DOI QR코드

DOI QR Code

A Comparison of Nursing Work Environment, Role Conflict, and Job Embeddedness of Nurses Working in Comprehensive Nursing Care Service Wards and General Wards in a Tertiary Hospital

상급종합병원에서의 간호·간병통합서비스 병동과 일반병동 간호사의 근무환경, 역할갈등, 직무 배태성 비교

  • So, Hye-Eun (Department of Nursing, Kangbuk Samsung Hospital) ;
  • Hwang, Jee-In (College of Nursing Science, Kyung Hee University)
  • 소혜은 (강북삼성병원 간호본부) ;
  • 황지인 (경희대학교 간호과학대학)
  • Received : 2019.12.04
  • Accepted : 2020.03.20
  • Published : 2020.06.30

Abstract

Purpose: The objective of this study was to compare and analyze the work environment, role conflict, and job embeddedness between comprehensive nursing care service (CNCS) ward nurses and general ward nurses. Methods: This descriptive research study involved 70 CNCS ward nurses and 69 general ward nurses working at an advanced general hospital in Seoul. Data were collected using the structured questionnaire from March 27 to April 14, 2019 and analyzed with the SPSS 24.0 program. Results: The work environment of the CNCS ward nurse was higher than that of the general ward nurse (t=4.38, p<.001), and the role conflict of the CNCS ward nurse was lower than that of the general ward nurse (t=-2.09, p=.038). However, job embeddedness did not show any statistically significant difference (t=0.22, p=.824). Conclusion: The results of this study show that the introduction of CNCS ward has shown improvement in the work environment and strengthened the establishment of the roles in their team, while maintaining the job embeddedness of nurses. These results indicate that improvements in the work environment, such as nurse staffing and material support, would contribute to the qualitative enhancement of nursing and that it would need to extend the introduction of CNCS wards.

