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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Influence of Interpersonal Problems, Emotional Labor on Professional Self-Concept among Clinical Nurses

간호사의 대인관계문제, 감정노동이 전문직 자아개념에 미치는 영향

  • Received : 2017.04.05
  • Accepted : 2017.06.09
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was conducted to identify the degree and correlation among clinical nurses' interpersonal problems, emotional labor and professional self-concept and to examine the effects of interpersonal problems and emotional labor on professional self-concept. Data were collected through a self reported structured questionnaire of 150 clinical nurses using convenient sampling methods from August 2, 2016 to August 30, 2016. The mean score of interpersonal problems was 2.57 and the score of moving toward people was the highest. The mean score of emotional labor was 3.50 and the score of emotional expression frequency was highest. The mean score of professional self-concept was 2.54 and the score of communication was highest. Interpersonal problems were positively correlated with emotional labor(r=0.392, p<0.001), while professional self-concept was negatively correlated with interpersonal problems(r=-0.452, p<0.001) and emotional labor(r=-0.376, p<0.001). Stepwise regression showed that interpersonal problems had the greatest effect on professional self-concept(${\beta}=-0.377$, p<0.001), followed by $Age(yr){\geq}40$, Age(yr)>$30{\leq}40$, education level and emotional labor. These variables together explained 44% of the professional self-concept among clinical nurses(F=24.38, p<0.001). In conclusion, strategies for reducing interpersonal problems and emotional labor should be developed to improve professional self-concept of clinical nurses.

본 연구의 목적은 간호사의 대인관계문제, 감정노동, 전문직 자아개념의 정도와 관계를 확인하고 이들 변수가 전문직 자아개념에 미치는 영향을 파악하기 위함이다. 충청도 소재 1개 병원에 재직 중인 간호사 150명을 대상으로, 2016년 8월 2일부터 8월 30일까지 자가 보고식 설문조사로 시행되었다. 연구결과, 대인관계문제 평균점수는 2.57점으로 사람들에게 향함의 점수가 가장 높았으며, 감정노동은 3.50점으로 감정노동 빈도가 가장 높았다. 전문직 자아개념의 평균점수는 2.54점으로 의사소통의 점수가 가장 높게 나타났다. 대인관계문제는 감정노동(r=.392, p<.001)과 통계적으로 유의한 양의 상관관계를 보였으며, 전문직 자아개념은 대인관계문제(r=-.452, p<.001)와 감정노동(r=-.376, p<.001)과 통계적으로 유의한 음의 상관관계가 있는 것으로 나타났다. 대상자의 전문직 자아개념에 대인관계문제(${\beta}=-0.377$, p<.001)가 가장 큰 영향력을 나타내는 변수였으며, 연령(40세 이상)(${\beta}=0.435$ p<.001), 연령(30세 이상 40세 미만)(${\beta}=0.278$ p<.001), 학력(${\beta}=0.157$ p=.012), 감정노동(${\beta}=-0.153$ p=.025) 순으로 영향을 주는 것으로 나타났으며, 이들 전체 변수는 전문직 자아개념에 대해 약 44%의 설명력을 나타냈다(F=24.38, p<.001). 그러므로 대인관계문제 및 감정노동을 감소시키기 위한 전략이 간호사의 전문직 자아개념 향상을 위해 도움이 될 것으로 사료된다.

