대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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회복력 중이론을 기반으로 한 폭력대처 프로그램이 응급실 간호사의 회복력, 폭력대처, 간호역량과 소진에 미치는 효과

The Effects of Violence Coping Program Based on Middle-Range Theory of Resilience on Emergency Room Nurses' Resilience, Violence Coping, Nursing Competency and Burnout

  • 이승민 (마산대학교 간호학과) ;
  • 성경미 (경상대학교 간호대학.건강과학연구원)
  • Lee, Seung Min (Nursing Department, Masan University) ;
  • Sung, Kyung Mi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 투고 : 2016.06.15
  • 심사 : 2017.03.16
  • 발행 : 2017.06.30
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초록

Purpose: The purpose of this study was to examine the effects of a violence coping program (VCP) based on Polk's middle-range theory of resilience on nursing competency, resilience, burnout, and the ability to cope with violence in nurses working in emergency rooms. Methods: A quasi-experimental study, with a nonequivalent control group and a pretest-posttest design, was conducted. Participants were 36 nurses who worked in emergency rooms and had experienced violence; 18 nurses from D hospital and 18 nurses from C hospital were assigned to the experimental and control groups, respectively. The experimental group received the VCP twice per week for 8 weeks. Results: Levels of resilience, F=59.41, p<.001, active coping behavior, ${\chi}^2=33.09$, p<.001, and nursing competency, F=59.41 p<.001, increased significantly and levels of passive coping behavior, ${\chi}^2=22.92$, p<.001, and burnout, F=52.74, p<.001, decreased significantly in the experimental group. Conclusion: The results suggest that the VCP could be an effective strategy for reducing burnout and improving resilience, active coping behavior, and nursing competency. Therefore, it would be a useful intervention for improving the quality of nursing care provided in emergency rooms.

