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

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

DOI QR Code

Nurses' Perception of Flexible Working and Its Operational Guideline

간호사의 시간선택제 근무에 대한 인식과 근무방안

  • Kim, Miyoung (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Kim, Eunjung (The Graduate School, Ewha Womans University) ;
  • Choi, Sujin (The Graduate School, Ewha Womans University)
  • 김미영 (이화여자대학교 간호학부) ;
  • 김은정 (이화여자대학교 일반대학원) ;
  • 최수진 (이화여자대학교 일반대학원)
  • Received : 2015.10.02
  • Accepted : 2016.01.05
  • Published : 2016.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of the study was to explore the nurses' perception of flexible working and present an operational guideline for implementation. The data were collected from a survey of 532 nurses conducted from 10 February to 24 February, 2015, using simple random sampling. SPSS 21.0 was used to analyze the data. This study found that the demanding for shorter hour shifts was highest ($M=3.89{\pm}0.87$) and 242 participants (46.2%) intended to apply the shift, followed by a fixed night shift, fixed weekend shift, and 12 hour shift. The common reasons identified were the poor environment of shift work and the challenges of child care. The increased time for personal development, relaxation activity to improve the quality of life and child care was highlighted and work-life balance was noted as a positive impact of flexible working. The negative impacts of flexible working were being likely to become temporary workers. These results can help establish uniform working conditions of nurses in the future by providing a standardized operational guideline as a precondition for reasonable compensation and working environment according to a flexible working pattern.

본 연구의 목적은 간호사의 시간선택제 근무에 대한 인식을 조사하고 활성화를 위한 합리적인 근무방안을 제시하는 것이다. 자료는 무작위 할당표출법을 이용하여 전국의 532명의 간호사를 대상으로 2015년 2월 10일부터 24일 까지 설문조사를 하였다. 자료 분석을 위해 SPSS 21.0 프로그램을 사용하였다. 본 연구의 결과에서 시간선택제 근무 중 단축시간제에 대한 필요성($M=3.89{\pm}0.87$)과 지원 의향(46.2%)이 가장 높게 나타났으며, 야간전담제, 휴일전담제, 2교대제 순이었다. 지원 선택의 이유로는 교대근무의 힘든 업무와 육아 병행의 어려움이 가장 높게 나타났다. 시간선택제 근무시행에 따른 긍정적인 영향으로는 자기계발 활동이나 여가활동의 증가로 삶의 질을 높일 수 있고, 육아와 일-가정 양립이 가능한 점이었으며, 부정적인 영향으로는 비정규직으로 채용될 우려와 급여가 감소할 것이라는 의견이 가장 높게 나타났다. 본 연구의 결과를 토대로 시간선택제 근무를 시행하기 위한 선결조건으로 시간선택제 근무 유형에 따른 보상과 근무조건에 대한 표준화된 운영 지침을 제시함으로써 추후에 시간선택제 간호사의 균등한 근무조건을 마련하는데 기여할 수 있다.

