DOI QR코드

DOI QR Code

Factors Influencing the Retention intention of Home visiting nurses with Long-term care insurance system in Korea: Focusing on Professionalism, Job satisfaction and Resilience

노인장기요양보험 방문간호사의 재직의도에 영향을 미치는 요인 : 전문직업성, 직무만족도, 회복탄력성을 중심으로

  • Yoo, Jae Soon (Department of Nursing, Chungbuk National University) ;
  • Kim, Je Hyun (Cheong Ju Joo Chan Mi Visiting Nursing Center)
  • 유재순 (충북대학교 간호학과) ;
  • 김지현 (청주주찬미 방문간호센터)
  • Received : 2019.09.20
  • Accepted : 2019.12.06
  • Published : 2019.12.31

Abstract

This is a descriptive research study that aims to identify the effects of professionalism, job satisfaction, and resilience on the retention intention of home visiting nurses from the long-term care insurance system of Korea. Data were collected from self-administered surveys completed by 141 home visiting nurses of registered visiting-nursing institutions in the long-term care insurance database (April 1-May 31, 2019). Analyses were independent t-tests, one-way analysis of variance (ANOVA), the Scheffé test, Pearson's correlation analysis using SPSS/WIN 22.0, and multiple hierarchical regression analyses. Results showed that the mean professionalism score was 3.51/5, 3.27/5 for job satisfaction, 3.79/5 for resilience, and 4.04/5 for retention intention. A positive correlation existed between retention intention and professionalism (r = .272), job satisfaction (r = .201), and resilience (r = .530). The final regression model showed that resilience (β = .455, p < .001) and job satisfaction (β = .175, p = .016) significantly affect retention intention. The variables' model explanation power was 32.0% (F = 11.968, p < .001). The results show the need for strategies to improve resilience, followed by strategies to improve job satisfaction to increase the retention intentions of these home visiting nurses.

본 연구의 목적은 노인장기요양보험 방문간호사의 전문직업성, 직무만족도와 회복탄력성이 재직의도에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 본 연구는 노인장기요양보험 데이터베이스에 등록된 방문간호기관에서 근무하는 방문간호사 141명을 대상으로 2019년 4월 1일 부터 2019년 5월 31까지 자가 보고형 설문지를 배부하여 자료를 수집하였다. 수집된 자료는 SPSS/WIN 22.0 프로그램을 이용하여 independent t-test, one-way ANOVA, Scheffé test, Pearson's correlation coefficient, 위계적 다중회귀분석을 이용하여 자료를 분석하였다. 연구결과, 대상자의 전문직업성 수준은 5점 만점에 평균 3.51점, 직무만족도는 5점 만점에 평균 3.27점, 회복탄력성은 5점 만점에 평균 3.79점, 재직의도는 5점 만점에 4.04점으로 나타났다. 재직의도와 전문직업성(r=.272), 직무만족도(r=.201) 회복탄력성(r=.530)은 양의 상관관계가 있었다. 최종 회귀모형에서 회복탄력성(β=.455, p<.001), 직무만족도(β=.175, p=.016) 순으로 재직의도에 유의한 영향을 미치는 것으로 나타났다. 이들 변수들의 모형 설명력은 32.0%로 나타났다(F=11.968, p<.001). 본 연구 결과를 토대로, 노인장기요양보험 방문간호사의 재직의도 향상을 위해 회복탄력성 증진 전략에 가장 관심을 기울여야 하고 다음으로 직무만족도 증진 방안 수립이 필요하다.

