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Mediating Effects of Burnout between Emotional labor and Resilience for Nurses in Long-term care Hospitals

요양병원 간호사의 감정노동, 회복 탄력성이 소진에 미치는 영향

  • Received : 2019.11.15
  • Accepted : 2020.03.06
  • Published : 2020.03.31

Abstract

This study investigated the effects of emotional labor and resilience on burnout of long-term care hospital nurses. The study was conducted in D, B, and G cities, from May 23 2019 to June 5, 2019, enrolling 195 long-term care hospital nurses who had been on duty since 6 months. Means, standard deviations, Pearson correlation coefficients, t-tests, ANOVA, and multiple regression analysis of the SPSS 21.0 statistical program were applied for analyzing the data. Emotional labor (r= 0.476, p<0.005) and resilience (r= -0.416, p<0.005) showed significant differences associated with burnout in the long-term care hospital nurses, with all variables showing significant correlation. Regression analysis revealed that emotional labor (β= 0.37, p<0.001) and resilience (β= 0.17, p<0.048) were significant variables affecting the burnout of long-term care hospital nurses, and these variables explained 25.5% of adaptation to their burnout (F=23.51, p<0.001). Based on the results of this study, we propose the necessity to develop and utilize a program to manage emotional labor and resilience as a way to improve adaption for long-term care hospital nurses.

본 연구는 감정노동, 회복 탄력성이 요양병원 간호사의 소진에 미치는 영향을 파악하기 위해 시도된 서술적 조사연구이다. 자료수집 기간은 2019년 5월 23일에서 6월 5일까지이며 D시,B시,G도 소재의 요양병원에 재직 중인 간호사 195명을 본 연구대상으로 하였다. 자료의 분석을 위하여 SPSS 21.0 통계 프로그램의 평균과 표준편차, Pearson correlation coefficients, t-test, ANOVA 및 Multiple regression을 이용하였다. 분석 결과 감정노동과 소진(r=.476, p<.005), 회복 탄력성(r=-.416, p< .005)은 유의한 상관관계를 보였다. 회귀분석 결과 감정노동(β= .37, p<.001)과 회복 탄력성(β= .17, p< .048)은 요양병원 간호사 소진에 통계적으로 유의한 영향을 미치는 변수로 파악되었으며, 이들 변인은 요양병원 간호사의 소진에 25.5%의 설명력을 가지고 있었다(F=23.51,p<.001). 이에 본 연구결과를 기반으로 감정노동을 낮추고, 회복 탄력성을 강화할 수 있는 프로그램을 요양병원 간호사 직무교육에서 개발하고 적용 및 활용으로 요양병원 환자를 이해하고, 질적인 간호서비스를 제공할 수 있는 노력이 필요하다. 또한, 본 연구결과를 기반으로 요양병원 간호사의 소진에 영향을 미치는 다양한 요인을 파악하고 이를 기반으로 한 프로그램 개발이 필요하다.

