중환자간호학회지 (Journal of Korean Critical Care Nursing)

  • 제14권2호
  • /
  • Pages.70-81
  • /
  • 2021
  • /
  • 2005-212X(pISSN)
  • /
  • 2671-8634(eISSN)
한국중환자간호학회 (Korean Society of Critical Care Nursing)
권호 표지
DOI QR코드

DOI QR Code

중환자실 간호사의 외상성 사건 경험이 이직의도에 미치는 영향 : 감성지능의 조절효과

The Influence of Traumatic Events on Turnover Intention among Nurses Working in Intensive Care Units: The Moderating Effect of Emotional Intelligence

  • 투고 : 2021.05.28
  • 심사 : 2021.06.11
  • 발행 : 2021.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose : The purpose of this study was to identify the moderating effects of emotional intelligence on the relationship between traumatic events and turnover intention among nurses working in intensive care units (ICUs). Method : In this predictive correlation study, the convenience sample included 133 ICU nurses. Data were collected using an online, structured self-report survey. The collected data were analyzed by descriptive statistics, an independent t-test, an analysis of variance, Pearson's correlation coefficient, and a hierarchical multiple regression analysis using SPSS/WIN 25.0. Results : The most frequently experienced traumatic events in ICUs were "nursing patients with abnormal behavior, including shouting and delirium," "end-of-life care," and "nursing patients with a risk of disease transmission, including AIDS and tuberculosis." The moderating effect of emotional intelligence was found to be statistically significant on the relationship between traumatic events and turnover intentions (𝛽=-0.15, p =.029). Conclusion : Intervention to improve the emotional intelligence of ICU nurses can be a salient strategy to reduce turnover intention resulting from traumatic events.

