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

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

DOI QR Code

The Effect of Emotional Labor, Nursing Informatics Competency and Nursing Service Environment on Nursing Performance of Convalescent Hospital Nurse

요양병원 간호사의 감정노동, 간호정보역량 및 간호근무환경이 간호 업무성과에 미치는 영향

  • Jung, In-Ok (Department of Nursing, Chunnam Techno University) ;
  • Han, Jong Hee (Department of Nursing, Kwangju Women's University)
  • 정인옥 (전남과학대학교 간호학과) ;
  • 한종희 (광주여자대학교 간호학과)
  • Received : 2020.08.18
  • Accepted : 2020.10.05
  • Published : 2020.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

This was descriptive research aimed at determining the effects of emotional labor, nursing informatics competency, and nursing service environment on the nursing performance of convalescent hospital nurses. One hundred thirty-one nurses participated in this survey. The collected data were analyzed using the SPSS statics18 program. The distribution of the research variables and general characteristics were analyzed by frequency analysis and descriptive statistics. The correlation between emotional labor, nursing informatics competency, nursing service environment, and nursing performance was analyzed by the Pearson correlation, and the influencing factors were hierarchical multiple regression analysis. As a result of the study, the average nursing performance was 65.5 (±8.5) points, emotional labor was 27.2 (±5.6) points, nursing informatics competency was 91.3 (±15.7), and the nursing service environment was 88.2(±16.0) points. The nursing performance showed a positive correlation with the nursing informatics competency (r=.32, p<.001) and nursing service environment (r=.25, p=.005). Nursing informatics competency was the biggest factor affecting nursing performance, and the nursing service environment had no significant influence. Among the general characteristics, marriage status and position also affected the nursing performance. The explanatory power of this regression model was 35.2% and was statistically significant (F=9.815, p<.001).

본 연구는 요양병원 간호사의 감정노동, 간호정보역량 및 간호근무환경이 간호업무성과에 미치는 영향을 확인하기 위한 서술적 조사연구이다. G광역시에 소재한 100~200병상 미만 요양병원 간호사 149명이 설문조사에 참여하였고 131부가 최종 분석되었다. 수집된 자료는 SPSS statics 18 프로그램을 사용하여 분석하였다. 일반적 특성 및 연구 변수의 분포는 빈도분석과 기술통계 분석을 실시하였다. 감정노동, 간호정보역량 및 간호근무환경과 간호업무성과의 상관관계는 Pearson correlation으로 분석하였으며, 영향요인은 위계적 회귀 분석을 실시하였다. 연구 결과 간호업무성과 정도는 평균 65.5(±8.5)점, 감정노동은 평균 27.2(±5.6)점, 간호정보역량은 평균 91.3(±15.7), 간호근무환경은 평균 88.2(±16.0)점으로 나타났다. 요양병원 간호사의 간호업무성과는 간호정보역량(r=.32, p<.001), 간호근무환경(r=.25, p=.005) 두 변인과 양의 상관관계를 보였다. 그러나 감정노동은 간호업무성과와 유의한 상관관계를 보여주지 못했다. 간호정보역량은 간호업무성과에 가장 큰 영향을 미치는 요인이었으며 간호근무환경은 유의한 영향요인이 아니었다. 일반적 특성 중 결혼상태, 직위 또한 간호업무성과에 영향을 미치는 것으로 확인되었다. 회귀모형에 대한 설명력은 35.2%였고 통계적으로 유의하였다(F=9.815,p<.001). 이상의 결과에서 요양병원 또한 간호업무성과를 향상시키기 위해서는 사회적 변화, 병원 정보화정책에 맞추어 간호사들이 간호정보역량을 갖추어야 하고 기관은 이를 위해 충분한 지원을 해야 함을 확인할 수 있었다.

