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

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The Influence of Emotional Labor, Job Stress, and Burnout on Turnover Intention of Care Worker's at Long-Term Care Hospitals

요양병원 요양보호사의 감정노동, 직무스트레스 및 소진이 이직의도에 미치는 영향

  • Received : 2016.02.29
  • Accepted : 2016.05.12
  • Published : 2016.05.31
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Abstract

The purpose of this study was to identify the extent of and relationships among emotional labor, job stress, burnout and turnover intention and the factors influencing the turnover intention of care workers at long-term care hospitals. The study was approved by KUIRS, and the data were collected from August 12 to September 30, 2015, and analyzed using the SPSS WIN 18.0 program. The participants of this study were 200 care workers at ten different long-term care hospitals in B city and G province. Data were collected through self-reported questionnaires and analyzed by descriptive statistics, the t-test, ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression. The turnover intention was significantly correlated with emotional labor (r=.372, p<.001), job stress (r=.471, p<.001), and burnout (r=.411, p<.001). In the multiple regression, job stress (${\beta}=.290$, p<.001), burnout (${\beta}=.239$, p<.001), type of employment (${\beta}=.185$, p<.001), and emotional labor (${\beta}=.157$, p=.017) were identified as factors influencing the turnover intention. These factors explained 32.6% of the total variance in the turnover intention. Based on the results, in order to reduce the turnover intention, the improvement of work environment and clear job-descriptions are needed to reduce the job stress, and the development and implementation of proactive psycho-social interventions are necessary to reduce burnout and emotional labor in care workers at long-term care hospitals.

본 연구는 요양병원 요양보호사의 감정노동, 직무스트레스, 소진과 이직의도의 정도와 그 관계를 파악하며 이직의도에의 영향요인을 규명하기 위하여 시도되었다. K대학교 기관생명윤리위원에서 승인을 받았으며 자료수집 기간은 2015년 8월 12일부터 9월 30일까지이며, 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 대상자는 B광역시와 G도 소재 10개 요양병원에 근무하는 요양보호사 200명으로 구조화된 자기기입형 설문지를 통해 자료를 수집하였다. 자료는 기술적 통계, t-test, ANOVA, Pearson's correlation coefficients, Stepwise multiple regression으로 분석하였다. 연구결과, 요양보호사의 이직의도는 감정노동(r=.372, p<.001), 직무스트레스(r=.471, p<.001), 소진(r=.411, p<.001)과 통계적으로 유의한 양의 상관관계를 보였으며, 단계적 회귀분석 결과, 이직의도에 영향을 미치는 요인은 직무스트레스(${\beta}=.29$, p<.001), 소진(${\beta}=.24$, p<.001), 취업형태(${\beta}=.19$, p<.001), 감정노동(${\beta}=.16$, p=.017)으로 확인되었고, 이 변인들은 요양병원 요양보호사의 이직의도를 총 32.6% 설명하는 것으로 나타났다. 본 연구결과를 토대로 요양병원 요양보호사의 이직의도를 감소시키기 위해서는 직무스트레스를 감소시킬 수 있는 적절한 근무환경 개선 및 명확한 직무기술이 요구되며, 소진 및 감정노동의 경감을 위한 적극적인 심리사회적 중재 개발 및 적용이 필요하다고 하겠다.

