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

  • 제18권4호
  • /
  • Pages.317-324
  • /
  • 2017
  • /
  • 1975-4701(pISSN)
  • /
  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
권호 표지
DOI QR코드

DOI QR Code

신규간호사의 간호근무환경과 현실충격과의 관계에서 사회적 지지 및 자기효능감의 효과

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

  • 투고 : 2017.01.16
  • 심사 : 2017.04.07
  • 발행 : 2017.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

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.

키워드

참고문헌

  1. C. Friese, E. Lake, L. Aiken, J. Silber, J. Sochalski, "Hospital nurse practice environment and outcomes for surgical oncology patients", Health Service Research, vol. 43, no. 4, pp. 1145-1163, 2007. DOI: https://doi.org/10.1111/j.1475-6773.2007.00825.x
  2. K. Christmas, "How work environment impacts retention", Nursing Economics, vol. 26, pp. 316-318, 2008.
  3. E. T. Lake, "Development of the practice environment scale of the nursing work index", Research in Nursing & Health, vol. 25, no. 3, pp. 176-188, 2002. DOI: https://doi.org/10.1002/nur.10032
  4. M. Kramer, "Reality shock; why nurses leave nursing", Saint Louis, CV Mosby; 1974.
  5. K. M. Sin, J. O. Kwon, E. Y. Kim, "Factors associated with New Graduate Nurses' Reality Shock", Journal of Korean Academy of Nursing Administration, vol. 20, no. 3, pp. 292-301, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.3.292
  6. Y. O. Suh, K. W. Lee, "Lived Experiences of New Graduate Nurses", Journal of Korean Academy of Nursing Administration, vol. 19, no. 2, pp. 227-238, 2013. DOI: https://doi.org/10.11111/jkana.2013.19.2.227
  7. M. J. Kim, H. Y. Kim, "The Impact of Social Support and Self-esteem on Nurses' Empowerment", Journal of Korean Academy of Nursing Administration, vol. 20, no. 5, pp. 558-566, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.5.558
  8. K. J. Choi, S. S. Han, "The Influence of the Job Stress, Job Satisfaction and Social Support of Clinical Nurse's Burnout", Journal of East-West Nursing Research, vol. 19, no. 1, pp. 55-61, 2013. DOI: https://doi.org/10.14370/jewnr.2013.19.1.055
  9. J. H. Kim, E. O. Park, "The Effect of Job-stress and Self-efficacy on Depression of Clinical Nurses", Korean Journal of Occupational Health Nursing, vol. 21, no. 2, pp. 134-144, 2012. DOI: https://doi.org/10.5807/kjohn.2012.21.2.134
  10. S. Min, H. S. Kim, Y. J. Ha, E. A. Kim, H. Y. Kim, Y. J. Kim, "The Controlling Effect of the Self Efficacy in the Job Stress of Hospital Nurse on Job Satisfaction, Turnover Intention", The Korean Academic Association or Business Administration, vol. 24, no. 1, pp. 1-21, 2011.
  11. S. Cohen, H. Hoberman, "Positive event and social support as buffers of life changes stress", Journal of Social Psychology, vol. 13, pp. 99-125, 1983.
  12. Y. M. Lee, "Relationships among Health behavior, Social Support, Behavior Pattern and Self-efficacy of Hospital Nurses", Journal of the Korea Academia-Industrial Cooperation Society, vol. 12, no. 11, pp. 4861-4868, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.11.4861
  13. A. Bandura, "Self efficacy in changing societies", New York: Cambridge University Press, 1995. DOI: https://doi.org/10.1017/CBO9780511527692
  14. E. H. Cho, M. N. Choi, E. Y. Kim, I. Y. Yoo, N. J. Lee, "Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses", Journal of Korean Academy of Nursing Administration, vol. 41, no. 3, pp. 325-332, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.3.325
  15. M. Kramer, B. B. Brewer, P. Maguire, "Impact of healthy work environments on new graduate nurses' environmental reality shock", Western Journal of Nursing Research, vol. 35, no. 3, pp. 348-383, 2011. DOI: https://doi.org/10.1177/0193945911403939
  16. J. W. Park, "A study to development a scale of social support", Dissertation, Yonsei University, Seoul, 1985.
  17. M. Sherer, J. E. Maddux, B. Mercandnate, S. Prentice-Dunn, B. Jacobs, R. W. Rogers, "The Self-efficacy scale: Construction and validation", Psychological Reports, vol. 51, pp. 663-671, 1982. DOI: https://doi.org/10.2466/pr0.1982.51.2.663
  18. A. S. Jeong, "A Study on the Relations Between a Health Promoting Behaviors and Self-efficacy in General Hospital nurse", Master's thesis, Hanyang University, Seoul. 2007.
  19. R. M. Baron, D. A. Kenny, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical consideration", Journal of Personality and Social Psychology, vol. 51, pp. 1173-1182, 1986. DOI: https://doi.org/10.1037/0022-3514.51.6.1173
  20. M. Y. Han, S. K. Sohn, S. H. Kwon, J. H. Choi, K. H. Choi, "The Relationships among Self-Efficacy, Spiritual Well-Being, and Job Stress in Clinical Nurses", Journal of East-West Nursing Research, vol. 20, no. 1, pp. 21-28, 2014. DOI: https://doi.org/10.14370/jewnr.2014.20.1.21
  21. J. O. Kwon, E. Y. Kim, "Impact of Unit-level Nurse Practice Environment on Nurse Turnover Intention in the Small and Medium Sized Hospitals", Journal of Korean Academy of Nursing Administration, vol. 18, no. 4, pp. 414-423, 2012. DOI: https://doi.org/10.11111/jkana.2012.18.4.414
  22. J. H. Kim, Y. M. Lee, H. Y. Joung, H. S. Choo, S. J. Won, S. Y. Kwon, H. J. Bae, H. K. Ahn, E. M. Kim, H. J. Jang, "Effect of Emotional Labor, Emotional Intelligence and Social Support on Job Stress in Clinical Nurses", Journal of Korean Academy of Nursing Administration, vol. 20, no. 2, pp. 157-167, 2013. DOI: https://doi.org/10.7739/jkafn.2013.20.2.157
  23. G. L. Kim, H. J. Lee, Y. S. Cho, M. H. Kim, "The Experience of Turnover Decision Making in New Graduate Nurses", Journal of Qualitative Research, vol. 14, no. 1, pp. 23-33, 2013. DOI: https://doi.org/10.22284/qr.2013.14.1.23