임상간호연구 (Journal of Korean Clinical Nursing Research)

  • 제29권2호
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  • Pages.186-197
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  • 2023
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  • 1598-9186(pISSN)
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  • 2287-3694(eISSN)
병원간호사회 (Hospital Nurses Association)
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임상간호사의 전문성 측정도구 개발

Development of a Professionalism Measurement Scale for Clinical Nurses

  • 김정현 (부산가톨릭대학교 간호학과) ;
  • 이혜순 (세명대학교 간호학과) ;
  • 방양희 (백석문화대학교 간호학과)
  • Kim, Jeonghyun (Department of Nursing, Catholic University of Pusan) ;
  • Lee, Hyesoon (Department of Nursing, Semyung University) ;
  • Pang, Yanghee (Department of Nursing, Baekseok Culture Untversity)
  • 투고 : 2023.05.16
  • 심사 : 2023.06.16
  • 발행 : 2023.08.31
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to develop a scale to measure professionalism of clinical nurses and evaluate the reliability and validity of the scale. Methods: DeVellis's scale-development eight steps were applied. The initial items were developed through a literature review and discussion with investigators, and the content validity was verified by seven experts. The data were collected from 250 hospital nurses for exploratory factor analysis and 217 hospital nurses for confirmatory factor analysis. Exploratory and confirmatory factor analyses were utilized to assess the construct validity. Cronbach's ⍺ was used to test the internal consistency reliability. Results: The results of the exploratory and confirmatory factor analyses showed that the scale comprised four factors: professional skill(eight items), sense of ethics (five items), knowledge-seeking activities (four items), and autonomy(three items). The four-factor structure was validated (x 2 =600.85 p<.001, GFI=.88, CFI=.84, RMSEA=.07), and Cronbach's ⍺ for the total scale was .84. Conclusion: The study results showed satisfactory reliability and validity of the professionalism measurement scale for clinical nurses. This scale has potential as an appropriate instrument for measuring clinical nurse professionalism.

