Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Influence of Job Stress, Self-Esteem, and Resilience on the Field Adaptation in Newly Graduated Nurses

신규간호사의 직무 스트레스, 자아존중감, 회복탄력성이 현장적응에 미치는 영향

  • 손정은 (인제대학교 부산백병원 간호과) ;
  • 김상희 (인제대학교 간호학과)
  • Received : 2019.05.26
  • Accepted : 2019.06.24
  • Published : 2019.08.31
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Abstract

Purpose: This study aims to determine the relation among job stress, self-esteem, resilience, and field adaptation of the newly graduated nurses, through which an effective mediation strategy toward field adaptation and basic data on improving nursing quality can be established. Methods: The subjects were 110 newly graduated nurses who have worked at a tertiary hospital and a general hospital for less than 12 months. The data were collected, using self-reported questionnaires, from July 9 to July 31, 2018, and were analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient and stepwise multiple regression using an SPSS/WIN 24.0 program. Results: The study result showed that the newly graduated nurses' job stress, resilience, job satisfaction, and desired department influenced their field adaptation, explaining 60.2% of the variance in the field adaptation (F=42.14, p<.001). The nurses' job stress had the biggest influence on their field adaptation, explaining 38.7% of the variance. Conclusion: Human resource management strategy considering those influencing factors may improve the filed adaptation of newly graduated nurses and help them to retain in their work field.

