• 한국콘텐츠학회논문지
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• 제13권3호
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• pp.251-259
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• 2013

본 연구는 간호사의 직무스트레스와 자아존중감이 정신건강에 미치는 영향을 파악하기 위한 서술적 조사 연구이다. 연구대상은 D시에 소재한 3개 종합병원(600병상이상의 C종합병원, E종합병원, G종합병원) 간호사 457명으로 2011년 7월 4일부터 7월 29일까지 조사하였다. 수집된 자료는 n (%), t-test, ANOVA, Scheffe test, Pearson's Correlation Coefficient 및 multiple regression analysis으로 분석하였다(SPSS 18.0). 연구결과는 다음과 같다. 첫째, 직무스트레스는 평균 171.5점, 자아존중감은 평균 28.9점, 정신건강은 평균 76.1점으로 나타났다. 둘째, 대상자의 정신건강은 결혼유무, 교육수준, 근무병동, 근무형태에 따라 유의한 차이가 있는 것으로 나타났다. 셋째, 정신건강은 직무스트레스(r=.32, p<.001) 및 자아존중감(r=-.63, p<.001)과 유의한 상관관계가 있는 것으로 나타났다. 넷째, 정신건강에 영향을 미치는 요인은 직무스트레스의 하부영역에서 직무자율성 결여, 업무량과중, 부적절한 대우와 보상, 대인관계 문제, 그리고 자아존중감과 일반적 특성에서 근무형태(3교대)로 확인되었으며, 42.2%의 설명력을 나타냈다. 결론적으로 본 연구는 간호사의 정신건강관련 요인으로 직무스트레스와 자아존중감의 역할을 실증적으로 확인하였다는 점에서 의의를 찾을 수 있다. 따라서 간호사의 정신건강 문제 예방 및 중재를 위한 프로그램 개발에 기초자료를 제공하고자한다.

• 디지털융복합연구
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• 제18권8호
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• pp.293-299
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• 2020

본 연구는 요양병원의 간호사의 간호역량에 미치는 융복합적 영향을 파악하기 위하여 시도되었다. 구조화된 자기보고식 설문지를 사용하여 2019년 7 월부터 2019년 8월까지 D 시 8개 요양병원 간호사 161명으로부터 자료를 수집하였다. 자료분석은 SPSS / WIN 25.0 프로그램을 활용하여 Descriptive statistics, Independent t-test, One-way ANOVA, Scheffé 사후검증, Pearson's correlation coefficient, Multiple regression을 적용하였다. 단계적 다중회귀분석에서 요양병원 간호사의 일가치감, 조직커뮤니케이션 만족, 대학원(교육수준), 휴직경험 없음, 2 교대 근무형태가 간호역량을 55% 설명하는 것으로 나타났다. 이에 요양병원 간호사의 간호 역량을 증진시키기 위해서는 일에 대한 가치감과 조직커뮤니케이션 만족을 증진하고 전문적인 교육기회와 재취업간호사를 위한 교육프로그램을 제공할 필요가 있음을 논의하였다.

• 디지털융복합연구
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• 제17권7호
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• pp.139-146
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• 2019

본 연구는 임상간호사의 유머감각, 낙관성, 간호업무성과의 정도를 파악하고 각 변수간의 상관관계를 파악하고 간호업무성과의 영향요인을 규명하고자 하였다. S 특별시 3개 상급 종합병원에 근무 중인 간호사 183명을 연구대상자로 하였으며, 자료수집은 2018년 2월 1일부터 2018년 4월 8일까지 하였다. 유머감각, 낙관성, 간호업무성과는 통계적으로 유의한 상관관계가 있는 것으로 확인되었다. 일반적 특성 중 간호업무성과에 영향을 주는 요인은 교육수준, 교대근무, 경력이었고, 유머감각과 낙관성이 영향을 미쳤다. 이 3개 변수의 설명력은 38.6%로 나타났다. 따라서 임상간호사의 간호업무성과를 향상시키기 위하여 유머감각과 낙관성을 증진할 필요성이 있으며, 본 연구결과가 기초자료로 이용될 수 있을 것이다. 향후 간호사에게 유머감각과 낙관성 증진 프로그램을 적용하여 간호업무성과에 미치는 영향을 규명하는 연구가 필요할 것이다.

