DOI QR코드

DOI QR Code

코로나-19 환자를 돌보는 간호사의 직무스트레스, 자기 돌봄, 회복탄력성이 전문직 삶의 질에 미치는 영향

The Effect of Job Stress, Self-Care, and Resilience on the Quality of Professional Life of Nurses Caring for Patients with COVID-19

  • 장선희 (창신대학교 간호학과) ;
  • 김민영 (창신대학교 일반대학원) ;
  • 차애경 (창신대학교 일반대학원) ;
  • 이재정 (창신대학교 일반대학원) ;
  • 장귀석 (창신대학교 일반대학원) ;
  • 진영숙 (창신대학교 일반대학원) ;
  • 이성주 (창신대학교 일반대학원)
  • Jang Sunhee ;
  • Kim Minyeong ;
  • Cha Aegyeong ;
  • Lee Jaeiung ;
  • Jang Gwuseok ;
  • Jin yoingsook ;
  • Lee Sungju (Dept. of nursing, Changshin University)
  • 투고 : 2024.04.24
  • 심사 : 2024.06.14
  • 발행 : 2024.07.31

초록

본 연구는 코로나-19 환자를 돌보는 간호사를 대상으로 전문직 삶의 질에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 2023년 4월 10일부터 2023년 4월 28일까지 G도에 소재한 3개의 코로나 지정병원에서 코로나-19 환자를 돌보는 간호사를 대상으로 145명을 대상으로 설문지를 이용하여 자료를 수집하였다. SPSS 25.0프로그램을 사용하여 기술통계, t-test, one-way ANOVA, Pearson's correlation coefficient, Hierarchical regression analysis을 사용하였다. 코로나 19 환자를 돌보는 간호사의 전문직 삶의 질에 영향을 미치는 요인을 분석한 결과 회복탄력성(β=.49, p<.001), 직무스트레스(β=-.36, p<.001)로 나타났으며, 모형에 대한 설명력은 53.7%이었다(F=32.20, p<.001). 본 연구결과 코로나 19 환자를 돌보는 간호사의 전문직 삶의 질을 향상하기 위해서는 직무스트레스를 줄이고, 회복탄력성 향상을 위한 구체적인 방안이 모색되어야 할 것이다.

This study is a descriptive research study to identify the factors affecting the quality of professional life for nurses caring for COVID-19 patients. From April 10, 2023 to April 28, 2023, data were collected from 145 nurses caring for COVID-19 patients in three designated COVID-19 hospitals in G-do using a questionnaire. Descriptive statistics, t-test, one-way ANOVA, Pearson's correction coefficient, and hierarchical regression analysis were used using the SPSS 25.0 program. As a result of analyzing the factors affecting the quality of professional life of nurses caring for COVID-19 patients, resilience (β=.49, p<.001) and job stress (β=-.36, p<.001) were found, and the explanatory power of the model was 53.7% (F=32.20, p<.001). As a result of this study, in order to improve the quality of professional life of nurses caring for COVID-19 patients, concrete measures to reduce job stress and improve resilience should be sought.

키워드

과제정보

본 연구는 2023년도 창신대학교 교내연구비로 진행 되었음(창신-2023-052).

