Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Factors Influencing Turnover Intention of Nurses after Evaluation for Certification at Geriatric Hospitals: Focused on Job Stress and Burnout

요양병원 인증제 평가를 경험한 간호사들의 직무 스트레스 및 소진이 이직의도에 미치는 영향

  • Choi, Eun Joung (College of Nursing, Kosin University) ;
  • Park, Ji Won (Research Institute of Holistic Nursing Science in College of Nursing, Kosin University) ;
  • Cho, Mi Lim (Department of Nusing, Se-ho Geriatric Hospital)
  • 최은정 (고신대학교 간호대학) ;
  • 박지원 (고신대학교 간호대학 전인간호과학연구소) ;
  • 조미림 (세호요양병원)
  • Received : 2016.01.28
  • Accepted : 2016.03.03
  • Published : 2016.03.31
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Abstract

This study investigates the factors influencing nurses' turnover intentions after evaluation for certification at geriatric hospitals. Focus is centered on job stress and burnout. The study was approved by the KUIRB. Data were collected from April 1 to August 31, 2015, and analyzed using SPSS WIN 18.0 software. The participants were 205 nurses recruited from 15 long-term care hospitals in metropolitan city B in province G. The average scores for job stress, burnout, and turnover intention were 3.83, 2.92, and 3.12, respectively (range: 1-5). Nurses' turnover intention had positive relationships with job stress (r=.356, p<.001) and burnout (r=.729, p<.001). The major factor influencing turnover intention was burnout (${\beta}=.729$), which explained 53% of the intention. In conclusion, intervention programs should be developed to reduce burnout, the key influencing factor, for decreasing nurses' turnover intention.

본 연구는 요양병원 인증제 평가를 경험한 간호사의 직무스트레스 및 소진이 이직의도에 미치는 영향에 대해 파악하기 위한 서술적 상관관계 연구이다. K대학교 기관생명윤리위원회에서 승인을 받았으며, 자료수집은 2015년 4월 1일부터 8월 31일까지이며, 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 연구 대상자는 B광역시와 경상남 북도 소재한 15개 요양병원에서 205명의 간호사를 대상으로 하였다. 직무스트레스 평균은 5점 만점에 3.83, 소진의 평균은 5점 만점에 2.92이었으며, 이직의도 평균은 5점 만점에 3.12였다. 이직의도와 직무스트레스(r=.356, p<.001), 소진(r=.729, p<.001)은 유의한 상관관계가 있었으며, 소진은 이직의도에 53%의 설명력을 보였다(${\beta}=.729$). 이 연구의 결론을 통해 요양병원 인증제를 경험한 요양 병원 간호사의 이직의도를 감소시키기 위해 주요한 요인인 소진을 낮추기 위한 중재 프로프램 개발이 지속적으로 수행되어야 할 것이다.

