본문 바로가기
KERD
논문KCI 등재

응급실 간호사가 경험하는 무례함, 직무스트레스, 회복탄력성이 이직의도에 미치는 영향

The Impact of Incivility, Job Stress, Resilience of Emergency Room Nurses on Turnover Intention

이종은|송아리
대한의료커뮤니케이션학회 (Korean Academy on Communication in Healthcare)|2023.12|의료커뮤니케이션 (Health Communication, the Official Journal of Korean Academy on Communication in Healthcare)|제18권 제2호|pp. 9-20|DOI 10.15715/kjhcom.2023.18.2.9

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

직무스트레스Job Stress이직의도Turnover Intention무례함Incivility응급실 간호사Emergency Room Nurses
주제분류의학일반

초록

Purpose : This study is descriptive research investigating the effects of incivility, job stress, and resilience experienced by emergency room nurses on turnover intention. The study will identify the degree of incivility experienced by emergency room nurses and provide data to improve and cope with the impolite situations in emergency room. Methods : Participants were 203 nurses in the emergency departments of 10 hospitals. The data were analyzed using the SPSS Statistics 24.0 program with descriptive statistics, independent t-test, one-way ANOVA, Scheffé test and Pearson’s correlation coefficients and stepwise multiple regression analysis. Results : Turnover intention had significant positive correlations with job stress and incivility from various sources including patients and their caregivers, doctors, supervisors, and coworkers. In contrast, turnover intention had a significant negative correlation with resilience. The most influencing factor for increasing turnover intention was nursing job dissatisfaction, followed by neutral job satisfaction, job stress, not wanting to work in the ER, unmarried marital status, and incivility from coworkers. The total explanatory power of these factors was 36.3%. Conclusion : This study indicates that the less incivility experience among the emergency room nurses is associated with less job stress and lower turnover intention. Therefore, nursing organizations must establish specific support strategies to reduce incivility and job stress experienced by emergency room nurses and minimize their turnover intention.

Abstract

Purpose : This study is descriptive research investigating the effects of incivility, job stress, and resilience experienced by emergency room nurses on turnover intention. The study will identify the degree of incivility experienced by emergency room nurses and provide data to improve and cope with the impolite situations in emergency room. Methods : Participants were 203 nurses in the emergency departments of 10 hospitals. The data were analyzed using the SPSS Statistics 24.0 program with descriptive statistics, independent t-test, one-way ANOVA, Scheffé test and Pearson’s correlation coefficients and stepwise multiple regression analysis. Results : Turnover intention had significant positive correlations with job stress and incivility from various sources including patients and their caregivers, doctors, supervisors, and coworkers. In contrast, turnover intention had a significant negative correlation with resilience. The most influencing factor for increasing turnover intention was nursing job dissatisfaction, followed by neutral job satisfaction, job stress, not wanting to work in the ER, unmarried marital status, and incivility from coworkers. The total explanatory power of these factors was 36.3%. Conclusion : This study indicates that the less incivility experience among the emergency room nurses is associated with less job stress and lower turnover intention. Therefore, nursing organizations must establish specific support strategies to reduce incivility and job stress experienced by emergency room nurses and minimize their turnover intention.

참고문헌 (50)

