Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Mediating Effects in the Relationship among Workplace Bullying, Job Stress, and Nursing Organizational Culture after completing the course of 'Workplace Bullying Prevention Law'

'직장 내 괴롭힘 방지법' 교육을 이수한 간호사의 직장 내 괴롭힘과 직무스트레스 관계에서 간호조직문화의 매개효과

  • Park, Inhee (Department of Nursing Science ShinSung University) ;
  • Cho, Eunjeong (Department of Nursing Graduate School, Chung-Ang University)
  • 박인희 (신성대학교 간호학과) ;
  • 조은정 (중앙대학교 일반대학원 간호학과)
  • Received : 2020.01.31
  • Accepted : 2020.05.08
  • Published : 2020.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to determine the mediating effects in the relationships among nursing organizational culture, workplace bullying, and job stress of nurses. For the descriptive correlational study design, data were collected using a structured questionnaire from nurses at university hospitals (N=130). Statistical analysis was performed on the collected data using SPSS 22.0 statistics program. The mean scores of nurses for nursing organizational culture, workplace bullying, and job stress were 2.99±0.74, 1.85±0.65, and 2.50±0.35, respectively. Nursing organizational culture of nurses had a negative correlation with both workplace bullying (r=-0.45, p=0.001) and job stress (r=-0.61, p=0.001), whereas workplace bullying showed a positive correlation with job stress (r=0.42, p=0.001). Sobel test was conducted to verify the mediating effects, and nursing organizational culture was statistically significant as a partial mediating effect of 0.13 (sobel'z=-2.287, p<0.05) on the effect of workplace bullying of nurses on job stress. These results indicate that nursing organizational cultures need to be established to reduce workplace bullying. It is important to create a nursing work environment that can reduce job stress, a better understanding of the nursing organization cultures related to nursing tasks is crucial, and it is necessary to develop an institutional education strategy for prevention education in hospital organizations.

본 연구는 직장 내 괴롭힘 방지법 교육 후 간호사의 간호조직문화, 직장 내 괴롭힘. 직무스트레스 정도 변화를 확인하고 간호사의 직장 내 괴롭힘과 직무스트레스에 영향을 미치는 과정에서 간호조직문화의 매개효과를 알아보고자 시도된 서술적 상관관계 연구이다. 대상자는 경기도에 소재한 대학병원 간호사 130명에게 설문조사를 실시하였고, 자료분석은 SPSS 23.0 프로그램으로 분석하였다. 간호사의 간호조직문화는 평균 2.99±.74이었으며, 직장 내 괴롭힘은 평균 1.85±.65 이었으며, 직무스트레스는 평균 2.50±.35로 나타났다. 간호사의 간호조직문화는 직장 내 괴롭힘(r=-.45, p=.001), 직무스트레스(r=-.61, p=001)와 부적 상관관계를 나타났으며, 직장 내 괴롭힘은 직무스트레스(r=.42, p=.001)와 정적 상관관계가 있는 것으로 나타났다. 매개효과를 확인하기 위하여 Sobel test를 실시하였고, 간호사의 직장 내 괴롭힘이 직무스트레스에 미치는 영향에서 간호조직문화는 .13의 부분 매개로 통계적으로 유의미하였다(sobel'z=-2.287, p<.05). 따라서 직장 내 괴롭힘을 감소시키기 위해 관계지향적 간호조직문화와 혁신지향적 간호조직 문화를 형성하는 것이 필요하고 직무스트레스를 감소시킬 수 있는 간호근무환경과 간호업무 간의 관련된 조직문화의 이해를 높이는 것이 중요하며 병원조직에서도 예방교육에 대한 제도적인 교육전략이 필요하겠다.