Keywords

References

  1. National Korea Ministry of Government Legislation[Internet], Medical Law, Cited January 1, 2016, Avaliable From: http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu =1&nwYn=1§ion=&tabNo=&query=%EC%9D%98 %EB%A3%8C%EB%B2%95#undefined.(Accessed January 1, 2016)
  2. M. J. Shin, "The Effects of Hospital Accreditation Program to the Organizational Culture, Job Satisfaction, Financial Performances and Patient Safety at Geriatric Hospital : About Busan Metrocity", Journal of Digital Convergence, vol. 12, no. 10, pp. 455-466, 2014. DOI: http://dx.doi.org/10.14400/JDC.2014.12.10.455
  3. KOIHA[Internet], Certification Regulations for Long term Care Hospitals(Ver1.1), Cited January 8, 2016, Avaliable From: http://www.koiha.kr/member/kr/board/establish/establish_ BoardView.do;.(Accessed January 8, 2016)
  4. M. S. Lee, J. H. Oh, H. M. Hwang, E. J. Kwon, J. H. Lee, E. Y. Park, "Hospital Workers' Experience with Hospital Evaluation Program : A Focus Group Study", Journal of Korean Academy of Nursing, vol. 41, no. 4, pp. 568-579, 2011. DOI: http://dx.doi.org/10.4040/jkan.2011.41.4.568
  5. E. E. Lawler, "Satisfaction and behavior", Motivation and work behavior, vol. 332, pp. 345, 1983.
  6. H. Y. Jung, K. I. Jung, "Influential Factors on Turnover Intention of Nurses in Long-term Care Hospitals", The Korean Journal of Health Service Management, vol. 9, no. 3, pp. 95-106, 2015. DOI: http://dx.doi.org/10.12811/kshsm.2015.9.3.095
  7. K. J. Kim, J. S. Choi, "Effects of Perception of the Healthcare Accreditation, and Job Stress on Turnover Intention in Nurses", The Journal of Muscle and Joint Health, vol. 22, no. 2, pp. 87-95, 2015. DOI: http://dx.doi.org/10.5953/JMJH.2015.22.2.87
  8. S. J, Chang, S. B. Koh, D. M. Kang, S. A. Kim, M. K. Kang, C. K. Lee, et al, "Developing an Occupational Stress Scale for Korean Employees", Annals of Occupational and Environmental Medicine, vol. 17, no. 4, pp. 297-317, 2005.
  9. S. H. Choi, "The study on the Recognition of healthcare Accreditation, Job Stress and Resilience to Burnout of Nursing staff in Long-term Care Hospitals", Unpublished master's thesis, Woosuk University, Jeonbuk, 2015.
  10. J. S. Kim, S. Y Jeong, S. H. Kim, J. O. Kim, "Predictors of Emotional Labor and Job Stress on Burnout of Nurses in Long-term Care Hospitals", Journal of the Korean Gerontological Nursing, vol. 16, no. 2, pp. 130-140, 2014. DOI: http://dx.doi.org/10.17079/jkgn.2014.16.2.130
  11. E. H. Peek, "A study of the correlation between burnout and job satisfaction levels among nurses", Unpublished master's thesis, Yonsei University, Seoul, 1982.
  12. A. M. Pines, E. Aronson, D. Kafry, "Burnout: From Tedium to Personal Growth", New York: The Free Press, 1981.
  13. K. J. June, S. W. Byun, "Nurse's burnout research throughout the past 10years in Korea", The Journal of Korean Nursing Administration Academic Society, 15(3), 305-313, 2009.
  14. J. W. Park, E. J. Choi, "Factors Influencing Job Satisfaction of Nurses Working in Long-term Care Hospitals: Focused on Burnout and Burden for Caring Problematic Behaviors in Dementia", Journal of the Korea Academia-Industrial cooperation Society, vol. 16, no. 11, pp. 7403-7413, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.11.7403
  15. H. J. Kim, H. R. Lee, S. O. Choi, "Resilience to Burnout, Self-esteem and Turnover Intention of Nurses in Long-term Care Hospitals", Journal of the Korean Gerontological Nursing, vol. 15, no. 3, pp. 218-226, 2013.
  16. B. J. Byun, S. H. Kim, C. H Jang, "Factors affecting the exhaustion of the nurse in the senior hospital", Journal of the Korean Academy of Health and Welfare for Elderly, vol. 5, no. 1, pp. 105-119, 2013.
  17. M. S. Song, "The Relationships between the Empowerment, ursing Performance, Job Satisfaction and Turnover Intention of Long-term Care Hospital Nurses", Journal of the Korea Academia-Industrial cooperation Society, vol. 14, no. 5, pp. 2304-2314, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.5.2304
  18. M. O. Kim, K. H. Kim, "Effects of Recognizing Long-term Care Hospital Certification System on Job Performance after Evaluation for Certification in Nursing Staff of Long-term Care Hospitals", Journal of the Korean Gerontological Nursing, vol. 16, no. 1, pp. 68-76, 2014. DOI: http://dx.doi.org/10.17079/jkgn.2014.16.1.68
  19. H. S. Lee, "A Study on the Recognition Connected with Healthcare Accreditation for Hospital Employees : Comparison between Non-accreditation Hospital and Accreditation Hospital", Unpublished doctor's thesis, Wongwang University, Jeonbuk, 2013.
  20. Y. R. Kim, "A Study on the Turnover Intention of the Oncology Nurse", Unpublished master's thesis, Jeonnam University, Gwangju, 2007.
  21. N. Y. Yang, J. S. Choi, "Relationships of Nurses' Perception, Nursing performance, Job stress, and Burnout in relation to the Joint Commission International Hospital Accreditation", The Journal of Korean Nursing Administration Academic Society, vol. 20, no. 1, pp. 1-9, 2014. DOI: http://dx.doi.org/10.11111/jkana.2014.20.1.1
  22. K. J. Kwon, S. H. Lee, "Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses", The Journal of Korean Nursing Administration Academic Society, vol. 18, no. 4, pp. 383-393, 2012. DOI: http://dx.doi.org/10.11111/jkana.2012.18.4.383
  23. C. Maslach, W. B. Schaufeli, M. P. Leiter, "Job Burnout", Annual Review of Psychology, vol. 52, no. 1, pp. 397-422, 2001. DOI: http://dx.doi.org/10.1146/annurev.psych.52.1.397
  24. H. J. Park, E. H. Jo, K. J. Lee, Y. O. Park, "Factors Affecting Turnover Intention of Nurses in Long-term Care Facilities for Elderly People", Journal of the Korean Gerontological Nursing, vol. 11, no. 1, pp. 81-89, 2009.
  25. J. S. Lee, H. K. Kim, G. C. Park, "The Effects of Role Conflicts and Burnout on Turnover Intention in Nurses of Oriental Medicine Hospitals", The Journal of Korea Contents Association, vol. 15, no. 3, pp. 241-251. 2015. DOI: http://dx.doi.org/10.5392/JKCA.2015.15.03.241
  26. Y. K. Lee, S. H. Jeong, "Impact of Organizational Justice on Innovative Behavior of Employees in Public Organization: Focusing on Procedural and Distributive Justice", Journal of Governmental Studies, vol. 13, no. 1, pp. 7-35, 2007.
  27. Y. M. Lee, S. J. Kim, K. S. Kim, "Factors Influencing Work-related Burnout of Nurses and Caregivers in Nursing Homes", Journal of the Korea Academia-Industrial cooperation Society, vol. 14, no. 4, pp. 1755-1764, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.4.1755
  28. B. H. Lee, J. S. Kim, "Analysis of the Correlation of Burnout, Job Satisfaction and Turnover of Dental Hygienists", The Journal of the Korea Contents Association, vol. 10, no. 11, pp. 217-227, 2010. DOI: http://dx.doi.org/10.5392/JKCA.2010.10.11.217
  29. B. M. Bang, S. Y. Lee, J. W. Jeong, "Empirical study on the turn-over intention of university hospital nurses", Journal of digital convergence, vol. 13, no. 2, pp. 205-213, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.2.205
  30. B. Chuang, J. Y. Han, "Influential Factors Related to Job Satisfaction in Hospice Nurses: Focus on Emotional Labor and Burnout", Journal of Korean academy of nursing administration, vol. 20, no. 3, pp. 322-331, 2014. DOI: http://dx.doi.org/10.11111/jkana.2014.20.3.322