• 임상간호연구
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• 제19권3호
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• pp.333-344
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• 2013

Purpose: This study was conducted to provide baseline data to develop work patterns for nurses that are suitable to Korean hospitals. Shift work patterns and nurses' preferences for working condition were examined. Methods: Questionnaires for nurse departments and nurses were mailed to 478 hospitals from June 1 to July 30, 2012. Nurse departments of 174 hospitals and 1,409 nurses responded to the questionnaire. Data were analyzed using SPSS statistical program. Results: Of the nurses, 89.4% were working three shifts. Of the hospitals, 17.3% had implemented fixed night work. Although 80% of nurses preferred fixed time work, only 24.9% of hospitals had fixed working hours. Of the nurses, 57% agreed with night work as fixed but potential night nurses accounted for only 17% of the respondents. Sixty-three percent of the nurses agreed on short time work during busy hours. There were preference differences according to age, marital status and clinical career. Conclusion: As many nurses reported a preference for various flexible working patterns rather than three shift work, there is a need for new decisions on hospital policy to ensure improved working conditions for nurses and enhanced job security. Legal requirements also need to be considered for various work patterns.

• 여성건강간호학회지
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• 제24권3호
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• pp.252-264
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• 2018

Purpose: To understand the essentials of rearing conflict experience by three shift nurses in advanced general hospitals. Methods: The design was a qualitative research of phenomenology. Participants were 7 shift nurses working in advanced general hospitals who were rearing young children. Data were collected individually through in-depth interview on their life experiences. Data were analyzed by Colaizzi's phenomenological methodology. Results: Eighteen themes were drawn from 256 meaningful experiences and these themes were integrated to six theme clusters. The most influencing themes were 'Regret that I cannot satisfy even the slightest wish', 'Fail to care for kids', and 'Mutual feeling to care giver between appreciation and inconvenience'. Other themes were as follows: 'Body and mind are broken', 'The need for a three-shift system to support nurses who are rearing children', 'Doing my best for work and child rearing'. Conclusion: The nature of three-shift nurses working in advanced hospital and caring kids is explained as 'lives with conflict' between work and home. This study suggests it is necessary to establish a 24-hour care center for 3-shift nurses to keep working while rearing their children.

• Journal of Korean Biological Nursing Science
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• 제20권3호
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• pp.187-195
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• 2018

Purpose: The purpose of this study was to identify associations among the sleep disturbance, fatigue, job stress, and blood and body fluid (BBF) exposure of shift-work nurses. Methods: A total of 299 shift-work nurses from two tertiary hospitals were enrolled in this study. We used the Insomnia Severity Index (ISI), and the Fatigue Severity Scale (FSS), and the Korean Occupational Stress Scale-Short Form (KOSS-SF) to evaluate sleep disturbance, fatigue, and job stress, respectively. The data were analyzed using t-test or chi-squared test and Logistic regression analysis using the SPSS 23.0 program. Results: We found that 43.8% of participants reported BBF exposure over the past year. Splash or exposure to broken skin of BBF were most frequent (56.9%), and followed by needlestick injuries (30.4%) and sharp injuries (12.8%). Age, hospital, working period, level of stress, sleep disturbance ($ISI{\geq}15$), fatigue (FSS $score{\geq}4$), job demand and organizational climate subset in KOSS-SF were significantly associated with BBF exposure in shift-work nurses. In multivariate analysis after adjusting age and hospital, the risk factors of BBF exposure in shift-work nurses were the level of stress and fatigue (FSS $score{\geq}4$). Conclusion: Fatigue and job stress were related to BBF exposure in shift-work nurses. Our results suggest that management of sleep disturbance, fatigue, and high job stress in shift-work nurses is needed to reduce risk of BBF exposure.

