜미디어와 같은 여러 맥락에서 작동가능한 규준이 될 수 있다고 주장한다. 소셜미디어의 예측불가성과 통제 불가능한 영향력, 공적, 직업적 영역과 사적, 개인적 영역의 구분이 모호해진다는 특성은 의학전문직업성을 위험에 빠뜨릴 수 있다. 이 논문에서는 전문직의 품위가 손상될 수 있는 세 가지 사례를 제시하고 왜 이러한 행위들이 공공의 신뢰를 저하시고 전문직의 품위를 손상하게 되는지 논증한다. 저자들은 공공의 신뢰를 유지하기 위해 대한의사협회가 소셜미디어 활용에 관한 보다 구체적인 가이드라인을 제시해야 한다고 결론 내린다.

• 임상간호연구
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• 제29권1호
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• pp.1-11
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• 2023

Purpose: The purpose of this study was to identify the influencing effects of job stress, professional autonomy, and reciprocity on the job embeddedness among comprehensive nursing care unit nurses. Methods: The participants in this study were 147 nurses who have worked for over 6 months in Comprehensive Nursing Care Unit. Data were collected from January 3 to January 31, 2022 from six general hospitals with more than 300 beds in three cities in G, G and P. Results: As the results of hierarchical regression analysis, job embeddedness was lower when nurses had clinical experiences for 1 to under 5 years (β=-.49, p<.001), 5 to under 10 years (β=-.27, p=.035), 10 to under 20 years (β=-.54, p<.001) compared to those who had clinical experiences for more than 20 years. Also, job embeddedness was higher when there was greater balance within team caregiving of reciprocality (β=.27, p<.001) and intrinsic reward (β=.22, p=.003), and lower role conflict (β =-.27, p<.001). Conclusion: The results of the study showed that job embededness would increase if the role conflict of comprehensive nursing care unit nurses reduces, if there was a culture that the members can make cooperative relationship with other health care professionals and, if there was an appropriate intrinsic reward depending on their work experience.

• 산업융합연구
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• 제21권5호
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• pp.123-132
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• 2023

본 연구의 목적은 장애인스포츠지도자들의 감정노동이 직무스트레스 및 전문직업정체성에 미치는 영향을 규명하는데 있다. 수도권 지역의 장애인체육회, 재활스포츠센터, 장애인복지관에서 근무하는 장애인스포츠지도자를 대상으로 190부를 회수하여 분석에 사용하였다. 수집된 자료는 SPSS 22.0 통계 프로그램을 활용하여 빈도분석, 상관관계분석, 다중회귀 분석을 실시하였다. 연구결과 감정노동의 하위요인인 감정부조화는 직무 스트레스의 역할모호성과 역할과다에 영향을 미치는 것으로 확인되었고, 감정노동의 하위요인인 표현 다양성은 전문직 정체성의 하위요인인 공공성, 전문조직활용, 소명의식에 영향을 미쳤으며, 감정부조화는 전문직 정체성의 자율성, 소명의식에 영향을 미치는 것으로 확인되었다. 직무 스트레스의 하위요인인 역할모호성은 전문직 정체성의 영향을 미쳤으며, 역할과다는 공공성과 자율성에 영향을 미치는 것으로 확인되었다. 후속 연구에서는 수도권 지역 이외의 전국 지역과 종목별에 따른 장애인스포츠지도자 감정노동 유형에 대한 보다 세밀한 인식과 생각을 포함한 심층 연구가 이뤄지길 기대한다.