야간전담간호사와 3교대간호사의 표준 교대근무 지표(Standard Shiftwork Index) 차이
A Comparison of Standard Shiftwork Index between Night Shift Fixed Nurses and Rotating Shift Nurses
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목적: 본 연구는 야간전담간호사와 3교대근무간호사의 근무 현황을 파악하고, 표준교대근무지표의 차이를 비교하기 위함이다. 방법: 2016년 8월 8일부터 9월 30일까지 야간전담제도가 있는 7개 의료기관의 367명의 간호사를 대상으로 설문 조사하였다. 결과: 야간전담간호사가 3교대간호사보다 근무만족도가 높았다. 야간전담간호사와 3교대간호사의 표준교대근무지표의 비교에서 만성피로와 근골격계 문제가 3교대간호사가 더 높게 나타났다. SSI의 세부 항목 중 수면 양, 수면 후 잘 쉰 느낌, 속쓰림, 심장박동이 불규칙 증상이 3교대간호사에서 높게 나타났다. 결론: 야간전담간호제도는 교대근무제도를 개선하기 위한 실효성 있는 하나의 방법이 될 수 있다. 야간전담근무제도를 성공적으로 운영하기 위해서 교대근무와 야간근무의 단점을 보완한 조직차원의 전략이 필요하다. 또한, 표준교대근무지표(SSI)는 3교대간호사와 야간전담간호사의 차이를 비교하기에 유용한 도구로 사용할 수 있겠다.
Abstract
Purpose: The purpose of this study was to compare the working status and Standard Shiftwork Index (SSI) between night shift-fixed nurses and rotating shift nurses. Methods: Participants were 367 nurses working as registered nurses at 7 different medical institutions. The data were collected from August 8, 2016 to September 30, 2016. Results: Night shift fixed nurses were more satisfied with work schedule than rotating shift nurses. Rotating shift nurses reported higher SSI scores, such as chronic fatigue, musculoskeletal problems, than night shift fixed nurses. In SSI‘s sub-items, rotating shift nurses reported higher scores, such as the amount of sleep, feeling well after sleep, heartburn or stomach-ache and heartbeat irregularities, than night shift fixed nurses. Conclusion: The results indicated that night shift fixed system might be an effective method to improve nurses’ work satisfaction. It is necessary to figure out any suitable night shift fixed system based on the characteristics of each nursing organization. The SSImight be an useful tool tomeasure the nurses’ satisfaction in reference to their work shift.
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