• 한국융합학회논문지
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• 제7권3호
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• pp.111-120
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• 2016

본 논문의 목적은 종합병원에 근무하는 비정규직 외래간호사가 겪는 경험 세계를 주관적이고 총체적으로 통찰하여 그들의 삶을 이해하는 것이다. 연구 대상자로 자신의 경험을 풍부히 나타낼 수 있는 종합병원 비정규직 외래간호사 7명을 임의 표출하였으며, Colaizzi의 현상학적 질적 연구 방법으로 분석하여 4개의 주제 묶음과 8개의 하위 범주로 도출되었다. 연구결과 비정규직 외래간호사는 계약직이라는 특수한 고용방법으로 인해 표면적으로는 근무환경에 만족한 것으로 나타났으나, 그 이면에는 보상이나 발전에 대한 불만이라는 양가감정을 느끼고 있음을 발견하였다. 이상의 결과들은 비정규직 외래간호사들의 근무경험에 대한 본질을 이해하는데 유용한 자료를 제공할 것이며, 이를 통해 비정규직 외래간호사들이 직면하고 있는 현실적인 문제에 관심을 갖고 접근할 수 있는 근거를 뒷받침할 수 있는 계기가 되기를 기대한다.

• 디지털콘텐츠학회 논문지
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• 제16권4호
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• pp.623-634
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• 2015

지방 종합병원 임상 시험센터에서 근무하는 임상연구 간호사로서의 근무경험의 의미와 본질이 무엇인지를 심층적으로 탐색하기 위함이다. "비정규직 임상연구 간호사로서의 근무경험은 어떠한가?" 임상연구 간호사의 업무 역할 경험을 사회문화적 맥락에서 해석하고 그 의미를 밝히기 위해 Spradley의 문화기술지 연구방법을 이용하였다. 연구를 통하여 도출된 주제는 다음과 같다. 임상연구 간호사로서의 업무 역할 경험에 있어 기존 간호업무와 관련하여 '임상연구 간호사로서의 사회화 되어 가는 과정', '연구 대상자들을 통한 애환'이었다. 임상연구 업무전문성은 전문교육부재', '연구 총 기획자의 역할'이었다. 근무환경 측면은 '자신만의 공간', '여유와 배려 속에서 주도적인 근무 환경'이었다. 복지 측면은 '비정규직만이 가진 고충'이었다. 비정규직 임상연구 간호사로서 근무경험은 간호사 역할 확대와 더불어 사회화 학습과정을 통하여 자신의 업무과정을 원활하게 수행하려는 경험을 하고 있었다. 결론은 간호사의 역할 확대에 따른 간호 전문직론에 임상연구 간호사의 직무분석과 역할이 추가로 구성될 필요가 있다. 사회적으로 비정규직 임상연구 간호사의 근로조건 개선에 기초적인 자료가 될 것이다.

• 한국보건간호학회지
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• 제33권2호
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• pp.270-283
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• 2019

Purpose: The aim of this study was to identify the job insecurity, job satisfaction, and organizational commitment of non-regular visiting nurses working at public health centers, and evaluate the effects of job insecurity on the job satisfaction and organizational commitment. Methods: This study was a descriptive survey study. One hundred forty-three visiting nurses, who were non-regular hired by 16 public health centers in B city, were selected using a convenient sampling method. Results: The results were analyzed using SPSS/Win 21.0. A feeling of helplessness (among job insecurity factors) and retention intention significantly affected the job satisfaction of non-regular visiting nurses, and their explanation power was 20%. Retention intention, a feeling of helplessness, and age significantly influenced the organizational commitment, and their explanation power was 26%. Conclusion: Therefore, it would be necessary to stabilize the employment type, provide appropriate promotion and compensation for nurses according to their work performance, and reduce the number of non-regular employees to increase the job satisfaction and organizational commitment of non-regular visiting nurses.

