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임상간호사의 간호근무환경과 긍정심리자본이 이직의도에 미치는 효과

Effects of Nursing Practice Environment and Positive Psychological Capital in Clinical Nurses on Turnover Intention

  • 정미라 (한영대학교 간호학과) ;
  • 정은 (광양보건대학교 간호학과)
  • Jung, Mi-Ra (Department of Nursing, Hanyeong College University) ;
  • Jeong, Eun (Department of Nursing, Gwangyang Health Sciences University)
  • 투고 : 2017.12.28
  • 심사 : 2018.02.20
  • 발행 : 2018.02.28

초록

본 연구는 임상간호사의 간호근무환경, 긍정심리자본, 이직의도와의 관련성을 파악하고, 임상실무현장에서 임상간호사의 이직의도에 미치는 요인을 규명하기 위한 서술적 조사연구이다. 본 연구의 대상자는 Y시에 소재하고 있는 3개 종합 병원에 근무하는 간호사를 대상으로 하였으며, 193부를 최종 분석에 사용하였다. 수집된 자료는 기술통계, t-test 혹은 one-way ANOVA, Pearson's correlation coefficient, 단계적 다중회귀분석을 통해 분석하였다. 단계적 다중회귀분석결과 이직의도에 영향을 미치는 요인은 간호근무환경, 긍정심리자본과 근무경력이었으며 이들의 설명력은 41.8%였다. 본 연구결과를 바탕으로 임상간호사의 이직의도를 감소시키기 위한 간호근무환경 개선과 더불어 긍정심리자본을 강화시킬 수 있는 중재 프로그램 개발이 필요할 것으로 생각된다.

The purpose of this study was to examine influences on turnover intention in the clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the nursing practice environment, positive psychological capital and clinical career predict 41.8% (F=7.35, p<.001) of turnover intention. Therefore, it is necessary to develop changing the nursing practice environment and positive psychological capital strategy program for decrease turnover intention in clinical nurses.

