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The Study of Work Environment of Nurses in Long-term Care Hospitals

요양병원 간호사의 근무환경 실태조사

  • Received : 2018.12.03
  • Accepted : 2019.02.01
  • Published : 2019.02.28

Abstract

The purpose of this study is to investigate the work environment of nurses in long-term carer hospitals and to help in their work environment improvement through these results. A cross-sectional survey was conducted. A convenience sample of 179 subjects including staff nurses and nurse managers over head nurses working in long-term care hospitals located in Gwangju city were recruited. The data were collected from July to December 2015. A structured questionnaires were used as a study instrument, and included questions regarding subjects' general characteristics, hospital-related characteristics, and work environment. All statistical analyses were performed using SPSS ver. 22.0. The results showed that 73.2% of subjects were working in hospitals established by individuals. The most of long-term care hospitals accepted accreditation program. The ratio of nurses to nurse aiders of was 1:2. The numbers of off duty was 8 days, and average annual salary was 2,500~3,000 ten thousand won in nurses of long-term care hospitals. Based on these results, work environment of nurses of long-term care hospitals was not good. Therefore, the results suggest qualitative research to investigate deeply how to recognize on work environment like this for nurses of long-term care hospitals.

본 연구의 목적은 일 지역에 위치한 요양병원 간호사들의 근무환경과 관련된 실태를 알아보는 것으로 본 연구의 결과를 통해 요양병원 간호사의 근무환경 개선에 도움이 되고자 한다. 이를 위해 서술적 조사연구가 시행되었다. 현재 광주지역에 위치한 요양병원에서 근무하는 일반 간호사와 수간호사 이상의 간호관리자 포함 179명의 대상자가 임의 표출되었다. 자료수집은 2015년 7월부터 12월까지였다. 구조화된 설문지가 연구 도구로 사용되었고, 이 설문지에는 대상자의 일반적 특성과 병원관련 특성 및 근무환경 특성이 포함되었다. 모든 자료분석은 SPSS 22.0 version을 이용하여 수행되었다. 본 연구결과, 대상자의 73.2%가 개인에 의해 설립된 요양병원에서 근무하고 있었다. 대다수의 대상자들이 요양병원 인증평가를 받았다고 응답하였다. 대상자들이 근무하는 병동 내 간호사 대 간호조무사의 비율은 1:2인 경우가 많았다. 요양병원 간호사들이 한달 동안 받는 평균 휴가 수는 8일이 가장 많았고, 간호사의 평균 연봉은 2,500~3.000만 원이었다. 본 연구의 결과를 근거로 볼 때, 요양병원 간호사에 대한 근무환경은 좋다고 할 수 없는 상황이었다. 따라서 이러한 요양병원의 근무환경에 대해 간호사들이 어떻게 인지하고 있는지를 좀 더 심층적으로 살펴보는 질적연구를 제안한다.

