Korean Journal of Occupational Health Nursing (한국직업건강간호학회지)

Korean Academic Society of Occupational Health Nursing (한국직업건강간호학회)
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Effects of Role Conflict and Ambiguity, and Fatigue on Self-Resilience in Clinical Nurses: After the MERS outbreak

임상간호사의 역할갈등과 모호성 및 피로가 자아탄력성에 미치는 영향: 메르스 사태 이후

  • Lee, Do-young (Department of Nursing, Changshin University) ;
  • Oh, Seung Eun (Department of Nursing, Seoul Women's College of Nursing) ;
  • Lee, Hye Jin (Department of Nursing, Seoul Women's College of Nursing)
  • 이도영 (창신대학교 간호학과) ;
  • 오승은 (서울여자간호대학교 간호학과) ;
  • 이혜진 (서울여자간호대학교 간호학과)
  • Received : 2017.12.14
  • Accepted : 2018.05.03
  • Published : 2018.05.31
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Abstract

Purpose: This study aimed to investigate the degree of role conflict and its ambiguity, and fatigue in clinical nurses and to analyze the effect of these on their self-resilience in order to provide fundamental data for improving their working environment after the Middle East Respiratory Syndrome outbreak. Methods: After the collection of data from 258 clinical nurses in five general hospitals, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression were performed using IBM SPSS Statistics 20.0. Results: A significant positive correlation was found between nurses' role conflict and ambiguity and fatigue; while a negative correlation was found between nurses' role conflict and ambiguity and self-resilience. A significant negative correlation was found between fatigue and self-resilience. According to the study results, the factor that affected clinical nurses' self-resilience the most was role conflict and its ambiguity, followed by marital status, fatigue, educational level, religion, and related tasks, which together accounted for 38% of self-resilience in clinical nurses. Conclusion: To improve weaknesses in nursing care after the Middle East Respiratory Syndrome outbreak, the scope of nursing care was changed upon the expansion of integrated nursing and care-giving services. Therefore, in the rapidly changing environment of nursing, policies to improve nursing performance, as well as successful reaction capability, are suggested.

