The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Study Participants
2.3. Instruments
2.3.1. General and Work-Related Characteristics
2.3.2. Role Conflict
2.3.3. Professional Autonomy
2.3.4. Role Performance
2.4. Data Collection and Human Participants’ Protections
2.5. Data Analysis
3. Results
3.1. General and Work-Related Characteristics
3.2. The Degree of Role Conflict, Professional Autonomy, and Role Performance
3.3. Differences in Role Conflict, Professional Autonomy, and Role Performance
3.4. Correlation between Role Conflict, Professional Autonomy, and Role Performance
3.5. Factors Affecting Role Performance
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Characteristics | Categories | Mean ± SD or N (%) |
---|---|---|
General characteristics | ||
Age (years) | 40.62 ± 8.15 | |
Gender | Female | 118 (97.5) |
Male | 3 (2.5) | |
Marital state | Married | 87 (71.9) |
Unmarried | 34 (28.1) | |
Educational background | Diploma | 30 (24.8) |
Bachelor’s degree | 73 (60.3) | |
Master’s | 18 (14.9) | |
Occupation | Nurse | 120 (99.2) |
Doctor | 1 (0.8) | |
Salary (Unit: 10,000 KRW) | <2000 | 2 (1.7) |
2000–3000 | 12 (9.9) | |
3000–4000 | 77 (63.6) | |
≥4000 | 30 (24.8) | |
Motivation for choosing a job | Because of the type of work | 50 (41.3) |
Instructions from the hospital | 47 (38.8) | |
Concern for patient safety | 24 (19.8) | |
Work-related characteristics | ||
Type of medical institution | Convalescent hospital | 48 (39.7) |
General hospital | 38 (31.4) | |
Hospital | 23 (19.0) | |
Psychiatric hospital | 12 (9.9) | |
The number of beds | 230.84 ± 58.90 | |
Affiliation department | Nursing (part) | 60 (49.6) |
Solo | 35 (28.9) | |
Administrative (part) | 26 (21.5) | |
Concurrent position | Work with other tasks | 78 (64.5) |
Only perform patient safety tasks | 43 (35.5) | |
Medical institution certification evaluation 1 | Enforced | 93 (76.9) |
Not enforced | 28 (23.1) | |
Adequacy evaluation 1 | Enforced | 58 (47.9) |
Not enforced | 63 (52.1) | |
Medical quality evaluation 1 | Enforced | 29 (24.0) |
Not enforced | 92 (76.0) | |
Total work experience (years) | 14.39 ± 8.11 | |
Experience as a dedicated patient safety coordinator (years) | 2.34 ± 1.97 |
Variables | Mean ± SD | Min | Max |
---|---|---|---|
Role conflict | 92.50 ± 14.96 | 36 | 123 |
Role ambiguity | 44.66 ± 8.09 | 16 | 60 |
Lack of ability | 21.92 ± 3.75 | 11 | 30 |
Overwork | 18.42 ± 3.34 | 7 | 25 |
Lack of cooperation | 11.26 ± 2.37 | 3 | 15 |
Professional autonomy | 95.21 ± 16.67 | 49 | 137 |
Role performance | 93.97 ± 14.35 | 32 | 123 |
Variables | Role Conflict | Professional Autonomy | Role Performance | ||||
