Stress (스트레스연구)

The Korean Society of Stress Medicine (대한스트레스학회)
권호 표지

The Level of Stress of Dimensional Job Stress of Hospital Nursing Staff

병원간호사의 직무스트레스 영역에 따른 스트레스 정도

  • Ko, Yu-Kyung (Department of Nursing Science, College of Medical Science, Konyang University)
  • Published : 2009.09.30

⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the level of stress of sub-dimensional job stress of staff nurses. This study surveyed 163 nurses in three general hospitals in Seoul and Gyung-gi province for two months starting in September 2004. The questionnaire consisted of 52 questions about job stress. The job stress was measured using 'The general job stress scale' developed by Kim WH(2002). The answers were on a scale rating of 5. This questionnaire consists of four domains relating to nursing activity, job environment, interpersonal relations, and hospital & administration management. The data were analyzed with descriptive statistics, the t-test, ANOVA, and tukey test using SAS. The average of staff nurses' job stress was 3.14. The mean scores of job stress of nurses showed higher than average in all four dimensions: $2.89{\pm}28.5$ in the nursing activity dimension, $3.45{\pm}7.6$ in the job environmental dimension, $3.02{\pm}7.5$ in the interpersonal relations dimension, and $3.31{\pm}24.3$ in the hospital administration & unit management dimension. This study showed that the staff nurses must be trained with job stress management programs for each nursing organization's effectiveness.

본 연구의 목적은 병원간호사가 직무수행 시 경험하는 직무스트레스 정도를 영역별로 파악하여 병원간호사의 직무 스트레스를 보다 더 감소시킬 수 있는 간호중재 방안 모색에 필요한 기초 자료를 얻고자 본 연구를 수행하였다. 본 연구의 대상은 서울과 경기지역에 소재한 3개 종합병원에 근무하는 간호사 163명이며, 자료수집기간은 2004년 9월부터 10월까지이었다. 연구도구는 Kim WH(2002)의 직무스트레스 측정도구를 수정 보완하여 간호업무 영역 17문항, 직무환경 영역 13문항, 대인관계 영역 14문항, 병원행정 및 병동관리 영역 8문항의 4개 영역 총 52문항(5점 척도)으로 구성된 설문지를 이용하였다. 자료는 SAS 프로그램을 이용하여 실수와 백분율, 평균과 표준편차, t-test, ANOVA, tuke test를 이용하여 분석하였다. 본 연구의 결과 임상간호사가 지각하는 직무스트레스는 평균평점 3.14로 나타났다. 간호사의 직무스트레스의 영역별 점수분포는 간호업무 영역이 $2.89{\pm}8.5$ 직무환경 영역이 $3.45{\pm}7.6$, 대인관계 영역이 $3.02{\pm}7.5$, 병원 및 행정관리 영역이 $3.31{\pm}4.3$으로서 4개 영역 모두 중등도 이상의 값을 나타내 직무스트레스 정도가 높은 편이었다. 이상의 연구결과를 토대로 간호조직은 간호사의 직무스트레스 경감을 위한 간호중재 방안 모색과 병원조직 차원에서 보다 안정적인 직무환경 구축, 부서별 원활한 협동업무를 위한 대인관계 구축방안, 간접간호활동 지원인력 확보 등 다각적인 방안이 강구되어야 할 필요성을 입증하였다는데 본 연구의 의의가 있다. 조직에서의 직무스트레스 관리는 업무효과성과 직무만족도를 향상시켜 간호업무역량과 간호의 질 나아가 의료의 질을 향상시킬 것이다.

