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간호사의 건강증진행위에 영향을 주는 요인: 자기효능, 감정노동을 중심으로

Factors Affecting Nurse's Health Promoting Behavior: Focusing on Self-efficacy and Emotional Labor

  • 투고 : 2014.04.12
  • 심사 : 2014.08.20
  • 발행 : 2014.08.31

초록

Purpose: This study examined self-efficacy, emotional labor, and health promoting behaviors. It also investigated factors affecting health promoting behaviors of nurses working for tertiary and general hospital. Methods: Between June and July 2013, a convenience sample of 233 subjects was collected from 2 tertiary hospitals and 4 general hospitals. The data analysis was done with ANOVA, t-test and stepwise multiple regression. Results: Emotional labor of the subjects was slightly lower than that of other nurses and the average level of health promoting behaviors was lower than the median. Health promoting behaviors were differentiated by education, hospital type, and monthly income. Self-efficacy showed positive correlation with HPLP-II, but emotional labor showed negative correlation with self-efficacy and HPLP-II. The most significant factor affecting health promoting behaviors was self regulation(16.3%). The combination of self regulation, attentiveness to required display rules, BSN, preference to task difficulty, and monthly income(${\geq}300$) accounted for 25.4% of health promoting behavior. Attentiveness to required display rules was a negative factor of HPLP-II. Conclusion: When developing health promotion programs for nurses, self-efficacy should be considered and further research is needed to identify mediating variables between emotional labor and health promoting behaviors.

