중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제11권3호
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  • Pages.58-70
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  • 2018
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  • 2005-212X(pISSN)
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  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지

중환자실 간호사의 외상후 스트레스와 갈등관리 유형이 간호업무수행에 미치는 영향

Influence of Posttraumatic Stress Symptoms and Conflict Management Styles on Nursing Performance of Intensive Care Unit

  • 황지나 (동국대학교 일산 병원-외과계 중환자실) ;
  • 박완주 (경북대학교 간호대학.간호과학연구소)
  • Hwang, Ji Na (Dongguk University Ilsan Hospital) ;
  • Park, Wan Ju (College of Nursing.The Research Institute of Nursing Science, Kyungpook National University)
  • 투고 : 2018.04.24
  • 심사 : 2018.08.14
  • 발행 : 2018.10.31
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초록

Purpose : This study examined the factors influencing posttraumatic and conflict management styles for nursing performance in intensive care units (ICUs). Methods : In this study, 250 nurses from eight general hospitals in three cities participated. Structured self-report questionnaires were used to collect data on posttraumatic, conflict management styles, and nursing performance. Finally, the data were analyzed by SAS 9.3 program. Results : The mean of total sum scores was 31.29, and the high risk of posttraumatic symptoms was 61.2%. It was noted that nursing performance is significantly correlated with collaboration, compromise, accommodation styles, and intrusion. Collaboration styles (${\beta}=0.39$, p<.001) and hyperarousal (${\beta}=-0.22$, p=.050), ICU experience below 1 year (${\beta}=-0.21$, p=.027) and that of 5-10 years (${\beta}=-0.19$, p=.049), and compromise style (${\beta}=0.16$, p=.049) were found to be the factors influencing nursing performance with 35.9% explanatory power value of regression model. Conclusions : The results of the study reveal that conflict management styles, hyperarousal, and ICU experience are factors predicting the successful performance of ICUs. These findings emphasize the need of developing interventions to reduce stress symptoms and conflicts in ICUs.

