중환자실 간호사의 임상추론역량, 긍정심리자본, 간호근무환경이 간호업무성과에 미치는 영향 = Factors Influencing Nursing Performance of Intensive Care Unit Nurses: Role of Clinical Reasoning Competence, Positive Psychological Capital, and Nursing Work Environment

다국어 초록 (Multilingual Abstract)

Purpose : This study aimed to investigate the impact of clinical reasoning competence, positive psychological capital, and nursing work environment on nursing performance of intensive care unit (ICU) nurses in tertiary general hospitals.Methods : Data were collected from 169 ICU nurses in tertiary general hospitals in Busan, South Korea, from July 27 to August 15, 2023, using a self-report questionnaire. After excluding 12 questionnaires with insufficient responses, 157 responses were analyzed. Descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficient, and stepwise multiple regression analysis were employed.Results : Factors influencing nursing performance included clinical reasoning competence (<i>β</i>=.51, <i>p</i> ＜.001), hope as a subfactor of positive psychological capital (<i>β</i>=.31, <i>p</i> ＜.001), and the nursing foundations for quality of care in the nursing work environment (<i>β</i>=.21, <i>p</i> ＜.001). The explanatory power of the regression model was 62% (F=87.41, <i>p</i> ＜ .001).Conclusion : The study underscores the importance of improving clinical reasoning competence among ICU nurses to enhance nursing performance and foster a hopeful attitude through reflective practices and personal growth. Organizational interventions, such as educational and psychological support programs, along with creating a supportive nursing environment, are crucial for improving nursing performance among intensive care unit nurses.

참고문헌 (Reference)

1 정재원 ; 한정원, "Validity and reliability of a Korean version of nurse clinical reasoning competence scale" 18 (18): 304-310, 2017

2 Nasurdin AM, "The role of psychological capital on nursing performance in the context of medical tourism in malaysia" 19 (19): 748-761, 2018

3 Curran PJ, "The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis" 1 (1): 16-29, 1996

4 최은비 ; 유경희, "The influence of social support and health promotion behaviors on nursing work performance among nurses" 27 (27): 333-341, 2021

5 강희 ; 강희영, "The effects of simulation-based education on the clinical reasoning competence, clinical competence, and educational satisfaction" 21 (21): 107-114, 2020

6 전선미 ; 김민영, "The effects of college simulation practical education on new nurses’ clinical competence" 23 (23): 869-879, 2023

7 Göktepe N, "The effect of nurses’ individual, professional and work environment characteristics on their perception of quality of nursing care" 8 (8): 139-147, 2021

8 Liou S, "The development and psychometric testing of a theory-based instrument to evaluate nurses’ perception of clinical reasoning competence" 72 (72): 707-717, 2016

9 Henriksen KF, "The core qualities and competencies of the intensive and critical care nurse, a meta-ethnography" 77 (77): 4693-4710, 2021

10 김인숙 ; 서유빈 ; 김복남 ; 민아리, "The Effects of positive psychological capital, organizational commitment, customer orientation in clinical nurses" 21 (21): 10-19, 2015

11 Alessandri G, "Testing a dynamic model of the impact of psychological capital on work engagement and job performance" 23 (23): 33-47, 2018

12 Bringsvor HB, "Sources of knowledge used by intensive care nurses in Norway : An exploratory study" 30 (30): 159-166, 2014

13 Gillespie BM, "Resilience in the operating room : developing and testing of a resilience model" 59 (59): 427-438, 2007

14 이순늠 ; 김정아, "Prediction model for nursing work outcome of nurses : Focused on positive psychological capital" 50 (50): 1-13, 2020

15 Luthans KW, "Positivity in healthcare : relation of optimism to performance" 22 (22): 178-188, 2008

16 Luthans F, "Positive psychological capital : Measurement and relationship with performance and satisfaction" 60 (60): 541-572, 2007

17 Youssef CM, "Positive organizational behavior in the workplace : The impact of hope, optimism, and resilience" 33 (33): 774-800, 2007

18 Youssef CM, "Positive organizational behavior in the workplace : The impact of hope, optimism, and resilience" 33 (33): 774-800, 2007

