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

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

DOI QR Code

An Exploratory Study on the Causes of Career Interruption in inactive nurses

경력단절 간호사의 경력단절 원인에 대한 탐색적 연구

  • Yu, Eun-Ju (Department of Social Welfare, Wonkwang Digital University) ;
  • Lee, Gun-Jeong (College of Nursing, Ewha Womans University) ;
  • Hwang, Sung-Woo (Department of Nursing, Doowon Technical University)
  • 유은주 (원광디지털대학교 사회복지학과) ;
  • 이건정 (이화여자대학교 간호대학) ;
  • 황성우 (두원공과대학교 간호학과)
  • Received : 2018.09.03
  • Accepted : 2018.12.07
  • Published : 2018.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to analyze in-depth the nurses' experience of hospital work and the factors affecting career interruption of nurses. For this purpose, 20 inactive nurses aged 26-55 participated in interviews about their experience as nurses, characteristics of nursing work, and reasons for retirement, and applied the analysis method of Colaizzi among phenomenological research methods. The analysis resulted in 104 significant statements, 17 formulated meanings, 6 clusters of theme, and 2 categories. The two categories are nursing work characteristics and work environment characteristics. In the characteristics of nursing work, there are four clusters of theme of 'time pressure', 'lack of autonomy', 'physical and emotional labor', 'low wage increase', and in the characteristics of nursing work environment, there are two clusters of theme of 'physical environment' and 'human environment'. Therefore, in order to improve the nurse career interruption, efforts should be made to alleviate excessive work intensity, raise the appropriate level of pay and provide a safe working environment.

본 연구의 목적은 간호사들의 병원 근무 경험과 경력단절 영향요인을 심층적으로 분석하기 위해 시도되었다. 이를 위해 26-55세 경력단절 간호사 20명을 대상으로 간호사로서의 경험, 간호 일의 특성과 퇴직사유의 내용을 인터뷰하였으며 현상학적 방법 중 꼴라쥐(Colaizzi)의 분석방법을 적용하였다. 분석결과 104개의 주요 진술과 17개의 구성된 의미, 6개의 공통 주제군, 2개의 범주가 도출되었다. 2개의 범주는 간호 업무 특성과 근무 환경 특성이며 간호 업무 특성에서는 '시간 압박', '자율성 부재', '신체 감정 노동', '낮은 임금 상승률'의 4가지 공통 주제군이, 근무 환경 특성에서는 '물리적 환경', '인적 환경'의 2가지 공통 주제군이 각각 도출되었다. 따라서 간호사의 경력단절 현상을 개선하기 위해서는 과도한 업무강도를 완화하고 적정수준의 임금인상과 안전한 근무환경을 제공하려는 노력이 필요하다.

