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종합병원 신규 간호사의 직무 스트레스, 회복력, 이직의도간의 관계에 대한 융합 연구

A Convergence Study on the Relationships among Job stress, Resilience and Turnover Intention of New Nurses in General Hospital

  • Park, Jummi (Department of nursing, Namseoul University) ;
  • Shin, Nayeon (Department of nursing, Bundang CHA Hospital)
  • 투고 : 2019.02.11
  • 심사 : 2019.04.20
  • 발행 : 2019.04.28

초록

본 연구의 목적은 종합 병원 신규 간호사의 직무 스트레스, 회복력과 이직의도와의 관계를 파악하고 이직의도에 영향을 미치는 요인을 파악하기 위함이다. S시에 있는 종합 병원의 신규 간호사 90명을 대상으로 하였으며, 자료 분석은 t-test, ANOVA, pearson's correlation 및 다중 회귀 분석으로 하였다. 이직 의도는 의사와의 갈등(r=.17, p=.049), 상사와의 문제(r=.18, p=.040), 차별(r=.18, p=.041)과 양의 상관 관계가 있는 것으로 나타났으며 회복력(r=-.21, p=.023)과 음의 상관 관계가 있는 것으로 나타났다. 본 연구에서 이직 의도에 영향을 미치는 요인은 연령, 직무 스트레스, 직무 만족도, 회복력이었으며 설명력은 24.5%이었다. 본 연구 결과를 통하여 신규 간호사의 이직 의도를 감소시키기 위해서 종합 병원 간호사의 직무 스트레스를 줄이기 위한 방안이 제시되어야 한다. 또한 직무 만족도 및 회복력을 증진시키기 위한 방안을 마련하고 신규 간호사 이직을 줄이기 위한 전략이 고려되어야 한다.

Purpose: The purpose of this study is to examine the relationships among job stress, resilience and turn over intention of new graduate nurses in general hospital. Methods: A descriptive regression design was used and the participants were 90 new graduate nurses from one general hospital in S city. Data analysis included t-test, ANOVA, pearson's correlation and multiple regression. Results: There were significant correlations between conflict with physicians(r=.17, p=.049), problem relating to supervisors(r=.18, p=.040), discrimination(r=.18, p=.041), resilience(r=-.21, p=.023) and turnover intention. The regression model explained approximately 24.5 % of turnover intention. Conclusion: The findings suggest that nursing leaders have to reduce job stress and to improve resilience of new graduate nurses.

키워드

Table 1. Differences in Job Stress, Resilence and Turnover Intention according to General Characteristics

