포괄간호 서비스 병동 간호사의 이직의도에 영향을 미치는 요인 : 직무 스트레스, 감정노동 및 소진

국문 초록 (Abstract)

포괄간호 서비스 병동 간호사의 이직의도에 영향을 미치는 요인: 직무 스트레스, 감정노동 및 소진

가천대학교 간호 대학원
(지도교수: 고 영)
임지아

본 연구는 2013년부터 시범, 확대 시행하고 있는 포괄간호 서비스 병동 간호사의 이직의도에 영향을 미치는 요인을 조사하기 위해 시도되었다. 연구 대상자는 2014년 포괄간호 서비스 확대 시범사업에 참여한 경기도에 위치한 5개 의료기관의 병동 간호사를 대상으로 2015년 3월 2일부터 3월 20일 까지 설문지를 이용하여 자료 수집하였다. 총 150명의 자료를 최종분석에 포함하였으며, 기술통계, t-test, ANOVA, 상관성 분석 및 다중회귀분석을 이용하였다.
포괄서비스 병동 간호사의 직무스트레스는 총점 평균 56.59점(100점 만점), 감정노동은 3.89점(5점 만점), 소진은 3.42점(5점 만점), 이직의도는 3.89점(5점 만점)으로 나타났다. 이직의도는 포괄서비스 간호 필요성(t=-4.58 p=.001), 현 부서(F=3.86, p=.011), 현 부서 경력(F=4.36, p=.014), 급여(F=3.20, p=.043) 에 따라 유의미한 차이를 보였다. 포괄서비스 병동 간호사의 직무 스트레스(r=0.47, p<.001)와 감정노동 (r=0.47, p<.001), 소진(r=0.49, p<.001) 세요인 모두 이직의도에 높은 정적 상관관계를 가지는 것으로 나타났다. 포괄서비스 병동 간호사의 이직의도에 영향을 미치는 요인은 감정노동(β=.266, p=.006), 직무 스트레스(β=.240, p=.002), 소진(β=.214, p=.012) 순으로 나타났다.
그러므로 이직의도를 낮추기 위해서는 개인 뿐 아니라 조직적 차원에서 직무 스트레스 관리가 이루어져야 하겠고 간호사, 간호조무사 뿐 아니라 환자, 보호자의 포괄간호 서비스 제도에 대한 인식을 높여 필요한 서비스를 요구하고 제공함으로써, 간호사의 감정노동을 줄이고 소진을 줄일 필요가 있다

목차 (Table of Contents)

• 목 차
• 국문 요약
• I. 서론
• 1. 연구의 필요성 ···································································· 1
• 2. 연구의 목적 ······································································· 3
• 3. 용어의 정의 ······································································· 3
• II. 이론적 배경
• 1. 포괄간호 서비스 ·································································· 6
• 2. 간호사의 이직의도에 영향을 미치는 요인 ···································· 7
• III. 연구 방법
• 1. 연구 설계 ········································································ 14 2. 연구 대상 및 자료 수집 방법 ················································· 14
• 3. 연구 도구 ········································································ 15
• 4. 자료 수집 ········································································ 17
• 5. 윤리적 고려 ······································································ 17
• 6. 자료 분석 ········································································ 18
• IV. 연구 결과
• 1. 대상의 일반적 특성과 직무특성 ·············································· 19
• 2. 대상자의 직무 스트레스, 감정노동, 소진, 이직의도 정도 ················· 21
• 3. 대상자의 일반적 특성에 따른 직무 스트레스, 감정노동, 소진 및 이직의도 정도의 차이 ······································································ 23
• 4. 대상자의 직무 스트레스, 감정노동, 소진 및 이직의도 간 상관관계 ····· 27
• 5. 이직의도에 영향을 미치는 요인 ·············································· 28
• V. 논의
• 1. 연구대상자의 직무 스트레스, 감정노동 및 소진 ···························· 30
• 2. 간호사의 이직의도와 영향요인 ··············································· 34
• 3. 연구의 제한점 ··································································· 35
• VI. 결론 및 제언
• 1. 연구의 요약 및 결론 ··························································· 36
• 2. 제언 ··············································································· 37
• 참고문헌 ·········································································· 39
• 부록 ··················································································· 48
• Abstract ············································································· 56