Earticle

Objectives: This study attempted to identify the effect of nursing work environment, job embeddedness, and interprofessional core competencies on the nursing performance of nurses in small and medium-sized hospitals. Methods: The sample comprised 190 nurses in four small and medium-sized hospitals. Data were collected through self-directed questionnaires and analyzed using t-test, Pearson’s correlation coefficients, and hierarchical multiple regression. Results: Nursing work environment, job embeddedness, and interprofessional core competencies were positively correlated with nursing work performance. The hierarchical regression analysis identified that job embeddedness (β =.399, p<.001) and interprofessional core competencies (β=.481, p<.001) were factors affecting nursing work performance with a total explanatory power of 61.3%. Conclusions: To enhance the nursing performance of the mentioned nurses, it is necessary to develop and apply an education program that can strengthen interprofessional core competencies and promote job embeddedness.

Objectives: This study evaluated the perception on importance of interprofessional core competencies (PI-ICCP) scale. Methods: Data were collected from 353 college students of health. Content validity was tested using the content validity index for individual items(I-CVI) and for scale(S-CVI). Criterion validity was tested using the professional competencies scale developed by Choi. Reliability was evaluated using Cronbach’s coefficient alpha. The goodness-of-fit of the construct validity was determined through exploratory and confirmatory factor analyses. Results: The I-CVI of each item was .8 or higher for all items, and the S-CVI was .98. The reliability of the PI-IPCC was Cronbach's α=.98. The goodness-of-fit indices of the model were χ2=1811.54(p<.001), the comparative fit index (CFI)=.91, and root mean square error of approximation (RMSEA)=.08, which satisfied the criteria. Conclusions: The construct and criterion-related validity of the perception for PI-ICCP scale were a good fit, so the instrument is appropriate for measuring perception on importance of interprofessional core competencies. Further research will be required using this instrument to investigate perception of interprofessional core competencies of health professionals.

본 연구의 목적은 보건의료 전공 대학생의 사이버시민성, 전문직간 핵심역량 인식, 전문직 정체성의 관계를 파악하기 위해 시도된 서술적 조사연구이다. 본 연구의 자료수집은 4개 도시의 5개 대학에서 보건의료 전공학과 재학 중인 3, 4학년 학생 217명을 대상으로 구조화된 설문지를 이용하여 수집하였다. 자료분석은 SPSS 20.0 프로그램으로 t-test, ANOVA, Scheffé 검정, Pearson 상관계수 및 단계적 회귀분석을 이용하여 분석하였다. 연구결과 사이버시민성(r=.166, p=.015), 전문직간 핵심역량 인식(r=.534, p<.001)과 유의한 상관관계가 있었으며, 전문직간 핵심역량 인식의 하위영역 중 가치와 윤리(r=.507, p<.001), 참여와 의사소통(r=.484, p<.001), 팀워크(r=.502, p<.001)는 전문직 가치관과도 유의한 상관관계가 나타났다. 보건의료 전공 대학생의 전문직 정체성에 영향을 미치는 요인들은 전공, 전공만족도, 전문직 간 핵심역량 인식이었다. 이들 변수의 설명력은 39%이었으며, 전문직 정체성에 영향을 미치는 가장 중요한 요인은 전문직간 핵심역량 인식(β=.481, p<.001)이었다. 따라서 보건의료 전공 대학생의 전문직 정체성의 향상을 위해서는 전문직간 핵심역량을 개발할 수 있는 프로그램의 개발이 필요하며, 교육기관과 실습기관의 적극적인 협력을 통해 긍정적인 전문직 정체성을 확립할 수 있는 환경의 조성이 요구된다.

The purpose of this study was to identify the relationships between the cybercivility, PI-IPCC, professional identity in undergraduate healthcare students. . The sample consisted of 217 health department students enrolled in 5 colleges in 4 cities. Data was analyzed using t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and stepwise regression using SPSS 20.0 program. As a result, cybercivility(r=.166, p=.015), PI-IPCC(r=.534, p<.001) was found to have a significant correlation with professional identity in undergraduate healthcare students. Analysis using multiple regression showed that 39% of factors predicting professional identity(F=34.148, p<.001) included major, major satisfaction and perception of interprofessional core competencies. The most significant factor affecting professional identity was PI-IPCC(β=.481, p<.001). Therefore, in order to form a desirable professional identity of undergraduate healthcare students, it is necessary to develop program for interprofessional education, such as teamwork based on value and ethic, communication and participation, through cooperation between the school and the training institute.