Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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Relationship between Basic Pychological Needs and Psychological Burnout of Nurse: Mediation Effect of Positive Psychological Capital and Moderated Mediation Effect of Authentic Leadership

간호사의 기본심리욕구와 심리적 소진 간의 관계: 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과

  • 조영문 (동신대학교 한의과 대학 간호학과) ;
  • 장경희 (동신대학교 일반대학원 간호학과)
  • Received : 2020.09.02
  • Accepted : 2020.11.20
  • Published : 2020.11.28
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Abstract

This study aimed to investigate the relationships between basic pychological needs, positive psychological capital, authentic leadership and psychological burnout of clinical nurses, and to identify the mediation effect of positive psychological capital and moderated mediation effect of authentic leadership. The participants were 182 clinical nurses at 5 general hospital located in M city from April 2020 to June 2020 by questionnaire survey. Data analysis was done by using SPSS WIN 23.0 program and SPSS PROCESS MACRO program(model 4 and model 7). This study shows that the basic psychological need had an negative effect on psychological burnout, and the mediating effect of positive psychological capital and the moderated mediating effect of authentic leadership were confirmed in the relationship between basic psychological need and psychological burnout. Therefore, in order to reduce psychological burnout of general ward nurses, it is necessary to develop strategy to improve basic psychological needs and positive psychological capital of nurses, and leadership program for authentic leadership of nurse managers.

본 연구는 간호사의 기본심리욕구, 긍정심리자본, 진성리더십과 심리적 소진 간의 관계를 알아보고, 기본심리욕구와 심리적 소진의 관계에서 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과를 파악하기 위한 서술적 조사연구이다. 연구대상자는 2020년 4월부터 2020년 6월까지 M시에 소재한 5개 종합병원 간호사 182명을 대상으로 하였으며 자료수집은 자기보고 설문지법을 사용하였다. 자료분석은 SPSS/WIN 23.0 Program과 SPSS PROCESS MACRO(모텔4번과 모텔 7번)을 활용하여 분석하였다. 연구 결과 기본심리욕구는 심리적 소진에 부적영향을 주었으며, 기본심리욕구와 심리적 소진의 관계에서 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과가 있었다. 본 연구결과 간호사의 심리적 소진 감소를 위해서는 기본심리욕구 충족과 긍정심리자본의 향상이 필요하며, 관리자의 진성리더십이 요구되는 것으로 확인되었다. 그러므로 간호사의 심리적 소진 감소를 위해서는 간호사의 기본심리욕구와 긍정심리자본을 향상시킬 수 있는 전략개발과 간호관리자의 진성리더십 개발을 위한 리더십 프로그램개발이 필요하다.

