COVID-19 거점 전담병원 간호사의 직무스트레스와 간호업무환경이이직의도에 미치는 영향
Effect of Job Stress and Nursing Work Environment of Nurses in COVID-19 Dedicated Hospital on Turnover Intention
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
본 연구는 COVID-19 거점 전담병원의 간호사를 대상으로 직무스트레스와 간호업무환경, 이직의도를 파악하고 이직의도에미치는 영향요인을 확인하고자 수행되었다. 2022년 9월 1일부터 9월 27일까지 I지역의 일 개 COVID-19 거점 전담병원 간호사144명을 대상으로 자료를 수집하였으며, 수집된 자료는 SPSS Statistics 23.0 프로그램을 이용하여 분석하였다. 연구결과, 이직의도는 근무경력(F=11.20, p<.001)과 직급(F=4.09, p=.009)에 따라 유의한 차이를 보였다. 또한 이직의도는 직무스트레스(r=.561,p<.001), 간호업무환경(r=-.382, p<.001)과 유의한 상관관계를 나타냈다. 이직의도의 영향요인은 직무스트레스(β=.46, p<.001), 11년 이상의 근무경력(β=.34, p<.001), 3~10년의 근무경력(β=.20, p=.022), 간호업무환경(β=-.22, p=.001)이며 43.9%의 설명력을 보였다. 이에 COVID 19 거점 전담병원 간호사의 이직의도를 감소시키기 위해 감염병 상황에서는 경력별 업무 특성을 고려한 직무스트레스 감소 방안과 효율적인 간호업무환경을 조성해야 하겠다.
Abstract
This study was conducted to identify job stress, nursing work environment, and turnover intention for nurses at COVID-19dedicated hospital, and to identify factors influencing turnover intention. From September 1 to September 27, 2022, 144 nursesat a COVID-19 dedicated hospital in the I area were collected. The collected data used the SPSS Statistics 23.0 program. As aresult of the study, the intention to turnover according to general characteristics showed significant differences in work experience(F=11.20, p<.001), and by position (F=4.09, p=.009). In addition, turnover intention showed a significant correlation with job stress(r=.561, p<.001) and nursing work environment (r=-.382, p<.001). The factors influencing turnover intention were job stress (β=.46,p<.001), work experience of more than 11 years (β=.34, p<.001), work experience of 3-10 years (β=.20, p=.022), nursing work environment (β=-.22, p=.001), and 43.9% of explanatory power. Accordingly, in order to reduce the intention to turnover of nurses athospitals dedicated to COVID-19, it is necessary to create measures to reduce job stress and an efficient nursing work environmentconsidering the characteristics of work by career in infectious disease situations.
참고문헌 (32)
- N. R. Shin, "Global trends in preparation for future infectious diseases", Public Health Weekly Report, 12(5), pp.120~126 (2019)
- P. Winnand, "Assessment of psychological and physical stressors among nurses in different functional areas before and during the COVID-19 pandemic : a cross-sectional study", BMC Nursing, 22(1), pp.257~ (2023)
- "Statement-on-the-fifteenth-meeting-of-the-international-health-regulations-(2005)-emergency-committeeregarding-the-coronavirus-disease-(COVID-19)-pandemic" (2023)[URL]
- "Cause of Death Statistics 2022" (2023)[URL]
- V. Haldane, "Health systems resilience in managing the COVID-19 pandemic: lessons from 28 countries", Nature Medicine, 27(6), pp.964~980 (2021)
- C. Costa, "Factors affecting perceived work environment, wellbeing, and coping styles: A comparison between physicians and nurses during the COVID-19 pandemic", International Journal of Environmental Research and Public Health, 19(17), pp.11104~ (2022)
- J. G. Adams, "Supporting the health care workforce during the COVID-19 global epidemic", JAMA, 323(15), pp.1439~1440 (2020)
- O. N. Kim, "Factors affecting post-traumatic stress of nurses in direct care for COVID-19 patients", Journal of Korean Clinical Nursing Research, 3, pp.121~129 (2021)
- H. J. Park, "Effects of fatigue, nursing professionalism, and nursing work environment on nursing intention for COVID-19 patients among nurses in a designated COVID-19 hospital", Journal of Korean Academy of Nursing Administration, 29(3), pp.223~233 (2023)
- M. Al Maqbali, "Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the COVID-19 pandemic : A systematic review and meta-analysis", Journal of Psychosomatic Research, 141(1), pp.110343~ (2021)
