요양병원 간호사의 임종간호 스트레스가 이직의도에 미치는 영향
Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals
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Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, ‘difficulty for assigning timetable to care for terminally ill patients’ (r=.17, p=.025), ‘feeling a burden of caring for terminally ill patients’ (r=.23, p=.002), and ‘conflict with terminally patients’ (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (β=.52, p<.001) and TCS (β=.23, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (β=.50, p<.001) and ‘feeling burden of terminally ill patients’ (β=.28, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.
Abstract
Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, ‘difficulty for assigning timetable to care for terminally ill patients’ (r=.17, p=.025), ‘feeling a burden of caring for terminally ill patients’ (r=.23, p=.002), and ‘conflict with terminally patients’ (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (β=.52, p<.001) and TCS (β=.23, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (β=.50, p<.001) and ‘feeling burden of terminally ill patients’ (β=.28, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.
참고문헌 (30)
- "2017 statistics on the aged" (2017)[URL]
- "Long-Term Care Insurance Introduction" (2008)[URL]
- Ministry of Health and Welfare, "Health and welfare statistical year book 2017", pp.212~ (2017), Ministry of Health and Welfare
- "Preliminary Results of Birth and Death Statistics in 2017" (2017)[URL]
- Patient Survey 2011, "Korea Institute for Health and Social Affairs", Ministry of Health and Welfare & Korea Institute for Health and Social Affairs, 141~ (2013)
- 구인회, "현대인에게 있어 죽음의 의미와 그 도덕적 문제", 철학탐구, 16, pp.59~82 (2004), 중앙철학연구소
- 홍은미, "암 병동 간호사의 죽음에 대한 인식, 죽음불안, 임종 환자간호 태도", Asian Oncology Nursing, 13(4), pp.265~272 (2013), 대한종양간호학회
- 우영화, "간호사의 죽음불안과 임종간호스트레스 및 임종간호수행", Journal of Hospice and Palliative Care, 16(1), pp.33~41 (2013), 한국호스피스완화의료학회
- Epstein PM, "Substance abuse among registered nurses", American Association of Occupational Health Nurses Journal, 58(12), pp.513~516 (2010)
- 한지영, "일부 간호학생의 죽음 관련 태도와 호스피스인식에 대한 실태조사", Asian Oncology Nursing, 9(2), pp.95~103 (2009), 대한종양간호학회
- Miyuki Takase, "Generational differences in factors influencing job turnover among Japanese nurses: An exploratory comparative design", International Journal of Nursing Studies, 46(7), pp.957~967 (2009), Elsevier BV[DOI]
- Hospital Nurses Association, "Current status of hospital nurses 2016", pp.157~ (2016), Hospital Nurses Association
- Lars G. Tummers, "Why do nurses intend to leave their organization? A large-scale analysis in long-term care", Journal of Advanced Nursing, 69(12), pp.2826~2838 (2013), Wiley[DOI]
- Pauline C. Beecroft, "Turnover intention in new graduate nurses: a multivariate analysis", Journal of Advanced Nursing, 62(1), pp.41~52 (2008), Wiley[DOI]
- Castle NG, "Staff turnover and quality of care in nursing homes", Medical Care, 43(6), pp.616~626 (2005)
- Moon SJ, "Recognition of geriatric hospital nurse for medical institution certification, job satisfaction and job stress, study on the turnover intention", Journal of the Korean Society for Multicultural Health, 5(2), pp.55~64 (2015)
- 최은정, "요양병원 인증제 평가를 경험한 간호사들의 직무 스트레스 및 소진이 이직의도에 미치는 영향", 한국산학기술학회논문지, 17(3), pp.438~449 (2016), 한국산학기술학회[DOI]
- 황윤선, "수도권 200병상 이상 노인요양병원 간호사의 이직의도에 영향을 미치는 요인", 한국직업건강간호학회지, 25(3), pp.156~167 (2016), 한국직업건강간호학회[DOI]
- Kong JH, "The relationships between stress of end-of-life care and turnover intention among intensive care unit nurses", master's, pp.2016
- 우미경, "내러티브 탐구를 통한 심폐소생술금지 (DNR) 환자 간호경험", 성인간호학회지, 25(3), pp.322~331 (2013), 한국성인간호학회
- 이향련, "암병동 간호사와 일반병동 간호사의 임종간호에 대한 스트레스와 대처방법 비교 연구", Asian Oncology Nursing, 7(1), pp.26~35 (2007), 대한종양간호학회
- 김원순, "노인요양병원 간호사의 임종간호수행과 죽음불안 및 자아존중감이 임종간호스트레스에 미치는 영향", Journal of Hospice and Palliative Care, 19(2), pp.154~162 (2016), 한국호스피스완화의료학회[DOI]
- 김영란, "암 환자를 간호하는 간호사의 이직의도에 관한 연구", 석사, 간호학, pp.2007
- Lawler EE, "Satisfaction and behavior", pp.287~301 (1983), McGraw Hill
- 송명숙, "노인요양병원 간호사의 임파워먼트와 간호업무성과, 직무만족 및 이직의도와의 관련성", 한국산학기술학회논문지, 14(5), pp.2304~2314 (2013), 한국산학기술학회[DOI]
- Survey on Public Health Status 2017, "Ministry of Health and Welfare", Korea Health Industry Development Institute, 215~ (2017)
- 백유경, "내과병동 간호사의 임종간호 스트레스, 직무만족도 및 임종간호수행", Journal of Hospice and Palliative Care, 18(4), pp.267~275 (2015), 한국호스피스완화의료학회[DOI]
- Jung MK, "The effects of facilitation and inhibition factor of employee turnover on turnover implementation intention and job engagement", master's, pp.2016
- "Seeking Ways to Reduce Occupational Fatalities" (2018)[URL]
- "2018 International nurse day memorial nurses for nurses" (2017)[URL]