Journal of the Korean Data Analysis Society

Korean Data Analysis Society (한국자료분석학회)
권호 표지

The Influence of Role Conflict, Role Ambiguity, Nursing Workload and Job Satisfaction on Turnover Intention of Comprehensive Nursing Care Unit Nurses

간호·간병통합서비스병동 간호사의 역할갈등, 역할모호성, 간호업무량, 직무만족이 이직의도에 미치는 영향

  • Received : 2018.07.20
  • Accepted : 2018.09.06
  • Published : 2018.10.31

⟨ Previous Next ⟩

Abstract

The purpose of this study was to verify the relationships among role conflict, role ambiguity, nursing workload, job satisfaction and turnover intention, and especially to identify the factors influencing of turnover intention in comprehensive nursing care unit nurses. A cross-sectional design was used, with a convenience sample of 159 nurses from 8 general hospital. Data were collected through self-evaluation questionnaires from July to September, 2017. The data were analyzed using the Pearson correlation coefficient, t-test, one-way ANOVA, and stepwise multiple linear regression with SPSS/WIN 24.0 program. Turnover intention was significantly correlated with role conflict (r=.543), role ambiguity (r=.261), nursing workload (r=.185) and job satisfaction (r=-.431). Factors influencing of turnover intention in comprehensive nursing care unit nurses were identified as role conflict (${\beta}=.422$, p<.0001), job satisfaction (${\beta}=-.239$, p=.002), total career (${\beta}=.146$, p=.027), and these factors explained 34.1% of the total variability.

본 연구의 목적은 간호 간병통합서비스병동에 근무하는 간호사의 이직의도 영향 요인을 규명하기 위한 서술적 관계 조사연구이다. 서울 경인(3개), 호남권(3개), 경상권(2개), 3개 지역 8개 종합병원 간호 간병통합서비스병동에 근무 중인 간호사 159명을 대상으로 질문지를 이용하여 역할갈등, 역할모호성, 간호업무량, 직무만족, 이직의도에 대해 자료수집 하였다. 수집된 자료는 SPSS WIN 24.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson의 상관분석, 단계별 다중회귀분석(stepwise multiple regression)으로 분석하였다. 분석결과 이직의도는 역할갈등(r=.543), 역할모호성(r=.261), 간호업무량(r=.185)과는 순 상관관계를, 직무만족과는 역 상관관계(r=-.431)를 갖는 것으로 나타났다. 역할갈등(${\beta}=.422$, p<.0001), 직무만족(${\beta}=-.239$, p=.002), 간호사로서 총 근무경력 1~5년 미만(${\beta}=.146$, p=.027)은 간호 간병통합서비스병동 간호사의 이직의도를 34.1% 설명하는 것으로 검증되었다. 따라서 간호 간병통합서비스병동 간호사의 이직의도 감소를 위해서는 병원 내근무환경 개선과 병동별로 차별화된 단계별 경력개발, 역할갈등 및 직무만족도 증진을 위한 체계적 인적자원관리 시스템의 도입 및 적용이 필요하다고 판단된다.

