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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effect of Job Demands and Resources by Nurses on Health Problem and Turnover Intention: The Mediating Effects of Work Burnout and Engagement

간호사의 직무요구와 직무자원이 건강문제와 이직의도에 미치는 영향: 직무소진과 직무열의의 매개효과

  • Received : 2016.06.10
  • Accepted : 2016.08.11
  • Published : 2016.08.31
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Abstract

This study used a job demand-resources model as the basis to examine the effects of job demand and job resources on health problems and turnover intention. A total of 320 nurses who were employed at university hospitals in Seoul participated in the study. The results showed that job demand and job resources had a direct effect on the levels of work burnout and work engagement. Work burnout had a direct effect by increasing the levels of health problems and turnover intentions of nurses; conversely, work engagement had no direct impact on either of the two levels. Job demand and job resources had an indirect effect on increased levels of health problems and turnover intention. The results can be used by hospital administrations to confirm the organizational significance of job resources in increasing job performance and work involvement, as well as to understand the consequences of perceived job demand by nurses.

본 연구는 직무요구-자원 모형을 바탕으로 간호사의 직무요구와 직무자원, 직무소진과 직무열의, 건강문제와 이직의도 간의 관계를 규명하기 위한 가설적 모형을 구축하고 이를 검정하여, 간호 조직의 성공적인 자원관리 방안을 위한 기초자료를 제시하고자 시행되었다. 연구 대상자들은 서울시 소재하는 대학병원에서 근무하는 간호사 320명을 대상으로 실시되었다. 연구 결과, 간호사의 직무요구는 직무소진 증가와 직무열의 감소에 직접적인 영향을 미치는 것으로 나타났으며, 직무자원은 직무열의 증가에 직접적인 영향을 미치는 것으로 확인되었다. 직무요구는 직무소진을 매개로 건강문제와 이직의도 증가에 간접적으로 영향을 미치는 것으로 나타났으며, 직무자원은 직무소진과 직무열의를 매개로 건강문제와 이직의도 감소에 유의한 간접효과를 미치는 것으로 나타났다. 직무소진은 건강문제 증가와 이직의도 증가에 직접적인 영향을 미치는 반면, 직무열의는 이직의도에 직접적인 영향을 미치지 않는 것으로 확인되었다. 본 연구의 결과는 간호사들이 지각하는 직무자원과 직무요구가 건강문제와 이직의도에 미치는 영향을 직무소진과 직무열의의 매개 효과로 파악한 기초자료로 간호 관리자들이 조직의 성과를 높이기 위한 전략적 자료로 활용할 수 있을 것이다.