• 간호행정학회지
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• 제5권3호
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• pp.477-500
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• 1999

Korean labor market has showed remarkable change of the increase in the amount of unemployment and contingent employment since IMF bailout agreement. There is a theoretical position to explain this increase in contingent employment at hospitals with the notion of flexibility. The high flexibility of employment due to the increase of contingent employees is becoming very important part in new business strategy of hospitals. The types of contingent employment of the nurse are part-time employment temporary employment, fixed-term employment, and internship which was introduced in early 1999. Recently, Korean health care industry managers have paid attention to the customer oriented service, rationalization of business administration, service quality control so that they can adjust their business to outer environment. Especially their efforts concentrate on the wage reduction through efficient and scientific control of man power because wage shares about 40% of total cost. This dissertation aims at verifying the phenomena of the contingent employment of the nurse and analyzing the related factors and problems. To rephrase these aims in ordinal: First, verifying the phenomena of contingent employment of the nurse. Second, verifying the problems of that phenomena. Third, analyzing the related factors of the contingent employment of the nurse. To accomplish these research goals, a statistical survey was executed. in which 384 questionnaires-66 for manager nurses, 318 for contingent nurses - were given to nurses working at 66 hospitals-which have at least 100 beds-in Seoul. Among them, 187 questionnaires-38 from manager nurses, 149 from contingent nurses'- 'were returned. Then, the data coded and submitted to T-test, $X^2$ -test, variance analysis(ANOVA), correlation analysis, multiple regression analysis, Logistic Regression with SAS program. The research results of the contingent nurses are followings: 1. The average career term at the present hospital 8.4 months: duty-on days per month are 24.2 days: working time per day is 7.9 hours. These results showed little difference from regular nurses. 2. Their wage level is about 70% of regular nurses except for internship nurses whose wage level is 41% of regular nurses. To break down the wage composition, part-time nurses and internship nurses get few allowance and bonus. And contingent nurses get very low level of additional pay except for fixed-term nurses who are under similar condition of employment to regular nurses. These results show that hospital managers are trying to reduce the labor cost not only through the direct way of wage reduction but through differential treatment of bonus, retirement allowance, and other additional pay. 3. The problem of contingent employment: low level of pay; high level of turn-over rate: weakening of union; low level of working condition: heavy burden of work; inhuman treatment. The contingent nurses consider these problems more seriously than manager nurses do. What manager nurses regard problematic is the absence of feeling-belonged and responsibility of the contingent nurses. 4. The factors strongly related with the rate of the number of contingent nurses for the number of regular nurses; gross turn-over nurses; average in-patients per day; staring wage of graduate from professional college: the type of hospital ownership; the number of beds; the gap between gross newcomer nurses and gross turn-over nurses. The factors related with their gross wage per month; the number of beds; applying of health insurance; applying of industrial casualty insurance; applying of yearly-paid leave; the type of hospital ownership; average out-patients per day; gross turn-over nurses. The meaningful factors which make difference by employment type: monthly-paid leave; physiological leave. The logistic regression analysis using these two factors shows that monthly-paid leave is related with the type of hospital ownership; the number of beds; average out-patient per day, and physiological leave is related with the gross newcomer nurses; gross turn-over nurses; the number of beds.

• 한국보건간호학회지
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• 제33권2호
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• pp.188-199
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• 2019

Purpose: The aim of this study was to provide a person-job fit as the basis for a better job environment and human resource development by examining the causal relationships with the perceived organizational support and job satisfaction of 45 public health center nurses located in Gyeonggi Province. Methods: Frequency analysis, factor analysis, correlation analysis, path analysis, mediating effect, and moderating effect were verified for use by SPSS & AMOS 22 ver. to target to nurses located in Gyeonggi Province. Results: First, the person-job fit has a positive effect on the perceived organizational support and job satisfaction. Second, the perceived organizational support has a partial mediating effect. Third, there was no difference in verifying the moderating effect of full-time public servants and temporary public servants. Conclusion: This study examined the relationship among the person-job fit, job satisfaction as an organizational effectiveness, and the perceived organizational support of mediated effect for nurses working at public health centers. The nurses in government service containing permanent and temporal employees was the adjustment effect. The analysis results showed that the ability of public health center nurses to perform tasks related to person-job fit and the ability of the individual to perceived organizational support was high. In addition, and the job satisfaction was good.

