J Korean Acad Nurs Adm.  2021 Dec;27(5):301-310. 10.11111/jkana.2021.27.5.301.

Effects of Professional Autonomy and Teamwork on Clinical Performance of Nurses in Tertiary Hospitals

Affiliations
  • 1Part Leader, Yonsei University Health System ‧ Graduate Student, Department of Nursing, Yonsei University Graduate School, Korea.
  • 2Professor, College of Nursing ‧ Mo-Im Kim Nursing Research Institute, Yonsei University, Korea.

Abstract

Purpose
This study was aimed to identify the effects of professional autonomy and teamwork on clinical performance to improve the clinical performance of tertiary hospital nurses.
Methods
Data were collected from June 1 to June 30, 2017 and a total of 172 nurses from three tertiary hospitals participated in this study. The collected data were analyzed with descriptive statistics, t-test, ANOVA, Scheffé test, Pearson’s correlation and stepwise multiple regression analysis using SPSS 25.0.
Results
Clinical performance showed a statistical difference depending on the number of education session for competency, and it showed a positive correlation with professional autonomy and teamwork. The factors affecting the clinical performance of the tertiary hospital nurses included in teamwork (β=.40, p<.001), professional autonomy (β=.27, p<.001). These factors accounted for 31% of clinical performance (p<.001).
Conclusion
It is important to find ways to improve clinical performance of tertiary hospital nurses. Furthermore, there is a need to include continuous and systemic education programs for professional autonomy and suitable programs to elevate teamwork.

Keyword

Professional autonomy; Teamwork; Clinical performance
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