일부 대형병원 임상 간호사의 직무 스트레스, 직무만족 및 소진간의 관련성 = (The) Association among Job Stress, Job Satisfaction and Burnout of the Clinical Nurses in Some Large-sized Hospitals

다국어 초록 (Multilingual Abstract)

This study was conducted to identify the factors related to job stress, job satisfaction and burnout of clinical nurses and the association among them under the control of the putative confounders, in some large-sized hospitals. For this purpose, the data was collected from 444 clinical nurses employed in 3 general hospitals, using the structured questionnaire which was composed of the variables such as sociodemographic factors, work-related factors, and the translated scales such as nursing stress scale, job satisfaction questionnaire, burnout scale.
The major findings of this study and their implications were as follows;
1. Regarding the level of job stress according to sociodemographic factors or work-related factors, the level of job stress of the clinical nurses who were elder, higher in education level, longer in job career in years, higher in job status and had a religion were significantly higher than those who were not retrospectively in almost all dimensions of job stress. And the factors related to intrinsic job dissatisfaction and burnout score were similar to those of job stress, which was suggested that there were high correlation among these variables.
2. As the result of the hierarchical multiple regression analyses, the dimensions of job stress due to work-related factors(managing the workload), the factors of confidence and competence in role, and the factors of organizational support and involvement were the variables influencing on physical burnout score significantly under the control of sociodemographic factors and work-related factors. In the case of emotional burnout, the dimensions of job stress due to factors managing the workload, factors of organizational support and involvement, home/work conflict were significant. And in the case of mental burnout, the dimensions of job stress due to the factors of confidence and competence in role, the factors of organizational support and involvement were significant.
3. As the result of the hierarchical multiple regression analysis on the models built overall burnout score, physical burnout, emotional burnout or mental burnout as dependent variable, inputting additionally a group of interaction terms between job satisfaction and dimentional stress as independent variables increased explanatory power significantly, 0.027(p=0.004), 0.020(p=.054), 0.035 (p=.000), 0.021(p=.033) retrospectively, which suggested that job satiafaction was a modifier of effect of job stress on burnout. To sum up above results, we concluded that, in some clinical nurses, job stress made the main effects on burnout in dimension-specific pattern, and then job satisfaction modified the effects.
Thus, in developing the strategy managing for job stress and preventing burnout which have been known to influence on not only the individual health and quality of life of clinical nurses but also the organizational performance of hospital, it may be necessary to approach more precisely considering these findings. Though, as conducting this study, we intended to extend the research area related to the constructs modifying job stress, from coping and social support to job satisfaction, we did not identify the structural construction among them. We hope to identify the relation among them by more advanced researches in this area.

목차 (Table of Contents)

• 목차
• Abstract = ⅰ
• Ⅰ. 서론 = 1
• A. 연구의 필요성 = 1
• B. 연구의 목적 = 4
• Ⅱ. 이론적 배경 = 5
• A. 직무스트레스의 개념과 관련요인 = 5
• B. 직무만족의 개념과 관련요인 = 10
• C. 소진의 개념과 관련요인 = 13
• D. 직무스트레스 및 직무만족과 소진과의 관계 = 16
• Ⅲ. 연구방법 = 19
• A. 연구의 틀 = 19
• B. 연구대상 및 자료수집방법 = 20
• C. 조사도구 및 주요 연구 변수 = 20
• D. 분석방법 = 23
• Ⅳ. 연구결과 = 25
• A. 연구대상자의 일반적 특성 및 직무관련특성 = 25
• B. 일반적인 특성 및 직무관련 특성에 따른 직무스트레스 = 28
• C. 대상자의 일반적 특성 및 직무관련 특성별 직무만족수준 = 34
• D. 대상자의 일반적, 직무관련 특성과 소진 = 38
• E. 대상자의 직무 스트레스, 직무만족, 소진과의 상관분석 = 42
• F. 직무스트레스 및 직무만족이 소진에 미치는 영향에 대한 회귀분석결과 = 44
• G. 직무스트레스가 소진에 미치는 영향에 대한 직무만족의 완충효과모형의 검정 = 51
• Ⅴ. 고찰 = 54
• A. 연구주제에 대한 고찰 = 54
• B. 연구방법에 대한 고찰 = 56
• C. 연구결과에 대한 고찰 = 60
• Ⅵ. 요약 및 결론 = 70
• 참고문헌 = 73
• 부록 = 81