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간호사의 병원근무환경과 상사와의 신뢰도가 이직의도에 미치는 영향

The Effects of Nurses' Working Environment and Reliability with Superiors on Turnover Intention

  • 김민영 (경남정보대학교 간호학과)
  • Kim, Min-Young (department of Nursing, Kyungnam College of Information & Technology)
  • 투고 : 2018.06.08
  • 심사 : 2018.10.20
  • 발행 : 2018.10.28

초록

본 연구는 간호사의 병원근무환경과 상사와의 신뢰도를 파악하고 그에 따른 이직의도에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 대상자는 B시에 소재한 5개의 병원에 재직 중인 간호사 122명으로 설문지를 통해 자료를 수집하였고, 수집된 자료는 SPSS 22.0 프로그램으로 이용하여 분석하였다. 연구결과, 병원근무환경과 이직의도(r=.534, p<.001)는 정적인 상관관계가 있었고, 병원근무환경과 상사와의 신뢰도(r=-.232, p=.010) 및 상사와의 신뢰도와 이직의도(r=-.314, p<.001)는 부적인 상관관계가 있었다. 간호사의 이직의도에 영향을 주는 요인은 병원근무환경(${\beta}=.505$, p<.001), 상사와의 신뢰도(${\beta}=-.229$, p=.003), 직위(${\beta}=-.213$, p=.011)로 나타났다. 따라서 간호사의 이직의도를 줄이기 위해서 병원근무환경을 개선하고, 상사와의 신뢰 형성과 향상을 위한 전략적 프로그램 마련이 필요하다.

The purpose of this study is to investigate the effect of nurse's hospital work environment and supervisor trust on turnover intention. The subjects were 122 nurses in five hospitals in B city and collected data by using giving questionnaire, and used the SPSS 22.0 program to analyze. As a result of the study, there was a positive correlation between the hospital environment and turnover intention (r=534, p<.001), there were negative correlation between hospital work environment and supervisor trust(r=-.232, p=.010), between supervisor trust and turnover intention (r=-.314, p=.001). The factors affecting the turnover intention of nurses were hospital work environment (${\beta}=.505$, p<.001), supervisor trust (${\beta}=-.229$, p=.003), and job position (${\beta}=-.213$, p=.011). Therefore, in order to reduce the turnover intention of nurses, it is necessary to improve the hospital work environment and to establish a strategic program to build and improve supervisor trust.

