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Examination of the Role of Self-Efficacy and Development of an Integrated Model to Overcome Nursing Staff Shortage CRISIS at Small and Medium Sized Hospitals in KOREA

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주제분류기타사회과학

초록

The purpose of this study was to overcome the nursing staff shortage crisis at small and medium sized hospitals by examining the mediation effects of organizational commitment and job satisfaction on the relationship between job stress and turnover intention. To do so, this study used Price’s voluntary turnover model and suggested an integrated model by exploring the moderated mediation effects of changes in self–efficacy. Methods: The survey was conducted with 344 nurses working at small to medium sized hospitals in C city. Data collection was conducted for two weeks, from June 1 to 15, 2016, and the collected data were analyzed using Hayes’ macro process models 4 and 8 in SPSS 22.0. Results: The findings indicated that organizational commitment and job satisfaction have indirect effects on the relationship between job stress and turnover intention. Self-efficacy was found to have a moderation effect between job stress and mediating variable pathways and also have a mediation effect on job satisfaction pathways. Conclusion: In order to reduce the turnover intention of nurses in small to medium sized hospitals, it is necessary to develop a practical self-efficacy improvement program and action plan for the nursing work place.

Abstract

The purpose of this study was to overcome the nursing staff shortage crisis at small and medium sized hospitals by examining the mediation effects of organizational commitment and job satisfaction on the relationship between job stress and turnover intention. To do so, this study used Price’s voluntary turnover model and suggested an integrated model by exploring the moderated mediation effects of changes in self–efficacy. Methods: The survey was conducted with 344 nurses working at small to medium sized hospitals in C city. Data collection was conducted for two weeks, from June 1 to 15, 2016, and the collected data were analyzed using Hayes’ macro process models 4 and 8 in SPSS 22.0. Results: The findings indicated that organizational commitment and job satisfaction have indirect effects on the relationship between job stress and turnover intention. Self-efficacy was found to have a moderation effect between job stress and mediating variable pathways and also have a mediation effect on job satisfaction pathways. Conclusion: In order to reduce the turnover intention of nurses in small to medium sized hospitals, it is necessary to develop a practical self-efficacy improvement program and action plan for the nursing work place.

참고문헌 (39)

