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A Study on the Factors Influencing Burnout of Psychiatric Ward Nurses -Violence Experience, Violence Coping, Social Support-

정신과병동 간호사의 소진 영향 요인에 관한 연구 -폭력경험, 폭력대처, 사회적지지

  • Seo, Jeong-Won (Department of Nursing Graduate School Changshin University) ;
  • Kang, Mi-Ran (Department of Nursing Changshin University) ;
  • Je, Nam-Joo (Department of Nursing Changshin University)
  • Received : 2019.04.11
  • Accepted : 2019.07.05
  • Published : 2019.07.31
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Abstract

This study is descriptive survey research to find out factors which violence experience, violence coping and social support affect. This study aims at reducing burnout of psychiatry nurses and founding problem-oriented violence handling standardized intervention. The subjects were 204 nurses who have worked for more than a year in a hospital. The data collection period was conducted with structured survey from July 1, 2018 to August 31, 2018. Collected data was analysed with average, standard deviation, t-test, ANOVA, Pearson's Correlation confident, Multiple Regression and this data will go to by SPSS. The results of the study were as follows. 92.2% of psychiatry nurses are experiencing verbal violence, 92.2% are experiencing physical threat and 75.5% are experiencing physical violence. Relations between violence experience and violence coping(r=0.15. p<.027), violence experience and burnout(r=0.16, p<.017) were positive correlation. Relation between violence coping and social support(r=0.30, p<.001) was positive correlation, and social support and burnout(r=-0.28, p<.001) was negative correlated. Also we found out that nursing job satisfaction, social support and physical violence experience affect burnout. Which shows model's explanatory power was 33.3%. Therefore preventive discipline which can reduce violence experience of psychiatry nurses, founding systems to reinforce social support and creating circumstance where nursing job satisfaction can increase will help reduce burnout and serve better nursing.

본 연구는 폭력경험으로 인한 정신과병동 간호사의 소진을 감소시키고 문제 중심의 표준화된 폭력대처 중재방안을 수립하기 위해 폭력경험, 폭력대처, 사회적지지가 소진에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 정신과 병원에서 근무하는 임상경력 1년 이상인 병동 간호사 204명이었다. 자료수집기간은 2018년 7월 1일부터 8월 31일까지 구조화된 설문지로 시행하였다. 수집된 자료는 SPSS program을 이용하여 평균, 표준편차, t-test, ANOVA, Pearson's Correlation coefficient, Multiple Regression으로 분석하였다. 연구결과는 다음과 같았다. 정신과병동 간호사는 언어적 폭력 92.2%, 신체적 위협 92.2%, 신체적 폭력 75.5%를 경험하고 있었다. 대상자의 폭력경험과 폭력대처(r=0.15. p<.027), 폭력경험과 소진(r=0.16, p<.017)은 정적 상관관계, 폭력대처와 사회적지지(r=0.30, p<.001)는 정적 상관관계, 사회적지지와 소진(r=-0.28, p<.001)은 부적 상관관계를 나타냈다. 또한 소진에 영향을 미치는 요인으로 간호직 만족도, 사회적지지, 신체적 폭력경험이 나타났다. 소진을 설명하는 회귀모형은 약 33.3%의 설명력을 나타내었다. 그러므로 정신과병동 간호사의 폭력경험을 낮출 수 있는 예방교육과 사회적지지 강화를 위한 체계마련 및 간호직 만족도를 향상시키는 환경을 조성한다면 소진을 감소시켜 양질의 간호를 제공할 수 있으리라 생각된다.

Keywords

Table 1. Characteristics of subjects

SHGSCZ_2019_v20n7_393_t0001.png 이미지

Table 2. According to characteristics of subjects experienced violence, violence coping, social support, burnout

SHGSCZ_2019_v20n7_393_t0002.png 이미지

Table 3. According to whether or not the subject experienced violence, violence coping, social support, burnout

SHGSCZ_2019_v20n7_393_t0003.png 이미지

Table 4. Correlation among variables

SHGSCZ_2019_v20n7_393_t0004.png 이미지

Table 5. Factors affecting burnout of the Subject

SHGSCZ_2019_v20n7_393_t0005.png 이미지

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