---|---|---|---|---|---|---|---|
Mean ± SD | t/F (p) | Mean ± SD | t/F (p) | Mean ± SD | t/F (p) | ||
Age (years) | <35 | 92.60 ± 12.24 | 0.41 | 92.67 ± 17.57 | 0.50 | 91.03 ± 14.06 | 0.96 |
35–40 | 92.83 ± 13.70 | 93.74 ± 18.54 | 94.39 ± 13.70 | ||||
40–45 | 94.13 ± 16.10 | 96.63 ± 17.44 | 93.45 ± 16.30 | ||||
≥45 | 90.07 ± 17.13 | 97.07 ± 13.35 | 97.23 ± 12.34 | ||||
Gender | Female | 92.25 ± 15.04 | −1.12 | 94.96 ± 16.41 | −1.03 | 93.92 ± 14.51 | −0.21 |
Male | 102.00 ± 7.21 | 105.00 ± 27.79 | 95.67 ± 5.51 | ||||
Marital state | Married | 91.76 ± 15.86 | −0.87 | 95.78 ± 16.09 | 0.61 | 94.55 ± 14.49 | 0.72 |
Unmarried | 94.36 ± 12.58 | 93.55 ± 18.51 | 92.27 ± 14.24 | ||||
Educational | Diploma a | 91.97 ± 16.93 | 3.51 * | 91.30 ± 14.77 | 1.59 | 91.17 ± 15.69 | 0.95 |
background | Bachelor b | 90.66 ± 14.11 | b < c | 97.34 ± 16.68 | 95.36 ± 13.75 | ||
Master’s c | 100.83 ± 12.62 | 93.06 ± 19.00 | 93.00 ± 14.47 | ||||
Salary | <2000 a | 82.00 ± 25.46 | 1.28 | 105.50 ± 7.78 | 3.64 * | 91.50 ± 10.61 | 0.27 |
(Unit: 10,000) | 2000–3000 b | 99.50 ± 14.79 | 84.50 ± 15.20 | b < d | 91.33 ± 16.78 | ||
3000–4000 c | 92.03 ± 14.64 | 94.17 ± 17.64 | 93.84 ± 14.74 | ||||
≥4000 d | 91.60 ± 15.15 | 101.47 ± 12.13 | 95.50 ± 12.88 | ||||
Motivation for | Because of the type of work | 90.68 ± 15.43 | 1.11 | 96.10 ± 16.71 | 0.26 | 93.54 ± 12.85 | 0.17 |
choosing a job | Instructions from the hospital | 92.53 ± 15.35 | 93.83 ± 17.96 | 94.89 ± 13.49 | |||
Concern for patient safety | 96.21 ± 12.96 | 96.04 ± 14.29 | 93.04 ± 18.86 | ||||
Type of medical | Convalescent hospital | 89.00 ± 17.70 | 1.99 | 96.83 ± 17.32 | 0.97 | 95.38 ± 13.45 | 1.02 |
institution | General hospital | 95.79 ± 13.65 | 96.74 ± 17.29 | 90.71 ± 16.41 | |||
Hospital | 95.65 ± 10.40 | 92.30 ± 12.44 | 96.35 ± 12.22 | ||||
Psychiatric hospital | 90.00 ± 11.94 | 89.42 ± 19.01 | 94.08 ± 14.54 | ||||
The number of | 100–200 | 94.35 ± 16.63 | 1.79 | 97.87 ± 16.78 | 0.60 | 93.57 ± 11.97 | 0.22 |
beds | 200–250 | 89.18 ± 13.34 | 93.31 ± 17.09 | 95.09 ± 14.14 | |||
250–300 | 94.51 ± 15.29 | 95.66 ± 16.39 | 93.19 ± 15.61 | ||||
Affiliation | Nursing (part) | 91.57 ± 13.50 | 1.82 | 94.50 ± 15.09 | 0.54 | 92.87 ± 12.57 | 1.36 |
department | Solo | 90.49 ± 17.38 | 97.63 ± 13.74 | 97.29 ± 15.75 | |||
Administrative (part) | 97.35 ± 14.18 | 93.58 ± 22.97 | 92.04 ± 16.01 | ||||
Concurrent | Work with other tasks | 94.55 ± 12.88 | 2.06 * | 93.64 ± 15.64 | −1.40 | 92.40 ± 14.85 | −1.63 |
position | Only perform patient safety tasks | 88.77 ± 17.70 | 98.05 ± 18.25 | 96.81 ± 13.08 | |||
MICE | Enforced | 91.54 ± 14.69 | −1.29 | 94.43 ± 16.56 | −0.93 | 95.54 ± 13.69 | 2.23 * |
