암 병동 간호사의 간호업무성과에 미치는 영향요인

Abstract

This study is a descriptive research study to understand the relationship between professional autonomy, moral distress, and nursing performance of nurses working in cancer wards, and to identify factors affecting nursing performance of nurses in cancer wards. The subjects of the study were conveniently extracted from 180 nurses with more than 6 months of experience in nursing cancer patients receiving chemotherapy treatment at a university hospital in Gyeonggi-do. The data collection period was from July 11, 2022 to July 29, 2022, when the clinical research review committee of the medical institution where the study was conducted, and a self-fill survey was conducted by distributing structured questionnaires. The collected data were analyzed using the SPSS window 21.0 statistical program. The reliability of the measurement tool was analyzed using Cronbach's alpha. The general characteristics of the subject, the subject's professional autonomy, moral distress, and nursing performance were analyzed by technical statistics. Professional autonomy, moral distress, and nursing performance according to the general characteristics of the subject were analyzed by t-test and ANOVA, and post-test was analyzed by Scheffé test. The factors influencing professional autonomy and moral distress on nursing performance were analyzed using regression analysis. As a result of the study, the subject's professional autonomy was 2.65 points out of 5, moral distress was 2.83 points, and nursing performance was 3.75 points. As a result of analyzing professional autonomy, moral distress, and nursing performance according to general characteristics such as gender, marital status, religious status, position, and total clinical experience, there was no statistically significant difference in professional autonomy. Nurses over the 3rd year were found to have higher moral distress than nurses under 1~3 years, and nursing performance was higher when married, responsible nurse or more, and when total clinical experience was more than 5 years. As a result of verifying the regression model to confirm the factors affecting the subject's nursing performance, it was statistically significant, and the total explanatory power was 23.8%. Clinical experience and professional autonomy were significant influencing factors on nursing performance. Based on the results of this study, a strategy is needed to develop and support individual nurses' nursing capabilities through the development of a career development system within the nursing organization to improve the nursing performance of cancer ward nurses. These efforts will have a positive effect on the management of human resources of nursing organizations as well as on the improvement of nursing performance of nurses in cancer wards.