Mediating Effects of Role Clarity between Clinical Decision-Making Abilities and Job Stress for Advanced Practice Nurses at Tertiary Hospitals
10.34250/jkccn.2022.15.2.27
- Author:
Min Young KIM
1
;
Jeong Hye KIM
;
Su Jung CHOI
Author Information
1. Professor, College of Nursing, Health and Nursing Research Institute, Jeju National University
- Publication Type:Original Article
- From:
Journal of Korean Critical Care Nursing
2022;15(2):27-38
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Purpose:: The purpose of this study was to identify the mediating effect of role clarity in the relationship between clinical decision-making abilities and job stress among advanced practice nurses at tertiary hospitals.
Methods:: The participants were 137 advanced practice nurses. The assessment tools were clinical decisionmaking in nursing scale, role ambiguity scale, and Korean occupational stress scale (KOSS-26). Data were analyzed with the SPSS/24.0 program and mediation analysis was performed according to the Baron and Kenny methods.
Results:: There were significant relationships between clinical decision-making abilities and job stress (r=-.33, p<.001), and role clarity and job stress (r=-.29, p=.001). Role clarity showed partial mediating effects in the relationship between clinical decision-making abilities and job stress (Z=2.02, p=.043).
Conclusion:: Therefore, to reduce advanced practice nurses’ job stress, it is necessary to develop a program and strategies to increase their clinical decision-making abilities.