DOI QR코드

DOI QR Code

Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals

요양병원 간호사의 임종간호 스트레스가 이직의도에 미치는 영향

  • Received : 2018.11.01
  • Accepted : 2018.12.09
  • Published : 2018.12.31

Abstract

Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, 'difficulty for assigning timetable to care for terminally ill patients' (r=.17, p=.025), 'feeling a burden of caring for terminally ill patients' (r=.23, p=.002), and 'conflict with terminally patients' (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (${\beta}=.52$, p<.001) and TCS (${\beta}=.23$, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (${\beta}=.50$, p<.001) and 'feeling burden of terminally ill patients' (${\beta}=.28$, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.

Keywords

References

  1. Statistics Korea. 2017 statistics on the aged [Internet]. Daejeon: Statistics Korea; 2017 Sep 26 [updated 2017 Sep 26; cited 2018 Apr 8]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/1/index.board?bmode=read&bSeq=&aSeq=363362&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=%EA%B3%A0%EB%A0%B9%EC%9E%90
  2. National Health Insurance Service. Long-Term Care Insurance Introduction [Internet]. Kangwon: National Health Insurance Service; 2008 July 1 [updated 2008 July 1; cited 2018 Apr 8]. Available from: http://www.longtermcare.or.kr/npbs/e/b/102/npeb102m01.web?q=&charset=UTF-8
  3. Ministry of Health and Welfare. Health and welfare statistical year book 2017. Sejong; Ministry of Health and Welfare; 2017. 212 p.
  4. Statistics Korea. Preliminary Results of Birth and Death Statistics in 2017 [Internet]. Daejeon: Statistics Korea; 2018 Feb 28 [updated 2018 Feb 28; cited 2018 Apr 8]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/2/1/index.board?bmode=read&bSeq=&aSeq=366414&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=%EC%B6%9C%EC%83%9D+
  5. Korea Institute for Health and Social Affairs. Patient Survey 2011. Seoul; Ministry of Health and Welfare & Korea Institute for Health and Social Affairs; 2013. 141p.
  6. Gu IH. The meaning of death and its moral problems for modem human being. Philosophical Investigation. 2004;16:59-81.
  7. Hong EM, Jun MD, Park ES, Ryu EJ. Death perceptions, death anxiety, and attitudes to death in oncology nurses. Asian Oncology Nursing. 2013;13(4):265-72. https://doi.org/10.5388/aon.2013.13.4.265
  8. Woo YW, Kim KH, Kim KS. Death anxiety and terminal care stress among nurses and the relationship to terminal care performance. The Korean Journal of Hospice and Palliative Care. 2013;16(1):33-41. https://doi.org/10.14475/kjhpc.2013.16.1.033
  9. Epstein PM, Burns C, Conlon HA. Substance abuse among registered nurses. American Association of Occupational Health Nurses Journal. 2010;58(12):513-6.
  10. Han JY, Lee NY. Nursing students' attitude toward death and perception on hospice care. Asian Oncology Nursing. 2009;9 (2):95-103.
  11. Takase M, Oba K, Yamashita N. Generational differences in factors influencing job turnover among Japanese nurses: an exploratory comparative design. International Journal of Nursing Studies. 2009;46(7):957-67. https://doi.org/10.1016/j.ijnurstu.2007.10.013
  12. Hospital Nurses Association. Current status of hospital nurses 2016. Seoul: Hospital Nurses Association; 2016; 157 p, 161 p.
  13. Tummers LG, Groeneveld SM, Lankhaar M. Why do nurses intend to leave their organization?: a large-scale analysis in long-term care. Journal of Advanced Nursing. 2013;69(12):2826-38. https://doi.org/10.1111/jan.12249
