코로나19 확진자 발생으로 코호트격리된 병원간호사의 이직의도 영향요인: 일 대학병원을 중심으로
Factors affecting the turnover intention of hospital nurses quarantined in cohort due to the outbreak of COVID-19: Focused on a university hospital
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
본 연구는 코로나19 확진자 발생으로 코호트격리된 병원간호사의 이직의도 영향요인을 파악하고자 수행된 서술적 조사연구이다. 대학병원 간호사 191명을 대상으로 수집된 자료는 IBM SPSS Statistics 23 프로그램을 활용하여 기술통계, t-test, Pearson’s 상관관계 분석, ANOVA, 다중회귀분석으로 분석하였다. 이직의도에 영향을 주는 요인 중 감염관리 직무스트레스가 높을수록(β=.40, p<.001) 사회적 지지 중 상사의 지지가 낮을수록(β=-.21, p=.004) 극복력이 낮을수록(β=-.16, p=.016) 이직의도가 높았다. 이들 변수의 설명력은 25%(Adj. R²=.25, F=16.99, p<.001)로 나타났다. 특히 코로나19 확진자 발생으로 병원 전체가 코호트격리된 병원간호사의 감염관리 직무스트레스는 보통 이상이었다. 감염관리 직무스트레스를 줄일 수 있도록 방안을 찾고, 상사의 지지로 조직과 업무의 부정적인 측면을 줄여서 이직의도를 낮추어야 한다. 그리고, 극복력 향상을 위한 극복력 강화 프로그램으로 이직의도 감소를 모색해야 할 것이다.
Abstract
This study is a descriptive survey study conducted to identify the factors affecting the turnover intention of hospital nurses who were cohort-isolated due to the outbreak of COVID-19. The data collected from 191 university hospital nurses were analyzed using the IBM SPSS Statistics 23 program by descriptive statistics, t-test, Pearson's correlation analysis, ANOVA, and multiple regression analysis. Among the factors affecting the turnover intention, the higher the infection control job stress (β=.40, p<.001), the lower the support of the boss among social support at work (β=-.21, p=.004). The lower the resilience (β=-.16, p=.016) the higher the turnover intention. The explanatory power of these variables was 25% (Adj. R²=.25, F=16.99, p<.001). In particular, the infection control job stress of hospital nurses who had the entire hospital under cohort-isolated due to the outbreak of COVID-19 was above average. It is necessary to find a way to reduce infection control job stress, and to reduce the negative aspects of the organization and work with the support of the superior to lower the turnover intention. In addition, it is necessary to seek to reduce turnover intention as a program to strengthen resilience to improve resilience.
참고문헌 (59)
- "Coronavirus (COVID-19) pandemic" (2021)[URL]
- "Knowing right about Corona Virus Infectious Disease-19 (COVID-19)" (2021)[URL]
- "Uijeongbu St. Mary's Hospital is closed from today due to the COVID-19 mass infection" (2020)[URL]
- "Uijeongbu St. Mary's Hospital to open partially for emergency patients from the 20th" (2020)[URL]
- Y. H. Jang, "Effects of Job Demands and Job Resources on COVID-19 Healthcare Workers’Burnout, Turnover Intention, and Stress", Master, pp.2021
- H. H. Koo, "Fatigue Sypmtoms and Related Factors Amomg nurses pacticipating Pandemic Influenza patient care : focused on Middle East Respiratory syndrome", Master, pp.2016
- 허미영, "간호사의 직무스트레스, 직무만족도, 성격유형과 이직의도에 관한 연구", 석사, 사회복지, pp.2011
- 한상숙, "신규간호사의 이직의도와 영향요인", Journal of Korean Academy of Nursing, 39(6), pp.878~887 (2009), 한국간호과학회
- LINDA O'BRIEN-PALLAS, "Impact and determinants of nurse turnover: a pan-Canadian study", Journal of Nursing Management, 18(8), pp.1073~1086 (2010), Wiley[DOI]
- Sidney Cobb, "Social Support as a Moderator of Life Stress", Psychosomatic Medicine, 38(5), pp.300~314 (1976), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 임숙빈, "간호사의 이직의도에 영향을 미치는 요인: 개인, 상황,대인관계변수 중심으로", 한국직업건강간호학회지, 22(4), pp.314~323 (2013), 한국직업건강간호학회