Keywords

References

  1. Korea Satistical Information Service, (Internet), 2019, Available from : http://www.kostat.go.kr/portal/korea/kor-nw/1/2/3/index.board
  2. J. Y. Kim, H. S. Kim, "Effects of home care services use by older adults on family caregiver distress", Journal of Korean Academic of Nursing, Vol.46, No.6, pp.836-847, 2016. DOI; https://doi.org/10.4040/jkan.2016.46.6.836
  3. National Health Insurance Service, long-term Care Insurance,, 2019 Available from : http://www.longtermcare.or.kr/npbs/d/m/000/moveBoardView?menuld=npe0000000930&bkey=B0018
  4. Ministry of Health health and wealfare, 2018-2022. secondary Basic plan for long-term care, Available from : https://www.mohw.go.k/react/gm/sgm060vw,jsp?PARMENU=13&MENU-ID=130402075&CONT-SET=293086
  5. National Health Insurance Service, Long-Term Care Insurance Satistical Year book. 2017, Available from https://www.nhis.or.kr/menu/boardRetriveMenuset.xx?menuld=F3322a
  6. National Health Insurance Service, Long-Term Care Insurance Satistical Year book. 2017, Available from https://www.nhis.or.kr/menu/boardRetriveMenuset.xx?menuld=F3322a
  7. J. S. Lee, R. L. Hwang, E. G. Han, "Trens in home-visit nursing care by agencies' characteristics under the national long-term care insurance system", Journal of Korean Academy of Community Health Nursing, Vol.23, No.4, pp.415-426, 2012. https://doi.org/10.12799/jkachn.2012.23.4.415
  8. S. J. Lee, C. Y. Kwak, "Effects of visiting nursing services in long-term care insurance on utilization of health care", Journal of Korean Academy of Community Health Nursing, Vol. 27, No.3, pp.272-283, 2016. DOI: http://dx.doi.org/10.12799/jkachn.2016.27.3.272
  9. J. U. Kim, I. S. lee, "The effects of visiting nursing service in long-term care insurance: A difference-in-difference analysis", Journal of Korean Academy of Community Health Nursing, Vol.26, No.2, pp.89-99, 2015. DOI: http://dx.doi.org/10.12799/jkachn.2015.26.2.89
  10. J. Y. Lim, E. J. Kim, K. W. Choi, J. S. Lee, W. J. Noh,, "Analysis of barriers and activating factors of visiting nursing in long-term care insurance", The Journal of The Korea Contents Association, Vol.12, No.8, pp.283-299, 2012. DOI: http://dx.doi.org/10.5392/JKCA.2012.12.08.283
  11. M. H. Sung, E. Y. Choi, "The relationships between professional self-concept, nursing performance and retention of emergency department nurse", Journal of Korean Academy of Fundamentals of Nursing, Vol.19, No.2, pp.244-252, 2012. DOI: http://dx.doi.org/10.7739/jkafn.2012.19.2.244
  12. S. Y. Choi, M. A. Lee, "Effects of Job embeddedness and nursing professionalism on intent to stay in hospital nurses", Journal of Korean Academy of Nursing Adminstration, Vol.24, No. 3, pp.234-244, 2018. DOI: http://doi.org/10.11111/jkana.2018.24.3.234
  13. Y. S. Lee, S. H. Park, J. K. Kim, "A study on relationship among organizational fairness, motivation, job satisfaction, intention to stay of nurses", The Journal of Korea Contents Association, Vol.14, No.10, 2014. DOI: http://dx.doi.org/10.5392/JKCA.2014.14.10.596
  14. J. O. Park, K. I. Jung, "Effects of advanced beginner-stage nurses' sence of calling, job satisfaction and organization commitment on retention intention", Journal of Korean Academy Administration, Vol.22, No.2, pp.137-147, 2016. DOI: http://doi.org/10.11111/jkana.2016.22.2.137
  15. N. R. Kim, The Effects of Nursing Practice Enviroment and Job Satisfaction on Intent to Stay among Nurses, Master's thesis, Kong hee University; Seoul. pp.3, 2016.
  16. Y. S. Kim. "The factors affecting advanced beginner-stage nurse's intention of retention", The Journal of The Korea Academia-Industrial Cooperation Society, Vol.19, No.4, pp. 221-228, 2018. DOI: http://doi.org/10.5762/KAIS.2018.19.4.221
  17. S. K. Lee, The value of nurses' professionalism: from the perspective of health care consumer", Journal of Qualitative Research, Vol.11, No.2, pp.119-133, 2010.
  18. I. J. Cha, Clinical Nurses' Professionalism and Job Satisfaction, Organization Commitment, Master's thesis, Hanyang University, Seoul, pp.4, 2008.
  19. M. M. Park, S. G. Han, "Relation of satisfaction with emotional labor, job stress, and personal resources in home healthcare nurses", Journal of Korean Academy of Community Health Nursing, Vol.24, No.1, pp.51-61, 2013. DOI: http://dx.doi.org/10.12799/jkachn.2013.24.1.51
  20. M. Y. Yim, W. J. Hwang, "Workload and job satisfaction of home healthcare nurses in Korea", Journal of korea Academy Society Home Health Care Nursing, Vol.24, No.2, pp.5-13, 2017. DOI: http://doi.org/10.22705/jkashcn.2017.24.1.005
  21. C. K. Park, K. S. Park, Y. S. Kang, "Job stress, job satisfaction, and organizational commitment of customized home health care nurse", Journal of Agricultural Mediine Community Health, Vol.38, No.1, pp.39-48. 2013. DOI: http://doi.org/10.5393/JAMCH.2013.38.1.039
