Abstract
This study examined the structural relationship among clinical nurses’ communication ability, self-leadership, self-efficacy, and nursing performance. A structural model analysis was applied to identify factors influencing nursing performance and analyze the effects of self-leadership and self-efficacy as mediators. A survey was conducted among clinical nurses working in general hospitals in Seoul, Gyeonggi, and Gangwon Province of the Republic of Korea. In the final analysis, data from 168 questionnaires were used. SPSS 24.0 and Amos 23.0 programs were used for frequency analysis, exploratory factor analysis, reliability analysis, correlation analysis, confirmatory factor analysis, structural equation model analysis, and mediating effect analysis through bootstrapping. The significance level was set at 5% for all analyses. First, the model’s fitness figures met the criteria for the appropriate judgment presented in previous studies, so the model between nurses’ communication ability, self-leadership, self-efficacy, and nursing performance was suitable for predicting a causal relationship. Second, the relationship between nurses’ communication ability and self-leadership had a statistically significant effect. Also, the relationship between communication ability and self-efficacy had a statistically significant effect. Third, nurses’ communication ability affected nursing performance through self-efficacy.
Highlights
The purpose of this study was to establish a model showing the structural relationship between communication ability, self-leadership, self-efficacy, and nursing outcomes as factors of the nurse’s competency, which are necessary for high-level patient care, and to verify the data empirically
In a study of nurses working in general hospitals, Song Gwai [2] explained that communication skills and self-leadership were closely related factors, and mentioned that communication skills grew higher as they age
In the established model, physical fitness was verified with variables such as communication ability, self-efficacy, and nursing performance of nurses
Summary
The medical institution certification system is intended to improve patient safety and quality of care. It aims to provide high-quality medical services to medical consumers by inducing voluntary and continuous improvement efforts [1]. Due to these changes in the external environment, medical institutions are making great efforts to meet the needs of high-quality medical services and medical consumers [2,3]. As the needs of patients become diverse and complex due to these changes in the social environment, hospitals are striving to innovate management methods through recent changes in medical services. The hospital operation strategy for this is focused on improving
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