Keywords

References

  1. N. H. kim & S. Y. Park. (2020). Influence of Emotional Labor and Occupational Stress on Burnout of General Hospital Nurses. Journal of Learner-Centered Curriculum and Instruction, 20(12), 883-895. DOI : 10.22251/jlcci.2020.20.12.883
  2. S. G. Park, K. M. Cho, Y. G. Jwa, D. W. Kang & Y. J. Lee. (2015). Nurse Activity Status Report. Korea health Industry promotion Center. https://www.khidi.or.kr/board/view?linkId=158628&menuId=MENU00085
  3. M. Y. Choi, H. S. SO & E. KO. (2019). Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses. Journal of Korean Academy of Fundamentals of Nursing, 26(1), 42-51. DOI : 10.7739/jkafn.2019.26.1.42
  4. S. H. Kim & Y. S. Yang. (2015). A Meta analysis of variables related to Burnout of nurse in korea. Journal of Digital Convergence, 13(8), 387-400. DOI : 10.14400/JDC.2015.13.8.387
  5. Y. R. Yeun. (2014). Job Stress, Burnout, Nursing Organizational Culture and Turnover Intention among Nurses. Journal of the Korea Academia-Industrial cooperation Society, 15(8), 4981-4986. DOI : 10.5762/KAIS.2014.15.8.4981
  6. Y. J. Kim, C. W. Kim, H. B. Im, S. Y. Lee & J. H. Kang. (2019). The Relationship of Emotional Burnout on Hospital Nursing Workload. Journal of the Korea Academia-Industrial cooperation Societ, 20(9), 93-102. DOI : 10.5762/KAIS.2019.20.9.93
  7. R. M. Ryan & E. L. Deci. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychologist, 55(1), 68-78. https://doi.org/10.1037/0003-066X.55.1.68
  8. E. L. Deci, R. & M. Ryan. (2008). Self-determination theory: a macrotheory of human motivation. development and health. Canadian Psychology. 49(3), 182-185. DOI : 10.1037/a0012801
  9. Y. M. Cho. (2014). The Influence of Autonomy, Competency, Relatedness on Burnout among Nurses. Journal of Digital Convergence, 12(6), 491-500. DOI : 10.14400/JDC.2014.12.6.491
  10. Y. M. Cho & M. S. Choi. (2016). Effect of Clinical Nurses's Basic Psychological Need, Self-Leadership and Job Stress on Nursing Performance. Journal of Digital Convergence, 114(8), 343-353. DOI : 10.14400/JDC.2016.14.8.343
  11. M. E. Seligman, R. M Ernst, J. Gillham, K. Reivich, & M. Linkins. (2009). Positive education: Positive psychology and classroom interventions. Oxford review of education, 35(3), 293-311. https://doi.org/10.1080/03054980902934563
  12. S. N. Lee & J. A. Kim. (2020). Prediction Model for Nursing Work Outcome of Nurses - Focused on Positive Psychological Capital. Journal of korean Academy of Nursing, 50(1), 1-13. DOI : 10.4040/jkan.2020.50.1.1
  13. C. M. Youssef & F. Luthans. (2015). Psychological Capital and Well-being. Stress and Health, 31, 180- 188. https://doi.org/10.1002/smi.2623
  14. J. B. Avey, R. J. Reichard, F. Luthans & K. H. Mhatre. (2011). Meta‐Analysis of the Impact of Positive Psychological Capital on Employee Attitudes, Behaviors, and Performance. Human Resource Development Quarterly, 22(2), 127-152. DOI : 10.1002/hrdq.20070
  15. Y. K. Kim, S. H. Kwon, H. G. Son. (2018). The Influence of Perceived Stress, Depression, and Positive Psychological Capital on Quality of Life among Nursing Students. Journal of the Korean Data Analysis Society, 20(3), 1579-1593. DOI : 10.37727/jkdas.2018.20.3.1579
  16. S. Y. Jeong & J. Y. Chung. (2017). The Influence of Hotel Culinary Staff s Positive Psychological Capital in Intrinsic Motivation and Innovative Behaviour of the deluxe hotels in Seoul. Korea Tourism Research association, 32(2), 335-351. DOI : 10.21719/KJTR.32.2.16
  17. E. Jeong & M. L. Jeong. (2018). Influences of Compassion Satisfaction, Compassion Fatigue, and Burnout on Positive Psychological Capital of Clinical Nurses. The Korea Contents association, 18(3), 246-255. DOI : 10.5392/JKCA.2018.18.03.246
  18. M. J. Kim & J. Y. Hang. (2019). Effect of Head Nurse's Authentic Leadership on Nurses' Job Satisfaction and Nursing Performance -Focusing on the Mediating Effects of Empowerment-. The Journal of Korean nursing Administration Academic Society, 25(1), 25-34. DOI : 10.11111/jkana.2019.25.1.25
  19. S. H. Yoon & H. R. Kim. (2019). The Effects of Authentic Leadership on the Positive Psychological Capital and the Teamwork Competence -Focusing on Nurses of General Hospitals. Journal of Digital Convergence, 17(5), 191-205. DOI : 10.14400/JDC.2019.17.5.191
  20. M. H. Chung & S. J. Han. (2019). The Effects of Nursing Managers' Authentic Leadership and Nurses' Psychological Wellbeing on Organizational Commitment as Perceived by Nurses. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 9(12), 743-756. DOI : 10.35873/ajmahs.2019.9.12.066
  21. H. Y. Choi & N. W. Chung. (2003). Perfectionism Tendency, Social Support, and Burnout Among Counselors. The Korean Joumal of Health Psychology, 8(2), 279-300.
  22. B. H. Lee. (2019). Effects of Nurses' Emotional Contagion Sensitivity and Altruistic Behavior on Psychological Burnout. master's thesis. Kwangwoon University, Seoul.
