Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Hospital Nurse Turnover Rate and Structural Characteristics of Hospital

병원의 간호사이직률과 병원의 구조적 특성

  • Cho, Hye-Kyung (Department of Biomedical Laboratory Science, Dae Kyeung University) ;
  • Lee, Tae-Yong (Department of Preventive Medicine, Chungnam National University, School of Medicine and Research Institute for Medical Sciences) ;
  • Kim, Chul-Woung (Department of Preventive Medicine, Chungnam National University, School of Medicine and Research Institute for Medical Sciences)
  • 조혜경 (대경대학교 임상병리과) ;
  • 이태용 (충남대학교 의학전문대학원 예방의학교실) ;
  • 김철웅 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2014.08.28
  • Accepted : 2015.01.08
  • Published : 2015.01.31
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Abstract

The aim of this study was to find out the relationship between hospital structural factors and nurses' turnover rate. Nurse turnover rate and the hospital's characteristics was using Statistics for Hospital Management Data of Korean Health Industry Development Institute. The data were reported 247 hospitals in 2008 all over the country. The turnover rate among nurses was 32.0% in Korea as of 2008; those factors actually affecting the rate included whether the hospital was managed publicly or privately, the hospital size, region, the average salary for nurses, and the number of nurses per 100 beds. While each hospital had the turnover rate correlated with the total number of beds (r=-.322), the average salary for nurses(r=-.186) and the number of nurses per 100 beds (r=-.390), variables explaining the turnover rate were whether the hospital was managed publicly or privately, the number of beds, and the number of nurses per 100 beds ($R^2=.257$). In conclusion, nurses working in a privately-managed hospital and hospitals which had a smaller number of beds and which had a smaller number of nurses per 100 beds showed a higher turnover rate. Further study is required to elucidate the factors of the nurses' turnover.

본 연구는 병원에 근무하는 간호사의 이직률과 병원의 구조적 특성 간 관련성을 확인하기 위하여 시행하였다. 자료는 한국보건산업진흥원에서 매년 조사하는 병원경영분석자료를 이용하였으며, 2008년에 전국에서 자기기입식으로 입력한 병원은 247개였다. 2008년 우리나라 간호사의 평균 이직률은 32.0%(공공병원 15.5%; 사립병원 35.3%)였으며, 민간병원, 300병상 이하 병원, 비도시 지역병원, 간호사평균급여가 2,000만원 미만인 병원, 100병상 당 간호사 수가 20명 미만 인 병원에서 높았다. 실제 이직률에 영향을 미치는 요인은 경영주체(공공 또는 사립), 병원 규모, 병원 소재지, 간호사의 평균 임금, 100병상당 간호사 수였다. 각 병원의 이직률과 총 병상 수(r=-0.322), 간호사 평균급여(r=-0.186), 100병상 당 간호사 수(r=-0.390)는 상관관계가 있었으나, 이직률에 설명력이 있는 변수는 경영주체의 공공성 여부, 총 병상 수, 100병상 당 간호사 수였다($R^2=.257$). 결론적으로 병원간호사의 이직률은 민간병원 근무자가, 총 병상수가 적을수록, 100병상 당 간호사 수가 적을수록 높았다. 간호이직 관련요인을 명확히 하기 위하여 개인요인, 사회요인과 병원요인을 동시에 분석하는 추가연구가 필요하다.

Keywords

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