Keywords

Table 1. General characteristics for subjects

SHGSCZ_2019_v20n2_250_t0001.png 이미지

Table 2. Hospital related characteristics

SHGSCZ_2019_v20n2_250_t0002.png 이미지

Table 3. Work related characteristics

SHGSCZ_2019_v20n2_250_t0003.png 이미지

Table 4. Work environment characteristics reported by nurse managers

SHGSCZ_2019_v20n2_250_t0004.png 이미지

References

  1. Hospital Nurses Association. "Directions to improve working condition among nurses", The Korean Nurse, Vol.263, pp.43-47, 2017.
  2. Y. J. Lee, "Utilization of medical assistance patients in nursing hospital", Journal of the Korea Contents Association, Vol.17, No.5, pp.366-375, 2017. DOI: https://dx.doi.org/10.5392/JKCA.2017.17.05.366
  3. Health Insurance Review & Assessment Service, National Health Insurance Service. Statistical yearbook of medical aids in 2017 [Internet]. Seoul: Health Insurance Review[cited 2018 Oct 30], Available From: http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4& brdBltNo =9694 (accessed Nov. 27, 2018)
  4. J. M. Chae, H. J. Song, "Relationship between hospital structure characteristics and decline in activity of daily living among elderly inpatients in long-term care hospitals", Korean Public Health Research, Vol.41, No.3, pp.101-110, 2015. https://doi.org/10.22900/KPHR.2015.41.3.008
  5. G. S. Jeong, "Meeting for head of the department of nursing in long-term care hospitals", Nurse News, p1, 2015.
  6. S. E. Park, E. Y. Yeom, "Experience of the role conflict of nurses in long-term care hospitals", Journal of the Korea Contents Association, Vol.16, No.7, pp.368-381, 2016. DOI: https://dx.doi.org/10.5392/JKCA.2016.16.07.368
  7. S. Nightingale, H. Spiby, K. Sheen, P. Slade, "The impact of emotional intelligence in health care professionals on caring behaviour towards patients in clinical and long-term care settings: Findings from and integrative review", International Journal of Nursing Studies, Vol.80, pp.106-117, 2018. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2018.01.006
  8. D. H. Kim, "Current status and policy issues of long-term care hospitals", Processing of The Korea Society of Health Policy and Administration, Vol.1, pp.83-94, 2016.
  9. E. Y. Choi, "Ethical dilemma and professionalism of long-term care hospital nurses", The Journal of the Convergence on Culture Technology, Vol.4, No.1, pp.153-163, 2018. DOI: http://dx.doi.org/10.17703/JCCT.2018.4.1.153
  10. M. S. Kweon, H. S. Jo, "Influence of recognition for health care accreditation on patient safety managing activities of nursing staffs in geriatric hospital", Journal of the Korean Gerontological Society, Vol.38, No.1, pp.15-26, 2018.
  11. J. A. Kim, Y. S. Kang, "Moral distress and moral sensitivity of nurses working in long term care hospitals", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.6, pp.240-251, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.6.240
  12. H. K. Kang, E. S. Lee, "A study on knowledge, attitude, toward patient safety and patient safety care activities among long-term care hospitals' nursing assistants", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.10, pp.194-205, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.10.194
  13. Y, Kim, K. H. Han, "Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea", Journal of Nursing Management, in press 2018. DOI: https://doi.org/10.1111/jonm.12576
  14. Y. Saito, A. Igarashi, M. Noguchi-Watanabe, Y. Takai, N. Yamamoto-Mitani, "Work values and their association with burnout/work engagement among nurses in long-term care hospitals", Journal of Nursing Management, in press, 2018. DOI: https://doi.org/10.1111/jonm.12550
  15. S. J. Park, There are 30% more oriental medicine hospitals and long-term care hospitals in Gwangju, Jeonnam than national average. Jeonnamilbo [cited 2016 Aug 18], Available From: https://jnilbo.com/2016/08/18/ 20160818000000504300190 (accessedNov27,2018)
  16. Korean Association of Geriatric Hospitals, Cope with aged society [Internet]. Seoul: Korean Association of Geriatric Hospitals [cited 2017 May 16]. Available From : http://www.kagh.co.kr/info/info04_1.html?jb_code=50&j b_idx=8680&search_key=&search_keyword=&page=&de p1=&dep2 (accessedNov16,2018)
  17. Korea Institute for Healthcare Accreditation, "Korean people's perception on hospital accreditation, 2017", 2017. Seoul: Korea Institute for Healthcare Accreditation.
  18. Y. H. Seo, K. Y. Kim, M. S. Kim, "Change in patient safety, quality of medical care, organization culture and hospital management performance after healthcare accreditation system for convalescent hospital", Journal of the Korea Academia-Industrial cooperation Society, Vol.19, No.9, pp.391-401, 2018. DOI: https://doi.org/10.5762/KAIS.2018.19.9.391
  19. H. J. Joo, Strengthening criteria of ward and intentive care unit. Korean Nurses Association [cited 2016 Aug 18], Available from: http://www.nursenews.co.kr/main/ ArticleDetailView.asp?sSection=62&idx=20518 (accessedNov1,2018)
  20. S. M. Kim, S. H. Jeong, M. H. Lee, H. K. Kim, "Importance, performance and rates of nurse performance of nursing interventions in long-term care hospitals", Journal of Korean Academy of Nursing Administration, Vol.23, No.4, pp.359-372, 2017. DOI: https://doi.org/10.11111/jkana.2017.23.4.359
  21. E. J. Jang, S. H. Kim, "Delegation of nursing activities in long-term care hospitals", Journal of Korean Gerontology Nursing, Vol.19, No.2, pp.101-112, 2017. DOI: https://doi.org/10.17079/jkgn.2017.19.2.101
  22. M. H. Cho, K. H. Kim, "Perceptions of adequacy and job performance of nurse assistant nursing jobs according to registered nurses and nurse assistants in geriatric hospitals, and caregivers", Journal of Korean Academy of Nursing Administration, Vol.22, No.4, pp.384-395, 2016. DOI: http://dx.doi.org/10.11111/jkana.2016.22.4.384
  23. S. Y. Pak, "Issues and challenges of nursing workforce supply to improve the quality of health care service", Korean Journal of Converging Humanities, Vol.6, No.1, pp.31-54, 2018. DOI: https://doi.org/10.14729/convertging.k.2018.6.1.31
  24. Y. S. Kim, K. H. Han, "Longitudinal associations of nursing staff turnover with patient outcomes in long-term care hospitals in Korea", Journal of Nursing Management, in press 2018. DOI: https://doi.org/10.1111/jonm.12576
  25. E. J. Jeon, G. J. Lee, "A study on choice motives and job satisfaction about nurses who changed jobs to public hospitals", Korean Journal of Occupational Health Nursing, Vol.26, NO.1, pp.55-64, 2017. DOI: http://dx.doi.org/10.5807/kjohn.2017.26.1.55
  26. E. P. Park, Korea, income is 3/4 level of OECD average wage [Internet]. Seoul: E-Today[cited 2017 Aug 16], Available From: http://www.etoday.co.kr/ news/section/newsview.php?idxno=1527597(accessed Nov 1, 2018)
  27. H. J. Bae, J. H. Kim, "Impact of increasing an enrollment quota in nursing schools on nursing staffing level in local hospitals", Journal of The Korean Data Analysis Society, vol.19, No.6, pp.3301-3316, 2017. https://doi.org/10.37727/jkdas.2017.19.6.3301
  28. J. H. Lee, J. S. Park, "End of life care stress and nursing work environment in geriatric hospitals nurses affect burn out", Journal of the Korea Academia-Industrial cooperation Society, Vol.16, No.6, pp.449-458. 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.6.449
  29. G. S. Jeong, S. H. Kim, "Nurse assistants cannot replace duty nurses of long-term care", Nurse News, p1, 2016.
  30. G. S. Jeong, "Foundation of administration fee for night shift fixed nurses", Nurse News, p1, 2017.