DOI QR코드

DOI QR Code

Comparison of Working Conditions among Non-regular Visiting Nurses in Public Health Centers based on Their Employment Types

전국 보건소 비정규직 방문간호사의 고용형태별 직무실태 비교

  • 김희걸 (가천대학교 간호대학) ;
  • 이연숙 (순천제일대학교 간호학과) ;
  • 장숙랑 (중앙대학교 간호학과) ;
  • 김광병 (청운대학교 사회복지학과) ;
  • 진영란 (청운대학교 간호학과)
  • Received : 2017.12.11
  • Accepted : 2018.07.11
  • Published : 2018.09.30

Abstract

Purpose: This study is to investigate working conditions including job stress among visiting nurses in public health centers in Korea. Methods: An social network based mobile survey was conducted in May 2017 (N=936, response rate: 47.0%). Results: The visiting nurses in this study had their average total career as a nurse is 13.7 years. The 68.3% of them were employed in an indefinite term, 17.0% were hired in a fixed term, and 11.0% came from outsourcing. They responded as high job-stress level including inadequate compensation (71.22/100) and job demands (71.91/100). They experienced down-talk (63.4%), swearwords (32.9%), being made a dirty face (39.9%), sexual jokes (30.8%), or being likened or evaluated with their appearance sexually (14.3%). Among the causes of job related conflicts and discrimination, deprived salary level was the most frequent reason (83.4%). The conflicts and discrimination were incurred by government officers (52.4%). There were no significant differences in overall job stress, emotional labor, organizational commitment, violence, and discrimination experience based on their employment types. Conclusion: The differences in working conditions among the non-regular nurses were trivial, and their overall working conditions were poor. It is necessary to improve non-regular nurses' working conditions in order to make up the limitations of the Korean healthcare system which is centered on hospitals.

