병원 최고간호관리자의 이직의도 결정요인: 직무 스트레스, 직무만족, 조직몰입, 사회적 지지를 중심으로 = A Model on Turnover Intention of Chief Nurse Officers

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to test the turnover intention model for chief nurse officers in general hospitals. The variables for the study included job stress, social support, job satisfaction, and organization commitment. Methods: A predictive,non-experimental design was used with a sample of 144 chief nurse officers from 144 general hospitals. Data were collected using self-administered questionnaires and analyzed using SPSS, AMOS program. Results: The overall fitness of the hypothetical model to the data was good (χ2=16.80, p=.052, GFI=.96, AGFI=.90, NFI=.97, CFI=.99). Job stress, social support,job satisfaction, and organization commitment explained 59.0% of the variance in turnover intention by chief nurse officers.
Both organization commitment and social support directly influenced turnover intention for chief nurse officers, and job stress and job satisfaction indirectly influenced turnover intention. Conclusion: The results imply that chief nurse officers in hospitals need social support and management of job stress to increase job satisfaction and organization commitment, and lower turnover intention.

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to test the turnover intention model for chief nurse officers in general hospitals. The variables for the study included job stress, social support, job satisfaction, and organization commitment. Methods: A predictive,non-experimental design was used with a sample of 144 chief nurse officers from 144 general hospitals. Data were collected using self-administered questionnaires and analyzed using SPSS, AMOS program. Results: The overall fitness of the hypothetical model to the data was good (χ2=16.80, p=.052, GFI=.96, AGFI=.90, NFI=.97, CFI=.99). Job stress, social support,job satisfaction, and organization commitment explained 59.0% of the variance in turnover intention by chief nurse officers.
Both organization commitment and social support directly influenced turnover intention for chief nurse officers, and job stress and job satisfaction indirectly influenced turnover intention. Conclusion: The results imply that chief nurse officers in hospitals need social support and management of job stress to increase job satisfaction and organization commitment, and lower turnover intention.

참고문헌 (Reference)

1 장세진, "한국인 직무 스트레스 측정도구의 개발 및 표준화" 대한직업환경의학회 17 (17): 297-317, 2005

2 강성례, "최고 간호관리자의 역할적응과정" 한국간호과학회 40 (40): 785-798, 2010

3 윤금숙, "직무스트레스와 소진이 간호사의 이직의도에 미치는 영향" 간호행정학회 16 (16): 507-516, 2010

4 김명화, "수간호사의 감성 리더십이 간호사의 직무만족과 조직몰입에 미치는 영향" 간호행정학회 16 (16): 336-347, 2010

5 윤정아, "간호조직의 내부마케팅, 직무스트레스, 조직몰입, 이직의도 간의 관계" 간호행정학회 13 (13): 293-301, 2007

6 김창희, "간호사의 이직의도 구조모형" 간호행정학회 15 (15): 550-562, 2009

7 하나선, "간호사의 간호역량이 직무만족과 간호업무성과에 미치는 영향" 간호행정학회 16 (16): 286-294, 2010

8 하나선, "간호 관리자의 리더십 유형과 직무만족, 조직몰입, 이직의도와의 관계 연구" 한국간호과학회 32 (32): 812-822, 2002

9 Mowday, R. T., "The measurement of organizational commitment" 14 (14): 224-247, 1979

10 An, S. Y., "The effect of family, job, and organizationrelated situation to turnover intention of women managers" 77 (77): 5-48, 2009

11 Bae, B. L., "Structural equation modeling with AMOS 17.0" Cheongram 2009

12 Lee, H., "Structural equation modeling and AMOS 16.0" Bupmoonsa 2009

13 Langford, C. P., "Social support: A conceptual analysis" 25 (25): 95-100, 1997

14 Lawler, E. E., "Satisfaction and behavior" McGraw Hill 1983

15 Bettencourt, L. A., "Role stressors and customer-oriented boundary-spanning behaviors in service organizations" 31 (31): 394-408, 2003

16 Park, H. S., "Relationship between perceived nursing care role orientation, job characteristics, and turnover among nurses" Yonsei University 2002

17 Kline, R. B., "Principle and practice of structural equation modeling(2nd ed.)" Guilford Press 2005

18 Lee, B. S., "Nursing management" Jungdam 2008

19 Hair, J. F., "Multivariate data analysis (6th ed.)" Prentice Hall 2006

20 Weiss, D. J., "Manual for the Minnesota Satisfaction Questionaire" University of Minnesota, Industrial relations Center 1967

21 Marquis, B. L., "Leadership roles and management functions in nursing: Theory and application (5th ed.)" Lippincott Williams & Wilkins 2005

22 AbuAlrub, R. F., "Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses" 16 : 227-236, 2008

23 Mobley, W. H., "Intermediate linkages in the relationship between job satisfaction and employee turnover" 62 (62): 237-240, 1977

24 Shin, Y. G., "Human resource management" Sinkwang publishing Co 2001

25 Havens, D. S., "Chief nursing officer turnover: Chief nursing officers and healthcare recruiters tell their stories" 38 : 516-525, 2008

26 Jones, C. B., "Chief nursing officer retention and turnover: A crisis brewing? Results of a national survey" 53 : 89-105, 2008

27 Price, J. L., "Absenteeism and turnover of hospital employees" JAI Press 1986

28 Kwon, J. S., "A survey about work conditions of hospital nurses" Association of Hospital Nurses 2009

29 Park, J. W., "A study for development of social support" Yonsei University 1985

30 Sager, J. K., "A structural model depicting salespeople's job stress" 22 (22): 74-84, 1994