Korean journal of health promotion

Korean Society for Health Promotion and Disease Prevention (대한임상건강증진학회)
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Factors Influencing Nursing Students' Choices of a Place of Employment

간호대학생의 취업 지역 선택 영향 요인

  • You, Sun Ju (Department of Nursing, Mokpo National University) ;
  • Kim, Jong Kyung (College of Nursing, Dankook University) ;
  • Jung, Myun Sook (College of Nursing, Institute of Health Science, Gyeongsang National University) ;
  • Kim, Se Young (Department of Nursing, Changwon National University) ;
  • Kim, Eun Kyung (Department of Nursing Science, Chungbuk National University)
  • Received : 2018.08.08
  • Accepted : 2018.10.04
  • Published : 2018.12.30
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Abstract

Background: Despite increasing the number of newly licensed nurses across Korea, shortages caused by geographical imbalances remains a significant concern. Therefore, understanding nursing students' attitudes to working and living, factors influencing where they first choose to work after graduation is useful in formulating appropriate interventions to retain nurses in regional areas. Methods: A total of 329 senior nursing students from areas outside Metropolitan Seoul completed self-report questionnaires. Data were analyzed using t-test, chi-square test and multiple logistic regression analysis. Results: Of the respondents, 57.8% reported that they planned to work in the region in which their school was located. The three factors ranked as having the greatest influence on their decision to work in non-metropolitan regions were: the cost of living, housing costs, and the proximity to family. Enjoyable aspects of rural life contributed positively to students' intentions to work in non-metropolitan regions, whereas isolation and socialization problems negatively affected their intentions to work in such areas. Conclusions: Greater consideration should be given to improving working conditions and housing environments in non-metropolitan regions.

연구배경: 신규 간호사 공급 증가에도 불구하고, 간호사 부족과 지역적 불균형은 중요한 보건문제로 남아있다. 그러므로 간호대학생의 지방에서 일하고 생활하는 것에 대한 인식, 지방 취업 및 첫 직장 선택에 영향을 미치는 요인을 이해하는 것은 지역의 간호사 채용 및 유지 전략을 세우는 데 유용하다. 방법: 비수도권 지역 소재 간호학과 4학년 학생을 대상으로 지방에서 일하고 생활하는 것에 대한 인식, 지방에서 일하는 선택에 영향을 미치는 요인, 첫 직장 선택시 고려 항목에 대한 자가보고식 설문지를 사용하였으며, 329명의 자료를 분석하였다. 자료분석은 t검정, 카이제곱 검정 및 로지스틱 회귀분석을 이용하였다. 결과: 졸업 후 학교 소재 지역에 취업할 계획이 있다는 간호대학생은 전체의 57.8%였다. 지방에서 일하는 선택에 영향을 미치는 상위 3개 항목은 주거비용, 가족과 가까이 사는 것, 생활비였고, 지방생활을 즐길 수 있는 측면은 선택 가능성을 높이는 쪽으로, 고립과 사회화 문제는 선택 가능성을 낮추는 쪽으로 영향을 미치는 것으로 나타났다. 결론: 비수도권 지역 간호대학생의 학교 소재 지역 취업을 활성화하기 위해서는 지방에서의 정주여건 개선 및 근로여건의 개선이 필요하다.

