Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Influencing Job Satisfaction of Nurses Working in Long-term Care Hospitals: Focused on Burnout and Burden for Caring Problematic Behaviors in Dementia

요양병원 간호사의 직무만족도 영향요인: 치매 문제행동 간호에 대한 부담, 소진을 중심으로

  • Park, Ji Won (Research Institute of Holistic Nursing Science in College of Nursing, Kosin University) ;
  • Choi, Eun Joung (College of Nursing, Kosin University)
  • 박지원 (고신대학교 간호대학 전인간호과학연구소) ;
  • 최은정 (고신대학교 간호대학)
  • Received : 2015.10.08
  • Accepted : 2015.11.06
  • Published : 2015.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was to investigate the factors influencing job satisfaction of nurses in long-term care hospitals focusing on burnout and burden. The participants were 206 nurses recruited from long-term care hospitals in B metropolitan city and C city. Data were collected from January to March, 2014 and analyzed using SPSS WIN 18.0 program. The frequency of experience was $1.65{\pm}0.42$, which is 4~5 times per month and once or twice per week in the problematic behavior in dementia. The frequency of burden was $1.46{\pm}0.48$, which means one nurse can solve the problematic behaviors in dementia. Burnout was $2.53{\pm}0.61$, and job satisfaction was $2.87{\pm}0.45$. Negative correlations were found between burden and job satisfaction (r=-.256, p=.003), and between burnout and job satisfaction (r=-.718, p<.001). A factor influencing job satisfaction was burnout (${\beta}$=-.735), which explained 57%. It is suggested that Intervention programs should be developed to reduce burnout and burden, and to increase job satisfaction for nurses.

본 요양병원 간호사가 경험하는 치매 문제행동 간호에 대한 부담과 소진을 중심으로 직무만족도의 영향요인을 규명하기 위한 서술적 상관관계 연구로, 2014년 1월 27일부터 3월 31일까지 B광역시와 C시에 있는 요양병원 간호사 206명을 대상으로 치매 문제행동 간호에 대한 부담, 소진, 직무만족도에 관하여 구조화된 설문지로 자료를 수집하였고, SPSS WIN 18.0 프로그램을 이용하여 분석하였다. 간호사가 경험하는 대상자의 치매 문제행동 경험빈도는 평균평점 $1.65{\pm}0.42$로 이는 한 달에 4~5번, 일주일에 1~2번 정도 경험하는 것을 의미한다. 치매 문제행동 간호에 대한 부담 정도는 평균평점 $1.46{\pm}0.48$으로 중간정도로 힘들고, 간호사 한 명의 도움으로 치매 문제행동이 해결되는 것을 의미한다. 소진 정도는 평균평점 $2.53{\pm}0.61$이며, 직무만족도 정도는 평균평점 $2.87{\pm}0.45$로 나타났다. 대상자의 치매 문제행동 간호에 대한 부담과 직무만족도의 정도는 역 상관관계를 보였고(r=-.256, p=.003), 소진과 직무만족도의 정도는 강한 역 상관관계로 나타났으며(r=-.718, p<.001), 소진이 직무만족도에 영향요인으로 57%의 설명력을 가졌다(${\beta}$=-.735). 연구 결과에 따라서 요양병원 간호사의 소진과 치매 문제행동 간호에 대한 부담을 감소시키고, 직무만족도를 높이기 위한 연구 및 중재 프로그램 개발이 지속적으로 수행되어야 할 것이다.

