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Effects of the Communication Ability with Physician and Burnout on Turnover Intention of Nurses in Small-Medium sized Hospitals

의사와의 의사소통능력과 소진이 중소병원간호사의 이직의도에 미치는 영향

  • Su-Jin Kim (Department of Nursing, Christian College of Nursing) ;
  • Se-Young Kim (Department of Nursing, Christian College of Nursing) ;
  • Nu-ri Kim (Department of Nursing, Christian College of Nursing)
  • Received : 2023.06.01
  • Accepted : 2023.07.04
  • Published : 2023.07.31

Abstract

This study was conducted in order to examine the effects of communication ability with physician and burnout on turnover intention of nurses working in small-medium sized hospitals. A convenience sample of 135 nurses at small-medium sized hospitals were recruited. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearson' correlation and multiple regression with SPSS 25.0 program. The participants' average score was 3.23 points for nurses' communication ability with physician, 3.00 points for burnout, and 2.79 points for turnover intention, respectively. Communication ability was significantly correlated with burnout and turnover intention negatively. And burnout was correlated with turnover intention positively. Factor influencing turnover intention of nurses in small-medium sized hospitals included burnout. This variable explained 42% of the variance in turnover intention. It is suggested that burnout should be taken into consideration when developing strategies to decrease turnover intention of nurses in small-medium sized hospitals.

본 연구는 지방 중소병원 간호사의 의사와의 의사소통능력과 소진이 이직의도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료수집은 지방 중소병원 간호사 135명을 대상으로 이루어졌으며. 수집된 자료는 SPSS 25.0프로그램을 이용하여 빈도분석 및 기술통계, t-test와 One-way ANOVA, Pearson' correlation, multiple regression으로 분석하였다. 연구결과, 평균점수는 간호사의 의사와의 의사소통능력 3.23점, 소진 3.00점, 이직의도 2.79점이었다. 의사소통능력과 소진, 의사소통능력과 이직의도 간에는 음의 상관관계를 보였고, 소진과 이직의도는 양의 상관관계를 보였다. 중소병원 간호사의 이직의도에 영향을 미치는 주요한 예측인자는 소진으로 나타났다. 본 연구는 중소병원 간호사의 이직의도 감소를 위해 간호사의 소진을 줄여나갈 제도적 노력과 업무환경의 변화가 필요함을 보여주었다. 본 연구 결과는 지방 중소병원 간호사의 이직의도를 감소시킬 관리정책 개발을 위한 기초자료를 제공할 수 있다.

