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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Relationships among Emotional Labor, Fatigue, and Musculoskeletal Pain in Nurses

간호사의 감정노동, 피로 및 근골격계 통증의 관계

  • Received : 2016.11.24
  • Accepted : 2017.01.06
  • Published : 2017.01.31
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Abstract

This study examined emotional labor, fatigue, and musculoskeletal pain in hospital nurses. The study sample included 235 hospital nurses. The data were collected by questionnaire and analyzed with descriptive statistics, t-test, ANOVA, Scheffe test, Pearson's correlation coefficients, and multiple regression.The average emotional labor score was 3.27, and of fatigue was 2.04. The musculoskeletal pain score was 4.43. Emotional labor and fatigue are significantly positively associated with musculoskeletal pain(r=.180, p=.006; r=.278, p<.001). Emotional labor was positively associated with the degree of fatigue(r=.353, p<.001). The significant predictors of musculoskeletal pain for nurses were physical fatigue(${\beta}=.324$, p<.001) and gender(female)(${\beta}=.171$, p=.009), explaining 13.7% of the variance in musculoskeletal pain(F=16.271, p<.001). The results suggest that engaging in emotional labor related to nursing tasks increases the risks of fatigue and musculoskeletal pain. Therefore, it is important to develop a management program to relieve the emotional labor, fatigue, and prevent musculoskeletal pain for clinical nurses.

본 연구는 간호사의 감정노동, 피로 및 근골격계 통증수준을 파악하고 그 관계를 분석하기 위해 시도한 서술적 조사연구이다. 종합병원에서 근무하며 연구참여에 동의한 총 235명의 간호사를 연구대상으로 하였다. 자료는 간호업무 수행 중 경험하는 감정노동, 피로 및 근골격계 통증수준을 구조화된 설문지를 이용하여 조사하였으며 수집된 자료는 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Scheffe test, Pearson 상관계수 및 다중회귀(multiple regression)로 분석하였다. 연구결과에서 간호사들의 평균 감정노동수준이 3.27점, 평균 피로수준은 2.04점, 및 평균 근골격계 통증수준은 4.43점으로 조사되었다. 간호사들의 감정노동과 피로수준은 근골격계 통증수준과 유의한 양의 상관관계가 있었으며(r=.180, p=.006; r=.278, p<.001) 감정노동은 피로수준과도 유의한 양의 상관관계를 나타내었다(r=.353, p<.001). 간호사의 근골격계 통증에 영향을 미치는 요인은 신체적 피로(${\beta}=.324$, p<.001)와 성별(여성)(${\beta}=.171$, p=.009)이었으며 이들 변수는 근골격계 통증수준을 13.7% 설명하는 것으로 나타났다(F=16.271, p<.001). 이상의 결과를 통해 간호사가 병원에서 간호업무수행 중 경험하는 감정노동은 피로와 근골격계 통증에 상호 관련됨에 따라 간호사의 감정노동과 피로를 감소시키고 근골격계 통증을 예방하기 위한 방안모색이 필요함을 알 수 있었다.

