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

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Effects of Job Stress, Fatigue, Burnout, and Job Satisfaction on Turnover Intention among General Hospital Nurses

종합병원 간호사들의 직무스트레스, 피로, 소진 및 직무만족도가 이직의도에 미치는 영향

  • Lim, Yeon-Hee (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, College of Medicine, Chungnam National University)
  • 임연희 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의과대학 예방의학교실)
  • Received : 2018.03.09
  • Accepted : 2018.06.01
  • Published : 2018.06.30
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Abstract

This study constructed a prediction model based on covariance structure to identify the causal relationship between job stress, fatigue, burnout, and job satisfaction on turnover intention in nurses working in general hospitals. The study subjects were 648 nurses at a general hospital in D city. Data collection was surveyed by using self-administered questionnaires structured during the period from November 1, 2016 to December 31, 2016. As a result, the level of turnover intention was significantly higher in the group showing higher job stress, fatigue, and burnout and significantly higher in the group showing lower job satisfaction. The turnover intention of subjects showed a significant positive correlation with job stress, fatigue, and burnout but showed a negative correlation with job satisfaction. As a result of covariance structure analysis, job stress had greater influence on turnover intention than fatigue, burnout, and job satisfaction. Higher job stress, fatigue, and burnout and lower job satisfaction were associated with increased turnover intention. The results of this study show that the turnover intention of general hospital nurses is significantly related to job stress, fatigue, burnout, and job satisfaction. In particular, job stress had a greater effect on turnover than fatigue, burnout, and job satisfaction. Therefore, in order to lower the turnover intention of general hospital nurses, it is necessary to seek ways to mitigate job stress.

본 연구는 종합병원에 근무하고 있는 간호사들의 직무스트레스, 피로, 소진 및 직무만족도가 이직의도에 미치는 영향을 규명하고자 공분산구조분석에 의한 예측모형을 구축하여 이들 변수간의 인과관계를 분석하였다. 조사 대상은 D광역시에 소재하고 있는 종합병원 간호사 648명으로 하였으며, 자료 수집은 2016년 11월 1일부터 12월 31일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 조사대상자의 이직의도는 직무스트레스, 피로 및 소진점수가 높은 군일수록 유의하게 높은 반면, 직무만족도점수가 낮은 군일수록 유의하게 높았다. 조사대상자의 이직의도는 직무스트레스, 피로 및 소진과는 유의한 양의 상관관계를 보인 반면, 직무만족도와는 유의한 음의 상관관계를 보였다. 공분산 구조분석 결과, 직무스트레스는 피로, 소진 및 직무만족도보다 이직의도에 더 큰 영향을 미쳤으며, 직무스트레스, 피로, 소진이 높을수록, 직무만족도가 낮을수록 이직의도가 높아지는 것으로 나타났다. 위와 같은 연구결과는 종합병원 간호사의 이직의도는 직무스트레스, 피로, 소진 및 직무만족도와 유의한 관련성이 있음을 알 수 있다. 특히 직무스트레스는 피로, 소진 및 직무만족도 보다 이직의도에 높은 영향을 미치는 것으로 나타났다. 따라서 종합병원 간호사들의 이직의도를 낮추기 위해서는 직무스트레스를 완화시켜줄 수 있는 방안을 모색할 필요가 있다고 생각된다.

