J Korean Acad Nurs Adm.  2024 Mar;30(2):141-151. 10.11111/jkana.2024.30.2.141.

Role Conflict of Physician Assistants with Nursing Licenses in Korea

• Kim B
• Jung W

• KMID: 2562924
• DOI: http://doi.org/10.11111/jkana.2024.30.2.141

Abstract

Purpose
This conceptual analysis aimed to reveal the “role conflict of physician assistants with nursing licenses in Korea” by defining and organizing its concept.
Methods
This study used the conceptual analysis process of Walker and Avant.
Results
The role conflict of Korean physician assistant nurses can be defined by the following attributes: “Confusion of identity,” “Psychological burden of work,” “Anxiety and fear of legal responsibility,” “Anxiety about an uncertain future,” “Relative deprivation,” “Sense of neglect,” and a “Lack of sense of belonging.” The antecedents identified were: “unclear work boundaries,” “absence of work guidelines,” “excessive work and poor environment,” “Absence of regulations and administrative regulation,” “Exclusion from unfair treatment and promotion,” “Difficulty measuring job performance,” “Absence of job autonomy,” and “Physician group interest pursuit.” The consequences were: “Decreased job satisfaction,” “Decreased sense of achievement,” “Decreased self-esteem,” “Limited growth,” “Increased turnover intentions,” “Exhaustion of mind and body,” “Career identity crisis,” and “Frustrations.”
Conclusion
This study provides basic data for constructing a theory concerning role conflict among Korean dedicated nurses and promotes the development of measurement tools. Furthermore, it meaningfully presents both theoretical grounds for reducing the role conflict of dedicated nurses and evidence for legalization.

Keyword

Physician assistants; Role conflict; Concept analysis