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The Effect of Job Embeddednedd and Burnout on Presenteeism among Nursing in Long-term Care Hospital

요양병원 간호사의 직무착근도와 소진이 프리젠티즘에 미치는 영향령

  • Received : 2018.12.12
  • Accepted : 2019.02.01
  • Published : 2019.02.28

Abstract

This study is a descriptive study to investigate the relationship between embeddedness, burnout and presenteeism of nursing in long-term care hospital. Data collection was conducted from May 01, 2018 to May 31, 2018. 209 nursing in long-term care hospital in this study. The collected data were analyzed using SPSS Win 21.0 program. The embeddedness of the subjects was $2.91{\pm}.473$ points out of 5, burnout was $2.86{\pm}.480$ points out of 5 and presenteeism was $2.95{\pm}.449$ points out of 5. The embeddedness was related to burnout(r= -466, p<.001), presenteeism(r=.152, p<.005), there was a significant positive correlation. Burnout(${\beta}=.244$, p<.001), embeddedness(${\beta}=.183$, p=.016), experiences of turnover(${\beta}=-.251$, p=.003), night shifts(${\beta}=-.187$, p=.006), and number of turnover(${\beta}=-.037$, p<.001) had a significant effect on presenteeism(F=5.227, p<.001). The explanatory power of these variables was 33%.

본 연구의 목적은 요양병원 간호사의 직무착근도, 소진, 프리젠티즘의 정도를 파악하고, 프리젠티즘에 미치는 요인을 파악하고자 시도하였다. 자료수집은 2018년 5월1일부터 5월31일까지 구조화된 설문지를 이용하여 보건복지부의 의료인증 평가를 통과한 병원(2018년 5월 기준) 중 기관장의 승인을 받은 대구, 부산, 광주, 대전, 수원 5개 도시에서 근무 중인 간호사 240명을 편의 추출하였고, 불충분하거나 미기재 분을 제외한 209명을 분석하였다. 수집된 자료는 SPSS 21.0을 이용하였으며, 직무착근도는 $2.91{\pm}.47$, 소진은 $2.86{\pm}.48$, 프리젠티즘은 $2.95{\pm}.44$였다. 프리젠티즘은 소진(r= .152, p< .005)과 유의한 정적 (+)상관이 나타났고, 직무착근도는 소진(r= -.466, p<.001)과 부적(-)상관을 보였다. 프리젠티즘은 소진(${\beta}=.244$, p< .001), 직무착근도(${\beta}=.183$, p= .016), 이직경험(${\beta}=-.251$, p= .003), 밤 근무여부(${\beta}=-.187$, p= .006), 이직횟수(${\beta}=-.037$, p= .044)에 유의한 영향을 미치는 것으로 나타났으며(F=5.227, p< .001), 이들 간의 설명력은 33.0%였다. 즉 요양병원 간호사에 대한 관심과 시각의 변화를 위한 프로그램개발과 요양병원 간호사의 직무능력을 향상 시킬 수 있는 프로그램 개발이 필요하다.

Keywords

Table 1. General Characteristics and Differences of Embddedness, Burnout, Present

