DOI QR코드

DOI QR Code

The Effect of Stress Coping Ability and Recovery Resilience on Retention Intention of Nurses in Medium-Sized Hospitals

중소병원 간호사의 스트레스 대처능력과 회복탄력성이 재직의도에 미치는 영향

  • Received : 2018.09.18
  • Accepted : 2018.11.02
  • Published : 2018.11.30

Abstract

This study was designed to investigate the impact of stress coping ability and recovery resilience on nurses' retention intent in medium-sized hospitals. For this descriptive study, a survey was conducted with 265 nurses from 5 medium-sized hospitals with over 150 sickbeds located in G and I province; the data were collected from May 19 to May 25, 2018. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. The average score was $2.55{\pm}0.25$ for stress coping ability, $3.47{\pm}0.49$ for recovery resilience, and $2.59{\pm}0.29$ for retention intent. Retention intent was positively correlated with stress coping ability (r=0.285, p<0.01) and recovery resilience (r=0.457, p<0.01). The factors affecting retention intent were gender (${\beta}=0.117$, p=0.027), job satisfaction (${\beta}=0.345$, p<0.001), stress coping ability (${\beta}=0.142$, p=0.008), and recovery resilience (${\beta}=0.238$, p<0.001). Furthermore, the model explained 37.8% of the retention intent (F=11.686, p<0.001). In conclusion, effective strategies for improving job satisfaction, stress coping ability, and recovery resilience for nurses need to be developed and investigated.

본 연구는 중소병원 간호사의 스트레스 대처능력, 회복탄력성과 재직의도와의 관계를 알아보고 재직의도에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 조사대상은 G지역과 I시에 위치한 150병상 이상의 5개 중소병원 간호사 265명을 대상으로 하였으며, 자료 수집은 2018년 5월 19일부터 5월 25일까지 시행하였다. 수집된 자료는 IBM SPSS/WIN 23을 이용하여 t-test, ANOVA, Pearson 상관관계와 다중회귀분석을 시행하였다. 연구결과, 대상자의 스트레스 대처능력은 4점 만점에 $2.55{\pm}0.25$점, 회복탄력성과 재직의도는 5점 만점에 각각 $3.47{\pm}0.49$, $2.59{\pm}0.29$점이었다. 또한 재직의도는 스트레스 대처능력(r=.285, p<.01)과 회복탄력성(r=.457, p<.01)에 양의 상관관계가 있었다. 중소병원 간호사의 재직의도에 영향을 미치는 요인은 성별(${\beta}=.117$, p=.027), 간호직 만족도(${\beta}=.345$, p<.001), 스트레스 대처능력(${\beta}=.142$, p=.008), 회복탄력성(${\beta}=.238$, p<.001)이었으며, 재직의도에 대한 설명력은 37.8%였다(F=11.686, p<.001). 따라서 중소병원 간호사의 재직의도를 향상시키기 위해서 간호만족도, 스트레스 대처능력과 회복탄력성을 높일 수 있는 중재방안이 모색되어야 함을 확인할 수 있었다. 중소병원 내 간호만족도와 유대감을 높이기 위한 노력, 개인의 스트레스 관리를 위한 체계적인 프로그램을 통해 간호의 질 향상에 기여할 수 있을 것으로 본다.

Keywords

Table 1. General Characteristics of Participants

SHGSCZ_2018_v19n11_662_t0001.png 이미지

Table 2. Level of stress coping ability, recovery resilience, and retention intention

SHGSCZ_2018_v19n11_662_t0002.png 이미지

Table 3. Stress coping ability, recovery resilience, and retention intention according to general characteristics

SHGSCZ_2018_v19n11_662_t0003.png 이미지

Table 4. Correlation among stress coping ability, recovery resilience, and retention intention

