신생아실 간호사의 직무스트레스와 피로도와의 관계
The Relation Between the Occupational Stress and Fatigue Level of Neonatal Nurses
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Purpose: The purpose of this study was to investigate occupational stress and fatigue level of neonatal nurses and to assess relationship between the two of them. Methods: Subjects were 109 neonatal nurses working at 2university hospitals and 9 women's hospitals in D city, and the data were analyzed using descriptive statistics and binary logistic regression analysis by the SPSS/WIN 15.0. Results: The mean score of nurses' occupational stress level was 3.22, and the highest was 'night shift' among the 7 subcategories, and fatigue level was 62.0, and the highest was physical fatigue in configuration field. In logistic regression analyses, 'heavy workload' and ‘inadequate physical environment’ led to most occupational stress. Conclusion: In addition to significantly higher levels of occupational stress of neonatal nurses, the cumulative fatigue also resulted in decreased quality of nursing, job satisfaction and nursing productivity; therefore, appropriate number of nurses and improvement of work environment is necessary. Furthermore, to reduce the occupational stress and fatigue, we should try to develop adequate clinical guidelines and intervention strategies and apply them in neonatal care unit.
Abstract
Purpose: The purpose of this study was to investigate occupational stress and fatigue level of neonatal nurses and to assess relationship between the two of them. Methods: Subjects were 109 neonatal nurses working at 2university hospitals and 9 women's hospitals in D city, and the data were analyzed using descriptive statistics and binary logistic regression analysis by the SPSS/WIN 15.0. Results: The mean score of nurses' occupational stress level was 3.22, and the highest was 'night shift' among the 7 subcategories, and fatigue level was 62.0, and the highest was physical fatigue in configuration field. In logistic regression analyses, 'heavy workload' and ‘inadequate physical environment’ led to most occupational stress. Conclusion: In addition to significantly higher levels of occupational stress of neonatal nurses, the cumulative fatigue also resulted in decreased quality of nursing, job satisfaction and nursing productivity; therefore, appropriate number of nurses and improvement of work environment is necessary. Furthermore, to reduce the occupational stress and fatigue, we should try to develop adequate clinical guidelines and intervention strategies and apply them in neonatal care unit.
참고문헌 (30)
- Braithwaite,M, "Nurse burnout and stress in NICU", Advances in Neonatal Care, 8(6), pp.343~347 (2008)
- Byeon, Y. S., "Reliability and validity tests for the Fatigue Assessment Instrument (FAI)", The Korean Journal of Fundamentals of Nursing, 11(2), pp.220~225 (2004)
- 차경태, "사무직 근로자들의 직무 스트레스와 피로", 대한직업환경의학회지, 20(3), pp.182~192 (2008), 대한직업환경의학회
- 장순복, "아로마 흡입이 밤번근무 간호사의 수면과 피로에 미치는 효과", 성인간호학회지, 20(6), pp.941~949 (2008), 성인간호학회
- Chung, E. C., "Job stress, self-efficacy and health promoting behaviors in hospital nurses", The Korean Academy of Psychiatric and Mental Health Nursing, 11(3), pp.398~405 (2002)
- Dawson, D, "Managing fatigue: It's about sleep", Sleep Medicine Review, 9, pp.365~380 (2005)
- Fuhrer, R., "The epidemiology of fatigue and depression: A French primary care study", Psychological Medicine, 25, pp.895~905 (1995)
- Gill, N. E., "Transitional newborn infants in a hospital nursery: From first oral cue to first sustained cry", Nursing Research, 33(4), pp.213~217 (1984)
- Grace, E., "Infant at risk", Advances in Neonatal Care, 6(3), pp.120~126 (2006)
- 한애경, "임상간호사의 성격유형에 따른 직무스트레스와 대응방법에 관한 연구", 임상간호연구, 13(2), pp.125~136 (2007), 병원간호사회
- "Power analyses for tests based on the z distribution . Retrieved December 06, 2009, from Heinrich Heine University of Düsseldorf" (2007)[URL]
- 강진욱, "제조업 남성 근로자의 피로 및 스트레스에 영향을 미치는 요인", 대한직업환경의학회지, 17(2), pp.129~137 (2005), 대한직업환경의학회
- Kim, H. S, "Direct care stress and job satisfaction in home care nurses", Korean Journal of Women Health Nurses, 10(3), pp.261~265 (2004)
- Kim, J. H., "Job related stress and subjective quality of life for neonatal care nurses", Korean Associ ation of Health and Medical Sociology, 8, pp.31~55 (2000)
- Kim, J. R., "A study on job stress and the turnover intention of long-term care hospital nurses", Nursing Science, 22(2), pp.1~11 (2010)
- 김기숙, "일 지역 중소 종합병원 입원환자와 간호사가 지각한 간호서비스 질과 의료기관 재이용 의도에 영향을 미치는 요인", 임상간호연구, 15(2), pp.103~114 (2009), 병원간호사회
- Kim, M, J., "The development of the stress measurement tool for staff nurses working in the hospital", Journal of Korean Academy of Nursing, 14(2), pp.28~37 (1984)
- Kim, Y. H, "A study on the fatigue of hospital nurses in Gwangju and Jeonnam region", Journal of Korean Academy of Public Health Nursing, 16(2), pp.271~284 (2002)
- Larrabee, J. H., "Predicting registered nurse job satisfaction and intent to leave", Journal of Nursing Administration, 33(5), pp.271~283 (2003)
- 이은희, "간호사의 직무스트레스와 소진간의 관계에서 목표불안정성과 문제해결양식의 역할", 한국심리학회지:여성, 13(4), pp.397~413 (2008), 한국여성심리학회
- 이기현, "우리나라 농업인의 직무스트레스와 피로", 대한직업환경의학회지, 23(2), pp.213~224 (2011), 대한직업환경의학회
- Lee, K. H, "Nurses' job related factors and patient satisfaction with nursing care", Paper presented at the Annual Autumn Conference of the Korea Society of Hospital Administration, Sungnam (1997)
- Lee, R. T, "A meta-analytic examination of the correlates of the three dimensions of job burnout", Journal of Applied Psychology, 81(2), pp.123~133 (1996)
- LoSasso,D.M, "Are we really doing what is best for our tiny patients? NNP shift length and patient safety", Advances in Neonatal Care, 11(3), pp.193~196 (2011)
- 박형숙, "중환자실 간호사의 직무 스트레스와 대처에 관한 연구", Journal of Korean Academy of Nursing, 37(5), pp.810~821 (2007), 한국간호과학회
- 김정숙, "종합병원 간호사의 직무스트레스와 직무만족도", 대한보건연구, 32(2), pp.105~112 (2006), 사단법인 대한보건협회
- Sauter, S, "Stress at work", pp.1~25 (1999), DHHS (NIOSH) Publication
- 소희영, "대학병원 간호사들의 수면의 질과 관련요인이 피로에 미치는 영향", 성인간호학회지, 20(4), pp.513~525 (2008), 성인간호학회
- 성미혜, "신생아 중환자실에 입원한 고위험 신생아 아버지의 스트레스 정도에 관한 연구", Child Health Nursing Research, 10(3), pp.251~261 (2004), 아동간호학회
- Yoon,H.S, "Checklist for the newborn during hospitalization", Korean Journal of Perinatology, 18(2), pp.111~118 (2007)