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Relationship Between Job Stress and Turnover Intention Among Nurses in University Hospitals

대학병원 간호사들의 직무스트레스와 이직의도와의 관련성

  • Shin, Hyun-Ran (Department of Public Health, Graduate School of Public Health, Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 신현란 (충남대학교 보건대학원 보건학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Received : 2013.05.02
  • Accepted : 2013.08.07
  • Published : 2013.08.31

Abstract

This study was carried out to grasp the job stress and intention to change their jobs of nurses at general hospitals by their socio-demographic, job-related and health-related behavior characteristics and especially to investigate their relationship to the job stress and intention to change their jobs. The subjects were 355 nurses working at three university hospitals located in Daejeon City, and data were collected by a survey using self-administered questionnaires structured from April 1 to May 31, 2012. As a results, the average point of the nurses' intention to change jobs by the causes for job stress was significantly higher in the boss group with low support than in that with high support while it was higher in colleague group with low support than in that with high support. To look into the correlation between the points of intention to change their jobs and the causes for job stress, their intention to change their jobs showed a significant negative correlation to the boss's support and colleagues' support while there was no significant relationship with job demands and job autonomy. As a result of hierarchical multiple regression, age, drinking coffee, department, job satisfaction, the boss's support and colleagues' support were selected as significant related variables affecting the nurses' intention to change their jobs and these variables' descriptive power was 29.4%. Viewed from the above results, it is suggested that the nurses' job stress and intention to change their jobs has a significant relationship with various variables such as socio-demographic, health-related behavior and job-related characteristics. In addition, there were a significant positive correlation between the causes for the job stress cause and intention to change their jobs, and among the causes for the job stress, support by their boss or colleagues turned out to be those affecting their intention to change their jobs. Thus, it is considered that it is necessary to minimize the nurses' job stress and at the same time to seek for specific measures for preventing their turnover.

본 연구는 종합 병원 간호사들의 인구사회학적특성, 건강관련행위 특성 및 직업관련 특성에 따른 직무 스트레스와 이직의도를 파악하고, 특히 직무 스트레스와 이직의도와의 관련성을 규명하고자 실시하였다. 조사대상은 대전광역시의 3개 대학병원에 근무하고 있는 간호사 355명을 대상으로 하였으며, 자료 수집은 2012년 4월 1일부터 5월 31일까지의 기간 동안에 구조화된 자기기입식 설문조사에 의하였다. 연구결과, 조사대상 간호사들의 직무스트레스 요인별 이직의도 평균점수는 상사의 지지도가 높은 군보다 낮은 군에서, 동료의 지지도가 높은 군보다 낮은 군에서 유의하게 높았다. 이직의도 점수와 직무 스트레스 요인들 간의 상관관계를 보면, 이직 의도는 상사의 지지도 및 동료의 지지도와 유의한 음의 상관관계를 보였으나, 업무의 요구도와 업무의 자율성과는 유의한 관련성이 없었다. 위계적 다중회귀분석 결과 조사대상 간호사들의 이직의도에 영향을 미치는 관련 변수로는 연령, 커피음용여부, 근무부서, 업무에 대한 만족도, 상사의 지지도 및 동료의 지지도가 유의한 변수로 선정되었으며 이들 변수의 설명력은 29.4%이었다. 이상과 같은 결과를 볼 때, 조사대상 간호사들의 직무스트레스와 이직 의도는 인구사회학적특성, 건강관련행위특성 및 직업관련 특성의 여러 변수들과 유의한 관련성이 있음을 시사한다. 또한 직무스트레스 요인과 이직의도 간에는 유의한 양의 상관관계를 보이고 있었으며, 직무스트레스 요인 중 상사나 동료의 지지도는 이직의도에 영향을 미치는 요인으로 나타났다. 따라서 간호사의 직무 스트레스를 최소화하는 동시에 이직을 예방하기 위한 구체적인 방안을 강구할 필요가 있다고 생각된다.

