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Influence of the Awareness of Healthcare Accreditation on Job Stress and Turnover Intention in Tertiary Hospital Nurses

상급종합병원 간호사의 의료기관인증제에 대한 인식이 직무 스트레스와 이직의도에 미치는 영향

  • Received : 2018.07.22
  • Accepted : 2018.08.22
  • Published : 2018.08.31

Abstract

Purpose: The aim of this study was to investigate the influence of nurses' awareness of healthcare accreditation on their job stress and turnover intention. Methods: Across-sectional correlation study design was used. Participants consisted of 143 nurses from two tertiary hospitals in Seoul and Gyunggido, South Korea. Data were collected in October 2016 using self-report questionnaires and analyzed using descriptive statistics, t-test, an ANOVA, Pearson's correlation coefficient, and multiple regression in SPSS/WIN 21.0. Results: Awareness of health care accreditation correlated negatively with job stress (r=-.63, p<.001) and turn over intention (r=-.50, p<.001). Awareness of health care accreditation was the factor that most influenced job stress, explaining 38% of the variance (F=23.10, p<.001). Awareness of health care accreditation and duty pattern were the factors that most influenced intention to leave, explaining 32% of the variance (F=10.35, p<.001). Conclusion: These findings suggest raising nurses' awareness of certification systems to reduce their job stress and turnover intentions. It will be necessary to provide support for the aggressive work nurses do and improve their work structure, highlighting the need for both manpower and institutional support. Accordingly, providing regular education programs and appropriate compensation schemes, by raising nurses' awareness of medical institutions' certification systems, is necessary.

