Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
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The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment

지역 종합병원 간호사의 직무 스트레스가 건강증진행위에 미치는 영향: 긍정심리자본과 간호근무환경의 매개효과

  • 장유민 (건양대학교 간호대학 대학원) ;
  • 박주영 (건양대학교 간호대학)
  • Received : 2018.05.24
  • Accepted : 2018.08.22
  • Published : 2018.08.31
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Abstract

Purpose: The purpose of this study is to provide preliminary data for alleviating nurses' job stress and support health promotion behaviors. Further, the study reviews the mediating effects of positive psychological capital and nursing work environment in relation to job stress and health promotion behaviors among nurses in a regional general hospital. Methods: A study survey was conducted from June 9 to 16, 2017. The subjects were current nurses working at a regional general hospital in D city. Analysis of a survey questionnaire from 147 participants was conducted. Results: Upon reviewing the mediating effects of positive psychological capital and nursing work environment in relation with health promotion behaviors and job stress, it was found that positive psychological capital (Z=-4.78, p<.001) and nursing work environment (Z=-4.17, p<.001) were significant mediators. Conclusion: As demonstrated through the results of this research, it is necessary to build programs to strengthen individual positive psychological capital and increase the practice of health promotion behaviors among nurses. It is also evident that a systematic approach is needed to improve the nursing work environment.

