Journal List > J Korean Acad Nurs Adm > v.25(3) > 1129540

Kim and Han: Mediating Effects of Self-efficacy between Calling and Nursing Professionalism for Nurses in General Hospitals

Abstract

Purpose:

This study was done to identify the mediating effect of self-efficacy on the relationships between calling and nursing professionalism for nurses in general hospitals.

Methods:

Participants were 119 nurses in general hospitals. A survey was used and data were collected in April 2018. Data were analyzed using the IBM SPSS/WIN 22.0 program.

Results:

The significant predictors for the nursing professionalism of nurses were self-efficacy (β=.61) and clinical career in current hospital (β=-.21). These variables explained 42% of the variance in nursing professionalism of nurses. Also, self-efficacy had a total mediating effect on the relationship between calling and nursing professionalism.

Conclusion:

Findings indicate that calling and self-efficacy are important factors for nursing professionalism of nurses in general hospitals.

REFERENCES

1. Moon YS, Han SJ. Impact of self-efficacy and nursing professionalism on organizational commitment in nurses. Journal of Korean Academy Society Nursing Education. 2011; 17(1):72–79. https://doi.org/10.5977/JKASNE.2011.17.1.072.
crossref
2. Adams D, Miller BK. Professionalism in nursing behaviors of nurse practitioners. Journal of Professional Nursing. 2001; 17(4):203–210. https://doi.org/10.1053/jpnu.2001.25913.
crossref
3. Yeun EJ, Kwon YM, Ahn OH. Development of a nursing professional values scale. Journal of Korean Academy of Nursing. 2005; 35(6):1091–1100. https://doi.org/10.4040/jkan.2005.35.6.1091.
crossref
4. Ham YS, Kim HS. Comparison of factors affecting nursing pro- fessionalism perceived by nursing students anticipating graduation according to nursing educational system. Journal of Korean Academy Fundamental Nursing. 2012; 19(3):363–373. https://doi.org/10.7739/jkafn.2012.19.3.363.
5. Lee JW, Hwang SJ. The effects of the calling among public servants in charge of social welfare on their professionalism. Journal of Korean Social Welfare Adminstration. 2016; 18(4):169–196. http://www.dbpia.co.kr/Article/NODE07067314.
6. Go SH. Introduction of Nursing. 3rd ed. Seoul: Pacific Book;2016. p. 357–380.
7. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review. 1977; 84(2):191–215.
crossref
8. Cho EJ, Bang KS. Nursing professionalism, self-efficacy and nurse parent partnership in pediatric nurses. Child Health Nursing Research. 2013; 19(2):94–101. https://doi.org/10.4094/chnr.2013.19.2.94.
crossref
9. Fetzer SJ. Professionalism of associate degree nurses: The role of self-actualization. Nursing Education Perspectives. 2003; 24(3):139–143.
10. Kang KS, Ko YS. Effects of self-efficacy, major satisfaction on nursing professionalism in nursing students. Korean Journal of Health Communication. 2016; 11(2):179–189. https://doi.org/10.15715/kjhcom.2016.11.2.179.
11. Lee KJ. Effect of sense of calling on knowledge pursuance, customer orientation, and service quality efficacy of frontline employees in hotels. Journal of Tourism Science. 2014; 38(4):37–54.
12. Dik BJ, Duffy RD. Calling and vocation at work: Definitions and prospects for research and practice. The Counseling Psychologist. 2009; 37(3):424–450. https://doi.org/10.1177/0011000008316430.
13. Kim MJ, Kim SH. Influences of calling, work value, and organizational commitment on turnover intention in nurses employed at university hospitals in a region. The Korean Journal of Health Service Management. 2016; 10(1):67–77. https://doi.org/10.12811/kshsm.2016.10.1.067.
crossref
14. Park J, Sohn YW, Ha YJ. South Korean salespersons calling, job performance, and organizational citizenship behavior: The mediating role of occupational self-efficacy. Journal of Career Assessment. 2016; 24(3):415–428. https://doi.org/10.1177/1069072715599354.
15. Yoon SH. A study on new graduate nurses' clinical experience of adaptation. Journal of Korean Academy of Nursing Administration. 2002; 8(1):55–72.
16. Park JO, Jung KI. Effects of advanced beginner-stage nurses' sense of calling, job satisfaction and organizational commitment on retention intention. Journal of Korean Academy of Nursing Administration. 2016; 22(2):137–147. https://doi.org/10.11111/jkana.2016.22.2.137.
crossref
17. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009; 41(4):1149–1160. https://doi.org/10.3758/BRM.41.4.1149.
crossref
18. Shim YR, Yoo SK. Development and validation of the Korean version of the calling and vocation questionnaire (CVQ-K). The Korean Journal of Counseling and Psychotherapy. 2012; 24(4):847–872.
19. Kim SJ. Moderating effect of emotional intelligence and self-efficacy on the relationship between career commitment and career performance. [master's thesis]. Gyeongsan: Yeungnam University;2007. p. 1–109.
20. Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational socialization of new clinical nurses. Journal of Korean Clinical Nursing Research. 2008; 14(1):85–97.
21. Bennett JA. Mediator and moderator variables in nursing research: Conceptual and statistical difference. Research in Nursing & Health. 2000; 23(5):415–420. https://doi.org/10.1002/1098-240X(200010)23:5<415::AID-NUR8>3.0.CO;2-H.
22. Oh JW, Han SJ. Mediating effects of person-environment fit between calling and job satisfaction of nurses in small and medium size general hospitals. Journal of Korean Academy of Nursing Administration. 2018; 24(5):365–374. https://doi.org/10.11111/jkana.2018.24.5.365.
crossref
23. Yoon CH. A study on factors influencing job stress and turnover intention for medical workforce (doctors and nurses) in medical institution. [dissertation]. Seoul: Kyung Hee University;2017. p. 1–162.
24. Yang HJ, Han SJ. The calling, emotional exhaustion and turnover intention in hospital nurses. Journal of Humanities and Social science. 2018; 9(6):191–206. https://doi.org/10.22143/HSS21.9.6.14.
25. Kim DW, Cho NS. A study of factors affecting the calling and ethics of medical social workers. Korean Public Personnel Administration Review. 2012; 11(2):221–244.
26. Kang KA, Park SH. The effects of self-efficacy and job stress coping on the resilience in clinical nurses. Journal of the Korea Academia-Industrial cooperation Society. 2018; 19(6):549–558. https://doi.org/10.5762/KAIS.2018.19.6.549.
27. Kim SK, Kim GM. Effects of nurses' job stress, self-efficacy, and professional self-concept on job satisfaction: A comparison on comprehensive nursing care service wards and general wards. Journal of the Korean Data Analysis Society. 2018; 20(3):1609–1624.
28. Hwang HJ, Lim JH. The effect of clinical nurse nursing professionalism and self leadership on organizational commitment. Journal of Learner-Centered Curriculum and Instruction. 2018; 18(24):1155–1171. https://doi.org/10.22251/jlcci.2018.18.24.1155.
crossref