SHGSCZ_2018_v19n11_662_t0004.png 이미지

Table 5. Factors influencing retention intention

SHGSCZ_2018_v19n11_662_t0005.png 이미지

References

  1. Korean Hospital Association, List of hospitals, [Internet] Korean Hospital Association, 2017, Available from: http://www.hospitalmaps.or.kr/
  2. Hospital Nurses Association, Study the real state of the hospital nurses arrangement situation, [Internet] Korean Hospital Nurses Association, 2016, Available from: http://khna.or.kr/
  3. S. K. Park, Y. G. Jwa, D. U. Kang, Y. J. Lee, Survey on current status of nurse activities, Korea Health Industry Development Institute, 2014.
  4. Y. T. Lee, J. D. Kim, Y. H. Lee, D. U. Kang, J. A. Park, Survey on nursing manpower supply and demand and nursing management charge differential system, Korea Health Industry Development Institute, 2008.
  5. K. N. Kang, Factors influencing turnover intention of nurses in small-medium sized hospitals, The Journal of Korean Nursing Administration Academic Society, 18(2), 155-165, 2012. DOI: https://dx.doi.org/10.11111/jkana.2012.18.2.155
  6. G. S. Kang, Factors that influence the turnover intention of medical practitioners: Focusing on the nurses of small and medium-sized hospitals, The Journal of Business Education, 30(.2), 203-223, 2016.
  7. M. S. An, Y. J. Yi, The predictive factors on leave planning of nurses working at medium-sized hospital in the metropolitan area, Journal of The Korean Data Analysis Society, 15(1), 323-334, 2013.
  8. J. S. Park, J. E. Kim, Y. T. Lee, J. W. Hwang, Y. G. Yoon, H. J. KIM, Management support and policy development project for medium-sized hospitals, Korea Health Industry Development Institute, 2014.
  9. S. Y. Cho, M. H. Sung, Factors influencing turnover intention in emergency department nurses, Journal of Korean Academy Fundamental Nursing, 19(4), 503-510, 2012. DOI: https://doi.org/10.7739/jkafn.2012.19.4.503
  10. P. I. Buerhaus, K. Donelan, B. T. Ulrich, L. Norman, C. DesRoches, R. Dittus, Impact of the nurse shortage on hospital patient care: Comparative perspectives, Health Affairs, 26(3), 853-862, 2007. DOI: https://doi.org/10.1377/hlthaff.26.3.853
  11. A. E. Tourangeau, D. M. Doran, L. M. Hall, L. O. Pallas, D. Pringle, J. V. Tu, L. A. Cranley, Impact of hospital nursing care on 30 day mortality for acute medical patients, Journal of Advanced Nursing, 57(1), 33-44, 2007. DOI: https://doi.org/10.1111/j.1365-2648.2006.04084.x
  12. S. J. Han, M. S. Kwon, O. S. Yoon, M. Y. Moon, Emotional labor and job stress of public health nurses, Journal of Korean Public Health Nursing, 26(2), 314-327, 2012. DOI: https://doi.org/10.5932/JKPHN.2012.26.2.314
  13. E. Strachota, P. Normandin, N. O'Brien, M. Clary, B. Krukow, Reasons registered nurses leave or change employment status, Journal of Nursing Administration, 33(2), 111-117, 2003. DOI: https://dx.doi.org/10.1097/00005110-200302000-00008
  14. Y. K. Ko, The level of stress of dimensional job stress of hospital nursing staff, The Korean Journal of Stress Research, 17(3), 227-236, 2009.
  15. E. Spratley, A. Johnson, J. Sochalski, M. Fritz, W. Spencer, The registered nurse population: Findings from the national sample survey of registered nurse, Washington, D.C.: US Department of Health and Human Services, Health Resources and Service Administration, Bureau of Health Professions, Division of Nursing, 2003.
  16. K. H. Lee, J. Y. Kim, Effect of shiftwork nurses fatigue on job stress and turnover intention: Mediating role of job stress, Korean Journal of Occupational Health Nursing, 20(1), 74-82, 2011. DOI: https://dx.doi.org/10.5807/kjohn.2011.20.1.074
  17. A. K. Han, O. S. Kim, J. S. Won, A study on job stress and coping method by the personality types of clinical nurses, Journal of Korean Clinical Nursing Research, 13(2), 125-136, 2007.
  18. T. K. Kim, The effect of job stress for depression in clinical nurses; Focusing on the mediating effects of coping strategies and social support, Chungju National University, 2011.
  19. M. Mealer, J. Jones, M. Moss, A qualitative study of resilience and post traumatic stress disorder in united states ICU nurses, Intensive Care Med, 38(9), 1445-1451, 2012. DOI: https://doi.org/10.1007/s00134-012-2600-6
  20. M. K. Kim, Influence of stress coping ability, resilience on nursing performance, Seoul National University, 2017.
  21. Y. A. Cho, G. S. Kim, E. S. Kim, H. M. Park, M. Yoo, E. O. Lim, S. G. Hyun, J. Y. Kim, A correlational study on ICU nurses's job stress, the way of coping, and the turnover intention, Journal of Korean Clinical Nursing Research, 15(3), 129-141, 2009.
  22. M. M. Park, J. W. Park, Development of resilience scale for nurses, The Korean Journal of Fundamentals of Nursing, 23(1), 32-41, 2015. DOI: https://doi.org/10.7739/jkafn.2016.23.1.32