Keywords

References

  1. D. Arthur, "The development of an instrument for measuring the professional self concept of nurses", Unpublished master's thesis, University of Newcastle, Australia, 1990.
  2. Y. J. Kim, H. K. Song, M. A. Lee, "Perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses", Journal of Korean Academy of Nursing Administration, vol. 17, no. 1, pp. 96-105, 2011. https://doi.org/10.11111/jkana.2011.17.1.96
  3. M. H. Sung, E. Y. Choi, "The relationships between professional self- concept, nursing performance and retention intention of emergency department nurses", Journal of the Korean Academy of Fundamentals of Nursing, vol. 19, no. 2, pp. 244-252, 2012. https://doi.org/10.7739/jkafn.2012.19.2.244
  4. W. K. Kim, K. H. Chung, "The relationship between professional self-concept, organizational commitment and job satisfaction in clinical nurses", Journal of Korean Academy of Nursing Administration, vol. 14, no. 3, pp. 287-296, 2008.
  5. J. A. Park, J. H. Yeo, "Effect of professional autonomy and professional self-concept on job satisfaction of emergency Nurses", Journal of Korean Critical Care Nursing, vol. 8, no. 1, pp. 62-70, 2015.
  6. E. J. Park, J. Y. Han, N. Y. Jo, "Effects of professional self-concept, self efficacy on the job satisfaction in general hospital nurses", Journal of the Korean Data & Information Science Society, vol. 27, no. 1, pp. 191-201, 2016. DOI: http://doi.org/10.7465/jkdi.2016.27.1.191
  7. H. Y. Cheong, S. H. Yun, "Process of overcoming turnover intention in career nurses", Journal of Korean Academy of Nursing Administration, vol. 19, no. 3, pp. 414-426, 2013. DOI: http://doi.org/10.11111/jkana.2013.19.3.41
  8. J. H. Kim, J. S. Lee, "The experience of clinical nurses' interpersonal conflict", Journal of Qualitative Research, vol. 14, no. 1, pp. 70-80, 2013. https://doi.org/10.22284/qr.2013.14.1.70
  9. B. M. Im, J. M. Park, M. J. Kim, S. Y. Kim, J. H. Maeng, L. L. Lee, K. A. Kang, "A phenomenological study on the turnover experience of novice nurses working in general hospital", Korean Journal of Occupational Health Nursing, vol. 24, no. 4, pp. 313-322, 2015. DOI: http://doi.org/10.5807/kjohn.2015.24.4.313
  10. E. Y. Yeom, H. O. Jeon, "Relations of burnout, interpersonal relations, professional self-concept and depression in clinical nurses", Journal of the Korea Academia-Industrial cooperation Society, vol. 14, no. 6, pp. 2869-2879, 2013. DOI: http://doi.org/10.5762/KAIS.2013.14.6.2869
  11. H. R. Ko, J. H. Kim, "The Relationships among emotional intelligence, interpersonal relationship, and job satisfaction of clinical nurses", The Journal of Korean Academic Society of Nursing Education, vol. 20, no. 3, pp. 413-423, 2014. DOI: http://doi.org/10.5977/jkasne.2014.20.3.413
  12. D. Arthur, "Measuring the professional self-concept of nurses: A critical review", Journal of Advanced Nursing, vol. 17, no. 6, pp. 712-719, 1992. DOI: http://doi.org/10.1111/j.1365-2648.1992.tb01969.x
  13. V. Zamanzadeh, L. Valizadeh, L. Sayadi, F. Taleghani, F. Howard, A. Jeddian, "Emotional labour of caring for homatopoietic stem cell transplantation patients: Iranian nurses' experiences", Asian Nursing Research, vol. 7, no. 2, pp. 91-97, 2013. DOI: http://doi.org/10.1016/j.anr.2013.04.004
  14. S. G. Han, "A study on the occupational characteristics of emotional labor in korea", Journal of Labor Research, vol. 32, pp. 5-27, 2016.
  15. S. Y. Kim, H. Y. Jung, Y. M. Kim, "Emotional labor experienced of ward nurses", Journal of Korean Society of Occupational and Environmental Hygiene, vol. 26, no. 3, pp. 377-387, 2016. DOI: http://doi.org/10.15269/JKSOEH.2016.26.3.377
  16. J. H. Noh, Y. K. Na, "Effects of violence experience, emotional labor, and job stress on clinical nurses' depression", Korean Journal of Occupational Health Nursing, vol. 24, no. 3, pp. 153-161, 2015. DOI: http://doi.org/10.5807/kjohn.2015.24.3.153
  17. Y. S. Kim, E. Y. Chung, J. N. Kim, Y. J. Seo, "The effect of emotional labor on job stress, burnout and job satisfaction of hospital nurses", Korean Public Health Research, vol. 40, no. 4, pp. 75-88, 2014.
  18. M. A. Lee, E. J. Kim, "Influences of hospital nurses' perceived reciprocity and emotional labor on quality of nursing service and intent to leave", Journal of Korean Academy of Nursing, vol. 46, no. 3, pp. 364-374, 2016. DOI: http://doi.org/10.4040/jkan.2016.46.3.364