Figure 1.
Conceptual framework.
jkana-25-220f1.tif
Table 1.
Differences in Calling, Self-efficacy and Nursing Professionalism according to Participants’ General Characteristics (N=119)
Characteristics Categories n (%) or M±SD Calling
Self-effficacy
Nursing professionalism
M±SD t or F (p) M±SD t or F (p) M±SD t or F (p)
Total 3.22±0.56 3.53±0.54 3.40±0.69
Gender Female 107 (89.9) 3.17±0.65 -4.16 3.51±0.55 -1.08 3.35±0.67 -2.43
Male 12 (10.1) 3.65±0.33 (<.001) 3.70±0.52 (.282) 3.86±0.75 (.016)
Age (year) ≤25a 26~30b ≥31c 13 (10.9) 51 (42.9) 55 (46.2) 3.02±0.47 2.99±0.56 3.48±0.65 10.08 (<.001) a, b<c 3.47±0.51 3.39±0.62 3.68±0.44 3.90 (.023) 3.41±0.62 3.32±0.75 3.47±0.65 0.62 (.573)
31.52±4.87
Marital status Single 69 (58.0) 3.13±0.57 -1.85 3.46±0.58 -1.74 3.40±0.74 -0.00
Married 50 (42.0) 3.35±0.70 (.066) 3.64±0.47 (.084) 3.40±0.62 (.995)
Education Diploma 33 (27.7) 3.10±0.66 3.14 3.41±0.71 1.86 3.36±0.88 0.10
degree Bachelor Master 79 (66.4) 7 (5.9) 3.22±0.61 3.76±0.70 (.047) a<c 3.56±0.46 3.82±0.39 (.159) 3.41±0.62 3.47±0.53 (.900)
Religion Yes No 58 (48.7) 61 (51.3) 3.42±0.64 3.03±0.61 3.47 (.001) 3.556±0.59 3.51±0.50 0.40 (.689) 3.44±0.75 3.36±0.64 0.64 (.523)
Current work unit General units Special units 61 (51.3) 58 (48.7) 3.10±0.57 3.35±0.68 -2.16 (.033) 3.44±0.59 3.63±0.48 -1.82 (.071) 3.25±0.66 3.56±0.70 -2.44 (.016)
Position Staff nursea Charge nurseb Head nursec 81 (68.1) 22 (18.5) 16 (13.4) 3.10±0.61 3.31±0.58 3.73±0.62 7.47 (.001) a<c 3.43±0.55 3.69±0.53 3.85±0.35 5.22 (.007) a<c 3.28±0.69 3.59±0.78 3.77±0.35 4.45 (.014) a<c
Clinical career in current work unit (year) < 1a 1~3b >3c 16 (13.4) 51 (42.9) 52 (43.7) 3.40±0.68 3.13±0.58 3.24±0.67 1.78 (.172) 3.61±0.52 3.49±0.61 3.55±0.49 0.34 (.713) 3.79±0.74 3.20±0.68 3.48±0.63 5.33 (.006) a>b
3.67±3.14
Table 2.
Correlation among Nursing Professionalism, Self-efficacy and Calling (N=119)
Variables Nursing professionalism
Self-efficacy
Calling
r (p) r (p) r (p)
Nursing professionalism 1
Self-efficacy .62 (<.001) 1
Calling .50 (<.001) .43 (<.001) 1
Table 3.
Factors Influencing Nursing Professionalism (N=119)
Variables B SE β t p
Self-efficacy 0.77 0.89 .61 8.78 <.001
Clinical career in current unit d1* -0.29 0.09 -.21 -3.03 .003
R2=.43 (Adj. R2=.42), F=45.19, p<.001

*Dummy variables: Clinical career in current hospital (<1=0, 1~3=d1, >3=d2).

Table 4.
Mediating Effects of Self-efficacy Between Calling and Nursing Professionalism (N=119)
Variables B β t p Adj. R2 F p
1. Calling → Self-efficacy .43 .50 6.31 <.001 .24 39.92 <.001
2. Calling → Nursing professionalism .51 .43 5.18 <.001 .18 26.91 <.001
3. Calling → Nursing professionalism .16 .15 1.88 .062 .40 40.55 <.001
  Self-efficacy → Nursing professionalism .69 .54 6.65 <.001
Sobel test: Z=4.53, p<.001
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