Keywords

References

  1. J-Y, Kim, Nurse turnover rate three times higher than other occupations https://www.docdocdoc.co.kr/news/articleView.html?idxno=2023018
  2. K-L. Lee, L-J. Kwon, W-H. Shim, Y-S. Choo, and M-H. Go, 'Investigation of current status of hospital nursing staff placement', Research Report of Hospital Nurses Association, pp.74-104, 2022.
  3. J-Y. Hong, J-M. Chae, M-R. Song, and E-M. Kim, 'A utilization strategy of nursing staff by types of medical institutions-nurse staffing level of medium and small-sized hospitals', Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.8, pp.162-170, 2017. https://doi.org/10.5762/KAIS.2017.18.8.162
  4. Need to strengthen the role of small and medium-sized hospitals. http://www.bosa.co.kr/news/articleView.html?idno=2194149
  5. Y-J. Jeong, 'The study on medical utilization in Seoul metropolitan regions by patients with congenital malformations residing in Jeollabuk-do', Journal of The Health Care and Life Science, Vol.10, No.2, pp.275-283, 2022.
  6. National Health Insurance Service, 2019 Health Insurance Statistical Yearbook, https://www.nhis.or.kr/nhis/together/wbhaec06300m01.do?mode=view&articleNo=10802543&article.offset=0&articleLimit=10
  7. L. Petri, 'Concept analysis of interdisciplinary collaboration', Nursing Forum, Vol.45, No.2, pp.73-82, 2010. https://doi.org/10.1111/j.1744-6198.2010.00167.x
  8. M-Y. Kim, 'Eine theoretische betrachtung zur unbeabsichtigten sprachgewalt', German Language and Literature, Vol.78, pp.115-133, 2017. https://doi.org/10.30947/zfdsl.2017..78.115
  9. Y-J. Choi, M-S. Lee, M-S. Kang, J-H. Kim, J-E. Kwon, and S-Y. Kim, 'Military nursing staff's perception and satisfaction on communication with other healthcare professionals and their job satisfaction in Korean military hospitals', Journal of military nursing research, Vol.35, No.2, pp.46-60, 2017. https://doi.org/10.31148/kjmnr.2017.35.2.46
  10. P. Pronovost, S. Berenholtz, T. Dorman, P-A. Lipsett, T. Simmonds, and C. Haraden, 'Improving communication in the ICU using daily goals', Journal of Critical Care, Vol.18, No.2, pp.71-75, 2003. https://doi.org/10.1053/jcrc.2003.50008
  11. C. Dingley, K. Daugherty, M-K. Derieg, R. Persing, K-I. Henriksen, J-B. Battles, M-A. Keyes, and M-L. Grady, 'Improving patient safety through provider communication strategy enhancements: Advances in Patient Safety: New Directions and Alternative Approaches(Vol. 3: Performance and Tools), Rockville Maryland: Agency for Healthcare Research and Quality, 2008.
  12. L-L. Greer, K-A. Jehn, and E-A. Mannix, 'Conflict transformation: A longitudinal investigation of the relationships between different types of intragroup conflict and the moderating role of conflict resolution', Small Group Research, Vol.39, No.3, pp.278-302, 2008. https://doi.org/10.1177/1046496408317793
  13. S-Y. Ahn, 'The effect of communication satisfaction on hospital employees' perceived organizational effectiveness', Journal of the Korea Academia-Industrial cooperation Society, Vol.14, No. 10, pp.4935-4942, 2013. http://dx.doi.org/10.5762/KAIS.2013.14.10.4935
  14. B-J. Lee, 'Nurse-physician conflict: task conflict and relationship conflict', Doctoral dissertation, Seoul National University, 2013.
  15. H-J. Heo, and S-K. Lee, 'Effects of verbal abuse experience and burnout on turnover intentions of hospital nurses at small and medium-sized hospitals', Journal of the Korean Data and Information Science Society, Vol.29, No.3, pp.665-678, 2018. https://doi.org/10.7465/jkdi.2018.29.3.665
  16. B-D. Kirkcaldy, B-D. Kirkcaldy and T. Martin, 'Job stress and satisfaction among nurses: individual differences', Stress Medicine, vol.16, No.2, pp.77-89, 2000. https://doi.org/10.1002/(SICI)1099-1700(200003)16:2<77::AID-SMI835>3.0.CO;2-Z
  17. S-H. Lee, 'Effect of nurse practice environment and organizational justice on job embeddedness in the small and medium sized hospital nurses', Journal of Disital Convergence, Vol.15, No. 12, pp.369-380, 2017. https://doi.org/10.14400/JDC.2017.15.2.369
  18. M-A. Kim, K-O. Park, S-J. You, M-J. Kim, and E-S. Kim, 'A survey of nursing activities in small and medium-size hospitals: reasons for turnover', Journal of Korean Clinical Nursing Research, Vol.15, No.1, pp.149-165, 2009. https://doi.org/10.22650/JKCNR.2009.15.1.149
  19. J-H. Kim, and A-K. Chang, 'Effects of emotional labor, communication competency, emotional intelligence and social support on burnout among nurses in outpatient department', Journal of East-West Nursing Research, Vol.28, No.2, pp.179-189, 2022. https://doi.org/10.14370/JEWNR.2022.28.2.179
