A study on the effect of job demands on job satisfaction and turnover intention among medical social workers

의료사회복지사의 직무요구가 직무만족, 이직의도에 미치는 영향에 관한 연구

The problem of excessive job burdens and high turnover rates in the social welfare area has been dealt with for a long time. However, there is a lack of discussions on the issue of voluntary turnover of medical social workers. The purpose of this study is to examine the effect of job demands on medical social workers' turnover intentions and to verify the mediating effect of job satisfaction on the relationship between job demands and turnover intentions. Among the medical social workers registered in the Korean Association of Medical Social Workers, 188 respondents currently working in hospitals were used for data analysis. As research methods, frequency, descriptive statistics, correlate analysis, and logistic regression analysis were conducted by SPSS 22.0 version and SPSS Macro Process v.2.16. Finally, bootstrap was conducted to verify the significant mediating effect of job satisfaction. The findings are follows: extrinsic job satisfaction was found to have the full mediating effect between job demands and turnover intentions of medical social workers. In other words, job demands of medical social workers affect turnover intentions through extrinsic job satisfaction, but there is no direct effect of the job demand on the turnover intention. On the other hand, intrinsic job satisfaction did not mediate the relationship between job demands and turnover intentions. Based on the results, we suggested organizational and institutional implications for improving the job demands affected to low job satisfaction and turnover intention of medical social workers.

사회복지 영역에서 사회복지사의 과도한 업무 부담과 높은 이직률 문제는 오랫동안 제기되어 왔으나, 의료사회복지사의 이직 문제에 대한 논의는 부족한 실정이다. 본 연구는 의료사회복지사에 대한 직무요구가 이직의도에 미치는 영향을 파악하고 직무만족의 매개효과를 검증하는데 목적이 있다. 분석에는 대한의료사회복지사협회에 등록되어 있는 의료사회복지사 중 현재 병원에서 근무 중인 188명의 자료가 활용되었으며, 로지스틱 회귀분석을 통해 연구 모형을 검증하였다. 분석 결과, 의료사회복지사에 대한 직무요구가 직무만족을 거쳐 이직의도에 영향을 미치는 매개 경로는 유의미한 것으로 나타났으나, 직무요구가 이직의도에 미치는 직접적인 영향력은 없는 것으로 나타났다. 연구 결과를 바탕으로 낮은 직무만족과 이직의도로 이어지는 의료사회복지사에 대한 직무요구 개선을 위한 대한 조직적, 제도적 함의를 제시하였다.