Mediating Factors in Nursing Competency: A Structural Model Analysis for Nurses’ Communication, Self-Leadership, Self-Efficacy, and Nursing Performance

Abstract

This study examined the structural relationship among clinical nurses’ communication ability, self-leadership, self-efficacy, and nursing performance. A structural model analysis was applied to identify factors influencing nursing performance and analyze the effects of self-leadership and self-efficacy as mediators. A survey was conducted among clinical nurses working in general hospitals in Seoul, Gyeonggi, and Gangwon Province of the Republic of Korea. In the final analysis, data from 168 questionnaires were used. SPSS 24.0 and Amos 23.0 programs were used for frequency analysis, exploratory factor analysis, reliability analysis, correlation analysis, confirmatory factor analysis, structural equation model analysis, and mediating effect analysis through bootstrapping. The significance level was set at 5% for all analyses. First, the model’s fitness figures met the criteria for the appropriate judgment presented in previous studies, so the model between nurses’ communication ability, self-leadership, self-efficacy, and nursing performance was suitable for predicting a causal relationship. Second, the relationship between nurses’ communication ability and self-leadership had a statistically significant effect. Also, the relationship between communication ability and self-efficacy had a statistically significant effect. Third, nurses’ communication ability affected nursing performance through self-efficacy.

The role of continuing medical education programs in promoting iranian nurses, competency toward non-communicable diseases, a qualitative content analysis study

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How self leadership enhances normative commitment and work performance by engaging people at work?

“…However, the evidence of how self-leadership specifically influences normative commitment still needs to be investigated. Marques-Quinteiro et al ( 2019 ) found a positive relationship between self-leadership and performance whereas Kim & Sim ( 2020 ) reported this relationship to be insignificant. Therefore, to understand the phenomenon of how self-leadership translates into performance and normative commitment, we consider work engagement as this study’s endogenous construct, self-leadership as the antecedent and both normative commitment and work performance as the outcomes as the study.…”

“…The literature on self-leadership proposes that selfleadership generates work engagement (Harunavamwe et al, 2020), enhances performance (Marques-Quinteiro et al, 2019), and increases commitment (Cranmer et al, 2019). However, the evidence regarding self-leadership and how it translates into commitment and performance is still inconclusive (Castellano et al, 2021;Cranmer et al, 2019;Kim & Sim, 2020). For example, Castellano et al (2021) reported that self-leadership can increase commitment and performance.…”

Self‐reported practices, competence and difficulties towards palliative care among nurses: A cross‐sectional study

“…Nursing practice is the behaviour or external manifestation of a nurse's clinical work, which is affected by many factors. Nursing competence has always been considered the paramount determinant of nursing practice (Kim & Sim, 2020). Bandura's social cognitive theory (SCT) illustrated that competence was a generative ability reflected in a series of practice behaviours that involved nurses' knowledge reserve, clinical skills, attitudes and professional qualities (Desbiens & Fillion, 2011).…”