Keywords

References

  1. Bae, J. I. (2008). A study on hospital staff's perception of and attitudes toward the medical institute accreditation system. Unpublished master's thesis, Yonsei University, Seoul.
  2. Choi, I., Hwang, H. M., & Kim, J. O. (2017). The influence of awareness of healthcare accreditation, job stress and organizational commitment on turnover intention of small and medium sized hospital nurses. Journal of the Korea Academia-Industrial cooperation Society, 18(5), 160-168. https://doi.org/10.5762/KAIS.2017.18.5.160
  3. Choi, S. W., & Kim, D. H. (2017). Recognition of healthcare accreditation, job stress, and burnout resilience of nurses in long-term care hospitals. Journal of the Korean Gerontological Nursing, 19(2), 125-134. https://doi.org/10.17079/jkgn.2017.19.2.125
  4. El-Jardali, F., Jamal, D., Dimassi, H., Ammar, W., & Tchaghchaghian, V. (2008). The impact of hospital accreditation on quality of care: perception of lebanese nurses. International Journal for Quality in Health Care, 20(5), 363-371. https://doi.org/10.1093/intqhc/mzn023
  5. Heo, Y. H., & Park, J. A. (2016). Perception related to the healthcare accreditation effects on turnover intention and job stress of employees' quality improvement department. Journal of the Korea Academia-Industrial cooperation Society, 17(12), 659-669. https://doi.org/10.5762/KAIS.2016.17.12.659
  6. Jang, I. S., Park, J. Y., Jo, E. J., & Jung, M. H. (2018). The effects of major health issues and job stress on presenteeism among clinical nurses. Korean Journal of Occupational Health Nursing, 27(2), 121-130. https://doi.org/10.5807/KJOHN.2018.27.2.121
  7. Kang, M. J., & Chung, K. H. (2017). Perception of healthcare accreditation system on patient safety management activities and nursing performance of regional public hospital nurses. The Journal of Korean Nursing Administration Academic Society, 23(4), 416-426. https://doi.org/10.11111/jkana.2017.23.4.416
  8. Kim, H. J., & Kim, S. W. (2012). A study of the effect that healthcare service quality assessments have on customer loyalty: With a focus on patient awareness of quality certifications. Journal of the Korean Production and Operations Management Society, 23(4), 419-440.
  9. Kim, J. K., & Kim, M. J. (2011). A review of research on hospital nurses' turnover intention. The Journal of Korean Nursing Administration Academic Society, 17(4), 538-550. https://doi.org/10.11111/jkana.2011.17.4.538
  10. Kim, K. H. (2012). Relationship among nurses' perception of accreditation, nursing practice environment and professional self-concept in an accredited healthcare system. Unpublished master's thesis, Yonsei University, Seoul.
  11. Kim, M. J., & Choi, J. S. (2015). Effects of perception of the healthcare accreditation, and job stress on turnover intention in nurses. Journal of Muscle Joint Health, 22(2), 87-95. https://doi.org/10.5953/JMJH.2015.22.2.87
  12. Kim, M. O., & Kim, K. H. (2014). Effects of recognizing long-term care hospital certification system on job performance after evaluation for certification in nursing staff of long-term care hospitals. Journal of Korean Gerontological Nursing, 16(1), 68-76. https://doi.org/10.17079/jkgn.2014.16.1.68
  13. Kim, Y. R. (2007). A study on the turnover intention of the oncology nurse. Unpublished master's thesis, Chonnam National University, Gwangju.
  14. Korea Institute for Healthcare Accreditation. (2018, July 2). Infomation of Healthcare Accreditation. Retrieved July 2, 2018, from http://www.koiha.kr/member/kr/contents/sub02/sub02_01_01.do
  15. Kwon, J. O., Lee, E. N., & Bae, S. H. (2015). Concept analysis of health inequalities. The Journal of Korean Academy of Nursing Administration, 21(1), 20-31. https://doi.org/10.11111/jkana.2015.21.1.20
  16. Lawler, E. E. (1983). Satisfaction and behavior. In R. M. Steers & L. W. Porter, Motivation and work behavior(pp. 332-345). New York: McGraw-Hill.
  17. Lee, D. S., & Lee, S. W. (2016). The influence of using healthcare accreditation on organizational learning, and strategic change in hospitals. Korean Academic Society of Accounting, 21(6), 179-202.
  18. Lee, H. T. (2013). The effects of the hospital accreditation system on quality management systems in hospitals. Social Science Research, 29(3), 307-328. https://doi.org/10.1006/ssre.1999.0671
  19. Moon, S. J. (2015). Recognition of geriatric hospital nurse for medical institution certification, job satisfaction and job stress, study on the turnover intention. Journal of the Korean Society for Multicultural Health, 5(2), 55-64.
  20. O'Brien-Pallas, L., Murphy, G. T., Shamian, J., Li, X., & Hayes, L. J. (2010). Impact and determinants of nurse turnover: A pan- Canadian study. Journal of Nursing Management, 18(8), 1073-1086. https://doi.org/10.1111/j.1365-2834.2010.01167.x
  21. Paek, H. H., & Lee, H. S. (2016). Comparative analysis of job stress, job satisfaction and the effects of medical services among hospital employees according to the hospital accreditation system. Journal of the Korea Entertainment Industry Association, 10(4), 259-272.
  22. Park, H. S. (2002). Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses. Unpublished master's thesis, Yonsei University, Seoul.
  23. Park, S. H. (2015). Effects of psychiatric nurse's awareness of healthcare accreditation system on patient safety management activities and nursing performance. Unpublished master's thesis, Hanyang University, Seoul.
  24. Roh, Y. H., Jang, S. Y., & Wang, M. S. (2016). Subjectivity for hospital accreditation of hospital workers. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 6(7), 89-99.
  25. Sack, C., Lutkes, P., Günther, W., Erbel, R., Jockel, K. H., & Holtmann, G. J. (2010). Challenging the holy grail of hospital accreditation: A cross sectional study of inpatient satisfaction in the field of cardiology. BMC Health Services Research, 10(1), 120-127. https://doi.org/10.1186/1472-6963-10-120
  26. Yang, Y. N., & Choi, J. S. (2014). Relationships of nurses' perception, nursing performance, job stress, and burnout in relation to the joint commission international hospital accreditation. The Journal of Korean Academy of Nursing Administration, 20(1), 1-9. https://doi.org/10.11111/jkana.2014.20.1.1
  27. Yeun, Y. R. (2013). The impact of healthcare accreditation on patient safety and quality, job satisfaction and organizational commitment: about a general hospital. Journal of the Korea Academia-Industrial cooperation Society, 14(4), 1820-1829. https://doi.org/10.5762/KAIS.2013.14.4.1820
  28. Yi, M. S., Oh, J. H., Hwang, H. M., Kwon, E. J., Lee, J. H., & Park, E. Y. (2011). Hospital workers' experience with hospital evaluation program: A focus group study. Journal of Korean Academy of Nursing, 41(4), 568-579. https://doi.org/10.4040/jkan.2011.41.4.568
  29. Yoo, M. S., & Chung, M. S. (2008). The relationships among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. The Journal of Korean Nursing Administration Academic Society, 14(3), 260-267.