Keywords

References

  1. D. G. Hwang, Y. S. Sin, B. H. Choi, C. W. Kim, G. R. Park, & E. A. Kim. "Analysis of demand for medical and nursing care for the elderly and research on diversification of supply system - establish an integrated supply chain system", Korea Institute for Health And Social Affairs. Seoul. pp 57-80, 2016
  2. Korea S. Korean Statistical Information Service. 2020.
  3. Y. H. Chang, K. H. Baek, "A study on the categorical restrictions on establishment and management of medical institutions and their respective problems", Ewa Law Journal, Vol.19, No.4, pp. 433-458, 2015.
  4. E. J. Kim, M. O. Gu, "Recognition for nursing competency importance, nursing competency level, and their influencing factors of nurses in the long-term care hospitals", Journal of the Korea Academia-Industrial Cooperation Society, Vol.16, No.3, pp. 1989-2001, 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.3.1989
  5. Y. H. Park, J. D. Rah, S. H. Kim, "Influences of Working Environmental Factors of Care Providers on their Job Stress : Based on variables Self-Efficacy Level", Korean Journal of Gerontological Social Welfare, Vol.52, pp.349-367, 2011.
  6. W. S. Bak, "The relationship between leadership, empowerment, and nursing performance", Journal of Korean Academy of Nursing Administration. Vol.8, No.2, pp.335-346, 2002.
  7. J. S. Lee, Y. K. Kim, " Experiences in burn out geriatric hospital nurses", Adult nursing society academic conference, pp141, 2010.
  8. A. Sales, N. Sharp, Y. F. Li, E. Lowy, G. Greiner, C. F. Liu, et al. "The association between nursing factors and patient mortality in the Veterans Health Administration: the view from the nursing unit level", Journal of medical care, pp.938-945, 2008. DOI: https://doi.org/10.1097/MLR.0b013e3181791a0a
  9. Y. K. Ko, T. W. lee, J. Y. Lim, "Development of a Performance Measurement Scale for Hospital Nurses", Journal of Korean Academy of Nursing, Vol.37, No. 3, pp.286-294, 2007. DOI: https://doi.org/10.4040/jkan.2007.37.3.286
  10. K. N. Kang, "Factors Influencing Turnover Intention of Nurses in Small-medium sized Hospitals", Journal of Korean Academy of Nursing Administration, Vol.18, No.2, pp.155-165, 2012. https://doi.org/10.11111/jkana.2012.18.2.155
  11. 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 Nurses", Journal of Korean Academy of Nursing Administration, Vol.15, No.4, pp.515-526, 2009.
  12. H. J. Kim, The Relationships among Emotional Labor, Social Support, and Depressive Symptoms of Nurses, Master's thesis, Jeju national university, Jeju, Korea, 2011.
  13. E. J. Bang, S. Y. Yun, "Health Needs of the Elderly in Long-term Care Facilities: Using RAI-MDS-FC", Journal of korean academy of community health nursing, Vol.21, No.2, pp.263-272, 2010. https://doi.org/10.12799/jkachn.2010.21.2.263
  14. Y. M. Lee, S. J. Kim, "Factors Influencing Work-related Burnout of Nurses and Care givers in Nursing Homes", Journal of korean academia-Industrial cooperation society, Vol.14, No.4, pp. 1755-1764, 2013. DOI: https://doi.org/10.5762/KAIS.2013.14.4.1755
  15. S. H. Kim, Y. A. Ham, Meta-analysis of the Variables related to the Emotional Labor of Nurses, The Journal of Korean Nursing Administration Academic Society, Vol. 21, no. 3, pp. 263-276, 2015. DOI: http://dx.doi.org/10.11111/jkana.2015.21.3.263
  16. N. Staggers, C. A. Gassert, C. Curran, "Informatics competencies for nurses at four levels of practice", Journal of nursing education, Vol.40, No.7, pp.303-316, 2001. https://doi.org/10.3928/0148-4834-20011001-05
