Annals of Occupational and Environmental Medicine

The Korean Society of Occupational & Environmental Medicine (대한직업환경의학회)
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An Association among Verbal Abuse, Social Support and Turnover Intention for Special Unit Nurses in a Hospital

일개병원의 특수부서 간호사에서 언어폭력, 사회적 지지와 이직의도의 연관성

Kim, Hyeon-Sook;Yim, Hyeon-Woo;Jeong, Seung-Hee;Jo, Sun-Jin
김현숙;임현우;정승희;조선진

  • Published : 20091200
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Abstract

Objectives: Nurses' turnover has a negative influence on the nursing staff, as well as on the hospital organization as a whole. In an effort to reduce the turnover of nurses, the conditions causing turnover intentions can be identified and managed. The research is conducted to identify the association among verbal abuse, social support, and turnover intentions for special unit nurses. Methods: A survey was conducted in 105 registered nurses who worked in the following areas at Kyonggi province hospital: operating room, intensive care unit, and anesthesia department. The questionnaires included questions in the following areas: verbal abuse by doctors, supervisors, and colleagues social supports by supervisors and colleagues and turnover intention. The survey was distributed and analyzed based on nurses' responses. Results: Operating room nurses had the highest turn over intentions. The verbal abuse by doctors and supervisors were highest in the operating room. Verbal abuse by supervisors had a significantly positive association with turnover intentions. Verbal abuse by doctors and by colleagues was not associated with the intention to leave. Finally, the social support by supervisors had a significant negative association with turnover intentions. Social supports by colleagues did not affect turnover intentions. Conclusions: For nurses working at special units, verbal abuse and social support by supervisors had a significant association with turnover intentions. It is important for supervisors to make an effort to reduce nurses' turnover intentions by reducing verbal abuse and by increasing social support.

목적: 간호사의 이직행위는 간호사 본인뿐만 아니라, 병원조직에 부정적인 영향을 미친다. 병원 내 조직구성원들 간의 의사소통이 간호사의 이직의도 형성에 영향을 줄 것이며, 그 선행요인을 미리 파악하여 효과적으로 관리하면 이직을 줄일 수 있을 것이다. 본 연구는 특수부서 근무 간호사를 대상으로 언어폭력 및 사회적 지지에 따른 이직의도와의 연관성을 알아보기 위하여 시행하였다. 방법: 경기도 소재 일개병원에 근무하는 수술실, 중환자실, 마취과에 근무하는 105명의 간호사를 대상으로 하였다. 의사, 상사, 동료의 언어폭력 수준 및 빈도, 상사와 동료의 사회적 지지, 이직의도에 대하여 특수부서에 근무 중인 간호사를 대상으로 설문지를 배포하고 응답결과를 분석하였다. 결과: 수술실 근무자에서 이직의도가 가장 높았다. 수술실에서 특히 의사와 상사의 언어폭력 수준이 높은 것으로 나타났다. 상사에 의한 언어폭력이 이직의도에 유의한 연관성을 보였으며, 의사와 동료에 의한 언어폭력은 이직 의도와 연관성이 없었다. 또한, 상사에 의한 사회적 지지가 이직의도에 유의한 연관성을 보였다. 동료에 의한 사회적 지지는 이직의도와의 관련성을 보이지 않았다. 결론: 특수부서 근무 간호사의 이직의도는 의사나 동료보다는 상사의 언어폭력과 사회적 지지에 가장 많은 영향을 받음을 확인할 수 있었다. 상사의 언어폭력을 최소화하고 사회적 지지를 확대할 때, 특수부서 간호사들의 이직의도는 낮아질 수 있을 것이다. 또한, 병원 내 부서별 환경과 조건을 고려하여 간호사들이 조직과 업무에 몰두할 수 있는 환경조성이 필요하다.

Keywords

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