DOI QR코드

DOI QR Code

요양병원간호사의 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향

The Influence of Ethical Dilemma and End-of-life Care Stress on Burnout in Long­term Care Hospital Nurses

  • 임귀연 (경남과학기술대학교 간호학과) ;
  • 최소영 (경상대학교 간호학과)
  • Lim, Gui-Yeon (Dept. of Nursing, Gyeongnam National University of Science and Technology) ;
  • Choi, So-Young (College of Nursing.Institute of Health Science, Gyeongsang National University)
  • 투고 : 2019.03.11
  • 심사 : 2019.06.20
  • 발행 : 2019.06.28

초록

본 연구의 목적은 요양병원 간호사를 대상으로 윤리적 딜레마, 임종간호스트레스 및 소진의 관계와 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향을 파악하고자 함이다. 본 연구의 대상자는 경상남도에 위치한 7개 노인요양병원에 근무하고 임종간호 경험이 한 번 이상 있으며 연구의 목적을 이해하고 연구 참여에 동의한 간호사 143명을 대상으로 구조화된 설문지를 이용하여 설문조사하였다. 본 연구결과 연령과 직위, 임종간호교육, 임종간호스트레스가 요양병원 간호사의 소진에 영향을 미치는 요인으로 확인되었다. 따라서 요양병원간호사의 소진을 예방하고 완화시키기 위해 임종간호 관련 교육과 함께 스트레스를 관리하는 체계적인 중재프로그램이 필요할 것이다.

Table 1. General Characteristics

OHHGBW_2019_v10n6_355_t0001.png 이미지

Table 2. Ethical dilemma and End-of-life care stress and Burnout Degree

OHHGBW_2019_v10n6_355_t0002.png 이미지

Table 3. Differences in Burnout by General Characteristic (n=143)

OHHGBW_2019_v10n6_355_t0003.png 이미지

Table 4. Correlation between Ethical Dilemma and End-of-life Care Stress on Burnout

