Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model
Abstract
:1. Introduction
1.1. Background
1.2. Hypothetical Model
2. Methods
2.1. Resarch Design
2.2. Research Participants
2.3. Research Instrument
2.3.1. Attitude to Families’ Importance in Nursing Care
2.3.2. Nursing Professional Self-Efficacy
2.3.3. Nurse–Parent Partnership
2.3.4. Quality of Nursing Care
2.4. Data Collection and Ethical Considerations
2.5. Data Analysis
3. Results
3.1. General Characteristics of Participants
3.2. Descriptive Statistics of Study Variables
3.3. Correlation of Study Variables
3.4. Fitness of Hypothetical Model
3.5. Model Modification
3.6. Fitness of Modified Model
3.7. Path Coefficient and Effect of Modified Model
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Categories | n (%)/M ± SD | Min–Max | Range | Skewness | Kurtosis |
---|---|---|---|---|---|
General Characteristics | |||||
Age (years) | 29.20 ± 7.07 | ||||
Marital status | |||||
Single | 159 (72.9) | ||||
Married | 59 (27.1) | ||||
Child | |||||
None | 180 (82.6) | ||||
At least one | 38 (17.4) | ||||
Education | |||||
College | 57 (26.1) | ||||
Undergraduate | 149 (68.3) | ||||
Graduate | 12 (5.5) | ||||
Position | |||||
Staff nurse | 182 (83.5) | ||||
Charge nurse | 26 (11.9) | ||||
Head nurse | 10 (4.6) | ||||
Pediatric experience (months) | 47.06 ± 53.46 | ||||
Nurse experience (months) | 79.94 ± 84.02 | ||||
Measured Variables | |||||
Attitude to families’ importance in nursing care | 85.81 ± 9.62 | 57.00–111.00 | 54.00 | −0.10 | 0.22 |
Nursing professional self-efficacy | 71.42 ± 8.53 | 46.00–95.00 | 49.00 | 0.23 | 0.38 |
Nurse–parent partnership | 130.95 ± 13.55 | 95.00–168.00 | 73.00 | −0.17 | 0.22 |
Quality of nursing care | 8.14 ± 0.77 | 6.25–10.00 | 3.75 | 0.15 | −0.16 |
Respect | 8.11 ± 0.91 | 5.78–10.00 | 4.22 | 0.23 | −0.11 |
Kindness | 8.30 ± 1.10 | 5.09–10.00 | 4.91 | −0.12 | −0.41 |
Explanation | 8.28 ± 0.95 | 5.98–10.00 | 4.02 | −0.21 | −0.64 |
Skillfulness | 7.69 ± 1.19 | 3.99–10.00 | 6.01 | −0.37 | 0.17 |
Variables | Nurse Experience | Attitude to Families’ Importance in Nursing Care | Nursing Professional Self-Efficacy | Nurse–Parent Partnership |
---|---|---|---|---|
r(p) | r(p) | r(p) | r(p) | |
Attitude to families’ importance in nursing care | 0.27 (<0.001) | |||
Nursing professional self-efficacy | 0.38 (<0.001) | 0.56 (<0.001) | ||
Nurse–parent partnership | 0.32 (<0.001) | 0.57 (<0.001) | 0.69 (<0.001) | |
Quality of nursing care | ||||
Respect | 0.29 (<0.001) | 0.29 (<0.001) | 0.24 (<0.001) | 0.32 (<0.001) |
Kindness | 0.11 (0.099) | 0.20 (0.004) | 0.31 (<0.001) | 0.35 (<0.001) |
Explanation | 0.24 (<0.001) | 0.13 (0.053) | 0.29 (<0.001) | 0.23 (0.001) |
Skillfulness | 0.45 (<0.001) | 0.19 (0.004) | 0.37 (<0.001) | 0.27 (<0.001) |
Tolerance | 0.85 | 0.62 | 0.47 | 0.48 |
Variation inflation factor | 1.18 | 1.60 | 2.14 | 2.09 |
Endogenous Variables | Standardized Estimate | Standard Error | Critical Ratio (p) | Squared Multiple Correlations | Direct Effect (p) | Indirect Effect (p) | Total Effect (p) |