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References

  1. Baek, H. S. (2010). Reliability and validity of the Korean version of the Connor-Davidson resilience scale (K-CD-RISC). Unpublished master's thesis, Eulji University, Seoul.
  2. Barker, L. M., & Nussbaum, M. A. (2011). The effects of fatigue on performance in simulated nursing work. Journal Ergonomics, 54(9), 815-829. https://doi.org/10.1080/00140139.2011.597878
  3. Cho, O. H., Hwang, K. H., & Kim, M. N. (2017). The effect of nurses' job satisfaction and fatigue on nursing professional attitude. The Journal of the Korea Contents Association, 17(3), 178-188. https://doi.org/10.5392/JKCA.2017.17.03.178
  4. Choi, S. E., & Kim, S. D. (2013). Relationships of fatigue to job satis- faction and turnover intention among clinical nurses at small & medium-sized hospitals. Journal of the Korea Academia-Indu- strial cooperation Society, 14(9), 4218-4226. https://doi.org/10.5762/KAIS.2013.14.9.4218
  5. Choi, S. I., & Sung, M. H. (2014). Relationships among professional identity, role conflict and job satisfaction of nurses in emer- gency department (ED). Journal of the Korea Academia-Industrial cooperation Society, 15(6), 3725-3733. https://doi.org/10.5762/KAIS.2014.15.6.3725
  6. Conner, K. M., & Davison, J. R. T. (2003). Development of a new re- silience scale: The Connor-Davidson Resilience scale (CD-RISC). Depression & Anxiety, 18(2), 76-82. https://doi.org/10.1002/da.10113
  7. Faul, F., Erdfelder, E., Lang, A., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis for the social, behavioral, and biomedical sciences. Behavioral Research Methods, 39(2), 175-191. https://link.springer.com/content/pdf/10.3758%2FBF03193 146.pdf https://doi.org/10.3758/BF03193146
  8. Japan Industrial Hygiene Association Industrial Fatigue Research Committee. (1970). Fatigue investigation method. Japan: Japan Institute of Labor Science, 25, 12-33.
  9. Joint Public and Private Response Team for MERS. (2015). Korean society of infectious diseases. guidelines on MERS-CoV for health-care worker version 2.4 [Internet]. Seoul: Korean Society of Infectious Diseases. Retrieved November 28, 2017, from http://www.ksid.or.kr/mail/file/MERS01.pdf.
  10. June, K. J., & Choi, E. S. (2016). Infection control of hospital nurses: cases of middle east respiratory syndrome. Korean Journal of Occupational Health Nursing, 25(1), 1-8. https://doi.org/10.5807/kjohn.2016.25.1.1
  11. Jung, H. J., Choi, A. L., Lee, G. J., Kim, J. Y., & Jeong, S. Y. (2017). Turnover intention of nurses that were cohort quarantined during the Middle East Respiratory Syndrome (MERS) out break. Journal of the Korea Academia-Industrial cooperation Society, 18(3), 175-184. https://doi.org/10.5762/KAIS.2017.18.3.175
  12. Kim, S. J., & Sung, M. S. (1998). Subjective symptoms in fatigue in hospital nurses. Journal of Korean Academy of Nursing, 28(4), 908-919. https://doi.org/10.4040/jkan.1998.28.4.908
  13. Kim, S. Y., Kwon, I. S., & Cho, Y. C. (2012). Relationship between job stress and fatigue symptoms among nurses in a university hospital. Journal of the Korea Academia-Industrial cooperation Society, 13(4), 1759-1768. https://doi.org/10.5762/KAIS.2012.13.4.1759
  14. Kim, Y. (2016). Healthcare reform after MERS outbreak: progress to date and next steps. Journal of the Korean Medical Association, 59(9), 668-671. https://doi.org/10.5124/jkma.2016.59.9.668
  15. Korea Centers for Disease Control and Prevention. (2017). Middle east respiratory syndrome information. Retrieved November 8, 2017. Available from: http://www.mers.go.kr/mers/html/jsp/Menu_B/content_ B1.jsp
  16. Kwon, J. W. (2006). Influence of role ambiguity and role conflict on MNCs employees' organizational commitment: A Cross-National Comparative Study. International Business Journal, 17(4), 81-104.
  17. Lee, A. S., Yoon, C. K., & Lee, J. M. (2012). Influence of ego-resil- ience and social support on the depression of hospital nurses. Korean Journal of Occupational Health Nursing, 21(3), 46-54. https://doi.org/10.5807/kjohn.2012.21.1.46
  18. Lee, A. S., Yoon, C. K., & Park, J. K. (2012). Effects of social support and ego-resilience on nursing performance of hospital nurses. Korean Journal of Occupational Health Nursing, 21(3), 283-289. https://doi.org/10.5807/kjohn.2012.21.3.283
  19. Lee, E. H., Cho, K. S., Son, H. M., Yi, Y. J., & Yoo, C. S. (2013). Frequency and severity of the nurses' role conflict in the hospi- tal nurses. Journal of Korean Clinical Nursing Research, 19(1), 81-95. https://doi.org/10.22650/JKCNR.2013.19.1.81
  20. Lee, J. I., Park, S. H., Moon, J. M., Jung, J. Y., Park, K. A., Kim, K. O., et al. (2004). Fatigue and quality of life in clinical nurses. Journal Korea Academy Fundamental Nursing, 11(3), 317-326.
  21. Lee, S. I., & Lee, E. J. (2016). Effect of nursing work environment, emotional labor and ego-resilience on nursing performance of clinical nurses. Korea Society for Wellness, 11(4), 267-276. https://doi.org/10.21097/ksw.2016.11.11.4.267
  22. Ministry of Health & Welfare (2015). Medical Infection Measures Council - Results and future plans-. Retrieved November 8, 2017. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MEN U_ID=04&MENU_ID=0403&CONT_SEQ=329263&page=7
  23. Oh, S. M., & Kwon, Y. C. (2016). A study of convergence relationship among nurse's working conditions, posttraumatic stress syndrome. Journal of Digital Convergence, 14(9), 369-378. https://doi.org/10.14400/JDC.2016.14.9.369
  24. Park, M. H. (2002). Managing nurses' role conflict in hospital. Korean Comparative Government Review, 6(2), 45-76.
  25. Rizzo, J. R., House, J. R., & Lirtzman, S. I. (1970). Role conflict and ambiguity in complex organization. Administrative Science Quarterly, 15, 150-163. https://doi.org/10.2307/2391486
  26. Shin, C. M. (2017). Impacts of role conflict and ambiguity on professionalism of clinical nurses working at total care service Unit. Unpublished master's thesis, Hanyang University, Seoul.
  27. Sung, M. H. (2006). A comparative study on role conflict and job satisfaction between nurses in ICU and nurses in general ward. Journal of Korean Academy of Nursing Administration, 12(1), 104-112.
  28. Sung, M. H., & Oh, M. O. (2011). The relationships of professional self-concept, role conflict and job satisfaction on emergency department nurses. Journal Korea Academy Fundamental Nursing, 18(1), 107-115.
  29. Yang, Y. G. (2015). Effects of ego-resilience and work environment on job satisfaction in psychiatric nurses. Journal Korean Academy Psychiatric Mental Health Nurse, 24(4), 226-235. https://doi.org/10.12934/jkpmhn.2015.24.4.226

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