키워드

참고문헌

  1. Health workforce. In: Akiko M, Gaelle B, Michael G, editors. Health at a glance 2017: OECD indicators. Paris: OECD Publishing; 2017. p. 158-159.
  2. McHugh MD, Aiken LH, Sloane DM, Windsor C, Douglas C, Yates P. Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: A prospective study in a panel of hospitals. Lancet. 2021;397(10288):1905-1913. https://doi.org/10.1016/S0140-6736(21)00768-6
  3. Twigg DE, Kutzer Y, Jacob E, Seaman K. A quantitative systematic review of the association between nurse skill mix and nursing-sensitive patient outcomes in the acute care setting. Journal of Advanced Nursing. 2019;75(12):3404-3423. https://doi.org/10.1111/jan.14194
  4. Hartley S, Raphael J, Lovell K, Berry K. Effective nurse-patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies. 2020;102:103490. https://doi.org/10.1016/j.ijnurstu.2019.103490
  5. Coster S, Watkins M, Norman IJ. What is the impact of professional nursing on patients' outcomes globally? An overview of research evidence. International Journal of Nursing Studies. 2018;78:76-83. https://doi.org/10.1016/j.ijnurstu.2017.10.009
  6. 6 Adams D, Miller BK. Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing. 2001;17 (4):203-210. https://doi.org/10.1053/jpnu.2001.25913
  7. Schmidt BJ, McArthur EC. Professional nursing values: A concept analysis. Nursing Forum. 2018;53(1):69-75. https://doi.org/10.1111/nuf.12211
  8. Hall RH. Professionalization and bureaucratization. American Sociological Review. 1968;33(1):92-104. https://doi.org/10.2307/2092242
  9. Lee SK. The value of nurses' professionalism: From the perspective of health care consumer. Journal of Qualitative Research. 2010;11(2):119-133.
  10. Lee YS. An analysis of the core elements of nursing professionalism based on Delphi technique [master's thesis]. Seoul: Korea University: 2012. p. 1-96.
  11. Lee KM, Kim SH. Professionalism of the nurse: A concept analysis. Journal of Convergence for Information Technology. 2019;9(9):94-107. https://doi.org/10.22156/CS4SMB.2019.9.9.094
  12. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional value scale. Journal of Korean Academy of Nursing. 2005;35(6):1091-1100. https://doi.org/10.4040/jkan.2005.35.6.1091
  13. Baek HC, Kim-Godwin YS. Translation and validation of Korean version of Hall's professionalism inventory. Journal of Korean Academic of Nursing Administration. 2007;13(4): 509-515.
  14. Lee MH, Kim JK. A comparative study on nursing practice environment, professionalism, and job satisfaction according to hospital size. Journal of Korean Academy of Nursing Administration. 2013;19(4):470-479. https://doi.org/10.11111/jkana.2013.19.4.470
  15. Kim YS, Park JS. The relationship between nursing professionalism, clinical decision making abilities, and job performance in advanced practice nurses. Journal of Korean Academy of Nursing Administration. 2013;19(5):613-621. https://doi.org/10.11111/jkana.2013.19.5.613
  16. Kang, KH, Lim, YJ. Influence of professionalism, role conflict and work environment in clinical nurses with expanded role on job enbeddedness. Journal of Korean Academy of Nursing Administration. 2016;22(5):424-436. https://doi.org/10.11111/jkana.2016.22.5.424
  17. Lee JC, Kim KH. Korean physicians' perception of professionalism and its effect on their job satisfaction. Korean Journal of Health Communication. 2021;16(2):197-206. https://doi.org/10.15715/kjhcom.2021.16.2.197
  18. Ko KW, Lee KW, Seo SK. A study on the relation between physical therapist professionalism and organizational and job characteristics. Journal of Korean Physical Therapy. 2013; 25(5):343-351.
  19. Kim SW, Kim KH, Jang YH. The relationship between core service quality, trust, value and satisfaction in medical service. Journal of Marketing Studies. 2009;17(1):115-140.
  20. Kim YS, Park KY. The mediating effect of professionalism in the relationship between clinical competence and field adaptation in newly graduated nurses. Journal of Korean Academy of Nursing Administration. 2013;19(4):536-543. https://doi.org/10.11111/jkana.2013.19.4.536
  21. DeVellis RF. Scale development: Theory and applications. 3rd ed. Thousand Oaks (CA): Sage; 2012.
  22. Snizek WE. Hall's professionalism scale: An empirical reassessment. American Sociological Review. 1972;37(1):109-114. https://doi.org/10.2307/2093498
  23. Lynn MR. Determination and quantification of content validity. Nursing Research. 1986;35(6):382-386. https://doi.org/10.1097/00006199-198611000-00017
  24. Kline RB. Principles and practice of structural equation modeling. 4th ed. New York: Guilford publications; 2016.
  25. Comrey AL. Factor-analytic methods of scale development in personality and clinical psychology. Journal of Consulting and Clinical Psychology. 1988;56(5):754-761. https://doi.org/10.1037/0022-006X.56.5.754
  26. West SG, Finch JF, Curran PJ. Structural equation models with nonnormal variables: Problems and remedies. In: Hoyle RH, editor. Structural equation modeling: Concepts, issues, and applications. Thousand Oaks (CA): Sage; 1995. p. 56-75.
  27. Hair J, Black WC, Barbin BJ, Anderson RE. Multivariate data analysis. 7th ed. Edinburgh: Pearson Education Limited; 1998.
  28. Bentler PM. On the fit of models to covariances and methodology to the Bulletin. Psychological Bulletin. 1992:112(3);400. https://doi.org/10.1037/0033-2909.112.3.400
  29. Korean Nurses Association. Korean nurses' declaration of ethics [Internet]. Seoul: Korean Nurses Association; 2006 Feb [updated 2014 Feb 19; cited 2022 Aug 28]. Available from: http://www.koreanurse.or.kr/about_KNA/ethics.php.
  30. Chi SA, Yoo HS. Concept analysis of professional nurse autonomy. Journal of Korean Academy of Nursing. 2001;31(5): 781-792. https://doi.org/10.4040/jkan.2001.31.5.781