Keywords

Acknowledgement

Supported by : Mokpo National University

References

  1. Kim Y, You S, Kim J. Impact of increased supply of newly licensed nurses on hospital nurse staffing and policy implications. J Korean Acad Nurs 2017;47(6):828-41. https://doi.org/10.4040/jkan.2017.47.6.828
  2. Center for Educational Statistics. University Educational statistics [Internet]. Jincheon: Korean Education Statistics Service; 2018. [Accessed Feb 16, 2018]. Available from: http://kess.kedi.re.kr/publ/view?survSeq=2018&menuSeq=3894&publSeq=2&item-Code=02&menuId=0&language=en.
  3. Korean Nurses Association. Registered nurses supply and demand forecasts through the integrated nursing and caring service [Internet]. Seoul: Korean Nurse Association; 2018. [Accessed Feb 16, 2018]. Available from: http://webzine.koreanurse. or.kr/Webzine2014/read_article.php?webzine_id=49&sub_cat_id=474&is_sub_no=850&article_id=1112.
  4. National Health Insurance Service. Health Insurance Review & Assessment Service. National health insurance statistical yearbook [Internet]. Wonju: National Health Insurance Service; 2018. [Accessed Sep 15, 2018]. Available from: http://stat.kosis.kr/statHtml_host/statHtml.do?orgId=350&tblId=TX_35001_A018&dbUser=NSI_IN_350.
  5. Cho SH, Lee JY, Mark BA, Lee HY. Geographical imbalances: Migration patterns of new graduate nurses and factors related to working in non-metropolitan hospitals. J Korean Acad Nurs 2012;42(7):1019-26. https://doi.org/10.4040/jkan.2012.42.7.1019
  6. Smith S, Edwards H, Courtney M, Finlayson K. Factors influencing student nurses in their choice of a rural clinical placement site. Rural Remote Health 2001;1(1):89.
  7. Ahn JK, Oh SM. How have the job selection criteria of young university graduates changed? Employment Issues [Internet]. Eumseong: Korea Employment Information Service; 2016. [Accessed Sep 15, 2018]. Available from: http://enx.enx.co.kr/office/enx/IDArchive/Policy/2016/고용정보원-고용이슈(2016년3월호)160426.pdf.
  8. Schofield D, Fletcher S, Fuller J, Birden H, Page S. Where do students in the health professions want to work? Hum Resour Health 2009;7:74. https://doi.org/10.1186/1478-4491-7-74
  9. Yoon HJ, Cho SH. Geographic mobility and related factors among newly graduated nurses. J Korean Acad Soc Nurs Educ 2017;23(3):353-62.
  10. Moon NC. Employment mobility of university graduates and regional development. [Internet]. Seoul: Korean Association of Professional Geographers; 2010. [Accessed Feb 16, 2018]. Available from: http://www.kaopg.or.kr/contents/bbs/bbs_content.html? bbs_cls_cd=002002008.
  11. Shim J, Kim E. Analysis of occupational mobility of college graduates [Internet]. Sejong: Korea Research Institute for Human Settlements; 2012. [Accessed Sep 15, 2018]. Available from: http://region.snu.ac.kr/bk/achievement/data/7year/7.pdf.
  12. Park B, Kim SY. Patterns and influential factors of inter-regional migration of new and experienced nurses in 2011-2015. J Korean Acad Nurs 2017;47(5):676-88. https://doi.org/10.4040/jkan.2017.47.5.676
  13. Bang KS, Jun MH, Kim HS, Son HM, Kang JH, Yu SJ, et al. Nursing students' awareness of nursing and future career. J Korean Acad Soc Nurs Educ 2009;15(1):22-31. https://doi.org/10.5977/JKASNE.2009.15.1.022
  14. Park SK, Cho KM. Clinical career preferences and associated factors of nursing students in Korea [Internet]. Seoul: Korean Association of Health Economics and Policy; 2016. [Accessed Sep 15, 2018]. Available from: http://210.101.116.28/W_files/kiss9/50300442_pv.pdf.
  15. Adams ME, Dollard J, Hollins J, Petkov J. Development of a questionnaire measuring student attitudes to working and living in rural areas. Rural Remote Health 2005;5(1):327.
  16. Schofield D, Fuller J, Fletcher S, Birden H, Page S, Kostal K, et al. Decision criteria in health professionals choosing a rural practice setting: development of the Careers in Rural Health Tracking Survey (CIRHTS). Rural Remote Health 2007;7(3):666.
  17. Shin CG, Hwang KH, Jo MS, Park JH. 2007 Employment panel survey and analysis [Internet]. Eumseong: Korea Employment Information Service; 2015. Korea Employment Information Service; 2007. [Accessed Dec 2017]. Available from:https://www.keis.or.kr/user/extra/main/2102/publication/publicationList/jsp/LayOutPage.do?categoryIdx=131&pubIdx=4270&onlyList=N.
  18. Ministry of Education. 2014 restructuring entrance quota of university and industrial university freshman intake [Internet]. Sejong: Ministry of Education; 2013. [Accessed Feb 16, 2018] Available from: https://www.moe.go.kr/boardCnts/view.do?boardID=337&boardSeq=40942&lev=0&m=030301.
  19. Kim EY, Cho HH. Factors associated with the choices of local hospitals among new graduate nurses. J Korean Acad Nurs Adm 2018;24(3):202-10. https://doi.org/10.11111/jkana.2018.24.3.202
  20. Ahn YJ. Employment structure of university graduates and regional development: a case study of Chonnam National University. Journal of the Economic Geographical Society of Korea 2001;4(2):37-56.
  21. Eley DS, Baker PG. Will Australian rural clinical schools be an effective workforce strategy? Early indications of their positive effect on intern choice and rural career interest. Med J Aust 2007;187(3):166-7. https://doi.org/10.5694/j.1326-5377.2007.tb01177.x
  22. Playford D, Wheatland B, Larson A. Does teaching an entire nursing degree rurally have more workforce impact than rural placements? Contemp Nurse 2010;35(1):68-76. https://doi.org/10.5172/conu.2010.35.1.068
  23. Lea J, Cruickshank M, Paliadelis P, Parmenter G, Sanderson H, Thornberry P. The lure of the bush: do rural placements influence student nurses to seek employment in rural settings? Collegian 2008;15(2):77-82. https://doi.org/10.1016/j.colegn.2008.02.004
  24. Yang JS. An analysis on the determinants that lead provincial college graduates to get jobs at regional small and medium enterprises and leave the jobs. Journal of Employment and Skills Development 2014;17(2):153-77.
  25. Yoo JE, Nam HJ, Kim JH. Who leaves and who stays?: When entering college and finding job after graduation. Journal of Employment and Skills Development 2015;18(1):191-219.
  26. Blaauw D, Erasmus E, Pagaiya N, Tangcharoensathein V, Mullei K, Mudhune S, et al. Policy interventions that attract nurses to rural areas: a multicountry discrete choice experiment. Bull World Health Organ 2010;88(5):350-6. https://doi.org/10.2471/BLT.09.072918
  27. Mitchell R. Perceived inhibitors to rural practice among physiotherapy students. Aust J Physiother 1996;42(1):47-52. https://doi.org/10.1016/S0004-9514(14)60440-2
  28. McDonough JE, Lambert VA, Billue JS. A rural nursing practicum: making it work. Nurse Educ 1992;17(4):30-4.
  29. Barney T, Russell M, Clark M. Evaluation of the provision of fieldwork training through a rural student unit. Aust J Rural Health 1998;6(4):202-7. https://doi.org/10.1111/j.1440-1584.1998.tb00313.x
  30. Kim MA, Park KO, You SJ, Kim MJ, Kim ES. A survey of nursing activities in small and medium-size hospitals: reasons for turnover. J Korean Clin Nurs Res 2009;15(1):149-65.