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노인요양병원 간호종사자의 이직의도에 영향을 미치는 요인

Factors to Affect Turnover Intention of Nursing Workers at Long-Term care Hospitals

  • 투고 : 2023.02.17
  • 심사 : 2023.02.21
  • 발행 : 2023.02.28

초록

본 연구는 요양병원 간호종사자인 간호사 및 간호조무사를 대상으로 이직의도에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 2022년 8월 12일부터 16일까지 G시 소재 4개 요양병원 간호종사자 146명을 대상으로 실시되었다. 연구결과, 이직의도는 일반적 특성 중 연령, 종교, 결혼상태, 학력정도, 월 평균 급여, 직종, 근무형태 및 이직경험에 대해 유의한 차이가 있었다(p<.05). 이직의도는 직무스트레스(r=.51, p<.001) 및 소진(r=.62, p<.001)과는 유의한 양의 상관관계가 있었으며 조직몰입과는 유의한 음의 상관관계가 있었다(r=.-56, p<.001). 조직몰입은 직무스트레스(r=-.25, p=.002) 및 소진(r=.-.67, p<.001)과 유의한 음의 상관관계가 있었으며 소진은 직무스트레스(r=.56, p<.001)와 유의한 양의 상관관계가 있었다. 이직의도에 영향을 미치는 요인으로는 직무스트레스(β=.32, p<.001), 조직몰입(β=-.30, p=.001), 학력정도(β=.17, p=.022)로 나타났으며 설명력은 49.6%였다. 본 연구결과를 토대로 요양병원 간호종사자의 직무스트레스 감소 및 조직몰입 향상을 위한 근무환경 개선 등을 통해 이직의도 감소를 위한 노력이 필요하리라 생각된다.

This study is a descriptive survey research on nursing workers at long-term care hospitals, who are largely divided into nurses and nurse aides, to identify the factors that affect their turnover intention. From August 12 to 16, 2022, the survey was conducted for 146 nursing workers in four long-term care hospitals located in G city. The survey results indicated that there were differences in their turnover intention depending on their age, religion, marital status, educational level, average monthly salary, job type, duty pattern and turnover experience, of all general characteristics (p<.05). Turnover intention had a significant positive correlation with job stress (r=.51, p<.001) and burnout (r=.62, p<.001), and had a significant negative correlation with organizational commitment (r=.-56, p<.001). Organizational commitment had a significant negative correlation with job stress (r=-.25, p=.002) and burnout (r=.-.67, p<.001), while burnout had a significant positive correlation with job stress (r=.56, p<.001). Factors influencing the nursing workers' turnover intention included job stress (β=.32, p<.001), organizational commitment (β=-.30, p=.001) and education level (β=.17, p=.022), with an explanatory power of 49.6%. Based on the results of this study, it is considered that efforts to improve the working environment for nursing workers at long-term care hospitals are needed by reducing their job stress and improving organizational commitment in order to reduce their turnover intention.

키워드

과제정보

This work was supported by Uiduk University Foundation Grant, 2022.