Keywords

References

  1. Korean Hospital Nurse Association. Study the real state of the hospital nurses arrangement situation, Seoul: Korean Hospital Nurse Association; 2016.
  2. Korean Nurses Association. Survey on the status of hospital nursing staff placement 1992-2015. Seoul: Korean Hospital Nurse Association; 2015.
  3. OECD. Health statistics [Internet]. Paris: OECD; 2017 [cited 2017 September 8]. Avaliable from: http://www.oecd.org/els/health-systems/health-statistics.htm.
  4. Shin YW, Lee H, Lim Y. Predictors of clinical competence in new graduate nurses. Journal of Korean Academy of Nursing Administration. 2010;16(1):37-47. https://doi.org/10.11111/jkana.2010.16.1.37
  5. Sohn IS, Kim HS, Kwon JS, Park DL, Han YH, Han SS. Development of an instrument to measure organizational socialization of new clinical nurses. Journal of Korean Clinical Nursing Research. 2008;14(1):85-97.
  6. Ji EO. A study on field adaptation of new nurses [master's thesis]. Seoul: Ewha Womans University; 2009. p. 1-98.
  7. Chang SJ, Koh SB, Choi HR, Woo JM, Cha BS, Park JK, et al. Job stress, heart rate variability and metabolic syndrome. Korean Journal of Occupational and Environmental Medicine. 2004; 16(1):70-81. https://doi.org/10.35371/kjoem.2004.16.1.70
  8. Yun SH. Occupational stress and depression in clinical nurses: Using Korean Occupational Stress Scales. Journal of Korean Academy of Nursing Administration. 2009;15(3):463-470.
  9. Son HM, Koh MH, Kim CM, Moon JH. The clinical experiences of adaptation as a new nursing staff. Journal of Korean Academy of Nursing. 2001;31(6):988-997. https://doi.org/10.4040/jkan.2001.31.6.988
  10. Compton WC. Introduction to positive psychology. Belmont, CA: Thomson Wadsworth; 2005.
  11. Cowin LS, Hengstberger-Sims C. New graduate nurse self-concept and retention: A longitudinal survey. International Journal of Nursing Studies. 2006;43(1):59-70. https://doi.org/10.1016/j.ijnurstu.2005.03.004
  12. Duchscher JE. Transition shock: The initial stage of role adaptation for newly graduated registered nurses. Journal of Advanced Nursing. 2009;65(5):1103-1113. https://doi.org/10.1111/j.1365-2648.2008.04898.x
  13. Connor KM, Davidson JR. Development of a new resilience scale: The Connor-Davidson Resilience Scale (CD-RISC). Depression and Anxiety. 2003;18(2):76-82. https://doi.org/10.1002/da.10113
  14. Oh HA, Kim HS. The effects of positive psychological capital on ego-resilience and burnout among professional dancers. Official Journal of the Korean Society of Dance Science. 2014; 31(2):103-120. https://doi.org/10.21539/ksds.2014.31.2.103
  15. Tusaie K, Dyer J. Resilience: A historical review of the construct. Holistic Nursing Practice. 2004;18(1):3-10. https://doi.org/10.1097/00004650-200401000-00002
  16. Kwak MH, Kwon SB. Professional self-concept and organizational socialization of new nurse. Journal of the Korean Society for Wellness. 2017;12(4):469-478. https://doi.org/10.21097/ksw.2017.11.12.4.469
  17. Jo EA, Kang J. Influence of workplace bullying and resilience on organizational socialization in new graduate nurses. Journal of Muscle and Joint Health. 2015;22(2):78-86. https://doi.org/10.5953/jmjh.2015.22.2.78
  18. You SJ, Choi YH Predictive factors influencing turnover intention of nurses in small and medium-sized hospitals in Daegu city. Journal of Korean Academy of Nursing Administration. 2009;(15)1:16-25.
  19. Yoo OI. Study on the stress and the satisfaction with the orientation program of new nurses [master's thesis]. Seoul: Kyung Hee University; 2000. p. 1-61.
  20. Rosenberg M. Rosenberg Self-Esteem Scale (RSE). Acceptance and commitment therapy. Measures Package. 1965;61(52). https://doi.org/10.1037/t01038-000
  21. Jeon BJ. Self-esteem: A test of its measurability. Journal of Yonsei. 1974;11(1):107-130.
  22. Baek HS. Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale (K-CD-RISC) [master's thesis]. Daejeon: Eulji University; 2010. p. 1-30.
  23. Kim MS, Choi SO. Concept analysis of organizational socialization. Journal of Korean Academy of Nursing Administration. 2003;9(1):19-30.
  24. Kim HS, Yim HW, Lee JY, Cho HJ, Jo SJ, Lee WC. Influence of self-esteem and social support on the depression stati of some clinical nurses. The Korean Journal of Occupational and Environmental Medicine. 2007;19(2):125-134. https://doi.org/10.35371/kjoem.2007.19.2.125
  25. Park KA, Back HS, Han JS. The effects of REBT group counseling on the job stress, positive affect, negative affect and selfesteem of nurses. The Korea Journal of Counseling. 2007;8(3): 951-963. https://doi.org/10.15703/kjc.8.3.200709.951
  26. Kim J, Park HJ, Lee SH. The relationship between organizational socialization and organizational citizenship behavior among nurses in general hospitals. Journal of Korean Clinical Nursing Research. 2012;(18)3:413-423. https://doi.org/10.22650/JKCNR.2012.18.3.413
  27. Choi JS, Yang NY. Nursing performance and organizational socialization of new nurses according to teaching style of preceptors and personality of new nurses. Journal of Korean Academy of Nursing Administration. 2012;18(3):281-289. https://doi.org/10.11111/jkana.2012.18.3.281
  28. Park YC, Park HS. Clinical competence and organizational socialization according to communication style of preceptors as perceived by new nurses. Journal of Korean Academy of Fundamentals of Nursing. 2016;23(1):42-50. https://doi.org/10.7739/jkafn.2016.23.1.42
  29. Kim BN, Oh HS, Park YS. A study of nurses' resilience, occupational stress and satisfaction. Korean Journal of Occupational Health Nursing. 2011;20(1):14-23. https://doi.org/10.5807/kjohn.2011.20.1.014
  30. Kim MJ, Han SS. Comparison of job satisfaction, commitment to organization, nursing organization culture and job experience between national/public hospital nurses and private hospital nurses. Journal of East-West Nursing Research. 2007;13(1):22-30.