중소병원 간호단위 관리자의 적응유연성과 간호근무환경이 간호관리역량에 미치는 영향
Effects of Adaptation Flexibility and Nursing Working Environment among Nursing Unit Managers in Small and Medium Hospitals on Their Nursing Management Competencies
- 주제(키워드) 도움말 간호관리역량 , 간호근무환경 , 적응유연성 , 간호단위 관리자
- 발행기관 강릉원주대학교 대학원
- 지도교수 도움말 장수정
- 발행년도 2022
- 학위수여년월 2023. 2
- 학위명 석사
- 학과 및 전공 도움말 일반대학원 간호학과
- 세부분야 해당없음
- 실제URI http://www.dcollection.net/handler/kangnung/000000011349
- UCI I804:42001-000000011349
- 본문언어 한국어
초록/요약 도움말
연구목적: 본 연구의 목적은 중소병원 간호단위 관리자의 간호관리역량에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 연구방법: 연구대상자는 100병상 이상 300병상 미만의 중소병원 간호단위 관리자를 대상으로 편의표집 하였다. 자료수집은 2022년 10월 9일부터 11월 4일까지 총 105문항으로 구성된 온라인 설문지를 이용하여 수집되었다. 연구도구는 일반적 특성, 적응유연성, 간호근무환경, 간호관리역량 도구를 사용하였다. 자료 분석은 SPSS/Win(Version 25.0) 프로그램을 이용하여 일반적 특성과 적응유연성, 간호근무환경, 간호관리역량에 대해 평균, 표준편차, independent t-test, ANOVA 분석을 하였고 변수의 상관관계 확인을 위해 Pearson’s correlation coefficients 분석을 하였다. 중소병원 간호단위 관자의 간호관리역량에 미치는 영향을 확인하기 위해 위계적 다중회귀분석(Hierarchical multiple regression analysis)을 이용하였다. 연구결과: 대상자의 간호관리역량 수준은 152점 만점에 119.06±17.68점이었다. 일반적 특성에 따를 간호관리역량 정도는 나이(F=8.75, p<.011), 학력(F=4.75p=.010), 관리자역량 교육(F=3.38, p=.001)에서 통계적으로 유의한 차이가 있었다. 간호관리역량은 적응유연성(r=.67, p<.001), 간호근무환경(r=.69, p<.001)과 양(+)의 상관관계가 있었으며, 적응유연성은 간호근무환경(r=.53, p<.001)과 양(+)의 상관관계가 있는 것으로 나타났다. 즉, 적응유연성이 높을수록 간호근무환경 좋을수록 간호관리역량이 높은 것으로 나타났다. 간호관리역량에 영향을 미치는 요인은 간호근무환경(β=.41, p<.001), 적응유연성(β=.38, p<.001)으로 나타났으며, 간호근무환경, 적응유연성이 간호관리역량에 영향을 미치는 요인으로 확인되었다. 회귀모형은 F=29.20, p<.001이며 설명력은 62.4%로 확인할 수 있었다. 결론: 본 연구 결과에서, 중소병원 간호단위 관리자의 간호관리역량, 적응유연성과 간호근무환경은 세 변수 간 유의한 상관관계를 보였다. 따라서 중소병원 간호단위 관리자의 간호관리역량을 향상시키기 위해서는 적응유연성과 간호근무환경을 높이기 위한 지속적인 교육과 훈련이 필요하며, 양질의 간호 서비스를 할 수 있도록 조직적 차원인 간호근무환경의 개선이 절실히 요구된다.
more목차 도움말
목 차
표 목 차 ······················································································································· ⅲ
국문요약 ····················································································································· ⅳ
Ⅰ. 서 론 ··························································································· ·· ····· 1
1. 연구의 필요성 ·································································································· 1
2. 연구의 목적 ····································································································· 5
3. 용어 정의 ········································································································ · 6
Ⅱ. 문헌 고칠 ·························································································· · 9
1. 간호단위 관리자의 간호관리역량 ··································································· 9
2. 적응유연성 ······································································································ 12
3. 간호근무환경 ·································································································· 14
Ⅲ. 연구 방법 ························································································· 19
1. 연구 설계 ······································································································· 19
2. 연구대상 ········································································································· 19
3. 연구 도구 ······································································································· 20
4. 자료수집 ········································································································· 22
5. 자료 분석 방법 ······························································································ 23
6. 윤리적 고려 ···································································································· 24
Ⅳ. 연구 결과 ························································································· 25
1. 연구대상자의 일반적 특성 ············································································ 25
2. 연구대상자의 적응유연성, 간호근무환경, 간호관리역량 수준 ·················· · 27
3. 대상자의 일반적 특성에 따른 적응유연성, 간호근무환경, 간호관리역량의 차이 ····················································································· 29
4. 연구대상자의 간호관리역량, 적응유연성 및 간호근무환경 간의
상관관계 ········································································································· 32
5. 대상자의 간호관리역량에 영향을 미치는 요인 ··········································· 35
Ⅴ. 논 의 ································································································ 38
Ⅵ. 결론 및 제언 ······································································································ 44
참고문헌 ·································································································· 46
부 록 ································································································· 66
부록 1. 기관생명윤리위원회 심의 결과 통보서 ··············································· 67
부록 2. 연구자 참여자 설명서 및 동의서 ······················································· 69
부록 3. 연구 대상자 설문지 ············································································· · 73
부록 4. 도구 사용승인서 ·················································································· · 81
Abstract ··································································································· 83
