간호사의 임상경력단계에 따른 경력개발제도 인식과 전문직 자아개념, 임파워먼트와의 관계 Relationship of Perception of Clinical Ladder System with Professional Self-Concept and Empowerment based on Nurses' Clinical Career Stage원문보기
연구목적: 본 연구는 간호사의 임상경력단계에 따른 경력개발제도에 대한 간호사의 인식을 파악하고, 경력개발제도에 대한 인식, 전문직 자아개념과 임파워먼트와의 관계를 파악하여 간호사 경력개발제도의 개선의 근거 마련하고 전문직 자아개념과 임파워먼트의 증대 방안 모색을 통한 인적자원관리에 기여하고자 시도 된 서술적 상관관계 연구이다. 연구방법: 서울시 소재 일 상급종합병원에서 근무하는 중환자실, 수술실, 응급실 간호사 162명을 대상으로 설문지를 이용하여 경력개발제도에 대한 인식, 전문직 자아개념, 임파워먼트를 측정하였다. 수집된 자료는 SPSSWIN 18.0 프로그램을 활용하여 서술적 통계, t-test, ANOVA, Pearson's Correlation Coefficient, Multiple linear Regression을 시행하였다. 연구결과: 간호사의 임상경력단계에 따른 경력개발제도에 대한 인식은 전임 2 간호사가 신입 간호사, 일반 간호사, 전임 1 간호사보다 높은 인식을 가지고 있었다. 경력개발제도에 대한 인식과 전문직 자아개념, 임파워먼트에는 통계적으로 유의한 양의 상관관계가 있었다. 다중회귀분석을 실시한 결과 경력개발제도에 대한 전반적 이해, 경력개발제도에 대한 기대효과, 최종학력, 임상경력단계가 전문직 자아개념의 42% 설명하는 것으로 나타났고, 경력개발제도에 대한 전반적 이해, 전문적 활동 참여에 대한 인식, 경력개발제도에 대한 기대효과, 임상경력단계가 임파워먼트를 42% 설명하였다. 결론: 전문직 자아개념과 임파워먼트에 영향을 미친 변수로 나타난 경력개발제도에 대한 인식을 향상시킬 수 있는 방안을 개발하여 적용을 통한 효과 검증이 요구되며, 간호 관리자들의 제도 운영과 관련된 장애요인의 파악 및 세심한 제도 개선이 필요하다.
연구목적: 본 연구는 간호사의 임상경력단계에 따른 경력개발제도에 대한 간호사의 인식을 파악하고, 경력개발제도에 대한 인식, 전문직 자아개념과 임파워먼트와의 관계를 파악하여 간호사 경력개발제도의 개선의 근거 마련하고 전문직 자아개념과 임파워먼트의 증대 방안 모색을 통한 인적자원관리에 기여하고자 시도 된 서술적 상관관계 연구이다. 연구방법: 서울시 소재 일 상급종합병원에서 근무하는 중환자실, 수술실, 응급실 간호사 162명을 대상으로 설문지를 이용하여 경력개발제도에 대한 인식, 전문직 자아개념, 임파워먼트를 측정하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 활용하여 서술적 통계, t-test, ANOVA, Pearson's Correlation Coefficient, Multiple linear Regression을 시행하였다. 연구결과: 간호사의 임상경력단계에 따른 경력개발제도에 대한 인식은 전임 2 간호사가 신입 간호사, 일반 간호사, 전임 1 간호사보다 높은 인식을 가지고 있었다. 경력개발제도에 대한 인식과 전문직 자아개념, 임파워먼트에는 통계적으로 유의한 양의 상관관계가 있었다. 다중회귀분석을 실시한 결과 경력개발제도에 대한 전반적 이해, 경력개발제도에 대한 기대효과, 최종학력, 임상경력단계가 전문직 자아개념의 42% 설명하는 것으로 나타났고, 경력개발제도에 대한 전반적 이해, 전문적 활동 참여에 대한 인식, 경력개발제도에 대한 기대효과, 임상경력단계가 임파워먼트를 42% 설명하였다. 결론: 전문직 자아개념과 임파워먼트에 영향을 미친 변수로 나타난 경력개발제도에 대한 인식을 향상시킬 수 있는 방안을 개발하여 적용을 통한 효과 검증이 요구되며, 간호 관리자들의 제도 운영과 관련된 장애요인의 파악 및 세심한 제도 개선이 필요하다.
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문제 정의
The establishment of a more elaborate model requires an assessment of nurses and others who have participated in institutions that have applied the system, as well as continuous interest and feedback. Therefore, in this study the perception of Korean nurses regarding the clinical ladder system was analyzed according to their clinical career stage and the relationship between the perceptions of the system, professional self-concept, and empowerment was examined; the results provide evidence for improving the clinical ladder system for nurses and contributing to human resource management by exploring measures for enhancing professional self-concept and empowerment.
제안 방법
A descriptive correlational design was used in this study to identify nurses’ perception of clinical ladder system and explore the relationship among perception of clinical ladder system, professional self-concept and empowerment.
In examining survey results, including perceptions of the clinical ladder system, clinical career stage, demographic characteristics, and job-related characteristics, the following variables were found to be statistically significant factors influencing professional self-concept: general understanding of the clinical ladder system, expected effects of the clinical ladder system, having a master’s degree, and being general, specialist 1 or 2 nurses in one’s clinical career stage.
The survey results showed that the following variables had statistical significance as factors influencing of empowerment: general understanding of the clinical ladder system, perception of participating in professional activities, expected effects of the clinical ladder system, and being specialist 1 and 2 nurses in one’s clinical career stage.
대상 데이터
2010-1002). The participants in this study were nurses working in intensive care units, operating rooms and emergency rooms in a high-level general hospital in Seoul. A sample size above 135 was needed for this study by a test power of .
But, 2 questionnaires had insufficient responses or were not complete. Therefore, the final sample included 153 questionnaires. Each participant signed a written consent after receiving information about the study goals, data collection, and confidentiality.
데이터처리
Scheffé test was conducted as a post-comparison test. Pearson correlation coefficients were used to determine the relationship between perception of clinical ladder system, professional self-concept and empowerment. Multiple Linear Regression analyses were performed to determine the predictors of professional self-concept and empowerment.
이론/모형
This tool was developed after revising and adapting the Condition of Work Effectiveness Questionnaires (CWEQ), a tool developed by Chandler (1986) based on Kanter’s (1979) “Theory of Organizational Empowerment Structure.
성능/효과
ccording to the clinical career stage. Further, new nurses ranked highest in the average scores for the opportunity and resource domains, whereas specialist 2 nurses ranked highest in the information domain and general nurses ranked highest in the support domain; thus, a consistent increase in empowerment according to clinical career stage was not shown. In the case of new nurses, the average score for empowerment was highest in the opportunity domain when compared with nurses in other stages.
In particular, the study results showed there was a lower general understanding of the system among new nurses who will participate in the clinical ladder system in the future, and therefore it is important to provide information and carry out educational programs and promotional measures for enhancing the new nurses’ understanding of the clinical ladder system.
The statistically significant variables influencing empowerment were general understanding of the clinical ladder system, perception of participating in professional activities, expected effects of the system, and the clinical career stage of specialist 1 and 2 nurses. Thus, empowerment increases with a higher degree of general understanding of the clinical ladder system, more positive perception of participation in professional activities, and greater expected effects of the clinical ladder system.
This study demonstrated that nurses’ perception of the clinical ladder system and professional self-concept increased with higher clinical career stages.
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