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References

  1. Chang, S. J., Koh, S. B., Kang, D. M., Kim, S. A., Kang, M. G., Lee, C. G., et al. (2005). Developing an occupational stress scale for Korean employees. Korean Journal of Occupational and Environmental Medicine, 17(4), 297-317.
  2. Cho, E. H., Choi, M. N., Kim, E. Y., Yoo, I. Y., & Lee, N. J. (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. https://doi.org/10.4040/jkan.2011.41.3.325
  3. Choi, J., & Park, S. (2012). Comparison of job stress, hardness, and burnout of nurses between advanced general hospitals and general hospitals. The Journal of the Korea Contents Association, 12(3), 251-259. https://doi.org/10.5392/JKCA.2012.12.03.251
  4. Choi, Y. J., & Sung, Y. H. (2013). Psychological well-being, perceived health status, and health promoting behavior of clinical nurses. Journal of Korean Academy of Nursing Administration, 19(5), 589-598. https://doi.org/10.11111/jkana.2013.19.5.589
  5. Christmas, K. (2008). How work environment impacts retention. Nursing Economics, 26(5), 316-318.
  6. Han, K. S. (2014). A study on the positive psychological capita, organizational commitment and job stress of small and medium-sized hospital nurses. Unpublished master's thesis, Nambu University, Gwangju.
  7. Hong, K. J., & Cho, S. (2017). Comparison of nursing workforce supply and employment in South Korea and other OECD countries. Perspectives in Nursing Science, 14(2), 55-63. https://doi.org/10.16952/pns.2017.14.2.55
  8. Jeong, Y. H., Lee, C. S., Choe, H. N., & Park, J. Y. (2016). Emotional labor, job satisfaction and turnover intention of nurses in the regional general hospital. The Journal of the Korea Contents Association, 16(1), 708-719. https://doi.org/10.5392/JKCA.2016.16.01.708
  9. Jeong, Y. J., Chae, K. S., No, Y. J., Park, M. M., Cho, E. Y., & Kim, H. J. (2013). Survey on the status of hospital nursing staff placement. Seoul: Hospital Nurse's Association.
  10. Kim, I. S., Seo, R. B., Kim, B. N., & Min, A. R. (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. https://doi.org/10.11111/jkana.2015.21.1.10
  11. Kim, J. S., & Kim, C. J. (2016). Association of job stress with healthpromoting behaviors and health status in clinical nurses. The Korean Journal of Occupational Health Nursing, 25(4), 311-319. https://doi.org/10.5807/kjohn.2016.25.4.311
  12. Kim, J. Y., & Lee, T. W. (2016). The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Clinical Nursing Research, 22(2), 109-117.
  13. Kim, S. H. (2015). The effects of nursing practice environment and workplace bullying on nursing performance and turnover intention. Unpublished master's thesis, Eulji University, Daejeon.
  14. Kim, T. W., Choi, K. M., & Kim, K. T. (2015). A mediating effect of happiness and stress to the influence of positive psychology capital on organizational commitment in secondary school teachers. Journal of Education & Culture, 21(4), 211-240. https://doi.org/10.24159/joec.2015.21.4.211
  15. Ko, J. K., Kwon, D. M., & Kang, Y. H. (2009). Analysis of influencing factors related to health promotion behavior in hospital radiological technologists. Journal of the Korean Society of Radiological Technology, 32(4), 381-391.
  16. Lake, E. T. (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
  17. Lee, D. S., & Choi, Y. D. (2010). Study on antecedents and consequences of positive psychological capital in organizations. Korean Management Review, 39(1), 1-28.
  18. Lee, E. H., Chang, S. J., Kim, H. O., Roh, J., Park, E. J., & Won, J. U. (2007). Relationship between job stress and turnover of registered nurses in a university hospital. Korean Journal of Occupational and Environmental Medicine, 19(2), 93-104.
  19. Lee, J. Y., & Park, S. Y. (2014). Relationship between the practice environment of nursing and critical thinking disposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration, 20(2), 145-153. https://doi.org/10.11111/jkana.2014.20.2.145
  20. Lee, M. Y., & Kim, K. H. (2012). Influence of head nurses' transformational leadership on staff nurse's psychological well-being, stress and somatization-focused on the mediating effect of positive psychological capital. Journal of Korean Academy of Nursing Administration, 18(2), 166-175. https://doi.org/10.11111/jkana.2012.18.2.166
  21. Lee, W. L., Tsai, S. H., Tsai, C. W., & Lee, C. Y. (2011). A study on work stress, stress coping strategies and health promoting lifestyle among district hospital nurses in Taiwan. Journal of Occupational Health, 53(5), 377-383. https://doi.org/10.1539/joh.11-0054-FS
  22. Luthans, F., & Youssef, C. M. (2007). Emerging positive organizational behavior. Journal of Management, 33, 321-349.
  23. Ministry of Health and Welfare. (2018, March 20). A study on the nurses' working environment and improvement. Retrieved July 17, 2018, from http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=344262&page=1
  24. Moos, R. H. (1994). Work environment scale manual. Consulting Psychologists Press.
  25. O'Brien-Pallas, L., Murphy, G. T., Shamian, J., Li, X., & Hayes, L. J. (2010). Impact and determinants of nurse turnover: A pan Canadian study. Journal of Nursing Management, 18(8), 1073-1086. https://doi.org/10.1111/j.1365-2834.2010.01167.x
  26. Oh, S. J., Shin, S. H., Go, G. Y., & Pratibha, B. (2014). The effect of job stress on health promoting behaviors among nurses: Mediating selection, optimization and compensation strategy. Korean Journal of Adult Nursing, 26(2), 149-158. https://doi.org/10.7475/kjan.2014.26.2.149
  27. Park, B., Seo, S., & Lee, T. (2013). Structure of nurse labor market and determinants of hospital nurse staffing levels. Journal of Korean Academy of Nursing, 43(1), 39-49. https://doi.org/10.4040/jkan.2013.43.1.39
  28. Park, M. Y., Chang, Y. C., & Lee, K. H. (2015). A study on the effects of positive psychological capital of employee engagement and career satisfaction: focused on the employee organization of hospital in Seoul area by multi-group analysis. Journal of Business Administration, 28(12), 3095-3130.
  29. Parsons, M. A., Pender, N. J., & Murdaugh, C. (2011). Health promotion in nursing practice (6th ed.). Pearson Education.
  30. Seligman, M. (1998). Learned optimism: How to change your mind and your life. New York: Pocket Books.
  31. Shin, Y. S. (2014). Effects of job stress, work environment on health promotion behaviors in general hospital nurses. Unpublished master's thesis, Hallym University, Chuncheon.
  32. Snyder, C. R. (2002). Hope theory: Rainbows in the mind. Psychological Inquiry, 13(4), 249-275. https://doi.org/10.1207/S15327965PLI1304_01
  33. Vecchio, N., Scuffham, P. A., Hilton, M. F., & Whiteford, H. A. (2011). Work related injury in the nursing profession: An investigation of modifiable factors. Journal of Advanced Nursing, 67(5), 1067-1078. https://doi.org/10.1111/j.1365-2648.2010.05544.x
  34. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The healthpromoting lifestyle profile: Development and psychometric characteristics. Nursing Research, 36(2), 76-81.
  35. Yeun, E. J., Kim, H. J., & Jeon, M. S. (2011). Factors influencing health promoting behavior among hospital registered nursesmood states, resourcefulness, and health perception. Journal of Korean Academy of Nursing Administration, 17(2), 198-208. https://doi.org/10.11111/jkana.2011.17.2.198
  36. Yu, J. I. (2015). Effects of nursing work environment, job stress and burnout on turnover intention in clinical nurses. Unpublished master's thesis, Korea National University of Transportation, Chungbuk.
  37. Yun, S. N., & Kim, J. H. (1998). Health-promoting behaviors of the women workers at the manufacturing industry: Based on the Pender's health promotion model. Korean Journal of Occupational Health Nursing, 8(2), 130-140.

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