Keywords

References

  1. Moon SJ, Han SS, A predictive model on turnover Intention of nurses in Korea, J Korean Acad Nurs, 41(5): 633-641, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.5.633
  2. Liou SR, Nurses' intention to leave: Critically analyse the theory of reasoned action and organizational commitment model, J Nurs Manag, 17(1): 92-99, 2009. DOI: https://doi.org/10.1111/j.1365-2834.2008.00873.x
  3. Yom YH, Noh SM, Kim KH. Clinical nurses' experience of positive organizational culture, J Korean Acad Nurs Adm, 20(5): 469-480, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.5.469
  4. Kang HS, Lee ES. Path analysis of work-family conflict, burnout, and turnover intention among married women nurses, Journal of the Korea Academia-Industrial Cooperation Society, 18(2): 206-217, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.2.206
  5. Yang JH, Jeoung KH. Effects of emotional labor, job satisfaction and organizational commitment on turnover intention in nurses. Journal of the Korea Academia-Industrial cooperation Society, 15(12): 7170-7178, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.12.7170
  6. Chio SH, Jang IS, Park SM, Lee HY. Effects of organization culture self-leadership and empowerment on job satisfaction and turnover intention in general hospital nurses, J Korean Acad Nurs Adm, 20(2): 206-214, 2014. DOI: https://doi.org/10.11111/jkana.2014.20.2.206
  7. Kim Y. H., Cho S. H., A study on the fatigue of hospital nurses in Gwangju and Jeonnam, J Korea Community Health Nursing Academic Society, 16(2): 271-284, 2002.
  8. Lee KH, Kim JY. Effect of shift work nurses's fatigue on job stress and turnover intention: Mediating role of job stress, Korean J Occup Health Nurs, 20(1): 74-82, 2011. DOI: https://doi.org/10.5807/kjohn.2011.20.1.074
  9. Barker LM. Measuring and modeling the effects of fatigue on performance: Specific application to the nursing profession. University of Missouri, Columbia USA, 2009.
  10. Choi KJ. Han SS. The influence of the job stress, job satisfaction and social support of clinical nurse's burnout, Journal of East-West Nursing Research, 19(1): 55-61, 2013. DOI: https://doi.org/10.14370/jewnr.2013.19.1.055
  11. Kim MR. Seomun GA. Relationships among burnout, job satisfaction, organizational commitment and turnover intention to resign in hospital nurses, J Korean Occup Health Nurs, 22(2): 93-101, 2013. DOI: https://doi.org/10.5807/kjohn.2013.22.2.93
  12. Bang BM, Lee SY, Cheong JO. Empirical study on the turn-over intention of university hospital nurses, Journal of Digital Convergence, 13(2): 205-213, 2015. DOI: https://doi.org/10.14400/JDC.2015.13.2.205
  13. Jang SJ. Relationship between experience of patients' violent behaviors and burnout of psychiatric nurses. master's thesis, Graduate School of Seoul National University, 2004.
  14. Jung EJ. A study on job satisfaction and turnover intention of general hospital nurses. master's thesis, Graduate School of Catholic University, 2014.
  15. Lee YJ, Kim SH. Lee TW. Effect of job characteristics, organizational culture on job satisfaction and turnover intention in public institution nurses, J Korean Acad Nurs Adm, 21(4):354-365, 2015. DOI: https://doi.org/10.11111/jkana.2015.21.4.354
  16. Faul F, Erdfelder E, Lang AG, et al., G*power 3: A flexible statistical power analysis program for the social, behavioral, and science, J Behav Res Methods, 39(2): 175-191, 2007. DOI: https://doi.org/10.3758/BF03193146
  17. Chang SJ. Kor SB, Kang DM, Kim SA, Kang MG. Developing an occupational stress scale for korean employees, Korean J Occup Environ Med, 17(4):297-317, 2005.
  18. Schwartz JE, Jandorf L, Krupp LB. The measurement of fatigue: A new instrument, J Ppsychosom Res, 37(7): 753-762, 1993. DOI: https://doi.org/10.1016/0022-3999(93)90104-N
  19. Chang SJ. Standardization of collection and measurement of health statistics data. The Korean Society for Preventive Medicine, Seoul, pp. 92-143, 2000.
  20. Maslach C, Jackson SE. The measurement of experienced burnout, J Occup Behav, 2(2): 99-113, 1981. DOI: https://doi.org/10.1002/job.4030020205
  21. Choi HY. Perfectionism tendency, social support, and burnout among counselors. master's thesis, Graduate School of Catholic University, 2002.
  22. Slavitt D. Nurses satisfaction with their work situation, Nursing Research, 27(2): 114-120, 1978. DOI: https://doi.org/10.1097/00006199-197803000-00018