Keywords

References

  1. S. H. Kim, Y. S. Ham, "A meta-analysis of the variables related to the emotional labor of nurses", Journal of Korean Academy of Nursing Administration, vol. 21, no. 3, pp. 263-276, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.3.263
  2. H. J. Park, "Emotional labor, emotional expression and burnout of clinical nurses", Journal of Korean Academy of Nursing Administration, vol. 15, no. 2, pp. 225-232, 2009.
  3. I. S. Kim, "The role of self-efficacy and social support in the relationship between emotional labor and burn out, turn over intention among hospital nurses", Journal of Korean Academy of Nursing Administration, vol. 15, no. 4, pp. 515-526, 2009.
  4. M. K. Shin, H. L. Kang, "Effects of emotional labor and occupational stress on somatization in nurses", Journal of Korean Academy of Nursing Administration, vol. 17, no. 2, pp. 158-167, 2011. DOI: https://doi.org/10.11111/jkana.2011.17.2.158
  5. J. H. Kim, Y. M, Lee, H. Y. Joung, H. S. Choo, S. J. Won, S. Y. Kwon, "Effects of emotional labor, emotional intelligence and social support on job stress in clinical nurses", Journal of Korean Academy of Fundamentals of Nursing, vol. 20, no. 2, pp. 157-167, 2013. DOI: https://doi.org/10.7739/jkafn.2013.20.2.157
  6. Brotheridge, CM, R. T. Lee, "Development and validation of the emotional labour scale", Journal of Occupational and Organizational Psychology, vol. 76, pp. 365-379, 2003. DOI: https://doi.org/10.1348/096317903769647229
  7. S. K. Cha, Y. S. Shin, K. Y. Kim, B. Y. Lee, S. Y. Ahn, H. S. Jang, "The degrees of emotional labor and the its related factors among clinical nurses", Journal of Korean Clinical Nursing Research, vol. 15, no. 2, pp. 23-35, 2009.
  8. S. J. Yoon, "The effect of the general hospital nurses' job satisfaction on emotional labor and response level of patients", The chung-Ang Journal of Nursing, vol. 15, pp. 73-80, 2011.
  9. Mann, S., Cowburn, J., "Emotional labour and stress within mental health nursing", Journal of Psychiatric and Mental Health Nursing, vol. 12, no. 2, pp. 154-162, 2005. DOI: https://doi.org/10.1111/j.1365-2850.2004.00807.x
  10. B. I. Lee, "The relationship between emotional working hour and muscle pain", Korean Journal of Occupational Health Nursing, vol. 23, no. 4, pp. 269-276, 2014. DOI: https://doi.org/10.5807/kjohn.2014.23.4.269
  11. D. S. Byun, Y. H. Yom, "Factors affecting the burnout of clinical nurses : focused on emotional labor", Journal of Korean Academic of Nursing Administration, vol. 15, no. 3, pp. 444-454, 2009.
  12. S. J. Kang, S. H. Kwon, "The effects of emotional labor and job involvement on turnover intention of nurses in long-term care hospitals", Korean Journal of Occupational Health Nursing, vol. 24, no. 4, pp. 290-301, 2015. DOI: https://doi.org/10.5807/kjohn.2015.24.4.290
  13. S. W. Hong, D. C. Uhm, M. H. Jun, "Job stress and wok-related musculoskeletal symptoms of 119 emergency medical technicians", Korean Journal of Occupational Health Nursing, vol. 19, no. 2, pp. 223-235, 2010.
  14. S. Y. Kim, I. S. Kwon, Y. C. Cho, "Relationship between job stress and fatigue symptoms among nurses in a university hospital", Journal of the Korea Academia-Industrial cooperation Society, vol. 13, no. 4, pp. 1759-1768, 2012. DOI: http://doi.org/10.5762/KAIS.2012.13.4.1759
  15. G. Y. Cho, K. R. Lee, I. J. Choi, Y. H. Kim, "The effect of foot reflexology on the fatigue, feeling and vital signs of the nurses", Clinical Nursing Research, vol. 11, no. 1, pp. 85-94, 2005.
  16. J. R. Kim, S. R. Suh, J. W. Shin, "Work stress and fatigue among medical insurance review nurses", Korean Journal of Health Education and Promotion, vol. 26, no. 4, pp. 63-70, 2009.
  17. A. S. Park, M. K. Son, Y. C. Cho, "Factors related to psychosocial stress and fatigue symptom among nurses working at ward and operating room in unversity hospital", Journal of the Korean Academia-Industrial cooperation Society. vol. 14, no. 4, pp. 1781-1791, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.4.1781
  18. H. K. Chang, "A study on chronic pain, pain beliefs, pain coping and fatigue in the elderly", Journal of Korean Academy of Adult Nursing, vol. 18, no. 3, pp. 377-385, 2006.
  19. E. A .Kim, "Occupational injuries and illness of nursing staff", Korean Journal of Occupational Health Nursing, vol. 22, no. 4, pp. 275-284, 2013. DOI: https://doi.org/10.5807/kjohn.2013.22.4.275
