DOI QR코드

DOI QR Code

A Convergence study on the effects of satisfaction of nurses using the Electronic Medical Record system on job stress

전자의무기록시스템을 이용하는 간호사의 만족도가 직무스트레스에 미치는 영향에 관한 융합연구

  • Ha, Yun-Ju (Department of Nursing, Honam University)
  • Published : 2017.05.28

Abstract

This is a convergence study to provide an effective way of managing nurses' job stress by improving nurse satisfaction through an integrated identification of the effect satisfaction level on job stress for nurses using an electronic medical record(EMR) system. The data were collected from August 1 to September 1, 2014. The participants were 377 nurses from C university hospital of G metropolitan city were analyzed using SPSS 21.0. The result shows that job stress decreases as nurses' satisfaction level of using the EMR system increases. Thus, a practical job stress mediation program should be developed to continuously enhance nurses' satisfaction with the EMR system, which is expected to shorten the nursing record writing time and improve the quality of nursing service for patients. Furthermore, to improve the satisfaction with the EMR, appropriate management, such as continuous nursing education on the EMR system, will be needed.

본 연구는 전자의무기록시스템을 이용하는 간호사의 만족도가 직무스트레스에 미치는 영향을 융합적으로 규명하여 간호사의 만족도를 높여 간호사의 직무스트레스를 효과적으로 관리하는 방안을 마련하기 위해 시도되었다. 연구방법은 2014년 8월 1일부터 2014년 9월 1일까지 G 광역시에 소재한 C 대학병원에서 전자의무기록을 사용하는 간호사를 대상으로 설문 조사한 자료 377부를 SPSS 21.0 프로그램을 이용하여 분석하였다. 그 결과 전자의무기록 사용자의 만족도가 높을수록 직무스트레스는 감소하였다. 아울러 전자의무기록에 대한 간호사의 만족도를 지속적으로 향상시키기 위하여 실제적인 직무스트레스 중재 관리프로그램이 마련되어야 하며 간호기록 작성 시간이 단축되어 환자에게 양질의 간호서비스를 제공할 것으로 기대되며, 전자의무기록의 만족도를 높이기 위해서는 정기적으로 전자의무기록시스템에 관한 지속적인 간호교육 등 적절한 관리가 필요할 것으로 사료된다.