Keywords

References

  1. National Health Insurance Service[Internet], 2014 the Frist Half Long-term Care Insurance Statistics Annual Report, Cited June 1, 2014, Available From: http://www.nhis.or.kr/bbs7/boards/B0039/3115.(Accessed June 1, 2014)
  2. National Health Insurance Service[Internet], 2014 the First Half Health Insurance Major Statistics Data, Cited September 1, 2014, Available From: http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3322. (Accessed September 1, 2014)
  3. Korea Ministry of Government Legislation[Internet ] , Medical Law, Cited March 1, 2015, Available From: http://www.law.go.kr/lsSc.do?menuId=0&p1=&subMenu=1 &nwYn=1§ion=&query=%EC%9D%98%EB%A3% 8C%EB%B2%95&x=0&y=0#liBgcolor7.(Accessed March 1, 2015)
  4. Health Insurance Review & Assessment Service [Internet], 2014 Review of Medical Expenses, Cited May 1, 2015, Available From: http://www.hira.or.kr/dummy.do? pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/13 32409_24959.html&subject=2014.(Accessed May 1, 2015)
  5. Korea Health Industry Development Institute[Internet], Elderly Dementia Care Hospital Support Business Performance Assessment, Cited May 1, 2015,Available From: http://www.khidi.or.kr/board/view?linkId=100348 &menuId=MENU00085.(Accessed May 1, 2015)
  6. National Institute of Dementia[Internet], Number of people with dementia today, Cited May 1, 2015, Available From: http://www.nid.or.kr/dementia_center/statistics/statistics.asp.(Accessed May 1, 2015)
  7. Dementia Information 365[Internet], What is dementia, Cited May 1, 2015, Available From: http://www.edementia.or.kr/encyclo/disease#1, Accessed May 1, 2015
  8. K. A. Kim, "Deveopment of an assessment tool of problematic behaviors for institutionalized old people with dementia", Unpublished doctoral dissertation, Seoul University, Seoul, 2003.
  9. J. A. Song, J. W. Park, H. J. Kim, "Impact of Behavioral and Psychological Symptoms of Dementia on Caregiver Burden in Nursing Homes", J Korean Gerontol Nurs, Vol.15, No.1, pp.62-74, 2013.
  10. J. J. OH, "The Experience of Nursing Staff on the Dementia Patients Aggressive Behavior", J Korean Acad Nurs, Vol.30, No.2, pp.293-306, 2000. https://doi.org/10.4040/jkan.2000.30.2.293
  11. A. M. Pines, E. Aronson, D. Kafry, "Burnout: From Tedium to Personal Growth", New York: The Free Press, 1981.
  12. E. H. Peek, "A study of the correlation between burnout and job satisfaction levels among nurses", Unpublished master's thesis, Yonsei University, Seoul, 1982.
  13. M. R. Shim, K. H. Kim, "Job Satisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals", J Korean Acad Nurs, Vol.16, No.4, pp.446-54, 2010. DOI: http://dx.doi.org/10.11111/jkana.2010.16.4.446
  14. Health Insurance Review & Assessment Service [Internet], 2012 Long-term Care Hospitals Adequacy Test, Cited May 1, 2015, Available From: http://www.hira.or.kr/dummy.do?pgmid=HIRAA0200410 00000&cmsurl=/cms/notice/02/1316521_24959.html&sub ject.(Accessed May 1, 2015)
  15. Y. H. Lee, "A study on Job Stress and Job Satisfaction of Nurses in Long-Term Care Hospital", Unpublished master's thesis, Hanyang University, Seoul, 2010.
  16. M. R. Sung, S. N. Kim, "Stress and Job Satisfaction of Health Care Workers in a Dementia Center", J Korean Gerontol Nurs, Vol.13, No.3, pp.224-32, 2011.
  17. M. Y. Kim, J. H. Park, K. J. Lee, J. M. Yoon, "The Study on Care Worker's Self-Efficacy, Job Satisfaction and Turnover Intention at Long-Term and Home Care Service Centers", Journal of Welfare for the Aged, Vol.62, pp.361-82, 2013.
  18. J. W. Shin, J. H. Baek, "A Comparative Study on Job Stress and Job Satisfaction of Long-Term Care Staffs for Physically Disabled Seniors with Rating 1 and for Demented Seniors with Rating 3", Journal of the Korean Gerontological Society, Vol.31, No.4, pp. 1067-81, 2011.
  19. J. S. Kim, "Knowledge and Care Burden for the Patients with Dementia in Acute Hospital Nurse", Unpublished master's thesis, Soonchunhyang University, Chungnam, 2012.
  20. P. L Stamps, E. B. Piedmont, D. B. Slavitt, A. M. Hasse, "Measurement of work satisfaction among health professionals", Medecal Care. Vol.16, No.4, pp.337-52, 1978. DOI: http://dx.doi.org/10.1097/00005650-197804000-00006
  21. S. A. Park, S. N. Yoon, "Measurement of job Satisfaction of Nurses and Health Workers in Health Centers", J Korean Acad Nurs. Vol.22, No.3, pp.316-24, 1992.
  22. D. Y. Lim, "Coping with dementia related behavior problems of the elderly and care providers", J Korea Academia-Industrial cooperation Society, Vol.16, No.7, pp.4805-15, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.7.4805
  23. H. N. Jo, S. J. Kim, "Relationship of Job Stress, Hardness, and Burnout among Emergency Room Nurses", Journal of the Korean Industrial Nursing Association, Vol.23, No.1, pp.11-9, 2014. DOI: http://dx.doi.org/10.5807/kjohn.2014.23.1.11
  24. B. Y. Chung, J. Y. Han, "Influential Factors Related to Job Satisfaction in Hospice Nurses: Focus on Emotional Labor and Burnout", J Korean Acad Nurs Adm, Vol.20, No.3, pp.322-31, 2014. DOI: http://dx.doi.org/10.11111/jkana.2014.20.3.322
  25. K. S. Han, Y. H. Park, S. R. Kim, "The Influence of Stress-related Personality Traits, Hardiness, and Burnout on Job Satisfaction in Nurse", Korean J Str Res, Vol.19, pp.79-87, 2011.
  26. G. H. Yoon, M. S. Kim, J. H. Kim, K. D. Nam, K. S. Do, K. S. Park, editors, "Introduction to psychology", pp.213-4, Seoul: Hakjisa, 2007.
  27. H. J. Kim, H. R. Lee, S. O. Choi, "Resilience to Burnout, Self-esteem and Turnover Intention of Nuses in Long-term Care Hospitals", J Korean Gerontol Nurs. Vol.15, No.3, pp.218-26, 2013.

Cited by

  1. Experience of Job Stress among Nurses Working in Long-term Care Hospital: A Phenomenological Approach vol.28, pp.5, 2016, https://doi.org/10.7475/kjan.2016.28.5.572