Communication Skills, Problem-Solving Ability, Understanding of Patients' Conditions, and Nurse's Perception of Professionalism among Clinical Nurses: A Structural Equation Model Analysis

Int J Environ Res Public Health. 2020 Jul 7;17(13):4896. doi: 10.3390/ijerph17134896.


This study was intended to confirm the structural relationship between clinical nurse communication skills, problem-solving ability, understanding of patients' conditions, and nurse's perception of professionalism. Due to changes in the healthcare environment, it is becoming difficult to meet the needs of patients, and it is becoming very important to improve the ability to perform professional nursing jobs to meet expectations. In this study method, structural model analysis was applied to identify factors influencing the perception of professionalism in nurses. The subjects of this study were 171 nurses working at general hospitals in city of Se, Ga, and Geu. Data analysis included frequency analysis, identification factor analysis, reliability analysis, measurement model analysis, model fit, and intervention effects. In the results of the study, nurse's perception of professionalism was influenced by factors of communication skills and understanding of the patient's condition, but not by their ability to solve problems. Understanding of patient's condition had a mediating effect on communication skills and nursing awareness. Communication skills and understanding of the patient's condition greatly influenced the nurse's perception of professionalism. To improve the professionalism of clinical nurses, nursing managers need to emphasize communication skills and understanding of the patient's condition. The purpose of this study was to provide a rationale for developing a program to improve job skills by strengthening the awareness of professional positions of clinical nurses to develop nursing quality of community.

Keywords: clinical nurse; communication; patient’s condition; perception of professionalism; structural equation model.

MeSH terms

  • Adult
  • Clinical Competence*
  • Communication*
  • Female
  • Humans
  • Male
  • Nurse's Role
  • Nurse-Patient Relations*
  • Problem Solving*
  • Professionalism*
  • Reproducibility of Results