19 강명주 ; 정경희, "Perception of Healthcare Accreditation System on Patient Safety Management Activities and Nursing Performance of Regional Public Hospital Nurses" 23 (23): 416-426, 2017

20 신나연 ; 유소영 ; 강성숙 ; 이승신 ; 박민정 ; 이대연 ; 남선미, "Influence of nurse manager and peer group caring behaviors as perceived by nurses on organizational socialization and nursing performance" 26 (26): 110-119, 2020

21 Ali I, "Impact of psychological capital on performance of public hospital nurses : the mediated role of job embeddedness" 22 (22): 135-154, 2021

22 Kramer M, "Impact of healthy work environments on new graduate nurses’ environmental reality shock" 35 (35): 348-383, 2013

23 Snyder CR, "Hope theory : Rainbows in the Mind" 13 (13): 249-275, 2002

24 Luthans F, "Hope : A New Positive Strength for Human Resource Development" 1 (1): 304-322, 2002

25 정선영 ; 박효정, "Factors influencing nursing professionalism on the nursing performance in intensive care unit nurses" 29 (29): 451-460, 2022

26 Sharma J, "Factors influencing job performance of nursing staff : mediating role of affective commitment" 45 (45): 161-182, 2016

27 Lee SJ, "Emotional intelligence, interpersonal relationship and nursing performance among clinical nurses" Ajou University 2013

28 Lee SK, "Effects on nursing performance by positive psychological Capital" Sungkyunkwan University 2019

29 Sarıköse S, "Effects of nurses’ individual, professional and work environment characteristics on job performance" 31 (31): 633-641, 2022

30 권의옥 ; 이명하 ; 정석희 ; 김희선, "Effects of nurse-physician collaboration on nursing performance and organizational commitment in intensive care unit nurses" 25 (25): 186-197, 2019

31 Park SJ, "Effect of the positive psychological capital and professionalism on the nursing performance among perioperative Nurse" Han yang University 2016

32 고영혜 ; 이미현, "Effect of resilience and positive psychological capital on the professional quality of life in hospital nurses" 12 (12): 551-562, 2021

33 김신희 ; 이명하 ; 박숙경, "Effect of a nursing practice environment on nursing job performance and organizational commitment : Focused on the mediating effects of job embeddedness" 25 (25): 208-219, 2019

34 Lake ET, "Development of the practice environment scale of the nursing work index" 25 (25): 176-188, 2002

35 고유경 ; 이태화 ; 임지영, "Development of a performance measurement scale for hospital nurses" 37 (37): 286-294, 2007

36 Higgs J, "Developing clinical reasoning capabilities" 1571-1587, 2023

37 Alfaro-Lefevre R, "Critical thinking, clinical reasoning, and clinical judgment: A practical approach" Elsevier Health Sciences 2019

38 한숙원 ; 전인숙, "Convergence factors influencing clinical reasoning competency of nursing students" 11 (11): 181-186, 2020

39 조은희 ; 최모나 ; 김은영 ; 유일영 ; 이남주, "Construct validity and reliability of the korean version of the practice environment scale of nursing work index for korean nurses" 41 (41): 325-332, 2011

40 이순늠 ; 김정아, "Concept analysis of positive psychological capital" 23 (23): 181-190, 2017

41 Liu Z, "Comparative study of clinical reasoning competence and self-directed learning competence in nurses across varied years of experience" 2024

42 Linn A, "Clinical reasoning-a guide to improving teaching and practice" 41 (41): 18-20, 2012

43 Daniel M, "Clinical reasoning assessment methods : A scoping review and practical guidance" 94 (94): 902-912, 2019

44 Simmons B, "Clinical reasoning : Concept analysis" 66 (66): 1151-1158, 2010

45 Griffits S, "Characteristics and processes of clinical reasoning in nurses and factors related to its use : a scoping review protocol" 15 (15): 2832-2836, 2017

46 Lake ET, "A meta-analysis of the associations between the nurse work environment in hospitals and 4 sets of outcomes" 57 (57): 353-361, 2019

47 이동섭 ; 최용득, "A Study on Antecedents and Consequences of Positive Psychological Capital in Organizations" 39 (39): 1-28, 2010