  17. S. Y. Kwak, Y. S. Kim, K. J. Lee, M. Y. Kim, " Influence of nursing informatics competencies and problem-solving ability on nursing performance ability among clinical nurses", The Journal of Korean academic society of nursing education, Vol.23, No.2, pp.146-155, 2017. DOI:https://doi.org/10.5977/jkasne.2017.23.2.146
  18. K. H. Wang, Survey on hospital information systems and their influencing factors in Korea, Master's thesis Yonsei University, Seoul, Korea 2006.
  19. J. S. Park, S. M. Kim, J. M. Won, Y. S. Kin, Y. J. Lee, M. S. Kwak, S. K. Park, S. B. Yu, J. S. Yu, J. Y. Park, K. Y. Kim, J. N. Youn,, A report on the Establishment and Activation of the Foundation for health and medical information exchange, Korea Health Industry Promotion Agency, 2017.
  20. H. C. Klopper, S. K. Coetzee, R. Pretorius, P. Bester, "Practice environment, job satisfaction and burnout of critical care nurses in South Africa", Journal of Nursing Management, Vol.20, No.5, pp.685-695, 2012. DOI: https://doi.org/10.1111/j.1365-2834.2011.01350.x
  21. S. N. Kang, Influence of the Job Characteristics and Job Stress on the Turnover Intention of Geriatric Hospital Nurses, Master's thesis, University of Gachon, Inchon, Korea, 2012.
  22. 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, Vol20, No.2, pp250-258, 2019. DOI:https://doi.org/10.5762/KAIS.2019.20.2.250
  23. A. L. Han, S. Kwon, "Effects of Self-leadership and Self-efficacy on Nursing Performance of Nurses Working in Long-term Care Hospitals", Journal of korean gerontological nursing, Vol.18, No.1, pp.12-21 2016. DOI:https://doi.org/10.17079/jkgn.2016.18.1.12
  24. H. S. Lee, Influencing factors on nursing performance of nurses in long-term care hospitals, Master's thesis, Busan Catholic University, Busan, Korea, 2016.
  25. S. J. Jeong, K. H. Kim, "Empathy Ability, Communication Ability, and Nursing Performance of Registered Nurses and Nursing Assistants in Long-term Care Hospitals", Journal of korean academic nursing administration, Vol.23, No.3, pp.249-258, 2017. DOI:https://doi.org/10.11111/JKANA.2017.23.3.249
  26. M. R. Sim, K. H. Kim, "Job Satisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals", Journal of Korean Academy of Nursing Administration, Vol.15, No.4, pp. 446-454, 2010. DOI: https://doi.org/10.11111/jkana.2010.16.4.446
  27. J. A. Morris, D.C. Feldman, "The Dimensions, antecedents and consequences of emotional labor", The Academy of Management Review, Vol 21, No. 4, pp.986-1010, Oct.1996. DOI: https://doi.org/10.2307/259161
  28. M. J. Kim, "Research Articles : Effects of the Hotel Employee's Emotional Labor upon the Job - related Attitudes", Journal of Tourism Sciences, Vol.21, No.2, pp.129-141, 1998.
  29. J. K. Kim, Relationships of Emothinal labor to job satisfaction and intent to turnover among staff nurses at small & medium sized hospitals, Master's thesis, Catholic University of Busan, Busan, Korea, 2012.
  30. M. S. Kim, "Validity and Reliability of informatics competencies for nurses among korean nurses", Korean journal of adult nursing, Vol.20, No.3, pp.470-480, 2008.
  31. E. T. Lake, "Development of the practice environment scale of the nursing work index", Research in nursing & health, Vol.25, No.3, pp.176-188, 2002. DOI:https://doi.org/10.1002/nur.10032
  32. E. Cho, M. Choi, E. Y. Kim, I. Y. Yoo, N. J. Lee, "Construct Validity and Reliability of the Korean Version of the Practice Environment Scale of Nursing Work Index for Korean Nurses", Journal of Korean Academy of Nursing, Vol.41, No.3, pp.325-332, 2011. DOI:https://doi.org/10.4040/jkan.2011.41.3.325
