Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses

Abstract

The objectives of this study were to elucidate the relationship between geriatric care hospital nurses' professional self-concept, self-leadership, and their geriatric nursing performance and to clarify factors that affect geriatric nursing performance. Methods: A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals. To evaluate professional self-concept, Nurses' Self-Concept Instrument (NSCI) developed by Angel et al. were used. And, The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA, multiple regression conducted using SPSS 18.0. Scheffé test was utilized for post hoc tests. Results: The average score of professional self-concept was 6.02 ± 0.84 out of 8 points, that of self-leadership was 3.69 ± 0.44 out of 5 points, and that of geriatric nursing performance was 3.79 ± 0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. 'Knowledge' subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t = 2.83, p = 0.005), and that it additionally explained 30% of sleep quality care nursing performance after controlling for general characteristics. As for communication in nursing, 'staff relation' of professional self-concept (t = 2.21, p = 0.029) and 'rehearsal' subcategory of self-leadership (t = 2.24, p = 0.027) were significant factor, and 26% explaining change of communication in nursing. Conclusions: Influencing factors of geriatric nursing performance were participants' socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses' professional self-concept and self-leadership should be needed for enhancing nursing performance in geriatric hospitals.

Combination Relationship between Features of Person-Centered Care and Patient Safety Activities of Nurses Working in Small–Medium-Sized Hospitals: A Cross-Sectional Study

“…The mean score of the professional self-concept was 5.81, which was similar to the scores found in studies targeting small–medium-sized hospitals [ 31 ]. However, it was slightly lower than that of long-term care hospitals, which was 6.02 points [ 10 ]. Nurses in long-term care hospitals are more likely to be supervising nursing assistants rather than performing direct care [ 32 ]; as they may perceive that they are doing important work, they may have a relatively high professional self-concept.…”

“…To measure professional self-concept, we used the Nurses’ Self-Concept Instrument (NSCI), which was developed by Angel et al [ 22 ] and verified in Korean by Ryu and Kim [ 10 ]. It comprises 14 items, which were classified into the following four subcategories: knowledge of the nursing profession, care, relationship with members, and leadership.…”

“…Thus, a high degree of professional self-concept enhances patient safety activities [ 9 ]. According to a recent study, subcategories of professional self-concept were significant factors for medication-related quality care among geriatric hospital nurses [ 10 ].…”

The effects of tertiary hospital nurses' ageism and nursing practice environment on geriatric nursing performance

“…분석 결과, 간호근무환경(β= 25,. p=.009), 노인과 동거경험 (β=.23, p=.013), 현 근무부서 중 외과계 병동에 비해 내과계 병동 (β=.27, p=.009)과 간호•간병 통합 서비스 병동(β=.21, p=.042) 도되었다.…”