Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
권호 표지
DOI QR코드

DOI QR Code

Influences of Workplace Bullying, Social Support and Resilience on Retention Intention among Hospital Nurses: The Mediating Effect of Professional Quality of Life

병원간호사의 직장 내 괴롭힘, 사회적 지지, 회복탄력성이 재직의도에 미치는 영향: 전문직 삶의 질의 매개효과

  • Kim, Jin Sun (Department of Nursing, Konkuk University Medical Center) ;
  • Lee, Hang Shim (Graduate School of Education, Konkuk University)
  • Received : 2021.01.25
  • Accepted : 2021.02.22
  • Published : 2021.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to examine the mediating effect of professional quality of life among hospital nurses in the effects of workplace bullying, social support and resilience on retention intention. Methods: A descriptive and cross-sectional study was conducted on 414 hospital nurses who worked for at least two months at a general hospital in the Seoul metropolitan area. The data were analyzed using IBM SPSS 23.0/AMOS 22.0 programs and employed reliability verification, descriptive statistics include frequency analysis, confirmatory factor analysis, structural equation modeling, and bootstrapping. Results: As a result of the study's structural modeling verification, workplace bullying had a negative effect, social support had a positive effect, resilience had a positive effect on professional quality of life, and professional quality of life had a positive effect on retention intention. Also, workplace bullying, social support, and resilience did not directly impact on retention intention. However, the professional quality of life had a complete mediating effect in the relationships between workplace bullying, social support, resilience and retention intention. The study results verified the mediating effect of professional quality of life affecting the retention intention. Conclusion: In order to improve professional quality of life and retention intention, strategies to prevent workplace bullying and promote social support and resilience are needed.

Keywords

Acknowledgement

본 연구는 2019년 서울특별시간호사회에서 한마음장학금을 받아 진행한 연구임.