키워드

참고문헌

  1. K. S. Kim & Y. H. Han. (2013). A study on intention to quit and job overload, role ambiguity, burn out among nurses in general hospital. Korean Journal of Occupational Health Nursing, 22(2), 121-129. DOI : 10.5807/kjohn.2013.22.2.121
  2. Y. H. Sung, M. S. Hwang, K. S. Kim & N. M. Chun. (2010). Influence of clinical nurse specialists emotional intelligence on their organizational commitment and turnover intention. Journal of Korean Academy of Nursing Administration, 16(3), 259-266. https://doi.org/10.11111/jkana.2010.16.3.259
  3. Korean Health and Medical Worker's Union. (2014). 2014 Korean health and medical workers survey. KHMU(Online). http://bogun.nodong.org/xe/
  4. Korean Hospital Nurses Association. (2016). Hospital nurses staffing state survey 2016. Seoul : Korean Hospital Nurses Association.
  5. Y. J. Lee & K. B. Kim. (2008). Experiences of nurse turnover. Journal of Korean Academy of Nursing, 38(2), 248-257. https://doi.org/10.4040/jkan.2008.38.2.248
  6. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo, N & J. Lee. (2011). Construct validity and reliability of the korean version of the practice environment scale of nursing work index for korean nurses. Journal of Korean Academy of Nursing, 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325
  7. H. C. Klopper, S. K. Coetzee, R. Pretorius & P. Bester. (2012). Practice environment, job satisfaction and burnout of critical care nurses in South Africa. Journal of Nursing Management, 20(5), 685-695. DOI : 10.1111/j.1365-2834.2011.01350.x
  8. J. O. Kwon & E. Y. Kim. (2012). Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. DOI : 10.11111/jkana.2012.18.4.414
  9. E. T. Lake & C. R. Friese. (2006). Variations in nursing practice environments: relation to staffing and hospital characteristics. Nursing Research, 55(1), 1-9. https://doi.org/10.1097/00006199-200601000-00001
  10. C. R. Friese, R. Xia, A. Ghaferi, J. D. Birkmeyer & M. Banerjee. (2015). Hospitals in 'Magnet' program show better patient outcomes on mortality measures compared to non-'Magnet' hospital. Health Affairs, 34(6), 986-992. DOI : 10.1377/hlthaff.2014.0793
  11. H. J. Ko. (2010). Nurse work environments, job satisfaction and intention to leave among nurses. Doctoral dissertation. Hanyang National University, Seoul.
  12. S. N. Lee & J. A. Kim. (2017). Concept analysis of positive psychological capital. Journal of Korean Academy of Nursing Administration, 23(2), 181-190. DOI : 10.11111/jkana.2017.23.2.181
  13. F. Luthans, B. J. Avolio, J. B. Avey & S. M. Norman. (2007). Positive psychological capital: measurement and relationship with performance and satisfaction. Personnel Psychology, 60(3), 541-572. https://doi.org/10.1111/j.1744-6570.2007.00083.x
  14. J. Kim. (2017). Impact of psychological capital and engagement on turnover intention among newly graduated registered nurses in general hospitals. Doctoral dissertation. Chosun National University, Gwangju.
  15. H. J. Kim & D. H. Park. (2016). The effects of workplace bullying on turnover intention in hospital nurses. Journal of Digital Convergence, 14(1), 241-252. DOI : 10.14400/JDC.2016.14.1.241
  16. H. I. Park & K. H. Lee. (2016). The effects of social intelligence and burnout on turnover intention in nurses : an exploratory study. Journal of Digital Convergence, 14(4), 325-336. DOI : 10.14400/JDC.2016.14.4.325
  17. E. T. Lake. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing & Health, 25(3), 176-188. https://doi.org/10.1002/nur.10032
  18. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo & N. J. Lee. (2011). Construct validity and reliability of the korean version of the practice environment scale of nursing work index for korean nurses. Korean Journal of Adult Nursing, 41(3), 325-332. DOI : 10.4040/jkan.2011.41.3.325
  19. Y. D. Choi. (2009). A study on the antecedents and outcomes of the employee's positive psychological capital in organization. Doctoral dissertation. Sogang National University, Seoul.
  20. E. E. Lawler. (1983). Satisfaction and behavior. New York : McGraw-Hill.
  21. H. S. Park. (2005). Relationship between perceived nursing care role orientation, job characteristics and turnover among nurses. Doctoral dissertation. Yonsei National University, Seoul.
  22. E. J. Choi, J. H. Hwang & I. S. Jang. (2017). Effects of nursing practice environment and self-esteem on critical thinking disposition among clinical nurses. Journal of Korean Academy of Nursing Administration, 23(2), 161-169. DOI : 10.11111/jkana.2017.23.2.161
  23. S. K. Yang & E. Jeong. (2017). Convergence effects of positive psychological capital and self-leadership in clinical nurses on job satisfaction. Journal of Digital Convergence, 15(6), 329-337. DOI : 10.14400/JDC.2017.15.6.329
  24. I. S. Kim, R. B. Seo, B. N. Kim & A. R. Min. (2015). The effects of positive psychological capital, organizational commitment, customer orientation in clinical nurses. Journal of Korean Academy of Nursing Administration, 21(1), 10-19. DOI : 10.11111/jkana.2015.21.1.10
  25. F. Luthans, C. M. Yousse-Morganf & B. J. Avolio. (2015). Psychological capital and beyond. New York : Oxford University Press.
  26. C. S. Carver & M. F. Scheier. (2002). The hopeful optimism. Psychology Inquiry, 13(4), 288-290.
  27. M. F. Scheier, C. S. Carver & M. W. Bridges. (1994). Distinguishing optimism from neuroticism and trait anxiety, self-mastery, and self-esteem: a reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67(6), 1063-1078. https://doi.org/10.1037/0022-3514.67.6.1063
  28. Y. S. Hwang & K. H. Kang. (2014). Factors influencing nurse turnover intention in small and medium sized hospitals in the metropolitan area. Journal of Korean Academy of Nursing Administration, 20(5), 576-586. DOI : 10.11111/jkana.2014.20.5.576
  29. Korea Health Industry Development Institute. (2015). Small and medium-sized hospitals management service and policy development annual reports. Cheongju : Korea Health Industry Development Institute.
  30. K. N. Kang. (2012). Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(2), 155-165. https://doi.org/10.11111/jkana.2012.18.2.155
  31. S. B. Im, M. K. Cho & M. L. Heo. (2013). Factors to affect turnover intention of nurse: focusing on personal, situational and interpersonal relation variables. Korean Journal of Occupational Health Nursing, 22(4), 314-323. DOI : 10.5807/kjohn.2013.22.4.314
  32. F. Luthans & C. M. Youssef-Morgan. (2007). Positive organizational behavior in the workplace: the impact of hope, optimism, and resiliency. Journal of Management, 33(5), 774-800. https://doi.org/10.1177/0149206307305562
  33. Y. J. Lee & G. A. Seomun. (2016). Impact of unit-level nurse practice environment on nurse turnover intention. Journal of Digital Convergence, 14(6), 355-362. DOI : 10.14400/JDC.2016.14.6.355
  34. M. Baernholdt & B. Mark. (2009). The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management, 17(8), 994-1001. https://doi.org/10.1111/j.1365-2834.2009.01027.x