• 중환자간호학회지
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• 제12권3호
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• pp.24-34
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• 2019

Purpose : The purpose of this study was to identify the moderating and mediating effects of resilience in the relationship between emotional labor and job satisfaction among nurses working in intensive care units (ICUs). Method : The participants were 144 ICU nurses from three university hospitals. Data were collected using structured questionnaires and analyzed by t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and multiple regression analysis, using SPSS 25.0. The mediating effect of resilience in the relationship between emotional labor and job satisfaction was analyzed by multiple regression analysis according to Baron and Kenny's procedure. Results : Statistically significant negative correlations were found between emotional labor and resilience (r=-.21, p<.014) and between emotional labor and job satisfaction (r=-.34, p<.001). A significant positive correlation was found between resilience and job satisfaction (r=.31 p<.001). A partial mediating effect by resilience was found between emotional labor and job satisfaction (Z=-2.11, p=.034), but no moderating effect was found. Conclusion : To improve the job satisfaction of ICU nurses, evaluation of their emotional labor, resilience, and interventions are necessary to alleviate emotional labor and improve resilience.

• 한국응급구조학회지
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• 제17권2호
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• pp.9-20
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• 2013

Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

• 한국컴퓨터정보학회논문지
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• 제28권11호
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• pp.181-190
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• 2023

본 연구는 간호·간병통합서비스병동과 일반병동 간호사의 직무스트레스, 직무만족, 감정노동과 이직의도와의 상관관계를 파악하기 위한 서술적 조사연구이다. 대상자는 간호·간병통합서비스병동 간호사 93명과 일반병동 간호사 92명이다. 연구결과 집단 간 직무스트레스, 직무만족, 감정노동, 이직의도는 유의한 차이는 없었다. 간호·간병통합서비스병동 간호사와 일반병동 간호사의 직무스트레스, 직무만족, 감정노동, 이직의도의 상관관계를 분석한 결과 두 집단 모두 직무스트레스와 감정노동, 직무스트레스와 이직의도, 감정노동과 이직의도 간 유의한 양의 상관관계로 나타났다. 간호사의 직무스트레스와 감정노동을 줄일 수 있는 적정인력 배치, 간호의 명확한 업무경계, 적절한 보상 등을 통해 직무만족을 향상시킴으로써 숙련된 간호인력의 이직을 감소시킬 수 있을 것이다.

• 사회복지연구
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• 제47권4호
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• pp.281-307
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• 2016

본 연구는 이용자 선택권 강화 맥락에 초점을 두고 바우처 도입 이후 돌봄노동자에게 나타난 변화를 분석하였다. 분석 결과, 바우처 도입 이후 돌봄노동자들의 고용, 해고, 노동강도 등에 서비스 이용자들이 미치는 영향력이 강화됨에 따라 돌봄노동자들은 노동지위의 취약화와 노동 의미와 상실, 돌봄노동자로서의 정체성 혼란 등 '노동소외'를 경험하는 것으로 나타났다. 돌봄노동자의 노동소외는 사회서비스 질 향상에 부정적인 영향을 미칠 수 있는 요인으로 양질의 사회서비스 공급을 위해서는 서비스 이용자의 권리 향상과 더불어 돌봄노동자의 인권 및 노동권 보호 논의가 함께 이루어져야 함을 제안하였다.

• 대한간호학회지
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• 제24권2호
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• pp.216-225
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• 1994

The cost of hospice care should be covered by the insurance system if it is to be promoted in our country and this, in turn, requires a proper method to the estimate of this cost. The purpose of this study was to set up the method to estimate the cost of hospice care. First the cost effectiveness of hospice care were studied. By tracing the activities of hospice nurses for a given period, all the relevant data such as the scope and load of activities as well as the cost were collected. Then these were analysed and compared with the data obtained from hospice and home care. The results showed that the cost of hospice care was the most economic, and indicate its qualification as .1n in-dependent system. The main part of the cost of hospice care was found to be the labor cost which was up to 83% of the total. Therefore a method to estimate the cost should reflect the real labor cost. Several methods have been proposed in the study in terms of unit labor cost, service time, material cost, and the weight of the labor cost. All variables, including the service time surveyed in this study, can easily be translated into numerical values and it would not difficult to estmate the cost of hospice care. Hence by letting the hospice care be insured, hospice care can be expected to function as a good alternative to the present medical system.

