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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Violence Response, Burnout and Job Satisfaction according to Violence Episode of Emergency Room Worker

응급실 종사자의 폭력 경험에 따른 폭력 반응 소진 및 직무 만족

  • Kim, Mi Yeon (ER. Wonkwang University Hopital) ;
  • Ha, Tae Uk (Department of Emergency Medicine, Wonkwang University School of Medicine) ;
  • Hwang, Yong (Department of Emergency Medicine, Wonkwang University School of Medicine) ;
  • Kang, Ji Sook (Department of Nursing, Wonkwang University School of Medicine)
  • 김미연 (원광대학교병원) ;
  • 하태욱 (원광대학교의과대학 응급의학교실) ;
  • 황용 (원광대학교의과대학 응급의학교실) ;
  • 강지숙 (원광대학교의과대학 간호학과)
  • Received : 2016.10.04
  • Accepted : 2017.01.06
  • Published : 2017.01.31
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Abstract

The purpose of this study was to examine violence response, burnout, and job satisfaction according to violent episodes of emergency room workers. Methods : This Study was a descriptive survey design using convenience sampling. This study was exempt from needing an IRB approval. There were 167 emergency room workers, who agreed to participate in this study, and took a self-report questionnaire between July and August 2015. SPSS 21.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, Pearson correlation coefficients, and multiple regression. The major findings of this study were as follows: 1) 84.4% of participant experienced violent episodes. The frequency of verbal violence was highest. Violent attackers were patients and guardians with drunken state. The time of violence episodes was usually during the night. Violent experience of doctors and nurses was very high. 2) There were significant differences in the emotional response according to violent episodes (t=2.528, p=0.12) 3) The correlation between \response and burnout was statistically significant, and indicates a high positive correlation (r=.616, p=<.001). The correlation between violence response and job satisfaction was statistically significant, indicating a negative correlation (r=-.512, p=<.001). There was a negative correlation between burnout and job satisfaction with statistical significance (r=-.568, p=<.001). 4) Significant factors influencing job satisfaction were emotional response to violence and burnout. Conclusion: The findings of this study provide basic information for the strategies of preventing violence, decreasing burnout, and improving job satisfaction by developing a violence management program.

본 연구는 대학병원 응급실에 근무하는 응급실 종사자를 대상으로 폭력 경험에 따른 폭력 반응, 소진 및 직무 만족도를 조사하였다. IRB 심의 면제 후 설문지를 이용하여 대학병원 응급실 종사자 167명을 대상으로 2015년 7월부터 8월까지 자기기입식으로 수집하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 빈도와 백분율, 평균과 표준편차, t-test, Pearson's correlation coefficiency, Multiple regression로 분석하였다. 이에 따른 연구 결과는 다음과 같다. 대상자의 응급실 폭력 경험에서 대상자가 폭력에 노출 경험이 있는 경우가 84.4%로 다수를 차지하며 언어폭력이 가장 높게 나타났다. 폭력 가해자는 환자와 보호자에 의한 발생이 많았으며, 보호자의 경우 음주상태인 경우가 많았고 폭력 발생은 야간 근무 때 높게 나타났고, 폭력 경험은 의료진이 가장 많았다. 폭력 경험에 따른 정서적 반응이 유의하게 높게 (t=2.528, p=0.12)로 나타났다. 응급실 폭력 경험 대상자의 폭력 반응과 소진은 유의한 양의 상관관계로 나타났다(r=.616, p=<.001). 응급실 폭력 경험 대상자의 폭력 반응과 직무 만족은 유의한 음의 상관관계를 나타내었으며 (r=-.512, p=<.001) 응급실 폭력 경험 대상자의 소진과 직무 만족은 유의한 음의 상관관계로 나타났다(r=-.568, p=<.001). 직무 만족에 가장 큰 영향 요인은 폭력에 대한 정서적 반응과 소진으로 파악되었다. 이 번 연구는 폭력 예방을 위한 프로그램과 함께 폭력에의 노출 후 정서적 지지 및 스트레스나 소진 관리를 위한 전략이 필요함을 알 수 있었다.

Keywords

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