상급종합병원 간호사의 의료기관인증제에 대한 인식이직무 스트레스와 이직의도에 미치는 영향
Influence of the Awareness of Healthcare Accreditation on Job Stress and Turnover Intention in Tertiary Hospital Nurses
1
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to investigate the influence of nurses’ awareness of healthcare accreditation on their job stress and turnover intention. Methods: Across-sectional correlation study design was used. Participants consisted of 143 nurses from two tertiary hospitals in Seoul and Gyunggido, South Korea. Data were collected in October 2016 using self-report questionnaires and analyzed using descriptive statistics, t-test, an ANOVA, Pearson’s correlation coefficient, and multiple regression in SPSS/WIN 21.0. Results: Awareness of health care accreditation correlated negatively with job stress (r=-.63, p<.001) and turn over intention (r=-.50, p<.001). Awareness of health care accreditation was the factor that most influenced job stress, explaining 38% of the variance (F=23.10, p<.001). Awareness of health care accreditation and duty pattern were the factors that most influenced intention to leave, explaining 32% of the variance (F=10.35, p<.001). Conclusion: These findings suggest raising nurses’ awareness of certification systems to reduce their job stress and turnover intentions. It will be necessary to provide support for the aggressive work nurses do and improve their work structure, highlighting the need for both manpower and institutional support. Accordingly, providing regular education programs and appropriate compensation schemes, by raising nurses’ awareness of medical institutions’ certification systems, is necessary.
Abstract
Purpose: The aim of this study was to investigate the influence of nurses’ awareness of healthcare accreditation on their job stress and turnover intention. Methods: Across-sectional correlation study design was used. Participants consisted of 143 nurses from two tertiary hospitals in Seoul and Gyunggido, South Korea. Data were collected in October 2016 using self-report questionnaires and analyzed using descriptive statistics, t-test, an ANOVA, Pearson’s correlation coefficient, and multiple regression in SPSS/WIN 21.0. Results: Awareness of health care accreditation correlated negatively with job stress (r=-.63, p<.001) and turn over intention (r=-.50, p<.001). Awareness of health care accreditation was the factor that most influenced job stress, explaining 38% of the variance (F=23.10, p<.001). Awareness of health care accreditation and duty pattern were the factors that most influenced intention to leave, explaining 32% of the variance (F=10.35, p<.001). Conclusion: These findings suggest raising nurses’ awareness of certification systems to reduce their job stress and turnover intentions. It will be necessary to provide support for the aggressive work nurses do and improve their work structure, highlighting the need for both manpower and institutional support. Accordingly, providing regular education programs and appropriate compensation schemes, by raising nurses’ awareness of medical institutions’ certification systems, is necessary.
참고문헌 (29)
- Bae, J. I., "A study on hospital staff's perception of and attitudes toward the medical institute accreditation system", master's, pp.2008