- 박미숙, "간호사의 직장 내 집단약자 괴롭힘, 사회적 지지가이직의도에 미치는 영향", 한국산학기술학회논문지, 19(9), pp.166~173 (2018), 한국산학기술학회[DOI]
- 이동명, "정서노동 및 사회적 지지가 항공사 객실승무원의 소진에 미치는 영향 연구", 관광학연구, 32(2), pp.213~231 (2008), 한국관광학회
- E. E. Werner, "Vulnerable but invincible: A longitudinal study of resilient children & youth" (1982), McGraw Hill
- 이안생, "사회적 지지와 자아탄력성이 병원간호사의 간호업무 성과에 미치는 영향", 한국직업건강간호학회지, 21(3), pp.283~289 (2012), 한국직업건강간호학회
- 정진영, "간호간병통합서비스병동 간호사의 감정노동, 회복탄력성, 간호근무환경이 이직의도에 미치는 영향", 디지털융복합연구, 17(3), pp.281~290 (2019), 한국디지털정책학회[DOI]
- 홍성경, "극복력(resilience) 개념 개발 - 암 환자를 중심으로 -", 한국간호교육학회지, 15(1), pp.109~119 (2009), 한국간호교육학회
- J. H. Bae, "Factors Influencing the Turnover Intention of COVID-19 Infectious Ward Nurses and General Ward Nurses in Public Hospitals", Master, pp.2020
- H. R. Lee, "Effect of COVID-19 experience on the Stress, Brnout and Turnover in a Tertiary Hospital", Master, pp.2021
- J. L. Price, "A Causal Model of Turnover for Nurses.", Academy of Management Journal, 24(3), pp.543~565 (1981), Academy of Management[DOI]
- 윤은자, "간호사의 이직의도 도구 개발", Journal of Korean Academy of Nursing, 43(2), pp.256~266 (2013), 한국간호과학회
- National Institute for Occupational Safety and Health, "Stress at work(Issue No. 99-101)" (1999)
- 허선, "감염관리간호사의 직무스트레스 측정도구 개발 및 평가", 간호행정학회지, 19(5), pp.622~635 (2013), 간호행정학회[DOI]
- H. M. Jang, "A study on the fatigue and job stress for infection control and the turnover intention of emergency room nurses", Master, pp.2019
- R. D. Caplan, "Job demands and worker health : Main effects and occupational differences" (1980), Institute for Social Research
- Sheldon Cohen, "Positive Events and Social Supports as Buffers of Life Change Stress1", Journal of Applied Social Psychology, 13(2), pp.99~125 (1983), Wiley[DOI]
- G. Y. Choi, "The Mediating Effects of Burnout on the Relation between Role Stress ·Social Support and Organizational Commitment·Turnover Intention : With an emphasis on Hotel Organizations", Doctor, pp.1999
- Laura V. Polk, "Toward a Middle-Range Theory of Resilience", Advances in Nursing Science, 19(3), pp.1~13 (1997), Ovid Technologies (Wolters Kluwer Health)[DOI]
- M. M. Park, "Development of Resilience Scale for Nurses", Doctor, pp.2015
- Evangelia Demerouti, "The job demands-resources model of burnout.", Journal of Applied Psychology, 86(3), pp.499~512 (2001), American Psychological Association (APA)[DOI]
- Arnold B. Bakker, "Job Demands-Resources Theory", Wellbeing, pp.1~28 (2014), John Wiley & Sons, Ltd[DOI]
- 윤정아, "간호조직의 내부마케팅, 직무스트레스, 조직몰입, 이직의도 간의 관계", 간호행정학회지, 13(3), pp.293~301 (2007), 간호행정학회
- 문숙자, "간호사의 이직의도에 관한 구조 모형", 박사, 간호학, pp.2010
- Y. O. Lee, "Related Factors of Turnover Intention among Korean Hospital Nurse: A Systematic Review and Meta-Analysis", Doctor, pp.2016
- Y. J. Jeon, "The Influence of New Nurses'Resilience and Organizational socialization on the Turnover Intention", Master, pp.2021
- J. Y. Kim, "The effects of in Small-Medium sized Korean Hospitals Nursing Work Environments on Job Satisfaction and Intent to Leave of StaffNurses", Master, pp.2019