• 임상간호연구
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• 제24권2호
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• pp.170-177
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• 2018

Purpose: The aim of this study was to examine effectiveness of 12-hour shifts for nurses compared to 8-hour shifts for the variables: Work-Life Balance, fatigue and work errors. Methods: In 2014, an opportunity to choose a 12-hour shift duty was given to a group of 8-hour shift nurses. In 2016, two years after this change, this study was done to compare the two groups. Data were collected using questionnaires. Data were sampled by a matching method with propensity score matching (PSM). The participants were 128 nurses: 64 nurses on 12-hour shifts and 64 nurses on 8-hour shifts. The comparison was analyzed using $x^2$ test, t-test. Results: The nurses on 12-hour shifts showed higher scores for Work-Life Balance (3.37) than the groups on 8-hour shifts (2.99)(p=.018) whereas were no statistical differences between the groups for fatigue (p=.132) or work errors (p=.703). Conclusion: The Work-Life Balance scores for nurses who chose the 12-hour shift shows an enhancement without an increase in fatigue or work errors.

• 가정∙방문간호학회지
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• 제30권1호
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• pp.15-25
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• 2023

Purpose: This study describes the associations between shift work factors, workplace violence bystander types, and the missed nursing care of hospital nurses. Methods: A cross-sectional survey was conducted among hospital nurses using structured questionnaires related to shift work factors, workplace violence bystander types, and missed nursing care. The study participants were 199 nurses caring for adult patients and working in two tertiary hospitals. Results: The missed nursing care of the participants showed a statistically significant positive correlation with the facilitating bystander (r=.40, p<.001) and abdicating bystander (r=.28, p<.001) among the workplace violence bystander types. However, rest time during duty showed a significant negative correlation (r=-.16, p=.026). A regression model with control variables (department and clinical career), shift work factors, and workplace violence bystander types explained approximately 25% of missed nursing care of the study participants. Further, the facilitating bystander type influenced the missed nursing care of hospital nurses. Conclusion: As a result of examining the associations between shift work factors, workplace violence bystander types, and missed nursing care of hospital nurses, it was confirmed that missed nursing care was influenced by the facilitating bystander type. It is necessary to improve the nursing culture within the department so that nurses do not behave as negative bystanders to workplace violence.

• 한국직업건강간호학회지
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• 제25권3호
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• pp.208-215
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• 2016

Purpose: The purpose of this study was to identify the moderating effect of leisure satisfaction on the relationship between job stress and job satisfaction. Methods: A cross-sectional study was performed with 292 nurses having experienced shift work at least for 6 months. Data were collected from August to September in 2014. Descriptive statistics, t-test, correlation coefficient, and hierarchical regression analysis were performed. Results: The study showed that job satisfaction was significantly correlated with job stress (r=.-320, p<.001) and leisure satisfaction (r=.317, p<.001). Leisure satisfaction had a significant moderating effect on the relationship between job stress and job satisfaction (F=25.087, p<.001). Conclusion: This study concluded that the role of leisure satisfaction may moderate the relationship between the two. That is, the nurses who perceived higher satisfaction on their leisure life tend to have higher satisfaction to their job even in stress situation. Therefore, the strategies for improving leisure satisfaction are needed to increase job satisfaction in stressful conditions.

• Journal of Korean Biological Nursing Science
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• 제19권4호
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• pp.252-257
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• 2017

Purpose: This study aimed to investigate the associations of sleep, dietary behaviors and physical activity with quality of life among shift-work nurses. Methods: For this cross-sectional descriptive study, data were collected from 191 shift-work nurses in a tertiary hospital. Multiple linear regression analysis was used to identify the relationships among variables. Results: The levels of sleep quality, dietary behaviors and physical activity were low. Factors associated with quality of life among shift-work nurses included sleep disturbance (B=-0.16, ${\beta}=-0.26$, p<.001), dietary behaviors (B=0.28, ${\beta}=0.24$, p<.001), and physical activity (B=0.05, ${\beta}=0.19$, p<.001). The strongest factor was sleep disturbance. Conclusion: In order to improve quality of life among shift-work nurses, it is significant to encourage and maintain health behaviors such as sleep, dietary behaviors and physical activity. Under the circumstances where shift-work cannot be avoided, personal efforts made by nurses to establish their own living standards for positive health behaviors will benefit their quality of life.