Influence of Professional Self-concept, Self-leadership on Elderly Care Performance of Geriatric Hospital Nurses

This is the authors' abstract. We don't add key points for this paper.

The objectives of this study were to elucidate the relationship between geriatric care hospital nurses' professional self-concept, self-leadership, and their geriatric nursing performance and to clarify factors that affect geriatric nursing performance. Methods: A questionnaire-based survey was conducted among 159 individuals working at 12 geriatric hospitals. To evaluate professional self-concept, Nurses' Self-Concept Instrument (NSCI) developed by Angel et al. were used. And, The data were collected from December 29, 2015 to January 30, 2016, and analyzed with descriptive statistics, t-test, and ANOVA, multiple regression conducted using SPSS 18.0. Scheffe test was utilized for post hoc tests. Results: The average score of professional self-concept was 6.02 0.84 out of 8 points, that of self-leadership was 3.69 0.44 out of 5 points, and that of geriatric nursing performance was 3.79 0.52 out of 5 points. Four subcategories of professional self-concept showed significant positive correlations with nine subcategories of geriatric nursing performance, with correlations ranging between 0.18 and 0.57. 'Knowledge' subcategory of professional self-concept was the factor that would affect geriatric sleep quality care nursing most significantly (t = 2.83, p = 0.005), and that it additionally explained 30% of sleep quality care nursing performance after controlling for general characteristics. As for communication in nursing, 'staff relation' of professional self-concept (t = 2.21, p = 0.029) and 'rehearsal' subcategory of self-leadership (t = 2.24, p = 0.027) were significant factor, and 26% explaining change of communication in nursing. Conclusions: Influencing factors of geriatric nursing performance were participants' socio-demographic characteristics such as monthly income and number of beds, and the subcategories of professional self-concept and self-leadership. Based on the results of this study, interventions to improve nurses' professional self-concept and self-leadership should be needed for enhancing nursing performance in geriatric hospitals.