DOI QR코드

DOI QR Code

Phenomenological Research on Burnout Experience of Hospital Occupational Therapists

병원급 의료기관에서 근무하는 작업치료사의 소진 경험에 대한 현상학적 연구

  • Hwang, Na-Kyoung (Dept. of Occupational Therapy, Seoul North Municipal Hospital) ;
  • Jung, Min-Ye (Dept. of Occupational Therapy, College of Health Science, Yonsei University)
  • 황나경 (서울특별시 북부병원) ;
  • 정민예 (연세대학교 보건과학대학 작업치료학과)
  • Received : 2019.12.10
  • Accepted : 2019.12.27
  • Published : 2020.11.30

Abstract

Objective : This study aimed to understand the burnout experience of hospital occupational therapists through phenomenological research. Methods : We conducted in-depth interviews with 6 occupational therapists working at hospital for 8 weeks. The data were analyzed using the Palangsae 2.0 software to derive meaning through the process of transcription and data entry, coding, and topic creation. Results : From the collected data, 14 sub-themes, 9 theme clusters, 3 categories were identified. The cause of burnout was confirmed as being due to therapy-related work and workplace conditions. The impacts of burnout on individual life were psychological in nature and also included being an adverse, influence on others. The coping strategies to deal with burnout were enrichment of personal life, self-awareness and philosophy, conscious approach, social support, and setting new goals for life. Conclusion : We suggest that spontaneous efforts are needed by occupational therapists in order to alleviate the conflicts of job identity. In addition, organizational regulations and programs and the establishment of horizontal organizational cultures are required to overcome and prevent burnout of occupational therapists.

목적 : 본 연구는 현상학적 연구방법을 통해 병원급 의료기관에서 근무하는 작업치료사의소진의 본질을 탐구함으로써 소진을 완화하기 위한 방법을 개발하는데 필요한 기초자료를 제공하고자 한다. 연구방법 : 병원급 의료기관에서 근무하는 작업치료사 6명을 대상으로 8주간 심층면담을 실시하였다. 면담 자료는 Colaizzi의 현상학적 연구방법을 통해 분석하였고, 자료 전사 및 주제생성과, 범주화 과정에 파랑새 2.0 소프트웨어를 사용하였다. 결과 : 수집된 자료를 통해 14개의 주제, 9개의 주제모음, 3개의 범주를 도출하였다. 분석 결과, 소진의 원인은 병원 작업치료 업무에서 오는 소진, 업무 환경에서 오는 소진 등으로 확인되었고, 소진이 개인의 삶에 미치는 영향은 내면 심리변화와 타인에 대한 영향이었다. 소진에 대한 대처 전략으로는 개인 삶의 풍요화, 자기 인식과 철학, 인식적 접근, 사회적 지지, 삶의 새로운 목표 설정 등으로 나타났다. 결론 : 반복되는 재활과정에서 오는 타성과 치료 효과에 대한 확신 부재에서 경험하는 직업 정체성 갈등을 해결하고 작업치료의 가치 제고를 위한 자생적 노력이 필요함을 제언한다. 또한 소진예방을 위한 조직 차원의 규정 및 교육 프로그램 마련과 수평적인 인간관계를 지향하는 조직문화의 확립이 필요할 것이다.