OHHGBW_2019_v10n6_355_t0004.png 이미지

Table 5. The Influence of Ethical Dilemma and End-of-life Care Stress on Burnout

OHHGBW_2019_v10n6_355_t0005.png 이미지

과제정보

연구 과제 주관 기관 : Gyeongsang National University

참고문헌

  1. H. G. Koo. (2016). A Study on Proposal to Develop Senior related Policies: Convergence Approach of both Age Norm and Hoping Activities, Journal of Digital Convergence, 14(4), 101-110. DOI : 10.14400/JDC.2016.14.4.101 https://doi.org/10.14400/JDC.2016.14.4.101
  2. Korean Statistical Imformation Service. (2018). Percentage of elderly people aged 65 and over. KOSIS [Online]. http://kosis.kr
  3. U. H. Kim & S. Y. Moon. (2014). The Effect of Health Status on Sleep Quality and Quality of Life among Elderly patient in geriatric hospitals. Korea Digital Policy Institute, 12(11), 415-426. DOI : 10.14400/JDC.2014.12.11.415
  4. Korean Statistical Imformation Service. (2018). Status of Nursing Facilities by type. KOSIS [Online]. http://kosis.kr
  5. J. H. Min. (2018, 10, 15) Last year, one out of every 3 deaths in the long-term care hospital and nursing home. News 1 [Online]. http://news1.kr/articles/?3450246
  6. B. R. Joung & H. O. Park. (2016). Nurses' Death Perception and Terminal Care Performance in Long-term Care Hospital. Gimnyeong Nursing Science, 20(1), 1-12.
  7. M. J. Lee & J. S. Lee. (2015). Nurses' Experiences of the Death of Patients in Geriatric Hospitals. Korean Journal of Nursing, 45(4), 513-522. DOI : 10.4040/jkan.2015.45.4.513 https://doi.org/10.4040/jkan.2015.45.4.513
  8. M. C. Berger, A. Seversen & R. Chvatal. (1991). Ethical issues in nursing. Western Journal of Nursing Research, 13(4), 514-521. DOI : 10.1177/019394599101 https://doi.org/10.1177/019394599101300407
  9. S. S. Han. (1992). Nature of ethical dilemmas and decision making in hospital nursing practice. Master Thesis, Seoul University, Seoul.
  10. M. S. Yi, S. E. Oh, E. O. Choi, I. G. Kwon, K. M. Cho, Y. G. Kang & J. H. Ok. (2008). Hospital Nurses' Experience of Do-Not- Resuscitate in Korea. Korean Nursing Science Society. 38(2), 298-309. DOI : 10.4040/jkan.2008.38.2.298
  11. R. Deady & J. McCarthy. (2010). A study of the situation, features, and coping mechanisms experienced by Irish psychiatric nurses experiencing moral distress. Perspective Psychiatric Care, 46, 209-220 DOI : 10.1111/j.1744-6163.2010.00260.x https://doi.org/10.1111/j.1744-6163.2010.00260.x
  12. J. S. Kim & H. Y. Oh. (2006). Perceptions and attitude on use of physical restraints among caregivers in long term care facilities. The Journal of Korean Academic Society of Nursing Education, 26(2), 347-360. DOI : 10.5977/JKASNE.2009.15.1.062
  13. M. C. Coley, C. K. Mini, R. K. Elswick, & M. Jacobs. (2008). Nurse moral distress and ethical work environment. Nursing Ethics, 12, 381-390. DOI : 1191/0969733005ne809oa
  14. A. E. Stewart, J. H. Lord & D. L. Mercer. (2000). A survey of professionals' training and experiences in delivering death notifications. Death Study, 2 4(7), 611-613. DOI : 1080/0748118050132811 https://doi.org/10.1080/07481180050132811
  15. W. H. Lee. (2002). Thanatology.Death Education. Journal of Korean Educational Thought, 38, 1-16.
  16. J. H. Lee & J. S. Park. (2017). End of life care stress and Nursing Work Environment in Geriatric Hospitals Nurses affect burn out. Journal of the Korea Academia-Industrial cooperation Society, 18(6), 449-458. DOI : 10.5762/KAIS.2017.18.6.449 https://doi.org/10.5762/KAIS.2017.18.6.449
  17. J. S. Choi & S. M. Park. (2012). Comparison of Job Stress, Hardness, and Burnout of Nurses between Advanced general Hospitals and general Hospitals. Journal of the Korea Contents Association, 12(3), 251-259. DOI : 10.5392/JKCA.2012.12.03.251 https://doi.org/10.5392/JKCA.2012.12.03.251
  18. M. Y. Ham. (1997). A Study on Relationship of Work Stress, Hardiness and Burnout among Nurses. Master's Thesis, Chung-Ang University, Seoul.
