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COVID-19 환자를 간호한 지방의료원 간호사의 간호서비스 질 영향요인
Factors Affecting Nursing Service Quality of Nurses at Local Medical Centers for COVID-19 Patients
곽민정 (공주의료원), 김희경 (공주대학교 간호학과
언어 :
권호 : v.29, no.1, 40-49,
발행일자 : 2022년 4월
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Purpose: This study aimed to analyze the effects of fatigue, resilience, and self-leadership on nursing service quality of local medical center nurses who nursed COVID-19 patients. Methods: The participants were 135 nurses who worked at regional public hospitals located in H-gun, G, and C-city in province C. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Pearson's correlation coefficients, and stepwise multiple regression using IBM SPSS Statistics version 25. Results: The participants' nursing service quality showed significant positive correlation with resilience (r=.53, p<.001), and self-leadership (r=.60, p<.001). The factors affecting participants' nursing service quality were commitment to self-leadership (β=.57, p<.001) and work position (chief nursing officer) (β=.26, p<.001), which explained 42% of the participants' nursing service quality. Conclusion: During a crisis such as the COVID-19 pandemic, it is necessary to help nurses enhance their self-leadership skills and build their career continuously by developing relevant policies, systems, and nursing intervention programs. Future studies could expand the knowledge base by including more participants to explore other ways to improve nursing service quality during the COVID-19 pandemic.
참고문헌 (30)
Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine. 2020;382:727-733. https://doi.org/10.1056/NEJMoa2001017
http://dx.doi.org/10.1056/NEJMoa2001017
Jung HK, Hwang JH. A study on infectious disease control and facilities & management of public medical center-focus on ways of using PFI and securing public interest. Korea Legislation Research Institute. 2020;59:215-244. https://doi.org/10.22851/kjlr.2020..59.007
http://dx.doi.org/10.22851/kjlr.2020..59.007
Jin DL, Lee KY. Experiences of nurses at a general hospital in Seoul which is temporarily closed due to COVID-19. The Journal of Korean Academic Society of Nursing Education. 2020;26(4):412-422. https://doi.org/10.5977/jkasne.2020.26.4.412
http://dx.doi.org/10.5977/jkasne.2020.26.4.412
Bautista JR, Lauria PS, Contreras MS, Maranion MG, Villanueva HH, Sumaguingsing RC, et al. Specific stressors relate to nurses' job satisfaction, perceived quality of care, and turnover intention. International Journal of Nursing Practice. 2020;26(1):e12774. https://doi.org/10.1111/ijn.12774
http://dx.doi.org/10.1111/ijn.12774
Lee ME, Kim EJ. Influences of hospital nurses' perceived reciprocity and emotional labor on quality of nursing service and intent to leave. Journal of Korean Academy of Nursing. 2016;46(3):364-374. https://doi.org/10.4040/jkan.2016.46.3.364
http://dx.doi.org/10.4040/jkan.2016.46.3.364
Koo HH. Fatigue symptoms and related factors among nurses participating pandemic influenza patient care: Focused on middle east respiratory syndrome [master's thesis]. Seoul: Sungshin Women's University; 2017. 1-99 p.
Lee MJ, Yoon SH, Cho YC. Relationship between psychosocial factors, job stress contents, fatigue symptoms and quality of nursing services among general hospital nurses. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(8):569-581. https://doi.org/10.5762/KAIS.2016.17.8.569
http://dx.doi.org/10.5762/KAIS.2016.17.8.569
Kwon HK, Park SH. A meta-analysis of the correlates of resilience in Korean nurses. Journal of Korean Clinical Nursing Research. 2017;23(1):100-109. https://doi.org/10.22650/JKCNR.2017.23.1.100
http://dx.doi.org/10.22650/JKCNR.2017.23.1.100
Connor KM, Davidson JT. Development of a new resilience scale: The Connor-Davidson resilience scale (CD-RISC). Depression and Anxiety. 2003;18(2):6-82. https://doi.org/10.1002/da.10113
http://dx.doi.org/10.1002/da.10113
Kim NH, Yang YR, Ann JH. Nurses' experiences of care for patients in coronavirus disease 2019 infection wards during the early stages of the pandemic. The Korean Academic Society of Adult Nursing. 2022;34(1);109-121. https://doi.org/10.7475/kjan.2022.34.1.109
http://dx.doi.org/10.7475/kjan.2022.34.1.109
Won HJ, Cho SH. A review of research on self-leadership in nurses'. Journal of Korean Academy of Nursing Administration. 2013;19(3):382-393. https://doi.org/10.11111/jkana.2013.19.3.382
http://dx.doi.org/10.11111/jkana.2013.19.3.382
Manz CC. The art of self-leadership: Strategies for personal effectiveness in your life and work. Englewood Cliffs: Prentice-Hall; 1983. p. 1-115.
