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김혜민 ( Kim Hye-Min ) - Catholic University Seoul St. Mary’s Hospital Neonatal Intensive Care Unit
김동연 ( Kim Dong-Yeon ) - Catholic University Seoul St. Mary’s Hospital Hematology Intensive Care Unit
김지영 ( Kim Ji-Young ) - Catholic University Seoul St. Mary’s Hospital Neonatal Intensive Care Unit
김가영 ( Kim Ga-Young ) - Catholic University Eunpyeong St. Mary’s Hospital Neonantal Intensive Care Unit
문설희 ( Moon Seol-Hee ) - Catholic University Seoul St. Mary’s Hospital Neonatal Intensive Care Unit
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Abstract
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목적: 본 연구는 신생아중환자실에서 간호사-환자배정 과정과 관련된 가치일치를 비교 하고 업무성과와의 관계를 확인하는데 목적이 있다.
방법: 환자배정특성에 대한 30 문항과 업무성과에 대한 17 문항 설문지, 초과근무로 데이터를 수집했다. 환자배정에 대한 기대와 실제 경험의 차이를 조사한 후 환자배정의 가치일치가 업무성과 및 초과근무에 관계를 조사했다. 신생아중환자실에서 79 명의 간호사에게 2차례 158건의 설문 조사를 시행하였다. 수집 된 데이터는 SPSS 20.0 소프트웨어를 사용하여 paired t-test, Analysis of Variance, Pearson’s correlation coefficients로 분석하였다.
결과: 간호사-환자배정 기준은 30 문항 (환자 관련 13문항, 간호사 관련 17문항)으로 조사되었다. 도구의 타당성은 S-CVI .95, 신뢰도는 Cronbach α .94이었다. 연령 (F = 3.69, p = .029)과 인공 호흡기 환자간호(t = 2.55, p = .013)에 따라 업무 수행 능력이 차이가 있었다. 환자 측면의 실제환자배정 점수가 높을 수록 간호사 측면의 실제환자배정 점수(r=.68, p<.001)와 업무성과가(r=.48, p<.001)증가하였다. 간호사 측면의 실제환자배정 점수가 증가할수록 업무성과도 유의하게 증가하였다 (r=.36, p=.001).
결론: 간호사-환자배정 과정과 관련된 가치의 일치는 간호업무성과에 양의 상관관계가 있는 것을 확인하였다.
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Purpose: This study aimed to compare the value congruence of nurse-patient assignment (NPA) with work performance in the neonatal intensive care unit (NICU).
Methods: Data were collected with 30-items on factors that affect NPA and 17-items on work performance. Two interviews each were conducted with 79 nurses from the NICU. The difference between expectations and actual experience on NPA were analyzed, and the effects of NPA on work performance and overtimes were investigated. The collected data were analyzed with a paired t-test, analysis of variance, and Pearson’s correlation coefficients using the SPSS software version 20.0.
Results: The NPA criteria were surveyed with 30 items, with 13 patient-related, and 17 nurse-related. The validity of the tool was S-CVI .95 and the reliability(Cronbach’s α) was .942. There were significant differences based on age (F=3.69, p=.029) and caring for patients on an artificial ventilator (t=2.55, p=.013). The higher the patient-related actual assignment score, the higher the nurse-related actual assignment score (r=.68, p<.001) and work performance (r=.48, p<.001). As the nurse-related actual assignment score increased, work performance also increased significantly (r=.36, p=.001).
Conclusion: It was confirmed that the value congruence of NPA is positively correlated with work performance.
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KeyWords
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신생아중환자실, 간호사-환자배정, 업무성과, 초과근무, 가치일치
Intensive care units, Neonatal, Nurse-patient assignment, Work performance, Value congruence
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원문 및 링크아웃 정보
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등재저널 정보
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