참고문헌

  1. Ministry of Health and Welfare. Promotion of Step-by-Step Adjustment of Designated Hospital Beds for COVID-19 [Internet]. 
  2. J.H. Bae, A.Y. So, S.J. Chang, and S.A. Park, "Factors Influencing the Turnover Intention of COVID-19 Ward and General Ward Nurses in Public Hospitals," Korean Journal of Occupational Health Nursing, Vol. 30, No. 2, pp. 46-56, 2021. DOI:https://doi.org/10.5807/kjohn.2021.30.2.46 
  3. Park Yu Jin, cha kyeong sook, Lee Kee-Lyong "A study of the factors influencing burnout in clinical nurses throughout the COVID-19 pandemic-A focus on physical symptoms, depression, infection stress, and occupational stress" Journal of Nursing Research 2021, vol.5, no.3, pp. 11-23 (13 pages) DOI:https://doi.org/10.34089/jknr.2021.5.3.11 
  4. H.J. Yun, and J.H. Jeon, "Factors Influencing the Performance of Person-Centered Care Among Nurses in Designated COVID-19 Hospitals," Korean Journal of Adult Nursing, Vol. 34, No. 4, pp. 413-423, 2022. Vol., No., pp. -, 2022. DOI: https://doi.org/10.7475/kjan.2022.34.4.413 
  5. H.J. Park, and M.H. Park, "Factors Influencing the Intention of Nursing for Patients with Corona Virus Disease 19," Journal of Korean Society Nursing Ethics, Vol. 1 , No. 2 , pp. 19-30, 2021. DOI:https://doi.org/10.51462/jksne.2021.1.2.19 
  6. Korea Occupational Safety and Health Agency, 2012-Educational Media. DOI:https://shri.allwinedu.net/support/pds/%EC%A7%81%EB%AC%B4%EC%8A%A4%ED%8A%B8%EB%A0%88%EC%8A%A4%20%EA%B4%80%EB%A6%AC_0401.pdf 
  7. S.Y. Yun, and S.V. Ahn, "Correlation Between COVID-19 and Nurses' Job Stress and Burnout," Health Insurance Review & Assessment Service Research, Vol. 2, No. 2, pp. 202-218, 2022. DOI: https://doi.org/10.52937/hira.22.2.2.e5 
  8. J.Y. Nam, "Impediments to Self-Care for Special Education Teachers-Focusing on Self-Disagreement and Guilt.[master's thesis]. Seoul: Korea University; 2021. p. 1-45. 
  9. Lee, J. J & Miller, S. E. (2013). A self-care framework for social workers: Building a strong foundation for practice. Families in Society: The Journal of Contemporary Social Services, 94(2), 96-103. 
  10. K.M. Hong, and K.W. Kim, "A Research Study on the Concept of the Counselor's Self-Care and Related Variables," Korean Association For Play Therapy. Vol. 15, No. 2, pp. 153-177, 2012. 
  11. Y.H. Choi, "The Role of Mindfulness and Self-Compassion in the Relationship between Self-Care and Burnout/Compassion Fatigue of Counselors," [master's thesis]. Seoul Venture University; 2018. p. 1-169. 
  12. Eun Hee Park(2022). "The Influence Factors on Nursing Practice by Clinical Nurses(in the COVID-19 Situation)" Journal of industrial convergence, v.20 no.10, 2022년, pp.121-129. DOI:https://doi.org/10.22678/JIC.2022.20.10.121 
  13. Kang, Jenong-Sook, Lim, Ji-Young. "Effects of Clinical Nurses' Resilience on Job Stress and Burnout" The Journal of the Korea Contents Association, v.15 no.11, 2015년, pp.263-273. DOI:https://www.dbpia.co.kr 
  14. E.J. Lee, S.E. Baek, and Y.M. Cho, "Validation of the Professional Self-Care Scale for Korean Counselors," Korean Counseling Association. Vol. 20, No. 5, pp. 245-271, 2019. DOI:https://doi.org/10.15703/kjc.20.5.201910.245 
  15. S.H. Moon, M.H. Kim, D.Y. Kim, Y.J. Ryu, S.J. Lee, J.N. Jang, et, al., "Factors Influencing Organizational Commitment of Nurses at an Infectious Disease Hospital of COVID-19," Journal of Korean Critical Care Nursing, Vol. 15, No. 2, pp. 39-49, 2022. DOI:https://doi.org/10.34250/jkccn.2022.15.2.39 