  1. Hong KJ, "Comparison of Nursing Workforce Supply and Employment in South Korea and Other OECD Countries", Perspectives in Nursing Science, 14(2), pp.55~63 (2017)
  2. "Survey on deployment status of hospital nurses manpower"[URL]
  3. "Survey of Establishment labor power"[URL]
  4. Noh HK, "A study on the violence experience, emotional response and job satisfaction of emergency department nurses", pp.2007
  5. "Emergency Medical statistics report"[URL]
  6. Jang HM, "A study on the fatigue and job stress for infection control and the turnover intention of emergency room nurses", pp.2018
  7. Anderson LM, "Tit for tat The spiraling effect of incivility in the workplace", Academy of management review, 24(3), pp.452~471 (1999)
  8. Hwang JY, "The effect of workplace incivility on job burnout : The moderating role of resilience", pp.2018
  9. Felblinger DM, "Incivility and bullying in the workplace and nurses’shame responses", Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(2), pp.234~242 (2008)
  10. Park KS, "Factors affecting turnover intention in comprehensive nursing care service units: Focus on workplace incivility, nursing work environment, and nursing professionalism", pp.2020
  11. 고종욱, "간호사의 직무스트레스와 직무만족 및 조직몰입간의 관계에서 사회적 지지의 역할", Journal of Korean Academy of Nursing, 33(2), pp.265~274 (2003), 한국간호과학회
  12. Cho HS, "A study on determining factors of work stress coping strategies of nurses", pp.2001
  13. Kim HJ, "The correlation and affecting factors between job stress and presenteeism among emenrgency room nurses", pp.2013
  14. 최은미, "응급실 간호사의 공감피로와 간호업무수행 및 직무 스트레스", 근관절건강학회지, 27(1), pp.41~49 (2020), 대한근관절건강학회[DOI]
  15. 송영진, "응급실 간호사의 폭력경험, 자아탄력성, 직무스트레스와의 관계연구", 한국응용과학기술학회지, 37(5), pp.1390~1401 (2020), 한국응용과학기술학회
  16. 곽은미, "응급실 간호사의 직무스트레스와 음주 관계 연구", 문화기술의 융합, 6(2), pp.145~152 (2020), 국제문화기술진흥원
  17. 권혜경, "한국 간호사의 회복탄력성과 관련된 변인의 메타분석", 임상간호연구, 23(1), pp.100~109 (2017), 병원간호사회[DOI]
  18. 김성남, "중환자실 간호사의 회복탄력성, 직무스트레스 및 조직몰입", 가정간호학회지, 21(1), pp.36~43 (2014), 한국가정간호학회
  19. 이안생, "사회적 지지와 자아탄력성이 병원간호사의 간호업무 성과에 미치는 영향", 한국직업건강간호학회지, 21(3), pp.283~289 (2012), 한국직업건강간호학회
  20. 고경자, "종합병원 간호사의 회복탄력성과 직무배태성이 이직의도에 미치는 영향", 간호행정학회지, 25(4), pp.362~372 (2019), 간호행정학회
  21. 한상숙, "신규간호사의 이직의도와 영향요인", Journal of Korean Academy of Nursing, 39(6), pp.878~887 (2009), 한국간호과학회
  22. Guidroz AM, "The nursing incivility scale: Development of an occupation- specific incivility measure", Paper presented at the 22nd Annual Conference of the Society of Industrial and Organizational Psychology (2007)
  23. 김세영, "병원간호사의 근무지에서 무례함, 소진, 조직몰입과의 경로분석 연구", 간호행정학회지, 19(5), pp.555~564 (2013), 간호행정학회[DOI]
  24. 장세진, "한국인 직무 스트레스 측정도구(KOSS)", 스트레스 硏究, 13(3), pp.183~197 (2005), 대한스트레스학회
  25. 박미미, "간호사 극복력 측정도구 개발", 기본간호학회지, 23(1), pp.32~41 (2016), 기본간호학회[DOI]
  26. Mobley WH, "Review and conceptual analysis of the employee turnover process", Psychological Bullentin, 86, pp.493~522 (1979)
  27. Lee GH, "The Impact of career plateau on turnover intentions : Concerning on bank employees", pp.2004
  28. Ham JH, "The relation among nurses experience of verbal abuse, social support and their turnover intention", pp.2013
  29. 강정미, "사회적 자본, 업무강도, 무례함이 아동간호사의 직무소진에 미치는 영향", Child Health Nursing Research, 23(1), pp.61~69 (2017), 한국아동간호학회[DOI]
  30. Sung CA, "Factors related to nursing performance among intensive care unit nurses", pp.2018
  31. 김송이, "병원간호사가 경험하는 무례함이 직무 스트레스에 미치는 영향과 자기효능감의 조절효과", 간호행정학회지, 23(1), pp.8~17 (2017), 간호행정학회[DOI]
  32. 박미현, "간호·간병통합서비스 병동 간호사의 역할갈등과 직무스트레스가 간호전문직관에 미치는 영향", 한국융합학회논문지, 11(2), pp.351~360 (2020), 한국융합학회[DOI]
  33. 이현정, "중소병원 간호사의 직장 내 괴롭힘, 직무스트레스, 조직몰입이 이직의도에 미치는 영향", 한국콘텐츠학회 논문지, 20(8), pp.572~582 (2020), 한국콘텐츠학회[DOI]
  34. 배현지, "간호사 노동시장의 이중구조에 관한 실증 분석: 수도권 대형병원과 지방중소병원의 비교", Journal of The Korean Data Analysis Society, 23(2), pp.741~756 (2021), 한국자료분석학회[DOI]
  35. Hong EY, "A study on typology of stress coping strategies of emergency room nurses", pp.2004
  36. 오명옥, "응급실 간호사의 직무 스트레스, 피로, 직무 만족 및 조직 몰입", 임상간호연구, 17(2), pp.215~227 (2011), 병원간호사회
  37. 이유림, "응급실 간호사의 직무 스트레스가 이직의도에 미치는 영향", 근관절건강학회지, 22(1), pp.30~39 (2015), 대한근관절건강학회[DOI]
  38. Seo RY, "Interpersonal relationship(guardian–patient)stress of emergency room nurse and resilience", pp.2016
  39. 배은주, "중소병원 간호사의 스트레스 대처능력과 회복탄력성이 재직의도에 미치는 영향", 한국산학기술학회논문지, 19(11), pp.662~671 (2018), 한국산학기술학회[DOI]
  40. 황수연, "응급실 간호사의 폭력경험에 대한 반응, 회복탄력성이 소진에 미치는 영향", 임상간호연구, 24(3), pp.303~312 (2018), 병원간호사회[DOI]
  41. 이정숙, "간호사의 회복탄력성, 직무만족, 사회적 지지가 조직몰입에 미치는 영향", 보건의료산업학회지, 12(1), pp.57~67 (2018), 보건의료산업학회[DOI]
  42. Mun MY, "The influencing of language violence experience, burnout and job satisfaction on turnover intention of nurses in small and medium hospitals", pp.2020
  43. "Survey of Health Manpower"[URL]
  44. 박미라, "간호사의 이직의도, 눈치, 직무스트레스가 조직사회화에 미치는 영향", 디지털융복합연구, 18(1), pp.159~168 (2020), 한국디지털정책학회[DOI]
  45. Lee YH, "Effect of nursing organizational culture on turnover intention in hospital nurses : Mediating effect of workplace incivility", pp.2020
  46. Cho JY, "Predictive model of emergency nurses’ turnover intentions : Exploratory approach based on structural equation model", pp.2014
  47. Kim BH, "A study on job stress and stress coping style by the personality types of clinical nurses", pp.2002
  48. Bambi S, "Workplace incivility, lateral violence and bullying among nurses. A review about their prevalence and related factors", Acta Biomedica for Health Professions, 89(S6), pp.51~79 (2018)
  49. 김세영, "간호사들이 근무지에서 경험하는 무례함(incivility)에 대한 연구", Journal of Korean Academy of Nursing, 43(4), pp.453~467 (2013), 한국간호과학회
  50. Crawford CL, "An integrative review of nurse-to-nurse incivility, hostility, and workplace violence : A GPS nurse leaders", Nursing Administration Quarterly, 43(2), pp.138~159 (2019)

