Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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The Effects of Job Stress of Nurses Working in the General Hospitals on Their Turnover Intention -Mediating Effects Organizational Commitment-

종합병원 간호사의 직무스트레스가 이직의도에 미치는 영향 -조직몰입의 매개효과-

  • 김경숙 (광주여자대학교 간호학과 대학원) ;
  • 조인숙 (광주여자대학교 간호학과)
  • Received : 2019.04.05
  • Accepted : 2019.06.28
  • Published : 2019.06.30
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Abstract

This study is a descriptive research to grasp the effects of job stress on turnover intention and to confirm the mediating effect of organizational commitment according to the extent of job stress, organizational commitment and turnover intention in the relations between job stress and Turnover Intention of nurses working in general hospitals. Method: The subjects of this study were 199 nurses are working in general hospitals, that have more than 200 beds and less than 400 beds, located in Gwangju. I surveyed them using a structured questionnaire for collecting data from Sep. 01, 2017 to Sep. 20, 2017. The collected data were analyzed by the frequency, the percentage, t-test, ANOVA, Scheffe's Test, Pearson's Correlation Coefficient, Multiple Regression Analysis and Sobel Results: In the first step, job stress as an independent variable had a statistically significant effect on organizational commitment(${\beta}=-.321$, p<.001). In the second step, job stress, an independent variable, also had an important effect on turnover intention as a dependent variable(${\beta}=.389$, p<.001). Job stress and organizational commitment were meaningful predictor variables of turnover intention in the third step. The explanatory power of two variables was 45.5%. The value ${\beta}$ of job stress in the third step was .203(p<.001) which was smaller than its value ${\beta}$,.389(p<.001), in the second step. That meant organizational commitment had the mediating effect on turnover intention. The Sobel Test was conducted to verify the significance of the extent of the mediating effects of organizational commitment. The test result was that the value Z was -3.694 and the mediating effect of organizational commitment was significant on the relation between job stress and turnover intention(p<.002). Conclusion: this study is expected be useful to find ways to reduce subjects' turnover intention by decreasing their job stress, increasing their organizational commitment and developing intervention programs as basic data.

본 연구는 종합병원 간호사의 직무스트레스, 조직몰입 및 이직의도 정도를 살펴보고 직무스트레스가 이직의도에 미치는 영향을 파악하며 그 관계에서 조직몰입의 매개효과를 확인하기 위한 서술적 조사연구이다. 연구 대상자는 G 광역시에 소재한 200~400병상 종합병원 간호사 199명이었으며 자료수집 기간은 2017년 9월 1일부터 9월 20일까지 본 연구자가 직접 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 빈도와 백분율, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Multiple regression analysis 및 Sobel test로 분석하였다. 연구결과. 대상자의 직무스트레스와 이직의도 관계에서 조직몰입의 매개효과를 검증하기 위해 회귀분석 결과, 1단계에서 독립변수인 직무스트레스가 조직몰입에 통계적으로 유의한 영향을 주었고(${\beta}=-.321$, p<.001), 2단계에서 독립변수인 직무스트레스가 종속변수인 이직의도에도 유의한 영향을 주었으며(${\beta}=.389$, p<.001), 3단계에서는 직무스트레스와 조직몰입이 이직의도에 유의한 예측요인으로 나타났다. 두 변수의 설명력은 45.5%이었다. 이때 독립변수인 직무스트레스는 3단계 ${\beta}$ 값이 .203(p<.001)으로 2단계의 ${\beta}$ 값 .389(p<.001)보다 작아 조직몰입이 이직의도에 매개효과가 있었다. 조직몰입의 매개효과 크기에 대한 유의성 검증을 위해 Sobel test를 실시한 결과 Z값은 -3.694이었으며, 직무스트레스와 이직의도의 관계에서 조직몰입의 매개효과는 유의하였다(p<.002). 따라서 본 연구는 직무스트레스를 감소시키고 조직몰입을 높여서 이직의도를 낮출 수 있는 방안을 모색하고 이에 대한 중재프로그램을 개발하는데 기초적 자료로 유용하게 활용될 것으로 기대된다.

