Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Cognitive Emotion Regulation Strategies on the Professional Quality of Life in Hospital Nurses

병원간호사의 인지적 정서조절전략이 전문직 삶의 질에 미치는 영향

  • Baik, Dain (Department of Nursing, Ewha Woman's University Seoul Hospital) ;
  • Kim, Oksoo (College of Nursing, Ewha Womans University)
  • Received : 2020.07.06
  • Accepted : 2020.10.05
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the cognitive emotion regulation strategies and professional quality of life to identify factors affecting the professional quality of life in hospital nurses. The participants were 176 staff nurses working at a university hospital in Seoul. Data were collected using a structured online questionnaire from March 3 to 16, 2020. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS 25.0. The cognitive emotion regulation strategies of hospital nurses were identified as factors affecting the professional quality of life. Adaptive cognitive emotion regulation strategy (β=.501, p<.001) had significant effects on the participants' compassion satisfaction, and the explanatory power was 24.8%. The variables affecting burnout were adaptive cognitive emotion regulation strategy (β=-.435, p<.001), maladaptive cognitive emotion regulation strategy (β=.427, p<.001), and educational level (β=.188, p=.046), and the explanatory power was 36.8%. In addition, the maladaptive cognitive emotion regulation strategy (β=.502, p<.001) had significant effects on secondary traumatic stress of the participants, and the explanatory power was 24.4%. Based on this, it is necessary to develop programs to improve the professional quality of life of hospital nurses, focusing on acquiring adaptive cognitive emotion regulation strategies and using less maladaptive strategies.

본 연구는 병원 간호사의 인지적 정서조절전략과 전문직 삶의 질의 정도를 확인하고 전문직 삶의 질에 영향을 미치는 요인을 알아보기 위해서 수행되었다. 연구 대상자는 서울 소재 일개 대학병원에서 근무하고 있는 일반 간호사 176명으로, 2020년 3월 3일에서 16일까지 구조화된 온라인 설문지를 통하여 자료수집 하였다. 자료 분석은 SPSS WIN version 25.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis 로 분석하였다. 연구 결과, 공감만족에 영향을 미치는 요인은 적응적 인지적 정서조절전략(β=.501, p<.001)이었고, 설명력은 24.8%였다. 소진에 영향을 미치는 요인은 적응적 인지적 정서조절전략(β=-.435, p<.001), 부적응적 인지적 정서조절전략(β=.427, p<.001), 학력(학사)(β=.188, p=.046)이었으며, 설명력은 36.8%였다. 대상자의 이차 외상성 스트레스에 영향을 미치는 요인으로는 부적응적 인지적 정서조절전략(β=.502, p<.001)이었으며, 설명력은 24.4%였다. 이상의 연구결과를 토대로 적응적 인지적 정서조절전략을 습득하고 부적응적 인지적 정서조절전략을 덜 사용하도록 하는데 초점을 맞추어 병원 간호사의 전문직 삶의 질 향상을 도모하기 위한 프로그램 개발이 필요하다.

