DOI QR코드

DOI QR Code

A Study on the Effect of Job Stress, Self-Leadership and Social Supports of Long-Term Care Hospital Nurses on Nursing Performance

요양병원 간호사의 직무스트레스, 셀프리더십, 사회적 지지가 간호업무성과에 미치는 영향

  • Received : 2023.10.03
  • Accepted : 2023.11.10
  • Published : 2023.11.30

Abstract

Through this study, we aim to investigate the impact of job stress, self-leadership, and social support on nursing performance among nurses in long-term care hospitals. Our objective is to identify specific measures to enhance nursing performance by understanding how these factors influence overall nursing work outcomes. Participants were nurses working at long-term care hospitals in B city and G city. Data were collected with structured questionnaires from February 1 to February 25, 2018. Data were analyzed SPSS 22.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Factors which had effect on nursing performance were self-leadership(β=.415, p<.001), age(β=.251, p=.001), social supports(β=.206, p<.001), job stress(β=-.159, p=.001) and position(β=.102, p=.047). We anticipate that the findings of this study, which reflects the job characteristics of nurses in long-term care hospitals, can serve as foundational data for the development of intervention programs related to nursing performance. These results can contribute to the creation of programs aimed at improving nursing outcomes in accordance with the unique work characteristics of nurses in long-term care settings.

우리는 본 연구를 통해 요양병원 간호사를 대상으로 직무스트레스, 셀프리더십 및 사회적 지지가 간호헙무성과에 미치는 영향을 확인하여 간호업무성과를 향상시키기 위한 구체적인 방안을 마련하는데 도움이 되고자 한다. 자료수집은 B시와 G시에 소재한 요양병원에 근무하고 있는 간호사를 대상으로 2018년 2월 1일부터 2월 25일까지 구조화된 설문지를 이용하여 시행되었다. 자료 분석은 SPSS WIN 22.0 통계프로그램을 이용하여 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression Analysis로 분석하였다. 요양병원 간호사의 간호업무성과에 영향을 미치는 요인은 셀프리더십(𝛽=.415, p<.001), 연령(𝛽=.251, p=.001), 사회적 지지(𝛽=.206, p<.001), 직무스트레스(𝛽=-.159, p=.001), 직위(𝛽=.102, p=.047) 순으로 나타났다. 따라서 요양병원 간호사의 업무 특성이 반영된 간호업무성과 관련한 중재 프로그램 개발 및 관련 연구의 기초자료로 활용될 수 있음을 기대한다.