OHHGBW_2019_v10n4_277_t0001.png 이미지

Table 2. Degree of Job Stress, Resilience and Turnover Intention

OHHGBW_2019_v10n4_277_t0002.png 이미지

Table 3. Relationships between Job stress, Resilience and Turnover Intention

OHHGBW_2019_v10n4_277_t0003.png 이미지

Table 4. Influencing Factors on Turnover Intention

OHHGBW_2019_v10n4_277_t0004.png 이미지

참고문헌

  1. J. H. Park. (2017). Turnover reduction strategy of new graduate nurses. Asia Pacific Journal of Multimedia Services Convergent with Art, Humanities and Sociology. 7(8), 833-842. https://doi.org/10.14257/AJMAHS.2017.08.44
  2. Ministry of Health and Welfare. Problem of nurse working environment and strategies for improvement. [Internet]. Sejong: Author; [cited 2018 Dec 15]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=344262
  3. KHIDI. Survey of nurses's activities [Internet]. Cheongju: Korea Health Industry Development Institute; 2014 [cited 2016 July 20]. Available from: http://www.khiss.go.kr/
  4. Hospital Nurses Association.(2013). Survey on the status of hospital nursing staff placement. Research Report. Seoul: Hospital Nurses Association
  5. G. J. Lee & S. W. Hwang. (2015) Analysis of reemployment status of nurses participated in reemployment support program. Journal of the Korea Contents Association, 15(5), 386-402. https://doi.org/10.5392/JKCA.2015.15.05.386
  6. Korean Hospital Nurses Association. (2016). Hospital nurses staffing state survey [Internet]. Seoul: Korean Hospital Nurses Association. [cited 2016 Feb 11]. Available from: http://www.khna.or.kr/web/information/resource.php
  7. M. Y. Lee, M. R. Park, M. M. Park, H. J. Lee, E. J. Jung, & H. J. Kim. (2016). Survey of hospital nursing staffing status. Seoul: Hospital Nurses Association.
  8. E. J. Lee. (2017. September 25). Nurses, and nurses leave the medical field for medical reasons. Chosunilbo. Sect. MedicineHealth, Available from: http://news.chosun.com/site/data/html_dir/2017/09/24/2017092401196.html
  9. J. P.Cimiotti, L. H. Aiken, D. M. Sloane & E. S. Wu. (2012). Nurse staffing, burnout, and health care-associated infection. American Journal of Infection Control. 40(6), 486-490. https://doi.org/10.1016/j.ajic.2012.02.029
  10. D. M. Olds, L. H. Aiken, J. P. Cimiotti & E. T. Lake. (2017). Association of nurse work environment and safety climate on patient mortality: A cross-sectional study. International Journal of Nursing Studies, 74, 155-161. DOI: 10.1016/j.ijnurstu.2017.06.004
  11. K. N. Jeong, H. J. Lee & H. J. Kwon. (2015). The effects of fear of negative evaluation, cognitive emotional regulation on field adaptation of new graduate nurses. Journal of the Korea Academia-Industrial cooperation Society. 16(10), 6895-6904. DOI: 10.5762/KAIS.2015.16.10.6895
  12. S. Y. Park, Y.H. Kwon & Y.S. Park. (2015). Resilience and organizational socialization in new nurses. The Journal of the Korea Contents Association, 15(2), 324-332. DOI: 10.5392/JKCA.2015.15.02.324
  13. K. M. Sin, J. O. Kwon & E.Y. Kim. (2014). Factors associated with new graduate nurses' reality shock. Journal of Korean Academy Nursing Administration, 20(3), 292-301 DOI: 10.11111/jkana.2014.20.3.292
  14. S. A. Kim & H.W. Jeon. Experience of turnover in new nurses. Journal of Korean Public Health Nursing, 28(3), 644-657. DOI: 10.5932/JKPHN.2014.28.3.644
  15. P.C. Beecroft, F. Dorey & M. Wenten. (2008). Turnover intention in new graduate nurses: a multivariate analysis. Journal of Advanced Nursing, 62(1), 41-52. DOI: 10.1111/j.1365-2648.2007.04570.x
  16. J. H. Jung, M.H. Choi, E,G, Kim & Y.H. Kim. (2018). A convergence study about factors affecting new nurses personnel turnover. Journal of the Korea Convergence Society, 9(2), 73-83. https://doi.org/10.15207/JKCS.2018.9.2.073
  17. S. S. Han, I.S. Sohn & N.E. Kim. (2009). New nurse turnover intention and influencing factors. Journal of Korean Academy of Nursing, 39(6), 878-887. DOI: 10.4040/jkan.2009.39.6.878
  18. H. J. Kim, H. R. Lee & S.O. Choi. (2013). Resilience to burnout, self-esteem and turnover intention of nurses in long-term care hospitals. Journal of Korean Gerontology Nursing, 15(3), 218-226.
  19. B. J. Na & E. J. Kim. (2016) A Study on the mediating and moderating effect of work-family conflict in the relationship among emotional labor, occupational stress, and turnover intention. Journal of Korean Academy Nursing Administration, 22(30), 260-269. DOI: 10.11111/jkana.2016.22.3.260
  20. M. R. Jung & E. J. (2017). Convergence influence of clinical nurses' resilience to the job stress, turnover intention and vitality. Journal of Digital Convergence, 15(6), 305-314. https://doi.org/10.14400/JDC.2017.15.6.305
  21. J. H. Choi, H. K. Park, J. E. Park, C. M. Lee & B. G. Choi. (2018). Artificial intelligence to forecast new nurse turnover rates in hospital. Journal of the Korea Convergence Society, 9(9), 431-440. DOI:10.15207/JKCS.2018.9.9.431
  22. M. J. Song & S. Y. Choi. (2017). A convergence study about influences of emotional intelligence and job embedness on turnover intention in general hospital nurses. Journal of the Korea Convergence Society, 8(2), 83-89. DOI:10.15207/JKCS.2017.8.2.083
  23. M. Galletta, I. Portoghese, M. Carta, E. G., D'aloja & M. Campagna. (2016). The effect of nurse-physician collaboration on job satisfaction, team commitment, and turnover intention in nurses. Research in Nursing & Health, 39(5), 375-385. DOI: 10.1002/nur.21733
  24. K. M. Kim, K. A. Nam, E. H. Lee & G. H. Jeong. (2015). Validity and reliability of the Korean version of the expanded nursing stress scale. Journal of Korean Academic Nurse Administration. 21(5), 542-551. https://doi.org/10.11111/jkana.2015.21.5.542
  25. G. M. Wagnild & H. M. Young. (1993). Development and psychometric evaluation of the resilience scale. Journal of Nursing Measurement, 1(2), 165-178.
  26. E. J. Yeun & H. J. Kim. (2013). Development and testing of a nurse turnover intention scale (NTIS). Journal of Korean Academy of Nursing, 43(2), 256-266. https://doi.org/10.4040/jkan.2013.43.2.256
  27. K. Ryu & J. K. Kim. A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses. The Journal of the Korea Contents Association, 16(7), 439-450. DOI: 10.5392/JKCA.2016.16.07.439
  28. S. R. Kang, Y.J. Kim, H.E. Seo, Y.E. Bang & G. J. Lee. (2017). The influence of the clinical nurses' emotional labor and resourcefulness on the turnover intention. Journal of the Korea Academia-Industrial cooperation Society, 18(6), 302-311. https://doi.org/10.5762/KAIS.2017.18.1.302
  29. E. J. Yeun, Y. M. Kwon, M. S. Jeon & An J. H. (2016). Factors influencing hospital nurses' turnover intention: A cross sectional survey. The Journal of the Korea Contents Association, 16(1), 94-106. https://doi.org/10.5392/JKCA.2016.16.01.094
  30. Y. M. Kim & S. M., Kim. (2016). The convergence study of experience of turnover in new graduate nurses within one year. Journal of the Korea Convergence Society, 7(4), 97-106. DOI: 10/15207/JKCS.2016.7.4.097 https://doi.org/10.15207/JKCS.2016.7.4.097