The Journal of Korean Academic Society of Nursing Education (한국간호교육학회지)

The Korean Academic Society of Nursing Education (한국간호교육학회)
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Impacts of Social Support and Acculturative Stress on Depression among Korean Registered Nurses in the United States

재미한인간호사의 사회적 지지, 문화적응 스트레스가 우울에 미치는 영향

  • 정영미 (대구한의대학교 간호학과)
  • Received : 2014.01.07
  • Accepted : 2014.03.03
  • Published : 2014.05.31
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Abstract

Purpose: The purpose of this study was to identify the impacts of social support and acculturative stress on depression among Korean registered nurses in the United States. Method: In total, 137 nurses were recruited through direct interviews and online surveys. The data were collected through a structured questionnaire from June 1, to September 16, 2012, and analyzed using descriptive statistics, t-test, ANOVA, Scheff$\acute{e}$'s test, Pearson correlation coefficient, and stepwise multiple regression with SPSS WIN 14.0. Results: Social support significantly differed by the length of one's nursing career in US, monthly income and perceived health status. Acculturative stress significantly differed by the length of one's nursing career in US and types of employment setting. Depression significantly differed by the total length of one's nursing career, type of employment setting, and perceived health status. Moreover, Depression was negatively correlated with social support; positively correlated with acculturative stress; social support was negatively correlated with acculturative stress. Factors influencing depression were acculturative stress, perceived health status, and social support, which explained about 23% of the total variance. Conclusion: These results suggest that an adaptation program that decreases acculturative stress and improves social support should be developed and implemented for Korean nurses to help them successfully integrate into the healthcare system of new country.

