연명의료 간호 스트레스가 중환자실 간호사의 소진에 미치는영향: 도덕적 정체성과 여가만족도의 매개효과를 중심으로
Effect of Nursing Stress Related to Life Sustaining Treatment on Burnout in Intensive Care Unit Nurses: Mediating Effects of Moral Identity and Leisure Satisfaction
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Purpose: This study examined the relationships between nursing stress related to life sustaining treatment, moral identity,leisure satisfaction, and burnout among intensive care unit (ICU) nurses. The mediating effects of moral identity and leisuresatisfaction on the relationship between nursing stress related to life sustaining treatment and burnout were alsoinvestigated. Methods: A descriptive survey was conducted between August 1 and September 30, 2024. The questionnairesurvey was administered to 200 ICU nurses with over six months of experience at two university hospitals in City B. Analysesincluded t-tests, ANOVA, Scheffe’s test, Pearson's correlation, and Hayes' Process Macro Model 4. Results: Burnout wasfound negatively associated with moral identity (r=-.19, p=.012) and leisure satisfaction (r=-.19, p=.009), while nursingstress related to life sustaining treatment shown to be positively associated with burnout (r=.17, p=.022). Moral identityand leisure satisfaction mediated the relationship between nursing stress related to life sustaining treatment and burnout. Conclusion: To prevent burnout among ICU nurses, it is suggested that strategies should focus on enhancing moral identityand leisure satisfaction.
Abstract
Purpose: This study examined the relationships between nursing stress related to life sustaining treatment, moral identity,leisure satisfaction, and burnout among intensive care unit (ICU) nurses. The mediating effects of moral identity and leisuresatisfaction on the relationship between nursing stress related to life sustaining treatment and burnout were alsoinvestigated. Methods: A descriptive survey was conducted between August 1 and September 30, 2024. The questionnairesurvey was administered to 200 ICU nurses with over six months of experience at two university hospitals in City B. Analysesincluded t-tests, ANOVA, Scheffe’s test, Pearson's correlation, and Hayes' Process Macro Model 4. Results: Burnout wasfound negatively associated with moral identity (r=-.19, p=.012) and leisure satisfaction (r=-.19, p=.009), while nursingstress related to life sustaining treatment shown to be positively associated with burnout (r=.17, p=.022). Moral identityand leisure satisfaction mediated the relationship between nursing stress related to life sustaining treatment and burnout. Conclusion: To prevent burnout among ICU nurses, it is suggested that strategies should focus on enhancing moral identityand leisure satisfaction.
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