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A Study on the Factor of Retention Intention on Nurses in Small and Medium-sized Hospitals

중소병원 간호사의 재직의도 영향요인 연구

  • Kim, Mi-Hye (Department of Nursing Science, Numbu University) ;
  • Park, Jeong-Min (Department of Nursing Science, Numbu University)
  • Received : 2020.01.17
  • Accepted : 2020.02.25
  • Published : 2020.02.28

Abstract

Purpose: This study was a descriptive study to investigate on the effect of calling, self-efficacy, workplace bullying on retention intention among nurses in small and medium-sized hospitals. Methods: The research subjects were 224 nurses selected through convenient sampling from among those who have worked six months or longer in seven small and medium-sized hospitals located in G City. The data were collected using a structured questionnaire from July 17 to 30, 2018. The data was analyzed by descriptive statics, a t-test, ANOVA, Scheffé test, Pearson's correlation coefficient, and a stepwise multiple regression using SPSS/WIN 22.0 program. As a measuring tool, Calling was the Calling & Vocational Questionnaire (CVQ) developed by Dik, Eldrige and Steger (2008). Self-efficacy was developed by Sherer et al. (1982) and modified by Jeong Ae-soon (2007). Workplace bullying was developed by Einarsen, Raknes and Matthiesen (1994) in the Norwegian Negative Behavioral Experience Questionnaire (NAQ), and by Nam Woong et al. (2010). The retention intention was to use NRI (Nurses' Retention Index) developed by Cowin (2002) as a tool for Kim Min-jung (2006). Results: Factors affecting nurses' retention were analyzed. The analysis showed that retention intention was positively affected by self-efficacy (β=.24, p<.001), sense of calling (β=.23, p<.001) and annual wage (β=.21, p=.001) and negatively affected by workplace bullying (β=-.16, p=.008) on a statistically significant level, with an explanatory power of 28.6%.

본 연구는 중소병원 간호사의 소명의식, 자기효능감 및 직장 내 괴롭힘이 재직의도에 미치는 영향요인을 살펴봄으로써, 간호조직의 업무환경 개선을 위한 기초자료를 제공하기 위해 시도된 서술적 조사연구이다. 자료 수집은 2018년 7월 17일에서 30일까지로 G광역시에 위치한 7개의 중소병원에서 6개월 이상 근무한 간호사 224명을 대상으로 하였으며, 수집된 자료는 SPSS / WIN 22.0 프로그램을 사용하여 분석하였다. 측정도구로 소명의식은 Dik, Eldrige와 Steger (2008)가 개발한 소명척도(Calling & Vocational Questionnaire: CVQ)를 윤치호(2017)가 수정한 도구를, 자기효능감은 Sherer 등(1982)이 개발하고 정애순(2007)이 수정하여 간호사를 대상으로 한 사용한 도구를 사용하였다. 직장 내 괴롭힘은 Einarsen, Raknes와 Matthiesen (1994)이 노르웨이어로 개발한 부정적 행동경험 설문지(NAQ)를 남웅 등(2010)이 한국어로 번안한 도구를, 재직의도는 Cowin (2002)이 개발한 NRI (Nurses'Retention Index)를 김민정(2006)이 번안하여 사용한 도구를 사용하였다. 재직의도에 영향을 미치는 요인을 분석한 결과 자기효능감(β=.24, p<.001), 소명의식(β=.23, p<.001), 연봉(β=.21, p=.001)은 통계적으로 유의한 양의 상관관계를, 직장 내 괴롭힘(β=-.16, p=.008)은 통계적으로 유의한 음의 상관 관계를 미치는 것으로 나타났으며, 설명력은 28.6%이었습니다. 본 연구결과를 종합하면 중소병원에 근무하는 간호사의 재직의도에 긍정적 영향 요인은 소명 의식, 자기효능감 및 연봉 수준이었고, 부정적인 영향 요인은 직장 내 괴롭힘 임을 확인하였다.

Keywords

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