- N. M. Lou, "Nurses'and physicians' distress, burnout, and coping strategies during COVID-19: stress and impact on perceived performance and intentions to quit", Journal of Continuing Education in the Health Professions, 42(1), pp.e44~e52 (2022)
- S. D. AI Sabei, "Nurses' job burnout and its association with work environment, empowerment and psychological stress during COVID-19 pandemic", International Journal of Nursing Practice, 28(5), pp.e13077~ (2022)
- C. A. Sinsky, "COVID-related stress and work intentions in a sample of US health care workers. Mayo Clinic Proceedings: Innovations", Quality & Outcomes, 5(6), pp.1165~1173 (2021)
- S. Y. Lee, "Factors affecting the turnover intention of hospital nurses quarantined in cohort due to the outbreak of COVID-19 : Focused on a university hospital", Journal of the Korea Convergence Society, 13(4), pp.561~572 (2022)
- A. P. Montgomery, "Work environment, resilience, burnout, intent to leave during COVID pandemic among nurse leaders : A cross-sectional study", Journal of Nursing Management, 30(8), pp.4015~4023 (2022)
- K. Kester, "Implementing AACN’s healthy work environment framework in an intensive care unit", American Journal of Critical Care, 30(6), pp.426~433 (2021)
- E. T. Lake, "Development of the practice environment scale of the nursing work index", Research in Nursing &Health, 25(3), pp.176~188 (2002)
- J. Blanchard, "The perceived work environment and well-being : a survey of emergency health care workers during the COVID-19 pandemic", Academic Emergency Medicine, 29(7), pp.851~861 (2022)
- A. Bruyneel, "Association of burnout and intention-to-leave the profession with work environment : A nationwide cross-sectional study among Belgian intensive care nurses after two years of pandemic", International Journal of Nursing Studies, 137, pp.104385~ (2023)
- F. Faul, "Statistical power analyses using G*Power 3. 1 : tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)
- J. Cohen, "A power primer", Psychological Bulletin, 112(1), pp.155~159 (1992)
- S. Her, "Development and application of job stress measurement tool for infection control nurses", Ph. D., pp.2013
- L. H. Aiken, "Measuring organizational traits of hospitals : the revised nursing work index", Nursing Research, 49(3), pp.146~153 (2000)
- P. Van Bogaert, "Hospital nurse practice environment, burnout, job outcomes and quality of care : test of a structural equation model", Journal of Advanced Nursing, 65(10), pp.2175~2185 (2009)
- J. Y. Cho, "A predictive model for turnover intentions of emergency room nurses using structural equation modeling", Asia-pacific Journal of Convergent Research Interchange, 9(4), pp.313~324 (2023)
- S. D. Cheon, "A study about influence on job stress factors with leader-member exchange, job satisfaction, organizational commitment and intention of turnover", International Journal of Tour-ism and Hospitality Research, 20(1), pp.17~34 (2006)
- E. Y. Lee, "Effect of emotional labor and positive psychological capital on turnover intention of nurses dedicated to COVID-19", Master, pp.2022
- H. J. Jung, "Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome(MERS)outbreak", Journal of the Korea Academia-Industrial Cooperation Society, 18(3), pp.175~184 (2017)
- S. H. Jun, "Fatigue and work stress for infection control, work overload, and turnover intentions of nurses in neonatal intensive care unit", Master, pp.2019
- J. Y. Lee, "Impact of job demands on healthcare workers turnover intention changes before and after COVID19", Master, pp.2021
- J. H. Bae, "Factors influencing the turnover intention of COVID-19 ward and general ward nurses in public hospitals", Korean Journal of Occupational Health Nursing, 30(2), pp.46~56 (2021)
- J. S. Shiao, "Factors predicting nurses consideration of leaving their job during the SARS outbreak", Nursing Ethics, 14(5), pp.5~18 (2007)