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The Association between Health Teachers' Stress, Burnout, and Self-Efficacy: A Path Analysis Approach

보건교사의 직무 스트레스와 소진 및 자기 효능감에 대한 구조모형: 경로분석

  • Lee, Mi-Joon (Department of Health Inovation Team, Kangbuk Samsung Hospital)
  • 이미준 (강북삼성병원 미래헬스케어팀)
  • Received : 2019.08.22
  • Accepted : 2020.01.03
  • Published : 2020.01.31

Abstract

Using a structural model, this study aims to verify the association between job stress, burnout, and self-efficacy levels of health teachers responsible for school health. Structured questionnaires were administered to 814 health teachers, and validated through Structural Equation Modeling (SEM). The study results show that job stress of the health teacher was 2.9±0.64 and burnout was 2.6±0.52, which was slightly lower than the median of the Likert 5-point scale, while self-efficacy was 4.1±0.51. Various sub-factors contributed to the scores: 'student and family' and 'peer teacher's perception' were high for job stress, while 'work in charge' was high for burnout. Job stress of health teachers resulted in increased burnout and decreased self-efficacy. Furthermore, increased burnout significantly decreased self-efficacy. Hence, job stress affected burnout, and burnout affected self-efficacy. Our data clearly demonstrates that job stress is very important to reduce burnout of health teachers and increase their self-efficacy. Therefore, various efforts are required to lower job stress. This study will help to establish new policies and practical improvement plans to reduce job stress and exhaustion of health teachers, and consequently increase their self-efficacy.

본 연구의 목적은 학교보건을 책임지고 있는 보건교사의 직무 스트레스, 소진 및 자기 효능감의 수준과 이들 변인들 사이의 인과관계를 구조모형으로 검증하기 위한 것이다. 보건교사 814명에게 구조화된 설문지로 구조방정식 모형(structural equation modeling)의 경로분석(path analysis)을 통해 인과관계 모형을 검증하였다. 분석결과 보건교사의 직무 스트레스는 평균 2.9±0.64, 소진은 2.6±0.52로 Likert 5점 척도의 중간 값보다 약간 낮은 수준이나, 이에 반해 자기 효능감은 4.1±0.51로 높은 수준이었다. 하지만 하위구성 요인별로는 다양한 양상으로 나타나 직무 스트레스 중에서 '학생 및 가정요인'과 '동료교사 인식'의 경우가 높은 수준이었고 소진의 경우는 '부과업무'가 높은 수준이었다. 또한, 보건교사의 직무 스트레스는 소진을 증가(r=.511) 시키고 자기 효능감을 떨어트리는 효과(r=-.179)를 가지며, 또한 소진은 자기 효능감을 상당하게 감소((r=-.460) 시키는 것으로 나타났다. 특히 직무 스트레스는 소진에 영향을 미치고 소진은 자기 효능감에 영향을 미치는 것으로 확인되었다. 따라서 보건교사의 소진을 감소시키고 자기 효능감을 증대시키기 위해서는 직무 스트레스에 대한 효과적인 관리가 매우 중요하여 직무 스트레스를 낮추기 위한 다양한 노력이 필요하다는 것을 시사한다. 본 연구의 결과는 보건교사의 직무 스트레스와 소진을 줄이고 자기 효능감을 높이기 위한 정책수립과 실질적 개선안 마련에 도움이 될 것이다.

Keywords

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