SHGSCZ_2019_v20n2_704_t0001.png 이미지

Table 2. Embeddedness, Burnout and Presenteeism of Subjects

SHGSCZ_2019_v20n2_704_t0002.png 이미지

.Table 3. Correlation among Embeddedness, Burnout and Presenteeism

SHGSCZ_2019_v20n2_704_t0003.png 이미지

Table 4. Factors Influencing Presenteeism of Subjects

SHGSCZ_2019_v20n2_704_t0004.png 이미지

References

  1. M.S. Lee, J.H. Oh, H.M. Hwang, E.J. Kwon, J.H. Lee, E.Y. Park, "Hospital Workers' Experience with Hospital Evaluation Program: A Focus Group Study", J of Korean Academy of Nursing, vol. 41, no. 4, pp. 568-579, 2011. https://doi.org/10.4040/jkan.2011.41.4.568
  2. E.H. Kim, E.J. Lee, "Nursing outcomes of inpatient on level of nursing staffing in long term care hospitals", J of the Korean Data And Information Science Sociaty, vol. 26, no. 3, pp.715-727,2015. https://doi.org/10.7465/jkdi.2015.26.3.715
  3. P. Hemp, "Presenteeism: At work-but out of it", Harvard Business Review, vol. 82, no. 10, pp. 49-58, 2004.
  4. R.S. Turpin, R.J. Ozminkowski, C.E. Sharda, J.J. Colling, M.L. Berger, G.M. Billotti, "Reliability and Validity of the Stanford Presneteeism Scale", J of Occupational and Environmental Medicine, vol. 46, no. 11, pp. 1123-1133, 2004. https://doi.org/10.1097/01.jom.0000144999.35675.a0
  5. E.Y.Yeom, G.S. Jeong, K.A, Kim, "Influencing Factors on Presenteeism of Clinical Nurses", Korean Journal of Occupational Health Nursing, vol. 24, no. 4, pp. 302-312, 2015. https://doi.org/10.5807/kjohn.2015.24.4.302
  6. M.S. Gun, Y.H. Choi, K.H. Park, "Job Stress and Presenteeism of Clinical Nurses", Korean Journal of Occupational Health Nursing, vol. 20, no. 2, pp. 163-171 ,2011. https://doi.org/10.5807/kjohn.2011.20.2.163
  7. M.J. Kim, H.O. Choi, E.J, Ryu, "Predictors of Clinical Nurses' Presenteeism", Korean Journal of Occupational Health Nursing, vol. 23, no. 3, pp. 134-145, 2014. https://doi.org/10.5807/kjohn.2014.23.3.134
  8. I.S. Jang, J.Y. Park, E.J. Jo, M.H. Jung, "The Effects of Major Health Issues and Job Stress on Presenteeism among Clinical Nurses", Korean Journal of Occupational Health Nursing, vol. 27, no. 2, pp. 121-130, 2018. https://doi.org/10.5807/KJOHN.2018.27.2.121
  9. 3-cycle hospital certification standard, 2018 [Internet]. Available From http://www.koiha.kr/member/kr/board/rschReport/rschRe port_BoardList.do. (assessed January 09, 2010).
  10. S.S. Han, M.H. Kim, E,K, Yun, "Factors Affecting Nursing Professionalism", J of Korean Academic Society of Nursing Education, vol. 14, no. 1, pp. 73-79, 2008. https://doi.org/10.5977/JKASNE.2008.14.1.073
  11. C. Maslach, S. Jackson, "The Measurement of Experienced Burnout", J of Occupational Behavior, vol. 2, no. 2, pp. 99-13, 1981. https://doi.org/10.1002/job.4030020205
  12. B.J. Byun, S.H. Kim, C.H. Jang, "Factors Affecting the Exhaustion of The Nurse in the Senior Hospital", J of the Korean Academy of Health and Welfare for Elderly, vol. 5, no. 1, pp. 105-119, 2013.
  13. T.R. Mitchell, B.C. Holtom, T.W. Lee, C.J. Sablynski, M. Erez, "Why People Stay: Using Job Embeddedness to Predict Voluntary Turnover", Academy of Management Journal, vol. 44, no. 6, pp. 1102- 1121, 2001. https://doi.org/10.2307/3069391
  14. L. Cowin, "The Effects of Nurses' Job Satisfaction on Retention: An Australian perspective", J of Nursing Administration, vol. 32, no. 5, pp. 283-291, 2002. https://doi.org/10.1097/00005110-200205000-00008
  15. M.J. Kim, The Effect of Nursing Organizational Culture on Nurses' Intention of Retention[Unpublished master's thesis]. Seoul: Hanyang University; 2006. p.1-53.