---|---|---|---|---|---|---|---|
Exogenous Variables | |||||||
Attitude to families’ importance in nursing care | 0.31 | ||||||
Nurse experience | 0.07 | 0.007 | 1.21 (0.226) | 0.07 (0.208) | 0.20 (0.004) | 0.27 (0.004) | |
Nursing professional self-efficacy | 0.53 | 0.069 | 8.67 (<0.001) | 0.53 (0.004) | - | 0.53 (0.004) | |
Nursing professional self-efficacy | 0.14 | ||||||
Nurse experience | 0.38 | 0.006 | 6.02 (<0.001) | 0.38 (0.004) | - | 0.38 (0.004) | |
Nurse–parent partnership | 0.52 | ||||||
Nurse experience | - | 0.001 | - | - | 0.28 (0.004) | 0.28 (0.004) | |
Attitude to families’ importance in nursing care | 0.27 | 0.080 | 4.78 (<0.001) | 0.27 (0.004) | - | 0.27 (0.004) | |
Nursing professional self-efficacy | 0.54 | 0.090 | 9.46 (<0.001) | 0.54 (0.004) | 0.14 (0.004) | 0.68 (0.004) | |
Quality of nursing care in pediatric unit | |||||||
Respect | 0.13 | ||||||
Nurse experience | 0.21 | 0.001 | 3.21 (0.001) | 0.21 (0.004) | 0.07 (0.004) | 0.28 (0.004) | |
Attitude to families’ importance in nursing care | - | - | - | - | 0.07 (0.004) | 0.07 (0.004) | |
Nursing professional self-efficacy | - | - | - | - | 0.17 (0.004) | 0.17 (0.004) | |
Nurse–parent partnership | 0.24 | 0.004 | 3.95 (<0.001) | 0.24 (0.004) | - | 0.24 (0.004) | |
Kindness | 0.11 | ||||||
Nurse experience | 0.01 | 0.001 | 0.13 (0.897) | 0.01 (0.885) | 0.09 (0.004) | 0.10 (0.129) | |
Attitude to families’ importance in nursing care | - | - | - | - | 0.09 (0.004) | 0.09 (0.004) | |
Nursing professional self-efficacy | - | - | - | - | 0.22 (0.004) | 0.22 (0.004) | |
Nurse–parent partnership | 0.33 | 0.005 | 5.35 (<0.001) | 0.33 (0.004) | - | 0.33 (0.004) | |
Explanation | 0.09 | ||||||
Nurse experience | 0.16 | 0.001 | 2.34 (0.019) | 0.16 (0.022) | 0.08 (0.014) | 0.24 (0.004) | |
Nursing professional self-efficacy | 0.20 | 0.007 | 3.14 (0.002) | 0.20 (0.014) | - | 0.20 (0.014) | |
Skillfulness | 0.25 | ||||||
Nurse experience | 0.37 | 0.001 | 5.92 (<0.001) | 0.37 (0.004) | 0.08 (0.004) | 0.45 (0.004) | |
Nursing professional self-efficacy | 0.21 | 0.008 | 3.52 (<0.001) | 0.21 (0.004) | - | 0.21 (0.004) |
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Yoo, S.Y.; Cho, H. Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model. Int. J. Environ. Res. Public Health 2020, 17, 5452. https://doi.org/10.3390/ijerph17155452
Yoo SY, Cho H. Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model. International Journal of Environmental Research and Public Health. 2020; 17(15):5452. https://doi.org/10.3390/ijerph17155452
Chicago/Turabian StyleYoo, So Yeon, and Haeryun Cho. 2020. "Exploring the Influences of Nurses’ Partnership with Parents, Attitude to Families’ Importance in Nursing Care, and Professional Self-Efficacy on Quality of Pediatric Nursing Care: A Path Model" International Journal of Environmental Research and Public Health 17, no. 15: 5452. https://doi.org/10.3390/ijerph17155452