• 한국산학기술학회논문지
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• 제22권3호
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• pp.476-484
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• 2021

본 연구에서는 요양보호사의 인간중심케어와 직무만족, 감정노동, 서비스 질 간의 관계를 분석하였다. 연구대상 및 조사방법은 전국의 장기요양시설에 근무하는 요양보호사 460명을 대상으로 자기 기입식 설문지를 활용하였다. 연구모형에서 독립변수는 인간중심케어, 매개변수는 직무관련 감정노동(표면행위, 내면행위)과 직무만족, 종속변수는 서비스질로 구성하였다. 모형의 적합성과 서비스 질에 영향을 미치는 각 요인들의 직접효과 및 간접효과를 검증한 결과 모형의 적합도는 적합한 수준이었고, 감정노동 중 내면행위가 서비스 질에 영향을 미치는 중요한 변수임을 알 수 있었다. 특히, 감정노동은 인간중심케어의 가치와 서비스 질에 매우 큰 영향을 미치고 있어 중요한 매개변인 역할을 한다는 것을 확인할 수 있었다. 또한, 인간중심케어가 감정노동을 매개로 하여 서비스 질에 영향을 미치는 총 효과는 통계적으로 유의미한 것으로 나타났고, 내면행위와 서비스질의 관계는 정(+)적 상관관계를 보인 반면, 표면행위와 서비스질의 관계는 부(-)적 상관관계를 갖고 있음을 확인할 수 있었다. 위의 연구 결과를 토대로 인간중심케어에 있어서 요양보호사들의 감정노동과 서비스 질에 대한 임상적, 학문적 관심을 환기시킬 필요가 있음을 제안하였다.

• 한국직업건강간호학회지
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• 제26권2호
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• pp.85-92
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• 2017

Purpose: This study aims to understand baby care helpers' degree of emotional labor, job stress, and burnout and analyze the effects of emotional labor and job stress on their burnout. Methods: Data were collected from August 16 to September 6, 2016 for three weeks with child care helpers working in C city, D city, and S city as subjects. Multiple regression analysis was used in order to examine the factors influencing the subjects' burnout. Results: Burnout in general characteristics differed significantly according to age (F=4.81, p=.011). As the most influential factors for burnout, emotional labor (${\beta}=.43$) had statistically significant correlation with it, along with job stress (${\beta}=.16$) and age (${\beta}=.14$). These variables explained burnout ($Adj.R^2=0.29$, p<.001) at a rate of 29%. Conclusion: It is judged that strategies and continuous management aimed at reducing child care helpers' emotional labor and job stress are necessary. As an approach from different aspects, it is required that variables related to emotional labor, job stress, and burnout are identified and there would be more researches in order to establish some national policies for child care helpers.

• 성인간호학회지
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• 제29권3호
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• pp.290-301
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• 2017

Purpose: This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals. Methods: 136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0. Results: Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%. Conclusion: On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.

• 노동경제논집
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• 제43권4호
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• pp.143-177
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• 2020

본 연구는 영유아 보육료 지원정책이 보육시설공급률에 따라 노동공급과 출산율에 상이한 영향을 미쳤음을 분석하였다. 구체적으로 보육시설공급률이 높을수록 보육료 지원에 의해 보육시설 입소에 유리한 다자녀모의 경력유지 확률이 증가했을 뿐 아니라 첫째 자녀의 출산율이 높아졌고, 국공립 어린이집의 공급률이 높은 경우에는 보육비 지원 이후 둘째 자녀 출산율도 유의하게 높아졌음을 보여준다. 이는 보육료 지원정책의 효과가 출생순위에 따른 보육시설 입소 우선순위, 거주지역 보육시설의 양적, 질적 공급 정도에 따라 달라짐을 보여준다.

• Child Health Nursing Research
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• 제12권1호
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• pp.15-24
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• 2006

Purpose: This study was done to define nursing behavior in neonatal intensive care units so as to estimate resource-based relative value-. Method: Participating in this study were 292 nurses in neonatal intensive care units. The study surveyed physical and mental labor, stress and time involved in nursing work. Tool used in this study was a nursing labor per relative value tool. For analyzes, the relative value of each nursing behavior was calculated, where the mean value of the three components, labor intensity and component-by-component explanatory power were in percentage terms. Results: 1. Nursing behaviors in neonatal intensive care unit were classified and defined at three levels: 5 main domains, 17 mid-domains, and 42 small domains. 2. The per component explanatory power of intensity involved in nursing labor showed physical effort to be 32.45%, mental 32.86%, and stress 34.69%. 3. The reliability of nursing labor factors was very strong, Cronbach's alpha value of 0.96. Conclusion: In this research, which is a first in defining nursing behavior in neonatal intensive care units, individual nursing behavior were broken down using resource-based relative value for nursing cost, and each nursing behavior was successfully translated to a numerical value.