경력간호사의 감성지능이 간호관리역량에 미치는 영향 -의사소통능력의 매개효과를 중심으로-

Abstract

The purpose of this study was to identify the mediating effect of communication competence between emotional intelligence and nursing managerial competence and to provide the basic data for developing and improving experienced nurses' nursing managerial competence. The subjects of this study were 186 nurses with more than 10 years of experience working at six general hospitals in Jeju. Data were collected using a self-reported questionnaire from 1 August to 27 August 2022. This study used the Korean version of WLEIS (Wong and Law's Emotional Intelligence Scale) which was translated by Hwang (2007) and used by Hong (2014) for nurses and Heo (2003)’s Global Interpersonal Communication Competence Scale (GICC) which was modified by Lee and Lee (2010). To measure nursing managerial competence, Kim and Lee (2016)’s the Classification of Nursing Management Competencies (CNMC) which was modified by Kang and Kim (2017) was used. The collected data were analyzed using SPSS Statistics ver. 23.0 and SPSS Process Macro for descriptive statistics, independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, multiple regression analysis, and bootstrapping method.

The results of this study were as follows: 1. The mean score of emotional intelligence was 3.57±0.37, communication competence was 3.52±0.34, and nursing managerial competence was 3.08±0.66. The mean score of the sub-factors of emotional intelligence were in the order of self emotion appraisal, others’ emotional appraisal, use of emotion, regulation of emotion. As for communication competence, the mean score of social appropriateness was the highest, and conversational coherence was the lowest. The mean score of the sub-factors of nursing managerial competence were in the order of directing, controlling, organizing, planning, and human resource managerial.

2. Emotional intelligence showed significant differences depending on marital status (t=-2.43, p=.016), level of education (F=7.13, p<.001), nursing managerial competency education (t=2.64, p=.009), nursing delivery system (F=4.90, p=.011). Communication competence showed significant differences depending on marital status (t=-2.24, p=.026), level of education (F=6.84, p<.001). In the case of nursing managerial competence, the significant variables were age (F=4.73, p=.003), nursing managerial competency education (t=4.82, p<.001), total clinical experience (F=6.38, p=.002), clinical experience in a current hospital (F=4.51, p=.004), position (t=-2.71, p=.007). 3. There were significant positive relationships between emotional intelligence and communication competence (r=.70, p<.001), emotional intelligence and nursing managerial competence (r=.32, p<.001), communication competence and nursing managerial competence (r=.42, p<.001). 4. The main influencing factors of nursing managerial competence are communication competence (β=.36, p<.001), nursing managerial competency education (β=.26, p<.001), and the age over 45 (β=.16, p<.014). Theses factors explained 26.4% of the variance of nursing managerial competence (F=23.09, p<.001). 5. Results of verifying the mediating effect of communication competence in the relationship between emotional intelligence and nursing managerial competence showed that communication competence had a complete mediating effect between emotional intelligence and nursing managerial competence.

In conclusion, to improve the nursing managerial competence of experienced nurses should be developed nursing managerial competence program by career stages also, nursing managerial competence programs should be included strategies to improve communication competence as well as emotional intelligence. And nursing management competency education is needed in particular, nursing management competency education should focus on improving human resource managerial and planning.