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신생아집중치료실 간호사의 임종간호 스트레스, 대처방식 및심리적 안녕감

Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units

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Purpose: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. Methods: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. Results: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. Conclusion: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Abstract

Purpose: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. Methods: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. Results: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. Conclusion: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

참고문헌 (28)

  1. 배종우, "2009년 한국 시도별 미숙아, 저체중출생아의 빈도 및 신생아중환자 실의 현황", Neonatal medicine, 18(1), pp.70~75 (2011), 대한신생아학회
  2. Dessy E, "Effective communication in difficult situation: Preventing stress and burnout in the NICU", Early Human Development, 85(10), pp.S39~S41 (2009)[DOI]
  3. Braithwaite M, "Nurse burnout and stress in the NICU", Advances in Neonatal Care, 8(6), pp.343~347 (2008)[DOI]
  4. Infant, maternal and perinatal mortality statistics 2015, "Statistics Korea", Statistics Korea, ~, pp.Report No. 11-1240000-000652-10 (2016)
  5. 강현주, "신생아중환자실 간호사의 임종 환아 돌봄 경험", Child Health Nursing Research, 19(4), pp.252~261 (2013), 한국아동간호학회[DOI]
  6. Yam BM, "Caring for dying infants: Experiences of neonatal intensive care nurses in Hong Kong", Journal of Clinical Nursing, 10(5), pp.651~659 (2001)[DOI]
  7. Han KS, "Correlation between quality of life and health promoting behaviors among hospital nurses", Journal of Korean Academy Psychiatric Mental Health Nursing, 13(4), pp.430~437 (2004)
  8. Lazarus RS, "Perspectives in interactional psychology", pp.287~327 (1978), Plenum
  9. Lazarus RS, "Stress, appraisal, and coping", pp.1~445 (1984), Springer Publishing
  10. Kim JH, "The components and the relationship of stress coping behaviors to depression", Behavioral Science Research, 7, pp.127~138 (1985)
  11. Kim JH. Lee CH, "Relations of perceived stress, cognitive set, and coping behaviors to depression: A focus on freshmen's stress experiences", Korean Journal of Counseling and Psychotherapy, 1(1), pp.25~45 (1988)
  12. Wiedebusch S, "Quality of life, psychosocial strains and coping in parents of children with haemophilia", Haemophilia, 14(5), pp.1014~1022 (2008)[DOI]
  13. Ryff CD, "Happiness is everything, or is it? Explorations on the meaning of psychological well-being", Journal of Personality and Social Psychology, 57(6), pp.1069~1081 (1989)[DOI]
  14. Kim MS, "Analysis on the construct of Psychological Well-Being (PWB) of Korean male and female adults", Korean Journal of Social and Personality Psychology, 15(2), pp.19~39 (2001)
  15. 유미, "신생아중환자실 간호사의 업무 스트레스, 이직의도 및 소진에 관한 연구", 간호행정학회지, 17(1), pp.115~126 (2011), 간호행정학회
  16. Moore BM, "An examination of the moderating effect of proactive coping in NICU Nurses", The Journal of Perinatal & Neonatal Nursing, 32(3), pp.275~285 (2018)[DOI]
  17. [URL]
  18. Jang SH, "Neonatal intensive care unit nurses' stress of end-of-life care for high-risk newborn", pp.2013
  19. Ryff CD, "The structure of psychological well-being revisited", Journal of Personality and Social Psychology, 69(4), pp.719~727 (1995)[DOI]
  20. Kain VJ, "Palliative care delivery in the NICU: What barriers do neonatal nurses face", Neonatal Network, 25(6), pp.387~392 (2006)[DOI]
  21. 임지형, "무용전공 대학생의 스트레스 지각, 대처방식 및 심리적 안녕감 간의 인과관계", 한국스포츠심리학회지, 26(3), pp.81~93 (2015), 한국스포츠심리학회[DOI]
  22. 권경자, "임상간호사의 직무스트레스와 스트레스 대처방식이 소진에 미치는 영향", 간호행정학회지, 18(4), pp.383~393 (2012), 간호행정학회[DOI]
  23. 강희영, "간호대학 신입생의 행동유형에 따른 스트레스, 스트레스 대처방식 및 대학생활적응과의 관계", 한국간호교육학회지, 21(3), pp.289~297 (2015), 한국간호교육학회[DOI]
  24. 문하나, "응급실 간호사의 자아탄력성, 셀프리더십, 스트레스 대처방식이 직무만족에 미치는 영향", 한국직업건강간호학회지, 25(4), pp.268~276 (2016), 한국직업건강간호학회[DOI]
  25. 박진아, "간호대학생의 자아탄력성, 스트레스 대처방식이 대학생활 적응에 미치는 영향", 간호행정학회지, 17(3), pp.267~276 (2011), 간호행정학회
  26. 조헌하, "간호대학생의 회복탄력성, 대처 및 정신건강이 소진에 미치는 영향", Child Health Nursing Research, 24(2), pp.199~207 (2018), 한국아동간호학회[DOI]
  27. Welbourne JL, "Coping strategies in the workplace: Relationships with attributional style and job satisfaction", Journal of Vocational Behavior, 70(2), pp.312~325 (2007)[DOI]
  28. Howlett M, "Burnout in emergency department healthcare professionals is associated with coping style: A cross-sectional survey", Emergency Medicine Journal, 32(9), pp.722~727 (2015)[DOI]

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