• 대한간호학회지
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• 제40권6호
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• pp.882-891
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• 2010

Purpose: This study was designed to identify burnout and factors influencing burnout in contingent nurses. Methods: A cross-sectional design was conducted with a sample of 228 contingent nurses randomly selected from 25 general hospitals in Korea. The tools used for this study were scales measuring burnout (8 items), job stress (8 items), job satisfaction (9 items), self efficacy (9 items), organizational commitment (9 items), empowerment (9 items), autonomy (7 items) and social support (8 items). The data were analyzed using SPSS 15.0 employing Pearson correlation coefficients and multiple regression analysis. Results: The mean score for burnout in contingent nurses was 3.05 points. Factors influencing burnout in contingent nurses were identified as job stress (${\beta}$=.40), satisfaction level with current ward (${\beta}$=-.25), organizational commitment (${\beta}$=-.21), job satisfaction (${\beta}$=-.19) and empowerment (${\beta}$=-.16). These factors explained 65.0% of burnout reported by contingent nurses. Conclusion: The results indicate which factors are major factors influencing burnout in contingent nurses in general hospitals. Therefore, these factors may serve as predictors of burnout in contingent nurses.

• 지역사회간호학회지
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• 제29권3호
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• pp.267-278
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• 2018

Purpose: This study is to investigate working conditions including job stress among visiting nurses in public health centers in Korea. Methods: An social network based mobile survey was conducted in May 2017 (N=936, response rate: 47.0%). Results: The visiting nurses in this study had their average total career as a nurse is 13.7 years. The 68.3% of them were employed in an indefinite term, 17.0% were hired in a fixed term, and 11.0% came from outsourcing. They responded as high job-stress level including inadequate compensation (71.22/100) and job demands (71.91/100). They experienced down-talk (63.4%), swearwords (32.9%), being made a dirty face (39.9%), sexual jokes (30.8%), or being likened or evaluated with their appearance sexually (14.3%). Among the causes of job related conflicts and discrimination, deprived salary level was the most frequent reason (83.4%). The conflicts and discrimination were incurred by government officers (52.4%). There were no significant differences in overall job stress, emotional labor, organizational commitment, violence, and discrimination experience based on their employment types. Conclusion: The differences in working conditions among the non-regular nurses were trivial, and their overall working conditions were poor. It is necessary to improve non-regular nurses' working conditions in order to make up the limitations of the Korean healthcare system which is centered on hospitals.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.664-675
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• 2016

본 연구의 목적은 간호사의 시간선택제 근무에 대한 인식을 조사하고 활성화를 위한 합리적인 근무방안을 제시하는 것이다. 자료는 무작위 할당표출법을 이용하여 전국의 532명의 간호사를 대상으로 2015년 2월 10일부터 24일 까지 설문조사를 하였다. 자료 분석을 위해 SPSS 21.0 프로그램을 사용하였다. 본 연구의 결과에서 시간선택제 근무 중 단축시간제에 대한 필요성($M=3.89{\pm}0.87$)과 지원 의향(46.2%)이 가장 높게 나타났으며, 야간전담제, 휴일전담제, 2교대제 순이었다. 지원 선택의 이유로는 교대근무의 힘든 업무와 육아 병행의 어려움이 가장 높게 나타났다. 시간선택제 근무시행에 따른 긍정적인 영향으로는 자기계발 활동이나 여가활동의 증가로 삶의 질을 높일 수 있고, 육아와 일-가정 양립이 가능한 점이었으며, 부정적인 영향으로는 비정규직으로 채용될 우려와 급여가 감소할 것이라는 의견이 가장 높게 나타났다. 본 연구의 결과를 토대로 시간선택제 근무를 시행하기 위한 선결조건으로 시간선택제 근무 유형에 따른 보상과 근무조건에 대한 표준화된 운영 지침을 제시함으로써 추후에 시간선택제 간호사의 균등한 근무조건을 마련하는데 기여할 수 있다.