Keywords

References

  1. Ministry of Health and Welfare & Korea Health Promotion Institute. The 4th Health Plan 2020. Policy Report. Sejongsi: Ministry of Health and Welfare & Korea Health Promotion Institute; 2016. 561 p.
  2. Ministry of Health and Welfare. 2017 Integrated community health promotion project guidelines: Home health care. Sejong: KM Communication; 2016. 126 p.
  3. Kim JH. Effects of customized home visiting health care on health promotion and employment. Research Report. Seoul: Nursing College of Seoul National University, Korea Health Promotion Institute; 2011 Dec. Report No.: 2011-18.
  4. Kim JH, Lee TJ, Lee JH, Shin SJ, Lee EH. A cost benefit analysis of individual home visiting health care. Journal of Korean Academy of Community Health Nursing. 2010;21(3):362-373. https://doi.org/10.12799/jkachn.2010.21.3.362
  5. Ko Y, Lee IS. Cost-benefit analysis of home visiting care for vulnerable populations with hypertension. Journal of Korean Academy of Community Health Nursing. 2011;22(4):438-450. https://doi.org/10.12799/jkachn.2011.22.4.438
  6. Kim HG, Jang SN, Chin YR, Lee RS, Kim GB. A legal study and improving strategies for home visiting nurse employment in public health sector. Research Report. Seoul: Korean Academy of Community Health Nursing; 2017 Aug. Report No.: 2017-133.
  7. Jang SN, Lee IS, Choi SM. Developing strategies for improving the efficacy of home visiting program. Research Report. Seoul: Ministry of Health and Welfare; 2014 Nov. Report No.: 2014-221.
  8. Lim J, Choi KS, Kim HS, Nam UG, Lim JY, Jang BH, et al. A study on the condition of labor and improvement plan of person on health service in Seoul. Research Report. Seoul: Institution of Health & Walfare Resources; 2017 June. Report No.: 2009-209.
  9. Kim HJ, Hong CN. A study on school members' awareness of education-related workers' performance. Local Education Management. 2016;19(2):27-51.
  10. Kim JH, Lee TJ, Ko Y, Lim ES. Effect of health promotion on the client of individual home visiting health care: focused on the trend of medical cost in before and after the services. Research Report. Seoul: Nursing College of Seoul National University & Korea Health Promotion Institute; 2011 Dec. Report No.:11-18
  11. National Korean Institute. Standardized korean dictionary [Internet]. Seoul: National Korean Institute. 2016. [cited 2018 Feb 02]. Available from: http://stdweb2.korean.go.kr/main.jsp
  12. Jang SJ, Koh SB, Kang DM, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Annals of Occupational and Environmental Medicine. 2005; 17(4):297-317.
  13. Ministry of Employment and Labor. Survey Result of Enterprise Workforce. [Internet]. Sejong: Ministry of Employment and Labor. 2017. [cited 2018 Feb 02]. Available from: http://www.moel.go.kr/news/enews/report/enewsView.do?news_seq=8353
  14. Mowday RT, Steers RM, Porter LW. The measurement of organizational commitment. Journal of Vocational Behavior. 1979;14(2):224-247. https://doi.org/10.1016/0001-8791(79)90072-1
  15. Chang KW. A Study on structural modeling of organizational citizenship behaviors for nurses [master's thesis]. [Seoul]: Kyung Hee University; 2010. 82 p.
  16. Wikipedia. Wiki encyclopedia. [Internet]. San Francisco, CA: Wikimedia Foundation Inc.. 2017. [cited 2018 Feb 02]. Available from: https://ko.wikipedia.org
  17. Morris JA, Feldman DC. The Dimensions, antecedents, and consequences of emotional labor. The Academy of management Review. 1996;21(4):986-1010. https://doi.org/10.2307/259161
  18. Kim SY. Relation of among emotional labor, burnout and coping type of clinical nurses [master's thesis]. [Incheon]: Gachon University; 2014. 63 p.
  19. Ko JW, Yom YH. The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses. Journal of Korean Academy of Nursing. 2003;33(2):265-274. https://doi.org/10.4040/jkan.2003.33.2.265
  20. Price JL. Personnel. In: Mobley WH, editor. Employee turnover: Causes, consequences and control. Leading Mass, Boston: Addison-Wesley Publishing; 1983. p. 10-11.
  21. Moon SJ. Structural model of nurses' intentions of changing workplaces. [dissertation]. [Seoul]: Kyunghee University; 2010. 94 p.
  22. Trading Economics. Consumer price index. [Internet]. Seoul: Statistics Korea. 2018 [cited 2018 Feb 02]. Available from: https://ko.tradingeconomics.com/south-korea/inflation-cpi
  23. Ministry of Employment and Labor. Survey Result of Enterprise Workforce. [Internet]. Sejong: Ministry of Employment and Labor. 2017. [cited 2018 Feb 02]. Available from: http://www.moel.go.kr/news/enews/report/enewsView.do?news_seq=8353
  24. Ministry of Health and welfare. Guidelines of salary for social welfare workers. [Sejong]. 2018.2 Available from: http://www.mohw.go.kr/react/jb/sjb0601vw.jsp?PAR_MENU_ID=03&MENU_ID=03160501&page=1&CONT_SEQ=343671&SEARCHKEY=TITLE
  25. Edaily. 2017 Budget [Internet]. Edaily. Available from: http://www.edaily.co.kr/news/NewsRead.edy?newsid=01712166616032240&SCD=JA11&DCD=A00101. Edaily. 29, AUG. 2017. Yearly Budget, 2018.
  26. Yi YJ, Lee BK. Research trend of nurses' job stress: A comparative study. Korean Journal of Occupational Health Nursing. 2013;22(1):13-23. https://doi.org/10.5807/kjohn.2013.22.1.13
  27. Yom YH, Yang IS, Han JH. Effects of workplace bullying, job stress, self-esteem, and burnout on the intention of university hospital nurses to keep nursing job. Journal of Korean Academy of Nursing Administration. 2017;23(3):259-269. https://doi.org/10.11111/jkana.2017.23.3.259
  28. Park MM, Han SJ. Relations of job satisfaction with emotional labor, job stress, and personal resources in home healthcare nurses. Journal of Korean Academy of Community Health Nursing. 2013;24(1):51-61. https://doi.org/10.12799/jkachn.2013.24.1.51
  29. Park TK. Professionalism, job stress and job satisfaction of visiting nurses[master's thesis]. [Daegu]: Kyungpook National University; 2012. 46 p.

Cited by

  1. Emotional Labor, Job Stress and Professional Quality of Life of Public Health Nurses according to the Employment Type vol.25, pp.5, 2019, https://doi.org/10.11111/jkana.2019.25.5.467
  2. 보건소 방문간호사의 직무스트레스, 전문직업성, 직무만족도과 재직의도 vol.26, pp.3, 2018, https://doi.org/10.22705/jkashcn.2019.26.3.319
  3. 지역사회 융합 보건의료 전문직 여성의 직무 스트레스로 인한 고통 체험: Parse의 인간되어감 연구 방법 적용 vol.10, pp.1, 2018, https://doi.org/10.22156/cs4smb.2020.10.01.219
  4. 간호대학생의 지역사회 방문건강관리 실습경험 vol.31, pp.1, 2018, https://doi.org/10.12799/jkachn.2020.31.1.43