  16. B.H. Stamm, (2009). "The Concise ProQOL Manual," Retrieved from ProQOL.org Database Avai lable from https://proqol.org/proqol-manual, 2010 University; 2018. p. 1-169. 
  17. Minyoung Shin, Woojoung Joung. "Effects of Job Stress, Social Support, and Infection Control Fatigue on Professional Quality of Life among Nurses in Designated COVID-19 Hospitals"J Korean Acad Nurs Adm. 2023 Dec;29(5):603-613. Korean. DOI:https://doi.org/10.11111/jkana.2023.29.5.603 
  18. H.S. Park, "The Factors Related to Professional Quality of Life for Psychiatric Mental Health Nurses," Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 30, No. 3, pp. 247-256, 2021. DOI:https://doi.org/10.12934/jkpmhn.2021.30.3.247 
  19. Sun-Ju Yo. "Work-Life Balance and Professional Quality of Life among Nurses in General Hospitals: Mediating Effects of Occupational Stres"The Korean Journal of Health Service Management Vol.15 No.2 pp.1-14 June 2021. DOI:https://doi.org/10.12811/kshsm.2021.15.2.00 
  20. H.J. Baek, and H.Y. Lee, "Korean Nurses Occupational Stress Scale(K-NOSS) Development," KOSHA Guide.2020;7(2):30-35. https://www.kosha.or.kr/kosha/data/mediaBankMain.do?medSeq=42454&codeSeq=1100000&medForm=&menuId=-1100000&mode=detail  100000&medForm=&menuId=-1100000&mode=detail
  21. K.E. Dorociak, P.A. Rupert, F.B. Bryant, and E. Zahniser, "Development of the Professional Self-Care Scale," Journal of Counseling Psychology, Vol. 64, No. 3, pp. 325-334, 2017. DOI: https://doi.org/10.1037/cou0000206 
  22. H.S. Baek, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale (K-CD-RISC),"[master's thesis]. Eulji University Graduate School of Medicine, Psychiatry. 2010. p. 1-23. DOI :http://www.riss.kr/link?id=T11976844&outLink=K 
  23. K.M. Connor, and J.R.T. Davidson, "Development of a New Resilience Scale: The Connor-Davison Resilience Scale(CD-RISC)," Depression and Anxiety, Vol. 18, No. 2, pp. 76-82, 2003. https://doi.org/10.1002/da.10113 
  24. Jo, Mi Jeong. Sung, Mi-Hae, "Impact of Role Conflict, Self-efficacy, and Resilience on Nursing Task Performance of Emergency Department Nurses "Korean Journal of Occupational Health Nursing Vol. 27 No. 1, 59-66, February 2018 DOI:https://doi.org/10.5807/kjohn.2018.27.1.59 
  25. H.S. Joo, Y.W. Cho, and H.N. Ahn, "Validation of the Korean Version of Professional Quality of Life Scale 5(K-ProQOL 5) for Mental Health Professional," Korean Association of Cognitive Behavioral Therapy. Vol. 16, No. 3, pp. 269-298, 2016. 
  26. Kim, Bona, Lim,nayoung."The Relationship between the Developmental Level of Art Therapists and Burnout: Focusing on the Mediating Effect of Self-Care and Self-Reflection"The Korean Journal of Arts Therapy, Vol.18. No.2, 1-21 DOI: https://www.earticle.net/Article/A339605 
  27. Pratibha Bhandari등(2023). "Effects of Anxiety, Resilience, and Self-efficacy on the Professional Competence of Nurses during the COVID-19 Pandemic" Industrial Convergence Research Vol. 21, No. 2, pp. 43-52, 2023. DOI:https://doi.org/10.22678/JIC.2023.21.2.043 
  28. Song, Jinsuk, SOO YEON HUH. "Moderating Effects of Self-Efficacy and Social Support on the Relationship between Resilience and Burnout: Focusing on Nurses' Experiences" Health and Social Welfare Review 38(4), 2018, 544-570. DOI:https://dx.doi.org/1015709/hswr.2018.38.4.544  1015709/hswr.2018.38.4.544
