DOI QR코드

DOI QR Code

임상간호사의 사회적 지지, 자기효능감, 직무스트레스가 건강증진행위에 미치는 영향

Effects of Clinical Nurses' Social Support, Self-efficacy and Job Stress on Health Promoting Behaviors

  • 김세시라 (동신대학교 일반대학원 간호학과 ) ;
  • 김은아 (동신대학교 간호학과 )
  • Se-Si-Ra Kim (Graduate School, Department of Nursing, Dongshin University) ;
  • Eun-A Kim (Department of Nursing, Dongshin University)
  • 투고 : 2024.02.15
  • 심사 : 2024.04.26
  • 발행 : 2024.04.30

초록

본 연구는 임상간호사의 사회적 지지, 자기효능감, 직무스트레스가 건강증진행위에 미치는 영향을 확인하기 위해 시행되었다. 연구 대상자는 G시에 소재한 3개의 종합병원에 근무 중인 6개월 이상의 임상간호사 345명으로, 수집된 자료는 SPSS 26.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson 상관관계 및 다중회귀분석을 시행하였다. 연구결과, 사회적 지지(𝛽=.36, p<.001)와 자기효능감(𝛽=.35, p<.001)이 높고, 직무스트레스가(𝛽=-.09, p=.018) 낮은 경우, 주 4회 이상 아침식사(𝛽=.20, p<.001)를 하는 경우, 주관적 건강상태가 건강(𝛽=.20, p=.001)하거나 보통인 경우(𝛽=.20, p<.001) 건강증진행위 수준이 높은 것으로 나타났고, 건강증진행위에 대한 이들 변수의 설명력은 49%로 나타났다(F=26.57, p<.001). 따라서 임상간호사의 건강증진행위 향상을 위한 프로그램 및 정책반영이 필요하다.

This study aimed to confirm the effect of social support, self-efficacy, and job stress of clinical nurses on health promoting behaviors. The subjects of this study were 345 clinical nurses with more than 6 months of experience working at three general hospitals located in G city. Collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression analysis using SPSS 26.0 program. As a result, the prediction factors influencing health promoting behaviors were social support(𝛽=.36, p<.001), self-efficacy(𝛽=.35, p<.001), job stress(𝛽=-.09, p=.018), having breakfast four times a week or more(𝛽=.20, p<.001), and perceived health status is good(𝛽=.20, p=.001) or average(𝛽=.20, p<.001). And the explanatory power on health promoting behaviors from these variables was 49%(F=26.57, p<.001). Therefore, it is necessary to reflect programs and policies to improve the health promoting behaviors of clinical nurses.

