직무요구-자원 모델에 기반을 둔 중환자실 간호사의 소진 구조모형
The Structural Equation Model of Burnout of the Critical Care Nurses Based on the Job Demand-Resource Model
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초록
목적: 본 연구는 직무요구-자원 모델에 기반 하여 중환자실 간호사의 소진 구조모형을 구축하고 검증하는 데 목적이 있다. 방법: 직무스트레스, 공감능력, 극복력, 직무만족, 공감 피로 및 소진간의 관계를 분석하기 위해 중환자실 간호사 414명의 설문자료를 사용하였다. 중환자실 간호사의 소진에 영향을 주는 변인들의 직, 간접 효과 분석을 위해 SPSS WIN 22.0과 AMOS 22.0 프로그램이 사용되었다. 결과: 최종적으로 수정된 가설적 모형의 적합도는 χ2=216.59, χ2/df=3.38, GFI=.93, AGFI=.89, NFI=.90, CFI=.93, RMSEA=.07, SRMR=.06으로 나타나 최적 모델 기준에 충족하였다. 직무만족과 공감피로는 다른 세 외생변수와 소진간의 매개효과를 갖는 것으로 나타났다. 결론: 본 연구 결과를 통해 직무만족을 향상시키고 공감피로를 줄이기 위해 지지 프로그램 개발과 행정 차원의 개선이 요구된다.
Abstract
Purpose: The purpose of this study was to construct and test a structural equationmodel of burnout of the critical care nurses based on the job demand-resource model. Methods: A structured questionnaire was completed by 414 critical care nurses. The relationships between concepts of job stress, empathic ability, resilience, job satisfaction, compassion fatigue and burnout were analyzed. Using SPSSWIN 22.0 and AMOS 22.0 programs, the direct and indirect effects of factors affecting burnout among critical care nurses were calculated and modelled. Results: The modified model was yielded as follows: Chi-square= 216.59, GFI= .93, AGFI= .89, NFI= .90, CFI= .93, RMSEA= .07, SRMR= .06 and showed good fit indices. Job satisfaction and compassion fatigue had mediation effects between other three exogenous variables and burnout. Conclusion: The major findings of this study indicate that it is important to develop a support program for critical care nurse in order to improve their job satisfaction and ameliorate their compassion fatigue.
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