보건의료생명과학 논문지 (Journal of the Health Care and Life Science)

한국의료정보교육협회 (The Korean Society of Medical Informatics Education)
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상급종합병원과 중소병원 간호·간병통합서비스병동 간호사의 직무스트레스, 감정노동, 역할갈등 및 조직몰입 비교

Comparison of Job Stress, Emotional Labor, Role Conflict and Organizational Commitment among Nurses working in Comprehensive Nursing Care Wards of Tertiary Hospitals and Medium-sized Hospitals

  • 김세영 (기독간호대학교 간호학과) ;
  • 이정순 (기독간호대학교 간호학과)
  • Se-Young Kim (Department of Nursing, Christian College of Nursing) ;
  • Jeong-soon Lee (Department of Nursing, Christian College of Nursing)
  • 투고 : 2022.05.12
  • 심사 : 2022.07.18
  • 발행 : 2022.07.31
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초록

본 연구는 상급종합병원 간호·간병통합서비스병동과 중소병원 간호·간병통합서비스병동 간호사의 직무스트레스, 감정노동, 역할갈등, 조직몰입 정도를 비교하기 위한 조사연구로, 대상자는 G 광역시 소재 상급종합병원과 중소병원의 1년 이상 간호·간병통합서비스를 제공한 병동에서 6개월 이상 근무하고 있는 간호사였다. 상급종합병원과 중소병원 각각 평균 직무스트레스 정도는 1.93점, 2.08점, 감정노동 점수 3.30점, 3.04점, 역할갈등 점수 2.54점, 2.79점, 조직몰입의 정도 3.07점, 2.99점으로, 상급종합병원 간호·간병통합서비스병동 간호사에 비해 중소병원 간호·간병통합서비스병동 간호사의 직무스트레스와 역할갈등이 유의하게 높게 나타났다. 본 연구는 중소병원에서 간호간병통합서비스 제도가 정착되고 발전되기 위해 간호사의 직무스트레스와 역할갈등을 최소화하기 위한 다양한 시도와 전략개발을 위한 기초자료로 제공할 수 있다.

This study was conducted in order to compare the degree of job stress, emotional labor, role conflict, and organizational commitment among 135 nurses working in comprehensive nursing care wards of tertiary hospitals and medium-sized hospital. The average of job stress of tertiary hospitals was 1.93 points, that of medium hospitals was 2.08 points, emotional labor 3.30, 3.04, role conflict 2.54, 2.79, organizational commitment 3.07, 2.99, respectively. Job stress and role conflict were higher in comprehensive nursing care wards of medium-sized hospitals than tertiary hospitals. This study provides foundational information for developing a program to decrease the job stress and role conflict in comprehensive nursing care wards of medium-sized hospitals.