키워드

참고문헌

  1. S. H. Kim.., H. G. An. & J. M. Lee. (2017). A predictive model on turnover intention of nurses in small-medium sizes hospitals. Journal of The Korean Data Analysis Society, 19(1), 513-525.
  2. S. J. Moon. & S. S. Han. (2011). A predictive model on turnover intention of nurses in Korea. Journal of Korean Academy of Nursing, 41(5), 633-641. https://doi.org/10.4040/jkan.2011.41.5.633
  3. Statistics Korea, 2013.
  4. E. T. Lake. & C. R. Friese. (2006). Variations in nursing practice environments relation to staffing and hospital characteristics. Nursing Research, 55, 1-9. https://doi.org/10.1097/00006199-200601000-00001
  5. C. Friese., E. Lake., J. Silber. & J. Sochalski. (2007). Hospital nurse practice environment and outcomes for surgicaloncolgy patients. Health Service Research, 43(4), 1145-1116. https://doi.org/10.1111/j.1475-6773.2007.00825.x
  6. G. H. Jeong. (2009). Perceived LMX of information company employees impact on organizational trust, supervisor trust, and job satisfaction. Korea Assocaition of business education, 56, 271-287.
  7. H. J. Jeong., J. S. Kim. & K. H. Kim. (2008). The risk factors influencing turnover intention of nurses. The Journal of Korean Nursing Administration Academic Society, 14, 35-44.
  8. H. K. S. Laschinger., J. Shamian., & D. Thomson. (2001). Impactofmagnet hospital characteristics on nurses' perceptions of trust, burnout, quality of care, and work satisfaction. Nursing Economics, 19(5), 209-219.
  9. S. M. Wi. & Y. J. Yi. (2012). Influence of emotional labor on job satisfaction, intent to leave and nursing performance of clinical nurses. The Journal of Korean Nursing Administration Academic Society, 18(3), 310-319. https://doi.org/10.11111/jkana.2012.18.3.310
  10. M. S. An. & Y. J. Yi. (2013). The predictive factors on leave planning of nurses working at medium-sized hospital in the metropolitan area. Journal of the Korean Data Analysis Society, 15(1B), 323-334.
  11. J. H. Kim. & I. K. Kim. (2014). A study on the emotional labor, burnout and turnover intention of clinical nurses. Journal of The Korean Data Analysis Society, 16(3B), 1653-1667.
  12. T. Y. Seo. & M. W. Chi. (2009). Effects of transformational leadership and trust-in-supervisor on service improvement behavior and turnover intention of the employees in travel agencies. International Journal of Tourism Management and Sciences, 24(5), 107-126.
  13. K. O. Lee. (2009). The effect of perceived systematic support the hotel employee's turnover due to their trust toward their superiorities. International Journal of Tourism and Hospitality Research, 23(3), 399-412.
  14. E. T. Lake. (2002). Development of the practice environment scale of the nursing work index. Research in Nursing and Health, 25, 176-188. https://doi.org/10.1002/nur.10032
  15. E. H. Cho., M. N. Choi., E. Y. Kim., I. Y. Yoo. & N. J. Lee. (2011). Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. Journal of Korean Academy of Nursing, 41, 325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  16. J. Cook. & T. Wall. (1980). New work attitude measures of trust, organizational commitment and personal need nonfulfillment. Journal of occupational psychology, 53(1), 39-52. https://doi.org/10.1111/j.2044-8325.1980.tb00005.x
  17. W. K. Do. (2005). The Moderate Effects of the Secretaries' Individual Differences in the Influences of the Supervisory Trust to the Organizational Effectiveness. Journal of Secretarial Studies, 14(2), 29-49.
  18. Y. G. Noh. & M. S. Jung. (2016). Path analysis of the influence of hospital ethical climate perceived by nurses on supervisor trust and oranizational effectiveness. Journal of Korean Academy of Nursing, 46(6), 824-835. https://doi.org/10.4040/jkan.2016.46.6.824
  19. E. E. Lawler. (1983). Satisfaction and behavior. In: Hackman JR, Lawler EE, Porter LW, EDITORS. Perspectives on behavior in organizations, New York: McGraw-Hill, 78-87.
  20. J. K. Kim. (2007). Job satisfaction and patient satisfaction related to nurse staffing. Journal of Korean Academy of Nursing Administration, 13, 98-108.
  21. J. Y. Kwon. & E. Y. Kim. (2012). Impact of unit-level nurse practice environment on nurse turnover intention in the small and medium sized hospitals. Journal of Korean Academy of Nursing Administration, 18(4), 414-423. https://doi.org/10.11111/jkana.2012.18.4.414
  22. J. H. Lee. & S. Y. Park. (2014). Relationship between the practice environment of nursing and critical thinking dsposition of nurses in local general hospitals. Journal of Korean Academy of Nursing Administration The Journal of Korean Nursing Administration Academic Society, 20(2), 145-153. https://doi.org/10.11111/jkana.2014.20.2.145
  23. M. J. Je., H. M. Son. & D. H. Kim. (2017). The impact of professional self-concept nurse practice environment on the retention intention among clinical nurses. Journal of The Korean Data Analysis Society, 19(1B), 527-541.
  24. J. P. Krebs., E. A. Madigan. & S. Tullai-McGuinness. (2008). The rural nurse work environment and structural empowerment. Policy. Politics & Nursing Practice, 9, 28-39. https://doi.org/10.1177/1527154408316255
  25. E. T. Lake. & C. R. Friese. (2006). Variations in nursing practice environments relation to staffing and hospital characteristics. Nursing Research, 55, 1-9. https://doi.org/10.1097/00006199-200601000-00001
  26. H. Lee. (2003). Related factor of organizational effectiveness in hospital: Self-efficacy, faith in supervisor support [dissertation]. Doctoral dissertation. Yonsei University, Seoul.
  27. S. Y. Lee. (2007). The relationships of superior's leadership to supervisory trust and organizational commitment of nurses. Journal of Korean Academy of Nursing Administration, 13(2), 208-218.
  28. S. M. Park., Y. Y. Park. & H. Moon. (2013). 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, 33(3), 540-564. https://doi.org/10.15709/hswr.2013.33.3.540
  29. E. Y. Doo., J. Y. Lim., M. K. E. Seo. & I. A. Kim. (2005). An analysis of nurse's perception of internal marketing activities affecting on nurse's turnover intention, nursing task performance and nursing productivity. The Journal of Korean Nursing Administration Academic Society, 11(1), 1-12.
  30. G. N. Kang. (2012). Factors influencing turnover intention of nurses in small-medium sized hospitals. The Journal of Korean Nursing Administration Academic Society, 18(2), 155-165. https://doi.org/10.11111/jkana.2012.18.2.155
  31. M. Baernholdt. & B. Mark. (2009). The nurse work environment, job satisfaction and turnover rates in rural and urban nursing units. Journal of Nursing Management, 17, 994-1001. https://doi.org/10.1111/j.1365-2834.2009.01027.x
  32. V. D. Haynes. What nurses want [Online]. The Washington Post, [cite 2008 September 13], http://www.washingtonpost.com/wp-dyn/content/article/2008/09/12/AR2008091203367.html. (accessed Feb, 3, 2018)
  33. K. Y. Lee. (2009). The effect of perceived systematic support on the hotel employee's turnover intention due to their trust toward their superiorities. Korea Tourism Resarch Association, 23(3), 399-412.
  34. K. J. Cho. & H. K. Kwon. (2016). A Study on the Influence of Authenic Leadership on the Trust on Senior Workers, Job Satisfaction, and Cooperative Behaviors : Based on Employees in the Tourism Industry. Tourism Institute of Northeast Asia, 12(3), 121-144.
  35. Y. J. Lee. & K. B. Kim. (2008). Experience of nurse turnover. Journal of Korean Academy of Nursing, 38, 248-257. https://doi.org/10.4040/jkan.2008.38.2.248
  36. Tan. Tan. (2000). Toward the differentiation of trust in supervisor and trust in organization. Genetic. Social, and General Psychology Monographs, 126(2), 241-260.
  37. S. K. Kwon. (2000). The effects of leader behavior, social similarity, and exchange relations on the subordinate's trust in leader. Korean Academic Society of Business Administration, 29(1), 187-216.
  38. M. J. Kim., J. W. Lee. & J. S. Park. (2017). Effects of nurses' environment and job embeddedness on turnover intention in medium-small sized hospital. Journal of the Korea Academia-Indestrial cooperation Society, 18(1), 222-230. https://doi.org/10.5762/KAIS.2017.18.1.222