DOI QR코드

DOI QR Code

Influential Factors for Professionalism of Community Health Practitioners(CHPs)

보건진료전담공무원의 전문직업성에 미치는 영향요인

  • Received : 2017.10.27
  • Accepted : 2018.01.05
  • Published : 2018.01.31

Abstract

This study was conducted to determine factors affecting professionalism of community health practitioners (CHPs). The participants in this study were 153 community health practitioners working in G province with structured self-report questionnaires from 20 August to 25 September 2017. Data were analyzed by descriptive statistics, t-test, ANONA, Scheffe's test, Pearson's correlation coefficients and stepwise multiple regression using the SPSS 20.0 program. There were statistically significant differences according to income (F=6.951, p<.001), work experience (F=5.245, p=0.002) and motivation for choosing a community health practitioner (F=3.676, p=0.004). The highest related factors were job satisfaction (${\beta}=0.320$, p<0.001), individual disposition (${\beta}=0.291$, p<0.001), income (${\beta}=0.283$, p<0.001) and job continuance (${\beta}=0.176$, p=0.009). These variables explained 49.6% of the total variance in professionalism. These findings suggest that it is necessary to develop a convergence program and policy support at the individual and organizational level to strengthen the professionalism of community health practitioners.

본 연구는 보건진료전담공무원의 개인 심성, 직무연속성, 직무만족 및 전문직업성의 관계를 파악하고 나아가 전문직업성에 미치는 요인을 규명하기 위한 서술적 조사연구이다. 본 연구는 2017년 8월 20일부터 9월 25일까지 G도에 소재하고 있는 보건진료소에 근무하는 보건진료전담공무원을 대상으로 하였으며, 153부를 최종 분석에 사용하였다. 수집된 자료는 IBM SPSS Statistics 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Scheffe test, Pearsons's correlation coefficients, stepwise multiple regression을 통해 분석하였다. 연구결과 대상자의 일반적 특성에 따른 전문직업성 정도의 차이는 월소득(F=6.951, p<.001), 근무경력(F=5.245, p=.002), 보건진료전담공무원 선택동기(F=3.676, p=.004)에서 통계적으로 유의한 차이를 나타냈다. 주요 변수 간의 관계에서 전문직업성은 개인 심성(r=.573, p<.01), 직무연속성(r=.496, p<.01) 및 직무만족(r=.539, p<.01)과 유의한 정적 상관관계를 나타내었다. 일반적 특성, 개인 심성, 직무연속성, 직무만족이 전문직업성에 미치는 영향을 파악하기 위해 다중회귀분석을 실시한 결과, 보건진료전담공무원의 전문직업성과 가장 높은 관련요인은 직무만족(${\beta}=.320$, p<.001), 개인 심성(${\beta}=.291$, p<.001), 월 소득(${\beta}=.283$, p<.001) 및 직무연속성(${\beta}=.176$, p=.009) 순으로 나타났고, 이들 변인들의 총설명력은 49.6%이었다. 본 연구결과를 바탕으로 보건진료전담공무원의 전문직업성을 강화시킬 수 있는 개인차원과 조직차원에서의 융복합적 프로그램 개발과 정책적 지원이 바람직하다고 본다.