참고문헌

  1. Korea Statistical Information Service. (2020). Elderly Population Ratio, Available Form: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631&vw. (accessed Oct, 23, 2022)
  2. Korea Statistical Information Service. (2022). Health Care Institution Status, Available Form: https://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_MIRE01&vw. (accessed Jan., 8, 2023)
  3. M. R. Sim, K. H. Kim, "Job Safisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals", Journal of the Korean Academy of Nursing Administration, Vol.16, No.4, pp. 446-454, (2010). https://doi.org/10.11111/jkana.2010.16.4.446
  4. M. S. Lee, J. H. Oh, H. M. Hwang, E. J. Kwon, J. H. Lee, E. Y. Park, "Hospital Workers' Experience with Hospital Evaluation Program: A focus Group Study", Journal of Korean Academy of Nursing, Vol.41, No.4, pp. 568-579, (2011). https://doi.org/10.4040/jkan.2011.41.4.568
  5. Y. S. Shin, S. H. Lee, Y. H. Lee, B. H. Choi, J. H. Park, E. A. Kim, Y. W. Seo, Y. R. Weng, S. H. Han, Survey on Health and Medical Manpower, Korea Institute for Health and Social Affairs, (2022).
  6. Medical & Welfare news [cited 2022 Jun 19], Available Form: http://www.mediwelfare.com/news/articleView.html?idxno=3157. (accessed Feb, 15, 2023).
  7. W. J. Bae, J. Y. Park, "Qualitative Study on Experiences of Responding to COVID-19 of Therapists in Long-term Care Hospitals", Journal of Korean Entertainment Industry Association, Vol.15, No.4, pp. 337-347, (2021). https://doi.org/10.21184/jkeia.2021.6.15.4.337
  8. J. R. Choi, The Impact of Job Stress on Job Satisfaction, Organizational Commitment, and Turnover Intension of Nursing Workforce in Geriatric Hospitals, Unpublished master's thesis, Silla University, (2016).
  9. S. J. Chang, S. B, Koh, D. M. Kang, S. A. Kim, M. K. Kang, C. K. Lee, et. al., "Developing an Occupational Stress Scale for Korean Employees", Annals Occupational and Envioronmental Medicine, Vol.17, No.4, pp. 297-317, (2005). https://doi.org/10.35371/kjoem.2005.17.4.297
  10. J. S. Kim, S. Y. Jeong, S. H. Kim, J. O. Kim, "Predictors of Emotional Labor and Job Stress on Burnout of Nurses in Long-Term Care Hospitals", Journal of the Gerontological Nursing, Vol.16, No.2, pp. 130-140, (2014). https://doi.org/10.17079/jkgn.2014.16.2.130
  11. S. G. Song, H. Cho, J. H. Kim, E. S. Huh, H. S. Yun, J. H. An, S. Y. Cho, J. W. Seo, B. M. Cho, A. J. Park, "The Effects of Job Stress and Job Satisfaction on Service Quality of Employees in Long-term Care Hospital", Korean Public Health Research, Vol.46, No.1, pp. 97-105, (2020).
  12. D. H. Kim, N.S. Kim, "A Comparative Analysis of the Job Stress of Workers in General Hospitals and Special.Specialized Hospitals", Journal of the Korea Academia-Industrial Cooperation Society, Vol.14, No.8, pp. 3704-3714. (2013). https://doi.org/10.5762/KAIS.2013.14.8.3704
  13. E. H. Peek, "A Study of the Correlation Between Burnout and Job Satisfaction Levels Among Nurses", Unpublished master's thesis, Yonsei University, (1983).
  14. B. M. Bang, S. Y. Lee, J. O. Cheong, "Empirical Study on the Turn-Over Intention of University Hospital Nurses", Journal of Digital Convergence, Vol.13, No.2, pp. 205-213, (2015). https://doi.org/10.14400/JDC.2015.13.2.205
  15. S. J. Moon, S. S. Han, "The Prediction Factor on Organizational Commitment of the Nurse", Journal of Korean Academic Society Nursing Education, Vol.15, No.1, pp. 72-80, (2009). https://doi.org/10.5977/JKASNE.2009.15.1.072
  16. J. N. Jeong, S. J. Lee, "Effects of Worker Relationships on Organizational Effectiveness in Geriatric Hospitals", Journal of Health Informatics and Statistics, Vol.41, No.3, pp. 261-269. (2016). https://doi.org/10.21032/jhis.2016.41.3.261
  17. E. J. Choi, J. W. Park, M. L. Cho, "Influencing Turnover Intention of Nurses after Evaluation for Certification at Geriatric Hospital: Focused on Job Stress and Burnout", Journal of the Korea Academia-Industrial Cooperation Society, Vol.17, No.3, pp. 438-449, (2016).
  18. J. R. Kim, K. H. Kim, "A Study on Job Stress and the Turnover Intention of Long-Term Care Hospital Nurses", Health & Nursing, Vol.22, No.2, pp. 1-11, (2010).
  19. S. J. Moon, "Recognition of Geriatric Hospital Nurse for Medical Institution Certification, Job Satisfaction and Job Stress, Study on the Turnover Intention", Journal of the Korean Society for Multicultural Health, Vol.5, No.2, pp. 55-64, (2015).
  20. S. J. Kang, S. H. Kwon, "The Effects of Emotional Labor and Job Involvement on Turnover Intention of Nurses in Longterm Care Hospitals", Korean Journal of Occupational Health Nursing, Vol.24, No.4, pp. 290-301, (2015). https://doi.org/10.5807/kjohn.2015.24.4.290