Keywords

References

  1. Hwang NM. Policy directions for the assurance of quality nursing and care Services. Labor Review. 2006;18:71-6.
  2. Park IS, Kim JH, Hong HJ, Kim HS, Han IS, Lee SY. Comparing satisfaction and importance of nursing care nursing work environment, nurse's intention to work between comprehensive nursing care unit and general nursing care unit. Journal of Korean Clinical Nursing Research. 2018;24(1):34-43. https://doi.org/10.22650/JKCNR.2018.24.1.34
  3. Korean Nursing Association. Development of standard curriculum and guidelines for carers. Seoul, Korea: Ministry of Health and Welfare; 2007.
  4. Lee YM, Lee HH, Jung JH, Yang JK, Lee JE, Kim SK. A study about compassion fatigue, compassion satisfaction and burnout in comprehensive nursing care and general ward nurses. Journal of Korean Clinical Nursing Research. 2018;24(2):188-96. https://doi.org/10.22650/JKCNR.2018.24.2.188
  5. National Health Insurance Service. Comprehensive nursing care service's standard operating manual. [Internet]. Seoul, Korea: National Health Insurance Service; 2017 [cited 2019 Apr 12]. Available from: http://www.nhis.or.kr/bbs7/boards/B0040/24586.
  6. National Health Insurance Service. Guide comprehensive nursing care service. [Internet]. Seoul, Korea: National Health Insurance Service; 2017 [cited 2019 Apr 12]. Available from: https://www.nhis.or.kr/bbs7/boards/B0040/28196.
  7. National Health Insurance Service. press release [Internet]. Seoul, Korea: National Health Insurance Service; 2018 [cited 2019 Apr 12]. Available from: http://www.nhis.or.kr/bbs7/boards/B0039/28141.
  8. Jung YA, Sung KM. A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. Journal of Korean Academy of Nursing Administration. 2018;24(1):30-9. https://doi.org/10.11111/jkana.2018.24.1.30
  9. Kim JH, Kim SJ, Park ET, Jeong SY, Lee EH. Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration. 2017;23(3):312-22. https://doi.org/10.11111/jkana.2017.23.3.312
  10. Park JH, Lee MH. Effects of nursing and care=giving integrated service on nursing work performance, nurses' job satisfaction and patient safety. Journal of Korean Academic Society of Home Health Care Nursing. 2017;24(1):14-22. https://doi.org/10.22705/JKASHCN.2017.24.1.014
  11. Park KO, Yu M, Kim JK. Experience of nurses participating in comprehensive nursing care. Journal of Korean Academy of Nursing Administration. 2017;23(1): 76-89. https://doi.org/10.11111/jkana.2017.23.1.76
  12. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing & Health. 2002;25(3):176-88. https://doi.org/10.1002/nur.10032
  13. Ahn SH, Jung SH, You JH, Lee MA. Nursing tasks and practice environment for nursing work perceived by nurses working on comprehensive wards versus general wards. Journal of Korean Academy of Nursing Administration. 2018;24(1):10-20.
  14. Kim MS, Park SY. Development of a role conflict scale for clinical nurses. Journal of Korean Academy of Nursing. 1995;25(4):741-50.
  15. Lee EH, Cho KS, Son HM, Yi YJ, Yoo CS. Frequency and severity of the nurses’role conflict in the hospital nurses. Journal of Korean Clinical Nursing Research. 2013;19(1):81-95. https://doi.org/10.22650/JKCNR.2013.19.1.81
  16. Kim TJ, You JO. Comparative study of clinical nurses' role conflict, emotional labor and nursing performance between comprehensive nursing care service wards and general wards. Journal of Muscle and Joint Health. 2018;25(1):12-20.
  17. Kang KN. Factors influencing turnover intention of nurses in small-medium sized hospitals. Journal of Korean Academy of Nursing Administration. 2012;18(2):155-65. https://doi.org/10.11111/jkana.2012.18.2.155
  18. Mitchell TR, Holtom BC, Lee TW, Sablynski CJ, Erez M. Why people stay: using job embeddedness to predict voluntary turnover. Academy of Management Journal. 2001;44(6):1102-21. https://doi.org/10.2307/3069391
  19. Kang KH, Chae YR, Park SY. Job embeddedness of korean clinical nurses : A literature review. Korean Journal of Occupational Health Nursing. 2018;27(3):139-51. https://doi.org/10.5807/KJOHN.2018.27.3.139
  20. Kang KH, Lim YJ. Influence of professionalism, role conflict and work environment in clinical nurses with expanded role on job enbeddedness. Journal of Korean Academy of Nursing Administration. 2016;22(5):424-36. https://doi.org/10.11111/jkana.2016.22.5.424
  21. Kim EH, Lee EJ, Choi HJ. Mediation effect of organizational citizenship behavior between Job embeddedness and turnover intention in Hospital Nurses. Journal of Korean Academy of Nursing Administration. 2012;18(4):394-401. https://doi.org/10.11111/jkana.2012.18.4.394
  22. Kim EH, Lee EJ. Mediation and moderation effects of job embeddedness between nursing performance and turnover intention of nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(8):5042-52. https://doi.org/10.5762/KAIS.2014.15.8.5042
  23. Kang IS, KIM YH. Factors Influencing turnover intention of nurses participating in integrated nursing care service. Journal of the Korean Data Analysis Society. 2018;20(2):1063-75.
  24. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. 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. 2011;41(3):325-32. https://doi.org/10.4040/jkan.2011.41.3.325
  25. House RJ, Schuler RS, Levanoni E. Role conflict and ambiguity scales: reality or artifacts? Journal of Applied Psychology. 1983;68(2):334-7. https://doi.org/10.1037/0021-9010.68.2.334
  26. Lee KA, Lee SH. A comparative study on the operation status of comprehensive nursing care ward. Journal of Muscle and Joint Health. 2018;25(3):196-204.
  27. Kim JK, Kim MJ, Kim SY, Yu M, Lee KA. Effects of general hospital nurses' work environment on job embeddedness and burnout. Journal of Korean Academy of Nursing Administration. 2014;20(1):69-81. https://doi.org/10.11111/jkana.2014.20.1.69
  28. Kang HC, Yeon KP, Han ST. A review on the use of effect size in nursing research. Journal of Korean Academy of Nursing Administration. 2015;45(5):641-9. https://doi.org/10.4040/jkan.2015.45.5.641