Psycho-Social Well-being, Health Perception and Behavior among Clinical Nurses

임상간호사의 사회심리적 건강과 건강지각, 건강관련 행위

  • Kim, Jeong-Hee (Department of Nursing, College of Medicine, JeJu National University) ;
  • Hyun, Mi-Yeul (Department of Nursing, College of Medicine, JeJu National University) ;
  • Kim, Young-Soon (Hospital Nurses Association) ;
  • Kim, Jung-Sil (Department of Nursing Jeju Halla General Hospital) ;
  • Nam, Sang-Ok (Korean Nurses Association) ;
  • Song, Man-Sook (Department of Hospital Management, Jeju Hanmaum General Hospital) ;
  • Lee, Jung-Wha (Department of Nursing, Jeju Hanmaum General Hospital) ;
  • Lee, Na-Ju (Department of Nursing, Jeju National University Hospital)
  • 김정희 (제주대학교 의과대학 간호학과) ;
  • 현미열 (제주대학교 의과대학 간호학과) ;
  • 김영순 (제주병원간호사회) ;
  • 김정실 (제주한라병원 간호부) ;
  • 남상옥 (대한간호협회 제주간호사회) ;
  • 송만숙 (한마음병원 사무국) ;
  • 이라주 (한마음병원 간호부) ;
  • 이정화 (제주대학교병원 간호부)
  • Published : 2010.03.31

Abstract

Purpose: The purpose of this study was to investigate the relationships among psycho-social well-being, and health perception and behavior in clinical nurses. Methods: The data were collected from 362 nurses employed at five general hospitals. A self-reported questionnaire was used to assess demographics and job characteristics, health perception and behavior, depression, and psycho-social stress. The data were analysed using Cronbach's alpha, descriptive statistics, t-test, and ANOVA. Results: While nurses perceived themselves to be in good health, represented by a high mean for health perceptions, actual health behavior was poor as the mean for health behavior was low. Forty two percents of the subjects were categorized as having major depression and high-stress levels. There were statistically significant differences in psycho-social well-being according to age, marital status, years of employment, and monthly salary. Also, there were significant differences in psycho-social well-being according to health perception, regular meals and exercise, sufficient sleep, job related injury and accident, and absences for ill. Conclusion: In order to prevent depression and improve psycho-social well-being among clinical nurses, organizational support and health management needs to be focused on high-risk nurses. Furthermore, it is essential to consider the health perception and behavior of clinical nurses.

