간호사가 경험하는 윤리적 딜레마와 소진 및 대처와의 관계
Relationships among Ethical Dilemma Experienced by Nurses, Burnout and Coping
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This study was designed to examine the relationships between nurses’ experiences with ethical dilemmas and their burnout and coping responses. Self-reported questionnaires were completed by 184 registered nurses working in a general hospital with 500 beds in Cheong-Ju city, South Korea. The data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient, using the SPSS/WIN 18.0 program. The mean score for the level of ethical dilemma was 0.60/1, and the area of professional nursing practice was the highest (M=0.71). The results showed that nurses experienced many ethical dilemmas in their practice. The mean score of the level of burnout was 2.65/4, and physical burnout was the highest (M=2.86). The mean score of the level of coping with ethical dilemma was 2.64/4. The ethical dilemma demonstrated significant correlations with coping (r=0.160, p=0.030). Ethical dilemmas in the clinical setting can lead to feelings of burnout and frustration. Nurses need further education on how to reduce ethical conflicts as well as training to develop strategies for effective coping with the ethical dilemmas they confront in practice.
Abstract
This study was designed to examine the relationships between nurses’ experiences with ethical dilemmas and their burnout and coping responses. Self-reported questionnaires were completed by 184 registered nurses working in a general hospital with 500 beds in Cheong-Ju city, South Korea. The data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation coefficient, using the SPSS/WIN 18.0 program. The mean score for the level of ethical dilemma was 0.60/1, and the area of professional nursing practice was the highest (M=0.71). The results showed that nurses experienced many ethical dilemmas in their practice. The mean score of the level of burnout was 2.65/4, and physical burnout was the highest (M=2.86). The mean score of the level of coping with ethical dilemma was 2.64/4. The ethical dilemma demonstrated significant correlations with coping (r=0.160, p=0.030). Ethical dilemmas in the clinical setting can lead to feelings of burnout and frustration. Nurses need further education on how to reduce ethical conflicts as well as training to develop strategies for effective coping with the ethical dilemmas they confront in practice.
참고문헌 (22)
- Wagner N, "Ethical dilemmas experienced by hospital and community nurses: an Israel survey", Nursing Ethics, 3(4), pp.294~304 (1996)
- 한성숙, "간호사들이 임상에서 경험하는 윤리적 딜레마의 실상과 의사결정에 관한 연구", 박사, pp.1992
- 김선자, "혈액투석실 간호사의 윤리적 딜레마에 관한 현상학적 연구", 석사, pp.2005
- Cohen JS, "Ethical dilemmas and moral distress in oncology nursing practice", CJON, 10(6), pp.775~782 (2006)
- Corley MC, "Nurse moral distress and ethical work environment", Nursing Ethics, 12(4), pp.381~390 (2005)
- 구정복, "임상간호사의 소진에 따른 복지대책", 석사, pp.2003
- Hoglund AT, "Ethical dilemma and ethical competence in the daily work of research nurses", Health Care Analysis, 18(3), pp.239~251 (2010)
- 김귀분, "간호사의 업무갈등", 대한간호학회지, 31(3), pp.492~505 (2001)
- 이광자, "간호사의 윤리적 딜레마, 대처유형, 직무만족도 및 이직의도와의 관계", 임상간호연구, 17(1), pp.1~15 (2011), 병원간호사회
- Cohen J, "Statistical Power Analysis for Behavioral Sciences (2nd ed)" (1988), Academic Press
- 홍근표, "간호원의 소진 경험에 관한 분석적 연구", 박사, pp.1984
- Lazarus RS, "Stress, Appraisal and Coping", pp.138~204 (1991), 대광문화사
- 한성숙, "만성질환아를 가진 어머니의 비통감과 이에 대응하는 정도에 관한 연구", 대한간호학회지, 29(4), pp.73~87 (1990)
- 양야기, "일 종합병원 간호사의 윤리적 딜레마와 직무만족도의 관계", 석사, pp.2003
- 박현주, "간호사의 윤리적딜레마와 대처유형.", 한국간호교육학회지, 10(1), pp.75~83 (2004)
- 김주희, "임상간호사의 윤리적 딜레마에 관한 태도조사", 대한간호학회지, 25(3), pp.496~509 (1995)
- Gorter RC, "Factorial validity of the Maslach burnout inventory-Dutch version (MBI-NL) among dentists", Journal of Organizational Behavior, 20(2), pp.209~217 (1999)
- Clark AP, "Developing ethical competence in nursing personnel", Clinical Nurse specialist, 17(5), pp.236~237 (2003)
- 최규진, "의료윤리교육을 위한 동료 의료인 간 갈등에 대한 연구", 생명윤리, 9(2), pp.17~34 (2008), 한국생명윤리학회
- Storch JL, "Shared moral work of nurses and physicians", Nursing Ethics, 14(4), pp.478~491 (2007)
- 최귀순, "응급실 간호사의 윤리적 어려움", 한국의료윤리학회지, 15(2), pp.219~230 (2012), 한국의료윤리학회
- 이명선, "심폐소생술금지와관련된병원간호사들의경험", Journal of Korean Academy of Nursing, 38(2), pp.298~309 (2008), 한국간호과학회