Keywords

References

  1. Ministry of Health and Welfare, Database of Health and Welfare Statistical Yearbook 2019, p.652, Ministry of Health and Welfare, 2019, p.186. Available from: http://www.mohw.go.kr/upload/viewer/skin/doc.html?fn=1578012295548_20200103094456.pdf&rs=/upload/viewer/result/202010/
  2. S. N. Lee, J. A. Kim, "Analysis of research on compassion satisfaction among nurses", Journal of the Korea Academia-Industrial cooperation Societ, Vol.17, No.9, pp.599-609, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.9.599
  3. J. S. Kang, J. Y. Lim, "Effects of clinical nurses' resilience on job stress and burnout", The Journal of the Korea Contents Association, Vol.15, No.11, pp.263-273, 2015. DOI: https://doi.org/10.5392/JKCA.2015.15.11.263
  4. E. Y. Lee, K. H. Shon, "An analysis of research trends related with job stress in nursing", Journal of the Korea Convergence Society, Vol.6, No.3, pp.87-95, 2015. DOI: https://doi.org/10.15207/JKCS.2015.6.3.087
  5. Y. H. Bae, T. W. Lee, "Relationship of experience of violence and professional quality of life for hospital nurses'", Journal of Korean Academy of Nursing Administration, Vol.21, No.5, pp.489-500, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.5.489
  6. O. Arrogante, E. Aparicio-Zaldivar, "Burnout and health among critical care professionals: The mediational role of resilience", Intensive and Critical Care Nursing, Vol.42, pp.110-115, 2017. DOI: https://doi.org/10.1016/j.iccn.2017.04.010
  7. H. G. Lee, J. S. Kim, "Influence of Secondary Trauma Stress, and Vocation on Turnover Intention of Nurses in Regional Trauma Centers", Journal of Korean Academy of Nursing Administration, Vol.26, No.1, pp. 65-72, 2020. DOI: https://doi.org/10.11111/jkana.2020.26.1.65
  8. B. Perry, "Why exemplary oncology nurses seem to avoid compassion fatigue", Canadian Oncology Nursing Journal/Revue canadienne de soins infirmiers en oncologie, Vol.18, No.2, pp.87-92, 2008. https://doi.org/10.5737/1181912x1828792
  9. B. H. Stamm, The Concise ProQOL Manual. 2nd ed, pp.1-78, US: Pocatello, 2010. pp. 8-34.
  10. D. B. Yoo, H. J. Park, P. J. Kim, "Impact of Traumatic Events and Resilience on the Professional Quality of Life among Clinical Nurses", The Korean Journal of Rehabilitation Nursing, Vol.22m No.1, pp.27-37, 2019. DOI: https://doi.org/10.7587/kjrehn.2019.27
  11. H. L. Jeong, K. H. Lim, "Effects of emergency department nurses' emotional labor on professional quality of life-Focusing on mediating effects of emotional dissonance", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.11, pp.491-506, 2016. DOI: https://doi.org/10.5762/KAIS.2016.17.11.491
  12. Y. B. Lee, H. K. Lee, "The convergence factors of nursing organizational culture on the nurses' professional quality of life", Journal of the Korea Convergence Society. Vol.9, No.11, pp.491-500, 2018. DOI: https://doi.org/10.15207/JKCS.2018.9.11.491
  13. J. M. Lim, J.K. Kim, "The Influence of Nursing Workplace Spirituality and Resilience of Hospital Nurses on Professional Quality of Life", The Journal of the Korea Contents Association, Vol.20, No.2, pp.487-498, 2018. DOI: https://doi.org/10.5392/JKCA.2020.20.02.487
  14. N. K. Ibrahim, N. A. Alzahrani, A. A. Batwie, R. A. Abushal, G. G. Almogati, M. A. Sattam, K. H. Bodour, "Quality of life, job satisfaction and their related factors among nurses working in king Abdulaziz University Hospital, Jeddah, Saudi Arabia", Contemporary Nurse, Vol.52, No.4, pp.486-498, 2016. DOI: https://doi.org/10.1080/10376178.2016.1224123
  15. I. S. Jang, Y. N. Kim, H. H. Kim, "Professionalism and professional quality of life for oncology nurses", Journal of clinical nursing, Vol.25, No.19-20, pp.2835-2845, 2016. DOI: https://doi.org/10.1111/jocn.13330
