• 가정∙방문간호학회지
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• 제27권3호
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• pp.306-320
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• 2020

Purpose: This study aimed to explore the subjective perception structures and types of empathy among nurses caring for patients with behavioral and psychological symptoms of dementia (BPSD) using Q-methodology. Methods: Thirty-eight Q-samples (statements) were derived from in-depth interviews with 10 nurses working in long-term care hospitals and nursing homes. The Q-sorting was conducted in rank order (the responses obtained by each of the 30 nurses working at 3 long-term care hospitals and 4 nursing homes) into a normal distribution grid (from -4 to +4). The types of empathy among participants were analyzed using the PC-QUANL program. Results: Five types of empathy accounting for 48.5% of the total variance were categorized as follows: (1) taking the patients' personality into consideration while helping, (2) interacting closely and emotionally, (3) supporting the patient as a companion, (4) performing the duty in a defensive manner, and (5) resolving patients' problems by focusing on their needs. Conclusion: This study shows that there are various types of empathy in nurses caring for patients with BPSD. Therefore, it is necessary to develop strategies and educative programs to enhance empathy competency and deal with burnout based on the type of empathy.

• 한국직업건강간호학회지
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• 제26권2호
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• pp.65-73
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• 2017

Purpose: The purpose of this study was to identify the effects of emotional labor, compassion fatigue and occupational stress on the somatization of nurses in hemodialysis units. Methods: The sample consisted of 139 nurses in hemodialysis units from a tertiary hospital, a general hospital, a dialysis clinic, and a care hospital in G province. Data were analyzed using frequencies, percentages, means and standard deviations, t-test, ANOVA, Duncan test, Pearson's correlation and hierarchical multiple regression. Results: There were significant correlations of the experience of emotional labor, compassion fatigue and occupational stress with the somatization of nurses in hemodialysis units. Factors influencing somatization intention were 'emotional labor' (${\beta}=.37$, p<.001), which explained 28% of the variance (F=10.00, p<.001). Conclusion: The results of this study indicate that the factor influencing the somatization of nurses in hemodialysis units was emotional labor. Therefore, strategies to decrease emotional labor of nurses in hemodialysis units are required.

• 한국직업건강간호학회지
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• 제28권3호
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• pp.125-137
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• 2019

Purpose: The purpose was to investigate the literature on depression among South Korean nurses in order to identify overall trends regarding depression. Methods: Forty-five papers published between 1998 and 2017 in three Korean databases-RISS4U, DBPIA, and KISS-were analyzed. Results: Depression showed significant positive associations with job stress, burnout, intent to leave, and somatic symptoms such as fatigue and trouble sleeping. Poor work environments such as staff shortage, work overload, and shift work were also positively associated with depression. Higher job satisfaction, resilience, self-efficacy, self-esteem, and social support were negatively correlated with and acted as significant buffers against depression. Conclusion: These results indicate that healthcare policymakers must pay more attention to the management and prevention of nurses' depression. In order to effectively do so, poor work conditions, which involve long working hours, high patient-to-nurse ratios, and extreme workloads, should be improved. Simultaneously, nursing managers should implement initiatives such as counseling and competency improvement programs, and stress management to reduce and prevent depression among nurses and strengthen their positive competency. Also, further research is required to clarify the prevalence of depression in South Korean nurses, with more meta-analyses also required to identify variations in depression rates owing to various factors.

• 의학교육논단
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• 제24권3호
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• pp.180-192
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• 2022

Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.

• 한국융합학회논문지
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• 제9권4호
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• pp.251-259
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• 2018