키워드

참고문헌

  1. Statistics Korea [Ienternet]. Available From: https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35003_A003&checkFlag= N. (accessed Feb, 5, 2024) 
  2. M. S. Lee, H. H. Sim, J. Y. Bae, E. S. Na, Y. S. Tae. "Experience of Health promotion behavior of clinical Nurses" Journal of Wholitic Nursing Science, Vol.7, No.1 pp. 249-261, (2014).
  3. M. J. Choi, I. Y. Yoo. "The Effect of Social Support and Ego-resilience on Health Promotion Behavior in Nurses" The Korean Society of Living Environmental System, Vol.28, No.1 pp. 86-94, (2021). 
  4. J. S. Kim, C. J. Kim. "Association of Job Stress with Health-promoting Behaviors and Health Status in Clinical Nurses" Korean Journal of Occupational Health Nursing, Vol.25, No.4 pp. 311-319, (2016). 
  5. J. H. Bark, H. J. Kim. "Factors Affecting Nurse's Health Promoting Behaviours: Focus on Ego-Resilience, Subjective Well-Being" Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.9, No.3 pp. 459-470, (2019). 
  6. Pender NJ, Murdaugh CL, Parsons MA. "Health promotion in nursing practice 8th edition", Pearson, (2018). 
  7. Cohen S, Syme SL. "Issues in the study and application of social support", Academic Press, (1985). 
  8. Y. S. Kim, K. S. Lee. "Influencing Factors on Health Promotion Behavior of Nursing Students" Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, Vol.7, No.5 pp. 509-522, (2017). 
  9. J. S. Lee, S. Y. Lee. "Factors Influencing health Promoting Behaviors for Long-term care Hospital Nurses" Journal of Industrial Convergence, Vol.19, No.6 pp. 93-99, (2021). 
  10. Strecher VJ, McEvoy DeVellis B, Becker MH, Rosenstock IM. "The role of self-efficacy in achieving health behavior change" Health education quarterly, Vol.13, No.1 pp. 73-92, (1986). 
  11. Bandura A. "Self-efficacy mechanism in human agency" American psychologist, Vol.37, No.2 pp. 122, (1982). 
  12. Bandura A, Ramachaudran VS. "Encyclopedia of human behavior", Academic Press, (1994). 
  13. Y. M. Ha, H. K. Choi. "Relationships among Self Efficacy, Social Support, and Health Promoting Behaviors in Correctional Officers" Korean journal of occupational health nursing, Vol.23, No.3 pp. 163-170, (2014). 
  14. J. W. Park, M. J. Kwon. "The Effect of Well-being, Fatigue, and Self-efficacy on Health Promotion Behaviors among Shift Workers" Korean journal of occupational health nursing, Vol.28, No.4 pp. 293-299, (2019). 
  15. K. S. Kim, J. E. Cha, Y. I. Kim. "Effects of Workplace Bullying, Health Promotion Lifestyle, and Physical Symptoms on Occupational Stress of New Nurses in General Hospitals" Korean journal of occupational health nursing, Vol.28, No.1 pp. 12-20, (2019). 
  16. Job stress [Ienternet]. Available From: https://kras.kosha.or.kr/health/health_tab02. (accessed Feb, 5, 2024) 
  17. J. E. Kim. "The effect of job stress and positive psychological capital on health promotion behavior in nurses" Master's Thesis, Jeonju University, (2023). 
  18. M. H. Jang, S. H. Jung, D. H. Lyu. "Effect of Job stress perceived by childcare teacher on anger control" The Journal of Social Convergence Studies, Vol.6, No.3 pp. 63-75, (2022). 
  19. Y. M. Jang, J. Y. Park. "The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment" Korean journal of occupational health nursing, Vol.27, No.3 pp. 160-170, (2018). 
  20. Zimet, G. D., Dahlem, N. W., Zimet, S. G., Farley, G. K. "The multidimensional scale of perceived social support" Journal of personality assessment, Vol.52, No.1 pp. 30-41, (1988). 
  21. J. S. Shin, Y. B. Lee. "The Effects of Social Supports on Psychosocial Well-being of the Unemployed" Korean journal of social welfare, Vol.37 pp. 241-269, (1999). 
  22. Lynn MR. "Determination and quantification of content validity" Nursing Research, Vol.35, No.6 pp. 382-385, (1986). 
  23. Lechner L, de Vries H, Offermans N. "Participation in a breast cancer screening program: influence of past behavior and determinants on future screening participation" Preventive Medicine, Vol.26, No.4 pp. 473-482, (1997). 
  24. M. J. Kim, M. O. Gu. "An analytical study of work stress among clinical nurses" Journal of Korean academy of nursing, Vol.15, No.3 pp. 39-49, (1985). 
  25. E. J. Lee. "An Analysis of the Factors affecting General Hospital Nurses' Intention to Leave the Job" Master's Thesis, Hanyang University, (2002). 
  26. Walker SN, Sechrist KR, Pender NJ. "The health-promoting lifestyle profile: development and psychometric characteristics" Nursing research, Vol.36, No.2 pp. 76-81, (1987). 