Keywords

References

  1. Nam MH, Lee SH. Effect of job stress and coping strategy on job satisfaction in a hospital works. The Korean Journal of Occupational and Environmental Medicine, 15(1):1-11, 2003.
  2. Park NK, Seo YJ, Park NS, Jin KN. Job stress and organizational effectiveness of dental technicians. The Korean Journal of Occupational and Environmental Medicine, 15(1):84-94, 2003.
  3. Lee SE. Occupational health care in hospital. The Korean Nurse, 31:22-25, 1992.
  4. Mobley, W. H.& R. W. Griffeth. Review and conceptual analysis of the employee turnover recess, Psychological Bulletin, 86:493-522, 1979. DOI: http://dx.doi.org/10.1037/0033-2909.86.3.493
  5. Tett, R. P, and Meyer, J. P. Job satisfaction organizational commitment, turnover intention and turnover. Personnel Psychology, 46:259-293, 1993. DOI: http://dx.doi.org/10.1111/j.1744-6570.1993.tb00874.x
  6. Simons, Y. and Roberson, Q. Why managers should care about fairness: The effects of aggregate justice perceptions on organizational outcomes. Journal of Applied Psychology, 88(3):432-443, 2003. DOI: http://dx.doi.org/10.1037/0021-9010.88.3.432
  7. Kim HC, Keon KS, Ko DH, Yim JH, Shin JY, Lee YC, Kim YK. The relationship between job stress and psychosocial stress among nurses at a university hospital. The Korean Journal of Occupational and Environmental Medicine, 18(1):25-34, 2006.
  8. Park OI, Kim HR, Kim JS. A study on the job stress and job satisfaction of nurses. The Korean public health association, 32(2):105-112, 2006.
  9. Han YH, Son IS, Park GO, Kang KH. The relationships between professionalism, job involvement, organizational commitment and turnover intention among clinical nurses. Journal of Korean Clinical Nursing Research, 16(2):17-31, 2010.
  10. Yoon HS, Cho YC. Effect of job stress contents and psychosocial factor on mental health status among university hospital nurse. Journal of Preventive Medicine and Public Health, 40(5):351-362, 2007. DOI: http://dx.doi.org/10.3961/jpmph.2007.40.5.351
  11. Kim YS, Park JY, Park SY. relationship between job stress and work-related musculo-skeletal symptoms among hospital nurses. The Journal of Muscle and Joint Health, 16(1):13-15, 2009.
  12. Kim YH, Choi JH, Kim KH. The impact of job overload, relationship with senior on nurses' intention to quit their jobs. The Journal of Korean Nursing Administration Academic Society, 15(3):372-382, 2009.
  13. Yum YH. The effects of organizational justice and dispositional affectivity on job satisfaction and intent to leave among nurses. The Journal of Korean Nursing Administration Academic Society, 16(3):276-285, 2010. DOI: http://dx.doi.org/10.11111/jkana.2010.16.3.276
  14. Karasek RA, Theorell T, Schwartz JE, Schnall PL, Pieper CF, Michela JL. Job characteristics in relation to the prevalence of myocardial infarction in the US Health Examination Survey(HES) and the Health and Nutrition Survey(HANES). Am J Public Health 78:910-918, 1988. DOI: http://dx.doi.org/10.2105/AJPH.78.8.910
  15. Chang SJ. A study on the distribution and risk factors for psychosocial distress, and the development work site stress reduction program. Ministry of Health & Welfare 2001
  16. Lee GH. The impact of career plateau on turnover intentions: concerning on bank employees. Graduate School of Hanyang Universirty, Master's Theses, 2004.
  17. Slavitt D. Nurses satisfaction with their work situation. Nursing Research, 27(2):114-120, 1978;
  18. Blegen MA, Vaughn TE, Goode CJ. Nurse experience and education: effect on quality of car. J Nurse Adm, 31(1):33-9, 2001. DOI: http://dx.doi.org/10.1097/00005110-200101000-00007
  19. Sa GJ, Jeong JH, Kim HS. The effects of job stress on psychosomatic strain and gastrointestinal symptom. The Korean Journal of Occupational and Environmental Medicine, 9(3):530-542, 1997.
  20. Cooper ML, Russell M, Frone MR. Work stress and alcohol effect: a test of stress-induced drinking. J Health Soc Behav, 31(3):260-76, 1990. DOI: http://dx.doi.org/10.2307/2136891
  21. Ko YK, Kang KH. A study on the relationship between self-efficacy, collective-efficacy and job stress in the nursing staff. The Journal of Korean Nursing Administration Academic Society, 12(2):276-286, 2006.
  22. Tak JK, Lee KS, Hong HS. Comparison of job stressors between managers and employees in white-collar workers of an electric company. Journal of Preventive Medicine and Public Health, 35(2):160-168, 2002.
  23. Cho YA, Kim KS, Kim ES, Park HM, Yoo M, Lim EO, Hyun SK, Kim JY. A correlational study on ICU nurses' job stress, the way of coping, and the turnover intention. Journal of Korean Clinical Nursing Research, 15(3):129-141, 2009.
  24. Lee EH, Chang SJ, Kim HO, Noh JH, Park EJ, Weon JW. Relationship between job stress and turnover of registered nurses in a university hospital. The Journal of Korean Nursing Administration Academic Society, 19(2):93-104, 2007.
  25. Kim HJ. Comparative study on the job satisfaction and intentions of quitting a job of nurses of small and medium sized clinics and university hospitals. The Graduate School of Kyung Hee University, Master's Theses, 2002.
  26. Lee GJ, Yoo SY. Relationships between nurses' ethical dilemma, coping types, job satisfaction and turnover intention in Korea. Journal of Korean Clinical Nursing Research, 17(1):1-15, 2011.
  27. Kim MR Influential Factors on Turnover Intention of Nurses: The affect of nurse's organizational commitment and career commitment to turnover intention. The Graduade School of Ewha Womans University, Master's Theses, 2007.
  28. Kim HS, Yim HY, Jeong SH, Jo SJ. An association among verbal abuse, social support and turnover intention for special unit nurses in a hospital. The Korean Journal of Occupational and Environmental Medicine, 21(4):388-395, 2009.
  29. Kobasa SCO, Puccetti MC, Personality and social resources in stress resistance. J Personality Social Psychology, 45:839-850, 1983. DOI: http://dx.doi.org/10.1037/0022-3514.45.4.839

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