Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
권호 표지

The Reliability and Validity of the Negative Acts Questionnaire-Revised (NAQ-R) for Nurses for the Assessment of Workplace Bullying

간호사의 직장 내 약자 괴롭힘 설문도구의 신뢰도와 타당도

  • Nam, Woong (Department of Occupational & Environmental Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Ji-Won (Department of Occupational & Environmental Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Yong-Kyu (Department of Catholic Industrial Medical Center & The Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Koo, Jung-Wan (Department of Catholic Industrial Medical Center & The Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Park, Chung-Yill (Department of Catholic Industrial Medical Center & The Department of Preventive Medicine, College of Medicine, The Catholic University of Korea)
  • 남웅 (가톨릭대학교 여의도성모병원 산업의학과) ;
  • 김지원 (가톨릭대학교 여의도성모병원 산업의학과) ;
  • 김용규 (가톨릭대학교 의과대학 예방의학교실 및 산업의학센터) ;
  • 구정완 (가톨릭대학교 의과대학 예방의학교실 및 산업의학센터) ;
  • 박정일 (가톨릭대학교 의과대학 예방의학교실 및 산업의학센터)
  • Received : 2010.03.08
  • Accepted : 2010.05.14
  • Published : 2010.06.30
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Abstract

Objectives: This study was conducted to assess the reliability, the validity, the psychological characteristics, and the internal structure of the Negative Acts Questionnaire-Revised (NAQ-R) for nurses for the assessment of the workplace bullying. Methods: A total of 190 female nurses who worked in a university hospital and who had participated in an annual health surveillance program were recruited into the study. A structured questionnaire was used to evaluate each participant's workplace bullying, job stress, and psychosocial wellbeing. Workplace bullying was assessed using the negative acts questionnaire-revised (NAQ-R), job stress was assessed using the Korean Occupational Stress Scale-Short Form (KOSS-SF) and psychosocial wellbeing was assessed using the Psychosocial Wellbeing Index-Short Form (PWI-SF). Resulting answers from the questionnaires were analyzed by chi-square, ANOVA, correlation analysis, and factor analysis. Results: Victims of workplace bullying of nurses in a hospital is 37(19%) based on operational bullying criteria. The Cronbach`s alpha for the negative acts questionnaire-revised (NAQ-R) is 0.9260. By exploratory factor analysis, we conclude that 3 factor are most relevant. Criterion validity was satisfied with that a negative acts questionnaire-Revised (NAQ-R) resulting in a statistically significant and positive relationship with PWI-SF, construct validity was satisfied with that NAQ-R has statistically significant and high positive correlation with the occupational climate of the KOSS results. Conclusions: The negative acts questionnaire-revised (NAQ-R) is a reliable and valid tool for the assessment of workplace bullying in the hospital nurse. By using this tool, we can imply the prevalence of and the condition of workplace bullying among the nurse.

목적: 간호사들 대상으로 직장 내 약자 괴롭힘(workplace bullying)의 노출을 측정하는 부정적 행동 경험 설문지 개정판(Negative acts questionnaire-revised, NAQ-R) 한국어판의 신뢰도와 타당도, 심리측정 특성, 요인구조를 조사하였다. 방법: 2009년 7월 20일부터 25일까지 실시한 직원 건강검진에 참여한 236명의 간호사를 대상으로 구조화된 설문지를 이용하여 자기 기입 방식에 의하여 자료를 수집하고 최종적으로 190명의 대상자를 선정하였다. 직장 내 약자 괴롭힘을 측정하는 부정적 행동경험 설문지의 약자 괴롭힘 점수와 한국형 직무스트레스 측정도구(Korean Occupational Stress Scale)를 통한 직무스트레스, 사회심리적 스트레스(Psychosocial Well-being Index-short form, PWI-SF)와의 상관분석, 분산분석, 카이 제곱 검정, 그리고 요인분석을 통하여 살펴보았다. 결과: 일개 대학병원에서 지난 6개월간 약자 괴롭힘 기준에 부합하는 약자 괴롭힘 희생자는 조작적 정의상37명(19%)이었다. 22개 항목의 부정적 행동 경험 설문지는 크론바흐 알파가 0.9260로 매우 높은 신뢰도를 보였다. 탐색적 요인분석으로 3개 요인을 추출하였고 1개, 2개, 3개 요인으로 확증적 요인 분석한 결과 1개 요인으로도 사용될 수 있는 측정도구이나 3개 요인으로 구성된 모델이 주어진 자료와 가장 적합한 것으로 나타났고 부정적 행동 경험 설문지는 사회심리적 스트레스와 높은 상관관계를 보여 기준 타당도도 만족시켰다. 부정적 행동 경험 설문지는 기대한 것처럼 한국형 직무스트레스 측정도구 하위 영역 중 조직문화와 높은 상관성을 보여 좋은 구조 타당도를 보였다. 결론: 22문항의 부정적 행동경험 설문지 개정판(NAQ-R) 한국어판은 간호사의 직장 내 약자 괴롭힘의 표준화되고 타당한 측정도구이다. 이를 통해 간호사의 직장 내약자 괴롭힘의 실태를 알 수 있을 것으로 기대된다.

Keywords

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