  21. Y. S. Hwang, E. Y. Cho, "Factors Influencing Nurse Turnover Intention of Senior Convalescence Hospitals in the Metropolitan Area", Korean Journal of Occupational Health Nursing, Vol.25, No.3, pp. 156-167, (2016). https://doi.org/10.5807/kjohn.2016.25.3.156
  22. S. H. Han, "Factors Affecting Turnover Intension of Long Term Care Hospitals Nurses", Asia-pacific Journal of Convergent Research Interchange, Vol.7, No.30, pp. 367-377, (2021). https://doi.org/10.47116/apjcri.2021.11.30
  23. S. B. Park, H. Y. Kang, "Factors Influencing Turnover Intention in Geriatric Hospital Nurses", Journal of the Korea Entertainment Industry Association, Vol.16, No.1, pp. 105-114, (2022). https://doi.org/10.21184/jkeia.2022.1.16.1.105
  24. N. R. Yoon, I. O. Kim, "Nursing Assistants' Work-Life Balance on Turnover Intention: Mediating Effect of Job Satisfaction and Organizational Commitment", Health and Social Welfare Review, Vol.41. No.4, pp. 295-312, (2021).
  25. E. J. Lee, A Study on Job Satisfaction, Organizational Commitment and Turnover Intension of Nurses in Geriatric Hospitals, Unpublished master's thesis, Dong-Eui University, (2015).
  26. S. J. Yang, The Effects of Job Environmental Factors on Job Stress and Turnover Intention of Geriatric Hospitals Workers before and after COVID-19 Pandemic, Unpublished master's thesis, Cheongju University, (2022).
  27. S. J. Park, "The Effect of Job Stress on Job Satisfaciton of the Geriatric Hospital workers", Unpublished master's thesis, Kkottongnae University, (2012).
  28. A. M. Pines, A. D. Kanner, "Nurses' Burnout: Lack of Positive Conditions and Presence of Negative Conditions as Two Independent Sources of Stress", Journal of Psychosocial Nursing and Mental Health Service, Vol.20, No.8, pp. 30-35, (1982).
  29. R. T. Mowday, R. M. Steers, L. W. Poter, "The Management of Organizational Commitment", Journal of Vocational Behavior, Vol.14, pp. 224-247, (1979). https://doi.org/10.1016/0001-8791(79)90072-1
  30. I. S. Kim, Impact of Practice Environment on Job Satisfaction and Organizational Commitment among Hospital Nurses, Unpublished master's thesis, Hanyang University, (2015).
  31. M. R. Kim, "Influential Factors on Turnover Intention of Nurses: The Affect of Nurse's Organizational Commitment and Career Commitment to Turnover Intention", Journal of Korean Academy of Nursing Administration, Vol.13, No.3, pp. 335-344, (2007).
  32. Y. J. Jeong, "A Comparative Study on the Impacts of Emotional Labor of Workers with the Types of Hospital Influencing Job Stress by Health Care- General Hospital and Nursing Hospital", Journal of the Korea Entertainment Industry Association, Vol.14, No.7, pp. 659-666, (2020). https://doi.org/10.21184/jkeia.2020.10.14.7.659
  33. Y. H. Kim, H. J. Kim, H. J. Lee, J. Y. Park, S. H. Lee, "A Study on the Interrelation of Influential Factors in Organizational Conflict and Organizational Commitment", Korea Journal of Hospital Management, Vol.7, No.1, pp. 41-63, (2002).
  34. S. Y. Lee, J. A. Kim, "A Study of Comparison of Moral Distress and Burnout between Long-term Care Hospital Nurses and General Hospital Nurses", Journal of East-West Nursing Research, Vol.26, No.1, pp. 63-70, (2020). https://doi.org/10.14370/JEWNR.2020.26.1.63
  35. S. B. Im, M. Y. Lee, S. Y. Kim, "Nurses' Perception of Organizational Commitment, Nursing Work Environment, and Social Support in a General Hospital", Journal of Korean Academy of Nursing Administration, Vol.21, No.1, pp. 1-9, (2015). https://doi.org/10.11111/jkana.2015.21.1.1
  36. H. Y. Park, "A Study on the Structural Impact of Job Stress on the Organizational Commitment and Customer Oriented Boundary Spanning Behavior of Hospital Employees", The Journal of Digital Policy and Management, Vol.11, No.11, pp. 603-611, (2013). https://doi.org/10.14400/JDPM.2013.11.11.603
  37. H. K. Jang, "The Impacts of Working in the Hospital Empowerment, Job Satisfaction and Organizational Commitment Turnover Intention", The Korean Journal of Health Service Management, Vol.6, No.1, pp. 66-75, (2012). https://doi.org/10.12811/kshsm.2012.6.1.065
  38. H. J. Lee, M. J. Jung, "The Effect of Workplace Bullying, Job Stress, and Organizational Commitment on Turnover Intention of Nurses in Nurses in Small and Medium-sized Hospitals", The Journal of the Korea Contents Association, Vol.20, No.8, pp. 572-582, (2020). https://doi.org/10.5392/JKCA.2020.20.08.572