  14. Beecroft PC, Dorey F, Wenten M. Turnover intention in new graduate nurses: a multivariate analysis. Journal of Advanced Nursing. 2008;62(1):41-52. https://doi.org/10.1111/j.1365-2648.2007.04570.x
  15. Castle NG, Engberg J. Staff turnover and quality of care in nursing homes. Medical Care. 2005;43(6):616-26. https://doi.org/10.1097/01.mlr.0000163661.67170.b9
  16. Moon SJ. 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. 2015;5(2):55-64.
  17. Choi EJ, Park JW, Cho ML. Factors influencing turnover intention of nurses after evaluation for certification at geriatric hospitals: focused on job stress and burnout. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(3):438-49. https://doi.org/10.5762/KAIS.2016.17.3.438
  18. Hwang YS, Cho EY. Factors influencing nurse turnover intention of senior convalescence hospitals in the metropolitan area. Korean Journal of Occupational Health Nursing. 2016;25(3):156-67. https://doi.org/10.5807/kjohn.2016.25.3.156
  19. Kong JH. The relationships between stress of end-of-life care and turnover intention among intensive care unit nurses [master's thesis]. [Busan]: Catholic University of Pusan; 2016. 46 p.
  20. Woo MK, Kim MY. Nurses' experiences of do-not-resuscitate (DNR) by the narrative inquiry. The Korean Journal of Adult Nursing. 2013;25(3):322-31. https://doi.org/10.7475/kjan.2013.25.3.322
  21. Lee HY, Lee YO, Choi EY, Park YM. A comparison on stress and coping of bereavement care between nurses in the cancer unit and nurses in the general unit. Asian Oncology Nursing. 2007;7(1):26-35.
  22. Kim WS, Cho HH, Kwon SH. The influence of terminal care performance, death anxiety and self-esteem on terminal care stress of geriatric hospital nurses. The Korean Journal of Hospice and Palliative Care. 2016;19(2):154-62. https://doi.org/10.14475/kjhpc.2016.19.2.154
  23. Kim YR. A study on the turnover intention of the oncology nurse [master's thesis]. [Gwangju]. Chonnam National University;2007. 74 p.
  24. Lawler EE. Satisfaction and behavior. New York; McGraw Hill;1983. 287-301 p.
  25. Song MS. The relationships between the empowerment, using performance, job satisfaction and turnover intention of longterm care hospital nurses. Journal of the Korea Academia-Industrial cooperation Society. 2013;14(5):2304-14. https://doi.org/10.5762/KAIS.2013.14.5.2304
  26. Ministry of Health and Welfare. Survey on Public Health Status 2017. Cheongju: Korea Health Industry Development Institute;2017. 215 p.
  27. Baek EK, Choi EJ. Terminal care stress, job satisfaction and terminal care performance for nurses in internal medicine wards. The Korean Journal of Hospice and Palliative Care. 2015;18 (4):267-75. https://doi.org/10.14475/kjhpc.2015.18.4.267
  28. Jung MK. The effects of facilitation and inhibition factor of employee turnover on turnover implementation intention and job engagement [master's thesis]. [Seoul]. Sungkyunkwan University;2016. 75 p.
  29. Korea Occupational Safety & Health Agency. Seeking Ways to Reduce Occupational Fatalities [Internet]. Ulsan: Korea Occupational Safety & Health Agency; 2018 June 14 [updated 2018 June 14; cited 2018 June 16]. Available from http://www.kosha.or.kr/www/boardView.do?contentId=375243&menuId=896&boardType=A
  30. Seoul Nurses Association. 2018 International nurse day memorial nurses for nurses [Internet]. Seoul: Seoul Nurses Association;2017 July 12 [updated 2018 July 12; cited 2018 July 13]. Available from: http://www.seoulnurse.or.kr/

Cited by

  1. 요양병원 간호사의 생애말 환자간호 역량과 임종간호 스트레스 vol.22, pp.3, 2018, https://doi.org/10.14475/kjhpc.2019.22.3.125
  2. 요양병원간호사의 죽음인식, 임종간호스트레스와 임종간호수행간의 관계 조사 vol.23, pp.1, 2018, https://doi.org/10.14695/kjsos.2020.23.1.79