키워드

참고문헌

  1. Bong, Y. S., So, H. S., & You, H. S. (2009). A study on the relationship between job stress, self-efficacy and job satisfaction in nurses. Journal of Korean Academy of Nursing Administration, 15(3), 425-433.
  2. Choi, H. S., Lim, H. C., & Jeong, M. G. (2008). The determinants of employees' emotional labor in call centers. Korean Corporation Management Review, 15(2), 53-68.
  3. Choi, Y. J., & Sung, Y. H. (2013). Psychological well-being, perceived health status, and health promoting behavior of clinical nurses. Journal Korean Academy of Nursing Administration, 19(5), 589-598. https://doi.org/10.11111/jkana.2013.19.5.589
  4. Han, K. S., Kim, J. H., Lee, K. M., & Park, J. S. (2004). Correlation between quality of life and health promoting behaviors among hospital staff nurses. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 13(4), 430-437.
  5. Han, S. J., Kwon, M. S., Yoon, O. S., & Moon, M. Y. (2012). Emotional labor and job stress of public health nurses. Journal of Korean Public Health Nursing, 26(2), 314-327. https://doi.org/10.5932/JKPHN.2012.26.2.314
  6. Hwang, W. J. (2010). Cardiovascular disease in Korean bluecollar workers: Actual risk, risk perception, and risk reduction behavior. Unpublished doctoral dissertation, University of California, San Francisco, USA.
  7. Kang, M. H., Kwon, M. J., & Youn, S. Y. (2012). Self-efficacy, nursing organizational culture and emotional labor in clinical nurses. Korean Journal of Occupational Health Nursing, 21(3), 266-273. https://doi.org/10.5807/kjohn.2012.21.3.266
  8. Keer, M., Laschinger, H., Severin, C., Almost, J., Thomson, D., O'rien-Pallas, L., et al. (2002). Monitoring the health of nurses in Canada. Retrieved March 20, 2014, from Canadian Health Services Research Foundation Web site http://www.cfhifcass. ca/Migrated/PDF/ResearchReports/OGC/kerr_e.pdf
  9. Kim, A. Y., & Cha, J. E. (1996). Measure of self- efficacy. Korean Society for Industrial and organizational Psychology Proceedings of the Winter Conference, 51-64.
  10. Kim, B. K., Lee, J. H., Kim, J. R., Jeong, B. G., & Park, K. S. (2011). Associations between self-efficacy, social capital and self-rated health status in healthy individuals. Korean Journal of Health Promotion, 11(3), 144-153.
  11. Kim, H. J., & Kim, J. H. (2011). Emotional labor, social support, and depressive symptoms of clinical nurses in a province, Korea. Korean Journal of Occupational Health Nursing, 20(3), 308-318. https://doi.org/10.5807/kjohn.2011.20.3.308
  12. Kim, J. H., Hyun, M. Y., Kim, Y. S., Kim, J. S., Nam, S. O., Song, M. S., et al. (2010). Psycho-social well-being, health perception and behavior among clinical nurse. Journal Korean Academy of Nursing Administration, 16(1), 26-36. https://doi.org/10.11111/jkana.2010.16.1.26
  13. Kim, J. H., Lee, Y. M., Joung, H. Y., Choo, H. S., Won, S. J., Kwon, S. Y., et al. (2013). Effects of emotional labor, emotional intelligence and social support on job stress in clinical nurses. Journal of Korean Academy of Fundamentals of Nursing, 20(2), 157-167. https://doi.org/10.7739/jkafn.2013.20.2.157
  14. Kim, J. I. (2013). Emotional labor job stress, and fatigue of nurse. Unpublished master's thesis, Kwandong University, Gangneung.
  15. Kim, K. O., & Cho, Y. C. (2013). The relationships between emotional labour and depressive symptoms among nurses in university hospitals. Journal of the Korea Academia-Industrial Cooperation Society, 14(8), 3794-3803. https://doi.org/10.5762/KAIS.2013.14.8.3794
  16. Kim, M. J. (1998). Effects of the hotel employee's emotional labor upon the job-related attitudes. Journal of Tourism Science, 21(2), 129-141.
  17. Kim, Y. I. (2011). Effect factors on health promotion lifestyle of shift work nurses. Korean Journal of Occupational Health Nursing, 20(3), 356-364. https://doi.org/10.5807/kjohn.2011.20.3.356
  18. Korea Health Industry Statistics System. (2014). Handbook of Korea healthcare resource statistics. Retrieved March 20, 2014, from Osong: Korea Health Industry Statistics System Web site http://khiss.go.kr/board/bbs_list.jsp
  19. Lee, K. H., & Song, J. S. (2010). The effect of emotional intelligence on self-efficacy and job stress of nurses -Mediating role of self-efficacy-. Journal Korean Academy of Nursing Administration, 16(1), 17-25. https://doi.org/10.11111/jkana.2010.16.1.17
  20. Lee, Y. M., Ham, B. J., Lee, K. A., Ahn, D. S., & Kim, M. K. (2006). The relation of self-efficacy with environmental factors, personality and academic achievement in medical students. Korean Journal of Medical Education, 18(3), 249-57. https://doi.org/10.3946/kjme.2006.18.3.249
  21. Morris, J. A., & Feldman, D. C. (1996). The dimension, antecedents, and consequences of emotional labor. Academy of Management Review, 21(4), 986-1010.
  22. Park, H. J. (2009). Emotional labor, emotional expression and burnout of clinical nurses. Journal of Korean Academy of Nursing Administration, 15(2), 225-232.
  23. Park, S. M., Park, O. I., & Moon, H. (2013). The effect of the emotional intelligence on the relationship between emotional labor and turnover intention of the general hospital nurses. Health and Social Welfare Review, 33(3), 540-564. https://doi.org/10.15709/hswr.2013.33.3.540
  24. Shin, M. K., & Kang, H. L. (2011). Effects of emotional labor and occupational stress on somatization in nurses. The Journal of Korean Nursing Administration Academic Society, 17(2), 158-167. https://doi.org/10.11111/jkana.2011.17.2.158
  25. Sim, M. R. (2011). A study on health-promoting behavior and its affecting factors of hospital nurses. Unpublished master's thesis, Kyungpook National University, Daegu.
  26. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1996). Health promoting lifestyle profile II. Retrieved March 05, 2013, from University of Nebraska Medical Center, College of Nursing Web site http://www.unmc.edu/nursing/Health_Promoting_Lifestyle_Profile_ II.htm
  27. Yang, Y. K. (2011). A study on burnout, emotional labor, and self-efficacy in nurses. The Journal of Korean Nursing Administration Academic Society, 17(4), 423-431. https://doi.org/10.11111/jkana.2011.17.4.423
  28. Zeytinoglu, I. U., Denton, M., Davies, S., Bauman, A., Blythe, J., & Boos, L. (2007). Associations between work intensification and job satisfaction: The case of nurses in Ontario. Relations Industrielles/Industrial Relations, 62(2), 201-225. https://doi.org/10.7202/016086ar

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