  19. J. W. Park & E. J. Choi. (2015). Factors Influencing Job Satisfaction of Nurses Working in Long-term Care Hospitals: Focused on Burnout and Burden for Caring Problematic Behaviors in Dementia. Journal of the Korea Academia-Industrial Cooperation Society. 16(11), 7403-7413. DOI : 10.5762/KAIS.2015.16.11.7403 https://doi.org/10.5762/KAIS.2015.16.11.7403
  20. K. J. Lee & Y. S. Park. (2015). Nurses' Spirituality and Attitude toward Terminal Care in Geriatric Hospital, Journal of Digital Convergence, 13(12), 347-357. DOI : 10.14400/JDC.2015.13.12.347 https://doi.org/10.14400/JDC.2015.13.12.347
  21. B. M. Bang, S. Y. Lee & J. W. Jung. (2015). Empirical study on the turn-over intention of university hospital nurses. Journal of Digital Convergence, 13(2), 205-213. DOI : 10.14400/JDC.2015.13.2.205 https://doi.org/10.14400/JDC.2015.13.2.205
  22. W. S. Kim. (2017). Structural Equation Modeling on Burnout of Nurses Performing End of Life Care in Convalescent Hospitals. Doctoral dissertation, Kosin University, Busan.
  23. Y. H. Yu. (2016). A Study on Relationship among Death Attitude, Terminal Care Attitude, and Job Burnout in Geriatric Hospital Nurses. Doctoral dissertation. Tong-myung University, Busan.
  24. S. S. Park. (2016). Effects of Long Term Hospital Nurses' Emotional Labor on Their Burnout. Master's Thesis, Daegue Hanny University, Daegue.
  25. O. Y. Lee. (2004). A Study of Cancer Unit Nurses' Stress from Bereavement Support. Master's Thesis, Kyung Hee University, Seoul.
  26. A. M. Pines, E. Aronson & D. Kafry. (1981). Burnout from Tedium to Personal Growth. New York :A Divion of Macmillian Publishing Co.
  27. E. H. Peek. (1983). Correlation between degree of Burnout of nurses and job satisfaction. Master's Thesis, Yonsei University, Seoul.
  28. C. Y. Lee. (2018). Nurses' Experiences of End-of-life Care for Elderly Patients in Long-term Care Hospitals. Master's Thesis, Dong-A University, Busan.
  29. J. T. Oh. (2006). Death of Life and Death. Philosophical research, 75, 153-178.
  30. H. J. Park & M. Y. Kim. (2004). Ethical Dilemma and Coping Types in Nurses. The Journal of Korean Academic Society of Nursing Education, 10(1), 75-83.
  31. W. S. Kim, H. H. Cho & S. H. Kwon. (2016). The Influence of Terminal Care Performance, Death Anxiety and Self-Esteem on Terminal Care Stress of Geriatric Hospital Nurses. The Korean journal of hospice & Pailliative care, 19(2), 154-162. DOI : 10.14475/kjhpc.2016.19.2.154 https://doi.org/10.14475/kjhpc.2016.19.2.154
  32. S. I. Ji & H. S. Yu. (2014). The Impact of Clinical Nurses' Terminal Care Attitude and Spiritual Health on Their Terminal Care Stress. The Korean journal of hospice & Pailliative care, 17(4), 232-240. DOI : 10.14475/kjhpc.2014.17.4.232 https://doi.org/10.14475/kjhpc.2014.17.4.232
  33. J. O. Lee. (2016). Nurses' Perception of Death and Stress of End-of-life care. Master's Thesis, Catholic University of Pusan, Busan.
  34. J. H. Kong. (2016). The Relationships between Stress of End-of-life Care and Turnover Intention among Intensive Care Unit Nurses. Master's Thesis, Catholic University of Pusan, Busan.
  35. A. Nantsupawat, R. Nantsupawat, W. Kunaviktikul, Turale S. & Poghosyan L. (2015). Nurse Burnout, Nurse-Reported Quality of Care, and Patient Outcomes in Thai Hospitals. Journal of Nursing Scholarship, 48(1), 83-90. DOI : 10.1111/jnu.12187 https://doi.org/10.1111/jnu.12187
  36. M. Y. Kim (2004). Burnout and coping type of nurses working in cancer ward. Master's Thesis, Ewha Womans University, Seoul.
  37. H. S. Kim (2014). End-of-Life Care Stress, Spiritual Well-Being and Burnout among Critical Care Nurses. Master's Thesis, Catholic University, Busan.
  38. Y. H. Her. (2016). Ethical Dilemma, Coping Types, Burnout of Clinical Nurses. Master's Thesis, Gangneung-Wonju National University, Gangwondo.
  39. J. I. Yu. (2015). Effects of Nursing Work Environment, Job Stress and Burnout on Turnover Intention in Clinical Nurses. Master's Thesis, Korea National University of Transportation, Chungcheongbuk-do.