  23. Y. S. Jung. (2010). The Relationships among Basic Psychological Needs, Sensation Seeking, Flow, and Exercise Addiction of Leisure Sports Participants. Doctoral's thesis. Sungkyunkwan University, Seoul.
  24. Luthans, F., Avolio, B. J., Avey, J. B., & Norman, S. M. (2007). Psychological Capital Questionnaire. [Internet]. Menlo Park, CA: Mind Garden Inc.; 2020 [cited 2020 March 26]. Available from: https://www.mindgarden.com/search?controller=search&orderby=position&orderway=desc&search_query=PCQ
  25. D. S. Lee & Y. D. Choi. (2010). A Study on Antecedents and Consequences of Positive Psychological Capital in Organizations. Inspiring Insight in Business Society, 39(1), 1-28.
  26. H. Y. Lee. (2016). Factors Affecting Nurses' Workplace Bullying in Tertiary General Hospitals. master's thesis. Chung-Ang University, Seoul.
  27. B. R. Song & G. A. Seomun. (2014). The Influential Factors Related to Organizational Citizenship behavior of nurses :With Focus on Authentic leadership and Organizational justice. J korean Acad nurs Adm, 20(2), 237-246. DOI : 10.11111/jkana.2014.20.2.237
  28. A. F. Hayes. (2018). Introduction to Mediation, Moderation, and conditional process analysis: A Regression-Based Approach(2ed). New York; The Guliford Press
  29. Y. J. Kim, C. W. kim, H. B. IM, S. Y. Lee & J. H. Kang. (2019). The Relationship of Emotional Burnout on Hospital Nursing Workload. Journal of the Korea Academia-Industrial cooperation Society, 20(9), 93-102. DOI : 10.5762/KAIS.2019.20.9.93
  30. Y. Cho & S. J. Park. (2019). The Influence of Compassion Fatigue, Compassion Satisfaction, and Hardiness of Burnout in Small and Medium-sized Hospital Nurses. The Korea Society for Fisheries and marine Sciences Education, 31(2), 510-523. DOI : 10.13000/JFMSE.2019.4.31.2.510
  31. S. H. Lee. et al. (2016). The Convergence Effects of Commitment of Organization and positive psychological Capital in Nurse on Burnout. Journal of Digital Convergence, 14(6), 335-345. DOI : 10.14400/JDC.2016.14.6.335
  32. J. Y. Yun. (2016). Authentic Leadership of Head Nurse, Burnout and Job Satisfaction of Nurse: Mediating Effect of Positive Psychological Capital. master's thesis. Pusan National University, Pusan.
  33. Y. S. Kim. (2020). Impact of Professional Autonomy and Critical Thinking Disposition on Clinical Decision Making of Clinical Nurses. The Journal of Humanities and Social Science, 11(3), 125-136. DOI : 10.22143/HSS21.11.3.10
  34. N. Y. Lee & Y. S. Kim. (2017). Effects of Relational Bonds and Professional Authority in the Organizational Commitment of Intensive Care Unit Nurse. The Journal of Korean nursing Administration Academic Society, 23(2), 151-160. DOI : 10.11111/jkana.2017.23.2.151.
  35. S. Y. Kim & K. K. Kim. (2018). Management Style, Professional Autonomy, Role Conflict and Organizational Commitment of Nurses in General Hospitals. The Journal of korean Nursing Administration Academic Society, 24(5), 387-395. DOI : 10.11111/jkana.2018.24.5.387
  36. H. K. Lee & S. B. Kwon. (2019). Correlations between Professional Autonomy, Job Satisfaction, and Turnover Intention of Nurses Perceived by Nurses and Physicians: Focus on Medium-sized Hospitals. The Korean Journal of Health Service Management, 13(4), 83-94. DOI : 10.12811/Kshsm.2019.13.4.083
  37. J. H. Seo & H. K. Lee. (2019). Mediation effects of basic psychological needs on the relationship between early maladaptive schemas and both positive and negative emotions. Joumal of Rehabilitation Psychology, 26(2), 75-91. DOI : 10.35734/Karp.2019.26.2.005
  38. H. Y. Lee & J. Y. Hong. (2018). The Mediating Effect of A Basic Psychological Needs and Perceived Organizational Support in the Relationship Between School Counselor's Job Stress and Burnout. Korean Journal of Counseling, 19(2), 173-194. https://doi.org/10.15703/kjc.19.2.201804.173
  39. Wong CA, Laschinger HKS, Cummings GG. Authentic leadership and nurses' voice behaviour and perceptions of care quality. Journal of Nursing Management. 2010;18(8):889-900. https://doi.org/10.1111/j.1365-2834.2010.01113.x
  40. Walumbwa FO. Avolio BJ. Gardner WL, Wernsing TS, Peterson SJ. Authentic leadership: Development and validation of a theory-based measure. Journal of Management, 2008;34(1):89-126 https://doi.org/10.1177/0149206307308913
  41. Avolio, B. J., & Gardner, W. J.(2005), Authentic leadership development: Getting to the root of positive forms of leadership, The Leadership Quarterly, 16: 315-333 https://doi.org/10.1016/j.leaqua.2005.03.001
  42. S. K. Park & J. H. Jang. (2015). The Effects of Authentic Leadership on Self-Concept and Intrinsic Motivation - Focusing on the Mediating Effects of Supervisor Identification. Korean Academy of human Resource Management, 22(3), 301-319. DOI : 10.14396/jhrmr.2015.22.3.301
  43. Y. Y. Kwon. (2018). The effect of Authentic Leadership of the Director on Self-concept and Intrinsic motivation of Childcare Teachers. master's thesis. Korea National Open University, Seoul.