Influential factors affecting nursing performance amid COVID-19: A cross-sectional study on nurse preparedness for infectious diseases

IF 3.1 Q1 NURSING International Journal of Nursing Studies Advances Pub Date : 2024-09-06 DOI:10.1016/j.ijnsa.2024.100239

Kyung-sook Cha , Dohyun Lee

{"title":"Influential factors affecting nursing performance amid COVID-19: A cross-sectional study on nurse preparedness for infectious diseases","authors":"Kyung-sook Cha , Dohyun Lee","doi":"10.1016/j.ijnsa.2024.100239","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The emergence of infectious diseases such as SARS, MERS, and COVID-19 underscores the need for effective nursing preparedness.</div></div><div><h3>Objectives</h3><div>This cross-sectional study sought to pinpoint the factors that impact nursing performance during the COVID-19 pandemic, focusing on nurses' self-efficacy, work environment, knowledge, and attitudes.</div></div><div><h3>Design</h3><div>The study utilized a cross-sectional design.</div></div><div><h3>Settings & participants</h3><div>Between December 13, 2021, and January 21, 2022, an online and offline survey was conducted with 314 nurses who provided in-person care in tertiary and general hospitals throughout South Korea.</div></div><div><h3>Methods</h3><div>Using <em>t</em>-tests and ANOVA, the research compared nursing performance based on various demographic and work-related characteristics like age, gender, education, marital status, and other working conditions. A research model was formulated via structural equation modeling, positioning nursing performance as the dependent variable. The independent variables included career experience (indirect effect), work environment (indirect effect), COVID-19 knowledge (indirect effect), attitude toward COVID-19 (direct effect), and self-efficacy (direct effect). Data analysis was carried out using SPSS 26 and AMOS 28.</div></div><div><h3>Results</h3><div>The study demonstrated that self-efficacy and attitude toward COVID-19 significantly influence nursing performance, as reflected by robust critical ratios (CR) for self-efficacy (CR = 11.291, <em>p</em> < 0.001) and attitude (CR = 5.133, <em>p <</em> 0.001). They account for 43 % (<em>R</em><sup>2</sup> = 0.43) of the variability of nursing performance. Self-efficacy was positively predicted by clinical experience (CR = 3.160, p = 0.002) and work environment (CR = 4.328, <em>p <</em> 0.001), while attitude was similarly influenced (CR = 3.557 and 2.926, respectively). However, clinical experience and work environment only explained 8 % (<em>R</em><sup>2</sup> = 0.08) of self-efficacy and 16 % (<em>R</em><sup>2</sup> = 0.16) of attitude. Knowledge about COVID-19 exhibited a statistically insignificant influence in the dynamics.</div></div><div><h3>Conclusions</h3><div>This study, conducted among Korean nurses during the COVID-19 pandemic, reveals that self-efficacy and attitudes towards COVID-19 are key predictors of nursing performance, overshadowing knowledge's influence. These findings suggest the critical role of psychological factors in healthcare delivery during crises and underscore the need for enhanced focus on developing self-efficacy and positive attitudes in nursing education and professional development. Additionally, demographic and professional variables, including age, clinical experience, educational level, and marital status affect nursing performance.</div></div>","PeriodicalId":34476,"journal":{"name":"International Journal of Nursing Studies Advances","volume":"7 ","pages":"Article 100239"},"PeriodicalIF":3.1000,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Studies Advances","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666142X24000663","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The emergence of infectious diseases such as SARS, MERS, and COVID-19 underscores the need for effective nursing preparedness.

Objectives

This cross-sectional study sought to pinpoint the factors that impact nursing performance during the COVID-19 pandemic, focusing on nurses' self-efficacy, work environment, knowledge, and attitudes.

Design

The study utilized a cross-sectional design.

Settings & participants

Between December 13, 2021, and January 21, 2022, an online and offline survey was conducted with 314 nurses who provided in-person care in tertiary and general hospitals throughout South Korea.

