DOI QR코드

DOI QR Code

공감만족-공감피로(CS-CF) 모델에 근거한 임상간호사의 소진 구조모형

Structural Equation Modeling on Burnout in Clinical Nurses based on CS-CF Model

  • 김현정 (대원대학교 간호과.중앙대학교 대학원) ;
  • 염영희 (중앙대학교 적십자간호대학)
  • Kim, Hyun-Jung (Department of Nursing, Daewon University College, Graduate School, Chung-Ang University) ;
  • Yom, Young-Hee (Red Cross College of Nursing, Chung-Ang University)
  • 투고 : 2014.01.20
  • 심사 : 2014.05.01
  • 발행 : 2014.06.30

초록

Purpose: The purpose of this study was to construct and test a structural equation modeling on burnout of clinical nurses based on CS-CF model. Methods: A survey using a structured questionnaire was conducted with 557 clinical nurses. Data were analyzed using structural equation modeling. Results: The modified hypothetical model yielded the following ${\chi}^2=289.70$, p<.001, RMSEA=.09, GFI=.93, TLI=.91, CFI=.94, PCFI=.65, AIC=363.21, SRMR=.05 or less and showed good fit indices. Nursing work environment, patient safety culture and resilience showed indirect effects on burnout while compassion fatigue and compassion satisfaction had direct effects. Conclusion: Results of this study suggest that compassion fatigue must be decreased and compassion satisfaction has to be increased, while burnout is lowered by enhancing the clinical nursing work environment, patient safety culture and resilience. In addition, more variables and longitudinal studies are necessary to validate the clear cause-and-effect relationship between the relevant variables.

키워드

참고문헌

  1. Park HS, Kim KN. Factors affecting burnout in ICU nurses. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(3):409-418.
  2. Yu M. Work stress, turnover intention and burnout among nurses in neonatal intensive care units. Journal of Korean Academy of Nursing Administration. 2011;17(1):115-126. http://dx.doi.org/10.11111/jkana.2011.17.1.115
  3. Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN Journal. 2008;87(6):1191-1204. http://dx.doi.org/10.1016/j.aorn.2008.01.022
  4. James RK, Gilliland BE. Crisis intervention strategies. 4th ed. Belmont, CA: Brooks/Cole Thomson Learning; 2001.
  5. Joinson C. Coping with compassion fatigue. Nursing. 1992;22(4):116, 118-119, 120.
  6. Figley CR. Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized. New York, NY: Brunner-Routledge; 1995.
  7. Figley CR. Treating compassion fatigue. New York, NY: Brunner-Routledge; 2002.
  8. Stamm BH. Measuring compassion satisfaction as well as fatigue: Developmental history of the compassion fatigue and satisfaction test. In: Figley CR, editor. Treating compassion fatigue. New York, NY: Brunner-Routledge; 2002. p. 107-119.
  9. Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: The mediating role of burnout/engagement. The Journal of Nursing Administration. 2006;36(5):259-267. https://doi.org/10.1097/00005110-200605000-00019
  10. Vahey DC, Aiken LH, Sloane DM, Clarke SP, Vargas D. Nurse burnout and patient satisfaction. Medical Care. 2004;42(2 Suppl):II57-II66. http://dx.doi.org/10.1097/01.mlr.0000109126.50398.5a
  11. Kim JE, Kang MA, An KE, Sung YH. A survey of nurses' perception of patient safety related to hospital culture and reports of medical errors. Clinical Nursing Research. 2007;13(3):169-179.
  12. Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA: the Journal of the American Medical Association. 2002;288(16): 1987-1993. https://doi.org/10.1001/jama.288.16.1987
  13. June KJ, Byun SW. Nurse' burnout research throughout the past 10 years in Korea. Journal of Korean Academy of Nursing Administration. 2009;15(3):305-313.
  14. Stam BH. The concise ProQOL manual. 2nd ed. Pocatello, ID: Pro-QOL.org; 2010.
  15. Van Bogaert P, Meulemans H, Clarke S, Vermeyen K, Van de Heyning P. Hospital nurse practice environment, burnout, job outcomes and quality of care: Test of a structural equation model. Journal of Advanced Nursing. 2009;65(10):2175-2185. https://doi.org/10.1111/j.1365-2648.2009.05082.x
  16. Pietrantoni L, Prati G. Resilience among first responders. African Health Sciences. 2008;8(Suppl 1):S14-S20.
  17. Huggard PK. Managing compassion fatigue: Implications for medical education [dissertation]. Auckland, NZ: The University of Auckland; 2008.
  18. Yom YH, Kim HJ. Effects of compassion satisfaction and social support in the relationship between compassion fatigue and burnout in hospital nurses. Journal of Korean Academy of Nursing. 2012;42(6):870-878. http://dx.doi.org/10.4040/jkan.2012.42.6.870
  19. Park HH. A structural model of nurses' patient safety management activities [dissertation]. Daejeon: Eulji University; 2013.
  20. Burtson PL, Stichler JF. Nursing work environment and nurse caring: Relationship among motivational factors. Journal of Advanced Nursing. 2010;66(8):1819-1831. http://dx.doi.org/10.1111/j.1365-2648.2010.05336.x
  21. Lake ET. Development of the practice environment scale of the nursing work index. Research in Nursing and Health. 2002;25(3):176-188. http://dx.doi.org/10.1002/nur.10032
  22. Cho EH, Choi MN, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing. 2011;41(3):325-332. http://dx.doi.org/10.4040/jkan.2011.41.3.325
  23. Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience scale. Journal of Nursing Measurement. 1993;1(2):165-178.
  24. Friese CR, Lake ET, Aiken LH, Silber JH, Sochalski J. Hospital nurse practice environments and outcomes for surgical oncology patients. Health Services Research. 2008;43(4):1145-1163. http://dx.doi.org/10.1111/j.1475-6773.2007.00825.x
  25. Kanai-Pak M, Aiken LH, Sloane DM, Poghosyan L. Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals. Journal of Clinical Nursing. 2008;17(24):3324-3329. http://dx.doi.org/10.1111/j.1365-2702.2008.02639.x
  26. Kim HY, Kim HS. Effects of perceived patient safety culture on safety nursing activities in the general hospital nurse's. Journal of Korean Academy of Nursing Administration. 2011;17(4):413-422. http://dx.doi.org/10.11111/jkana.2011.17.4.413
  27. Jang YM. Coping strategies, compassion fatigue and compassion satisfaction among nurses in emergency room [master's thesis]. Daejeon: Eulji University; 2014.
  28. Lee GS, Yom YH. Structural equation modeling on life-world integration in people with severe burns. Asian Nursing Research. 2013;7(3):112-119. https://doi.org/10.1016/j.anr.2013.06.003
  29. Epp K. Burnout in critical care nurses: A literature review. Dynamics (Pembroke, Ont). 2012;23(4):25-31.