  33. T. Kim. The effect of Emotional Labor, Job Stress and Way of Coping on the Organizational Commitment of Nurses in a General Hospital, Master's thesis, Korea university, Seoul, Korea, 2012.
  34. J. Kim. Emotional labor, job stress, and fatigue of nurses, Master's thesis, Kwandong University, Gangneung, Korea, 2013.
  35. S. J. Kang, The relationships between emotional labor, job involvement and turnover intention of nurses working in long-term care hospitals, Kosin University, Busan, Korea, 2014.
  36. E. M. An, The relationship between emotional labor, burnout, job satisfaction of nurses at long term care hospital, Master's thesis, Ajou university, Suwon, Korea, 2013.
  37. H. Kim, M. Kim, "Nursing Informatics Competencies of Public Health Nurses in Chungcheongnam-do", Journal of Korean academy community health nursing, Vol.24, No.1, pp.20-28, 2013. DOI: https://doi.org/10.12799/jkachn.2013.24.1.20
  38. J. M. Lee, I. S. Gang, S. J. Yu, "The Influence of Nursing Informatics Competency on Job-Satisfaction and Nursing Performance", The Korean Journal of Health Service Management, Vol.9, No.1, pp.109-122, 2015. DOI: https://doi.org/10.12811/kshsm.2015.9.1.109
  39. E. M. Park, The influence of moral sensitivity and nursing practice environment on person-centered care in long-term care hospital nurses, Master's thesis, Daegu Catholic university, Gyeongsan, Korea, 2017.
  40. H. S. Joo, Influence of nursing work environment, organizational commitment, and nursing professionalism on turnover intention of nurses in long term care hospitals, Master's thesis, Keimyung university, Deagu, Korea, 2017.
  41. S. I. lee, E. J. Lee, "Effect of Nursing Work Environment, Emotional Labor and Ego-Resilience on Nursing Performance of Clinical Nurses", Journal of Korea sociey for wellness, Vol.11, No.4, pp. 267-276, 2016. DOI: https://doi.org/10.21097/ksw.2016.11.11.4.267
  42. M. K. Jang, H. Y. Kim, "A Convergence Study on the Effects of Self-leadership and Self-esteem on Nursing Performance" Journal of the korea Conversgence Sociey, Vol.9, No.2, pp.51-59, 2018.
  43. S. E. Park,."Thriving at Work As an Affective Mediating Mechanism of the Effectiveness of Psychological Safety", Journal of Organization and Management, Vol43, No 1, pp195-222, 2019.
  44. M. A. You, Y. J. Son, " The Relationships of work-Family Conflict, Social Support, Job satisfaction, and Organizational Commitment in Korean Marred Hospital Nurses", Journal of the korean academy of fundamentals of nursing, Vol 16,.No.4,pp.515-523, 2009
  45. N. S. Ha, J. Choi, "An Analysis of Nursing Competency affecting on Job Satisfaction and Nursing Performance among Clinical Nurses", Journal of Korean Academy of Nursing Administration, Vol.16, No.3, pp.286-294, 2010. DOI: https://doi.org/10.11111/jkana.2010.16.3.286
  46. J. A. Seo, The effect of nursing work environment on nursing perfirmance in the hemodialysis unit: Focusing on the effect of job satisfaction and empowerment, Master's thesis, Keimyung University, Deagu, Korea, 2015.
  47. S. H. Park, M. J. Park, " The Effects of emotional Intelligence, Nursing Work Environment on Nursing Work Performance in Clinical Nurses", Journal of digital convergence, Vol 16, No.4, pp175-184, 2018. DOI:https://doi.org/10.14400/JDC.2018.16.4.175
  48. L. Lin, B. A. Liang, "Addressing the nursing work environment to promote patient safety", Nursing forum, Vol.42, No.1, pp20-30, 2007. DOI:https://doi.org/10.1111/j.1744-6198.2007.00062.x