보건복지부 야간근무 가이드라인에 따른 일반병동 간호사의 교대근무 현황과 근무표에 대한 인식
Analysis of the Status of Nursing Shifts and Nurses’ Perceptions of Work Schedules in General Wards Based on the Government Guidelines for Night Shift Work
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
목적: 보건복지부 야간근무 가이드라인에 따른 간호사의 교대근무와 근무표에 대한 인식을 분석하기 위함이다. 방법: 연구대상자는 2020년 9월 한 달간의 근무표, 각 근무조의 정규근무시간, 근무조 당 시간외근무시간에 대한 질문에 응답한 487명의 간호사였다. 간호사의 근무표에 대한 인식은 만족도, 일-생활 균형 적합도, 공평성에 대해 측정하였다. 결과: 응답자의 1/3이 주당 40시간 이상 근무를 하였고, 근무조 당 평균 1.14시간의 시간외근무를 하였다. 비사회적 근무시간은(주중 오후 8시 이후와 오전 6시 이전, 주말과 공휴일 0시부터 24시) 전체 근무시간의 56.4%였다. 9월 마지막 야간근무 시 간호사는 평균 9.62시간 동안 근무하였고, 휴게시간은 39분이었으며 20.5%의 응답자는 휴게시간이 없었다. 68.0%의 간호사는 연속된 야간근무 후 다음 근무까지 휴게시간이 48시간 미만이었던 경험을 적어도 한 번 이상 하였다. 57.0%는 그들의 근무표에 만족하고 있었다. 1/3의 응답자는 그들의 근무표가 일-생활 균형을 이루기에 적합하다고 하였고, 2/3은 주말 휴무일과 야간근무가 병동 내에서 공평하게 배분되었다고 인식하였다. 근무시간과 시간외 근무시간은 간호사의 근무표에 대한 인식 3문항과 모두 역의 상관관계가 있었다. 비사회적 근무시간의 비중이 높고, 야간근무 시 휴게시간이 없을수록 공평성에 대한 인식은 낮았다. 결론: 근무시간을 줄이고 야간근무 시 휴게시간을 보장하며, 비사회적 근무시간에 대한 보상을 늘이는 것이 근무표에 대한 간호사의 인식을 향상시키고 교대근무로 인한 이직을 줄이기 위해 요구된다.
Abstract
Purpose: To analyze nurses’ shift work according to the government guidelines for night work and their perceptions of their work schedules. Methods: The study sample included 487 nurses who provided information on their schedules, including the normal working hours of each shift, and overtime per shift during September 2020. Nurses’ perceptions were measured in terms of satisfaction, appropriateness for work-life balance, and fairness to their work schedule. Results: One-third of the respondents worked more than 40 hours per week. The average overtime hour was 1.14 hours per shift. Unsocial hours (8 pm to 6 am on weekdays, midnight to midnight on weekends and public holidays) accounted for 56.4% of all working hours. During their last night shift, on average, nurses worked 9.62 hours and had a break of 39 minutes, although 20.5% reported no break. Sixty-eight percent of nurses had at least one between-shift break shorter than 48 hours after a consecutive night shifts. Fifty-seven percent were satisfied with their schedule. One-third perceived their schedule as appropriate for work-life balance, and two-thirds perceived that days off on weekends and nights were fairly distributed within the unit. Working and overtime hours had an inverse relationship with all three aspects of nurses’ perceptions. A higher proportion of unsocial hours and having no breaks during the night shift were associated with lower perceptions of fairness. Conclusion: Reducing working hours, ensuring breaks during night shifts, and increasing rewards for unsocial hours are required to improve nurses’ perceptions and reduce turnover due to shift work.
