신생아 중환자실 간호사의 3교대 근무시와 2교대 근무시의 직무만족도와 직·간접 간호시간의 비교 = Comparison between job satisfaction and direct/indirect care time of the nurses in two and three shifts in a neonatal intensive care nuit

다국어 초록 (Multilingual Abstract)

Because of the nature of nursing, nurses ought to take 8 hour shift work for 24-hours. Some foreign countries offer two shift system. In domestic scene, however, hospitals mostly adopt traditional three shift.
This study studies nurses' job satisfaction between two and three shift, and between direct and indirect nursing care time with the type of shift. This study was a semi-experimental study conducted with single group and continuous observance.
The purposes of this study are:
1) To compare job satisfaction of the nurses in two shift and three shift in a neonatal intensive care unit.
2) To compare the time of direct and indirect nursing care activities in two and three shift in a neonatal intensive care unit.
Twenty-one registered nurses and two charge nurses, working at neonatal intensive care unit of A Medical Center in Seoul, were selected for the data. The two shift group was divided into two groups. One group worked for two months period between June 1 and July 31, 2000, and the other September 1 to October 31, 2000. In order to obtain the rate, the samples was observed before and after two shift work. The time of direct/indirect nursing care was investigated from May 22 to 28, 2000 as 3-shift's and from October 23 to 27, 2000.
The Modified Job Satisfaction Measuring Tool (Slavitt et al, 1978) was employed. The question was composed with 16 questions, the reliability of this tool was proved by Chronbach's Alpha .8421.
The work pattern of data was analyzed for the frequency and the mean values based on the SAS program. The job satisfaction and the time of nursing care were analyzed by Wilcoxen Signed Rank Test.
The results were as follows:
1) The mean of job satisfaction in two shift was higher, 54.9(±6.5), compared to 49.1 of three shift with statiscal significance(p=.00059).
2) In the time of direct nursing care of two and three shift were found no significant differences. But, the mean of 2-shift, 879.7 minute was higher than 3-shift's, 816.0 minute (p=.151).
3) The mean time of indirect nursing care of two shift was lower, 376.5 minute, compared to 553.8 minute of three shift with statiscal significance (p=.00001).
4) The available break time of two shift was higher, 180.6 minute, compared to 120.0 minute of three shift with statiscal significance (p=.00016).
As a result of this study, We found that nurses' two shift indicated higher job satisfaction than three shift nurses, with the increase in break time and the decrease in indirect nursing compared to three shift.