간호·간병통합서비스 병동과 일반병동 간호사의 심리사회적 업무환경과 건강결과와의 관련성
Relationships between Psychosocial Work Environment and Health Outcomes among Nurses in Integrated Nursing Care Wards and General Wards
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to examine the differences in nurses’ psychosocial work environment (PWE) in integrated nursing care wards (IWs) with higher nurse staffing and general wards (GWs) with lower staffing, and to analyze the effect of PWE on their health outcomes. Methods: Data were collected from 151 nurses in IWs and 156 nurses in GWs at a tertiary hospital in Seoul in 2023. The Korean version of the Copenhagen Psychosocial Questionnaire III was used to measure PWE and health outcomes. Regression analyses were conducted to examine the effect of PWE on health outcomes. Results: The most negative aspects of the nurses’ work environment were found in the work demand domain. IW nurses (vs. GW nurses) reported lower work demand, better work organization and job contents, and a more positive work-individual interface. Nurse health outcomes were also better in the IWs. Lower work demand and better work-individual interfaces were positively associated with improved health outcomes, while ward type (IW vs. GW) was not significantly related to health outcomes. Conclusion: Reducing work demand by expanding integrated nursing care services nationwide and improving nurse staffing in GWs is crucial for improving health outcomes.
Abstract
Purpose: This study aimed to examine the differences in nurses’ psychosocial work environment (PWE) in integrated nursing care wards (IWs) with higher nurse staffing and general wards (GWs) with lower staffing, and to analyze the effect of PWE on their health outcomes. Methods: Data were collected from 151 nurses in IWs and 156 nurses in GWs at a tertiary hospital in Seoul in 2023. The Korean version of the Copenhagen Psychosocial Questionnaire III was used to measure PWE and health outcomes. Regression analyses were conducted to examine the effect of PWE on health outcomes. Results: The most negative aspects of the nurses’ work environment were found in the work demand domain. IW nurses (vs. GW nurses) reported lower work demand, better work organization and job contents, and a more positive work-individual interface. Nurse health outcomes were also better in the IWs. Lower work demand and better work-individual interfaces were positively associated with improved health outcomes, while ward type (IW vs. GW) was not significantly related to health outcomes. Conclusion: Reducing work demand by expanding integrated nursing care services nationwide and improving nurse staffing in GWs is crucial for improving health outcomes.
참고문헌 (30)
- Aiken, L. H., "Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States", Bmj, 344 (2012)[DOI]
- Berthelsen, H., "Copenhagen psychosocial questionnaire-a validation study using the job demand-resources model", PloS One, 13(4), pp.e0196450~ (2018)[DOI]
- Burr, H., "The third version of the Copenhagen psychosocial questionnaire", Safety and Health at Work, 10(4), pp.482~503 (2019)[DOI]
- Cho, E. H., "Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses", Journal of Korean Academy of Nursing, 41(3), pp.325~332 (2011)[DOI]
- Recommendation for the amendment of inpatient nursing fee schedules based on nurse staffing standards in general wards, "Cho, S. H.", Hospital Nurses Association, ~ (2022)
- Cho, S. H., "Nurse staffing levels and proportion of hospitals and clinics meeting the legal standard for nurse staffing for 1996~2013", Journal of Korean Academy of Nursing Administration, 22(3), pp.209~219 (2016)[DOI]
- Cho, S. H., "Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes", International Journal of Nursing Practice, 26(1), pp.e12803~ (2020)[DOI]
- Cho, S. H., "Average hospital length of stay, nurses' work demands, and their health and job outcomes", Journal of Nursing Scholarship, 46(3), pp.199~206 (2014)[DOI]
- Choi, E., "The impacts of psychosocial work conditions on self-rated health among Korean workers", Korean Journal of Occupational Health Nursing, 25(4), pp.300~310 (2016)[DOI]
- Choi, E., "The impacts of psychosocial work environments on depressive symptoms among Korean registered nurses", Korean Journal of Occupational Health Nursing, 26(1), pp.30~39 (2017)[DOI]
- Hong, K. J., "Effect of working time quality on the work-life imbalance of nurses", Journal of Korean Academy of Nursing Administration, 26(1), pp.11~21 (2020)[DOI]
- June, K. J., "Reliability and validity of the Korean Version of the Copenhagen Psyco-social Questionnaire Scale", Korean Journal of Occupational Health Nursing, 22(1), pp.1~12 (2013)[DOI]
- Kristensen, T. S., "The Copenhagen Psychosocial Questionnaire-a tool for the assessment and improvement of the psychosocial work environment", Scandinavian Journal of Work, Environment & Health, pp.438~449 (2005)[DOI]
- Lee, J. M., "A comparative study on job stress and turnover intention between nurses in integrated nursing service wards and nurses in general wards", Journal of Social Science, 33(1), pp.1~48 (2016)
- Lee, J. Y., "Changes in working hours and labor intensity and their effect on sleep difficulties of shift work nurses in hospitals", Journal of Korean Academy of Nursing Administration, 29(4), pp.446~456 (2023)[DOI]
- Lee, Y. M., "A study about compassion fatigue, compassion satisfaction and burnout in comprehensive nursing care and general ward nurses", Journal of Korean Clinical Nursing Research, 24(2), pp.188~196 (2018)[DOI]
- Lee, Y., "Effects of psychosocial work environment on stress, depression, sleep disorder, and burnout of general hospital nurses", Korean Journal of Occupational Health Nursing, 24(2), pp.114~121 (2015)[DOI]
- Lim, Y. H., "Effects of job stress, fatigue, burnout, and job satisfaction on turnover intention among general hospital nurses", Journal of the Korea Academia-Industrial cooperation Society, 19(6), pp.264~274 (2018)[DOI]
- Lim, Y. J., "Nurses' job stress, patient safety culture, and patient safety management activities-comparing comprehensive nursing care service wards with general wards", Journal of Korean Academic Society of Home Health Care Nursing, 28(3), pp.295~306 (2021)[DOI]
- "COPSOQ III. Guidelines and questionnaire. COPSOQ International Network" (2020)[URL]
- "2023 Standard guidelines for integrated nursing service" (2023)[URL]
- "Korean Working Conditions Survey (KWCS)"[URL]
- Pejtersen, J. H., "The second version of the Copenhagen Psychosocial Questionnaire", Scandinavian Journal of Public Health, 38(3_suppl), pp.8~24 (2010)[DOI]
- Qureshi, S. M., "Predicting the effect of nurse-patient ratio on nurse workload and care quality using discrete event simulation", Journal of Nursing Management, 27(5), pp.971~980 (2019)[DOI]
- Ramkissoon, A., "Dissecting the effect of workplace exposures on workers' rating of psychological health and safety", American Journal of Industrial Medicine, 62(5), pp.412~421 (2019)[DOI]
- Recommendation for the nursing management and fee schedules for public health and patient safety, "Shin, Y. S.", Health Insurance Review & Assessment Service, ~, pp.G000E33-2023-170 (2023)
- Survey of healthcare workforce status, "Shin, Y. S.", Ministry of Health and Welfare, ~, pp.2021-00 (2022)
- Sousa, V. D., "Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research : a clear and user-friendly guideline", Journal of Evaluation in Clinical Practice, 17(2), pp.268~274 (2011)[DOI]
- Useche, S. A., "Psychosocial work factors, job stress and strain at the wheel : Validation of the copenhagen psychosocial questionnaire(COPSOQ)in professional drivers", Frontiers in Psychology, 10, pp.1531~ (2019)[DOI]
- "WHOQOL Translation methodology" (2020)[URL]