요양병원 간호사의 전문직 자아개념, 셀프 리더십이 노인간호수행도에 미치는 영향

Abstract

The objective of this study was to elucidate the relationship between care hospital nurses’ professional self-concept and self-leadership, and their geriatric nursing performance to clarify factors that affect geriatric nursing performance. Nurses’ Self-Concept Instrument(NSCI) developed by Angel, Craven, and Denson et al. (2012) to evaluate professional self-concept, a instrument developed by Manz (1983) and revised by Kim (2002) for the evaluation of self-leadership, and a instrument developed by Kim (2009) to judge geriatric nursing performance were used in this study. A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals in Busan, Korea. The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA conducted using SPSS 18.0 Scheffé test was utilized for post hoc tests. Correlations were analyzed based on Pearson correlation coefficient. To examine the factors affecting geriatric nursing performance, a multiple regression was performed with subcategories of professional self-concept and self-leadership as independent variables and with subcategories of geriatric nursing performance as dependent variables. As a result, the average score of professional self-concept was 6.02±0.84 out of 8 points, that of self-leadership was 3.69±0.44 out of 5 points, and that of geriatric nursing performance was 3.79±0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. Most of the six subcategories of self-leadership showed significant positive correlations with nine subcategories of geriatric nursing performance, ranging between 0.16 and 0.45. 'Knowledge' subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t=2.68, p=.008), and that it explained about 43% of sleep quality care nursing performance. As for communication in nursing, 'rehearsal' subcategory of self-leadership was a significant factor (t=2.19, p=.030), and explaining about 40% of communication in nursing. Influencing factors of geriatric nursing performance were participants’ socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses’ professional self-concept and self-leadership should be needed enhancing nursing performance in geriatric hospitals.