  22. M. M. Park. Development of Resilience Scale for Nurses, Ph.D dissertation, Ajou. University; Suwon, 2015.
  23. National Health Insurance Service, Long-Term Care Insurance Satistical Year book. 2017, Available from : https://www.nhis.or.kr/menu/boardRetriveMenuset.xx?menuld=F3322a
  24. Gillespie B. M, Chaboyer W. Wallis M. & Grimbeek P, "Resilience in the operating room: developing and testing of a resilience model", Journal of Advanced Nursing, Vol.59, No4, pp.427-438, 2007. DOI: http://doi.org/10.1111/j.1365-2648.2007.04340.x
  25. D. Jackson, A. Firko, M. Edenborough, "Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: A Literature Review", Journal of Advance Nursing, Vol.60, No.1, pp.1-9, 2007. DOI: http://dx.doi.org/10.1111/j.1365-2648.2007.04412.x
  26. R. H. Hall, Professional and Bureaucratization, Am Social Rev, 63, pp.92-104, 1968. https://doi.org/10.2307/2092242
  27. H. J. Baek, Y. S. Kim, "Translation and validation of Korea version of hall's professionalism inventory", Journal of Korea Academy of Nursing Administration, Vol.13, No.4, pp.509-515, 2007.
  28. P. L. Stamps, E. B. Piedmont, D. B. Slavitt, A. M. Hasse, Measurement of work satisfaction among Health professionals, Medical Care. Vol.16, No.4, pp.52-337, 1978. DOI: http://doi.org/10.1097/00005650-197804000-00006
  29. C. S. Park, Under the Long-Term Care Insurance System for the Elderly Visiting Nursing Service and Job Satisfaction of Visiting Nurses, Master 's thesis, Ewha Womans University. Seoul, pp.15, 2009.
  30. Connor KM, Davidson JR, Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety 2003;18:76-82. https://doi.org/10.1002/da.10113
  31. H. S. Beak, Reliablity and Validity of the Korean Version of the Connor-Davidson Resilience Sale, Master's thesis, Eulji University; Deajeon, 2010.
  32. L. S. Cowin, "The effects of nurses's job satisfaction on retention: An Australian Perspective", Journal of Nursing Adminisyration, Vol.32, No.5, pp.283-291, 2002. DOI: http://doi.org/10.1097/00005110-200202000-00008
  33. B. J. Kim, M. A. Lee, "Effect of nursing professionalism and organizational communication on intent to stay in geriatric hospital nurses", Journal of Korean Academy of Nursing Administration, Vol.24, No.5, pp.455-465, 2018. DOI: http://doi.org/10.11111/jkana.2018.24.5.455
  34. G. A. Kim, Impact of Nursing Professionalism and Desicion Making Competency on Retention Making Competency on Retention and Turnover Impulse among Hospital Nurses, Master Thesis, Hanyang University; Seoul, pp.34-73, 2018.
  35. H. J. Park, P. Z. Kim, H. Y. Lee, Y. G. Sin, K. H. Hoo, K. H. Hoo, T. H. Lee, J. S. Sung, U. Y. Hong, "Factors affecting the intention of hospital nurses to stay at work : In relation to authentic leadership and nursing oganizational culture", The Journal of Korean Clinical Nursing Research, Vol.25, No.1, pp.34-42, 2019. DOI: http://doi.org/10.22650/Jkcnr.2019.25.1.34
  36. K. J. Kwon, K. H. Ko, K. W. Kim, J. A. Kim, "The impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses", Journal of Korean Academy of Nursing Administration, Vol. 16, No.3, pp.229-239, 2010. https://doi.org/10.11111/jkana.2010.16.3.229
  37. K. J. Kwon. M. S. Chu. J .A. Kim, "The impact of nursing professionalism on the nursing performance, job satisfaction and retention. intention among clinical nurses". Journal of Korean Acardemy of Nursing Administration, Vol.15, No.2, pp.182-192, 2009.
  38. M. K. Jeon, S. J. Han, "The effect of nurses' perceived working environment, job satisfaction, and social support on intent to stay", The Journal of the Korea Contents Association, Vol.19, No.5, pp.531-541, 2019. DOI: http://dx.doi.org/10.5392/JKCA.2019.19.05.532
  39. S. H. Yong, The Effect of Transformational Leadership on Employee Job Satisfaction, Job Involvement and Job Performance, Master 's thesis, Sungkyunkwan University. Seoul, pp.111, 2011.
  40. E. J. Bae, K. Y. Kim, "The effect of stress coping ability and recovery resilience on retention of nurses in medium-sized hospital", Journal of the Korea Academia-Industrial Cooperation Society, Vol.19, No.11, pp.662-671, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.11.662
  41. S. N. Kim, M. S. Yoo, "Relationships between resilience, job stress, and organizational commitment in ICU nurses", Journal of Korea Academy Society Home Health Care Nursing, Vol.21, No.1, pp.36-43, 2014.
  42. S. W. Byun, Y. O. Ha, "Factors Influencing nurses' intention to stay in general hospitals", Korean Journal of Occupational Health Nursing, Vol.28, No.2, pp.104-113, 2019. DOI: http://doi.org/10.5807/kjohn.2019.28.2.104
  43. I. S. Jung, H. O. Joo, S. K, Whang, J. M. Sea, Y. H. Jung, Nursing Data Analysis and Statistics, Busan University; Busan, pp.214-216, 2004.