  20. E. H. Jeong, J. W. Koo, "Analysis of musculoskeletal burdened work among nurses at a university hospital", Journal of the Ergonomics Society of Korea, vol. 25, no. 3, pp. 97-103, 2006. DOI: https://doi.org/10.5143/JESK.2006.25.3.097
  21. J. Y. Park, I. S. Kwon, Y. C. Cho, "Musculoskeletal symptoms and related factor s among nurses in a university hospital", Journal of the Korea Academia-Industrial cooperation Society, vol. 12, no.5, pp. 2163-2171, 2011. DOI: http://doi.org/10.5762/KAIS.2011.12.5.2163
  22. N. J. Sung, J. Sakong, J. H. Chung, "Musculoskeletal disorders and related factors of symphony orchestra players", Korean Journal of Occupation and Environmental Medicine, vol. 12, no. 1, pp. 48-58, 2000.
  23. Y. S. Kim, J. Y. Park, S. Y. Park, "Relationship between Jjb stress and work-related musculo-skeletal symptoms among hospital nurses", Journal of Muscle and Joint Health, vol. 16, no. 1, pp. 13-25, 2009.
  24. N. H. Woo, S. Y. Kim, "Job stress and work-related musculoskeletal symptoms of general hospital nurses", Korean Journal of Occupational Health Nursing, vol. 18, no. 2, pp. 270-280, 2009.
  25. K. J. Jung, S. R. Suh, "Relationships among nursing activities, the use of body mechanics, and job stress in nurses with low back pain", Journal of Muscle and Joint Health, vol. 20, no. 2, pp. 141-150, 2013. DOI: https://doi.org/10.5953/JMJH.2013.20.2.141
  26. S. K. Yoo, C. K. Choi, H. S. Song, C. G. Lee, "Relationship between occupational stress-emotional labor and musculoskeletal symptoms and experience of absence or early leave in some civil affairs officials", Korean Journal of Occupational Environmental Medicine, vol. 23, no. 2, pp. 192-202, 2011.
  27. Schleifer LM, Ley B, Spalding TW, "A hyperventilation theory of job stress and musculoskeletal disorders", American Journal of Industrial Medicine, vol. 41, no. 5, pp. 420-432, 2002. DOI: https://doi.org/10.1002/ajim.10061
  28. Huang GD, Feuerstein M., Sauter SL, "Occupational stress and work-related upper extremity disorders:concepts and models", American Journal of Industrial Medicine, vol. 41, no. 5, pp. 298-314, 2002. DOI: https://doi.org/10.1002/ajim.10045
  29. Visser B, van Dieen JH, "Pathophysiology of upper extremity muscle disorders", Journal of Electromyography and Kinesiology, vol. 16, no. 1, pp. 1-16, 2006. DOI: https://doi.org/10.1016/j.jelekin.2005.06.005
  30. Morris JA, Feldman OC, "The dimensions, antecedents, and consequences of emotional labor", Academy of Management Review, vol. 21, no. 4, pp. 986-1010, 1996. DOI: https://doi.org/10.2307/259161
  31. M. J. Kim, "Effects of the hotel employee's emotoinal labor upon the job-related attitudes", Journal of Tourism Sciences, vol. 21, no. 2, pp. 129-141, 1998.
  32. E. Y. Hong, "Factors affecting nurse's health promoting behavior: focusing on self-efficacy and emotional labor", Korean Journal of Occupational Health Nursing, vol. 23, no. 3, pp. 154-162, 2014. DOI: https://doi.org/10.5807/kjohn.2014.23.3.154
  33. H. A. Kang, "Change of nursing profession labor", Economy and Society, vol. 55, no. 3, pp. 142-168, 2002.
  34. J. H. Lee, "The mutual relation between an emotional labor, a burnout and a customer orientation of sports-facilities leaders", Journal of the Korean Data Analysis Society, vol. 13, no. 4, pp. 2165-2179, 2011.
  35. K. M. Lee, M. S. Hong, "A study on relationship of work stress, fatigue, and job satisfaction in emergency room nurses", Chonnam Journal of Nursing Science, vol. 8, no. 1, pp. 87-103, 2003. DOI: https://doi.org/10.1111/j.1742-7924.2010.00162.x
  36. C. G. Lee, J. Park, J. S. Park, S. J. Sohn, "Sociopsychological factors associated with symptoms of work-related musculoskeletal disease", Korean Journal of Occupation and Environmental Medicine, vol. 17, no. 2, pp. 104-115, 2005.
  37. J. H. Kang, M. J. Kim, "A study on the difference of emotional labor and its consequence according to the interaction styles with customer", Journal of Korean Academic Society of Hospitality Administration, vol. 17, no. 1, pp. 157-174, 2008.
  38. J. H. Kim, I. K. Kim, "A study on the emotional labor, burnout and turnover intention of clinical nurses", Journal of the Korean Data Analysis Society, vol. 16, no. 3, pp. 1653-1667, 2014.
  39. Armon G, Melame, S, Shirom A, Shapira I, "Elevated burnout predicts the onset of musculoskeletal pain among apparently healthy employees", Journal of Occupational Health Psychology, vol. 15, no. 4, pp. 399-408, 2010. DOI: https://doi.org/10.1037/a0020726