Keywords

Table １. Characteristics according to Subject

HGOHBI_2019_v36n2_656_t0001.png 이미지

Table 2. Degree of Job stress, Organizational commitment and Turnover intention

HGOHBI_2019_v36n2_656_t0002.png 이미지

Table 3. Difference in Turnover Intention of Subject

HGOHBI_2019_v36n2_656_t0003.png 이미지

Table 4. Correlation among Job stress, Organizational commitment and Turnover intention

HGOHBI_2019_v36n2_656_t0004.png 이미지

Table 5. Mediating Effects Organizational Commitment

HGOHBI_2019_v36n2_656_t0005.png 이미지

References

  1. Y. S. Seo, Y. C. Kim, "A Study on Factors Affecting the Turnover Intention and Job Involvement of Nurses", Korean Business Education Association, Vol. 12, pp. 151-172, (2007).
  2. Hospital Nurse Association, Survey on status of hospital Nursing staff placement, Research paper, Seoul: Hospital Nurse Association, (2016).
  3. Y. O. Paek, Study on the Flexible Workplace, Job Satisfaction, Intention to Change Job for Hospital Nurses, Unpublished master's thesis, Ewha Womans University, Seoul, (2012).
  4. J. O. Youn, H. J. Lee, "Internal Marketing, Job Stress, Organizational Commitment and Turnover Intention in Nursing Organization", The Journal of Korean Nursing Administration Academic Society, Vol. 13, No. 3, pp. 293-301, (2007).
  5. Y. H. Lee, S. J. Jang, J. H. Ro, H. O. Kim, H. J. Park, J. W. Won, "Relationship between Job Stress and Turnover of Registered Nurses in a University Hospital", Annals of Occupational and Environmental Medicine, Vol. 15, No. 2, pp. 93-104, (2007).
  6. C. H. Yoon, A study on factors influencing job stress and turnover intention for medical workforce(doctors & nurses) in medical institution : focusing on the moderating effect of calling, Unpublished doctoral dessertatoin, Kyung Hee University, Seoul (2017).
  7. J. R. Choi, impact of job stress on job satisfaction, organizational commitment, and turnover intension of nursing workforce in geriatric hospitals, Unpublished master's thesis, Silla University, Busanl, (2012).
  8. O. H. Oh, B. L. Jung, "The Effect of Empowerment on Nursing Performance, Job Satisfaction, Organizational Commitment, and Turnover Intention in Hospital Nurses", The Journal of Korean Nursing Administration Academic Society, Vol. 17, No. 4, pp. 391-401, (2011). https://doi.org/10.11111/jkana.2011.17.4.391
  9. M. R. Kim, G. A. Seomun, "Relationships among Burnout, Job Satisfaction, Organizational Commitment and Turnover Intention to Resign in Hospital Nurses", Korean Journal of Occupational Health Nursing, Vol. 22, No. 2, pp. 93-101, (2013). https://doi.org/10.5807/kjohn.2013.22.2.93
  10. I. S. Kim, Impact of practice environment on job satisfaction and organizational commitment among hospital nurses, Unpublished master's thesis, Hanyang University, Seoul (2015).
  11. O. H. Kim, J. H. Choi, G. E. Kim, "The Impact of Job Overload, Relationship with Senior on Nurses' Intention to Quit Their Jobs : Mediating Role of Emotional Exhaust", The Journal of Korean Nursing Administration Academic Society, Vol. 15, No. 3, pp. 372-381, (2009).
  12. S.B. Bae, Influence of job burnout among university hospital employees on job satisfaction, organizational commitment and intent to leave, Unpublished master's thesis, Hanyang University, Seoul (2015).
  13. M. O. GO, M. J. Kim, "The Development of the Stresses Measurement Tool for Staff Nurses working in the Hospital", Journal of Korean Academiy of Nursing, Vol. 14, No. 2 28-36, (1984).
  14. M. K. Oan, The effect of nurse's job stress on health practice behavior, Unpublished master's thesis, Yonsei University, Seoul (2003).