Keywords

References

  1. H. Y. Kang, S. Kim, K. Han, "The relationship among workplace bullying, organizational commitment and turnover intention of the nurses working in public medical institutions," J Korean Clin Nurs Res, vol. 24, no. 2, pp. 178-187, Aug. 2018. https://doi.org/10.22650/JKCNR.2018.24.2.178
  2. K. O. Park, "Team Managers' experience with a team system in the hospital," The Journal of Korean Academic Society of Nursing Education, vol. 18, no. 3, pp. 486-498, Dec. 2012. https://doi.org/10.5977/jkasne.2012.18.3.486
  3. Korean Nursing Association. Job stress and related factors of nurses. Health Policy Research Report, Seoul: Korean Nursing Association; 2012.
  4. R. Broomfield, "A quasi‐experimental research to investigate the retention of basic cardiopulmonary resuscitation skills and knowledge by qualified nurses following a course in professional development," Journal of Advanced Nursing, vol. 23, no. 5, pp. 1016-1023, May. 1996. DOI: https://doi.org/10.1111/j.1365-2648.1996.tb00084.x
  5. Y. J. Lee, M. H. Lee, K. Bernstein, "Effect of workplace bullying and job stress on turnover intention in hospital nurses," Journal of Korean Academy of Psychiatric and Mental Health Nursing, vol. 22, no. 2, pp. 77-87, Jun. 2013. https://doi.org/10.12934/jkpmhn.2013.22.2.77
  6. W. Nam, J. W. Kim, Y. K. Kim, J. W. Koo, C. Y. Park, "The reliability and validity of the negative acts questionnaire-revised (NAQ-R) for nurses for the assessment of workplace bullying," Korean Journal of Occupational and Environmental Medicine, vol. 22, no. 2, pp. 129-139, Jun. 2010. DOI: https://doi.org/10.35371/kjoem.2010.22.2.129
  7. M. I. Qureshi, A. M. Rasli, K. Zaman, "A new trilogy to understand the relationship among organizational climate, workplace bullying and employee health," Arab Economic and Business Journal, vol. 9, no. 2, pp. 133-146, Oct. 2014. DOI: https://doi.org/10.1016/j.aebj.2014.05.009
  8. H. K. S. Laschinger, A. L. Grau, J. Finegan, P. Wilk,. "New graduate nurses' experiences of bullying and burnout in hospital settings," Journal of advanced nursing, vol. 66, no. 12, pp. 2732-2742, Dec. 2010. DOI: http://dx.doi.org/10.1111/j.1365-2648.2010.05420.x
  9. S. H. Choeng, I. S. Lee, "Qualitative research on nurses experiencing Taeoom," Korean Journal of Occupational Health Nursing, vol. 25, no. 3, pp. 238-248, Aug. 2016. DOI: https://doi.org/10.5807/kjohn.2016.25.3.238
  10. S. R. Simons, B. Mawn, "Bullying in the workplace a qualitative study of newly licensed registered nurses," AAOHN journal, vol. 58, no. 7, pp. 305-311, July. 2010. DOI:https://doi.org/10.1177/216507991005800705
  11. Hospital Nurses Association. Survey on the status of hospital nursing staff placement. Research Report. Seoul: Hospital Nurses Association; 2013.
  12. D. A. Vogelpohl, S. K. Rice, M. E. Edwards, C. E. Bork, "New graduate nurses' perception of the workplace: have they experienced bullying?," Journal of Professional Nursing, vol. 29, no. 6, pp. 414-422, Dec. 2013. https://doi.org/10.1016/j.profnurs.2012.10.008
  13. Enforcement of Workplace Anti-bullying Laws Educational material [Internet]. Ministry of Employment and Labor[cited 2019 Jul 15], Available From: http://www.moel.go.kr/policy/policydata/view.do?bbs_seq=20190200639
  14. D. J. Ceravolo, D. G. Schwartz, K. M. FOLT ‐RAMOS, J. Castner, "Strengthening communication to overcome lateral violence", Journal of Nursing Management, vol. 20, no. 5, pp. 599-606, May. 2012. https://doi.org/10.1111/j.1365-2834.2012.01402.x
  15. S. J. Han, "A study on the relationship between nursing organizational culture and organizational performance," Journal of Korean Academy of Nursing Administration, vol. 8, no. 3, pp. 441-456, Sep. 2002.
  16. S. Y. Yun, J. Y, Kang, "Factors Affecting Workplace Bullying in Korean Hospital Nurses," Korean Journal of Adult Nursing, vol. 26, no. 5, pp. 553-567, Oct. 2014. https://doi.org/10.7475/kjan.2014.26.5.553