  16. E.H. Lee, K.S. Cho, H.M. Son, "A Study of Hospital Nurse's Intention to Keep Nursing Job", J of Korean Clinical Nursing Research, vol. 20, no. 1 pp. 15-27, 2017. https://doi.org/10.22650/JKCNR.2014.20.1.15
  17. H.J. Ko, J.H. Kim, "Relationships among Nursing Work Environment, Job Embeddedness, and Turnover Intention in Nurses", J of Korean Academy of Nursing Administration, vol. 22, no. 3, pp. 279-291, 2016. https://doi.org/10.11111/jkana.2016.22.3.279
  18. F. Faul, E. Erdfelder, A. Buchner, A.G. Lang, "Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses," Behavior research methods. vol. 41, no. 4, pp. 1149-1160, 2009. DOI: http://doi.org/10.3758/BRM.41.4.1149
  19. S.M. Choi, Validity and Reliability of the Korean Version of the Job Embeddedness for Korean Nurses[Unpublished master's thesis].Seoul: Chung-Ang University; 2016. p.1-74.
  20. A.M. Pines, E. Aronson, D. Kafry, "Burnout from tedium to Personal Growth", New York: A Division of Macmillian Publishing,1981.
  21. E.H. Peek, A Study of the Correlation between Burnout and Job satisfaction Level among Nurse[Unpublished master's thesis].Seoul: Yonsei University;1983.
  22. R.S. Turpin, R.J. Ozminkwski, J.J. Collins, G.M. S. Billotti, C. harda, E. Berger, et al, "Reliability and Validity of the Stanford Presenteeism Scale", American College of Occupational and Environmental Medicine, vol. 46, no. 11, pp, 1123-1133, 2004. https://doi.org/10.1097/01.jom.0000144999.35675.a0
  23. Y.M. Lee, The Effect of Stress on Presenteeism in Workers of Factory[Unpublished master's thesis]. Seoul: Hanyang University; 2006.
  24. C. Koopman, K.R. Pelletier, J.F. Murray, C.E. Sharda, M.L. Berger, R.S. Turpin, et al, "Stanford Presenteeism Scale: Health Status and Employee Productivity", J of Occupational and Environmental, vol. 44, no. 4, pp. 14-20, 2002. https://doi.org/10.1097/00043764-200201000-00004
  25. Y.S. Kim, S.A. Rye, "Influence of Job Embeddedness Factors on Turnover Intention of Nurses in Small and Medium Sized General Hospitals", J of Korean Academy Nursing, vol. 22, no. 2, pp, 158-166, 2016. https://doi.org/10.11111/jkana.2016.22.2.158
  26. J.H. Lee, J.S. Park, "End of life care stress and Nursing Work Environment in Geriatric Hospitals Nurses affect burn out", J of the Korea Academia-Industrial cooperation Society, vol. 18, no. 6 pp. 449-458, 2017.
  27. J.W. Park, E.J. Choi, "Factors Influencing Job Satisfaction of Nurses Working in Long-term Care Hospitals: Focused on Burnout and Burden for Caring Problematic Behaviors in Dementia", J of the Korea Academia-Industrial cooperation Society, vol. 16, no. 11 pp. 7403-7413, 2015. https://doi.org/10.5762/KAIS.2015.16.11.7403
  28. E.J, Choi, J.W. Park, M.L. Cho, "Factors Influencing Turnover Intention of Nurses after Evaluation for Certification at Geriatric Hospitals: Focused on Job Stress and Burnout", J of the Korea Academia-Industrial cooperation Society, vol. 17, no. 3 pp. 438-449, 2016.
  29. J.H. Lee, E.K. Choi, H.O. Oh, H.K. Moon, S.M. Lee, "The Impacts of Job Stress and Job Embeddedness on Presenteeism among Container Terminal Workers", J of Korean Academy Community Health Nursing, vol. 27, no. 1, pp, 31-42, 2016. https://doi.org/10.12799/jkachn.2016.27.1.31
  30. M.H. Jung, Y.M. Lee, M. Arakida, "Stress and Presenteeism in Workers of Small and Medium Enterprises", Annals of Occupation and Environmental Medicine, vol. 19, no. 1, pp, 47-55, 2007.