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Pathway Analysis on the Effects of Nursing Informatics Competency, Nursing Care Left Undone, and Nurse Reported Quality of Care on Nursing Productivity among Clinical Nurses
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Mi Yu, Se Young Kim, Ji Min Ryu
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J Korean Acad Nurs 2023;53(2):236-248. Published online April 30, 2023
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DOI: https://doi.org/10.4040/jkan.22110
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 Abstract
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- Purpose
Nursing informatics competency is used to manage and improve the delivery of safe, high-quality, and efficient healthcare services in accordance with best practices and professional and regulatory standards. This study examined the relationship between nursing informatics competency (NIC), nursing care left undone, and nurse reported quality of care (NQoC) and nursing productivity. A path model for their effects on nursing productivity among clinical nurses was also established.
Methods
Data were collected using structured questionnaires answered by 192 nurses working in a tertiary hospital located in J city, Korea, and analyzed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the alternative path model satisfied recommended levels χ2 = .11 (p= .741), normed χ2 (χ2/df) = .11, SRMR = .01, RMSEA = .00, GFI = 1.00, NFI = 1.00, AIC = 18.11. Among the variables, NIC (β = .44, p < .001), NQoC (β = .35, p < .001) had a direct effect on nursing productivity. Due to the mediating effect of NQoC on the relationship between NIC and nursing productivity, the effect size was .14 (95% CI .08~.24). Meanwhile, nursing care left undone through NQoC in the relationship between NIC and nursing productivity, has a significant mediation effect (estimate .01, 95% CI .00~.03). The explanatory power of variables was 44.0%.
Conclusion
Education and training for enhancing NIC should be provided to improve nursing productivity, quality of care and to reduce missed nursing care. Furthermore, monitoring the quality of nursing care and using it as a productivity index is essential.
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Citations
Citations to this article as recorded by  - A Systematic Review and Meta-Analysis of Information Literacy Competencies and Associated Variables among Korean Nursing Students
Shin Hyang Kim, Jong Mi Lim
Journal of Korean Academy of Nursing Administration.2025; 31(4): 358. CrossRef - The impact of nursing informatics competency, social influence, and medical information culture on nurses’ intention to use new medical technology in general hospitals
Jeong Ho Ji, Kyungja Kang
The Journal of Korean Academic Society of Nursing Education.2025; 31(4): 484. CrossRef - Effects of digital literacy and nursing informatics competency as job resources on nurses’ burnout and work engagement: a cross-sectional study
Jeehae Chung, Hyesil Jung, Sang Mi Park, Kyeongmin Lee
BMC Nursing.2025;[Epub] CrossRef - Factors Influencing Nursing Care Left Undone by Cancer Ward Nurses
Chung Hee Woo, Yeon Joo Kim
Journal of Korean Academy of Nursing Administration.2025; 31(5): 594. CrossRef
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