J Korean Clin Nurs Res.  2025 Apr;31(1):59-68. 10.22650/JKCNR.2025.31.1.59.

The Influence of Clinical Decision-Making Ability and Role Conflict on Nursing Work Performance Ability in Emergency Room Nurses

• So SM
• Cho JH
• Jang SG

• KMID: 2567678
• DOI: http://doi.org/10.22650/JKCNR.2025.31.1.59

Abstract

Purpose
This study aimed to examine the levels of clinical decision-making ability, role conflict, and nursing work performance ability and to identify factors influencing nursing work performance ability among emergency room nurses.
Methods
This study emploved a descriptive correlational research design. A total of 137 emergency room nurses, were participated. Data were collected at three tertiary hospitals located in city B, from June 1 to August 25, 2024. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson’s correlation, and multiple regression analysis using IBM SPSS 29.0 program.
Results
The average score of clinical decision-making ability was 3.31, while role conflict and nursing work performance ability both had an average score of 3.77. Factors influencing nursing work performance ability included clinical decision-making ability, role conflict, and annual salary, which explained 20.0% of the variance in nursing work performance ability.
Conclusion
Clinical decision-making ability and role conflict significantly impact nursing work performance among emergency room nurses. Strategies to enhance clinical decision-making skills and mitigate role conflict should be developed at the organizational level. Additionally, further research is needed to on appropriate compensation systems and institutional measures to enhance nursing work performance.

Keyword

Emergency Nursing; Clinical Decision-Making; Role; Conflict; Professional Competence