DOI QR코드

DOI QR Code

Nurses' Calling, Perceived Risk, Performance on Standard Precautions, and Burnout in the COVID-19 Pandemic

COVID-19 팬데믹 상황에서 간호사의 소명의식, 지각된 위험, 표준주의지침 수행 및 소진

  • Hyun Jeong (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Younghye Go (Department of Nursing, Chungcheong University) ;
  • Mihyun Lee (Department of Nursing, Daejeon Health Institute of Technology) ;
  • Miri Jeong (Department of Nursing, Joongbu University)
  • 정현 (대전보건대학교 간호학과) ;
  • 고영혜 (충청대학교 간호학과) ;
  • 이미현 (대전보건대학교 간호학과) ;
  • 정미리 (중부대학교 간호학과)
  • Received : 2022.11.30
  • Accepted : 2023.03.20
  • Published : 2023.03.28

Abstract

This study aimed to identify the effect of occupational calling, compliance with standard precautions and perceived threat for COVID-19 on the COVID-19 burnout of hospital nurses in the convergence society. The participants were 212 nurses; data were analyzed using t-test, ANOVA, Pearson correlation, multiple regression. This study found that: hospital nurses showed higher score for perceived threat of COVID-19, higher scores for COVID-19 burnout. The main factors influencing COVID-19 burnout were perceived threat of COVID-19 (𝛽=.233), and working unit (𝛽=.154). They explained about 6.7% of the COVID-19 burnout. Therefore, systematic support and nursing education is needed to reduce the perceived threat of COVID-19 among nurses.

본 연구는 병원간호사의 소명의식, COVID-19 관련 지각된 위협과 표준주의지침 수행이 COVID-19 소진에 미치는 영향을 파악하기 위하여 시도된 융합연구이다. 간호사 212명을 대상으로 수집된 자료는 t-test, ANOVA, Pearson Correlation, Multiple regression으로 분석하였다. 본 연구결과 병원간호사의 COVID-19 지각된 위협이 높을수록 COVID-19 소진에 높은 점수를 나타냈다. COVID-19 소진의 주요 영향 요인은 COVID-19 지각된 위협(𝛽=.233)과 근무부서(𝛽=.154)로 나타났으며, COVID-19 소진의 6.9%를 설명하였다. 간호사의 소명의식과 표준주의지침 수행은 COVID-19 소진의 유의한 영향 변수가 아니었다. 따라서 간호사의 COVID-19 지각된 위협을 감소시키기 위해 간호교육 등의 조직적인 지원이 필요하다.