Keywords

References

  1. Statistics Korea, "2013 Elder statistics," Statistics Korea, 2015. Available from http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&aSeq=308688 (accessed June, 3, 2015).
  2. Health Insurance Review & Assessment Service (HIRA), "Data base for the number of long-term care hospitals," HIRA, 2015. Available from http://www.nhis.or.kr/static/html/wbde/d/e/wbdede0303.html (accessed June 3, 2015).
  3. National Health Insurance Corporation, "Long-Term Care, Bohosa care and long-term care institutions representative survey", 2011. 06. 02. Available from, http://www.longtermcare.or.kr/portal/ny/jsp/p/d/03/nypd_publicDatalst_R.jsp?bltBdCd=1102&act=VIEW&boardId=50241 (accessed June 3, 2015).
  4. S. H. Cho, H. S. Park, "The Influence of Care Giver's Job Stressor on the Turnover Intention," Korea Society of age. Vol. 32, No. 1, pp. 323-340, 2012.
  5. B. O. Hwang, S. J. Lee, "A study about job stress that influences turnover intention of the employees of Long-term Care Services for Older Adults by Q-method", Journal of Welfare for the Aged, Vol. 56, pp. 165-190, 2012.
  6. T. H. Lee, C. W. Lee, "The Effects of Geriatric Care Worker's Individual Characteristics on Turnover Intention", Korean Society public administration, Vol. 24, No. 2, pp. 643-672, 2013.
  7. W. H. Mobley, "Employee Turnover, cause, Consequences, and Control", Reading, MA: Addison-Wesley, 1982.
  8. J. U. Ko, "The Effects of the Caregiver Emotional Labor Component on Job Satisfaction and Turnover Intention", Korean Journal of Care Management, Vol. 11, pp. 1-20, 2014.
  9. A. R. Hochschild, "Emotion work, Feeling rules, and Social Structure. American Journal of Sociology, Vol. 85, No. 3, pp. 551-575, 1979. DOI: http://dx.doi.org/10.1086/227049
  10. J. A. Kim, H. G. Lee, "The Impact of Care Worker's Job Stress on their Perceived Service Quality-Mediated by Job Satisfaction", The Journal of Korea Policy Studies, Vol. 14, No. 4, pp. 1-33, 2014.
  11. K. H. Kim, S. W. Kang, "The Impact of the Care-Worker Job Stress on Turnover Intention -Focusing on the Emotional intelligence, Ego-resilience", Journal of community welfare, Vol. 44, pp. 275-304, 2013.
  12. H. Y. Kim, J. H. Mo, S. H. Kim, "The Effects of Turnover Intention on Long-term Care Worker's Occupational Stress", The Korean Association for Governance, Vol. 63, pp. 149-173, 2010.
  13. H. Moon, "The Mediator Effect of Coping Strategies in the Relationship between Care Givers Job Stress and Burnout", Korean Journal of community Science, Vol. 63, pp. 149-173, 2010.
  14. Y. M. Jeong, Y. S. Kang, "The Effect of Stress and Burnout by Job Environment of Care giver on Job Satisfaction", Journal of the Korea Academia-Industrial Society, Vol. 11, No. 10, pp. 3688-3699, 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.10.3688
  15. E. J. Lee, "A study on Effects of the Factors on Burnout of Elderly Care Worker", Social welfare Development, Vol. 6, No. 4, pp. 417-443, 2010.
  16. K. S. Park, "Study of Work Environment and Job Factors That Affect The Short of Nursing Professionals", Unpublished Master's thesis, Honam National University, Gwang-Ju, 2010.
  17. S. G. Lee, Y. L. Ham, "The Influence on the Impact to Turnover Intention in the Job Stress, Job Satisfaction and Self-Efficacy of Worker in Home Care", International Journal of Welfare for the Aged, Vol. 65, pp. 7-33, 2014.
  18. Y. S. Kang, "The Effect of the Long-term Care Worker's Empowerment on Job Satisfaction, Organizational Commitment, Turnover Intention", Journal of the Korea Academia-Industrial Cooperation Society, Vol. 12, No. 9, pp. 3904-3914, 2011. DOI: http://dx.doi.org/10.5762/KAIS.2011.12.9.3904
  19. M. G. Song, "A study on the Influence of Worker Ethic and Job Stress of Domiciliary Care Workers to Turnover Intention", Unpublished Master's thesis, Hanyang National University, Seoul. 2013.
  20. B. R. Lee, "A study of the Influence of Social Support on the Job Satisfaction of Care Workers", Korea Institute for Health and Social Affairs, Vol. 32, No. 2, pp. 123-150, 2012.
  21. J. Y. Oh, Y. J. Seo, H. S. Park, "Determinants of Intent to Leave among Workers at Long-Term Care Institutions", The Korean Journal of Health Service Management, Vol. 6, No. 1, pp. 87-103, 2012. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087
