국내 응급실 간호사의 폭력경험 실태와 폭력반응, 전문직 삶의 질과의 관계
Relationship between Violence Response, Professional Quality of Life and Workplace Violence against Nurses in Emergency Departments in Korea
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목적 : 본 연구는 국내 응급실 간호사에 대한 폭력 경험 실태와 현황을 파악하고 폭력 반응과 전문직 삶의 질과의 관계를 파악하는 서술적 조사연구이다. 방법 : 연구대상은 국내 응급의료기관에 근무하는 간호사 899명이었고, 2017년 10월 온라인 설문조사를 통해 자료수집 하였다. 자료는 t-test, ANOVA, Pearson correlation coefficients로 분석하였다. 결과 : 응급실 간호사의 72.1%는 부서의 폭력이 심각하다고 인식하였고, 최근 1년 이내에 근무 중 환자 및 보호자로부터 언어 폭력을 94.9%, 신체적 위협을 87.5%, 신체적 폭력을 33.2%로 각각 경험한 것으로 보고하였다. 폭력 경험은 폭력 반응(r=.32, p<.001), 소진(r=.20, p<.001), 이차 외상스트레스(r=.22, p<.001)와 유의한 양의 상관관계를 보여주었다. 폭력 반응은 소진(r=.28, p<.001)과 이차 외상성 스트레스(r=.56, p<.001)와 양의 상관관계가 있었다. 결론 : 응급실 간호사는 자주 폭력에 노출되고, 소진 및 이차 외상성 스트레스가 높아 낮은 전문직 삶의 질을 보였다.
Abstract
Purpose: The purpose of this study was to investigate the reality of workplace violence experienced by emergency nurses and the relationship of violence response to professional quality of life. Methods: The participants in this study were 899 emergency nurses from Korea nationwide. Data were obtained through an online survey done during October, 2017. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient. Results: Of the emergency nurses, 72.1% recognized that workplace violence is serious. Experience with workplace violence correlated positively with violence reaction (r=.32, p<.001), burnout (r-.20, p<.001) and secondary trauma (r=.22, p<.001). Also, reaction to violence was positively correlated with burnout (r=.28, p<.001) and secondary trauma (r=.56, p<.001). Conclusion: Findings indicate that the diverse workplace violence experienced by emergency nurses decreases their professional quality of life. Further study is needed to develop solutions to the problem of workplace violence in emergency settings.
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