Not enforced | 95.68 ± 15.69 | 97.79 ± 17.09 | 88.75 ± 15.50 | ||||
Adequacy | Enforced | 90.45 ± 15.13 | −1.45 | 95.22 ± 15.79 | 0.01 | 96.19 ± 12.47 | 1.65 |
evaluation | Not enforced | 94.38 ± 14.67 | 95.19 ± 17.58 | 91.92 ± 15.70 | |||
Medical quality | Enforced | 91.59 ± 12.50 | −0.37 | 97.48 ± 15.13 | 0.84 | 98.00 ± 10.95 | 2.06 * |
evaluation | Not enforced | 92.78 ± 15.71 | 94.49 ± 17.15 | 92.70 ± 15.09 | |||
Total work | <10 | 94.14 ± 14.60 | 0.88 | 94.03 ± 17.49 | 0.83 | 90.42 ± 14.47 | 1.23 |
experience | 10–15 | 89.19 ± 13.24 | 92.15 ± 15.78 | 94.30 ± 12.21 | |||
(years) | 15–20 | 94.63 ± 12.61 | 96.06 ± 15.89 | 95.16 ± 16.49 | |||
≥20 | 91.04 ± 19.30 | 98.96 ± 17.49 | 97.08 ± 13.14 | ||||
Experience of | <1 | 92.04 ± 15.10 | 1.39 | 94.32 ± 17.70 | 0.70 | 91.48 ± 18.64 | 0.34 |
dedicated | 1–3 | 90.75 ± 15.45 | 95.89 ± 16.36 | 94.85 ± 13.85 | |||
The PSC | 3–5 | 97.17 ± 10.95 | 92.63 ± 17.71 | 94.20 ± 11.97 | |||
≥5 | 89.55 ± 20.24 | 100.82 ± 13.03 | 94.55 ± 12.84 |
Variables | 1 | 1-1 | 1-2 | 1-3 | 1-4 | 2 | 3 |
---|---|---|---|---|---|---|---|
1 Role conflict | 1 | 0.936 ** | 0.881 ** | 0.828 ** | 0.797 ** | −0.343 ** | −0.248 * |
1–1 Role ambiguity | 1 | 0.749 ** | 0.657 ** | 0.645 ** | −0.310 * | −0.249 * | |
1–2 Lack of ability | 1 | 0.677 ** | 0.641 ** | −0.334 ** | −0.226 * | ||
1–3 Overwork | 1 | 0.706 ** | −0.276 * | −0.199 * | |||
1–4 Lack of cooperation | 1 | −0.242 * | −0.121 | ||||
2 Professional autonomy | 1 | 0.312 ** | |||||
3 Role performance | 1 |
B | SE | ß | t | p | Tolerance | VIF | |
---|---|---|---|---|---|---|---|
Professional autonomy | 0.240 | 0.077 | 0.279 | 3.116 | 0.002 | 0.865 | 1.157 |
Medical institution certification evaluation | 8.342 | 2.926 | 0.246 | 2.851 | 0.005 | 0.931 | 1.074 |
Medical quality evaluation | 6.074 | 2.853 | 0.181 | 2.129 | 0.036 | 0.956 | 1.046 |
Role conflict | −0.112 | 0.086 | −0.117 | −1.296 | 0.197 | 0.859 | 1.164 |
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Park, K.-Y.; Kang, K. The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea. Int. J. Environ. Res. Public Health 2022, 19, 9392. https://doi.org/10.3390/ijerph19159392
Park K-Y, Kang K. The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea. International Journal of Environmental Research and Public Health. 2022; 19(15):9392. https://doi.org/10.3390/ijerph19159392
Chicago/Turabian StylePark, Kyo-Yeon, and Kyoungrim Kang. 2022. "The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea" International Journal of Environmental Research and Public Health 19, no. 15: 9392. https://doi.org/10.3390/ijerph19159392