  22. K. I. Park, J. A. Kwon, J. K. Kim, "Influence the Elderly Care-giver's Conflict and Care Attitudes in Elderly Nursing Homes on Their Turnover Intention around of Job stress's Mediating Effect", Journal of Welfare for the Aged, Vol. 63, pp. 149-173, 2014. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087
  23. H. H. Kim, O. I. Park, H. Moon, "The Effect of Worker Environment on Turnover Intention of Geriatric Hospital Care giver", The Korean Society Of Community Living Science, No. 6, pp. 161-161, 2015.
  24. M. Y. Kim, J. h. Park, K. J. Lee, J. M. Yoon, "The Study on Care Worker's Self-Efficacy, Job Satisfaction and Turnover Intention at Long-Term and Home Care Service Centers", International Journal of Welfare for the Aged, Vol. 62, pp. 361-382, 2013.
  25. S. Y. Yoon, Y. S. Seo, Y. C. Kwon, "Factors Influencing the Turnover Intention in Long-Term Care Hospital Care Workers", Journal of Digital Convergence, Vol. 13, No. 1, pp. 321-329, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.1.321
  26. S. J. Moon, S. S. Han, "A Predictive Model on Turnover Intention of Nurses in Korea", Journal of Korea Academy of Nursing, Vol. 41, No. 5, pp. 633-641, 2011. https://doi.org/10.4040/jkan.2011.41.5.633
  27. J. A. Morris, D. C. Feldman, "The dimension, antecedents and consequences of emotional labor", Academy of Management Review, Vo1. 21, No. 4, pp. 986-1010. 1996. DOI: http://dx.doi.org/10.5465/AMR.1996.9704071861
  28. M. Y. Kim, "The Effects of Emotional Labor and Experience of Violence on Burnout for Care-Givers in Nursing Home", Unpublished doctoral dissertation, Keimyung University Deagu, 2013.
  29. Jayaratne, S, & Chess, W. A. "Job satisfaction and turnover among social work administrators : A national survey", Administration in social Work. Vol. 7, No. 2, pp. 11-22, 1983. DOI: http://dx.doi.org/10.1300/J147v07n02_02
  30. J. B. Kwak, "A study on The Relationship between Job Stress and Job Satisfaction of Care-givers", Unpublished master's thesis, Hannam University, Daejeon, 2010.
  31. Maslach C, Jackson S. "Maslach burnout inventory manual", Polo Alto CA: Consulting Psychologists Press, 1981.
  32. J. S. Kim, "A Study about the Influence of the Care Workers' Emotional Labor on Turnover Intention and Mediating Effects of Emotive Dissonance and Job Satisfaction", Journal of Welfare for the Aged, Vol. 61, pp. 163-188, 2013.
  33. Y. S. Kim, E. Y. Chung, J. N. Kim, Y. J. Seo, "The Effect of Emotional Labor on Job Stress, Burnout and Job Satisfaction of Hospital Nurses", Korean Public Health Research, Vol. 40, No. 4, pp. 75-88, 2014.
  34. S. M. Hwang, J. H. Yoon, "Impacts of Flight Attenda-nts' Emotional Labor on Burnout and Turnover Intentions in the Airline Industry", Korean Academic Socie-ty of Hotel Administration, Vol. 21, No. 2, pp. 277-294, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.12.7170
  35. S. J. Kim, "A study on emotional labor through examination of care assistant's caring relationship", The Korean Society of welfarenfor the Aged. Vol. 2015 No. 1, 2005
  36. J. D. Lim, "The Relationship between Job Stress and Job Satisfaction of Geriatric Care Helpers", The Korea Contents Society, Vol. 61, pp. 163-188, 2011.
  37. S. O. Lim, H. H. Kim, "The moderating effects of professional identity on the relationship between job stress and burnout of care workers from care facilities", Journal of Korean social welfare administration, Vol. 13, No. 3, pp. 151-176, 2011. DOI: http://dx.doi.org/10.12811/kshsm.2012.6.1.087
  38. J. H. Yang, K. H. Jeoung, "Effects of Emotional Labor, Job Satisfaction and Organizational Commitment on Turnover Intention in Nurses", Journal of the Korea Academy-Industrial Society, Vol. 15, No. 12, pp. 7077-7078, 2014. DOI: http://dx.doi.org/10.5762/kais.2014.15.12.7170
  39. Y. O. Park, G. J. Lee, Y. H. Cho, H. J. Park, "Factors Affecting Turnover Intention of Nurses in Long-term Care Facilities for Elderly People", Journal of Korean Gerontological Nursing, Vol. 11, No. 1, pp. 81-89, 2009.

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