Child Health Nurs Res.  2018 Jan;24(1):9-17. 10.4094/chnr.2018.24.1.9.

Effects of Clinical Decision-making on Job Satisfaction among Pediatric Nurses: The Mediating Effect of the Nurse-Parent Partnership

• Shin KS
• Kim HY

• KMID: 2437154
• DOI: http://doi.org/10.4094/chnr.2018.24.1.9

Abstract

PURPOSE
The purpose of this descriptive survey study was to characterize the relationship between clinical decision-making and job satisfaction among pediatric nurses and to elucidate the mediating effects of the nurse-parent partnership on that relationship.
METHODS
The subjects of the study were 174 nurses who had worked in a pediatric ward in a university hospital, general hospital, or children's hospital. Data were collected from June 20, 2016 to August 10, 2016 and analysed using descriptive statistics, the t-test, analysis of variance, the Pearson correlation coefficient, and three-step mediated regression analysis in SPSS version 22.0 for Windows.
RESULTS
The nurse-parent partnership had significant effects on clinical decision-making and job satisfaction, with an explanatory power of 19% and 26%, respectively. The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction (Sobel test: Z=4.31, p < .001).
CONCLUSION
The nurse-parent partnership had a partial mediating effect on the relationship between clinical decision-making and job satisfaction among pediatric nurses. Therefore, in order to improve the job satisfaction of pediatric nurses, it is necessary to develop effective educational programs and strategies to address their clinical decision-making and their experiences of the nurse-parent partnership.

Keyword

Clinical decision-making; Job satisfaction; Parents; Child; Nurses

MeSH Terms

Child
Clinical Decision-Making*
Hospitals, General
Humans
Job Satisfaction*
Negotiating*
Parents