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References

  1. Adeniran, R. K., Rich, V. L., Gonzalez, E., Peterson, C., Jost, S., & Gabriel, M. (2008). Transitioning internationally educated nurses for success: A model program. The Online Journal of Issues in Nursing, 13(2), 12-21.
  2. Bae, J., & Park, H. (2010). Depression and the influencing factors in Korean American immigrants. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 19, 67-75. https://doi.org/10.12934/jkpmhn.2010.19.1.67
  3. Bae, S. H. (2012). Organizational socialization of international nurses in the New York metropolitan area. International Nursing Review, 59(1), 81-87. https://doi.org/10.1111/j.1466-7657.2011.00928.x
  4. Berry, J. W. (2006). Stress perspectives on acculturation. in D. L. Sam & J. W. Berry (eds.), The Cambridge handbook of acculturation psychology (pp. 43-57). New York, NY: Cambridge University Press.
  5. Berry, J. W. (2008). Globalisation and acculturation. International Journal of Intercultural Relations, 32(4), 328-336. https://doi.org/10.1016/j.ijintrel.2008.04.001
  6. Boylston, M. T., & Burnett, I. (2010). Education, adaptation, and orientation of Korean nurses in a U. S. healthcare system. Journal of Nurses for Staff Development, 26(1), 23-27. https://doi.org/10.1097/NND.0b013e3181cc2dae
  7. Cho, H. S., Cho, M. K., & Lee, K. E. (2011). The emergence of the north Texas Korean American Nurses Society and its contributions to Korean immigrant societies in the U. S. Journal of Korean Academy of Nursing Administration, 17(4), 402-412. https://doi.org/10.11111/jkana.2011.17.4.402
  8. Cho, M. J., Bae, J. N., & Suh, K. H. (1999). Diagnostic validity study for Korean geriatric depression scale (GDS). Journal of Korean Neuropsychiatric Association, 38, 48-63.
  9. Cho, M. J., Chang, S. M., Hahm, B. J., Chung, I. W., Bae, A., Lee, Y. M., et al. (2009). Prevalence and correlates of major mental disorders among Korean adults: A 2006 national epidemiologic survey. Journal of Korean Neuropsychiatric Association, 48, 143-152.
  10. Davis, C. R., & Nichols, B. L. (2002). Foreign-educated nurses and the changing U. S. nursing workforce. Nursing Administration Quarterly, 26(2), 43-51. https://doi.org/10.1097/00006216-200201000-00006
  11. Faul, F., Erdfelder, E., Buchner, A., & Lang, A-G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. https://doi.org/10.3758/BRM.41.4.1149
  12. Fenta, H., Hyman, I., & Noh, S. (2004). Determinants of depression among Ethiopian immigrants and refugees in Toronto. The Journal of Nervous and Mental Disease, 192(5), 363-372. https://doi.org/10.1097/01.nmd.0000126729.08179.07
  13. Hong, K. J., Yun, S. N., & Kang, C. H. (2004). A study on oversea employment and clinical competence of Korean registered nurse. The Korean Nurse, 43(5), 62-82.
  14. Jose, M. M. (2010). Lived experiences of internationally educated nurses in hospitals in the United States of America. International Nursing Review, 58(1), 123-129.
  15. Juraschek, S. P., Zhang, X., Ranganathan, V. K., & Lin, V. (2012). United States registered nurse workforce report card and shortage forecast. American Journal of Medical Quality, 27(3), 241-249. https://doi.org/10.1177/1062860611416634
  16. Kang, C. H. (2012). Structured equation modeling on nursing competence of Korean registered nurses in the United States. Unpublished doctoral dissertation, Seoul National University, Seoul.
  17. Kawi, J., & Xu, Y. (2009). Facilitators and barriers to adjustment of international nurses: An integrative review. International Nursing Review, 56(2), 174-183. https://doi.org/10.1111/j.1466-7657.2008.00705.x
  18. Lee, I. S. (2004). The influence of acculturative stress on migrant workers' mental health: Focused on the moderating effects of social relationships. Unpublished master's thesis, Yonsei University, Seoul.
  19. Lee, S. H. (2012). Acculturative stress, depression and drinking problems of Korean international students in the United States, Journal of Korean Academy of Community Health Nursing, 23(4), 366-375. https://doi.org/10.12799/jkachn.2012.23.4.366
  20. Lee, S. J. (1995). Relations between the acculturative stress and belief system, social support of international student. Unpublished master's thesis, Yonsei University, Seoul.
  21. Lin, L. C. (2009). A synthesis of the literature on Asian nurses' work experiences in the United States. Research and Theory of Nursing Practice, 23(3), 230-245. https://doi.org/10.1891/1541-6577.23.3.230
  22. Neff, D. F. & Harman, J. (2013), Foreign-educated nurses: Effects on nurse, quality of care, and patient-safety-indicator outcome. Journal of Nursing Regulation, 4(1), 19-24. https://doi.org/10.1016/S2155-8256(15)30163-0
  23. Park, J. W. (1985). Study on the development of social support scale. Unpublished doctoral dissertation, Yonsei University, Seoul.
  24. Sandhu, D. S., & Asrabadi, B. R. (1994). Development of acculturative stress scale for international student: Preliminary findings. Psychological Reports, 75, 435-448. https://doi.org/10.2466/pr0.1994.75.1.435
  25. Seo, K. S., Kim, M. Y., Lee, G. J., Park, J. H., & Yoon, J. M. (2013). The impact of acculturation and social support on mental health among Korean-American registered nurses. Korean Journal of Adult Nursing, 25(1), 157-169. https://doi.org/10.7475/kjan.2013.25.2.157
  26. Seong, Y. O. (2013). A comparative study of multi-culturalism in United States, Canada and Australia, Economic Consulting Review, 4(2), 23-44.
  27. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a shorter version. In T. L. Brink (Ed.). Clinical gerontology: A guide to assessment and intervention (pp. 165-173). New York, NY: The Haworth Press.
  28. U. S. Department of Health and Human Services. (2010, September). The registered nurse population. Findings from the 2008 national sample survey of registered nurses. Retrieved December 2, 2013, from Health Resources and Services Administration Web site: http://datawarehouse.hrsa.gov/ nursingsurvey.aspx
  29. Yi, M., & Jezewski, M. A. (2000). Korean nurses' adjustment to hospitals in the United States of America. Journal of Advanced Nursing, 32(3), 721-729. https://doi.org/10.1046/j.1365-2648.2000.01533.x
  30. Zhou, Windsor, Coyer, & Theobald, 2010 Zhou, Y., Windsor, C., Coyer, F., & Theobald, K. (2010). Ambivalence and the experience of China-educated nurses working in Australia. Nursing Inquiry, 17(3), 186-196. https://doi.org/10.1111/j.1440-1800.2010.00492.x

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