Journal of Korean Academic Society of Home Health Care Nursing (가정간호학회지)

Korean Academic Society of Home Health Care Nursing (한국가정간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development of the Nursing Competency Scale for Outpatient Nurses in a Tertiary Hospital

상급종합병원 외래간호사의 간호역량 평가도구 개발

  • Lee, Mi Kyoung (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Jeong, Jeong Hee (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Lee, Eun A (Department of Nursing, Samsung Medical Center) ;
  • Oh, Kyung Hwa (Department of Nursing, Samsung Medical Center)
  • 이미경 (성균관대학교 임상간호대학원) ;
  • 정정희 (성균관대학교 임상간호대학원) ;
  • 이은아 (삼성서울병원 간호본부) ;
  • 오경화 (삼성서울병원 간호본부)
  • Received : 2020.10.24
  • Accepted : 2020.11.13
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify nursing competencies of outpatient nurses, to develop a tool to assess the same, and to verify the validity and reliability of the tool. Method: Preliminary items of the scale were developed based on a literature review and nurses' interviews. The tool's content validity was verified by an expert panel and by conducting a pilot study. Subsequently, to verify the validity and reliability of the scale, data were collected from 233 outpatient nurses from 7 certified tertiary hospitals. Data were analyzed using exploratory factor analysis, independent t-test, and internal consistency and correlation analysis. Result: The factor analysis revealed the following 9 factors for the 48 items of the scale: organizational management, customer orientation, personality and ethics, problem solving, nursing practice, interpersonal relationships, communication, crisis management, and professionalism. The Cronbach's α coefficient of the final instrument was .97. Conclusion: The tool developed in this study exhibited adequate validity and reliability. It was effective in reflecting the changing roles of outpatient nurses. Therefore, in future, this tool is expected to help improve outpatient nurses' competencies and nursing quality.

Keywords

References

  1. Cho KS, Kang HS, Kim JH, Son HM, Han HJ, Sung YH, et al. Job description of the nurses working in outpatient department by DACUM technique. Journal of Korean Clinical Nursing Research. 2008;14(2):31-45.
  2. Park GW, Park KT. A study regarding service quality features of hospitalized patients and outpatients in general hospitals using structural equations model. The Korea Service Management Society Symposium. 2007;5:45-77.
  3. Rho MJ, Suh WS, Kwon J. Medical service factors associated with patient satisfaction: the difference between inpatient and outpatient of a medium sized hospital. Journal of Digital Convergence. 2013;11(2):331-339. https://doi.org/10.14400/JDPM.2013.11.2.331
  4. Hwang HY, Park JH, Kim JS, Chen IS, Bae KO, Seo MS, et al. A study on the performance and the importance of ambulatory nursing activities. The Journal of Korean Nursing Administration Academic Society. 2007;13(1): 109-117.
  5. Song MR, Park KJ. Emotional labor experienced by ambulatory care nurses. The Journal of Korean Nursing Administration Academic Society. 2011;17(4):451-461. https://doi.org/10.11111/jkana.2011.17.4.451
  6. Spencer LM, Spencer SM. Competence at work: models for superior performance. New York: John Wiley & Sons; 1993. p. 349-358.
  7. Green PC. Building robust competencies: Linking human resource system to organizational strategies. 1st ed. SanFrancisco, Calif.: Jossey-Bass; 1999. p. 199-204.
  8. Jang KS. A study on establishment of clinical career development model of nurses [dissertation]. Seoul: Yonsei University; 2000. 201 p.
  9. Kang YS, Lee SJ, Kim IJ, Ahn KH. A measurement scale development of nursing competence for nurses working in general wards. Journal of Korean Academy of Nursing Administration. 2008;14(3):219-228.
  10. Lim CH. The effect of core competencies of hospital nurses on organizational performance [master's thesis]. Chunbuk: Chunbuk National University; 2012. 139 p.
  11. Hass S, Swan BA, Haynes T. Developing ambulatory care registered nurse competencies for care coordination and transition management. Nursing Economics. 2013;31(1): 44-49.
  12. Sung YH, Park JS. Analysis of nursing activities in ambulatory units of secondary and tertiary hospitals. The Journal of Korean Nursing Administration Academic Society. 2003;9(1):5-18.
  13. Min MG, Yu SY. Developing of a tool for ambulatory care nurse competencies. The Journal of Korean Nursing Administration Academic Society. 2017;23(1):90-100. http://dx.doi.org/10.11111/jkana.2017.23.1.90
  14. American Academy of Ambulatory Care Nursing. American academy of ambulatory care nursing position statement: the role of the registered nurse in ambulatory care. Nursing Economics. 2011;29(2):96, 66.
  15. Mastal MF. Ambulatory care nursing: growth as a professional specialty. Nursing Economics. 2010;28(4):267-269.
  16. Tak JK. Psychological testing: an understanding of development and evaluation method. 2nd ed. Seoul: Hakjisa; 2007. p.187-188.
  17. Park JE, Kim SS. Development of a nursing competency scale according to a clinical ladder system for intensive care nurses. Journal of Korean Academy of Nursing Administration. 2013;19(4):501-512. https://doi.org/10.11111/jkana.2013.19.4.501
  18. Park MR, Kim NC. Development of a nursing competence measurement scale according to nurse's clinical ladder in general wards. Journal of Korean Academy of Nursing Administration. 2014;20(3):257-271. http://dx.doi.org/10.11111/jkana.2014.20.3.257
  19. Youk SY. Nursing competency and indicator development by emergency nurse's clinical ladder. Journal of Korean Academy of Nursing Administration. 2003;9(3):481-494.
  20. Choi JS, Eun YA. Study on the clinical competence according to clinical ladder of operating room nurses. Journal of Korean Academy Society of Nursing Education. 2006;12(1):60-69.
  21. Jeong KS. Improvement of medical service function and reinforcement of trust through the reorganization of medical delivery system. Research Institute for Healthcare Policy Korean Medica Association. 2020;17(4):16-17.
  22. Allen JW. Transitioning the RN to ambulatory care: an investment in orientation. Nursing Administration Quarterly. 2016;40(2):115-121. https://doi.org/10.1097/naq.0000000000000151
  23. Carper BA. Fundamental patterns of knowing in nursing. Advanced in Nursing Science. 1978;1(1):13-23. https://doi.org/10.1097/00012272-197810000-00004
  24. Hair JF, Anderson RE, Tatham RL, Black WC. Multivariate data analysis with readings. 4th ed. Englewood Cliffs, N.J.: Prentice-Hall; 1995. p. 708-745.