참고문헌 (30)
- Claire C. Caruso, "Negative Impacts of Shiftwork and Long Work Hours", Rehabilitation Nursing, 39(1), pp.16~25 (2014), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Eva S. Schernhammer, "Night Work and Risk of Breast Cancer", Epidemiology, 17(1), pp.108~111 (2006), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Schernhammer ES, "Night-shift work and risk of colorectal cancer in the nurses' health study", Journal of the National Cancer Institute, 95(11), pp.825~828 (2003)[DOI]
- Amy Witkoski Stimpfel, "The Longer The Shifts For Hospital Nurses, The Higher The Levels Of Burnout And Patient Dissatisfaction", Health Affairs, 31(11), pp.2501~2509 (2012), Health Affairs (Project Hope)[DOI]
- Steven W. Lockley, "Effects of Health Care Provider Work Hours and Sleep Deprivation on Safety and Performance", The Joint Commission Journal on Quality and Patient Safety, 33(11), pp.7~18 (2007), Elsevier BV[DOI]
- Simone M. Keller, "Effects of Extended Work Shifts and Shift Work on Patient Safety, Productivity, and Employee Health", AAOHN Journal, 57(12), pp.497~504 (2009), SAGE Publications[DOI]
- "Guidelines for night work of nurses" (2019)[URL]
- "The Labor Standards Act, Article 50" (2020)[URL]
- 조성현, "간호·간병통합서비스 제공을 위한 간호인력 배치기준 개발", 간호행정학회지, 23(2), pp.211~222 (2017), 간호행정학회[DOI]
- 조성현, "간호·간병통합서비스 병동 환자의 중증도·간호필요도에 따른 기대 간호시간 추정과 실제 간호시간과의 비교", 간호행정학회지, 26(4), pp.365~377 (2020), 간호행정학회[DOI]
- Youn-Jung Son, "Association of Working Hours and Patient Safety Competencies with Adverse Nurse Outcomes: A Cross-Sectional Study", International Journal of Environmental Research and Public Health, 16(21), pp.4083~ (2019), MDPI AG[DOI]
- "Unsocial hours payments: Find out about unsocial hours payments, including who they apply to and the rates of pay" (2019)[URL]
- 홍경진, "간호사의 근무시간의 질이 일-생활 불균형에 미치는 영향", 간호행정학회지, 26(1), pp.11~21 (2020), 간호행정학회[DOI]
- Constanze Leineweber, "Nurses’ practice environment and satisfaction with schedule flexibility is related to intention to leave due to dissatisfaction: A multi-country, multilevel study", International Journal of Nursing Studies, 58, pp.47~58 (2016), Elsevier BV[DOI]
- 조성현, "의료법에 의거한 의료기관 종별 간호사 정원기준 충족률 추이 분석", 간호행정학회지, 22(3), pp.209~219 (2016), 간호행정학회[DOI]
- 홍경진, "의료기관의 일반병동, 성인 중환자실, 신생아 중환자실의 간호등급 변화", 임상간호연구, 23(1), pp.64~72 (2017), 병원간호사회[DOI]
- "OECD guidelines on measuring the quality of the working environment" (2017)[URL]
- The 2017 survey on national health care resources, "Korea Health Industry Development Institute", Korea Health Industry Development Institute, ~, pp.Report No.: 11-1352000-000524-13 (2017)
- Report on labor force survey at establishments, "Ministry of Employment and Labor", Ministry of Emplyment and Labor, ~, pp.Report No.: 11-1492000-000034-06 (2020)
- Lee JS, "Working conditions of national health care workers: Wages, work conditions and environment", Journal of Labor Studies(Korea University Institute for Research on Labor and Employment), 33, pp.169~197 (2016)
- Chiara Dall’Ora, "Night work for hospital nurses and sickness absence: a retrospective study using electronic rostering systems", Chronobiology International, 37(9-10), pp.1357~1364 (2020), Informa UK Limited[DOI]
- Kati Karhula, "Objective working hour characteristics and work–life conflict among hospital employees in the Finnish public sector study", Chronobiology International, 34(7), pp.876~885 (2017), Informa UK Limited[DOI]
- Cristobal Padilla Fortunatti, "Effort–Reward Imbalance and Burnout Among ICU Nursing Staff", Nursing Research, 66(5), pp.410~416 (2017), Ovid Technologies (Wolters Kluwer Health)[DOI]
- "2017Survey on working conditions of hospital nurses" (2018)[URL]
- Karen Hopcia, "Occupational Injuries for Consecutive and Cumulative Shifts among Hospital Registered Nurses and Patient Care Associates", Workplace Health & Safety, 60(10), pp.437~444 (2012), SAGE Publications[DOI]
- Diana Hamilton-Fairley, "Hospital at night: an organizational design that provides safer care at night", BMC Medical Education, 14(S1) (2014), Springer Science and Business Media LLC[DOI]
- 조성현, "종합병원 평균재원일수와 간호사 배치수준의 관계: 1996~2016년 분석", 간호행정학회지, 26(5), pp.521~532 (2020), 간호행정학회[DOI]
- 최재영, "의료기관 특성에 따른 환자경험의 차이", 보건사회연구, 40(4), pp.584~610 (2020), 한국보건사회연구원[DOI]
- Nataly Zion, "Let them sleep: The effects of a scheduled nap during the night shift on sleepiness and cognition in hospital nurses", Journal of Advanced Nursing, 75(11), pp.2603~2615 (2019), Wiley[DOI]
- "Guideline for night ‧ shift work for nursing personnel" (2013)[URL]