Keywords

References

  1. K.W.Sung, "Comparison between nursing home nurses and hospital nurses for emotional labor and job satisfaction", Journal of Korean Gerontological Nursing,Vol.14,No.1,pp.40-49.2012.
  2. H.Y.Joung, H.J. Hyun,"The effects of senior simulation programs on elderly care facilities employees' attitudes for elderly care, understanding of the aged, job satisfaction, and job performance", Journal of the Korea Academia-Industrial cooperation Society, Vol.13, No.4, pp.1654-64, 2012 DOI:http://dx.doi.org/10.5762/KAIS.2012.13.4.1654
  3. J.A.Morris, D.C.Feldman,"The dimensions, antecedents, and consequences of emotional labor. Academy of Management Review", 21(4),986-1010.1996. DOI:http://doi.org/10.5456/AMR.1996.970407186
  4. J.K.Kim,J.H.Kim, "Meta Analysis of Variables related to Emotional Labor of Hospital Nurses", Journal Korean Academy of Fundamentals of Nursing, Vol.23, No.2, pp.115-125,2016. DOI: http://dx.doi.org/10.7739/jkafn.2016.23.2.115
  5. M.Y.Choi,H.S.So,Ko,"Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses", Journal Korean Academia Fundam Nursing, Vol.26, No.1, pp.42-51,2019. DOI:http://dx.doi.org/10.7739/jkafn.2019.26.1.42
  6. S.U.Park, E.Y. Yeom, "Experience of the role conflict of nurses in long-term care hospitals ",The Korean Contents Society, Vol.16, No.7, pp.3680381,Apr, .2016. DOI:http://dx.doi.org/10.5392/JKCA.2016.16.07.368
  7. H. S.Kim, K.H.Kim,"The study of work environment of nurses in long-term care hospitals",Journal of the Korea Academia-Industrial cooperation Society, Vol.20, No.2, pp.250-258,Feb,2019. DOI: https://doi.org/10.5762/KAIS.2019.20.2.250
  8. A.M.Pines, E. Aronson, D. Kafry, "Burnout: From Tedium to Personal Growth", New York: The Free Press.1981.
  9. M.Mikolajczak, C. Menil, O, Luminet, "Explaining the protective effect of trait emotional intelligence regarding occupational stress: Exploration of emotional labour processes", Journal of Research in Personality, Vol. 41, pp.1107-1117,Jan,2007. https://doi.org/10.1016/j.jrp.2007.01.003
  10. S.S.Luthar, D. Cicchetti,B. Becker, "The Construct of Resilience: A Critical Evaluation and Guidelines for Future Work", NIH PA Author Manuscript, Vol.71, No.3, pp.543-562, Dev,2000.
  11. K.Tusaie, J. Dyer,"Resilience: A Historical Review of the Construct", Holistic Nursing Practice,pp1-8, Feb,2004.
  12. H.K. Kwon, S.H. Kim, S.H. Park, "A meta-analysis of the correlates of resilience in Korean nurses", Journal of Korean Clinical Nursing Research, Vol 23, No.1, pp.100-109, April,2017. DOI: https://doi.org/10.22650/JKCNR.2017.23.1.100
  13. Y.J. Song, A study on the effect of emotional hardship on job satisfaction and turnover of nurses[Unpublished master's thesis]. Seoul: Catholic University of Korea;2011,p1-116.
  14. K.M. Connor, J.R. Davidson, "Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC)",Depression and anxiety, Vol. 18, No.2, pp.76-82.Apr.2003. https://doi.org/10.1002/da.10113
  15. H.S. Baek, Reliability and validity of the Korea version of the Connor-Davidson Resilience Scale[Unpubilshed master's thesis]. Daejeon: Eulji University, 2010,p1-39.
  16. C.Maslach, S.E.Jackson, "The measurement of experienced burnout", Journal of Occupational Behavior.Vol.2, pp.99-113,Nov,1981. https://doi.org/10.1002/job.4030020205
  17. H.Y.Jung, A Study on Relationship among Violence Experience, Coping and Burnout of Emergency Department Nurses.[master's thesis]. Gimhae: Inje University; 2007. p. 1-76.
  18. J.Y.Jung, M.J,Park, "The effects of emotional labor, Resilience, and nursing work environment on turnover intentions of comprehensive nursing care medical service nurses", Journal of Digital Convergence, Vol.17, No.3, pp.281-290,Fri,2019. DOI: https://doi.org/10.144000/JDC.2019.17.3.281
  19. K.J.Oh, E.Y.Kim,"The influence of emotional labor of general hospital nurses on turnover intention", Journal of Digital Convergence, Vol.16, No.5, pp.317-327, May,2018. DOI: https://doi.org/10.14400/JDC.2018.16.5.317
  20. Y.O.Ryu, E.Ko, "Influence of emotional labor and nursing professional values on job satisfaction in small and medium-sized hospital nurses", Journal of the Korean Academy of Fundamentals of Nursing, Vol.22, No.1,pp7-15,Feb,2015. DOI: http://dx.doi.org/10.7739/jkafn.2015.22.1.7
  21. D.H. Kim, H.J. Jang, J.S. Jang, K.H. Jo, "The Perspectives on Development of Korean Quality Measurement Tools for Geriatric Hospitals" The Korean Geriatric Society, vol.12, No.4, pp.191-200, Dec,2008.
  22. S.H. Kim, Y.S. Ham, "A meta-analysis of the variables related to the emotional labor of nurses", Journal Korea Academy Nurses Adm, Vol,21, No.3,pp 263-276,June,2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.3.263
  23. J.H. Park, S.K.Chung, "Influence of Emotional Labor, Communication Competence and Resilience on Nursing Performance in University Hospital Nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol.17, No,10,pp 236-244, Oct,2016. DOI:http://dx.doi.org/10.5762/KAIS.2016.17.10.236
  24. E.J. Bae, K.Y. Kim, "The Effect of Stress Coping Ability and Recovery Resilience on Retention Intention of Nurses in Medium-Sized Hospitals", Journal of the Korea Academia-Industrial cooperation Society,Vol.19, No,11,pp 662-671, Nov,2018. DOI:https://doi.org/10.5762/KAIS.2018.19.11.662
  25. H.K. Kwon, S.h. Kim, S.H. Park,"A meta-analysis of the correlates of resilience in Korean nurses", Journal of Korean Clinical Nursing Research,Vol.23, No,1,pp 100-109, Apr,2017. DOI:https://doi.org/10.22650/JKCNR.2017.23.1.100
  26. S. H. Jang, Comparison study on the work stress and the coping method of social workers at the senior care facilities and hospice nurses[Unpublished master's thesis]. Daegu: Keimyung University, 2006,p.1-84.
  27. E.Ko, H.Y. Kim, G.S. Kim, R.S. Kim, H.S. So ,"Burnout amongst Nurses in Cancer Wards: Impact of Nursing Professionalism, Perfectionism, and Resilience", Asian Oncology Nursing, Vol.18, No.4,pp.214-223, Dec,2018. DOI: https://doi.org/10.5388/aon.2018.18.4.214
  28. K.B. Jeon, M.Y. Park, "Relationship of ICU nurses' difficulties in End-of-Life care to moral distress, burnout and job satisfaction", Journal of Korean Academy of Nursing Administration, Vol.25, No.1, pp 42-51, Dec,2018. DOI: https://doi.org/10.11111/jkana.2019.25.1.42
  29. M.J. Yi, J.S. Lee, "Nurses experiences of the death of patients in geriatric hospitals", Journal of Korean Academy of Nursing, Vol.45, No.4, pp.513-522, Apr,2015, http://dx.doi.org/10.4040/jkan.2015.45.4.513
  30. S.H. Kim, Y.S. Yang, "A meta analysis of variables related to burnout of nurse in Korea", Journal of Digital Convergence, Vol.13, No.8, pp.387-400, Aug,2015. DOI:http://dx.doi.org/10.14400/JDC.2015.13.8.387
  31. I.S. Kim, "The role of self-efficacy and social support in the relationship between emotional labor and burn out, turn over intention among hospital nurse", Journal of Korean Academy of Nursing Administration, Vol.15, No.4, pp.515-526, Dec,2009.
  32. J.S. Kim, J.S. Young, S.H. Kim, J,O.Kim, "Predictors of Emotional Labor and Job Stress on Burnout of Nurses in Long-term Care Hospitals", Journal of Korean Gerontol Nursing Administration, Vol.16, No.2, pp.130-140, Dec,2014.