피인용 문헌

  1. 임상간호사의 간호근무환경, 공감피로 및 공감만족이 소진에 미치는 영향 vol.21, pp.2, 2015, https://doi.org/10.11111/jkana.2015.21.2.193
  2. 의료인의 소진에 대한 지각: Q 방법론 적용 vol.22, pp.1, 2014, https://doi.org/10.11111/jkana.2016.22.1.57
  3. 직무요구-자원 모델에 기반을 둔 중환자실 간호사의 소진 구조모형 vol.22, pp.1, 2016, https://doi.org/10.22650/jkcnr.2016.22.1.88
  4. 간호근무환경, 공감피로 및 공감만족이 간호사의 소진에 미치는 영향 vol.22, pp.2, 2014, https://doi.org/10.22650/jkcnr.2016.22.2.109
  5. 간호사의 공감만족에 대한 국내 연구 분석 vol.17, pp.9, 2014, https://doi.org/10.5762/kais.2016.17.9.599
  6. Effects of Compassion Satisfaction, Compassion Fatigue, Burnout on the Attitude towards Terminal Care among Care Providers in Long- term Care Facilities vol.22, pp.6, 2014, https://doi.org/10.9708/jksci.2017.22.06.115
  7. 공감병동 간호사의 공감활동 경험에 관한 현상학적 융합 연구 vol.8, pp.7, 2017, https://doi.org/10.15207/jkcs.2017.8.7.047
  8. 간호·간병통합서비스 병동과 일반병동 간호사의 공감피로, 공감만족, 소진 비교 vol.24, pp.2, 2018, https://doi.org/10.22650/jkcnr.2018.24.2.188
  9. 응급실 간호사의 언어폭력경험과 공감피로 및 직무열의의 관계 vol.26, pp.3, 2014, https://doi.org/10.22705/jkashcn.2019.26.3.300
  10. Association between nursing work environment and compassion satisfaction among clinical nurses vol.28, pp.2, 2020, https://doi.org/10.1111/jonm.12937
  11. 병원간호사의 인지적 정서조절전략이 전문직 삶의 질에 미치는 영향 vol.21, pp.10, 2014, https://doi.org/10.5762/kais.2020.21.10.212
  12. Influencing of compassion satisfaction and burnout on positive psychological capital of clinical dental hygienists vol.20, pp.6, 2014, https://doi.org/10.13065/jksdh.20200073
  13. A Path Model for Burnout in Community Mental Health Professionals vol.18, pp.18, 2014, https://doi.org/10.3390/ijerph18189763
  14. The Influence of Burnout on Patient Safety Management Activities of Shift Nurses: The Mediating Effect of Compassion Satisfaction vol.18, pp.22, 2014, https://doi.org/10.3390/ijerph182212210