중환자실 간호사의 외상후 스트레스와 갈등관리 유형이 간호업무수행에 미치는 영향 = Influence of Posttraumatic Stress Symptoms and Conflict Management Styles on Nursing Performance of Intensive Care Unit

다국어 초록 (Multilingual Abstract)

Purpose : This study examined the factors influencing posttraumatic and conflict management styles for nursing performance in intensive care units (ICUs). Methods : In this study, 250 nurses from eight general hospitals in three cities participated. Structured self-report questionnaires were used to collect data on posttraumatic, conflict management styles, and nursing performance. Finally, the data were analyzed by SAS 9.3 program. Results : The mean of total sum scores was 31.29, and the high risk of posttraumatic symptoms was 61.2%. It was noted that nursing performance is significantly correlated with collaboration, compromise, accommodation styles, and intrusion. Collaboration styles (${\beta}=0.39$, p<.001) and hyperarousal (${\beta}=-0.22$, p=.050), ICU experience below 1 year (${\beta}=-0.21$, p=.027) and that of 5-10 years (${\beta}=-0.19$, p=.049), and compromise style (${\beta}=0.16$, p=.049) were found to be the factors influencing nursing performance with 35.9% explanatory power value of regression model. Conclusions : The results of the study reveal that conflict management styles, hyperarousal, and ICU experience are factors predicting the successful performance of ICUs. These findings emphasize the need of developing interventions to reduce stress symptoms and conflicts in ICUs.

참고문헌 (Reference)

1 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구" 대한신경정신의학회 44 (44): 303-310, 2005

2 박성애, "표준화된 간호사 인사고과 도구개발" 병원간호사회 13 (13): 197-211, 2007

3 성미혜, "중환자실 간호사와 일반병동 간호사의 역할갈등과 직무만족도 비교연구" 간호행정학회 12 (12): 104-112, 2006

4 백명화, "중환자실 간호사와 암병동 간호사의 직무스트레스와 대처에 대한 비교 연구" 한국재활간호학회 10 (10): 81-89, 2007

5 여현주, "정신과 병동 간호사의 외상 후 스트레스 영향요인" 한국직업건강간호학회 26 (26): 125-132, 2017

6 채정호, "외상후 스트레스 장애의 진단과 병태 생리" 대한정신약물학회 15 (15): 14-21, 2004

7 신미경, "언어폭력 경험이 있는 간호사의 외상 후 스트레스 장애와 영향 요인" 한국보건정보통계학회 38 (38): 15-25, 2013

8 김성혜, "사회복지공무원의 클라이언트 폭력경험과 문제음주 관계에 미치는 외상 후 스트레스의 매개효과" 알코올과 건강행동학회 16 (16): 61-74, 2015

9 김동식, "대학병원 조직내의 갈등해결유형 연구" 한국산학기술학회 10 (10): 2501-2508, 2009

10 손연정, "간호사의 폭력경험과 외상후 스트레스 증상, 극복력 간의 관계" 한국자료분석학회 17 (17): 515-530, 2015

11 오수미, "간호사의 근로환경, 외상 후 스트레스 증후군과 자아탄력성과의 융복합적 관계" 한국디지털정책학회 14 (14): 369-378, 2016

12 Montoro-Rodriquez, J., "The role of conflict resolution style on nursing staff morale, burnout, and job satisfaction in long term care" 18 (18): 385-406, 2006

13 Mealer, M., "The prevalence and impact of post-traumatic stress disorder and burnout syndrome in nurses" 26 (26): 1118-1126, 2009

14 Min, S., "The effect of nursing competency of nurses on work performance:Centered on controlling effect on cognition of job competency of boss" 4 : 361-371, 2011

15 Czaja, A. S., "Symptoms of post-traumatic stress disorder among pediatric acute care nurses" 27 (27): 357-365, 2013

16 Wilmot, W. W., "Interpersonal conflict" McGraw-Hill 2001

17 Mealer, M., "Increased prevalence of posttraumatic stress disorder symptoms in critical care nurses" 175 (175): 693-697, 2007

18 Horowitz, M., "Impact of event scale : a measure of subjective stress" 41 : 209-218, 1979

19 Ratner, P. A., "Health status, preventive behavior and risk factors among female nurses" 20 (20): 1-9, 2009

20 Hupcey, J. E., "Feeling safe : The psychosocial needs of ICU patients" 32 (32): 361-367, 2000

21 Schwirian, P. M., "Evaluating the performance of nurses : A multidimensional approach" 27 : 347-351, 1978

22 Lim, E. A., "Correlation of professional selfconcept and clinical performance ability of nurse in ICU" Kongju University 2009

23 AI-Hamdan, Z., "Conflict management styles used by nurse managers in sultanate oman" 3 (3): 571-580, 2011

24 홍종배, "Conflict Management in an Age of Globalization: A Comparison of Intracultural and Intercultural Conflict Management Strategies between Koreans and U.S. Americans" 한국소통학회 (6) : 169-202, 2006

25 Daniels, J., "Cognitive distortions in an acutely traumatized sample : An investigation of predictive power and neural correlates" 1 : 1-9, 2011

26 Kim, M. R., "Clinical nurses’ professionalism, nursing performance and intention of retention" Hanyang University 2008

27 Deneckere, S., "Better interprofessional teamwork, higher level of organized care, and lower risk of burnout in acute health care teams using care pathways : A cluster randomized controlled trial" 51 (51): 99-107, 2013

28 Weiss, D. S., "Assessing psychological trauma and PTSD" Guilford Press 399-411, 1997

29 Kim, Y. J., "A study on the type in conflict management with doctors and the job satisfaction of hospital nurses" 1 : 1-9, 2002

30 Lee, M. K., "A study on the organization commitment, interpersonal conflict and conflict management style of hospital nurses" Kwandong University 2006

31 Choi, S. H., "A study on nursing professional attitude and nursing performance of clinical nurses" Ewha Womans University 1997

32 Rahim, M. A., "A measure of styles of handling interpersonal conflict" 26 (26): 368-376, 1983