암병원 간호사의 전문직 자아개념, 환자안전문화가 소진에 미치는 영향
The Influence of Professional Self-Concept and Patient Safety Culture on Burnout among Nurses in a Cancer Hospital
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Purpose: This study investigates the relationships between professional self-concept, patient safety culture, and burnout among cancer hospital nurses. It further aims to identify factors influencing burnout in this population. Methods: This cross-sectional study surveyed 160 nurses at a cancer center. The participants completed self-reported questionnaires on professional self-concept, patient safety culture, and burnout. Results: Pearson’s correlation analysis revealed a negative association between patient safety culture and emotional exhaustion and depersonalization. Conversely, a positive association was found between patient safety culture and personal accomplishment and professional self-concept. Regression analysis identified gender (β=-.18, p=.013), total years of work experience (β=.27, p=.008), and professional self-concept (β=-.43, p<.001) as significant factors influencing emotional exhaustion. Similarly, professional self-concept emerged as a significant factor influencing both depersonalization (β=-.38, p<.001) and personal accomplishment (β=.54, p<.001). Conclusion: To mitigate emotional exhaustion and depersonalization and enhance personal accomplishment, establishing a program aimed at improving nurses’ professional self-concept is essential. The levels of emotional exhaustion and depersonalization among nurses in cancer hospitals are high. Therefore, it may be necessary to develop emotional care programs and provide education on oncology emergencies to prevent and mitigate these issues.
Abstract
Purpose: This study investigates the relationships between professional self-concept, patient safety culture, and burnout among cancer hospital nurses. It further aims to identify factors influencing burnout in this population. Methods: This cross-sectional study surveyed 160 nurses at a cancer center. The participants completed self-reported questionnaires on professional self-concept, patient safety culture, and burnout. Results: Pearson’s correlation analysis revealed a negative association between patient safety culture and emotional exhaustion and depersonalization. Conversely, a positive association was found between patient safety culture and personal accomplishment and professional self-concept. Regression analysis identified gender (β=-.18, p=.013), total years of work experience (β=.27, p=.008), and professional self-concept (β=-.43, p<.001) as significant factors influencing emotional exhaustion. Similarly, professional self-concept emerged as a significant factor influencing both depersonalization (β=-.38, p<.001) and personal accomplishment (β=.54, p<.001). Conclusion: To mitigate emotional exhaustion and depersonalization and enhance personal accomplishment, establishing a program aimed at improving nurses’ professional self-concept is essential. The levels of emotional exhaustion and depersonalization among nurses in cancer hospitals are high. Therefore, it may be necessary to develop emotional care programs and provide education on oncology emergencies to prevent and mitigate these issues.
참고문헌 (33)
- Park EH, "Cancer statistics in Korea : incidence, mortality, survival, and prevalence in 2021", Cancer Res Treat, 56, pp.357~371 (2024)[DOI]
- Challinor JM, "Oncology nursing workforce : challenges, solutions, and future strategies", Lancet Oncol, 21, pp.e564~e574 (2020)[DOI]
- Park EY, "Cancer survivorship care and roles of oncology nurses", Asian Oncol Nurs, 22, pp.121~126 (2022)[DOI]
- Kim MK, "Qualitative content analysis of nursing counseling for gastric cancer patients who have undergone operation", Asian Oncol Nurs, 22, pp.84~92 (2022)[DOI]
- Kim SJ, "The influences of professional self-concept, job stress, and coworker support on burnout in oncology unit nurses", Asian Oncol Nurs, 22, pp.104~110 (2022)[DOI]
