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Effect of social support and self-efficacy in the relationship between Nursing work environment and Reality Shock in New Graduate Nurses

신규간호사의 간호근무환경과 현실충격과의 관계에서 사회적 지지 및 자기효능감의 효과

  • Received : 2017.01.16
  • Accepted : 2017.04.07
  • Published : 2017.04.30

Abstract

The purpose of this study was to identify the effects of social support and self-efficacy on the relationship between the nursing work environment and reality shock among new graduate nurses. The participants were 260 nurses who had worked for less than 1 year at 3 general hospitals and 2 university hospitals, and who were examined from 15 June to 31 August 2015. The data were analyzed by descriptive statistics, simple regression analysis and moderated regression analysis with the SPSS WIN 21.0 program. In the results, the mean scores of the nursing work environment, reality shock, social support and self-efficacy were $3.06{\pm}.313$, $2.73{\pm}.401$, $3.90{\pm}.623$ and $3.73{\pm}.519$, respectively. Social support (F=16.744, p<.001) and self-efficacy (F=40.616, p<.001) had a direct influence on reality shock. Social support (F=7.743, p<.001) and self-efficacy (F=14.676, p<.001) also had a moderating effect on the relationship between nursing work environment and reality shock. Thus, we need to develop a preceptor education standardization and customized mentor program to enhance social support and self-efficacy, which can reduce new graduate nurses' reality shock in the nursing work environment.

본 연구는 신규간호사의 간호근무환경과 현실충격과의 관계에서 사회적 지지 및 자기효능감의 효과를 규명하여 신규간호사가 경험하는 현실충격을 감소시키기 위한 대안을 마련하고자 시행되었다. 연구기간은 2015년 6월 15일부터 2015년 8월 31일까지였으며, 연구대상은 일 지역 소재 3개의 종합병원과 2개의 대학병원에서 근무하는 1년 미만의 신규간호사를 대상으로 편의추출 방식으로 수집하였으며 260명을 표본으로 하였다. 자료는 기술적 통계, 단순회귀분석, 조절 회귀분석으로 분석하였다. 연구결과는 대상자의 간호근무환경은 평균 $3.06{\pm}.313$점, 현실충격은 평균 $2.73{\pm}.401$점, 사회적 지지는 평균 $3.90{\pm}.623$점 그리고 자기효능감은 평균 $3.73{\pm}.519$점이었다. 현실충격에 대해 사회적 지지(F=16.744, p<.001) 및 자기효능감(F=40.616, p<.001)은 직접효과가 있는 것으로 검증되었다. 또한, 간호근무환경과 현실충격과의 관계에서 사회적 지지(F=7.743, p<.001) 및 자기효능감(F=14.676, p<.001)이 현실충격에 대해 조절효과가 있는 것으로 검증되었다. 따라서 신규간호사가 간호근무환경에서 경험하는 현실충격을 감소시켜 줄 것으로 기대되는 사회적 지지 및 자기효능감을 향상시키기 위한 프리셉터 교육의 표준화 및 맞춤형 멘토 프로그램 등의 프로그램 개발과 자기효능감을 높일 수 있는 프로그램 운영을 제언하는 바이다.

Keywords

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