진료지원간호사의 전문직 자아개념, 직무몰입, 근무환경이 간호업무성과에 미치는 영향 = The Effects of Professional Self-Concept, Job Involvement, and the Practice Environment on Nursing Performance among Physician Assistant Nurses

다국어 초록 (Multilingual Abstract)

The Effects of Professional Self-Concept, Job Involvement, and the Practice Environment on Nursing Performance among Physician Assistant Nurses Hee Ho Kim Advisor : Prof. So-Hyun Moon, Ph.D. Department of Nursing, Graduate School of Chosun University Purpose : This study examined the relationships among professional self-concept, job involvement, practice environment, and nursing performance and identified factors influencing nursing performance among physician assistant nurses. Methods : A descriptive correlational study was conducted with 127 physician assistant nurses working in tertiary hospitals. Data were collected using structured questionnaires and analyzed using descriptive statistics, t-tests, ANOVA, Scheffé tests, Pearson’s correlation coefficients, and multiple regression analysis with IBM SPSS Statistics 30.0. Results : The mean scores were 6.09±0.79 for professional self-concept, 3.63±0.48 for job involvement, 2.66±0.40 for the practice environment, and 3.96±0.43 for nursing performance. Nursing performance showed significant positive correlations with professional self-concept (r=.540, p<.001), job involvement (r=.611, p<.001), and practice environment (r=.234, p=.008). Among the subdomains of practice environment, professional visibility (r=.196, p=.028), PA-physician relations (r=.346, p<.001), and independent practice and support (r=.240, p=.007) were significantly correlated with nursing performance. Multiple regression analysis indicated that job involvement (β =.433, p<.001) was the strongest predictor of nursing performance, followed by professional self-concept (β=.220, p=.029) and PA-physician relations (β =.183, p=.026). The model was statistically significant (F=15.34, p<.001) and explained 40.6% of the variance in nursing performance. Conclusion : Job involvement was identified as the strongest predictor of nursing performance among physician assistant nurses. Professional self-concept and PA-physician relations were also significant factors associated with nursing performance. These findings suggest that nursing performance is influenced not only by job-related factors and professional identity but also by collaborative relationships within the healthcare team. Therefore, efforts to enhance job involvement, strengthen professional self-concept, and foster supportive relationships with physicians may contribute to improved nursing performance among physician assistant nurses. Keywords: Physician assistant nurses; Professional self-concept; Job involvement; Practice environment; Nursing performance

목차 (Table of Contents)

• Ⅰ. 서 론 1
• A. 연구의 필요성 1
• B. 연구 목적 4
• C. 용어의 정의 4
• Ⅱ. 문헌고찰 7
• A. 진료지원간호사 7
• B. 전문직 자아개념 9
• C. 직무몰입 10
• D. 근무환경 12
• E. 간호업무성과 13
• Ⅲ. 연구 방법 15
• A. 연구 설계 15
• B. 연구 대상 15
• C. 연구 도구 16
• D. 자료수집 방법 18
• E. 연구의 윤리적 고려 19
• F. 자료분석 방법 19
• IV. 연구 결과 20
• A. 진료지원간호사의 일반적 특성 20
• B. 진료지원간호사의 전문직 자아개념, 직무몰입, 근무환경, 간호업무성과의 정도 22
• C. 진료지원간호사의 일반적 특성에 따른 간호업무성과의 차이 24
• D. 진료지원간호사의 전문직 자아개념, 직무몰입, 근무환경, 간호업무성과의 상관관계 26
• E. 진료지원간호사의 간호업무성과에 미치는 영향요인 28
• V. 논의 30
• VI. 결론 및 제언 37
• 참고문헌 39
• 부록 49