키워드

참고문헌

  1. National Health Insurance Service. 2020, Standard guidelines for comprehensive nursing care service. 
  2. J-H. Kim, S-J. Kim, E-T. Park, S-Y. Jeong, and E-H. Lee, 'Policy issues and new direction for comprehensive nursing service in the national health insurance', Journal of Korean Academy of Nursing Administration, Vol.23, No.3, pp.312-322, 2017. 
  3. H-J. Bae, 'An empirical analysis of the nurses' dual labor market: comparison between Large Sized-Hospitals in the Metropolitan and Small to-Medium Sized-Hospitals in Local Area', Journal of the Korean Data Analysis Society, Vol.23, No.2, pp.741-756, 2021. 
  4. J-A. Im. and Y. Ko, 'Factors affecting turnover intention of nurses in comprehensive nursing care service wards: focusing on occupational stress, emotional labor, and burnout', Korean Journal of Occupational Health Nursing, Vol.30, No.3, pp.110-119, 2021. 
  5. M-S. Joo, and S-N. Jang, 'Nursing experience in a hospital without guardians', The Korean Journal of Health Economics and Policy, Vol.21, No.4, pp.133-157, 2015. 
  6. M-J. Kim, and M-O. Gu, 'The development of the stress measurement tool for staff nurses working in the hospital', Korean Society of Nursing Science, Vol.14, No.2, pp.28-37, 1984. 
  7. H-N. Choi, and M-H. Lee, 'Comparing the emotional labor, job stress, and nursing performance of nurses in the comprehensive nursing care ward and the general ward', Journal of Korean Academic Society of Home Health Care Nursing, Vol.25, No.2, pp.139-146, 2018. 
  8. E. Lee, and S-S. Chang, 'Factors influencing depression of nurses among comprehensive nursing care service ward', Korean Journal of Occupational Health Nursing, Vol.25, No.4, pp.340-351, 2016. 
  9. A-R. Hochschild, The managed heart: Commercialization of human feeling. Berkeley: University of California Press. 1983. 
  10. M-K. Lee, and D-Y. Jung. 'A Study of Nursing Tasks, Nurses' Job Stress and Job Satisfaction in Hospitals with No Guardians'. Journal of Korean Academy of Nursing Administration, Vol.21, No.3, pp.287-296, 2015. 
  11. R-T. Mowday, R-M. Steers, and L-W. Poter, 'The Measure of Organizational Commitment'. Journal of Vocational Behavior, Vol.14, No.-2, pp.,224-247, 1979. 
  12. H-J. Hwang, Y-M. Lee. 'Effects of professional autonomym organizational commitment, and perceived patient safety culture on patient safety management activities of nurses in medium and small-sized hospitals'. Journal of Korean Critical Care Nursing. Vol.10, No.1, pp.63-74, 2017.
  13. S. Noh, T-I. Kim. 'The effects of organizational commitment and perceived patient safety culture on patient safety nursing activities among nurses in comprehensive nursing care units'. Journal of Korean Clinical Nursing Research. Vol.27, No.1, pp.12-22, 2021. 
  14. S-E. Kim, and J-Y. Han, 'Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing care service wards and general wards'. Journal of Korean Academy of Nursing Administration, Vol.23, No.3, pp.336-345. 2017. 
  15. Medical News. Promotion of expansion of comprehensive nursing care service [Internet]. Seoul: Medical News; 2022 [cited 2022 April 27]. Available from 
  16. E-H. Kim, 'The study of job related stress among hospital nurse', Master's thesis, Ewha Womans University, 1995. 
  17. M-J. Kim, 'Effects of the hotel employee's emotional labor upon the job related attitudes', Journal of Tourism Sciences, Vol.21, No.2, pp.129-141, 1998.
  18. J-R. Rizzo, R-J. House, and S-I. Lirtzman, 'Role conflict and ambiguity in complex organizations'. Administrative Science Quarterly, Vol.15, No.2, pp.150-163, 1970. 
  19. H-J. Lee, Y-S. Eo, N-H. Park, and G-Z. Lee, 'Factors discriminating nurses' depression among personal and environmental characteristics', Journal of Korean Academy of Nursing, Vol.32, No.6, pp.867-877, 2002. 
  20. H-K. Chung, "The determinants of organizational commitment of hospital nurses", Master's thesis, Yeonsei University, 2006. 
  21. K-O. Park, Y-M. Kim, and J-K. Kim, 'Experience of nurses participating in comprehensive nursing care', Journal of Korean Academy of Nursing Administration, Vol.23, No.1, pp.76-89 2017. 
  22. M-H. Park, and S-H. An, 'Impacts of role conflict and job stress on nursing professionalism of clinical nurses at comprehensive nursing care wards', Journal of the Korea Convergence Society, Vol.11, No.2, pp.351-360. 2020. 
  23. M-L. Byeon, Y-M. Lee, and H-J. Park, 'Resilience as a moderator and mediator of the relationship between and emotional labor and job satisfaction among nurses working in ICUs', Journal of Korean Critical Care Nursing, Vol.12, No.3, pp.24-34. 2019. 
  24. K-M. Hwang, 'The effect of the medium and small hospitals nurses role conflict on organization effectiveness of positive psychological capital'. The Journal of the Korea Contents Association, Vol.19, No.1, pp.60-73, 2019. 
  25. N-J. Stewart, M-L. MacLeod, J-G. Kosteniuk, J. Olynick, K-L. Penz, and C-P. Karunanayake, et al. 'The importance of organizational commitment in rural nurses' intent to leave', Journal of Advanced Nursing, Vol.76, No.12, pp.3398-3417. 2020. 
  26. H-A. Lee, 'Comparison of job stress, role conflict, burnout, and turnover intention of nurses between comprehensive nursing care wards and general wards', Master's thesis, Kongju National university, 2019. 
  27. S-J. Lee, E-A. Kim, 'Factors influencing turnover intention of nurses in comprehensive nursing care wards: focused on emotional labor, role conflict, and reciprocity'. Journal of Digital Convergence, Vol.18, No.6, pp.467-477. 2020. 
  28. M-O. Oh, M-H. Sung, and Y-W. Kim, 'Job stress, fatigue, job satisfaction and commitment to organization in emergency department nurses'. Journal of Korean Clinical Nursing Research, Vol.17, No.2, pp.215-227. 2011. 
  29. S-N. Kim, and M-S. Yoo, 'Relationships between resilience, job stress and organizational commitment in ICU Nurses'. Journal of Korean Academic Society of Home Health Care Nursing, Vol.21, No.1, pp.36-43, 2014. 
  30. J-H. Yang, and K-H. Jeoung, 'Effects of emotional labor, job satisfaction and organizational commitment on turnover intention in nurses', Journal of the Korea Academia-Industrial cooperation Society, Vol.15, No.2, pp.717-7178. 2014. 
  31. Medical Times. turnover rate of nurses [Internet]. Seoul: Medical Times; 2021 [cited 2022 April 14]. Available from: 
  32. H-H. Shin, 'Roadmap development to support small and medium-sized hospitals', Research Report of Korean Institute of Hospital Management, pp.1-202, 2014.