  19. M. R. Song, K. J. Park, "Emotional labor experienced by ambulatory care nurses", The Journal of Korean Nursing Administration Academic Society, vol. 17, no. 4, pp. 451-461, 2011. https://doi.org/10.11111/jkana.2011.17.4.451
  20. D. H. Moon, "Relationship between ego resilience, self efficacy and professional self-concept of nurse in early stage nurses", Journal of the Korea Academia-Industrial cooperation Society, vol. 17, no. 8, pp. 646-653, 2016. DOI: http://doi.org/10.5762/KAIS.2016.17.8.646
  21. S. H. Kim, N. H. Kim, "The effects of rehabilitation hospital nurses' professional autonomy and self-efficacy on professional self-concept", Journal of the Korea Academia-Industrial cooperation Society, vol. 17 no. 1, pp. 165-174, 2016. DOI: http://doi.org/10.5762/KAIS.2016.17.1.165
  22. E. J. Oh, S. Y. Lee, K. M. Sung, "Interpersonal relations, hope, professional self-concept and turnover intention according to adult attachment styles in early stage nurses", Journal of Korean Academy of Nursing Administration, vol. 19, no. 4, pp. 491-500, 2013. DOI https://doi.org/10.11111/jkana.2013.19.4.491
  23. S. H. Shin, H. R. Choi, S. M. Kim, "Impact on the degree of labor turnover of professional self-concept and emotional labor : A case of female children's hospital nurses, Journal of the Korea Contents Association, vol. 16, no. 5, pp. 375-383, 2016. DOI: http://doi.org/10.5392/JKCA.2016.16.05.375
  24. F. Faul, E. Erdfelder, A. G. Lang, A. Buchner, "G*POWER 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behavior Research Methods, vol. 39, no. 2, pp. 175-191, 2007. https://doi.org/10.3758/BF03193146
  25. L. M. Horowitz, S. E. Rosenberg, B. A. Bear, G. Ureno, V. S. Villasenor, "Inventory of interpersonal problems: Psychometric properties and clinical applications", Journal of Consulting and Clinical Psychology, vol. 56, no. 6, pp. 885-892. 1988. DOI: https://doi.org/10.1037/0022-006X.56.6.885
  26. S. H. Hong, E. Y. Park, Y. H. Kim, J. H. Kwon, Y. R. Cho, Y. K. Kim, "Short form of the korean inventory of interpersonal problems circumplex scales(KIIP-SC)", The Korean Journal of Clinical Psychology, vol. 21, no. 4, pp. 923-940, 2002.
  27. M. J. Kim, "Effects of the hotel employee's emotional labor upon the Job - related attitudes", Journal of Tourism Sciences, vol. 21, no. 2, pp. 129-141, 1998.
  28. J. A. Morris, D. C. Feldman, "The dimensions, antecedents, and consequences of emotional labor", Academy of Management Review, vol. 21, no. 4, pp. 986-1010, 1996. DOI: https://doi.org/10.5465/AMR.1996.9704071861
  29. C. H. Noh, K. Y. Sohng, "Survey on the relationship self-esteem and professional self-concept of nurses", Journal of the Korean Academy of Fundamentals of Nursing, vol. 4, no. 1, pp. 61-71, 1997.
  30. E. H. An, "The effect of separation-individuation in university students on interpersonal problems : the mediating effect of automatic thoughts", Unpublished master's thesis, Catholic University, Seoul, 2012.
  31. S. H. Hong, "Interpersonal problems of CNUE students", Journal of Student Life Research, vol. 12, pp. 73-81, 2004.
  32. E. J. Yeun, H. J. Kim, "Development and testing of a nurse turnover intention scale (NTIS)", Journal of Korean Academy of Nursing, vol. 43, no. 2, pp. 256-266, 2013. DOI: http://doi.org/10.4040/jkan.2013.43.2.256
  33. B. H. Kong, "A Philosophical inquiry into caring in nursing-Based on ricoeur's narrative ethics", Journal of Korean Academy of Nursing, vol. 35, no. 7, pp. 1333-1342, 2005. DOI: https://doi.org/10.4040/jkan.2005.35.7.1333
  34. Y. Sawbridge, A. Hewison, "Thinking about the emotional labor of nursing-supporting nurses to care", Journal of Health Organization and Management, vol. 27, no. 1, pp. 127-133. 2013. https://doi.org/10.1108/14777261311311834
  35. D. Arthur, S. Pang, T. Wong, M. F. Alexander, J. Drury, H. Eastwood, I. Johansson, K. Jooste, M. Naude, C. H. Noh, A. O'Brien, K. Y. Sohng, G. R. Stevenson, M. T. Sy-Sinda, S. Thorne, D. Van der Wal, S. Xiao, "Caring attributes, professional self concept and technological influences in a sample of Registered Nurses in eleven countries", International Journal of Nursing Studies, vol. 36, no. 5, pp. 387-396, 1999. DOI: https://doi.org/10.1016/S0020-7489(99)00035-8