Keywords

References

  1. 김형섭, 김종문, 임현선, 홍지성, 하다솔, 권준범 (2015). 뇌졸중 환자의 급성기 의료이용 분석을 통한 효율적 재활이용 근거 생성 연구. Retrieved from https://www.nhimc.or.kr/open-Info/management/audit/hospital_41_disc_audit05_1.do
  2. 신명희. (2017, 가을). 현행 재활의료전달체계와 개선방향. HIRA 정책동향, 11(5), 7-11.
  3. 오영범, 이현철, 정상원 (2016). 질적 자료 분석 파랑새 2.0 소프트웨어. 서울, 한국: 아카데미프레스.
  4. Baik, D. W., & Yom, Y. H. (2012). Effects of social support and emotional intelligence in the relationship between emotional labor and burnout among clinical nurses. Journal of Korean Academy of Nursing Administration, 18(3), 271-280. doi:10.11111/jkana.2012.18.3.271
  5. Choe, S. C. (2003). Strategies for managing job stress through employee assistance programs. Yonsei Social Welfare Review, 9, 155-178.
  6. Chu, B. A. (2012). Study about burnout experience of physical therapists on therapy stroke patients (Master's thesis). Yongin University, Yongin.
  7. Colaizzi, P. F. (1978). Psychological research as a phenomenologist views it. In R. S. Valle, & M. King (Eds.), Existential-phenomenological alternatives for psychology (1st ed., pp. 48-71). New York, NY: Oxford University Press.
  8. Guba, E. G., & Lincoln, Y. S. (1981). Naturalistic solutions to methodological problems. In Guba, E. G., & Lincoln, Y. S. (Eds.), Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches (1st ed., pp. 85-127). San Francisco, CA: Jossey-Bass.
  9. Han, D. S., Jung, M. Y., Yoo, E. Y., & Chung, B. I. (2008). The factors of work-related stress in occupational therapists working in Korean hospitals. Journal of Korean Society of Occupational Therapy, 16(1), 109-118.
  10. Heo, S. J., & Hong, J. S. (2018). The mediating effects of perceived organizational support and self-soothing ability in the relationship between emotional labor and job burnout: Targeted organ procurement and transplantation coordinator. Korean Journal of Health Psychology, 23(1), 127-145. doi:10.17315/kjhp.2018.23.1.007
  11. Hwang, S. H. (2012). A study on the relationships between occupational therapists' burn-out, professional self-concept, and self-efficacy. Journal of the Korea Academia-Industrial Cooperation Society, 13(4), 1728-1738. doi:10.5762/KAIS.2012.13.4.1728
  12. Kim, J. I., Son, H. M., Park, I. H., Shin, H. J., Park, J. H., Cho, M. O., ... Yu, M. O. (2015). Phenomenological study on burnout experience of clinical nurses who have turnover intention. Korean Journal of Women Health Nursing, 21(4), 297-307. doi:10.4069/kjwhn.2015.21.4.297
  13. Kim, J. J., Roh J. H., Won, J. U., Lee, S. Y., & Chang, S. J. (2010). The relationship between occupational stress and burnout among occupational therapists. Korean Journal of Occupational and Environmental Medicine, 22(3), 173-182 https://doi.org/10.35371/kjoem.2010.22.3.173
  14. Kim, S. P. (2006). A study on the factors related to nurse practitioner's burnout in medical welfare centers (Master's thesis). Daegu University, Daegu.
  15. Kim, Y. H. (2001). The relation of organizational structure and culture perception, conflict experience, commitment of hospital employees in Korea (Master's thesis). Yonsei University, Seoul.
  16. Lazarus, R. S., & Folkman, S. (1984). Treatment and stress management. In R. S. Lazarus, & S. Folkman (Eds.), Stress, appraisal and coping (1st ed., pp. 334-437). New York, NY: Springer.
  17. Lee, S. H., & Bang, Y. S. (2015). The effect of emotional labor and burnout on the job attitude of occupational therapists. Journal of Korean Society of Occupational Therapy, 23(1), 95-108. doi:10.14519/jksot.2015.23.1.08
  18. Lloyd, C., & King, R. (2004). A survey of burnout among Australian mental health occupational therapists and social workers. Social Psychiatry and Psychiatric Epidemiology, 39(9), 752-757. doi:10.1007/s00127-004-0808-7
  19. Maslach, C. (1982). The burnout syndrome. In C. Maslach (Ed.), Burnout: The cost of caring (1st ed., pp. 1-24). Englewood Cliffs, NJ: Prentice-Hall.
  20. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal Organizational Behaviour, 2 (2), 99-113. doi:10.1002/job.4030020205
  21. Melamed, S., Shirom, A., Toker. S., Berliner, S., & Shapira, I. (2006). Burnout and risk of cardiovascular disease: Evidence, possible casual paths, and promising research directions. Psychological Bulletin, 132(3), 327-353. doi:10.1037/0033-2909.132.3.327
  22. Neubauer, B. E., Witkop, C. T., & Varpio, L. (2019). How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education, 8(2), 90-97. doi:10.1007/s40037-019-0509-2
  23. O'Brien, J. C., & Hussey, S. M. (2018). Introduction to Occupational Therapy (4th ed.). St. Louis, MO: Elsevier, Mosby
  24. Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981). The stress process. Journal of Health and Social Behavior, 22(4), 337-356. https://doi.org/10.2307/2136676
  25. Saldana, J. (2009). An Introduction to codes and coding. In J. Saldana (Ed.), The coding manual for qualitative researchers (1st ed., pp. 1-31). London, England: SAGE.
  26. Schlenz, K. C., Guthrie, M. R., & Dudgeon, B. (1995). Burnout in occupational therapists and physical therapists working in head injury rehabilitation. American Journal of Occupational Therapy, 49(10), 986-993. doi:10.5014/ajot.49.10.986
  27. Sweeney, G. M., Nichols, K. A., & Cormack, M. (1993). Job stress in occupational therapy: Coping strategies, stress management techniques and recommendations for change. British Journal of Occupational Therapy, 56(4), 140-145. doi:10.1177/030802269305600409
  28. Wressle, E. & Samuelsson, K. (2014). High job demands and lack of time: A future challenge in occupational therapy. Scandinavian Journal of Occupational Therapy, 21(6), 421-428. doi:10.3109/11038128.2014.941929
  29. Yang, Y. K. (2011). A study on burnout, emotional labor, and self-efficacy in nurses. Journal of Korean Nursing Administration Academic Society, 17(4), 423-431. doi:10.11111/jkana.2011.17.4.423