  23. Park SA, Yun SN, Measurement of job satisfaction of nurses and health workers in health centers, J Korean Acad Nurs, 22(3): 316-324, 1992. DOI: https://doi.org/10.4040/jnas.1992.22.3.316
  24. Mobley WH. Griffeth RW. Review and conceptual analysis of the employee turnover recess, Psychological Bulletin, 86: 493-522, 1979. DOI: https://doi.org/10.1037/0033-2909.86.3.493
  25. Lee GH. The impact of career plateau on turnover intention: concerning on bank employee. master's thesis, Graduate School of Hanyang University, 2004.
  26. Price J., Reflections on the determinants of voluntary turnover, Int J Manpower, 22: 600-22, 2001. DOI: https://doi.org/10.1108/EUM0000000006233
  27. Coomber B, Barriball K. Impact of job satisfaction components on intent to leave and turnover for hospital based nurses: A review of the research literature, Int J Nurs Stud, 44: 297-314, 2007. DOI: https://doi.org/10.1016/j.ijnurstu.2006.02.004
  28. Lee EH, Chang SJ, Kim HO, Roh JH, et al. Relationship between job stress and turnover intention of registered nurses in a university hospital, Korean J Occup Environ Med, 19(2): 93-104, 2007.
  29. Yoon GK, Kim SY. Influences of job stress and burnout on turnover intention of nurses, J Korean Acad Nurs Admin, 16(4): 507-516, 2010. DOI: https://doi.org/10.11111/jkana.2010.16.4.507
  30. Cho YK. A structure equation model on new graduate nurse's turnover intentions and turnover. Doctor's thesis, Graduate School of Ewha Women's University, 2013.
  31. Kim CH, Yang SS, Kim YS, Son YJ, et al. A structure equation model of nurses' turnover intention, J Korean Acad Admin, 15(4): 550-562, 2009.
  32. Park MH. Path analysis of turnover intention of infection control nurses. Doctor's thesis, Graduate School of Gyeongsang University, 2011.
  33. Brewer CS, Kovner CT, Greene W, Tukov-Shiserm M, Djukic M. Predictors of actual turnover in a national sample of newly licensed registered nurses employed in hospitals, J Adv Nurs, 68(3): 521-538, 2012. DOI: https://doi.org/10.1111/j.1365-2648.2011.05753.x
  34. Coomber B, Barriball K Impact of job satisfaction components on intent to leave and turnover for hospital based nurses: A review of the research literature, Int J Nurs Stud, 44: 297-314, 2007. DOI: https://doi.org/10.1016/j.ijnurstu.2006.02.004
  35. Shin HR, Cho YC. Relationship between job stress and turnover intention among nurses in university hospitals, Journal of the Korea Academia-Industrial cooperation Society, 14(8): 3958-3970, 2013. DOI: http://doi.org/10.5762/KAIS.2013.14.8.3958
  36. Han SY, Cho YC. Covariance structure analysis on the impact of job stress, fatigue symptoms and job satisfaction on turnover intention among dental hygienists, Journal of the Academia-Industrial Cooperation Society, 17(7): 629-640, 2016. DOI: http://doi.org/10.5762/KAIS.2016.17.7.629
  37. Park HI, Lee K. The effects of social intelligence and burnout on turnover intention in nurses : an exploratory study, Journal of Digital Convergence. 14(4): 325-336, 2016. DOI: https://doi.org/10.14400/JDC.2016.14.4.325
  38. Lee HJ, Cho YC. Relationship between job satisfaction and turnover intention among nurses in general hospitals. Journal of the Korea Academia-Industrial cooperation Society, 15(7): 4404-4415, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.7.4404
  39. Pine AM, Keinan G. Stress and burnout: the significant difference, Pers Individ Dif, 39: 625-635, 2005. DOI: https://doi.org/10.1016/j.paid.2005.02.009
  40. Urmanov Bahromjon, Shin HY, Kim KS. A study on factors affecting turnover intention of IT professionals, Eurasian Study, 10(1): 147-174, 2013. https://doi.org/10.31203/aepa.2013.10.1.009
  41. Kim JH. Structural equation modelling for humor, job satisfaction, job stress and intention to turnover, J Korean Acad Nurs Adm, 19(2): 265-272, 2013. DOI: https://doi.org/10.11111/jkana.2013.19.2.265
  42. Cho HN. Turnover intention of shift nurses at tertiary hospital: A structural equation modelling. Doctor's thesis, Graduate School of Chonnam University, 2016.
  43. Chae JA, Bae SW. A study on the effects of medical employees's emotional labor on turnover intention and customer orientation: Mediated by job stress and job satisfaction, Journal of Marketing Management research, 19(1): 133-152. 2014.