  16. T. L. Sacco, S. M. Ciurzynski, M. E. Harvey, G. L. Ingersoll, "Compassion satisfaction and compassion fatigue among critical care nurses", Critical Care Nurse, Vol.35, No.4, pp.32-42, 2015. DOI: https://doi.org/10.4037/ccn2015392
  17. R. A. Thompson, "Emotion regulation: A theme in search of definition", Monographs of the Society for Research in Child Development, Vol.59, pp.25-52, 1994. https://doi.org/10.1111/j.1540-5834.1994.tb01276.x
  18. A. M. Kring, D. M. Sloan, Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment, p.468, NY: Guilford Press; 2009, p.468.
  19. N. Garnefski, V. Kraaij, P. Spinhoven, "Negative life events, cognitive emotion regulation and emotional problems", Personality and Individual Differences, Vol.30, No.8, pp.1311-1327, 2001. DOI: https://doi.org/10.1016/S0191-8869(00)00113-6
  20. D. R. Kwon, N. N. Shin, "The Effects of Undergraduate Students' Adult Attachment on Interpersonal Problem: Mediating effects of Cognitive Emotion Regulation Strategy", Korean Journal of Child Studies, Vol.39, No.3, pp.113-125, 2018. DOI: https://doi.org/10.5723/kjcs.2018.39.3.113
  21. H. J. IM, "The moderating effect of self-compassion on the relationship between cognitive emotion regulation strategies and burnout", Catholic Journal of Social Science, Vol.33, pp.145-180, 2017.
  22. H. Kharatzadeh, M. Alavi, A. Mohammadi, D. Visentin, M. Cleary, "Emotional regulation training for intensive and critical care nurses", Nursing & Health Sciences. Vol.22, No.2, pp.445-453, 2020. DOI: https://doi.org/10.1111/nhs.12679
  23. S. H. Kim, A study on relationships among the stressful events, cognitive emotion regulation strategies and psychological well-being, master's thesis. Catholic University of Korea, pp.1-29.
  24. S. H. Choi, "Effects of Ego Resilience, Interpersonal Relation, and Cognitive Emotion Regulation Strategies on college life adaptation of nursing students, Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.11, pp.148-156, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.11.148
  25. H. J. Kim, Y. H. Yom, "Structural Equation Modeling on Burnout in Clinical Nurses based on CS-CF Model", Journal of Korean Academy of Nursing, Vol.44, No.3, pp.259-269, 2014. DOI: https://doi.org/10.4040/jkan.2014.44.3.259
  26. S. Lee, M. G. Gwon, Y. J. Kim, "The relationship between post-traumatic growth, trauma experience and cognitive emotion regulation in nurses", Korean Journal of Stress Research, Vol.26, No.1, pp.31-37, 2018. DOI: https://doi.org/10.17547/kjsr.2018.26.1.31
  27. V. Salvarani, G. Rampoldi, S. Ardenghi, M. Bani, P. Blasi, D. Ausili, S. D. Mauro, M. G. Strepparava, "Protecting emergency room nurses from burnout: The role of dispositional mindfulness, emotion regulation and empathy", Journal of Nursing Management, Vol.27, No.4, pp.765-774, 2019. DOI: https://doi.org/10.1111/jonm.12771
  28. C, Mairean, "Emotion regulation strategies, secondary traumatic stress, and compassion satisfaction in healthcare providers", The Journal of Psychology, Vol.150, No.8, pp.961-975, 2016. DOI: https://doi.org/10.1080/00223980.2016.1225659
  29. L. H. Hall, J. Johnson, I. Watt, A. Tsipa, D. B. O'Connor, "Healthcare staff wellbeing, burnout, and patient safety: a systematic review", PL oS ONE, Vol.11, No.7, e0159015, 2016. DOI: https://doi.org/10.1371/journal.pone.0159015
  30. T. A. Lapa, F. M. Madeira, J. S. Viana, J. Pinto-Gouveia, "Burnout syndrome and wellbeing in anesthesiologists: the importance of emotion regulation strategies", Minerva Anestesiologica. Vol.83, No.2, pp.191-199, 2017. DOI: https://doi.org/10.23736/S0375-9393.16.11379-3
  31. S. L. Lee, "The effects of traumatic event and cognitive emotion regulation strategies on post-traumatic stress disorder and post-traumatic growth", The J of Humanities, Vol.39, pp.93-124, 2015.