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Mediation Effect of Job Satisfaction in the Relationship between Need Satisfaction and Turnover Intention of Clinical Nurses

임상간호사의 욕구만족과 이직의도의 관계에서 직무만족의 매개효과

  • 김화진 (삼육대학교 대학원 간호학과) ;
  • 신선화 (삼육대학교 간호대학)
  • Received : 2021.08.03
  • Accepted : 2021.11.20
  • Published : 2021.11.28

Abstract

In this study, we examine the effects of five needs satisfaction on job satisfaction and turnover intention based on Maslow's hierarchy of needs for clinical nurses. Also, this was a convergence study that confirmed the mediating effect of job satisfaction on the relationship between need satisfaction and turnover intention. The participants were 239 clinical nurses at a general hospital located in Seoul. The collected data were analyzed for mediating effects using hierarchical regression analysis and PROCESS Macro (Model 4). Physiological and safety needs did not have a significant effect on job satisfaction while belongingness, esteem, and self-actualizations need had a significant positive effect on job satisfaction. On the other hand, physiological and esteem needs had a significant negative effect on turnover intention. In addition, the mediating effect of job satisfaction was significant in the relationship between need satisfaction (physiological, safety, belongingness, and self-actualization needs) and turnover intention. We confirm that an increase in the satisfaction of the five needs of clinical nurses can reduce their turnover intention. Therefore, we suggest that it is necessary to effectively manage need satisfaction and job satisfaction in the clinical field.

본 연구의 목적은 임상간호사를 대상으로 Maslow의 욕구위계이론에 근거한 5가지 욕구만족이 직무만족과 이직의도에 미치는 영향을 살펴보고, 욕구만족과 이직의도의 관계에서 직무만족의 매개효과를 확인한 융합연구이다. 연구참여자는 서울에 소재한 종합병원의 임상간호사 239명이었다. 수집한 자료는 위계적 회귀분석과 PROCESS Macro (Model 4)를 이용하여 매개효과를 분석하였다. 연구결과, 생리적 욕구와 안전 욕구는 직무만족에 유의한 영향을 미치지 않았고, 소속감 욕구, 존중 욕구 및 자아실현 욕구가 직무만족에 유의한 정적 영향을 미쳤다. 반면, 생리적 욕구와 존중 욕구가 이직의도에 유의한 부적 영향을 미쳤다. 임상간호사의 욕구만족(생리적 욕구, 안전 욕구, 소속감 욕구 및 자아실현 욕구)과 이직의도 간의 관계에서 직무만족의 매개변수가 유의하게 나타났다. 임상간호사의 5가지 욕구만족이 증가하면 직무만족을 매개로 하여 의직의도를 감소시킬 수 있으므로, 간호사의 욕구만족과 직무만족을 효과적으로 관리할 필요가 있음을 논의하였다.

Keywords

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