Methods

Using t-tests and ANOVA, the research compared nursing performance based on various demographic and work-related characteristics like age, gender, education, marital status, and other working conditions. A research model was formulated via structural equation modeling, positioning nursing performance as the dependent variable. The independent variables included career experience (indirect effect), work environment (indirect effect), COVID-19 knowledge (indirect effect), attitude toward COVID-19 (direct effect), and self-efficacy (direct effect). Data analysis was carried out using SPSS 26 and AMOS 28.

Results

The study demonstrated that self-efficacy and attitude toward COVID-19 significantly influence nursing performance, as reflected by robust critical ratios (CR) for self-efficacy (CR = 11.291, p < 0.001) and attitude (CR = 5.133, p < 0.001). They account for 43 % (R² = 0.43) of the variability of nursing performance. Self-efficacy was positively predicted by clinical experience (CR = 3.160, p = 0.002) and work environment (CR = 4.328, p < 0.001), while attitude was similarly influenced (CR = 3.557 and 2.926, respectively). However, clinical experience and work environment only explained 8 % (R² = 0.08) of self-efficacy and 16 % (R² = 0.16) of attitude. Knowledge about COVID-19 exhibited a statistically insignificant influence in the dynamics.

Conclusions

This study, conducted among Korean nurses during the COVID-19 pandemic, reveals that self-efficacy and attitudes towards COVID-19 are key predictors of nursing performance, overshadowing knowledge's influence. These findings suggest the critical role of psychological factors in healthcare delivery during crises and underscore the need for enhanced focus on developing self-efficacy and positive attitudes in nursing education and professional development. Additionally, demographic and professional variables, including age, clinical experience, educational level, and marital status affect nursing performance.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

在 COVID-19 中影响护理绩效的影响因素：关于护士应对传染病准备情况的横断面研究

背景SARS、MERS 和 COVID-19 等传染病的出现凸显了做好有效护理准备的必要性。目标本横断面研究旨在找出 COVID-19 大流行期间影响护理绩效的因素，重点关注护士的自我效能、工作环境、知识和态度。设置& 参与者在 2021 年 12 月 13 日至 2022 年 1 月 21 日期间，对韩国各地的三级医院和综合医院中亲自提供护理服务的 314 名护士进行了在线和离线调查。研究方法使用 t 检验和方差分析，比较了基于年龄、性别、教育、婚姻状况和其他工作条件等各种人口统计学和工作相关特征的护理绩效。通过结构方程模型建立了一个研究模型，将护理绩效作为因变量。自变量包括职业经验（间接影响）、工作环境（间接影响）、COVID-19 知识（间接影响）、对 COVID-19 的态度（直接影响）和自我效能（直接影响）。研究结果表明，自我效能和对 COVID-19 的态度对护理绩效有显著影响，自我效能（CR = 11.291，p <0.001）和态度（CR = 5.133，p <0.001）的稳健临界比率（CR）反映了这一点。它们占护理绩效变异性的 43% (R2 = 0.43)。临床经验（CR = 3.160，p = 0.002）和工作环境（CR = 4.328，p <0.001）对自我效能有积极的预测作用，而态度也有类似的影响（分别为 CR = 3.557 和 2.926）。然而，临床经验和工作环境只能解释 8% 的自我效能（R2 = 0.08）和 16% 的态度（R2 = 0.16）。结论在 COVID-19 大流行期间对韩国护士进行的这项研究表明，自我效能感和对 COVID-19 的态度是预测护理绩效的关键因素，其影响远远超过知识的影响。这些研究结果表明，心理因素在危机期间的医疗保健服务中起着至关重要的作用，并强调了在护理教育和专业发展中加强对培养自我效能感和积极态度的关注的必要性。此外，人口统计学和专业变量，包括年龄、临床经验、教育水平和婚姻状况也会影响护理绩效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