  29. Joo-Yeon Lee1, Mi-Hyang Lee. "A Study on Calling, Resillence, Leader-Member Exchange and Nursing Work Environment of Nurses in Small and Medium Sized Hospital" Journal of Digital Convergence Vol. 18. No. 2, pp. 313-321, 2020. DOI:https://doi.org/10.14400/JDC.2020.18.2.313 
  30. Lee, Myeong-Seon, Choe, Myoung-Ae. "A nurse fighting on the front lines of COVID-19" Perspectives in Nursing Science Vol. 18 No. 1, 33-39, April, 2021. DOI:https://doi.org/10.16952/pns.2021.18.1.33 
  31. Hong, Jin Young, Sohn, Sue Kyung. "Effect of Professional Quality of Life on the Professional Self-Concept of Intensive Care Unit Nurses in Tertiary Hospital"Journal of Korean Critical Care Nursing Vol.12, No.2, 13-25, June, 2019. DOI: https://doi.org/10.34250/jkccn.2019.12.2.13 
  32. Younghye Go, Mihyun Lee. "Effect of Resilience and Positive psychological Capital on the Professional Quality of Life in Hospital Nurses" Journal of The Korea Convergence Society Vol. 12. No. 12, pp. 551-562, 202. DOI:https://doi.org/10.15207/JKCS.2021.12.12.551 
  33. Jun, Sun Hwa, Lee, Mi Hyang, Choi, Mi Jung. "COVID-19 Infection Control-Related Fatigue, Job Stress, and Burnout in Nurses" Korean Academic Society of Home Health Care Nursing DOI:https://doi.org/10.22705/jkashcn.2021.28.1.16 
  34. Kim JI, Lee TH. "The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses."Journal of Korean Clinical Nursing Research Vol.22 No.2, 109-117, August 2016. DOI:https://doi.org/10.22650/JKCNR.2016.22.2.109 
  35. Mi Young Han, Min Sook Lee, Ju Young Bae, oung Suk Kim. "Effects of Nursing Practice Environment, Compassion Fatigue and Compassion Satisfaction on Burnout in Clinical Nurses"J Korean Acad Nurs Adm. 2015 Mar;21(2):193-202. Korean. DOI:https://doi.org/10.11111/jkana.2015.21.2.193v 
  36. Bo mi Kim, Hee yeon Kim. "The Effect of Nurses' Job Involvement and Emotional Labor on Their Intention to Leave Focusing on Shift Nurses" Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology Vol.9, No.12, December (2019), pp.535-544. DOI:http://dx.doi.org/10.35873/ajmahs.2019.9.12.048 
  37. Jordan, K. (2010). Vicarious trauma: Proposed factors that impact clinicians. Journal of Family Psychotherapy, 21(4), 225-237. 
  38. Bober, T., & Regehr, C. (2006). "Strategies forreducing secondary or vicarious trauma: Do they work?" Brief Treatment and Crisis Intervention, 6(1),1-9. 
  39. Sun-Ju You. "Effects of Job Stress and Resilience of Operating Room Nurses on the Professional Quality of Life (ProQOL)" The Korean Journal of Health Service Management Vol.15 No.2 pp.1-14 June 2021. DOI: https://doi.org/10.12811/kshsm.2021.15.2.001 
  40. 신지연, "Effects of Job Stress and Resilience of Operating Room Nurses on the Professional Quality of Life (ProQOL)"중앙대학교 건강간호대학원 석사논문 
  41. Eun-Young Noh, Young Jun Chai, Hyun Jeong Kim, Eunjin Kim,4 and Yeon-Hwan Park. "Nurses' Experience with Caring for COVID-19 Patients in a Negative Pressure Room Amid the Pandemic Situation" J Korean Acad Nurs. 2021 Oct;51(5):585-596 DOI: https://doi.org/10.4040/jkan.21148 
  42. Seon-Ja Park, Jee-Won Kim2, "Influence of Humanistic Knowledge and Occupational Stress on Professional Quailty of Life of Clinical Nurses"Journal of the Korea Academia-Industrial cooperation Society Vol. 20, No. 11 pp. 348-360, 2019. DOI:https://doi.org/10.5762/KAIS.2019.20.11.348