Keywords

References

  1. Hospital Nurses Association, "Hospital nurse staffing survey", Seoul; HNA, 2014.
  2. Statistics Korea, "Annual employment statistics", Statistics Korea, 2012. Available from http://laborstat.moel.go.kr/ (accessed December, 10, 2014)
  3. E. J. Yoon, I. J. Lee, J. H. An, "Attitude toward turnover intention among hospital nurses: An application of Q-methodology", Korean Society for the Scientific Study of Subjectivity, No. 26, pp. 57-69, 2013.
  4. G. Morris, "Workforce survey results for nursing staff, midwives and health visitors", London; TSO, 2006.
  5. G. J. Lee, "Survey on nurses at career break and evaluation of re-employment support programs", Seoul; Korean Nurses Association, 2014.
  6. Ministry of Employment and Labor, "Introduction and operation guide for part-time job", Seoul; Korea Labor Foundation, 2013.
  7. Y. O. Paek, "Study on the flexible workplace, job satisfaction, intention to change job for hospital nurses", Unpublished Master's thesis, Ewha Womans University, Seoul, 2012.
  8. Hospital Nurses Association, "Nurses' work environment survey in hospital", Seoul; HNA, 2013.
  9. National Solution Inc, "2015 National healthcare retention and RN staffing report", East Petersburg; NSI Nursing Solution, 2009.
  10. B. J. Hatcher, M. R. Bleich, C. Connolly, K. Davis, P. O. Hewlett, K. S. Hill, "Wisdom at work: The importance of the older and experienced nurse in the workforce", Princeton; Robert Wood Johnson Foundation, 2006.
  11. United States Department of Labor, "Occupational outlook handbook", Washington DC; USDOL, 2012.
  12. Ministry of Employment and Labor, "2013 Korea occupational outlook", Seoul; Korea Employment Information Service, 2013.
  13. I. Brooks, "Nurse retention: Moderating the ill-effects of shiftwork", Human Resource Management Journal, Vol. 10, pp. 16-30, 2000. DOI: http://dx.doi.org/10.1111/j.1748-8583.2000.tb00003.x
  14. I. Brooks, S. Swailes, "Analysis of the relationship of nurse influences over flexible working and commitment to nursing", Journal of Advanced Nursing, Vol. 38, No. 2, pp. 117-126, 2002. DOI: http://dx.doi.org/10.1046/j.1365-2648.2002.02155.x
  15. G. L. Ingersoll, T. Olsan, J. Drew-Cates, B. Devinney, J. Davies, "Nurses' job satisfaction, organizational commitment and career intent", Journal of Nursing Administration, Vol. 32, No. 5, pp. 250-263, 2002. DOI: http://dx.doi.org/10.1097/00005110-200205000-00005
  16. International Centre for Human Resources in Nursing, "Flexible work practices in nursing", Geneva; ICN, 2012.
  17. Ministry of Employment and Labor, "The labor force survey at establishments", Seoul; Ministry of Employment and Labor, 2014.
  18. E. S. Lee, K. O. Kim, H. J. Song, J. S. Lee, S. Y. Kim, H.S. Lee, J. H. Choi, "Comparison of job satisfaction and nursing performance between nurses on fixed nights and nurses on three shifts, and nurses understanding of fixed night shift system", Journal of Korean Clinical Nursing Research, Vol. 18, No. 1, pp. 63-73, 2012. https://doi.org/10.22650/JKCNR.2012.18.1.63
  19. J. Clendon, L. Walker, "Nurses aged over 50 and their perceptions of flexible working", Journal of Nursing Management, 2015, June 23. Advance online publication, DOI: http://dx.doi.org/10.1111/jonm.12325
  20. Family-Friendly Strategy Research Institute, "Improvement of health sector jobs opportunity and quality of work", Seoul; FFSRI, 2010. RR 2010-8-12.
  21. Y. W. Park, H. K. Shin, H. S. Lee, H. Y. Lee, E. H. Kim, J. S. Park, K. H. Oh, M. A. Jeong, K. H. Mun, "A study for developing the effective working pattern for nurses in shift work", Journal of Korean Clinical Nursing Research, Vol. 19, No. 3, pp. 333-344, 2013
  22. Y. H. Kim, Y. O. Yang, "A study for perception and preference on flexible working pattern of nurses in hospital", Journal of Korean Academy of Nursing Administration, Vol. 13, No. 2, pp. 167-175, 2007.
  23. S. Yigit, K. Aksay, "A Comparison between generation X and generation Y in terms of individual innovativeness behavior: The case of Turkish health professionals", International Journal of Business Administration, Vol. 6, No. 2, pp. 106-117, 2015. DOI: http://dx.doi.org/10.5430/ijba.v6n2p106
  24. Ministry of Employment and Labor, "Improvement of part-time support system: Press release", Seoul; Ministry of Employment and Labor, 2015.
  25. M. M. Ohayon, M. H. Smolensky, T. Roth, "Consequences of shiftworking on sleep duration, sleepiness, and sleep attacks", Chronobiology International, Vol. 27, No. 3, pp. 575-589, 2010. DOI: http://dx.doi.org/10.3109/07420521003749956
  26. W. M. Fallis, D. E. McMillan, M. P. Edwards, "Napping during night shift: Practices, preferences, and perceptions of critical care and emergency department nurses", Critical Care Nurse, Vol. 31, No. 2, pp. e1-e11, 2011. DOI: http://dx.doi.org/10.4037/ccn2011710
  27. S. S. Smith, S. Kilby, G. Jorgensen, J. A. Douglas, "Napping and nightshift work: Effects of a short nap on psychomotor vigilance and subjective sleepiness in health workers", Sleep and Biological Rhythms. Vol. 5, pp. 117-125, 2007. DOI: http://dx.doi.org/10.1111/j.1479-8425.2007.00261.x
  28. Y. Jia, Y. Lu, K. Wu, Q. Lin, W. Shen, M. Zhu, S. Huang, J. Chen, "Does night work increase the risk of breast cancer? A systematic review and meta-analysis of epidemiological studies", Cancer Epidemiology, Vol. 37, No. 3, pp. 197-206, 2013. DOI: http://dx.doi.org/10.1016/j.canep.2013.01.005
  29. A. N. Viswanathan, S. E. Hankinson, E. S. Schernhammer, "Night shift work and the risk of endometrial cancer", Cancer Research, Vol. 67, No. 21, pp. 10618-10622, 2007. DOI: http://dx.doi.org/10.1158/0008-5472.CAN-07-2485
  30. E. S. Schernhammer, F. Laden, F. E. Speizer, W. C. Willett, D. J. Hunter, I. Kawachi, G. A. Colditz, "Night-shift work and risk of colorectal cancer in the nurses' health study", Journal of the National Cancer Institute, Vol. 95, No. 11, pp. 825-828, 2003. DOI: http://dx.doi.org/10.1093/jnci/95.11.825
  31. L. D. Scott, W. T. Hwang, A. E. Rogers, T. Nysse, G. E. Dean, D. F. Dinges, "The relationship between nurse work schedules, sleep duration, and drowsy driving", Sleep, Vol. 30, No. 12, pp. 1801-1807, 2007. https://doi.org/10.1093/sleep/30.12.1801
  32. A. M. Trinkoff, R. Le, J. Geiger-Brown, J. Lipscomb, "Work schedule, needle use, and needle stick injuries among registered nurses", Infection Control, Vol. 28, No. 2, pp. 156-164, 2007. DOI: http://dx.doi.org/10.1086/522262
  33. J. Geirger-Brown, V. E. Rogers, A. M. Trinkoff, R. L. Kane, R. B. Bausell, S. M. Scharf, "Sleep, sleepiness, fatigue, and performance of 12-hour-shift nurses", Chronobiology International, Vol. 29, No. 2, pp. 211-219, 2012. DOI: http://dx.doi.org/10.3109/07420528.2011.645752
  34. T. Dwyer, L. Jamieson, L. Moxham, D. Austen, K. Smith, "Evaluation of the 12‐hour shift trial in a regional intensive care unit", Journal of Nursing Management, Vol. 15, No. 7, pp. 711-720, 2007. DOI: http://dx.doi.org/10.1111/j.1365-2934.2006.00737.x