한국 가정전문간호사의 업무량과 직무만족도 = Workload and Job Satisfaction of Home Health care Nurses in Korea

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to identify the workload of home healthcare nurses and their job satisfaction. Methods: The research was conducted on 87 home healthcare nurses in nationwide medical institutions. Results: Number of visits was correlated with direct nursing hours. The monthly average number of visits was 108.84 ; the average number of patients was 45.66; the average daily working hours were $8.95{\pm}0.95$, of which $5.43{\pm}1.06 $ were indirect nursing hours, and $3.57{\pm}1.05$ were direct nursing hours. The average nursing time by severity condition was 22.25 minutes for group 1 patients, 28.04 minutes for group 2, 34.97 minutes for group 3, and 42.88 minutes for group 4. Of possible scores out of 5 for the job satisfaction of home healthcare nurses, their satisfaction was low for their welfare ($2.68{\pm}1.12$), workload ($2.90{\pm}0.88$), and enough time to work ($2.98{\pm}0.90$). Conclusion: The severity of patient's conditions influenced the workload of home healthcare nurses. Although workload did not correlate significantly with job satisfaction, it is necessary to devise a measure for manpower so that home healthcare nurses can secure sufficient nursing hours when they visit clients.

참고문헌 (Reference)

1 이수정, "활동기준원가계산(ABC)을 적용한 가정 간호 원가 분석" 한국간호과학회 34 (34): 1117-1128, 2004

2 공현희, "상급 종합병원 간호사의 직무만족도와 조직몰입이 환자안전관리 활동에 미치는 영향" 기본간호학회 19 (19): 453-462, 2012

3 박미미, "가정전문간호사의 감정노동, 직무 스트레스, 개인적 자원의 직무만족도와의 관련성" 한국지역사회간호학회 24 (24): 51-61, 2013

4 유호신, "가정간호수가 적정성 검증 및 수가체계 개선 방안" 한국간호과학회 36 (36): 503-513, 2006

5 김영희, "가정간호 노인대상자의 처방약물복용 실태 및 복용 이행도 영향요인" 한국지역사회간호학회 22 (22): 290-301, 2011

6 Ogawa, K., "Workload of home health care nurses in japan" Case Western Reserve University 2008

7 Lee, T. W., "Workload measurement of home health care nurses service using relative value units" 30 (30): 1543-1554, 2000

8 Whang, N. M., "The status of home nursing care program and policy suggestions for elderly patients" (71) : 16-26, 2002

9 Cho, Y. Y., "The relationship among perception of ethical values, ethical conflicts, and job satisfaction of home care nurses" The Catholic University 2005

10 Chae, J. H., "The Effects of Job Stress and Fatigue of Homecare Nurses on the Quality of Nursing Service" The Kyung Hee University 2013

11 Cole, D., "Predictors of job satisfaction of licensed social workers : Perceived efficacy as a mediator of the relationship between workload and job satisfaction" 31 (31): 1-12, 2004

12 Statistics Korea, "Percentage of national health expenditure to GDP"

13 Paula, L. S., "Measurement of work satisfaction among health professionals" 16 (16): 337-352, 1978

14 Kwon, H. J., "Long Working Hours System" Korea Labor Institute (84) : 73-91, 2012

15 "Korea Ministry of Government Legislation"

16 "Korea Institute for Healthcare Association"

17 Lu, H., "Job satisfaction among hospital nurses revisited : a systematic review" 49 (49): 1017-1038, 2012

18 You, L. M., "Hospital nursing, care quality, and patient satisfaction" 50 (50): 154-161, 2013

19 "Health Insurance Review & Assesment Service"

20 Hong, J. U., "Estimation of home care nursing cost to the patient with cerebrovascular disease based on a bundle of service" Seoul National University 2000

21 Adams, C. E., "Effect of local on health status and direct care time of rural versus urban home health patients" 31 (31): 244-251, 2001

22 Kim, H. S., "Direct care stress and job satisfaction in home care nurses" 10 (10): 261-265, 2004

23 Park, J. H., "Development and analysis of community basedindependent home care nursing service" 30 (30): 1455-1466, 2000

24 Whang, N. M., "Current status and policy agenda on home health care payment system" (16) : 67-73, 1998

25 Derrick, A. M., "Benchmarking productivity in home health care" 10 (10): 71-77, 1998

26 Byrne, G., "Assessment of dependency levels of older people in the community and measurement of nursing workload" 60 (60): 39-49, 2007

27 Storfjell, J. L., "Analysis and management of home health nursing caseloads and workloads" 27 (27): 24-33, 1997

28 Ellen-becker, C. H., "Agencies make difference in home healthcare nurse’s job satisfaction" 23 (23): 777-784, 2005