Keywords

References

  1. S. H. Choi, "A study on nursing professional attitude and nursing performance of clinical nurses", Master's thesis, Ewha Womans University, 1996.
  2. C. M. Kim, K. J. June, "Looking Back the Past 30 Years: Activities and Achievements of Community Health Practitioners in Rural and Remote Areas in Korea." Journal of Korean Academy Community Health Nursing, vol. 23, no. 1, pp. 51-62, 2012. DOI: http://doi.org/10.12799/jkachn.2012.23.1.51
  3. T. K. Park, "Professionalism, Job Stress and Job Satisfaction of Visiting Nurses Working at Public Health Center.", Master's thesis, Kyungbook National University, 2012.
  4. H. K. Kim, Y. Eun, K. J. June, A. Y. So, H. G. Kim, M. R. Eom, Y. Y. Song, E. S. Choi, J. Y. Park, H. S. Kim, "Job Competencies and Educational Needs by New Community Health Practitioners", Journal of Korean Academy Community Health Nursing, vol. 25, no. 2, pp. 85-96, 2014. DOI: http://doi.org/10.12799/jkachn.2014.25.2.85
  5. G. I. Jung, S. O. Yun, H. J. Shin, D. S. Shin, "Job Satisfaction and Related Factors among Community Health Practitioners", Journal of Korean Academy of Rural Health Nursing, vol. 4, no. 2, pp. 120-127, 2009.
  6. I. J. Cha, "Professionalism and Job satisfaction, Organization Commitment." Master's thesis, Hanyang University, 2008.
  7. H. J. Baek, Y. S. Kim-Godwin, "Translation and Validation of Korean Version of Hall's Professionalism Inventory", Journal of Korean Academy of Nursing Administration, vol. 13, no. 4, pp. 509-515, 2007.
  8. K. J. Kwon, M. S. Chu, J. A. Kim, "The Impact of Nursing Professionalism on the Nursing Performance, Job Satisfaction and Retention Intention among Clinical Nurses", Journal of Korean Academy of Nursing Administration, vol. 15, no. 2, pp. 182-192, 2009.
  9. C. A. Wynd, "Current factors contributing to professionalism in nursing", Journal of Professional Nursing, vol. 19, no. 5, pp. 251-261, 2003. DOI: http://doi.org/10.1016/S8755-7223(03)00104-2
  10. H. S. Choo, "A Study on Clinical Nurses' Professionalism and the Factors Affecting It", Master's thesis, Honam University, 2001.
  11. K. J. Kwon, K. H. Go, K. Y. Kim, J. A. Kim, "The Impact of Nursing Professionalism on the Nursing Performance and Retention Intention among Psychatric Mental Health Nurse", Journal of Korean Academy of Nursing Administration, vol. 16, no. 3, pp. 229-239, 2010. DOI: https://doi.org/10.11111/jkana.2010.16.3.229
  12. E. H. Ki, "Clinical Nurses' Ethical Dilemma and Professionalism", Master's thesis, Hanyang University, 2008.
  13. E. T. Locke, "The nature and cause of job satisfaction", Chicago: Rand-McNully, 1976.
  14. S. S. Lee, "Professionalism and Job Satisfaction in Dental Hygienists", Journal of Korean Society of Dental Hygiene, vol. 13. no. 4, pp. 535-542, 2013. DOI: http://doi.org/10.13065/iksdh.2013.13.4.535
  15. J. A. Park, "A Study on Job Satisfaction of the Community Health Practitioners-Centering around Chuman Area", The Medical Journal of Chosun University, vol. 13, no. 1, 1988.
  16. Y. O. Park, "A Study on the Effects of Welfare Specialist's Job Satisfaction on Their Identity as Professionals", Master's thesis, Yonsei University, 2003.
  17. S. R. Lee, S. H. Park, "A Study of the Relationship between Personality Traits and Job Satisfaction of Community Health Practitioners in a Rural Area." Journal of Korean Academy of Rural Health Nursing, vol. 24, no. 2, pp. 331-350, 1999.
  18. Y. J. Seo, J. O. Go, "The Determinants of Propensity to Stay Among Hospital Nurses", Korean Journal of Hospital Management, vol. 2, no. 1, pp. 137-161, 1997.
  19. E. Y. Jeong, "Job Satisfaction and Career Development of Community Health Practitioner." Master's thesis, Yonsei University, 2003.
  20. J. Y. Oh, Y. J. Seo, H. S. Park, "Determinants of Intent to Leave among Workers at Long-Term Care Institutions", Korea Society of Health Service Management, vol. 6, no. 17, pp. 87-103, 2012. DOI: http://doi.org/10.12811/kshsm.2012.1.087
  21. J. Y. Lee, "A Study on the Influential Factors of the Dental Hygienist's Professionalism", Journal of Dental Hygiene Science, vol. 11, no. 6, pp. 573-581, 2011.
  22. M. J. Kim, E. G. Ji, "The Study on the impact factors of stay of female care service workers." Academy of Korea Social Welfare Administration", vol. 15, no. 3, pp. 95-131, 2013.
  23. E. J. Hyun, "Effects of job embeddedness of travel agency employees on organizational citizenship behaviors and remaining in organization", Journal of Tourism Management Research, vol. 54, 2013.
  24. Y. S. Eo, M. S. Kim, Y. J. Park, "Influencing factors of the Turnover among Clinical Nurses-Focused on Professionalization, Bu rnout, and Organizational Commitment", Journal of Psychology Behavior, vol. 7, no. 1, pp. 1-13, 2015.
  25. J. M. Kim, "Professionalism, Job Stress and Job Satisfaction of Hospital Nurses", Master's thesis, Kyungbook National University, 2011.
  26. K. H. Kang, Y. J. Lim, " Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness", Journal of Korean Academy of Nursing Administration, vol. 22, no. 5, pp. 424-436, 2016. DOI: http://doi.org/10.11111/jkachn.2016.22.5.424
  27. J. L. Price, "Reflections on the determinants of voluntary turnover", International Journal of Manpower, vol. 22, no. 7, pp. 600-624, 2001. DOI: http://doi.org/10.1108/EUM0000000006233
  28. S. J. Kim, "Empowerment Perception Level and Job Satisfaction among Community Health Practitioners", Master's thesis, Chosun University, 2007.
  29. R. H. Hall, "Professionalism and Bureaucratization", Academy Social Research, vol. 33, no. 1, pp. 92-104, 1968.
  30. M. R. Kim, Clinical nurses's professionalism, nursing performance and intention of retention", Master's thesis, Hanyang University, 2008.
  31. E. J. Song, "Factors Influencing on Professionalism of Nurse in Non-life Insurance Company", Master's thesis, Honam University, 2016.
  32. Y. S. Gim, S. Y. Lee, J. S. Lee, G. T. Gwak, J. G. Pak, S. H. Lee, H. I, Hwang, S. Y. Cha, "The Influence of Organizational Commitment, Job Commitment and Job Satisfaction on Professionalism Perceived by Radiotechnologists Working in the Department of Radiation Oncology", The Journal of the Korean Society for Radiotherapeutic, vol. 24, no. 2, pp. 67-75, 2012.
  33. Y. H. Han, I. S. Sohn, K. O. Park, K. H. Kang, "The Relationships between Professionalism, Job Involvement, Organizational Commitment and Turnover Intention among Clinical Nurses", Journal of Korean Clinical Nursing Research, vol. 16, no. 2, pp. 17-31, 2010.
  34. A. E., Tourangeau, L. A. Cranley, "Nurse intention to remain employed: Understanding and strengthening determinants", Journal of Advanced Nursing, vol. 55, no. 4, pp. 497-509, 2006. DOI: http://doi.org/10.1111/j.1365-2648.2006.03934.x