Journal of the Korean Applied Science and Technology (한국응용과학기술학회지)

The Korean Society of Applied Science and Technology (한국응용과학기술학회)
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Relationships among Violence Experience, Resilience and Job Stress of Nurses Working in Emergency Department

응급실 간호사의 폭력경험, 자아탄력성, 직무스트레스와의 관계연구

  • Received : 2020.10.08
  • Accepted : 2020.10.30
  • Published : 2020.10.31
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Abstract

This study is a descriptive research to identify the relationship among violence experience, resilience and job stress of nurses working in emergency department. The subjects of this study were 143 nurses with over one year working in emergency departments of 6 hospitals located in D city and C city and collected data through structured questionnaire. It was from November 6th to November 15th. The degree of violent experience of the subjects was 1.26 ± 1.31 out of 4. The average score of resillience was 2.50 ± 0.55 out of 4. The average score of job stress was 3.62 ± 0.49 out of 5. The result of correlation between violence experience, resilience and job stress, among the sub factors, in the correlation among violence experience and job stress sub factors, verbal violence experience was significantly positively correlated with nursing work(r=.194, p=.010), role conflict stress(r=.158, p=.030), and physical threat experience was positively correlated with nursing work(r=.200, p=.008), role conflict(r=.162, p=.027), and conflict with doctor(r=.145, p=.042). In the correlation between resilience and job stress sub factors, nursing work stress is hardness(r=-.189, p=.012), persistence(r=-.165, p=.025), and optimism (r=-.186, p=.013) and there was a negative correlation with the region. Expertise stress is hardness(r=-.230, p=.003), persistence(r=-.195, p=.010), optimistic(r=-.194, p=.010) and there was a negative correlation. Nurse-treated stress was positively correlated with spirituality(r=.154, p=.033). In the subcategory correlations of resilience and violent experience, the hardness had a negative correlation with the physical threat(r=-.150, p=.037) experience. The persistence was negatively correlated with the experience of physical threats(r=-.138, p=.050). The optimism was negatively correlated with the experience of physical violence(r=-.151, p=.036). As a result, it is necessary to create a safe working environment free from violence and to reinforce training on how to deal with violence in order to reduce the job stress of emergency department nurses. In addition, measures to cope with stress according to age and work experience and programs to increase resilience should be developed and mediated to reduce the job stress of emergency department nurses.

본 연구는 응급실 간호사의 폭력경험, 자아탄력성과 직무스트레스정도를 확인하고 관계를 확인하기 위한 서술적 조사연구이다. 본 연구대상은 D시 소재의 4곳과 C시 소재 2곳의 500병상 이상의 응급실에서 근무 중인 경력 1년 이상의 간호사 143명을 대상으로 하였으며, 자료수집기간은 2018년 11월 6일부터 15일까지이었다. 대상자의 폭력경험은 4점 만점에 평균평점 1.26±1.31점이었고, 자아탄력성은 4점 만점에 2.50±0.55점, 직무스트레스 정도는 5점 만점에 3.62±0.49점이었다. 폭력경험과 직무스트레스 하위영역별 상관관계에서 언어적 폭력 경험은 간호업무(r=.194, p=.010), 역할갈등(r=.158, p=.030) 스트레스와 유의한 양의 상관관계가 있었고, 신체적 위협 경험은 간호업무(r=.200, p=.008), 역할갈등(r=.162, p=.027), 의사와의 갈등(r=.145, p=.042) 스트레스와 양의 상관관계가 있었다. 자아탄력성과 직무스트레스 하위영역별 상관관계에서 간호업무 스트레스는 자아탄력성의 강인함(r=-.189, p=.012), 인내력(r=-.165, p=.025), 낙관성(r=-.186, p=.013) 영역과 음의 상관관계가 있었으며 전문지식 스트레스는 강인함(r=-.230, p=.003), 인내력(r=-.195, p=.010), 낙관성(r=-.194, p=.010) 영역과 음의 상관관계가 있었고, 간호사 대우 스트레스는 영성(r=.154, p=.033) 영역과 양의 상관관계가 있었다. 폭력경험과 자아탄력성과의 하위영역별 상관관계에서 강인함은 신체적 위협(r=-.150, p=.037) 경험과 음의 상관관계가 있었으며, 인내력은 신체적 위협(r=-.138, p=.050) 경험과 음의 상관관계가 있었고, 낙관성은 신체적 폭력(r=-.151, p=.036) 경험과 음의 상관관계가 있었다. 이상의 결과로 볼 때 응급실 간호사의 직무스트레스 감소를 위해 폭력이 발생하지 않는 안전한 근무 환경을 조성하고, 폭력상황 발생 시의 대처방법에 관한 지속적인 교육 및 스트레스 대처방법, 자아탄력성을 높이기 위한 프로그램개발 및 중재가 필요하다.

Keywords

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