본 연구의 목적은 정신건강전문요원의 직무소진 및 정서노동과 정신건강의 관계에서 회복탄력성의 조절효과를 검증하는 것이다. 2014년 국립정신보건교육 연구센터의 학술용역연구에서 수집된 정신건강전문요원(간호, 사회복지, 임상심리의 3개 직역 각 1 2급 자격자) 1,020명의 자료를 분석한 결과, 직무소진과 정서노동 모두 정신건강과 유의한 부적 상관을 보였지만 회복탄력성의 조절효과 분석에서는 직무소진에서만 유의한 결과를 보였다. 따라서 정신건강 종사자들이 직무소진으로 인한 정신건강이 저하될 위험성을 회복탄력성이 완충시켜 줄 수 있음이 시사되었다. 본 연구는 정신건강 서비스 대상자들의 정신건강 뿐만 아니라 정신건강 서비스 제공자인 정신건전문요원들의 정신건강에도 동시에 주의를 기울여야 함을 강조하는 연구로서 정신건강 서비스에 관한 연구가 양측 모두에서 융합적으로 이루어져야 함을 보여준다. 본 연구결과를 바탕으로 정신건강전문요원을 비롯한 정신건강 분야 종사자들의 정신건강 관리에 관한 방안 등이 추가로 논의되었다.

• 한국산학기술학회논문지
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• 제20권9호
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• pp.93-102
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• 2019

본 연구는 간호사의 정서적 소진의 정도와 영향요인을 알아보고 간호사의 업무 부담과 정서적 소진과의 관련성을 파악하기 위하여 다수준 로지스틱 회귀분석을 시행하였다. 연구대상은 2010년 보건의료산업노동조합에서 실시한 교육에 참여하고 설문에 응답한 간호사 중 65개병원의 3,083명이다. 연구 결과는 첫째, 간호사의 71.6%가 정서적 소진을 경험하였으며 정서적 소진의 평균점수는 33.54점이었다. 둘째, 비간호 업무 경험은 정서적 소진에 유의한 영향을 미치는 것으로 나타났다. 셋째, '충분한 간호인력'변수는 정서적 소진을 높였다. 넷째, '간호등급'은 간호사당 4병상 이상에 비해 3.5-3.9 병상만이 정서적 소진과 유의한 관련성을 보였다. 다섯째, 내과병동에서 근무하는 경우(OR=2.05)와 임상경력이 짧을수록 정서적 소진을 나타내었다. 본 연구에서 간호 업무 부담을 나타내는 '비간호 업무 경험', '충분한 간호인력', '간호등급'의 3가지 변수 모두 정서적 소진을 간호사 수준과 병원 수준에서 설명력 있는 유의한 변수였다. 또한 '근무부서', '임상경력'도 정서적 소진을 설명하는 유의한 변수임이 나타났다. 즉, 비간호 업무 경험이 많을수록, 간호 인력이 충분하지 않다고 인식할수록, 간호사당 침상수가 많을수록, 내과부서에 근무하는 경우, 임상경력이 짧을수록, 정서적 소진을 나타내었다.

• 한국치위생학회지
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• 제21권5호
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• pp.655-666
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• 2021

Objectives: A systematic review and a meta-analysis were performed investigate the factors related to turnover intention of dental hygienists in Korea. Methods: Literature between 2000 and January 2021 were used to support the meta-analysis, which focused on 21 factors extracted from 50 articles using a random effects model. The correlation coefficient, r, in the effect size was calculated. Results: Substantial literature was published after 2011 (76%); in academic journals (74%); and targeted nonmetropolitan areas (40%). Lawler's turnover intention tool was used in several studies. The effect size for each ecosystem was in the order of microsystem (r=0.325), mesosystem (r=0.307), macrosystem (r=0.259), exosystem (r=0.176), and individuals (r=0.171). The random-effects model indicated an overall average of r=0.311. The factor that showed a large effect size in relation to turnover intention was organizational commitment of the microsystem (r=-0.594). Furthermore, mesosystem reward (r=- 0.416), microsystem burnout (r=0.464), job stress (r=0.408), and job satisfaction (r=-0.405) were identified as other major factors. Conclusions: To lower the turnover rate of dental hygienists, it is important to focus on factors belonging to the microsystem, and mesosystem reward.