  23. F. Cameron, S. Brownie, Enhancing resilience in registered aged care nurse, Australasian Journal on Ageing, 29(2), 66-71, 2010. DOI: https://doi.org/10.1111/j.1741-6612.2009.00416.x
  24. K. Ryu, J. K. Kim, A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses, The Korea Contents Society, 16(7), 439-450, 2016. DOI: https://doi.org/10.5392/JKCA.2016.16.07.439
  25. B. N. Kim, H. S. Oh, Y. S. Park, A study of nurses resilience, occupational stress and satisfaction, Korean Journal of Occupational Health Nursing, 20(1), 2011. DOI: https://doi.org/10.5807/kjohn.2011.20.1.014
  26. S. Y. Choi, Effects of job embeddedness and nursing professionalism on intent to stay in clinical nurses, Dongguk University, 2017.
  27. R. S. Lazarus, S. Folkman, Appraisal and coping, New york, NY: Springer. 1984.
  28. J. S. Han, G. S. Oh, Stressful life events, health symptoms, social support and coping in early adolescents, Journal of Korean Academy of Nursing, 20(3), 414-429, 1990.
  29. E. H. Lee, K. S. Cho, H. M. Son, A study of hospital nurse's intention to keep nursing job, Journal of Korean Clinical Nursing Research, 20(1), 15-27, 2014. DOI: https://dx.doi.org/10.22650/JKCNR.2014.20.1.15
  30. J. Y. Jeoung, C. G. Kim, Impact of interpersonal relationship ability, job stress, and stress coping type on turnover intention of nurses in the early stage of their careers : Focusing on job stress, Korean Journal of Occupational Health Nursing, 27(1), 36-47, 2018. DOI: https://doi.org/10.5807/KJOHN.2018.27.1.36
  31. Y. Lee, The work stress and coping type of nurses in hospital, Journal of the Korean Academia-industrial cooperationi Society, 17(11), 230-235, 2016. DOI: https://dx.doi.org/10.5762/KAIS.2016.17.11.230
  32. E. H. Koo, Resilience, interpersonal relationship and organizational socialization of new nurses, Ajou University, 2017.
  33. S. J. Kim, The impact of resilience and social support on organizational socialization for emergency room nurses, Eulji University, 2016.
  34. S. H. Jang, Comparison study on the work stress and the coping method of social workers at the senior care facilities and hospice nurses, Keimyung University, 2006.
  35. I. H. Moon, S. K. Park, M. J. Jung, Effects of resilience on work engagement and burnout of clinical nurses, The Journal of Korean Nursing Administration Academic Society, 19(4), 525-535, 2013. DOI: https://doi.org/10.11111/jkana.2013.19.4.525
  36. G. H. Kim, The relationships among perception of patient safety culture, job satisfaction, and intention to stay in hospital nurses, Gyeongsang National University, 2015.
  37. S. O. Choi, J. Y. Kim, Relationships among job stress, nursing performance, and retention intention of clinical nurses, Journal of Korean Public Health Nursing, 27(1), 142-152, 2013. DOI: https://doi.org/10.5932/JKPHN.2013.27.1.142
  38. H. S. Choi, A study on the relationship of shift work to stress in nurses, Chuncheon University, 2008.
  39. B. H. Lee, Comparison of job stress between male and female nurses, Ulsan University, 2014.
  40. S. H. Chen, C. M. Fu, R. H. Li, J. H. Lou, H. Yu, Relationships among social support, professional empowerment, and nursing career development of male nurses: A cross-sectional analysis, Western Journal of Nursing Research, 34(7), 862-882, 2012. DOI: https://doi.org/10.1177/0193945910384603
  41. C. I. Yang, M. L. Gau, S. J. Shiau, W. H. Hu, F. J. Shih, Professional career development for male nurses, Journal of Advanced Nursing, 48(6), 642-650, 2004. DOI: https://doi.org/10.1111/j.1365-2648.2004.03252.x
  42. H. M. Son, Affecting factors of new nurse's intention to retention in hospitals, The Journal of Muscle and Joint Health, 24(3), 205-216, 2012. DOI: https://doi.org/10.14774/JKIID.2015.24.3.205
  43. J. M. Lee, Comparative study about the clinical nurse's job stress and turnover intention in nursing care system ward, a general ward, Journal of Social Science, 33(1), 1-48, 2016.
  44. S. L. Kim, Effects of nursing work environment and resilience on intention to remain among general hospital nurses, Kunsan National University, 2008.
  45. J. H. Kim, The effects of resilience and job stress of nurse practitioners on their turnover intention, Kyungpook National University, 2016.
  46. A. S. Lee, C. K. Yoon, J. K. Park, Effects of social support and ego-resilience on nursing performance of hospital nurses, Korean Journal of Occupational Health Nursing, 21(3), 283-289, 2012. DOI: https://doi.org/10.5807/kjohn.2012.21.3.283
  47. J. H. Park, H. Y. Hwang, Predictors of turnover intention among nurses in small and medium-sized hospitals, The Journal of Korean Nursing Administration Academic Society,.23(5), 471-482, 2017. DOI: https://doi.org/10.11111/jkana.2017.23.5.471