국내 전담간호사의 전문직 자율성, 의사와의 협력, 도덕적 고뇌가 직무만족도에 미치는 영향 = Impact of professional autonomy, nurse-physician collaboration and moral distress on job satisfaction among physician assistant nurses in South Korea

다국어 초록 (Multilingual Abstract)

Background: In nursing research, professional autonomy, nurse-physician relationship, or moral distress has been regarded as crucial influencing factors on nurses’ job satisfaction. However, there is little known research about these variables on job satisfaction among physician assistant nurses in South Korea.
Purpose: The purpose of this study was to verify the impact of professional autonomy, nurse-physician collaboration and moral distress on job satisfaction among physician assistant nurses in South Korea.
Methods: A descriptive and correlational research was adopted by a convenience sample of 130 physician assistant nurses from five general hospitals in South Korea. Data was collected between August and September in 2017. Data was analyzed by SPSS/WIN 21.0 program for t-test, ANOVA, Pearson correlation coefficient, and Stepwise multiple regression analysis.
Ethical considerations: This study was approved by the Institute Review Board of Hallym University before data collection(HIRB-2017-047).
Results: The level of job satisfaction was positively correlated with professional autonomy(r =.193, p =.028)
and nurse-physician collaboration(r =.343, p <.001). In the final regression model, the adjusted R square was significantly 18.9% of the variance of job satisfaction (F=4.349, p<.001), The nurse-physician collaboration related to cooperativeness (β=.432, p<.001) perceived by physician assistant nurses was significantly an influential factor on the level of job satisfaction among physician assistant nurses.
Conclusion: In hospital settings, nurses and physicians should be required to improve their professional relationship to be more cooperative in order to increase physician assistant nurses` job satisfaction, which can enrich quality of care and enhance patients` outcome.

목차 (Table of Contents)

• Ⅰ. 서론 5
• 1. 연구의 필요성 5
• 2. 연구 목적 9
• 3. 용어의 정리 9
• Ⅱ. 문헌고찰 11
• 1. 국내 전담간호사 현황 및 관련연구 11
• 2. 간호사의 전문직 자율성 14
• 3. 간호사와 의사와의 협력 17
• 4. 간호사의 도덕적 고뇌 20
• 5. 간호사의 직무 만족도 23
• Ⅲ. 연구 방법 26
• 1. 연구설계 26
• 2. 연구대상 및 표집방법 26
• 3. 연구도구 27
• 4. 자료 수집 방법 29
• 5. 자료 분석 방법 29
• 6. 윤리적 고려 30
• Ⅳ. 연구 결과 31
• 1. 대상자의 일반적 특성 31
• 2. 대상자의 전문직 자율성, 의사와의 협력, 도덕적 고뇌, 직무만족도 33
• 3. 대상자의 일반적 특성에 따른 직무만족도의 차이 35
• 4. 대상자의 전문직 자율성, 의사와의 협력, 도덕적 고뇌 및 직무만족도간의 상관관계 36
• 5. 대상자의 전문직 자율성, 의사와의 협력, 도덕적 고뇌가 직무만족도에 미치는 영향 38
• Ⅴ. 논의 40
• 1. 전담간호사의 직무만족도 정도 40
• 2. 일반적 특성에 따른 직무만족도의 차이 41
• 3. 전문직 자율성과 직무만족도의 관계 41
• 4. 의사와의 협력과 직무만족도의 관계 42
• 5. 도덕적 고뇌와 직무만족도의 관계 43
• 6. 전문직 자율성, 의사와의 협력, 도덕적 고뇌가 직무만족도에 미치는 영향 44
• Ⅵ. 결론 및 제언 46
• 1. 결론 46
• 2. 제언 48
• 참고문헌 50
• Abstract 62
• 부록 64