  15. R. T. Mowday, R. M. Steers, L. W. Porter, "The measurement of organizational commitment", Journal of Vocational Behavior, Vol 14, pp. 224-247, (1979). https://doi.org/10.1016/0001-8791(79)90072-1
  16. M. H. Lee, Relationship between organizational culture types and organizational effectiveness in hospitals, Unpublished doctoral dessertatoin, Chungnam National University, Taejon (1998).
  17. E. E. Lawler, Satisfation and behavior, New York: McGraw Hill, (1983).
  18. Y. R. Kim, A Study on the Turnover Intention of the Oncology Nurse, Unpublished master's thesis, Chonnam National University, Gwangju (2007).
  19. R. M. Baron, D. A. Kenny, "The Moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, Vol. 51, pp. 1173-1182,(1986). https://doi.org/10.1037/0022-3514.51.6.1173
  20. K. E. Kim, An Analysis of the Factors affecting Nurse's Intension to Leave The Job, Unpublished master's thesis, Korea University, Seoul (2004).
  21. E. S. Byun, A study on the relationship between newly graduated nurses' intention to turnover and job stress/satisfaction, Unpublished master's thesis, Yonsei University, Seoul (2009).
  22. Y. M. Kim, Y. S. Kang, " Effects of Self-efficacy, Career Plateau, Job Embeddedness, and Organizational Commitment on the Turnover Intention of Nurses", The Journal of Korean Nursing Administration Academic Society, Vol. 15, No. 3, pp. 530-541, (2015).
  23. G. J.Park, Y. N. Kim, "Factors Influencing Organizational Commitment among Hospital Nurses", The Journal of Korean Nursing Administration Academic Society, Vol. 16, No. 3, pp. 250-258, (2010). https://doi.org/10.11111/jkana.2010.16.3.250
  24. M. S. Kim, "The Effects of Perceived Organizational Support on Organizational Commitment and Career Commitment of Clinical Nurses", The Journal of Korean Nursing Administration Academic Society, Vol. 19, No. 4, pp. 480-490, (2013). https://doi.org/10.11111/jkana.2013.19.4.480
  25. O. S. Shin, Relationship Beween Job Satisfaction, Organizationsa; Commmitment and Turnover Intention in Nurses of the Medium and Small Hospital, Unpublished master's thesis, Kosin University, Busan (2013).
  26. H. H. Moon, effects of job stress and sociometric disposition on organizational commitment of nurses in a general hospital, Unpublished master's thesis, Yonsei University, Seoul (2011).
  27. M. S. Lee, Relationships of Nursing Organazational Culture to Nurses' Empowerment, Organizational Commitment and Work Happiness in Small and Medium Hospitals, Unpublished master's thesis, Gyeongsang National University, Ginju (2015).
  28. M. R. Kim, "Influential Factors on Turnover Intention of Nurses : The Affect of Nurse's Organizational Commitment and Career Commitment to Turnover Intention", The Journal of Korean Nursing Administration Academic Society, Vol. 13, No. 3, pp. 3335-344, (2007).
  29. Y. S. Hwang, K. H. Kang, "Factors Influencing Nurse Turnover Intention in Small and Medium Sized Hospitals in the Metropolitan Area", The Journal of Korean Nursing Administration Academic Society, Vol. 20, No. 5, pp. 576-586, (2014). https://doi.org/10.11111/jkana.2014.20.5.576
  30. G. S. Yoon, Factors affecting the turnover intention of Nurses, Unpublished master's thesis, Eulji University, DaeJeon (2010).
  31. J. Y. Han, A study on Factors affecting turnover intention in Hospital Emplyees, Unpublished master's thesis, Inje University, Gimhae (2013).
  32. H. S. Quan, The Effects of Job Stress on Organizational Commitment and Turnover Intention of Call Center Workers: Moderating Effects of Perceived Organizational Support, Unpublished master's thesis, Soongsil University, Seoul (2013).

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