Keywords

References

  1. Bester, A., Bahar, Z., & Bϋyϋkkaya, D. (2006). Health promoting behaviors and factors related to lifestyle among Turkish workers and occupational health nurses' responsibilities in their health promoting activities. Ind Health, 45, 151-159.
  2. Chang, S. J., Kang, D. M., Kang, M. K., Koh, S. B. Kim, S. A., Kim, S. Y., et al. (2004). The development and standization of the Korean job stress scale (Research Report No. 2004-56- 427). Occupational Safety & Health Research Institute at Bucheon.
  3. Cho, J., Kim, J., Chang, S., Fiedler, N., Koh, S., Crabtree, B. F., Kang, D., Kim, Y., & Choi, Y. (2008). Occupational stress and depression in Korean employees. Int Arch Occup Environ Health, 82, 47-57. https://doi.org/10.1007/s00420-008-0306-4
  4. Chung, E. C. & Doh, B. N. (2002). Job stress, self-efficacy and health promoting behaviors in hospital nurses. J Korean Acad Psychiatr Ment Health Nurs, 11(3), 398-405.
  5. Chun, K. K., Kwon, K. D., & Kim, S. G. (1999). The revision of the Korean CES-D: I. J Soc Sci Res, 6(1), 429-451.
  6. Eaton, W. W., Muntaner, C., Bovasso, G., & Smith, C. (2001). Socioeconomic status and depressive syndrome: the role of inter and intra generational mobility, government assistance, and work environment. J Health Soc Behav, 42(3), 277-294. https://doi.org/10.2307/3090215
  7. Feskanich, D., Hastrup, J. L., Marshall, J. R., Colditz, G. A., Stampfer, M. J., Willett, W. C., & Kawachi, I. (2002). Stress and suicide in the nurses' health study. J Epidemiol Community Health, 56(2), 95-98. https://doi.org/10.1136/jech.56.2.95
  8. Han, K. S., Kim, J. H., Lee, K. M., & Park, J. S. (2004). Correlation between quality of life and health promoting behaviors among hospital staff nurses. J Korean Acad Psychiatr Ment Health Nurs, 13(4), 430-437.
  9. Iacovides, A., Fountoulakis, K. N., &, Kaprinis, G. (2003). The relationship between job stress, burnout and clinical depression. J Affect Disord, 75, 209-221. https://doi.org/10.1016/S0165-0327(02)00101-5
  10. Jun, K. Y., Lee, H. J., Lee, Y. I., Kim, J. I., & Kim, Y. G. (2007). The effects of job stress for depression in clinical nurses. Korean J Occup Health Nurs, 16(2), 158-167.
  11. Kavari, S. H. (2006). A study of depression prevalence in nurses and it's effect in Shiraz Namazi hospital. Middle East J Fam Med, 4(3), 17-21.
  12. Kim, A. J., Kim, O. S., Baik, S., Jang, J., & Kim, J. H. (2007). Stress, depression and Health risk behaviors in Korean elders. J Korean Comm Health Nurs, 18(3), 391-399.
  13. Kim, E. J., & Park, J. S. (2009). Comparison of health problems, conditions, & health promoting behavior and risky environment among various industrial workers. Korean J Occup Health Nurs, 18(1), 71-83.
  14. Kim, H. C., Kwon, K. S., Koh, D. H., Leem, J. H., Park, S. G., Shin, J. Y., Lee, Y. C., & Kim, Y. K. (2005). The relationship between job stress and psychosocial stress among nurses at a university hospital. Korean J Occup Environ Med, 18(1), 25-34.
  15. Kim, J. H. (2001. December). Job stress management and nurses' role: A educational and industrial collaboration. In paper presented at the winter meeting of the Korean Academic Society of Occupational Health Nursing, Chonan.
  16. Kim, J. H., & Park, S. A. (2002). The relationship between coping strategies and a nursing organizational effectiveness in staff nurses. JKAN, 8(1), 97-105.
  17. Kim, M. D. (2009). Prevalence of depressive symptoms and its correlates. The J Med Life Sci, 6(1), 57-63.
  18. Kim, M. S. (2001). A study on the relationship between job stress and health promoting behavior among university hospital nurses. Korean J Occup Health Nurs, 10(2), 153-163.
  19. Kim, S. S. (1997). A study of the drinking behavior is caused by job stress-focused on coping strategies as buffering effects. Unpublished master's thesis, Yonsei University, Seoul.
  20. Kim, Y. J., & Lee, K. H. (1999). Factors influencing related health promoting behavior in hospital nurses. J Korean Public Health Assoc, 25(2), 51-64.
  21. Lee, M. K., Lee, M. S., & Park, K. O. (1997). Factors affecting on hospital workers' stress symptom. Korean J Occup Med, 9(1), 61-74.
  22. Lee, Y., & Jung, M. (2008). Presenteeism and absenteeism according to health problems on nurses. J Korean Acad Community Health Nurs, 19(3), 459-468.
  23. Park, J. S., & Kim, J. H. (2004). Measuring job stress. Seoul: KoreaMed Co.
  24. Ratner, P. A., & Sawatzky, R. (2009). Health status, preventive behaviour and risk factors among female nurses. Health Rep, 20(3), 53-61.
  25. Shields, M., & Wilkins, K. (2006). Finding from the 2005 National Survey of the Work and Health of Nurses (catalogue 83-003-XPE). Ottawa: Minister of Industry.
  26. Seo, J. S. (2002). Relationship between health perception and health status of clinical nurses. The Korean J Rehabil Nurs, 5(1), 71-85.
  27. Tennant, C. (2001). Work-related stress and depressive disorders. J Psychosoma Res, 51, 697-704. https://doi.org/10.1016/S0022-3999(01)00255-0
  28. Yoon, H., & Cho, Y. (2007). Relationship between job stress contents, psychosocial factors and mental health status among university hospital nurses in Korea. J Prev Med Public Health, 40(5), 351-362. https://doi.org/10.3961/jpmph.2007.40.5.351
  29. Yoon, S. H., Bae, J. Y., Lee, S. W., An, K. E., & Kim, S. E. (2006). The effects of jos stress on depression, drinking and somoking among Korean Men. Public Health Soc Sci, 19, 31-50.
  30. World Health Organization. (2009). Obesity and overweight. Retrieved from http://www.who.int/dietphysicalactivity/media/ en/gsfs_obesity.pdf