• 동의생리병리학회지
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• 제35권5호
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• pp.185-192
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• 2021

The purpose of this study is to identify the effects of lifestyle, study stress and training stress on health status, and provide fundamental data for health management of university students majoring in physical education. In this study, 149 students participated and they were surveyed demographic characteristics, lifestyle, Maslach burnout inventory (student stress inventory), training stress inventory, and Mibyeong index. Height and weight were measured for calculating BMI. For statistical analysis, Student t-test, ANOVA test, chi-square test, correlation analysis, and multinominal logistic regression test has been used. There were differences between Mibyeong groups according to digestion status, smoking for female students and quality of sleeping for both male and female students. Study stress and training stress also affected to health status. Cynicism among study stress categories and all categories among training stress showed differences between sex. Correlation analysis and logistics regression analysis was used to estimate related factors of health status after adjusting for sex and age. Based on logistics regression analysis, quality of sleeping affected to Mibyeong 1 group and quality of sleeping, smoking and digestion status affected to Mibyeong 2 group. Among training stress category, dissatisfaction with game result and skills and lack of leisure time were affected to both Mibyeong 1 and 2 group. This study suggests that lifestyle, study stress and training stress might be significantly associated with university students majoring in physical education. Through managing those influence factors, health status of students could be improved.

• 디지털융복합연구
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• 제13권4호
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• pp.101-114
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• 2015

본 논문의 연구목적은 콜센터 상담사의 이직요인을 학문적 실무적 관점에서 고찰하고 이에 대한 완화방안으로 콜센터 서비스에 스마트워크 기술과 상사지원 서비스의 융복합이 상담사의 직무만족에 정의 효과를 나타내는지 여부를 검증하는데 있다. 본 연구는 상담사의 이직요인에 대한 선행 연구의 이론적 배경을 토대로 스마트워크 효과와 상사지원효과를 조절변수로 하는 연구모델과 가설을 설정하고, 금융분야의 콜센터 상담사를 대상으로 설문 조사를 실시하였다. 가설검증을 위하여 자료 분석은 SPSS 20.0을 사용하였으며, 영향관계 검증을 위해서는 다중회귀분석, 조절효과 검증을 위해서는 위계적 회귀분석을 사용하였다. 실증분석 결과 상담사의 개인적 이직요인에 대한 스마트워크 조절효과와 업무적 이직요인에 있어 업무 과부하는 상사지원이 상담사의 직무만족에 유의한 정(+)의 조절효과가 있는 것으로 나타났지만, 직무탈진감에 대한 상사지원 조절효과는 부(-)의 효과가 나타났다. 이는 상담사의 속사정을 모르는 지나친 상사의 지원은 오히려 상담사 개인의 자존심에 역효과를 주어 이직율 완화에 부정적인 영항을 줄 수 있다는 점을 의미할 수 있다.

• 한국산학기술학회논문지
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• 제21권10호
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• pp.222-230
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• 2020

본 연구는 보육교사의 회복탄력성과 관련하여 지난 10여년 간 국내에서 연구된 석·박사 학위논문과 학술지 논문을 중심으로 관련요인들의 효과크기를 메타분석을 통해 검증하였다. 검증결과는 다음과 같다. 첫째, 보호요인의 전체효과크기는 큰효과크기를 보였고, 보호요인군 별 효과크기는 모두 큰 효과크기로 개인특성요인군이 가장 큰 것으로 나타났고 그다음 직무특성요인군, 조직특성요인군 순이었다. 둘째, 보호요인군 중 개인특성요인군의 하부요인의 효과크기는 모두 큰효과크기를 보였고, 조직특성요인군과 직무특성요인군은 중간효과크기를 보인 원장리더십과 정서노동을 제외한 모든 하부요인이 큰효과크기를 보였다. 셋째, 위험요인 전체효과크기는 큰효과크기를 보였고, 직무특성 위험요인군인 소진은 큰효과크기, 직무특성 위험요인군인 직무스트레스는 중간효과 크기로 소진이 상대적으로 직무스트레스보다 더 큰 효과크기를 보였다. 결론적으로 본 연구는 지난 20년간의 보육교사의 회복탄력성과 관련하여 선행된 연구들을 통합적으로 정리하여 객관적 결과를 살피기 위한 수량적 통합을 시도했다는데 의의가 있으며, 보육교사의 회복탄력성 증진을 위한 프로그램 개발과 정책수립에 기초적 자료를 제공하였다는데 의의가 있다.