관련 논문AI추천

응급실 간호사의 직무 스트레스가 이직의도에 미치는 영향안숙희, 이유림대한근관절건강학회 · 근관절건강학회지2015 · 제22권 제1호응급실 간호사와 병동간호사의 이직의도에 미치는 영향요인 비교: 극복력, 간호근무환경, 소진 중심으로김지연, 지은주대한의료커뮤니케이션학회 · 의료커뮤니케이션2024 · 제19권 제1호응급실 간호사의 대인관계 스트레스가 소진 및 직무만족도에 미치는 영향: 회복탄력성의 매개효과강인순, 권소영, 손민서간호과학연구소 · 글로벌 건강과 간호2021 · 제11권 제1호응급실 간호사의 폭력경험에 대한 반응, 회복탄력성이 소진에 미치는 영향한지영, 황수연병원간호사회 · 임상간호연구2018 · 제24권 제3호응급실 간호사의 폭력경험, 폭력반응 및 회복탄력성이 간호업무성과에 미치는 영향김경은, 양남영한국가정·방문간호학회 · 가정·방문간호학회지2021 · 제28권 제1호응급실 간호사의 이직의도 영향요인맹수연, 성미혜한국직업건강간호학회 · 한국직업건강간호학회지2015 · 제24권 제2호

이 간행물의 다른 논문 (12건)

디지털 환경에서 효과적인 ‘함께하는 의사결정’을 위한 요인김문정, 김혜경, 김도경pp. 1-8게임기반 테이블 탑 시뮬레이션을 통한 간호학생, 간호관리자, 간호교원간의 시스템 사고와 혁신적 행동 비교나윤희, 김영주pp. 21-27Effect of Team Work on Depressive Mood in Korean Employees박정덕, 최병선, 홍기훈pp. 29-41일개 대학 병원의 환자안전을 위한 전공의, 간호사 간 의사소통 훈련 개발박상욱, 김효열, 박경혜, 김성엽, 정우진, 공태훈, 최향옥, 양소희, 이석정pp. 43-48교양교육과 연계된 인성교육이 간호대학생의 인성, 대학생활적응능력에 미치는 효과이진주, 이현주pp. 49-56
원문 보기