Keywords

References

  1. https://www.worldome ters.info/coronavirus/
  2. I. Teo, et al. (2021). Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: A 6-month multicentre prospective study. PloS One, 16(10), e0258866. DOI : 10.1371/journal.pone.0258866
  3. E. Y. Noh, Y. J. Chai, H. J. Kim, E. Kim & Y. H. Park. (2021). Nurses' experience with caring for COVID-19 patients in a negative pressure room amid the Pandemic situation. Journal of Korean Academy of Nursing, 51(5), 585-596. DOI : 10.4040/jkan.21148
  4. H. Bernard, R. Fischer, R. T. Mikolajczyk, M. Kretzschmar & M. Wildner. (2009). Nurses' contacts and potential for infectious disease transmission. Emerging Infectious Diseases, 15, 1438-1444. DOI : 10.3201/eid1509.081475
  5. A. Corley, N. E. Hammond & J. F. Fraser. (2010). The experiences of health care workers employed in an Australian intensive care unit during the H1N1 Influenza pandemic of 2009: A phenomenological study. International Journal of Nursing Studies, 47, 577-585. DOI : 10.1016/j.ijnurstu.2009.11.015
  6. C. Maslach & M. P. Leiter. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 15(2), 103-111. DOI : 10.1002/wps.20311
  7. U. Peterson, E. Demerouti, G. Bergstrom, M. Samuelsson, M. Asberg & A. Nygren. (2008). Burnout and physical and mental health among Swedish healthcare workers. Journal of Advanced Nursing, 62(1), 84-95. DOI : 10.1111/j.1365-2648.2007.04580.x
  8. M. Yildirim & F. Solmaz. (2020). COVID-19 burnout, COVID-19 stress and resilience: Initial psychometric properties of COVID-19 Burnout Scale. Death Studies, 46(3), 524-532. DOI : 10.1080/07481187.2020.1818885
  9. P. A. Galanis, I. Vraka, D. Fragkou, A. Bilali & D. Kaitelidou. (2020). Nurses' burnout and associated risk factors during the COVID-19 pandemic: a systematic review and meta-analysis. Journal of Advanced Nursing, 77(8), 3286-3302. DOI : 10.1111/jan.14839
  10. T. D. Borkovec, O. Alcaine & E. Behar. (2004). Avoidance theory of worry and generalized anxiety disorder. In R. G. Heimberg, C. L. Turk & D. S. Mennin (Eds.), Generalized anxiety disorder: Advances in research and practice (pp. 77-108). New York: The Guilford Press.
  11. J. Lai, et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976. DOI : 10.1001/jamanetworkopen.2020.3976
  12. M. D. C. Perez-Fuentes, M. D. M. Molero Jurado, A. Martos Martinez & J. J. Gazquez Linares. (2020). Threat of COVID-19 and emotional state during quarantine: Positive and negative affect as mediators in a cross-sectional study of the Spanish population. PLoS One, 15, e0235305. DOI : 10.1371/journal.pone.0235305
  13. F. Shahzad, J. Du, I. Khan, A. Fateh, M. Shahbaz, A. Abbas & M. U. Wattoo. (2020). Perceived threat of COVID-19 contagion and frontline paramedics' agonistic behaviour: employing a stressor-strain-outcome perspective. International Journal of Environmental Research and Public Health, 17(14), 5102. DOI : 10.3390%2Fijerph17145102 https://doi.org/10.3390%2Fijerph17145102
  14. Y. S. Kim & M. A. Kim. (2021). Factors influencing nurses' performance of care in COVID-19 wards. Journal of Korean Academy of Nursing, 51(6), 678-688. DOI : 10.4040/jkan.21131
  15. J. S. Shiao, D. Koh, L. H. Lo, M. K. Lim & Y. L. Guo. (2007). Factors predicting nurses' consideration of leaving their job during the SARS outbreak. Nursing Ethics, 14(1), 5-17. DOI : 10.1177/0969733007071350
  16. http://ncov.mohw.go.kr/bdBoardList_Real.do?brdId=1&brdGubun=11&ncvContSeq=&contSeq=&bo ard_id=&gubun
  17. K. A. Lee, H. S. Kim, Y. W. Lee & O. K. Ham. (2012). Factors influencing compliance with standard precautions in intensive care unit and emergency room nurses. Journal of Korean Academy of Fundamentals of Nursing, 19(3), 302. DOI : 10.7739/jkafn.2012.19.3.302
  18. E. L. Daugherty, T. M. Perl, D. M. Needham, L. Rubinson, A. Bilderback & C. S. Rand. (2009) The use of personal protective equipment for control of influenza among critical care clinicians: A survey study. Critical Care Medicine, 37(4), 1210-1216. DOI : 10.1097/ccm.0b013e31819d67b5
  19. E. Holroyd & C. McNaught. (2008). The SARS crisis: Reflection of Hong Kong nurses. International Nursing Review, 55(1), 27-33. DOI : 10.1111/j.1466-7657.2007.00586.x
  20. C. V. Colindres, E. Bryce, P. Coral-Rosero, R. M. Ramos-Soto, F. Bonilla & A. Yassi. (2018). Effect of effort-reward imbalance and burnout on infection control among Ecuadorian nurses. International Nursing Review, 65(2), 190-199. DOI : 10.1111/inr.12409
  21. N. vanVegchel, J. deJonge, H. Bosma & W. Schaufeli. (2005). Reviewing the effort-reward imbalance model: Drawing up the balance of 45 empirical studies. Social Science & Medicine, 60(5), 1117-1131. DOI : 10.1016/j.socscimed.2004.06.043
  22. B. J. Dik & A. B. Shimizu. (2019). Multiple meanings of calling: Next steps for studying an evolving construct. Journal of Career Assessment, 27(2), 323-336. DOI : 10.1177/1069072717748676
