Relationship between Barriers and Performance for Delirium Care among Hospital Nurses: The Mediating Effect of Self-confidence

Kim, Hee Yeon; Park, Hye-Ja

doi:2025.50.1.81

J Health Info Stat > Volume 50(1); 2025 > Article

Original Article

J Health Info Stat 2025;50(1):81-89.
Published online: February 28, 2025.
DOI: https://doi.org/10.21032/jhis.2025.50.1.81

병원간호사의 섬망간호장애와 섬망간호수행과의 관계: 섬망간호자신감의 매개 효과

김희연¹, 박혜자²

¹차의과학대학교 분당차병원 간호사
²차의과학대학교 간호대학 교수

Relationship between Barriers and Performance for Delirium Care among Hospital Nurses: The Mediating Effect of Self-confidence

Hee Yeon Kim¹, Hye-Ja Park²

¹Nurse, CHA Bundang Medical Center, CHA University, Seongnam, Korea
²Professor, College of Nursing, CHA University, Pocheon, Korea

Corresponding author:

Hye-Ja Park,Tel: +82-31-727-8886, Email: clara@cha.ac.kr

Received: January 6, 2025; Accepted: February 24, 2025.

ABSTRACT

Objectives:
This study determined the mediating effect of self-confidence in the relationship between the barriers and performance for delirium care among hospital nurses.
Methods:
This study used a quantitative mediation analysis design. One hundred and seventy-eight nurses were conveniently recruited from two university hospital-affiliated nursing units. Participants completed a barriers scale, a self-confidence scale, and a performance scale for delirium care. Data were analyzed with Spearman’s correlations, regression analysis, and Hayes’s Process Macro using the bootstrap method.
Results:
Barriers for delirium care was correlated with self-confidence (r = -0.34, p< 0.001) and performance (r = -0.40, p< 0.001). Self-confidence for delirium care was correlated with performance (r = 0.38, p< 0.001). Barriers for delirium care influenced self-confidence (B = -0.854, p< 0.001), and performance (B = -0.272, p< 0.001). Self-confidence mediated the relationship between barriers and performance for delirium care (B = 0.066, p= 0.002). Self-confidence indirectly mediated between barriers and performance for delirium care (bootLLCI = -0.127, bootULCI = -0.013).
Conclusions:
In-service learning strategies and developing delirium care policies are required to enhance performance by reducing barriers and boosting self-confidence for delirium care among hospital nurses.

Key words: Barriers, Self-confidence, Performance, Delirium, Nurses