Keywords

References

  1. Korean Statistical Information Service(2017). http://kosis.kr/statisticsList/statisticsList_01List.jsp?vwcd
  2. Health Insurance Review & Assessment Service(2012). Current Status of Health Insurance Nursing Institutions(2007-2011년도). https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&WT.gnb=통계자료실
  3. H. J. Song, "Long-term Care Hospital Systems in Developed Countries and the Implications for Korea," Journal of Korean Geriatrics Society, Vol. 16, No. 3, pp. 114-120, September 2012. DOI: https://doi.org/10.4235/jkgs.2012.16.3.114
  4. S. J. Bok, "Recognition of Mutual Relationship of Nurses and Care Helpers of Geriatric Hospital," Master's Thesis, Daegu Haany University, Kyoungbuk, 2013.
  5. M. R. Sim & K. H. Kim, "Job Satisfaction, Self-Esteem, and Nursing Task Performance among Registered Nurses and Nurse Assistants in Long-Term Care Hospitals," Journal of Korean Academy of Nursing Administration, Vol. 16, No. 4, pp. 446-454, December 2010. https://doi.org/10.11111/jkana.2010.16.4.446
  6. Y. K. Ko & K. H. Kang, "A Study on the Relationship between Self-efficacy, Collective-efficacy and Job Stress in the Nursing Staff," Journal of Korean Academy of Nursing Administration, Vol. 12, No. 2, pp. 276-286, June 2006.
  7. N. S. Ha & J. Choi, "An Analysis of Nursing Competency affecting on Job Satisfaction and Nursing Performance among Clinical Nurses," Journal of Korean Academy of Nursing Administration, Vol. 16, No. 3, pp. 286-294, September 2010. https://doi.org/10.11111/jkana.2010.16.3.286
  8. S. J. Lee, "The Effects of Self-Leadership, Emotional Intelligence, Organizational Commitment, and Job Satisfaction on the Nursing Performance of Clinical Nurses," Doctoral thesis, University of Brain Education, Cheonan,
  9. E. J. Kim & M. O. Gu, "Recognition for Nursing Competency Importance, Nursing Competency Level, and Their Influencing Factors of Nurses in the Long-term Care Hospitals," Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 3, pp. 1989-2001, March 2015. DOI: https://doi.org/10.5762/KAIS.2015.16.3.1989
  10. Y. J. Son, Y. A. Lee, K. N. Kong, S. S. Sim, Y. S. Park, "Influence of Communication Competence and Burnout on Nursing Performance of Intensive Care Units Nurses," Journal of Korean Academy of Fundamentals of Nursing, Vol.20 No.3, 278-288, August, 2013. https://doi.org/10.7739/jkafn.2013.20.3.278
  11. Y. J. Kim, "The Effects of Emotional Intelligence and Communication Competency on Nursing Performance of Outpatient Nurses," Master's Thesis, Yonsei University, Seoul, 2016.
  12. H. K. Park, "The Structural Equation Modeling on Job Performance of Clinical Nurses," Doctoral Thesis, Kosin University, Busan, 2013.
  13. Y. M. Cho & M. S. Choi, "Effect of Clinical Nurses's Basic Psychological Need, Self-Leadership and Job Stress on Nursing Performance," Journal of Digital Convergence, Vol. 14, No. 8, pp. 343-353, June 2016. DOI: https://doi.org/10.14400/JDC.2016.14.8.343
  14. E. S. Na, "A Structural Model on Nursing Performance of Geriatric Hospital Nurses," Doctoral Thesis, Kosin University, Busan,
  15. Y. M. Kim & Y. J. Yi, "Influence of Job Stress and Empowerment on Clinical Nurses' Performance in Small and Medium Hospitals," Korean Journal of Occupational Health Nursing, Vol. 21, No. 3, pp. 258-265, November 2012. https://doi.org/10.5807/kjohn.2012.21.3.258
  16. H. S. Park & E. H. Gang, "A Study on Job Stress and the Coping of ICU Nurses," Journal of Korean Academy Nursing, Vol. 37 No. 5, 810-821, August 2007. https://doi.org/10.4040/jkan.2007.37.5.810
  17. J. H. Kim & E. Park, "The Effect of Job-stress and Self-efficacy on Depression of Clinical Nurses," Korean Journal of Occupational Health Nursing, Vol. 21 No. 2, 134-144, August 2012. https://doi.org/10.5807/kjohn.2012.21.2.134