- 최인, "중소병원 간호사의 의료기관인증제 인식 및 직무스트레스, 조직몰입이 이직의도에 미치는 영향", 한국산학기술학회논문지, 18(5), pp.160~168 (2017), 한국산학기술학회[DOI]
- 최선화, "요양병원 간호사의 의료기관인증제에 대한 인식, 직무 스트레스 및 소진탄력성", 노인간호학회지, 19(2), pp.125~134 (2017), 한국노인간호학회[DOI]
- El-Jardali, F., "The impact of hospital accreditation on quality of care: perception of lebanese nurses", International Journal for Quality in Health Care, 20(5), pp.363~371 (2008)
- 허영희, "QI부서근무자들의 의료기관인증제관련 인식이 직무스트레스 및 이직의도에 미치는 영향", 한국산학기술학회논문지, 17(12), pp.659~669 (2016), 한국산학기술학회[DOI]
- 장인순, "임상간호사의 주요 건강문제와 직무 스트레스가프리젠티즘에 미치는 영향", 한국직업건강간호학회지, 27(2), pp.121~130 (2018), 한국직업건강간호학회[DOI]
- 강명주, "지방의료원 간호사의 의료기관인증제 인식이 환자안전관리활동과 간호업무성과에 미치는 영향", 간호행정학회지, 23(4), pp.416~426 (2017), 간호행정학회
- 김현정, "의료서비스 품질 평가가 고객 충성도에 미치는 영향에 관한 연구: 환자의 의료서비스 품질인증제 인지를 중심으로", 한국생산관리학회지, 23(4), pp.419~440 (2012), 한국생산관리학회[DOI]
- 김종경, "병원간호사 이직의도에 관한 문헌 분석", 간호행정학회지, 17(4), pp.538~550 (2011), 간호행정학회
- Kim, K. H., "Relationship among nurses' perception of accreditation, nursing practice environment and professional self-concept in an accredited healthcare system", master's, pp.2012
- 김미자, "종합병원 간호사의 의료기관인증제에 대한 인식과 직무 스트레스가 이직의도에 미치는 영향", 근관절건강학회지, 22(2), pp.87~95 (2015), 대한근관절건강학회[DOI]
- 김문옥, "요양병원 간호인력의 의무인증제에 대한 인식과 의무인증 시행 후 업무수행", 노인간호학회지, 16(1), pp.68~76 (2014), 한국노인간호학회
- Kim, Y. R., "A study on the turnover intention of the oncology nurse", master's, pp.2007
- "Infomation of Healthcare Accreditation" (2018)[URL]
- 권정옥, "건강불평등에 대한 개념분석", 간호행정학회지, 21(1), pp.20~31 (2015), 간호행정학회[DOI]
- Lawler, E. E., "Satisfaction and behavior;Motivation and work behavior", pp.332~345 (1983), McGraw-Hill
- 이다솜, "의료기관 인증제도의 활용이 병원조직의 조직학습과 전략변화에 미치는 영향", 회계와 정책연구, 21(6), pp.179~202 (2016), 한국회계정책학회[DOI]
- 이희태, "의료기관인증제도가 병원의 서비스 질 관리체계에 미치는 효과", 사회과학연구, 29(3), pp.307~328 (2013), 사회과학연구소
- Moon, S. J., "Recognition of geriatric hospital nurse for medical institution certification, job satisfaction and job stress, study on the turnover intention", Journal of the Korean Society for Multicultural Health, 5(2), pp.55~64 (2015)
- O'Brien-Pallas, L., "Impact and determinants of nurse turnover: A pan- Canadian study", Journal of Nursing Management, 18(8), pp.1073~1086 (2010)[DOI]
- 백현희, "인증여부에 따른 병원 직원의 직무스트레스, 직무만족도, 의료서비스효과 비교분석", 한국엔터테인먼트산업학회논문지, 10(4), pp.259~272 (2016), 한국엔터테인먼트산업학회
- Park, H. S., "Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses", master's, pp.2002
- Park, S. H., "Effects of psychiatric nurse's awareness of healthcare accreditation system on patient safety management activities and nursing performance", master's, pp.2015
- 노연희, "병원종사자의 의료기관인증제에 대한 주관성연구", 예술인문사회 융합 멀티미디어 논문지, 6(7), pp.89~99 (2016), 사단법인 인문사회과학기술융합학회[DOI]
- Sack, C., "Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology", BMC Health Services Research, 10(1), pp.120~127 (2010)[DOI]
- 양남영, "간호사의 국제의료기관평가에 대한 인식과 간호업무성과, 평가관련 직무스트레스 및 소진과의 관계", 간호행정학회지, 20(1), pp.1~9 (2014), 간호행정학회[DOI]
- 연영란, "의료기관인증이 병원 근로자가 지각하는 환자안전과 질, 직무만족 및 조직몰입에 미치는 효과 -일개 종합병원을 대상으로–", 한국산학기술학회논문지, 14(4), pp.1820~1829 (2013), 한국산학기술학회[DOI]
- 이명선, "의료기관 평가에 관한 병원 종사자들의 경험: 포커스 그룹 연구", Journal of Korean Academy of Nursing, 41(4), pp.568~579 (2011), 한국간호과학회
- 유문숙, "병원 간호사의 질 관리 및 의료기관평가제도에 대한 인식과 간호업무성과와의 관계", 간호행정학회지, 14(3), pp.260~267 (2008), 간호행정학회