Keywords

References

  1. J. W. Oh, J. S. Han, Y. S. Moon, "Study on the Awareness, Satisfaction and Job Stress of Nurses using EMR System", J of Digital Policy & Management, Vol. 10, No. 8, pp. 257-264, 2012.
  2. J. R. Chun, "The Acceptance Factors for Electronic Medical Record System", J of Digital Convergence, Vol. 13, No. 12, pp. 47-53, 2015. https://doi.org/10.14400/JDC.2015.13.12.47
  3. J. E. Lee, S. G. Nah, "An Empirical Study of User Perceptions on EMR Standardization Leading Medical & IT Convergence", J of Digital Convergence, Vol. 13, No. 5, pp. 111-118, 2015. https://doi.org/10.14400/JDC.2015.13.5.111
  4. S. Y. Kim, "Users' Satisfaction with Nursing Information System", J of Korean Academy of Nursing Administration," Vol. 12, No. 4, pp. 532-540, 2006.
  5. R. E. Mayer, Multimedia Learning: Second Edition. New York: Cambridge University Press, 2009.
  6. Y. Y. Kim, S. S. Shin, "A Study on reliable Electronic Medical Record System", J of Digital Policy & Management, Vol. 10, No. 2, pp. 193-200, 2012.
  7. Y. S. Jeong, "U-healthcare Service Management Scheme for Big Data of Patient Information", J of Convergence for Information Technology, Vol. 5, No. 1, 2015.
  8. D. Y. Kim, M. H. Park, "Intermediate Evaluation after the Introduction of Electronic Nursing Record System in a General Hospital", J of Korean Clinical Nursing Research, Vol. 16, No. 3, pp. 133-144, 2010.
  9. Y. H. Sung, M. S. Cho, M. S. Hong, "User Satisfaction of Nursing Information System", J of Korean Society of Medical Informatics, Vol. 12, No. 3, pp. 227-238, 2006.
  10. M. J. Vandermeijden, H. J. Tange, J. Troost, A. Hasman, "Determinants of Success of Inpatient Clinical Information Systems: A Literature Review", J of the American Medical Informatics Association, V.10, No. 3, pp. 235-243, 2003. https://doi.org/10.1197/jamia.M1094
  11. E. H. Kim, "A Convergence Study about Influences of Self-efficacy and Mindfulness on Job Satisfaction on General Hospital Nurses", J of the Korea Convergence Society, Vol. 7. No. 5, pp. 107-116, 2016. https://doi.org/10.15207/JKCS.2016.7.5.107
  12. S. C. Choi, J. S. Lee, S. Y. Sim, J. H. Lee, J. H. Park, "The Effect of Job Stress and Depression on Job Satisfaction among Workers in Small and Medium Sized Enterprises", J of Convergence for Information Technology, Vol. 7, No. 1, pp. 1-9, 2017.
  13. M. J. Kim, G. Y. Kang, "The Convergence Study on the Relationship between the Job Stress and Mental Health of Nurses", J of the Korea Convergence Society, Vol. 6. No. 5, pp. 39-47, 2015. https://doi.org/10.15207/JKCS.2015.6.5.039
  14. K. L. Choi, S. E. Heo, D. H. Moon, "Convergence Study on the Influence of Job Stress of Shift Work Nurses on Nursing Performance", J of the Korea Convergence Society, Vol. 7. No. 4, pp. 107-121, 2016. https://doi.org/10.15207/JKCS.2016.7.4.107
  15. B. M. Bang, S. Y. Lee, J. O. Cheong, "Empirical Study on the Turn-Over Intention of University Hospital Nurses", J of Digital Convergence, Vol. 13, No. 2, pp. 205-213, 2015. https://doi.org/10.14400/JDC.2015.13.2.205
  16. S. J. Yoo, Y. H. Chio, "Predictive Factors influencing Turnover Intention of Nurses in small and Medium-Sized Hospitals in Daegu City", J of Korean Nursing Administration Academic Society, Vol. 15, No. 1, pp. 16-25, 2009.
  17. K. Y. Jung, H. J. Lee, J. I. Kim, Y. G. Kim, "The Effects of Job Stress for Depression in Clinical Nurses", Korean J Occupational Health Nursing, Vol. 16 No. 2, pp. 158-167, 2007.
  18. H. S. Lee, "Effect of the Occupational Stree and Self Esteem on Mental Health among Nurses", The Korea Contents Association, Vol. 13, No. 3, pp. 251-259, 2013. https://doi.org/10.5392/JKCA.2013.13.03.251
  19. K. A. Hong, A Study on the Factors Affecting EMR System Users' Satisfaction-Focused on the EMR Systems Operated by Large-Scale Hospitals-, Kyung Hee University, Master's thesis, 2008.
  20. Y. H. Youn, A Study on the User Satisfaction and Performance of Image Electronic Medical Record System, Korea University, Master's thesis, 2006.
  21. Y. M. Ryu, Ryu. S. Kim, "Determinants of Hospital Nurses' Satisfaction on Hospital Information System(HIS): Focused on Perceived HIS Quality, Individual and Organizational Characteristics", J of The Korea Contents Association, Vol. 13, No. 6, pp. 438-449, 2013. https://doi.org/10.5392/JKCA.2013.13.06.438