  18. E. A. Park & J. E. Park, "The Relation Between the Occupational Stress and Fatigue Level of Neonatal Nurses," Korean Journal of Occupational Health Nursing, Vol. 20 No. 3, 261-269, 2011. https://doi.org/10.5807/kjohn.2011.20.3.261
  19. Y. O. Park, K. Ja. Lee, E. Cho, H. J. Park, "Factors Affecting Turnover Intention of Nurses in Long-term Care Facilities for Elderly People," Journal of Korean Gerontological Nursing, Vol. 11, No. 1, 81-89, 2009.
  20. Y. H. Lee, "A study on Job Stress and Job Satisfaction of Nurses in Long-Term Care Hospital," Master's Thesis, Hanyang University, Seoul, 2010.
  21. Y. S. Kim, "Clinical nurses' autonomy, job stress and job performance," Master's Thesis, Hanyang University, Seoul, 2012.
  22. Y. H. Kim & Y. M. Lee, "Influence of Self-Leadership on Job Stress, Job Satisfaction and Burnout among Nurses in Hospitals," Journal of The Korean Data Analysis Society, Vol. 11, No. 4, 1939-1951, 2009.
  23. C. P. Neck, G. L. Stewart and C. C. Manz 'Thought self-leadership as a framework for enhancing the performance of performance appraisers,' The Journal of Applied Behavioral Science. Vol. 31, No. 3, 278-302, 1996. https://doi.org/10.1177/0021886395313004
  24. K. H. Lee, "A Study on the co-relationship of self-leadership and the degree of work-satisfaction and organization-intensiveness in organizational members," Master's Thesis, Pusan National University, Seoul, 2001.
  25. Watson, L. 'Self-leadership: becoming an exceptual leader,' Radiol Technol. Vol. 75, No. 6, 457-467, 2004.
  26. S. H. Kim & J. S. Kim, "The Effect of Self-Leadership on Entrepreneurial Intention of University Students in Korea: The Mediating Effects of Social Suppor," Journal of Learner-Centered Curriculum and Instruction, Vol. 18, No. 6, 303-320,
  27. W. Y. Bark, "The Relationship between Job Stress Factors of Public Officials in Charge of Social Welfare and Organizational Effectiveness-Focusing on Stress as a Mediator and Social Support as a Moderator," Doctoral Thesis, Cheongju University, Chungbuk, 2010.
  28. K. H. Kim, "A Study on the Relationship among Insurance Review Nurses' Perceived Social Support, Self-Efficacy and Burnout," Master's Thesis, Hanyang University, Seoul, 2008.
  29. Cohen, S., Hoberman, H. M. 'Positive events and social supports as buffers of life change stress.' Journal of applied social psychology, Vol. 13, No. 2, 99-125, 1983. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  30. J. W. Lee, "An Analysis of Structural Relationships between Variables of University Students 'Self-Leadership, Social Support, Career Motivation, Career Decision-Making Self Efficacy, and Career Maturity." Doctoral Thesis, Soongsil University, Seoul, 2015.
  31. A. S. Lee, C. K. Yoon, and J. K. Park, "Effects of Social Support and Ego-resilience on Nursing Performance of Hospital Nurses," Korean Journal of Occupational Health Nursing, Vol. 21 No. 3, 283-289, November 2012. DOI: https://doi.org/10.5807/kjohn.2012.21.3.283
  32. S. J. Kim, "The Effect of Nurse's Emotional Intelligence and Communication Competency on Nursing Performance," Master's Thesis, Ajou University, Suwon, 2017.
  33. M. K. Jang & H. Y. Kim, "A Convergence Study on the Effects of Self-leadership and Self-esteem on Nursing Performance," Journal of the Korea Convergence Society, Vol. 9. No. 2, 51-59, 2018. DOI: https://doi.org/10.15207/JKCS.2018.9.2.051
  34. H. S. Song, "A study on the Empowerment and Job satisfaction, Job Performance in Hospital Nurses," Master's Thesis, Woosuk University, Jeonbuk, 2012.
  35. Y. M. Yun & M. S. Yoo, "Effects of Emotional Competence, Learning Organization, and Nursing Organization Culture among Nursing Performance of Clinical Nurses," The Korean Society of Health Service Management, Vol. 11 No. 4, 29-40, 2017. DOI: https://doi.org/10.12811/kshsm.2017.11.4.029