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참고문헌

  1. AI-Hamdan, Z., Shukri, R., & Antony, D. (2011). Conflict management styles used by nurse managers in sultanate oman. Journal of Clinical Nursing, 3 (4), 571-580.
  2. Back, M. W. (2007). A comparative study on job stress and coping of the nurses in ICU and cancer ward. Korean Journal of Rehabilitation Nursing, 10 (2), 81-89.
  3. Chae, J. H. (2004). Diagnosis and pathopysiology of posttraumatic stress disorder (PTSD). The Korean Journal of Psychopharmacology, 15 (1), 14-21.
  4. Choi, S. H. (1997). A study on nursing professional attitude and nursing performance of clinical nurses (Unpublished master's thesis). Ewha Womans University, Seoul, Korea.
  5. Czaja, A. S., Moss, M., & Mealer, M. (2013). Symptoms of post-traumatic stress disorder among pediatric acute care nurses. Journal of Pediatric Nursing, 27 (4), 357-365. https://doi.org/10.1016/j.pedn.2011.04.024
  6. Daniels, J., Hegadoren, K., Coupland, N., Rowe, B., Newfeld, R., & Lanius, R. (2011). Cognitive distortions in an acutely traumatized sample: An investigation of predictive power and neural correlates. Psychological Medicine, 1, 1-9.
  7. Deneckere, S., Euwema, M., Lodewijckx, C., Panella, M., Mutsvari, T., Sermeus, W., & Vanhaecht, K. (2013). Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways: A cluster randomized controlled trial. Medical Care, 51 (1), 99-107. https://doi.org/10.1097/MLR.0b013e3182763312
  8. Eun, H. J., Kwon, T. W., Lee, S. M., Kim, T. H., Choi, M. R., & Cho, S. J. (2005). A study in reliability and validity of the Korean version of impact of event scale-revised. Journal of Korean Neuropsychiatric Association, 44 (3), 303-310.
  9. Hong, J. B. (2006). A comparative study of the relationship of communication apprehension and conflict management styles between Korean and Chinese college students in a multicultural society. Speech & Communication, 6, 168-201.
  10. Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of event scale: a measure of subjective stress. Psychosomatic Medicine, 41, 209-218. https://doi.org/10.1097/00006842-197905000-00004
  11. Hupcey, J. E. (2000). Feeling safe: The psychosocial needs of ICU patients. Journal of Nursing Scholarship, 32 (4), 361-367. https://doi.org/10.1111/j.1547-5069.2000.00361.x
  12. Kim, M. R. (2008). Clinical nurses' professionalism, nursing performance and intention of retention (Unpublished master's thesis). Hanyang University, Seoul, Korea.
  13. Kim, Y. J., & Chi, S. A. (2002). A study on the type in conflict management with doctors and the job satisfaction of hospital nurses. The Chung-Ang Journal of Nursing, 1, 1-9.
  14. Kim, D. S., & Kang S. H. (2009). The type of conflict management in university hospital organization. Journal of the Korea Academia-Industrial Cooperation Society, 10 (9), 2501-2508. https://doi.org/10.5762/KAIS.2009.10.9.2501
  15. Kim, S. H., & Yoon, M. S. (2015). Mediating effects of posttraumatic stress disorder on the relationship between client violence and problem drinking among social Welfare officials, Journal of Korean Alcohol Science, 16 (2), 61-74. https://doi.org/10.15524/KSAS.2015.16.2.061
  16. Lee, M. K. (2006). A study on the organization commitment, interpersonal conflict and conflict management style of hospital nurses (Unpublished master's thesis). Kwandong University, Gwangwon, Korea.
  17. Lim, E. A. (2009). Correlation of professional self-concept and clinical performance ability of nurse in ICU (Unpublished master's thesis). Kongju University, Kongju, Korea.
  18. Mealer, M., Shelton, A., Berg, B., Rothbaum, B., & Moss, M. (2007). Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. American Journal of Respiratory and Critical Care Medicine, 175 (7), 693-697. https://doi.org/10.1164/rccm.200606-735OC
  19. Mealer, M., Burnham, E. L., Goode, C. J., Rothbaum, B., & Moss, M. (2009). The prevalence and impact of post-traumatic stress disorder and burnout syndrome in nurses. Depression and Anxiety, 26 (12), 1118-1126. https://doi.org/10.1002/da.20631
  20. Min, S., Kim, H. S., & Jeong, Y. J. (2011). The effect of nursing competency of nurses on work performance: Centered on controlling effect on cognition of job competency of boss. The Korean Academic Association of Business Administration, 4, 361-371.
  21. Montoro-Rodriquez, J., & Small, J. A. (2006). The role of conflict resolution style on nursing staff morale, burnout, and job satisfaction in long term care. Journal of Aging and Health, 18 (3), 385-406. https://doi.org/10.1177/0898264306286196
  22. Oh, S. M., & Kwon, Y. C. (2016). A study of convergence relationship among nurses's working conditions, post-traumatic stress syndrome. Journal of Digital Convergence, 14 (9), 369-378. https://doi.org/10.14400/JDC.2016.14.9.369
  23. Park, S. A., Park, K. O., Kim, S. Y., & Sung, Y. H. (2007). A development of standardized nurse performance appraisal tool. Clinical Nursing Research, 13 (1), 197-211.
  24. Rahim, M. A. (1983). A measure of styles of handling interpersonal conflict. Academy of Management Journal, 26 (2), 368-376. https://doi.org/10.2307/255985
  25. Ratner, P. A., & Sawatzky, R. (2009). Health status, preventive behavior and risk factors among female nurses. Health Reports, 20 (3), 1-9.
  26. Schwirian, P. M. (1978). Evaluating the performance of nurses: A multidimensional approach. Nursing Research, 27, 347-351.
  27. Son, Y. J., Gong, H. H., You, M. A., & Kong, S. S. (2015). Relationships between workplace violence experience and posttraumatic stress symptoms, resilience in clinical nurses. Journal of the Korean Data Analysis Society, 17 (1), 515-553.
  28. Sung, M. H. (2006). A comparative study on role conflict and job satisfaction between nurses in ICU and nurses in general ward. Journal of Korean Academy of Nursing Administration, 12 (1), 104-112.
  29. Weiss, D. S., & Marmar, C. T. (1997). The impact of event scale-revised. In J. P. Wilson & T. M. Keane (Eds.), Assessing psychological trauma and PTSD (pp. 399-411). New York, NY: Guilford Press.
  30. Wilmot, W. W., & Hocker, J. L. (2001). Interpersonal conflict (6th Ed.). New York, NY: McGraw-Hill.
  31. Yeo, H. J. (2017). Predictors of posttraumatic stress in psychiatric nurses. Korean Journal of Occupational Health Nursing, 26 (3), 125-132. https://doi.org/10.5807/kjohn.2017.26.3.125
  32. Yi, H. Y., & Shin, M. K. (2013). Factors affecting post traumatic stress disorder of the verbal violence experienced nurses. Journal of The Korea Society of Health Informatics and Statistics, 38 (1), 15-25.