- R. Y. Kang, "Job Satisfaction, Turnover Intention, and Nursing Work Environment in Nurses in Small-Medium Sized Hospitals Categorized by Number of Beds", Master, pp.2018
- Y. H. Choi, "The Mediating Effect of Infection Control Fatigue in the Relationship between Infection Control Job Stress and Burnout in the Emergency Room Nurses", Master, pp.2020
- H. J. Kim, "Influence of Job Stress, Fatigue for Infection Control and Proactive Behaviors on Burnout in Nurses", Master, pp.2020
- S. H. Jun, "Fatigue and Work Stress for Infection Control, Work Overload, and Turnover Intentions of Nurses in Neonatal Intensive Care Unit", Master, pp.2019
- E. J. Lim, "Influence of the Job Stress, Resilience and Professional Identity on Burnout of the nurses in the Operation Room", Master, pp.2017
- G. H. Heo, "The Effect of Job Stress and Grit on Turnover Intention of Nurses in Small and Medium-sized Hospitals", Master, pp.2021
- K. M. Han, "The Factors affecting organization commitment of general hospital nurses", Master, pp.2019
- M. H. Jeon, "Role Transition, Resilience and Intention to Leave in New Nurses Working at Secondary General University Hospitals", Master, pp.2018
- B. M. Kim, "The Moderating Effects of Social Support between Hierarchy-Oriented Nursing Organizational Culture and Turnover Intention in Clinical Nurses", Master, pp.2018
- J. E, Kim, "The Effect of Emotional Labor, Social Support and Anger Expression on Nurses’Organizational Commitment", Master, pp.2015
- H. S. Kim, "The underslonged certify that they have read this thesis and that in their opnion it is in scope and quality as a thesis for the degree of Master of Public Health", Epidemiology and Clinical Trial, Catholic University of Korea, 2009
- 김영희, "간호사가 지각하는 직무과부하, 상사부하관계의 질 및 정서적 소진이 이직의도에 미치는 영향 - 정서적 소진의 매개효과 검증 -", 간호행정학회지, 15(3), pp.372~381 (2009), 간호행정학회
- A. S. Kim, "The Effect of the Experience of Verbal Violence on the Turnover Intention in Operating Room Nurses : Focusing on the Moderating Effect of Social Support and Coping", Master, pp.2020
- 이소영, "중소병원 간호사의 직무착근도와 상사-구성원 교환관계가 직무만족, 조직몰입 및 이직의도에 미치는 영향", 석사, 의료경영전공, pp.2012
- J. Y. Kim, "Effect of Resilience, Practice Environment of Nursing and Burnout on Turnover Intention between Ward Nurses and Emergency Room Nurses", Master, pp.2021
- K. A. Lee, "Effect of Nurse-physician Conflict Management Style, Burnout, Resilience on the Organizational Commitment among Hospital Nurses", Master, pp.2020
- E. H. Koo, "Resilience, Interpersonal Relationship and Organizational Socialization of New Nurses", Master, pp.2017
- R. Y. Seo, "Interpersonal relationship (Guardian–patient) stress of emergency room nurse and resilience", Master, pp.2016
- S. H. Kim, "The influencing factors on the resilience in clinical nurses", Master, pp.2016
- J. M. Lim, "A study on resilience, professional self-concept and burnout in hemodialysis nurses", Master, pp.2016
- Patricia L. Hart, "Resilience in nurses: an integrative review", Journal of Nursing Management, 22(6), pp.720~734 (2012), Wiley[DOI]
- 류경, "간호사를 위한 감정코칭 프로그램이 회복탄력성, 감정노동, 자기효능감에 미치는 효과", Journal of Korean Academy of Nursing, 50(3), pp.419~430 (2020), 한국간호과학회[DOI]
- 임그린, "회복탄력성 증진을 위한 정서중심 그룹코칭의 효과성 연구", 한국심리학회지: 코칭, 3(1), pp.1~23 (2019), 한국코칭심리학회