Keywords

Table 1. Demographic Characteristics

SHGSCZ_2018_v19n12_416_t0001.png 이미지

Table 2. Analysis of hospital work experience among inactive nurses

SHGSCZ_2018_v19n12_416_t0002.png 이미지

References

  1. S. K. Park, H. J. Lee, Y. K Jha, M. S. Kwak, Y. S. Kim, Y. J. Lee, National Health and Medical Care Survey. p. 15-20, Korea Health Industry Development Institute, 2017.
  2. X. W. Zhu, L. M. You, J. Zheng, K. Liu, J. B. Fang, S. X. Hou, M. M. Lu, A. L. Lv, W. G. Ma, H. H. Wang, Z. J. Wu, L. F. Zang, "Nurse staffing levels make a difference on patient outcomes: a multisite study in Chinese hospital", Journal of Nursing Scholarship, Vol.44, No. 3, pp. 266-273, 2012. DOI: https://doi.org/10.1111/j.1547-5069.2012.01454.x
  3. E. Cho, D. L. Chin, S. Kim, O. Hong, "The relationships of Nurse Staffing Level and Work Environment with Patient Adverse Events", Journal of Nursing Scholarship, Vol. 48, No. 1, pp. 74-82, 2015. DOI: http://doi:10.1111/jnu.12183
  4. Korean Nurses Association, Survey on the status of hospital nursing staff placement. Seoul: Author. 2015.
  5. Labor union of Korean Healthcare Service, Current status of work condition of healthcare workforce. p. 10-80, Labor union of Korean Healthcare Service. 2016.
  6. Ji Yeon Hong, JungMi Chae, Mi Ra Song, Eun Mi Kim, "A Utilization Strategy of Nursing Staff by Types of Medical Institutions - nurse staffing level of medium and small-sized hospitals", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 8 pp. 162-170, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.8.162
  7. Korean Hospital Nurses Association. Hospital Nurses Workin Condition survey, 2017. DOI: http://www.khna.or.kr/web/information/resource.php.
  8. G. J. Lee, S. W. Hwang, "Analysis of reemployment status of nurses participated in reemployment support program", Journal of Korea Contents Association. Vol.15, No.5 pp. 386-402, 2015. DOI: http://www.ndsl.kr/ndsl/commons/util/ndslOriginalView.do?dbt=JAKO&cn=JAKO201517058945417&oCn=JAKO201517058945417&pageCode=PG11&journal=NJOU00292001 https://doi.org/10.5392/JKCA.2015.15.05.386
  9. J. S. Shin, "What is a good job that young people say? When wage and welfare meet, even temporary work is OK... War Label 1st place", Kukminilbo (Seoul Ed.). 2018. Apr 9. DOI: http://news.kmib.co.kr/article/view.asp?arcid=0923930450&code=11131100&cp=du.
  10. S. H. Kwak, S. M. Byeon, "Nurse working environment and treatment improvement measures", Ministry of Health and Welfare. 2018. Mar 20. DOI: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MEN U_ID=04&MENU_ID=0403&CONT_SEQ=344 262&page=1.
  11. Korean Nurses Association, "Direction to improve working condition of hospital nurse", The Korean Nurse, Vol. 263, 2017. DOI:http://webzine.koreanurse.or.kr/Webzine2014/read_article.php?webzine_id=47&sub_cat_id=467&is_sub_no=815&article_id=1059
  12. Moonja Kim, Ji-Won Lee, Jeong-Suk Park, "Effects of Nurses..Practice Environment and Job Embeddedness on Turnover Intention in Medium-small sized Hospital", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No. 1, pp. 222-230, 2017. DOI: http://www.jkais99.org/journal/html/18_01.html https://doi.org/10.5762/KAIS.2017.18.1.222
  13. S. K. Park, K. M. Cho, D. W. Kang, Y. J. Lee, Survey of Nurse Activity Status. p.8-29, Korea Health Industry Development Institute. 2014.
  14. P. F. Colaizzi, Psychological research as a phenomenologist views it. R. S Valle, and M. King(ed). Existential - phenomenological alternatives for psychology. New York. p. 48-71, Oxford University Press, 1978.
  15. Y. Lincoln, E. Guba, Establishing Trustworthiness, in A. Bryman & R.G. Burgess (Eds) Qualitative Research, London, p. 9-45, Sage, 1999.
  16. S. K. Jung, Crisis labor, crisis nursing: labor analysis of hospital nurses. Seoul, p. 34-67, Federation of Korean Trade Unions. Research Series. 2011.
  17. Y. K. Ko, K. H. Kang, "A study on the relationship between self-efficacy, collective-efficacy and job stress in the nursing staff", Journal of Korean Academy of Nursing Adminstratio, Vol.12, No.2, pp.276-286, 2006.
  18. J. J. Kim, J. W. Park, "A study on nurse's turnover decision and related factors", Journal of Korean Academy of Nursing, Vol.21, No.3, pp.383-395, 1991.
  19. Young-Sil Choi, "Nursing professionalism, Job satisfaction and Turnover intention of nurses in small and medium-sized hospitals - Focused on " I " City", Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 5 pp. 2695-2702, 2014. DOI: http://dx.doi.org/10.5762 https://doi.org/10.5762/KAIS.2014.15.5.2695
  20. H. Y. Chang, Y. I. S hyu, M. K. Wong, D. Friesner, T. L. Chu, C, I, Teng, "Which aspects of professional commitment can effectively retain nurses in the nursing profession?" Journal of Nursing Scholarship. Vol. 47, No. 5, pp.468-476, 2015. DOI: https://doi.org/10.1111/jnu.12152
  21. C. Park, M. Kang, D. Kim, J. Park, H. Eom, E. Kim, "Adverse pregnancy outcomes in healthcare workers: a Korean nationwide population-based study", International Archives of Occupational and Environmental Health, Vol90, No.6 pp501-506, August 2017. DOI: https://link.springer.com/article/10.1007/s00420-017-1213-3
  22. M. Toshiharu, H. Shinya, N. Hiromichi, K. Yo, S. Yuki, G. Shijie, "Development of a Nursing-Care Assistant Robot RIBA That Can Lift a Human in Its Arms", International Conference on Intelligent Robots and Systems, DOI: https://ieeexplore.ieee.org/document/5651735/metrics?part=1
  23. S. M. Park, O. I. Park, Moon H. "The Effect of the Emotional Intelligence on the Relationship between Emotional Labor and Turnover Intention of the General Hospital Nurses", Health and Social Welfare review, Vol.33, No.3, pp. 540-564, 2013. https://doi.org/10.15709/hswr.2013.33.3.540
  24. M. K. Shin, H. L. Kang, "Effects of Emotional Labor and Occupational Stress on Somatization in Nurses", Journal of Korean Academy of Nursing Adminstration, Vol.17, No.2, pp. 158-167, 2011. https://doi.org/10.11111/jkana.2011.17.2.158
  25. M. S. Joo, S. R. Jang, "Nurse working experience in hospital without caregivers", The Korean Journal of Health Economics and Policy, Vol.21, No.4, pp. 133-157, 2015. DOI: http://www.papersearch.net/thesis/article.asp?key=3395332
  26. M. O. Jeon, "Jeju Medical Center nurses give birth to disabled children ... After that", Kukminilbo. (Seoul Ed.). 2018. Apr 8. DOI: http://news.kmib.co.kr/article/view.asp?arcid=0923929483&code=14130000&cp=du. 2018.
  27. S. H. Choeng, I. S. Lee, "Qualitative Research on Nurses Experiencing Taeoom", Korean Journal of Occupational Health Nursing. Vol.25, No.3, pp. 238-248, 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.3.238
  28. J. Y. Kang, S. Y. Yun, "A Grounded Theory Approach on Nurses' Experience with Workplace Bullying", Journal of Korean Academy Nursing, Vol.46, No.2, pp. 226-237, 2016. DOI: https://doi.org/10.4040/jkan.2016.46.2.226
  29. J. W. Lee, Y. I. Park, S. J. Paek, J. Y. Lee, H. Y. Lee, Y. K. Jung, "How does the nurse communicate with the doctor? - Qualitative research on nurse's communication experience", Inmoonnonchong. Vol.71, No.1, pp. 345-385, 2014. DOI: http://www.papersearch.net/thesis/article.asp?key=3208553
  30. M. J. Kang, I. S. Park, "Types of Violence and Coping Methods Experienced by General Hospital Nurses", Journal of Korean Clinical Nursing Research, Vol.21, No.1, pp. 92-104, 2015. DOI: http://www.papersearch.net/thesis/article.asp?key=3317306 https://doi.org/10.22650/JKCNR.2015.21.1.92