Keywords

References

  1. Chapman J (1993) Collegial support linked to reduction of job stress. Nurs Manage 24:52-54.
  2. Cho KS (1987) An analytical study on the stress of nurses' according to general characterisitcs. Unpublished Master's thesis, Chungnam University, Daejeon.
  3. Gardener D (1980) The nurse's dilemma: mediating stress in critical care unit. Heart Lung 9:103-106.
  4. Gray-Toft P, Anderson J (1981) The Nursing Stress Scale: development of an instrument. J Psychopathol Behav Assess 3:11-13. https://doi.org/10.1007/BF01321348
  5. Greenhouse JH, Parasuraman SA (1996) A work-nonwork interactive perspective of stress and its consequences. J. Organ Behav. Manag. 8:37-60.
  6. Han KS, Kim NS, Kim JW et al. (2004) Influencing Factors on Symptoms of Stress among Hospital Staff Nurses. J. Korean Acad Nurs. 34:1307-1314.
  7. Healy C, Mckay M (1999) Identifying sources of stress and job satisfaction in the nursing environment. Aust. J. Adv. Nurs. 17:35-39.
  8. Hong KJ, Kang HS, Tak YR et al. (2002) The job stress, job satisfaction, and health of women who work in the professional job: nurses and teachers. J. Korean Acad Nurs. 32:570-579.
  9. Jung JH, Kim JS, Kim KH (2008) The risk factors influencing turnover intention of nurses. J. Korean Acad Nurs Admin. 14:35-44.
  10. Katz D, Kahn R (1978) The social psychology of organizations. 2nd ed. John Wiley, New York.
  11. Kim HS (2001) A comparative study regarding health condition and work stress of nurses working in cancer ward and general ward. J. Korean Oncol. Nurs. 2:191-203.
  12. Kim JY, Hong JY (2007) Self-leadership, Job Stress and Job Satisfaction among Clinical Nurses. J. Korean Acad Nurs Admin. 13:184-190.
  13. Kim YT (1989) The relationship between stressors and social support of intensive care unit nurses. Unpublished master's thesis, Hanyang University, Seoul.
  14. Kim WH (2002) The relationship between job stress and nursing task performance of clinical nurses. Unpublished master's thesis, Chosun University, Kwangju.
  15. Kirkcaldy BD, Martin T (2000) Job stress and satisfaction among nurses: individual differences. Stress Med. 16:77-89. https://doi.org/10.1002/(SICI)1099-1700(200003)16:2<77::AID-SMI835>3.0.CO;2-Z
  16. Ko JW (2001) The role of affective disposition in the relationships between job stress and employee attitudes. Korean Management Review 30:829-853.
  17. Ko JW, Yom YH (2003) The role of social support in the relationship between job stress and job satisfaction/organizational commitment among hospital nurses. J. Korean Acad Nurs. 33:265-274.
  18. Lambert VA, Lambert CE, Ito M (2004) Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses. Int J. Nurs Stud. 41:85-97. https://doi.org/10.1016/S0020-7489(03)00080-4
  19. Lawrence RM, Lawrence SA (1987) The nurse and job related stress: responses, rx, and self-dependency. Nurs Forum. 23:45-51.
  20. Lee HS (2001) A study of job stress and satisfaction of the clinical nurse. Unpublished Master's thesis, Kunghee University, Seoul.
  21. Lee MH (1996) Analysis of studies on work stress in clinical nurses. J. Korean Acad Adult. Nurs. 8:180-200.
  22. Letvak S, Buck R (2008) Factors influencing work productivity and intent to stay in nursing. Nursing Economic 26:159-165.
  23. McGilton KS, Wodchis W P, Hall LM et al. (2007) Supervisory support, job stress, and job satisfaction among long-term care nursing staff. JONA 37:366-372 https://doi.org/10.1097/01.NNA.0000285115.60689.4b
  24. Osipow SH, Spokane AR (1987) The occupational stress inventory. Marathon Consulting Press, New York.
  25. Park HS, Kang EH (2007) A study on job stress and the coping of ICU nurses. J. Korean Acad Nurs. 37:810-821.
  26. Snelgrove S (1998) Occupational stress and job satisfaction: a comparative study of health visitors district nurses and community psychiatric nurses. J. Nurs Manag 6:97-104. https://doi.org/10.1046/j.1365-2834.1998.00055.x
  27. Song MS (1984) A correalation study on role stress, burn-out, and job satisfaction by operating room nurse Unpublished Master's thesis, Yonsei University, Seoul.
  28. Tyson PD, Pongruengphant R (2004) Five-year follow-up study of stress among nurses in public and private hospitals in Thailand. Int J. Nurs Stud. 41:247-254. https://doi.org/10.1016/S0020-7489(03)00134-2
  29. Yun HS, Cho YC (2004) Stress and stress management in clinical nurses working from university hospitals in daejeon city. J. Korean Soc Health Educ Promot. 21:25-43.