References

  1. Ministry of Health and Welfare. News: Measures to improve the working environment and treatment of nurses [Internet]. Sejong: Ministry of Health and Welfere; e2018 Mar 20 [cited 2019 Apr 10]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=2&CONT_SEQ=344262.
  2. Hospital Nurses Association. Survey on the status of hospital nursing personnel, 2019 [Internet]. Seoul: Hospital Nurses Association; c2019 [cited 2020 Feb 7]. Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8072&page=1.
  3. Lee EH, Cho KS, Son HM. A study of hospital nurse's intention to keep nursing job. Journal of Korean Clinical Nursing Research. 2014;20(1):15-27. https://doi.org/10.22650/JKCNR.2014.20.1.15
  4. Cowin L. The effects of nurses' job satisfaction on retention: An Australian perspective. Journal of Nursing Administration. 2002;32(5):283-291. https://doi.org/10.1097/00005110-200205000-00008
  5. Kim MJ. The effect of nursing organizational culture on nurses' intention of retention [master's thesis]. Seoul: Hanyang University; 2006. p. 1-77.
  6. Yom YH, Yang IS, Han JH. Effects of workplace bullying, job stress, self-esteem, and burnout on the intention of university hospital nurses to keep nursing job. Journal of Korean Academy of Nursing Administration. 2017;23(3):259-269. https://doi.org/10.11111/jkana.2017.23.3.259
  7. Tourangeau AE, Cranley LA. Nurse intention to remain employed: Understanding and strengthening determinants. Journal of Advanced Nursing. 2006;55(4):497-509. https://doi.org/10.1111/j.1365-2648.2006.03934.x
  8. Jakimowicz S, Perry L, Lewis J. Compassion satisfaction and fatigue: A cross-sectional survey of Australian intensive care nurses. Australian Critical Care. 2018;31(6):396-405. https://doi.org/10.1016/j.aucc.2017.10.003
  9. Stamm BH. The concise ProQOL manual. 2nd edi.[Internet]. Pocatello(ID): ProQOL.org; c2010 [cited 2019 Jan 1] Available from: https://proqol.org/uploads/ProQOLManual.pdf.
  10. Walker E, Morin C, Labrie N. Supporting staff at risk for compassion fatigue. Mississauga(Canada); Regional Municipality of Peel Public Health. c2012 [cited 2019 Jan 1]. Available from: https://peelregion.ca/health/library/pdf/CF-Rapid-Review.pdf.
  11. Lee YJ, Lee EJ. Conceptual development of workplace bullying: Focusing on hospital nurses. Korean Journal of Health Education and Promotion. 2014;31(1):57-70. https://doi.org/10.14367/kjhep.2014.31.1.57
  12. Vogelpohl DA, Rice SK, Edwards ME, Bork CE. New graduate nurses' perception of the workplace: Have they experienced bullying? Journal of Professional Nursing. 2013;29(6):414-422. https://doi.org/10.1016/j.profnurs.2012.10.008
  13. Cobb S. Social support as a moderator of life stress. Psychosomatic Medicine. 1976;38(5):300-314. https://doi.org/10.1097/00006842-197609000-00003
  14. Lee CH, Hurr HY. Effects of social support and self-efficacy on positive emotional displays among flight attendants. Journal of Aviation Management Society of Korea. 2012;10(1):131-147.
  15. Reivich K, Shatte A. The resilience factor: 7 keys to finding your inner strength and overcoming life's hurdles. New York: Broadway Books; 2003 [cited 2019 Mar 25].
  16. Sood A, Prasad K, Schroeder D, Varkey P. Stress management and management and resilience training among department of medicine faculty: A pilot randomized clinical trial. Journal of General Internal Medicine. 2011;26(8):858-861. https://doi.org/10.1007/s11606-011-1640-x
  17. Caplan RD, Cobb S, French Jr JRP, Harrison RV, Pinneau Jr SR. Job demands and worker health: Main effects and occupational differences [Internet]. Washington DC: HEW Publication(National Institute for Occupational Safety and Health, NIOSH); 1975. p. 35-252. Available from: http://hdl.handle.net/2027.42/99318.
  18. Lee KY. Development of job stress questionnaire based on NIOSH JSQ. In: Lee KY. Survey on job related stress [Internet]. Ulsan: Occupational Safety and Health Research Institute; 2000 [cited 2019 Mar 25]. p. 49-53. Available from: http://hdl.handle.net/20.500.12236/12672.
  19. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale(CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113|
  20. Baek HS, Lee KU, Joo EJ, Lee MY, Choi KS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale. Psychiatry Investigation. 2010;7(2):109-115. https://doi.org/10.4306/pi.2010.7.2.109
  21. Kim HJ, Yom YH. Structural equation modeling on burnout in clinical nurses based on CS-CF model. Journal of Korean Academy of Nursing. 2014;44(3):259-269. https://doi.org/10.4040/jkan.2014.44.3.259
  22. Yu JP. The concept and understanding of structural equation modeling. Seoul: Hannarae Publishing; 2012. p. 160-361
  23. Curran PJ, West SG, Finch JF. The robustness of test statistics to nonnormality and specification error in confirmatory factor analysis. Psychological methods. 1996;1(1):16-29. https://doi.org/10.1037/1082-989X.1.1.16
  24. Bae EJ, Kim KY. The effect of stress coping ability and recovery resilience on retention intention of nurses in medium-sized hospitals. Journal of the Korea Academia-Industrial cooperation Society. 2018;19(11):662-671. https://doi.org/10.5762/KAIS.2018.19.11.662
  25. Jeon BR, Noh YG. Impact of work-family conflict and social support on retention intention among married female nurses. Journal of Digital Convergence. 2018;16(10):261-270. https://doi.org/10.14400/JDC.2018.16.10.261
  26. Pietrantoni L, Prati G. Resilience among first responders. African Health Sciences. 2008;8(Suppl 1):S14-S20. https://doi.org/10.1400/151381
  27. Cocker F, Joss N. Compassion fatigue among healthcare, emergency and community service workers: A systematic review. International Journal of Environmental Research and Public Health. 2016;13(6):618. https://doi.org/10.3390/ijerph13060618
  28. Bae YH, Lee TW. Relationship of experience of violence and professional quality of life for hospital nurses'. Journal of Korean Academy of Nursing Administration. 2015;21(5): 489-500. https://doi.org/10.11111/jkana.2015.21.5.489
  29. Choi WJ, Cho SH, Cho NS, Kim GS. Effect of an education program on violence in the emergency department. Journal of the Korean Society of Emergency Medicine. 2005;16(2):221-228.
  30. Ju EA, Youn JH, Lee JY, Jang JH, Park HR. Relationship between violence response, professional quality of life and workplace violence against nurses in emergency departments in Korea. Journal of Korean Clinical Nursing Research. 2018; 24(2):159-169. https://doi.org/10.22650/JKCNR.2018.24.2.159