키워드

참고문헌

  1. Korea Institute for Health and Social Affair. Factual survey of healthcare worker's [Internet]. Sejong: Ministry of Health and Welfare; 2018 [cited 2020 February 5]. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=352714&page=1
  2. Korean Hospital Nurses Association. 2020 Annual report: hospital nurse staffing status survey [Internet]. Seoul: Hospital Nurses Association; 2020 [cited 2021 February 9]. Available from: https://khna.or.kr/home/pds/utilities.php?bo_table=board1&wr_id=8086
  3. Korean Health and Medical Worker' Union. Nurse turnover rate survey [Internet]. Seoul: Korean Health and Medical Worker' Union; 2019 [cited 2019 June 11]. Available from: https://bogun.nodong.org/xe/khmwu_5_4/543250
  4. Yang YS, Kang YH. ICU new nurses' job stress, job satisfaction, organizational commitment and turnover intention. Nursing Science. 2013;25(2):47-58.
  5. Choi MY, So HS, Ko E. Influences of occupational stress, ethical dilemma, and burnout on turnover intention in hospital nurses. Journal of Korean Academy of Fundamentals of Nursing. 2019;26(1): 42-51. http://dx.doi.org/10.7739/jkafn.2019.26.1.42
  6. Estryn-Behar M, van der Heijden BIJM, Fry C, Hasselhorn H-M. Longitudinal analysis of personal and work-related factors associated with turnover among nurses. Nursing Research. 2010;59 (3):166-77. http://doi.org/10.1097/NNR.0b013e3181dbb29f
  7. Lee YO, Kang JY. Related factors of turnover intention among korean hospital nurses: a systematic review and meta-analysis. Korean Journal of Adult Nursing. 2018;30(1):1-17. https://doi.org/10.7475/kjan.2018.30.1.1
  8. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). 5th ed. Washington DC: American Psychiatric Pub; 2013.
  9. Beck CT. Secondary traumatic stress in nurses: a systematic review. Archives of Psychiatric Nursing. 2011;25(1):1-10. http://doi.org.ssl.mproxy.inje.ac.kr:808010.1016/j.apnu.2010.05.005
  10. Jin SJ, Lee JH. Structural equation model for job stress in intensive care unit nurses. Korean Journal of Occupational Health Nursing. 2015;24(2):103-13. https://doi.org/10.5807/KJOHN.2015.24.2.103
  11. Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. American Journal of Respiratory and Critical Care Medicine. 2007;175(7):693-7. http://doi.org.ssl.mproxy.inje. ac.kr:8080/10.1164/rccm.200606-735OC
  12. Jun YJ, Sung MH. Effects of traumatic events, compassion fatigue, self-esteem, and compassion satisfaction on burnout of nurses in emergency department (ED). Korean Journal of Occupational Health Nursing. 2014;23(2):80-8. https://doi.org/10.5807/kjohn.2014.23.2.80
  13. Jeon SY, Ha JY. Traumatic events, professional quality of life and physical symptoms among emergency nurses. Korean Journal of Adult Nursing, 2012;24 (1):64-73. https://doi.org/10.7475/kjan.2012.24.1.64
  14. Kim HS, Kim ES, Yu Y. Traumatic events and factors affecting post-traumatic growth of nurses in general hospitals. Journal of Korean Academy of Nursing Administration. 2020;26(3):218-29. http://doi.org/10.11111/jkana.2020.26.3.218
  15. Yoo DB, Park HJ, Kim PJ. Impact of traumatic events and resilience on the professional quality of life among clinical nurses. The Korean Journal of Rehabilitation Nursing. 2019;22(1):27-37. http://doi.org/10.7587/kjrehn.2019.27
  16. Park JY, SEO EJ. Traumatic events experience, perceived stress, and stress coping of nurses in regional trauma centers. Journal of Muscle and Joint Health. 2020;27(2):122-31. https://doi.org/10.5953/JMJH.2020.27.2.122
  17. Han JW, Lee B. The relationship of post-traumatic stress, job stress and turnover intention in emergency department nurses. Journal of Korean Academy of Nursing Administration. 2013;19(3):340-50. https://doi.org/10.11111/jkana.2013.19.3.340
  18. Rho IS. Fire fighters' experience of trauma events, post-traumatic stress and job satisfaction. Korean Journal of Convergence Science. 2020;9(3):421-33. https://doi.org/10.24826/KSCS.9.3.26
  19. Park SM, Park OI, Moon H. The effect of emotional intelligence in the relationship between emotional labor and turnover intentions of nurses in general hospitals. Journal of Population and Health Studies. 2013;33(3):540-64. https://doi.org/10.15709/hswr.2013.33.3.540
  20. Lim WS. The effect of private guards' emotional intelligence on organizational effectiveness. Korean Police Studies Review. 2012;11(3):247-78.
  21. Wong CS, Law KS. The effects of leader and follower emotional intelligence on performance and attitude: an exploratory study. The Leadership Quarterly. 2002;13(3):243-74. https://doi.org/10.1016/S1048-9843(02)00099-1
  22. Epstein JH. Americans distrust their government. The Futurist. 1998;32(7):12-3.
  23. McQueen AC. Emotional intelligence in nursing work. Journal of Advanced Nursing. 2004;47(1):101-8. https://doi.org/10.1111/j.1365-2648.2004.03069.x
  24. Freshwater D, Stickley T. The heart of the art: emotional intelligence in nurse education. Nursing Inquiry. 2004;11(2):91-8. https://doi.org/10.1111/j.1440-1800.2004.00198.x
  25. Jang RJ, Kang YS, Kim YM. The relationships in emotional intelligence, job satisfaction, and quality of nursing service in hospital nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2016; 17(6):326-37. https://doi.org/10.5762/KAIS.2016.17.6.326
  26. Baik DW, Yom YH. Effects of social support and emotional intelligence in the relationship between emotional labor and burnout among clinical nurses. Journal of Korean Academy of Nursing Administration. 2012;18(3):271-80. https://doi.org/10.11111/jkana.2012.18.3.271
  27. Jeon JH, Yom YH. Roles of empowerment and emotional intelligence in the relationship between job embeddedness and turnover intension among general hospital nurses. Journal of Korean Academy of Nursing Administration. 2014;20(3):302-12. https://doi.org/10.11111/jkana.2014.20.3.302
  28. Kang YS, Kwon YC, Kim Y. The effect of communication competency and job stress of long term care hospital nurses on turnover intention focused on control effect of emotional intelligence. Journal of Digital Convergence. 2018;16(12):449-57. https://doi.org/10.14400/JDC.2018.16.12.449
  29. Korean Health and Medical workers' Union. A survey on the new graduate nurses education system [Internet]. Seoul: Korean Health and Medical Workers' Union; 2019 [cited 2018 June 05]. Available from: https://bogun.nodong.org/xe/khmwu_5_4/542770
  30. Mobley WH. Employee turnover: causes, consequences, and control. Reading MA: Addison-Wesley; 1982.
  31. Becker TE. Foci and bases of commitment: are they distinctions worth making? Academy of Management Journal. 1992;35(1):232-44. https://doi.org/10.5465/256481
  32. Ham JH. The relation among nurses' experience of verbal abuse, social support and their turnover intention [master's thesis]. Suwon: Ajou University; 2013. p. 17-32.
  33. Cho GJ, Kang JY. Type D personality and post-traumatic stress disorder symptoms among intensive care unit nurses: the mediating effect of resilience. Plos one. 2017;12(4):e0175067. https://doi.org/10.1371/journal.pone.0175067
  34. Jung HW. An empirical study on the effect of emotional intelligence on organizational effectiveness [dissertation]. Pusan: Pusan University; 2007. p. 85-6.
  35. Choi BK. Work overload, job burnout, and turnover intention: the moderating effects of job autonomy and career growth opportunity. Korean Academy of Organization and Management. 2013;37(4):145-70.
  36. Kim HG, Choi JY. Factors influencing post-traumatic stress disorder in critical care nurses based on Lazarus & Folkman's stress, appraisal-coping model. Korean Journal of Adult Nursing, 2020;32(1):88-97. http://doi.org/10.7475/kjan.2020.32.1.88
  37. Sohn JH, Na SH, Shin CS, Sohn I, Oh JY, An JS, et al. Impact of delirium on clinical outcomes in intensive care unit patients: an observational study in a Korean general hospital. Journal of Korean Neuropsychiatric Association. 2014;53(6):418-25. http://doi.org/10.4306/jknpa.2014.53.6.418
  38. Yin JT, Yang KA. Nursing turnover in Taiwan: a meta-analysis of related factors. International Journal of Nursing Studies. 2002;39(6):573-81. https://doi.org/10.1016/S0020-7489(01)00018-9
  39. Jung EJ, Cho KH. The effects of emotional leadership upon self-efficacy: focusing on moderating effects of emotional intelligence. Tourism Research. 2015; 40(1):81-103.

피인용 문헌

  1. 중환자실 간호사의 외상성 사건 경험과 이직 의도의 관계에서 회복탄력성의 조절 효과 vol.27, pp.4, 2021, https://doi.org/10.5977/jkasne.2021.27.4.447