  23. Y. Zhu, T. Chen, J. Wang, M. Wang, R. E. Johnson & Y. Jin. (2021). How critical activities within COVID-19 intensive care units increase nurses' daily occupational calling. Journal of Applied Psychology, 106(1), 4-14. DOI : 10.1037/apl0000853
  24. B. J. Dik & R. D. Duffy. (2009). Calling and vocation at work: Definitions and prospects for research and practice. The Counseling Psychologist, 37(3), 424-450. DOI : 10.1177/0011000008316430
  25. D. Kent. (2019). Giving meaning to everyday work after terrorism. Organization Studies, 40 (7), 975-994. DOI : 10.1177/0170840618765582
  26. D. Jin & G. Lee. (2020). Experiences of nurses at a general hospital in Seoul which is temporarily closed due to COVID-19. The Journal of Korean Academic Society of Nursing Education, 26(4), 412-422. DOI : 10.5977/jkasne.2020.26.4.412
  27. B. Barnes & M. Barnes. (2020). Recognition is especially meaningful during the COVID-19 pandemic. Nurse.com. https://www.nurse.com/blog/2020/03/19/recognition-especially-meaningful-during-covid-19-pandemic
  28. T. Hagmaier & A. E. Abele. (2012). The multidimensionality of calling : Conceptualization, measurement and a bicultural perspective. Journal of Vocational Behavior, 81(1), 39-51. DOI : 10.1016/j.jvb.2012.04.001
  29. Y. J. Ha, Y. Choi, H. Y. Eun & Y. W. Son. (2014). Validation of the Korean version of Multidimensional Calling Measure (MCM-K). The Korean Journal of Industrial And Organizational Psychology, 27(1), 191-220. DOI : 10.24230/kjiop.v27i1.191-220
  30. G. Manzano Garcia & J. C. Ayala Calvo. (2021). The threat of COVID-19 and its influence on nursing staff burnout. Journal of Advanced Nursing, 77, 832-844. DOI : 10.1111/jan.14642
  31. J. D. Siegel, E. Rhinehart, M. Jackson, L. Chiarello & the Healthcare Infection Control Practices Advisory Committee (2007). Guideline for isolation precautions: Preventing transmission of infectious agents in healthcare settings. Centers for Disease Control and Prevention. https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html
  32. S. Y. Hong, Y. S. Kwon & H. O. Park. (2012). Nursing students' awareness and performance on standard precautions of infection control in the hospital. The Journal of Korean Academic Society of Nursing Education, 18(2), 293-302. DOI : 10.5977/jkasne.2012.18.2.293
  33. K. S. Baek. (2016). Effects of nurses' knowledge, administrative support and environment for infection control on compliance of standard precautions in geriatric hospital. Master thesis. Seoul: Yonsei University.
  34. A. Malach-Pines. (2005). The burnout measure, short version. International Journal of Stress Management, 12(1), 78-88. DOI : 10.1037/1072-5245.12.1.78
  35. M. Yildirim, I. Cicek, & M. E. Sanli. (2021). Coronavirus stress and COVID-19 burnout among healthcare staffs: The mediating role of optimism and social connectedness. Current Psychology, 40(11), 5763-5771. DOI : 10.1007/s12144-021-01781-w
  36. J. I. Kim & T. H. Lee. (2016). The influence of nursing practice environment, compassion fatigue and compassion satisfaction on burnout among clinical nurses. Journal of Korean Clinical Nursing Research, 22(2), 109-117. DOI : 10.22650/JKCNR.2016.22.2.109
  37. J. Y. Bae, E-K. Lee, B-J. Kim & E. J. Lee. (2021). The influencing factors of burnout in nursing in the COVID-19 pandemic disaster. Korean Journal of Stress Research, 29(2), 80-86. DOI : 10.17547/kjsr.2021.29.2.80
  38. S. H. Jun, M. H. Lee & M. J. Choi. (2021). COVID-19 infection control-related fatigue, job stress, and burnout in nurses. Journal of Korean Academic Society of Home Health Care Nursing, 28(1), 16-25. DOI : 10.22705/jkashcn.2021.28.1.16
  39. D. M. Kahn, J. J. Bulanda, A. Weissberger, S. Jalloh, E. V. Villa & A. Williams. (2016). Evaluation of a support group for Ebola hotline workers inSierra Leone. International Journal of Culture and Mental Health, 9(2), 164-171. DOI : 10.1080/17542863.2016.1153121
  40. B. A. O. Gutierrez & M. H. T. Ciampone (2007). O processo de mor-rer e a morte no enfoque dos profissionais de enfermagem de UTIs. Revista Da Escola De Enfermagem Da USP, 41(4), 660-667. https://doi.org/10.1590/S0080-62342007000400017
  41. S. Y. Baik, S. M. Park, J. H. Jeong, M. J. Kim, S. B. Park, H. J. Lee, ... & H. S. Lee. (2021). A comparative study on the nursing dependency of suspected COVID-19 patients and general patients in the emergency department. Journal of Korean Clinical Nursing Research, 27(2), 199-209. DOI : 10.22650/JKCNR.2021.27.2.199
  42. E. A. Choi. (2020). Study on the effect of nurses in response to new respiratory infection disease on the performance of standard precaution. Journal of Digital Convergence, 18(12), 285-292. DOI : 10.14400/JDC.2020.18.12.285
  43. B. Y. Ha, Y. S. Bae, H. S. Ryu & M. K. Jeon. (2022). Experience of nurses in charge of COVID-19 screening at general hospitals in Korea. Journal of Korean Academy of Nursing, 52(1), 66-79. DOI : 10.4040/jkan.21166