  20. S-H. Kim, and Y-G. Noh, 'Effects of the violence experience and emotional labor on burnout among tertiary hospital nurses', Journal of Health Informatics and Statistics, Vol.47, No.4, pp.290-296, 2022. https://doi.org/10.21032/jhis.2022.47.4.290
  21. Y-J. Kim, C-W. Kim, H-B. Im, S-Y. Lee, and J-H. Kang, 'The relationship of emotional burnout on hospital nursing workload', Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.9, pp.93-102, 2019. https://doi.org/10.5762/KAIS.2019.20.9.93
  22. Y-A. Cho, M-K. Kim, Y-S. Cho, and N-Y. Nam, 'Nurses' Communications with health professionals', Journal of Korean Clinical Nursing Research, Vol.19, No.1, pp.20-32, 2013.
  23. J-S. Lee, and M-H. Chung, 'Relationship between job stress, burnout, and job satisfaction of beauty workers', Journal of the Korea Fashion & Costume Design Association, Vol.22, No.2, pp.105-115, 2020.
  24. J-H. Ham, "The relation among nurses' experience of verbal abuse, social support and their turnover intention", Master's Thesis, Ajou University, 2013.
  25. J-S. Park, "The effect of communication type, communication ability and emotional labor on jab stress of small and medium-sized hospital nurses", Master's Thesis, Nambu University, 2020.
  26. S-H. Kim, and M-A. Lee, 'Effects of emotional labor and communication competence on turnover intention in nurses', Journal of Korean Academy of Nursing Administration, Vol.20, No.3, pp.333-442, 2014. https://doi.org/10.11111/jkana.2014.20.3.332
  27. H-M. Son, and K-M. Sung, 'The mediating effects of self-efficacy in the relationship between communicative competence within the medical team and turnover intention in hospital nurses', Journal of the Korea Academia-Industrial cooperation Society, Vol.18, No.12, pp.300-309, 2017. https://doi.org/10.5762/KAIS.2017.18.12.300
  28. H-S. Lee, and J-K. Kim, 'Relationship among communication competence, communication types, and organizational commitment in hospital nurses', Journal of Korean Nursing Administration, Vol.16, No.4, pp.488-496, 2010. https://doi.org/10.11111/jkana.2010.16.4.488
  29. C. Maslach, 'Burn-Out', Human Behavior, Vol.5, No.9, pp.16-22, 1976.
  30. E-H. Kang, and S-S. Im, 'Relationship of job stress to turnover intention in hospital Nurses of rural areas: job embeddedness as a mediator', Journal of Korean Academy of Nursing Administration, Vol.28, No.5, pp.534-544, 2022. https://doi.org/10.11111/jkana.2022.28.5.534
  31. M-J. Kim, J-W. Lee, and J-S. Park, 'Effects of nurses' practice environment and job embeddedness on turnover intention in medium-small sized hospital', Journal of the Korea Academia-Industrial Cooperation Society, Vol.18, No.1, pp.222-230, 2017. https://doi.org/10.5762/KAIS.2017.18.1.222
  32. H-K. Cho, T-Y. Lee, and C-W. Kim, 'Hospital nurse turnover rate and structural characteristics of hospital', Journal of the Korean Academia-Industrial, Vol.16, No.1, pp.453-461, 2015. https://doi.org/10.5762/KAIS.2015.16.1.453
  33. Y-J. Son, Y-A. Lee, K-N. Sim, S-S. Kong, and Y-S. Park, 'Influence of communication competence and burnout on nursing performance of intensive care units nurses', Journal of Korean Academy of Fundamentals of Nursing, Vol.20, No.3, pp.278-288, 2013. https://doi.org/10.7739/jkafn.2013.20.3.278
  34. C. Finney, E. Stergiopoulos, J. Hensel, S. Bonato, and C-S. Dewa, 'Organizational stressors associated with job stress and burnout in correctional officers: A systematic review', BMC Public Health, Vol.29, No.82, pp.1-13, 2013. https://doi.org/10.1186/1471-2458-13-82
  35. Y-S. Kang, Y-C. Kwon, and Y-A. Kim, '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, Vol.16, No.12, pp.449-457, 2018. https://doi.org/10.14400/JDC.2018.16.12.449
  36. H-S. Kang, and Y-Y. Kim, 'Influence of the emotional intelligence, communication competence and stress coping on turnover intention in psychiatric nurses', Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No.1, pp.141-151, 2016. https://doi.org/10.5762/KAIS.2016.17.1.141
  37. S-Y. Kim, and J-S. Lee, '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', Journal of The Health Care and Life Science, Vol.10, No.1, pp.99-109, 2022. https://doi.org/10.22961/JHCLS.2022.10.1.99
  38. S-J. Kang, 450,000 nurses, doubled in 10 years. 1 person in charge of 45 patients. https://www.news1.kr/articles/?5005359