- Guo YF, "The effects of resilience and turnover intention on nurses’ burnout : findings from a comparative cross-sectional study", J Clin Nurs, 28, pp.499~508 (2019)[DOI]
- Beckstead JW, "Confirmatory factor analysis of the Maslach Burnout Inventory among Florida nurses", Int J Nurs Stud, 39, pp.785~792 (2002)[DOI]
- Maslach C, "Evaluating stress: a book of resources", pp.191~218 (1997), Scarecrow Education
- Gribben L, "Factors contributing to burnout and work-life balance in adult oncology nursing : an integrative review", Eur J Oncol Nurs, 50, pp.101887~ (2021)[DOI]
- Mcmillan K, "Burnout and the provision of psychosocial care amongst Australian cancer nurses", Eur J Oncol Nurs, 22, pp.37~45 (2016)[DOI]
- Magtibay DL, "Decreasing stress and burnout in nurses efficacy of blended learning with stress management and resilience training program", J Nurs Adm, 47, pp.391~395 (2017)[DOI]
- Lee KM, "Factors affecting burnout in nurses working in oncology unit", J Wholist Nurs Sci, 14, pp.1~8 (2021)
- Yu J, "Professional self-concept and burnout among medical school faculty in South Korea : a crosssectional study", BMC Med Educ, 19, pp.248~ (2019)[DOI]
- Yuksel A, "Examination of professional self-concept in nurses in terms of certain variables", Int J Caring Sci, 14, pp.1591~1600 (2021)
- Park M, "The influence of attitude toward job rotation, professional self-concept and organizational commitment on patient safety nursing activities : a cross-sectional study", J Korean Acad Fundam Nurs, 30, pp.303~312 (2023)[DOI]
- Mossburg SE, "The association between professional burnout and engagement with patient safety culture and outcomes : a systematic review", J Patient Saf, 17, pp.e1307~e1319 (2021)[DOI]
- "World patient safety day 2019"[URL]
- Lee SG, "Development and psychometric evaluation of the Korean patient safety culture survey instrument for hospitals", pp.2015
- Kim N, "Relationship of professionalism, organizational empowerment and patient safety culture in icu nurses", master, pp.2015
- Vifladt A, "The association between patient safety culture and burnout and sense of coherence : a cross-sectional study in restructured and not restructured intensive care units", Intensive Crit Care Nurs, 36, pp.26~34 (2016)[DOI]
- Yarbro CH, "Cancer nursing: principles and practice" (2016), Jones & Bartlett Learning
- Arthur D, "Measurement of the professional self-concept of nurses : developing a measurement instrument", Nurse Educ Today, 15, pp.328~335 (1995)[DOI]
- Sohng KY, "An analytical study of the professional self-concept of hospital nurses in Korea", J Nurs Acad Soc, 26, pp.94~106 (1996)[DOI]
- Moon IO, "Effects of resilience on work engagement and burnout of clinical nurses", J Korean Acad Nurs Adm, 19, pp.525~535 (2013)[DOI]
- Ha BH, "Triage and length of stay in a cancer center emergency department", Asian Oncol Nurs, 17, pp.246~251 (2017)[DOI]
- Lee SH, "A study on the relationship between professional self-concept, self-efficacy and job satisfaction in clinical nurses", Korean J Adult Nurs, 20, pp.10~20 (2008)
- Lee Y, "Effects of patient safety culture on nurse burnout in the operating room", Stress, 28, pp.118~124 (2020)[DOI]
- Poghosyan L, "Nurse burnout and quality of care : cross-national investigation in six countries", Res Nurs Health, 33, pp.288~298 (2010)[DOI]
- Tuna R, "The relationship between job stress and burnout levels of oncology nurses", Asia Pac J Oncol Nurs, 1, pp.33~39 (2014)[DOI]
- de Paiva LC, "Burnout syndrome in health-care professionals in a university hospital", Clinics(Sao Paulo), 72, pp.305~309 (2017)[DOI]
- Kang SY, "The lived experience of nursing care for the dying patients in clinical nurses", J Korean Acad Nurs Adm, 7, pp.237~251 (2001)
- Boerner K, "Burnout after patient death : challenges for direct care workers", J Pain Symptom Manage, 54, pp.317~325 (2017)[DOI]
- Kim RN, "Factors influencing end-of-life care stress in nurses", Asian Oncol Nurs, 23, pp.207~215 (2023)[DOI]