  36. H. S. Lee, " Influencing Factors on Nursing Performance of Nurses in Long-term Care Hospitals," Master's Thesis, Catholic University of Busan, Busan, 2016.
  37. A. L. Han & S. Kwon, "Effects of Self-leadership and Self-efficacy on Nursing Performance of Nurses Working in Long-termCare Hospitals," Journal of Korean Gerontological Nursing, Vol. 18 No. 1, 12-21, 2016.
  38. Y. K. Ko, T. W. Lee, and J. Y. Lim, "Development of a Performance Measurement Scale for Hospital Nurses," Journal of Korean Academy Nursing Vol. 37 No. 3, 286-294, April, 2007. https://doi.org/10.4040/jkan.2007.37.3.286
  39. M. J. Kim & M. O, Gu, "The Development of the Stress Measurement Tool for Nurses Working in the Hospital," Journal of Korean Academy of Nursing, Vol. 14 No. 2, 28-37, 1984.
  40. Manz C. C. "Improving performance through self-leadership," National productivity Review, 2(3), 288-297, 1983. https://doi.org/10.1002/npr.4040020308
  41. H. S. Kim, "The Relationship between Teacher's Self-leadership and the Jobs Satisfaction at Middle Schools," Master's Thesis, Soongsil University, Seoul, 2003.
  42. House, J. S. "The nature of social support," Work stress and social support (pp.13-38). Massachusetts: Addison-W, 1981.
  43. K. A. Son & J. W. Ko, "The Moderating Effect of Social Support on the Relations between Teachers' Job Stress and Job Satisfaction, and Organizational Commitment," The Journal of Educational Administration, Vol. 25, No. 4, 73-94, 2007.
  44. J. R. Kim, "A Study on self-esteem, role conflict, and work stress and the turnover intention of geriatric hospital nurses," Master's Thesis, Chosun University, Gwangju, 2010.
  45. S. N. Kang, "InfluenceoftheJob CharacteristicsandJob Stress on the Turnover Intention of Geriatric Hospital Nurses'," Master's Thesis, University of Gachon, 2012.
  46. S. I. Im, J. Park, and H. S. Kim, "The Effects of Nurse's Communication and Self-Leadership on Nursing Performance," Korean Journal of Occupational Health Nursing, Vol. 21, No. 3, 274-282, November 2012. https://doi.org/10.5807/kjohn.2012.21.3.274
  47. D. S. Byun & Y. H. Yom, "Factors Affecting the Burnout of Clinical Nurses-Focused on Emotional Labor-," Journal of Korean Academy Nursing Administration, Vol. 15, No. 3, 444-454, September, 2009.
  48. J. E. Kim, S. H. Shin, and S. J. Ko, "The Effect Commitment," Korean Journal of Stress Expression on Nurses' Organizational of Emotional Labor, Social Support and Anger - DOI: https://doi.org/10.17547/kjsr.2018.26.1.1
  49. E. Choi & K. H. Yoo, "The influence of social support and health promotion behaviors on nursing work performance among nurses," Journal of Korean Academic Society of Nursing Education, Vol. 27, No. 3, 333-341, August 2012.
  50. Y. E. Hwang, "Factors Influencing Nurses' Job Satisfaction-Focused on the Leadership and Nursing Performance," Master's Thesis, Kaya University, gimhae, 2016.
  51. H. S. Oh, "The Self-efficacy, Organizational Commitment, Customer Orientation and Nursing Performance of Nurses at Regional Public Hospitals," Master's Thesis, Kunsan National University, gimhae, 2016.
  52. G. M. Noh, "Effects of Work place Spirituality and Organizational Citizenship Behavior on the Nursing Performance," Master's Thesis, Catholic University of Daegu, gimhae, 2016.
  53. J. S. Lee, "The Relationship on Nurses' Self-Leadership, Job Satisfaction and Nursing Performance," Master's Thesis, Hanyang University, Seoul, 2010.
  54. S. Y. Min & J. S. Park, "The Influence of Job Stress and Ego-Resilience on Nursing Performance New Nurse In Secondary Hospitals," Journal of digital convergence, Vol. 15, No. 11, 297-305, 2007. https://doi.org/10.14400/JDC.2017.15.11.297
  55. J. Y. Park, "A Study on the Effects of hospice volunteer's self-efficacy and social support on exhaustion," Master's Thesis, Kyungpook National University, Seoul, 2014.