  22. W. J. Doll, G. Tordzaseh, "The Measurement of End-User Computing Satisfaction", MIS Quaterly, Vol. 12, No. 2, pp. 259-274, 1998.
  23. S. M. Ko, User Satisfaction And Job Stress of Health Care Workers on the Electronic Medical Record System. Korea University, Master's thesis, 2009.
  24. M. H. Nam, S. H. Lee, "Effect of Job Stress and Ciping Strategy on Job Satisfaction in a Hospital Works", Annals of Occupational and Environmental Medicine, Vol. 15, No. 1, pp. 1-11, 2003.
  25. J. J. Cho, "Job Stress and Cardiovascular Disease", J of the Korean Academy of Family Medicine, Vol. 23, No. 7, pp. 841-852, 2002.
  26. S. J. Chang, S. B. Ko, D. M. Kang, S. A. Kim, M. G. Kang, C. G. Lee, J. J. Jeong, J. J. Cho, M. A. Son, C. H. Chae, J. W. Kim, J. I. Kim, H. S. Kim, S. C. No, J. B. Park, J. M. Woo, S. Y. Kim, J. Y, Kim, M. N. Ha, J. S. Park, K. Y. Lee, H. R. Kim, J. O. Gong, I. A, Kim, J. S, Kim, J. H. Park, S. J. Hyun, D. K, Son, "Developing an Occupational Stress Scale for Korean Employees Annals of Occupational and Environmental Medicine", Korean J of Occupational and Environmental Medicine, Vol. 17, No. 4, pp. 297-317, 2005.
  27. S. J. Kwak, A Study on the Awareness, Satisfaction and Nursing Performance of Nurse Using EMR System, Konyang University, Master's thesis, 2013.
  28. J. S. Kang, S. J. Kim, W. J. Kim, "The Autonomy, Nursing Performance based on the Awareness and satisfaction of EMR System for Nurses", J of the Korea Academia-Industrial Cooperation Society, Vol. 16, No. 9, pp. 6061-6070, 2015. https://doi.org/10.5762/KAIS.2015.16.9.6061
  29. B. Jacobs, "Electronic Medical Record, Error Detection, and Error Reduction: A Pediatric Critical Care Perspective", Pediatric Critical Care Medicine, Vol. 8, pp. 17-20, 2007. https://doi.org/10.1097/01.PCC.0000257484.86356.39
  30. D. C. Lagrew, H. R. Stutman, L. Secaeros, "Voluntary Physician Adoption of and Impatient Electronic Medical Record by Obstetrician Gynecologists", American J of Obstetrics. Vol. 198, pp.690e1-690e6, 2008. https://doi.org/10.1016/j.ajog.2008.03.022
  31. E. H. Lee, Factors Influencing User Satisfaction of Electronic Medical Record(EMR)System, Korea University, Master's thesis, 2012.
  32. J. Y. Han, Study on the Effect of Satisfaction Rate about Electronic Medical Record System of Nurses Working at General Hospitals on Performance of Nurses-Focused on Nurses Working at University Hospitals in Seoul, Kyung Hee University, Master's thesis, 2012.
  33. E. S. Lee, "A Study on the Satisfaction of Nurses with Electronic Medical Records in General Hospitals", The Korean Society of Health and Welfare, Vol. 14, 59-80, 2012. https://doi.org/10.23948/kshw.2012.12.14.59
  34. M. K. Ahn, The effect of Nurse'S Job Stress on Health Practice Behavior, Master's thesis, Yonsei University, 2003.
  35. D. H. Lim, Job Stress and Nursing Performance among Korean Emergency nurses, Master's thesis, Ajou University, 2013.
  36. S. A. Park, J. H. Kim, "Job Stress and Social Support According to the types of Behavior Pattern: A Study of Staff Nurses in A General Hospital", J of Korean Nursing Administration Academic Society, Vol. 7, No. 2, pp. 349-359, 2001.
  37. Y. J. Shin, S. N. Lee, "The Impact of Emotional Labor and Job Stress on the Job Burnout in the Digital Era : Focusing on Staff Accountants", J of Digital Convergence, Vol.13, No. 2, pp. 61-71, 2015. https://doi.org/10.14400/JDC.2015.13.2.61
  38. Y. K. Ko, K. H. Kang, "A Study on the Relationship between Self-efficacy, Collective-efficacy and Job Stress in the Nursing Staff", J of Korean Nursing Administration Academic Society, Vol. 12, No. 2, pp. 276-286, 2006.
  39. Y. M. Kim, Y. J. Yi, "Influence of Job Stress and Empowerment on Clinical Nurses' Performance in Small and Medium Hospitals", Korean J of Occupational Health Nursing, Vol. 21, No. 3, pp. 258-265, 2012. https://doi.org/10.5807/kjohn.2012.21.3.258
  40. E. Y. Lee, K. H. Shon, "An analysis of research trends related with Job Stress in nursing", J of Korea Convergence Society, Vol. 5, No. 3, pp. 87-95, 2015.