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기능적 분담방법에서 변형된 팀 간호방법의 적용이 상급종합병원간호사의 만족도, 자기효능감, 직무 스트레스 및 간호업무성과에 미치는 영향

Effects of a New Nursing Delivery System on Nurses’ Satisfaction, Self-efficacy, Job Stress, and Nursing Performance in a University Hospital

간호행정학회지 2017년 23권 3호 p.301 ~ 311
김은경, 최은하,
소속 상세정보
김은경 ( Kim Eun-Kyung ) - 충북대학교 간호학과
최은하 ( Choi Eun-Ha ) - 충북대학교병원

Abstract


Purpose: The purpose of this study was to identify effects of moving from a functional method of nursing care delivery to a modified team nursing delivery system.

Methods: A structured self-report questionnaire was used to measure satisfaction with the nursing delivery system, self-efficacy, job stress and nursing performance. Participants were 72 nurses working at a university hospital and data were collected three times; before, one month and three months after the modification to a modified team nursing delivery system. Data were analyzed using repeated measure ANOVA.

Results: Satisfaction with the nursing delivery system increased significantly after the change to the modified team nursing method. There were no significant differences in self-efficacy, job stress, or nursing performance. However, satisfaction with the nursing delivery system and nursing performance increased and job stress decreased significantly in new nurses with less than 1 year experience.

Conclusion: Results indicate that a modified team nursing method has positive results on nurses" satisfaction, self-efficacy, job stress, and nursing performance compared to the functional method. Effect of changing the nursing delivery system in the hospital suggests possibilities and directions for a modified nursing delivery system that would be useful in hospitals presently using the functional method.

키워드

간호전달체계만족도; 자기효능감; 직무 스트레스; 간호업무성과
Nursing performance; Satisfaction of nursing delivery system; Self-efficacy; Job stress

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