한국간호과학회

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  • JKAN(Journal of Korean Academy of Nursing)

JKAN(Journal of Korean Academy of Nursing)

년도별 ‘권’과 ‘호’를 선택해 주세요 (ISSN 1598-2874(38권 4호까지), ISSN 2005-3673(38권 5호부터)

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제목 Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
저자 : Mi Yu, Se Young Kim, Ji Min Ryu 게시일 : 2023년 04월 페이지 : p236~p248
저자 Mi Yu, Se Young Kim, Ji Min Ryu 게시일 2023년 04월 페이지 p236~p248 인쇄
파일 (08) JKAN22-110.pdf
키워드 Efficiency, Organizational; Mediation Analysis; Nursing Informatics; Quality of Health Care
Purpose: Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services
in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing
informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model
for their effects on nursing productivity among clinical nurses was also established. Methods: Data were collected using structured questionnaires
answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0
program. Results: The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p = .741), normed χ2 (χ2/df) = .11,
SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a
direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the
effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity,
has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%. Conclusion: Education
and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing
care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.