  27. Y. O. Seo. "Structural Model on the Health Promotion Lifestyle of Middle-aged Women" Doctoral Dissertation, Kyung Hee University, (1995). 
  28. D. Y Lee. "The study of old people's engagement in swimming on their perceived health status, health promotion, influence on the quality of life" Master's Thesis, Korea National Sport University, (2015). 
  29. S. Y. Lee, D. H. Kim. "The Effect of Emotional Labor, Job Stress and Social Support on Nurses' Job Satisfaction" The Korean journal of stress research, Vol.27, No.3 pp. 215-223, (2019). 
  30. H. Y. Han, J. Y. Lee, I. S. Jang. "The Moderating Effects of Social Support between Emotional Labor and Job Satisfaction in Clinical Nurses" Korean Journal of Occupational Health Nursing, Vol.24, No.4 pp. 331-339, (2015). 
  31. I. S. Park. "The Relationships among Nursing Workload, Nurse Manager's Social Support, Nurses' Psychosocial Health and Job Satisfaction" Doctoral Dissertation, Seoul University, (2016). 
  32. M. H. Kim, J. M. Park. "A Study on the Factor of Retention Intention on Nurses in Small and Medium-sized Hospitals" Journal of the Korea Entertainment Industry Association, Vol.14, No.2 pp. 195-203, (2020). 
  33. M. K. Choi, S. J. Lim. "The Influence of Job Stress and Resilience on Work-Life Balance of Nurses in Small and Medium Hospitals" The Journal of Social Convergence Studies, Vol.6, No.5 pp. 69-81, (2022). 
  34. J. Y. Choi. "Operating Room Nurse's Health Promoting Behavior Factors, Focusing on Nursing Work Environment and Job stress" Master's Thesis, Seoul University, (2019). 
  35. E. J. Kim, "The Effect of Teacher Mindfulness on Job Stress and Burnout" The Korean journal of stress research, Vol.26, No.3 pp. 208-214, (2018). 
  36. Y. G. Cha, K. C. Ahn, S. J. Kim. "Effect of Job Stress of Public Officials on Job Satisfaction -Focusing on the Moderating Effect of Organizational Culture Types-" Korean Journal of Local Government & Administration Studies, Vol.37, No.1 pp. 105-128, (2023). 
  37. M. L. Heo, G. H. Lee, M. J. Kim, H. Y. Shin, M. E. Kim. "Analyzing the Influence of Post-Pandemic Health Promotion Behaviors in Early Adulthood in Korea" Crisisonomy, Vol.19, No.10 pp. 57-72, (2023). 
  38. Y. S. Im, S. O. Lee. "Impacts of Aging Anxiety, Self-Efficacy and Marital Intimacy on Health Promotion Behavior in Late Middle-Aged Women" The Korean Journal of Health Service Management, Vol.16, No.3 pp. 129-139, (2022). 
  39. S. Kang. "Influence of Fatigue, Health Perception, and Happiness on Health Promoting Behaviors among General Hospital Nurses" Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.8 pp. 456-465, (2018). 
  40. J. H. Park, N. Y. Kim. "The Effect of Nurse's Grit, Health Perception on Health Promotion Behaviors: The Mediating effect of Self-efficiency" Journal of digital convergence, Vol.18, No.12 pp. 325-333, (2020). 
  41. S. S. R. Kim, E. A. Kim. "Effects of Nursing College Students' Health Consciousness, Health Self-efficacy and Self-care Agency on Health Promoting Behavior" The Journal of Korean Society for School & Community Health Education, Vol.24, No.1 pp. 33-46, (2023). 
  42. J. H. Jeong, H. K. Lee. "Factors Affecting Health-promoting Behavior of Nurses in Small and Medium-sized Hospitals based on the IMB Model" Korean Academic Society of Rehabilitation Nursing, Vol.25, No.2 pp. 102-112, (2022). 
  43. M. A. Kim, N. S. Seo. "Influence of Job Stress and Perceived Health on Health Promotion Behaviors of Geriatric Hospital Nurses" Korean society for Wellness, Vol.15, No.4 pp. 729-740, (2020). 
  44. S. J. Oh, S. H. Shin, G. Y. Go, Bhandari Pratibha. "The Effect of Job Stress on Health Promoting Behaviors among Nurses: Mediating Selection, Optimization and Compensation Strategy" Korean Journal of Adult Nursing, Vol.26, No.2 pp. 149-158, (2014). 
  45. OECD Health Statistics 2022 [Ienternet]. Available From: https://www.mohw.go.kr/board.es?mid=a10411010300&bid=0019&act=view&list_no=372947. (accessed Feb, 5, 2024) 
  46. E. S. Choi, G. S. Jeon. "The Impacts of Psychosocial Work Conditions on Self-rated Health among Korean Workers" Korean Journal of Occupational Health Nursing, Vol.25, No.4 pp. 300-310, (2016). 
  47. M. Y. Kim, S. O. Choi, J. H. Yun. "The Effects of Nurses' Fatigue and Perceived Health Status on Health Promoting Behavior" Journal of The Korean Data Analysis Society, Vol.20, No.5 pp. 2665-2677, (2018).