Keywords

References

  1. Ahn, H. S. (2013). The problems of private employment care and the necessity of introducing a new nursing care system for inpatients, Healthcare Policy Forum, 11(1), 58-62. (in Korean).
  2. Bae, H. J., Kim, J. H. (2017). Impact of increasing an enrollment quota in nursing schools on nurse staffing level in local hospitals, Journal of the Korean Data Analysis Society, 19(6B), 3301-3316. (in Korean).
  3. Cohen, J. (1992). A power primer, Psychological Bulletin, 112, 155-159. https://doi.org/10.1037/0033-2909.112.1.155
  4. Hwang, N. M. (2015). Expansion of comprehensive nursing service for quality assurance of hospitalization in medical institutions, Korea Institute for Health and Social Affairs, 286, 1-8. (in Korean).
  5. Jeong, E. Y., Kim, O. H., Choi, E. J. (2017). Effect of mind management program for nurse, Journal of the Korean Data Analysis Society, 19(2B), 1117-1130. (in Korean).
  6. Jo, G. W. (2018). Comparative study on the effect factors turnover intention between comprehensive nursing care ward nurses and general ward nurses, Unpublished master' thesis, Honam University, Gwangju. (in Korean).
  7. June, K. J., Choi, E. S. (2013). Reliability and validity of the Korean version of the Copenhagen psycosocial questionnaire scale, Korean Journal of Occupational Health Nursing, 22(1), 1-12. (in Korean). https://doi.org/10.5807/kjohn.2013.22.1.1
  8. Kang, Y., Kim, Y. H. (2018). Factors influencing turnover intention of nurses participating in integrated nursing care service, Journal of the Korean Data Analysis Society, 20(3), 1063-1075. (in Korean).
  9. Kim, M. R. (2007). Influential factors on turnover intention of nurses; the affect of nurse's organizational commitment and career commitment to turnover intention, Journal of Korean Academy of Nursing Administration, 13(3), 335-344. (in Korean).
  10. Kim, S. H., An, H. G., Lee, J. M. (2017). A predictive model on turnover intention of nurses in small-medium sized hospitals, Journal of the Korean Data Analysis Society, 19(1B), 513-525. (in Korean).
  11. Kim, J. K., Kim, M. J. (2011). A review of research on hospital nurses' turnover intention, Journal of Korean Academy of Nursing Administration, 17(4), 538-550. (in Korean). https://doi.org/10.11111/jkana.2011.17.4.538
  12. Kim, J., Kim, S., Park, E., Jeong, S., Lee, E. (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance, Journal of Korean Academy of Nursing Administration, 23(3), 312-322. (in Korean). https://doi.org/10.11111/jkana.2017.23.3.312
  13. Kim, N. H., Park, J. S. (2015). The factors affecting on turnover intention of nurses working in rehabilitation hospitals, Korea Academy Industrial Cooperation Society, 16(6), 4007-4085. (in Korean).
  14. Kwag, W. H. (2015). Contents and problems of pilot project on comprehensive nursing care service, Medical Policy Forum, 13(2), 50-55. Available from: http://webzine.rihp.re.kr/webzine_201506/a_05_02.html (accessed April 14, 2017). (in Korean).
  15. Lee, J. M. (2016). Comparative study about the clinical nurse's job stress and turnover intention between a nursing care system wards and a general wards, Journal of Social Science, 33(1), 1-48. (in Korean).
  16. Lee, E., Chang, S. S. (2016). Factors influencing depression of nurses among comprehensive nursing care service ward, Korean Journal of Occupational Health Nursing, 25(4), 340-351. (in Korean). https://doi.org/10.5807/kjohn.2016.25.4.340
  17. Lee, H. J., Eo, Y. S., Park, N. H., Lee, G. Z. (2002). Factors discriminating nurses' depression among personal and environmental characteristics, Journal of Korean Academy of Nursing, 32(6), 867-877. (in Korean). https://doi.org/10.4040/jkan.2002.32.6.867
  18. Lee, M. K., Jung, D. Y. (2015). A study of nursing tasks, nurses' job stress and job satisfaction in hospitals with no guardians, Journal of Korean Academy of Nursing Administration, 21(3), 287-296. (in Korean). https://doi.org/10.11111/jkana.2015.21.3.287
  19. Lee, N. S., Koh, M. S. (2015). Comparative study for the clinical nurses work satisfaction, job stress and turnover intention- in general ward, comprehensive nursing care service ward, and anshim unit, Journal of the Korea Academia-Industrial Cooperation Society, 16(1), 516-526. (in Korean). https://doi.org/10.5762/KAIS.2015.16.1.516
  20. Mark, G., Smith, A. P. (2012). Effects of occupational stress, job characteristics, coping, and attributional style on the mental health and job satisfaction of university employees, Anxiety Stress & Coping, 25(1), 63-78. https://doi.org/10.1080/10615806.2010.548088
  21. Mobley, W. H. (1982). Employee turnover : Causes, consequences, and control reading, Massachusetts, Addision-Wesley Publishing Company.
  22. National Health Insurance Service (2016). Nursing and nursing integrated service standard operation manual, Available from http://www.nhis.or.kr/bbs7/boards (accessed April 14, 2017). (in Korean).
  23. Park, I. S. (2016). The relationships among nursing workload, nurse manager's social support, nurses' psychosocial health and job satisfaction, Unpublished doctoral dissertation, Seoul National University, Seoul. (in Korean).
  24. Park, K. O., Yu, M., Kim, J. K. (2017). Experience of nurses participating in comprehensive nursing care, Journal of Korean Academy of Nursing Administration, 23(1), 76-89. (in Korean). https://doi.org/10.11111/jkana.2017.23.1.76
  25. Pejtersen, J. H., Kristensen, T. S., Borg, V., Bjorner, J. B. (2010). The second version of the Copenhagen psychosocial questionnaire, Scandinavian Journal of Public Health, 38(3suppl), 8-24. https://doi.org/10.1177/1403494809349858
  26. Rizzo, J. R., House, R. J., Lirtzman, S. I. (1970). Role conflict and ambiguity in complex organization, Administrative Science Quarterly, 15(2), 150-163. https://doi.org/10.2307/2391486
  27. Shin, C. M. (2017). Impacts of role conflict and ambiguity on professionalism of clinical nurses working at total care service unit, Unpublished master' thesis, Hanyang University, Seoul. (in Korean).
  28. Weiss, D. J., Dawis, R. V., England, G. W., Lofquist, L. H.. (1967). Manual for the Minnesota satisfaction questionnaire, Industrial Relations Center, University of Minnesota, Minneapolis.
  29. Yeun, Y. R. (2015). Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses, Journal of the Korea Academia-Industrial Cooperation Society, 16(1), 317-323. (in Korean). https://doi.org/10.5762/KAIS.2015.16.1.317