Keywords

References

  1. G. Jourdain, D. Chenevert, "Job demands-resources, burnout and intention to leave the nursing profession: A questionnaire survey," International Journal of Nursing Studies, vol. 47, no. 6, pp. 709-722, 2010. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2009.11.007
  2. D. Xanthopoulou, A. B. Bakker, E. Demerouti, W. B. Schaufeli, "The role of personal resources in the job demands-resources model," International journal of stress management, vol. 14, no. 2, pp. 121-141, 2007. DOI: http://dx.doi.org/10.1037/1072-5245.14.2.121
  3. W. B. Schaufeli, A. B. Bakker, "Job demands, job resources, and their relationship with burnout and engagement: A multi-sample study," Journal of Organizational Behavior, vol. 25, no. 3, pp. 293-315, 2004. DOI: http://dx.doi.org/10.1002/job.248
  4. W. B. Schaufeli, T. W. Taris, T. W, "A critical review of the job demands-resources model: Implications for improving work and health. In Bridging occupational, organizational and public health, pp. 43-68. Springer Netherlands, 2014. DOI: http://dx.doi.org/10.1007/978-94-007-5640-3_4
  5. A. Shirom, "Job related burnout: A review (Eds.)," Hand-book of occupational health psychology. pp. 245-264, Washington, DC: American Psychological Association, 2002. DOI: http://dx.doi.org/10.1037/10474-012
  6. N. D. Nayeri, R. Negarandeh, M. Vaismoradi, F. Ahmadi, S. Faghihzadeh, "Burnout and productivity among Iranian nurses," Nursing & Health Science, vol. 11, no. 3, pp. 263-270, 2009. DOI: http://dx.doi.org/10.1111/j.1442-2018.2009.00449.x
  7. W. B. Schaufeli, A. B. Bakker, W. van Rhenen, "How changes in job demands and resources predict burnout, work engagement and sickness absenteeism," Journal of Organizational Behavior, vol. 30, no. 7, pp. 893-917, 2009. DOI: http://dx.doi.org/10.1002/job.595
  8. M. R. Simpson, "Predictors of work engagement among registered nurses," Western Journal of Nursing Research, vol. 31, no. 1, pp. 44-65, 2009. DOI: http://dx.doi.org/10.1177/0193945908319993
  9. A. M. Pines, E. Aronson, D. Kafry, "Burnout: From tedium to personal growth," pp. 15, New York: Free Press, 1981.
  10. A. B. Bakker, E. Demerouti, A. I. Sanz-Vergel, "Burnout and work engagement: The JD-R approach," Organizational Psychology and Organizational Behavior, vol. 1, No1, pp. 389-411, 2014. DOI: http://dx.doi.org/10.1146/annurev-orgpsych-031413-091235
  11. R. Yi, "The role of emotional; Labor strategies in job demand-resource model with burnout and engagement - call center employees case-," University of Ajou University, Seoul, Korea, 2006.
  12. L. Z. Hu, P. M. Bentler, "Cut-off criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives," Structural Equation Modeling, vol. 6, no. 1, pp. 1-55, 1999. DOI: http://dx.doi.org/10.1080/10705519909540118
  13. C. Dormann, D. Zapf, "Customer-related social stressors and burnout," Journal of Occupational Health Psychology, vol. 9, no. 1, pp. 61-82, 2004. DOI: http://dx.doi.org/10.1037/1076-8998.9.1.61
  14. J. R. Hackman, G. R. Oldham, "Motivation through the design of work: Test of a theory," Organizational Behavior and Human Performance, vol. 16, no. 2, pp. 250-279, 1976. DOI: http://dx.doi.org/10.1016/0030-5073(76)90016-7
  15. Y. S. Kim, "Nurses job stress influencing on the burnout and turnover intentions," Unpublished master's thesis, Kyung Hee University, Seoul. 2011.
  16. A. Shimazu, W. B. Schaufeli, K. Kamiyama,N. Kawakami, "Workaholism vs. work engagement: the two different predictors of future well-being and performance," International Journal of Behavioral Medicine, vol. 22, no. 1, pp. 18-23, 2015. DOI: http://dx.doi.org/10.1007/s12529-014-9410-x
  17. A. Weider, K. Brodman, B. Mittelmann, D. Wechsler, H. G. Wolff, "The Cornell Service Index: A method for quickly assaying personality and psychosomatic disturbances in men in the armed forces," War Medicine, vol. 7, pp. 209, 1945.
  18. J. J. Oh, M. S. Song, S. M. Kim, "Development and validation of Korean sleep scale," Journal of Korean Academy Nursing, vol. 28, no. 3, pp. 563-572, 1988.
  19. K. S. Lee, "Factor analysis of turnover intention in IT engineers". University of Kyung Hee University, Seoul, Korea, 2009.
  20. R. T. Calantone, Y. S. Zhao, "Joint ventures in China: A comparative study of Japanese, Korean, and U. D. partners," Journal of International Marketing, vol. 9, no. 1, pp. 1-23, 2001. DOI: http://dx.doi.org/10.1509/jimk.9.1.1.19834
  21. R. P. Bagozzi, Y. J. Yi, "On the evaluation of structural equation models," Journal of Academy of Marketing Science, vol. 16, no. 1, pp. 74-94, 1988. DOI: http://dx.doi.org/10.1007/BF02723327
  22. P. M. Bentler, C. Chou, "Practical issues in structural modeling," Sociological Methods and Research, vol. 16, no. 1, pp. 78-117, 1988. DOI: http://dx.doi.org/10.1177/0049124187016001004
  23. S. Sonnetag, F. R. H. Zijlstra, "Job characteristics and off-job time activities as predictors of need for recovery, well-being, and fatigue," Journal of Applied Psychology, vol. 91, no. 2, pp. 330-350, 2006. DOI: http://dx.doi.org/10.1037/0021-9010.91.2.330
  24. E. R. Crawford, J. A. LePine, B. L. Rich, "Linking job demands and resources to employee engagement and burnout: a theoretical extension and meta-analytic test.," Journal of Applied Psychology, vol. 95, no. 5, pp. 834. 2010. DOI: http://dx.doi.org/10.1037/a0019364
  25. P. Van Bogaert, C. Kowalski, S. M. Weeks, D Van heusdena, S. P. Clarke, "The relationship between nurse practice environment, nurse work characteristics, burnout and job outcome and quality of nursing care: a cross-sectional survey," International Journal of Nursing Studies, vol. 50, no. 12, pp. 1667-1677, 2013. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2013.05.010
  26. A. M. Mosadeghrad, "Occupational stress and turnover intention: implications for nursing management," International Journal of Health Policy and Management, vol. 1, no. 2, pp. 169-176, 2013. DOI: http://dx.doi.org/10.15171/ijhpm.2013.30
  27. G. Mark, A. P. Smith, "Occupational stress, job characteristics, coping, and the mental health of nurses," British Journal of Health Psychology, vol. 17, no. 3, pp. 505-521, 2012. DOI: http://dx.doi.org/10.1111/j.2044-8287.2011.02051.x
  28. M. R. Barrick, M. K. Mount, N. Li, "The theory of purposeful work behavior: The role of personality, higher-order goals, and job characteristics," Academy of Management Review, vol. 38, no. 1, pp. 132-153, 2013. DOI: http://dx.doi.org/10.5465/amr.2010.0479