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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Structural Equation Modeling on the Relationship of Job Satisfaction of Nursing Staff with Satisfaction, Revisit Intention, Recommendation to others of Patient at Public Hospitals

공공병원 간호직의 직무만족도가 환자 만족도, 재이용 의향, 타인 추천의향에 미치는 영향간의 구조모형

  • Received : 2017.11.03
  • Accepted : 2018.02.02
  • Published : 2018.02.28
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Abstract

This study was conducted to construct and test structural equation modeling of the causal relationship of job satisfaction of nursing staff with satisfaction, revisit intention and recommendation of the hospital by patients. The data utilized in this study were the second data acquired from the 2012 Public Hospital Evaluation Programme. The subjects of this study were 2,375 nursing staff and 3,433 patients at 39 district public hospitals. The instrument of job satisfaction of nursing staff consisted of five factors and 13 items. The instruments of satisfaction, revisit intention, and recommendation to others of patients consisted of one question on an 11 point scale (0: very negative, 10: very positive). The data were analyzed using SPSS version 20.0 and AMOS version 20.0. Model fit indices for the hypothetical model were suitable for the recommended level: model of in-patient ${\chi}^2$ 904.598 (df=81, p<0.001), GFI 0.938, AGFI 0.900, RMSR 0.076, mode of out-patient ${\chi}^2$ 869.021(df=81, p<0.001), GFI 0.940, AGFI 0.900, RMSR 0.074. In conclusion, nursing staff are the largest group in public hospitals, and they provide direct care to patients. Therefore, job satisfaction of nursing staff should be enhanced to improve satisfaction of patients because their attitude significantly influences patient satisfaction.

이 연구의 목적은 39개 공공병원 간호직을 대상으로 하여 직무자체 만족, 의사소통 만족, 평가와 보상체계 만족, 근무환경 만족, 공공병원 역할수행 만족이 환자들의 만족도, 재이용 의향, 타인추천의향 간의 구조적 인과관계를 구조방정식 모형분석을 통해 확인하기 위함이다. 이 연구의 자료는 '2012년 지역거점공공병원 운영평가'를 통해 수집된 2차 자료를 활용하였다. 이 연구의 대상자는 39개 지역거점공공병원의 간호직 2,375명과 환자 3,433명이었다. 간호직의 직무만족도 조사도구는 5개 요인과 13개 항목으로 구성되었다. 환자의 만족도, 재이용의향, 타인추천의향 설문도구는 각 1개 항목, 11점 척도(0점 매우 부정적, 10점 매우 긍정적)로 구성되었다. 이 연구의 자료분석은 SPSS 20버전과 AMOS 20버전을 활용하였다. 모형의 적합도 지수는 입원환자의 경우 ${\chi}^2$ 904.598 (df=81, p<0.001), GFI 0.938, AGFI 0.900, RMSR 0.076의 값을 갖고, 외래환자의 경우 ${\chi}^2$ 869.021(df=81, p<0.001), GFI 0.940, AGFI 0.900, RMSR 0.074값을 가진 권장기준 내 적합한 최적 모형을 도출하였다. 간호직은 공공병원에서 가장 큰 의료인 집단이면서 환자에게 직접 간호를 제공한다. 따라서 간호직의 직무만족도는 환자만족도에 지대한 영향을 끼침으로 환자만족도를 향상시키기 위해 간호직의 직무만족도는 중요하게 고려되어야 할 것이다.

Keywords

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