  17. Y. J. Kim, "Field research on the nursing organizational culture in hospital setting," Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  18. W. Nam, J. W. Kim, Y. K. Kim, J. W. Koo, C. Y. Park, "The reliability and validity of the negative acts questionnaire-revised (NAQ-R) for nurses for the assessment of workplace bullying," Korean Journal of Occupational and Environmental Medicine, vol. 22, no. 2, pp. 129-139, Jun. 2010. DOI: https://doi.org/10.35371/kjoem.2010.22.2.129
  19. J. Kang, S. A. Yun, "grounded theory approach on nurses' experience with workplace bullying," Journal of Korean Academy of Nursing, vol. 46, no.2, pp. 226-37, Apr. 2016. https://doi.org/10.4040/jkan.2016.46.2.226
  20. MA. Lewis, "Nurse bullying: organizational considerrations in the maintenance and perpetration of health care bullying cultures," Journal of nursing Management, vol. 14, no. 1, pp. 52-8, Jan 2006. DOI:http://dx.doi.org/10.1111/j.1365-2934.2005.00535.x
  21. M. S. Kim, J. H. Kim, S. J. Han. "The development of the nursing organization culture measurement tool,"Journal of Korean Academy of Nursing Administration, vol. 10, no. 2, pp. 175-84, Jun. 2004.
  22. E. H. Han, Y. Ha, "Relationships among self -esteem, social support, nursing organizational culture, experience of workplace bullying, and consequence of workplace bullying in hospital nurses," Journal of Korean Academy of Nursing Administration, vol. 22, no. 3, pp. 303-12, Jul. 2016. https://doi.org/10.11111/jkana.2016.22.3.303
  23. Y. Lee, M. Lee, "Development and Validity of Workplace Bullying in Nursing-Type Inventory (WPBN-TI)," Journal of Korean Academy of Nursing, vol. 44, no.2. pp. 209-218, Apr. 2014. https://doi.org/10.4040/jkan.2014.44.2.209
  24. S. J. Chang, S.B. Koh, D. Kang, S. A. Kim, M. G. Kang, "Developing an occupational stress scale for Korean employees," Korean Journal of Occupational and Environmental Medicine, vol. 17, no.4, pp. 297-317, Jan. 2005. https://doi.org/10.35371/kjoem.2005.17.4.297
  25. RM. Baron, DA. Kenny, "The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations." Journal of personality and social psychology, vol. 51, no. 6, pp. 1173-1182, Dec. 1986. https://doi.org/10.1037/0022-3514.51.6.1173
  26. S. Y. Yun, J. Y. Kang, "Factors Affecting Workplace Bullying in Korean Hospital Nurses," Korean Journal of Adult Nursing, vol. 26, no. 5, pp. 553-562, Oct. 2014. https://doi.org/10.7475/kjan.2014.26.5.553
  27. J.W. Kong, Y. S Eom, "Influence of Job Stress, Team Cohesion .and Organizational Justice on Workplace Bullying in Clinical Nurses," Journal of Korean Academy of Nursing Administration, vol. 25, no. 5, pp. 448-57, Dec 2019. https://doi.org/10.11111/jkana.2019.25.5.448
  28. S. J. Han, "A study on the relationship between nursing organizational culture and organizational performance," Journal of Korean Academy of Nursing Administration, vol. 8, no. 3, pp. 441- 456, Sep. 2002.
  29. E. Olsen, G. Bjaalid, A. Mikkelsen, "Work climate and the mediating role of workplace bullying related to job performance, job satisfaction, and work ability: A study among hospital nurses," Journal of Advanced Nursing, vol. 73, no. 11, pp. 2709-2719, Nov. 2017. https://doi.org/10.1111/jan.13337
  30. S. R. Kim, Relationships among Workplace Bullying, Organizational Culture and Nursing Performance in Nurse, Master's thesis, Kyung Hee University Graduate School of Education, Korea, pp. 1-74, Aug. 2019.
  31. M. Hutchinson, L. Wilkes, D. Jackson, MH. Vicker, "Integrating individual, work group and organizational factors: Testing a multidimensional model of bullying in the nursing workplace," Journal of Nursing management, vol. 18, no. 2, pp. 173-181, Mar. 2010. https://doi.org/10.1111/j.1365-2834.2009.01035.x