Han YH, Park YL. Effects of self-leadership and job involvement on clinical competence in general hospital nurses. Journal of Korean Academy of Nursing Administration. 2013;19(4):462-469. https://doi.org/10.11111/jkana.2013.19.4.462
http://dx.doi.org/10.11111/jkana.2013.19.4.462
Kim KR. A phenomenological study on the nurse's COVID-19 patient care experience in the infectious disease hospitals. The Journal of Humanities and Social Sciences. 2021;12(48):2145-2160. https://doi.org/10.22143/HSS21.12.5.151
Yoon SR. Correlations between nurses' knowledge of COVID-19 and infection control compliance, resilience, and psychosocial well-being [master's thesis]. Seoul: Chung-Ang University; 2020. 1-82 p.
Chang SJ, Koh SB, Kang MG, Hyun SJ, Cha BS, Park JK, et al. Correlates of self-rated fatigue in Korean employees. Journal of Preventive Medicine and Public Health. 2005;38(1):71-81.
Beak HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson resilience scale. Psychiatry Investigation. 2010;7(2):109-115.
http://dx.doi.org/10.4306/pi.2010.7.2.109
Kim HS. The relationship between teachers' self-leadership and the job satisfaction at secondary schools [master's thesis]. Seoul: Soongsil University; 2003. 1-94 p.
Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: a multi-item scale for measuring consumer perception of service quality. Journal of Retailing. 1988;64(Spring):12-40.
Lee MA. A comparative study of how subjects' characteristics and nursing service quality influence on hospital revisiting intent between patients and nurses. Journal of Korean Academy of Nursing. 2005;35(7):1210-1220.
http://dx.doi.org/10.4040/jkan.2005.35.7.1210
Choi SY, Kim SD. Relationships of fatigue to job satisfaction and turnover intention among clinical nurses at small & medium-sized hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(9):4218-4226. https://doi.org/10.5762/KAIS.2013.14.9.4218
http://dx.doi.org/10.5762/KAIS.2013.14.9.4218
Song HJ, Lee SM. The effects of hospital nurses' self-esteem and communication skill on self-leadership and the quality of nursing service. Journal of Korean Academy of Nursing Administration. 2016;22(3):220-229. https://doi.org/10.11111/jkana.2016.22.3.220
http://dx.doi.org/10.11111/jkana.2016.22.3.220
Figueroa JF, Wadhera RK, Papanicolas I, Riley K, Zheng J, Orav EJ, et al. Association of nursing home ratings on health inspections, quality of care, and nurse staffing with COVID-19 cases. JAMA. 2020;324(11):1103-1105. https://doi.org/10.1001/jama.2020.14709
http://dx.doi.org/10.1001/jama.2020.14709
Shin ES, An MJ, Choi ML, Lee AK, Jeon EA, Jeoung YM, et al. Factors influencing quality of nursing service among clinical nurses: focused on resilience and nursing organizational culture. Journal of Korean Clinical Nursing Research. 2017;23(3):302-311. https://doi.org/10.22650/JKCNR.2017.23.3.302
http://dx.doi.org/10.22650/JKCNR.2017.23.3.302
Song YR, Park YS. Effects of spiritual well-being and spiritual care competence on spiritual nursing by nurses caring for cancer patients. Korean Journal of Stress Research. 2020;28(4):246-253. https://doi.org/10.17547/kjsr.2020.28.4.246
http://dx.doi.org/10.17547/kjsr.2020.28.4.246
Kim MS, Shin SH, Seo EJ. The influences of self-leadership, role conflict, nursing work environment on nursing service quality in comprehensive nursing care service wards. Journal of East-West Nursing Research. 2021;27(1):22-31. https://doi.org/10.14370/jewnr.2021.27.1.22
http://dx.doi.org/10.14370/jewnr.2021.27.1.22
Cranmer GA, Zachary W, Houghton JD. I'll do it myself : Self-leadership, proactivity, and socialization. Leadership & Organization Development Journal. 2019;40(6):684-698. https://doi.org/10.1108/LODJ-11-2018-0389
http://dx.doi.org/10.1108/LODJ-11-2018-0389
McMillan K, Perron A. Change fatigue in nurses: A qualitative study. Journal of Advanced Nursing. 2020;76(10):2627-2636. https://doi.org/10.1111/jan.14454
http://dx.doi.org/10.1111/jan.14454
Korean Research. Hospital Nurses Association (February) [internet]. 2020 Survey on the status of hospital nursing personnel allocation centers for disease control and prevention [cited 2021 February 13]. Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8086&sca=&sfl=wr_subject&stx=%EB%B3%91%EC%9B%90%EA%B0%84%ED%98%B8%EC%9D%B8%EB%A0%A5&sop=and
Lerner RM, Freund AM, De Stefanis I, Habermas T. Understanding developmental regulation in adolescence: The use of the selection, optimization, and compensation model. Human Development. 2001;44(1):29-50. https://doi.org/10.1159/000057039
http://dx.doi.org/10.1159/000057039