  1. 유성자, "일 지역 지방중소병원 간호사의 이직의도에 영향을 미치는 예측요인", 간호행정학회지, 15(1), pp.16~25 (2009), 간호행정학회
  2. Buchan J, "Policies to Sustain the Nursing Workforce: An International Perspective", International Nursing Review, 62(2), pp.162~170 (2015)
  3. 박광옥, "간호·간병통합서비스를 적용한 병동 간호사의 환자간호 경험", 간호행정학회지, 23(1), pp.76~89 (2017), 간호행정학회[DOI]
  4. 권정옥, "중소병원 간호단위의 간호근무환경이 간호사의 이직의도에 미치는 영향", 간호행정학회지, 18(4), pp.414~423 (2012), 간호행정학회[DOI]
  5. Shekelle PG, "Nurse-patient Ratios as a Patient Safety Strategy: A Systematic Review", Annals of Internal Medicine, 158, pp.404~409 (2013)
  6. Duffield CM, "A Comparative Review of Nurse Turnover Rates and Costs across Countries", Journal of Advanced Nursing, 70(12), pp.2703~2712 (2014)
  7. 최현주, "중소병원 간호사의 직무·조직·경력특성과 이직의도와의 관계에서 일-가정 갈등의 조절효과", 간호행정학회지, 21(3), pp.297~307 (2015), 간호행정학회[DOI]
  8. Bledow R, "The Affective Shift Model of Work Engagement", J Appl Psychol, 96(6), pp.1246~1257 (2011)
  9. 정선애, "혈액투석실 간호사의 언어폭력 경험, 직무스트레스, 소진이 이직의도에 미치는 영향", 간호행정학회지, 22(2), pp.189~198 (2016), 간호행정학회[DOI]
  10. 이유림, "응급실 간호사의 직무 스트레스가 이직의도에 미치는 영향", 근관절건강학회지, 22(1), pp.30~39 (2015), 대한근관절건강학회[DOI]
  11. 방병문, "간호사의 직무스트레스와 직무만족도가 소진과 이직의도에 미치는 영향관계 실증연구", 디지털융복합연구, 13(2), pp.205~213 (2015), 한국디지털정책학회[DOI]
  12. 한상숙, "간호사의 멘토링이 이직의도에 미치는 영향: 역할 스트레스와 소진의 매개효과 중심으로", Journal of Korean Academy of Nursing, 43(5), pp.605~612 (2013), 한국간호과학회
  13. Bluedorn AC, "A Unified model of Turnover from Organizations", Human Relations, 35(2), pp.135~153 (1982)
  14. Price JL, "Reflections on the Determinants of Voluntary Turnover", International Journal of Manpower, 22(7), pp.600~624 (2001)
  15. Luthans F, "The Mediating Role of Psychological Capital in the Supportive Organizational Climate-employee Performance Relationship", J Organ Behav, 29(2), pp.219~238 (2008)
  16. Newman A, "Psychological Capital: A Review and Synthesis", J Organ Behav, 35(S1), pp.120~138 (2014)
  17. Jang SH, "Assesing Mediated Moderation and Moderated Mediation: Guidelines and Empirical Illustration", Korean Jouranl of Pschology: General, 35(1), pp.257~282 (2016)
  18. Steel RP, "Turnover Process Models: Review and Synthesis of a Conceptual Literature", Human Resource Management Review, 19(4), pp.271~282 (2009)
  19. Chan ZC, "A Systematic Literature Review of Nurse Shortage and the Intention to Leave", J Nurs Manag, 21(4), pp.605~613 (2013)
  20. Hair JF, "Multivariate Data Analysis 6th Edition Pearson Prentice Hall New Jersey humans: Critique and Reformulation", Journal of Abnormal Psychology, 87, pp.49~74 (2006)
  21. 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화", Annals of Occupational and Environmental Medicine, 17(4), pp.297~317 (2005), 대한직업환경의학회
  22. Mowday RT, "The Measurement of Organizational Commitment", J Vocat Behav, 14(2), pp.224~247 (1979)
  23. Lee M, "Relationship between Organiza tional Culture Types and Organizational Effectiveness in Hospitals", Journal of Korean Academy of Nursing Administration, 4(2), pp.363~385 (1998)
  24. Sherer M, "The Self-Efficacy Scale: Construction and Validation", Psychol Rep, 51(2), pp.663~671 (1982)
  25. 김미란, "간호사의 조직몰입과 경력몰입이 이직의도에 미치는 영향", 간호행정학회지, 13(3), pp.335~344 (2007), 간호행정학회
  26. Hayes AF, "An Index and Test of Linear Moderated Mediation", Multivariate Behavioral Research, 50(1), pp.1~22 (2015)
  27. 김수희, "다수준 생존분석을 이용한 신규 간호사 이직 영향요인", Journal of Korean Academy of Nursing, 46(5), pp.733~743 (2016), 한국간호과학회
  28. Holtom BC, "5 Turnover and Retention Research: A Glance at the Past a Closer Review of the Present and a Venture into the Future", Academy of Management Annals, 2(1), pp.231~274 (2008)
  29. Newman A, "Psychological Capital: A Review and Synthesis", J Organ Behav, 35(1), pp.120~138 (2014)
  30. 김유미, "간호사의 자기효능감, 경력정체, 직무착근도 및 조직몰입이 이직의도에 미치는 영향", 간호행정학회지, 21(5), pp.530~541 (2015), 간호행정학회[DOI]
  31. 강군생, "간호사의 자기효능감과 집단효능감이 직무만족과 조직몰입에 미치는 영향", 한국직업건강간호학회지, 23(3), pp.123~133 (2014), 한국직업건강간호학회
  32. 박아이린, "MSQ 직무만족도 검사의 문항 및 척도 타당성 분석", 석사, 교육상담, pp.2005
  33. 홍혜영, "완벽주의 성향, 자기효능감, 우울과의 관계연구", 석사, 심리학, pp.1995
  34. Zhang YA, "Structure Equation Modeling of Chinese Nurses' Turnover Intention", Doctoral, pp.2016
  35. Survey of Status on Nursing Activities, "Park SK", Korea Health Industry Development Institute, ~ (2014)
  36. Survey on the Current Nurse Deployment, "Korea Hospital Nurses Association", Hospital Nurses Association, ~ (2016)
  37. Weiss DJ, "Minnesota Studies in Vocational Rehabilitation" (1967)
  38. Mobley W, "Employee Turnover" (1982), Addison-wesley
  39. Hayes AF, "PROCESS: A Versatile Computational Tool for Observed Variable Mediation, Moderation, and Conditional Process Modeling" (2012)

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