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참고문헌

  1. Park E, Kang SJ, Lee EK, Ji EJ, Kang RH, Paik CH. Violence experience of clinical nurse in the hospital. Journal of Korean Clinical Nursing Research. 2001;7(2):187-202.
  2. Kim SY, Eom M, Oh HY, Ahn HY. Violence episodes and responses of emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing. 2007;14(4):446-456.
  3. Normandale S, Davies J. Bullying at work. Community Practitioner. 2002;75:474-477.
  4. Gorkin M. The four stages of burnout. Journal of Additional information. 2004;83(4):24-4.
  5. Yang JH, Jung HY. Relationship between violence response, coping, and burnout among emergency department nurses. Journal of Korean Academy of Fundamentals of Nursing. 2009;16(1):103-111.
  6. Sung MH. Relationship of the experience of violence to burnout and job satisfaction in emergency department nurses. Journal of Korean Clinical Nursing Research. 2008;14(2):83-92.
  7. Jackson D, Firtko A, Edenborough M. Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A literature review. Journal of Advanced Nursing. 2007;60(1):1-9. http://dx.doi.org/10.1111/j.1365-2648.2007.04412.x
  8. Tusaie K, Dyer J. Resilience: A historical review of the construct. Holistic Nursing Practice. 2004;18(1):3-8; quiz 9-10. https://doi.org/10.1097/00004650-200401000-00002
  9. Park MM, Park JW. Development of resilience scale for nurses. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(1):32-41. http://dx.doi.org/10.7739/jkafn.2016.23.1.32
  10. Lee AS, Yoon CK, Park JK. Effects of social support and egoresilience on nursing performance of hospital nurses. Korean Journal of Occupational Health Nursing. 2012;21(3):283-289. http://dx.doi.org/10.5807/kjohn.2012.21.3.283
  11. Kang HH. Relationship between social capital of sports voucher, ego-resilience, and perception of empowerment of adolescent in the low-status. Korean Journal of Sports Science. 2013;22(5):491-507.
  12. Park YJ, Lee EJ. A study on ego-resilience, disaster experience and core competencies among emergency room nurses. Journal of Korean Clinical Nursing Research. 2015;21(1):67-79. http://dx.doi.org/10.22650/JKCNR.2015.21.1.67
  13. Jang KS. A study on establishment of clinical career development model of nurses [dissertation]. Seoul: Yonsei Unversity; 2000. p. 1-201.
  14. Polk LV. Toward a middle-range theory of resilience. ANS Advances in Nursing Science. 1997;19(3):1-13. http://dx.doi.org/10.1097/00012272-199703000-00002
  15. Kim JC, Seol YM, Song HS. Survey of emergency department violence. Journal of the Korean Society of Emergency Medicine. 2003;14(3):309-313.
  16. Park JK, You YH, Park JS, Park SS, Chung SP, Kim SW, et al. Current status of violence in the emergency centers: Frequency and management. Journal of the Korean Society of Emergency Medicine. 2004;15(6):575-579.
  17. Hyun MS, Cho HJ, Lee MA. Effect of SBAR-collaborative communication program on the nurses' communication skills and the collaboration between nurses and doctors. Journal of Korean Academy of Nursing Administration. 2016;22(5):518-530. http://dx.doi.org/10.11111/jkana.2016.22.5.518
  18. Waltz CF, Bausell RB. Nursing research: Design, statistics, and computer analysis. Philadelphia, PA: F. A. Davis Co.; 1981. p. 39-100.
  19. Choi WJ, Cho SH, Cho NS, Kim GS. Effect of an education program on violence in the emergency department. Journal of the Korean Society of Emergency Medicine. 2005;16(2):221-228.
  20. Lee EO, Lim NY, Park HA. Nursing research and statistics. Paju: Soomoonsa; 1998. p. 378-384.
  21. Kim SJ, Choi MS, Sung KW. Variables affecting competency of nurses in nursing homes. Journal of Korean Gerontological Nursing. 2010;12(1):29-39.
  22. Maslach C, Jackson SE. The measurement of experienced burnout. Journal of Organizational Behavior. 1981;2(2):99-113. http://dx.doi.org/10.1002/job.4030020205
  23. Choi HY, Chung NW. Perfectionism tendency, social support, and burnout among counselors. The Korean Journal of Health Psychology. 2003;8(2):279-300.
  24. Choi SO, Cho SY. The development and effect analysis of a laughter therapy program to improve the self-esteem and stress-coping skills of children using a community children's center. Korean Journal of Family Welfare. 2011;16(4):97-117.
  25. DiPietro F. Vicarious trauma and compassion fatigue in battered women's advocates: A secondary prevention program [dissertation]. West Hartford, CT: University of Hartford; 2005. p. 1-202.
  26. McDonald G, Jackson D, Wilkes L, Vickers MH. A work-based educational intervention to support the development of personal resilience in nurses and midwives. Nurse Education Today. 2012;32(4):378-384. http://dx.doi.org/10.1016/j.nedt.2011.04.012
  27. Chang KM. The relations of ego-resiliency, stress coping style, and psychological growth environment. Korean Journal of Youth Studies. 2003;10(4):143-161.
  28. Wagnild GM, Young HM. Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement. 1993;1(2):165-178.
  29. Parry SR. The question for competencies. Training and Development Journal. 1996;33(7):48-56.
  30. Park HW. The effect of laughter therapy program on mental health. The Korean Journal of Stress Research. 2010;18(3):287-294.
  31. Alschuler CF, Alschuler AS. Developing healthy responses to anger: The counselor's role. Journal of Counseling & Development. 1984;63(1):26-29. http://dx.doi.org/10.1002/j.1556-6676.1984.tb02674.x
  32. Flarity K, Gentry JE, Mesnikoff N. The effectiveness of an educational program on preventing and treating compassion fatigue in emergency nurses. Advanced Emergency Nursing Journal. 2013;35(3):247-258. http://dx.doi.org/10.1097/TME.0b013e31829b726f
  33. Hamberger LK, Stone GV. Burnout prevention for human service professionals: Proposal for a systematic approach. Journal of Holistic Medicine. 1983;5(2):149-162.
  34. Kim YA, Park JS. Development and application of an overcoming compassion fatigue program for emergency nurses. Journal of Korean Academy of Nursing. 2016;46(2):260-270. http://dx.doi.org/10.4040/jkan.2016.46.2.260

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  3. 국내 응급실 간호사의 폭력경험 실태와 폭력반응, 전문직 삶의 질과의 관계 vol.24, pp.2, 2017, https://doi.org/10.22650/jkcnr.2018.24.2.159
  4. Mediating effects of workplace violence on the relationships between emotional labour and burnout among clinical nurses vol.74, pp.10, 2017, https://doi.org/10.1111/jan.13731
  5. 응급실 간호사의 폭력경험에 대한 반응, 회복탄력성이 소진에 미치는 영향 vol.24, pp.3, 2017, https://doi.org/10.22650/jkcnr.2018.24.3.303
  6. Effectiveness of interventions to reduce occupational stress among emergency department staff : a systematic review protocol vol.17, pp.4, 2019, https://doi.org/10.11124/jbisrir-2017-003955
  7. Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses vol.22, pp.1, 2019, https://doi.org/10.7587/kjrehn.2019.27