DOI QR코드

DOI QR Code

The Convergence Factors of Nurses' Character on the Burnout: Focused on the Mediating Effects of Resilience

병원간호사의 임상간호인성이 소진에 미치는 융합적 영향요인: 회복탄력성의 매개효과 중심으로

  • Received : 2020.11.04
  • Accepted : 2021.01.08
  • Published : 2021.01.31

Abstract

The purpose of this study was to test the mediating effect of resilience on the relationship between nurses' character and burnout. Participants were 118 clinical nurses in general hospitals located in J province. From August 1st to 31st, 2020, a questionnaire scale was used to collect the data. Data were analyzed using an independent t-test, one-way ANOVA, Pearson's correlation coefficients, linear regression, and the Sobel test. The study revealed that there was a significant positive relationship between character and resilience (r=.63, p<.001) and a negative correlation with burnout (r=-.48, p<.001). Also, resilience had a partial mediating effect on character and burnout. These findings indicate that it will be more effective to develop and apply programs that promote character and resilience to reduce burnout among clinical nurses. The conclusion that resilience affects the burnout of nurses can be used for formulating personal and organizational Human Resource Management strategies and can lead to positive protective results at the intra-personal and environmental levels.

본 연구는 병원간호사를 대상으로 임상간호인성이 소진에 미치는 영향에서 회복탄력성의 매개효과를 확인하고자 수행되었다. 연구 대상자는 J도 소재 종합병원에 재직 중인 118명으로 구조화된 설문지를 이용하여2020년 8월 1일부터 8월 31일까지 편의표집하였다. 수집된 자료는 SPSS/WIN 23.0 프로그램의 기술통계, independent t-test, one way ANOVA, Pearson's correlation coefficients, liner regression analysis를 이용하였고 매개효과의 유의성 검증을 위하여 Sobel test를 실시하였다. 연구결과, 병원간호사의 임상간호인성은 회복탄력성과 정적 상관관계(r=.63, p<.001), 소진과는 부적 상관관계(r=-.48, p<.001)를 보였으며 임상간호인성은 소진에 유의한 영향을 미치는 것으로 나타났다. 또한 병원간호사의 임상간호인성과 소진 간의 관계에서 회복탄력성은 부분 매개역할을 하는 것으로 나타났다. 따라서 임상간호사의 소진을 감소시키기 위해서 간호사의 인성과 회복탄력성을 강화할 수 있는 프로그램 개발과 적용이 필요하다. 간호사의 소진에 영향을 미치는 회복탄력성은 개인 내적, 환경적 차원의 보호요인으로 긍정적 결과를 이끌어낼 수 있기에 개인 및 조직적 인적자원관리 전략을 수립하는 기초자료로 활용될 수 있을 것이다.

Keywords

References

  1. J. H. Pack, Development and Validation of Nurse's Character Scale for Care in Clinical Settings, J Korean Acad Soc Nurs Educ, Vol.22, No,4, pp.137-151, 2016. DOI: https://doi.org/10.5977/jkasne.2016.22.2.137
  2. S. H. Hong, K. S. Park, A Study on the Personality and Job Satisfaction of Nurses, Journal of Korean Academy of Nursing Administration, Vol.8, No.3, pp.489-500, 2002.
  3. J. A. Kim, M. S. Chu, K. J. Kwon, H. K. Seo, S. N. Lee. Core Competencies for New Nurses, Journal of Korean Clinical Nursing Research, Vol.23, No.1, pp.40-53, 2017. DOI: https://doi.org/10.22650/JKCNR.2017.23.1.40
  4. S. Y. Lee, J. A. Kim, Sociocultural Factors Leading to Creative Thinking and Idea Generation, The Korean Society Of Educational Psychology, Vol.31, No.4, pp.767-794, 2017. DOI: http://dx.doi.org/10.17286/KJEP.2017.31.4.08
  5. J. H. Pack, Need of Charater Education in Nursing Education, Journal of The Korean Data Analysis Society, Vol.15, No.6, pp.3321-3332, 2013.
  6. E. Y. Yeom, K. W. Seo, Influence of Interpersonal Problem and Clinical Nurses' Character on Burnout of Staff Nurse, Korean society for Wellness, Vol.14, No.1, pp.33-42, 2019. DOI: http://dx.doi.org/10.21097/ksw.2019.02.14.1.33
  7. C. Maslach, Jackson. S, Maslach burnout inventory manual. Palo Alto: Consulting Psychologists Press. 2003.
  8. E. Y. Yeom, H. O. Jeon, Relations of Burnout, Interpersonal Relations, Professional Self-concept and Depression in Clinical Nurses", Journal of the Korea Academia-Industrial cooperation Society, Vol.14, Vo.6, pp.2869-2879, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.6.2869
  9. C. Maslach, W. B. Schaufeli, "Historical and conceptual development of burnout, Professional burnout", Recent developments in theory and research, Vol.12, pp.1-16. 1993.
  10. Y. R. Yeun, Job Stress, Burnout, Nursing Organizational Culture and Turnover Intention among Nurse, Journal of the Korea Academia-Industrial cooperation Society, Vol.15, Vo.68 pp.4981-4986, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.8.4981
  11. H. J. Heo, S. K. Lee, "Effects of verbal abuse experience and burnout on turnover intentions of hospital nurses at small and medium-sized hospitals", Journal of the Korean Data And Information Science Sociaty, Vol.29, No.3, pp.665-678, 2018. DOI: http://dx.doi.org/10.7465/jkdi.2018.29.3.665
  12. J. H. Han, I. S. Yan, Y. H. Yom, An Empirical Study on Burnout in Clinical Nurses: Focused on Bullying and Negative Affectivity, Journal of Korean Academy of Nursing Administration, Vol.19, No.5, pp.578-588, 2013. DOI: https://doi.org/10.11111/jkana.2013.19.5.578
  13. K. J. Kwon, S. H. Lee, "Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses", Korean Academy of Nursing Administration, Vol.18, No.4, pp.383-393, 2012. DOI: http://dx.doi.org/10.11111/jkana.2012.18.4.383
  14. Y. H. Yom, I. S. Yang, J. J. Han, "Effects of Workplace Bullying, Job Stress, Self-esteem, and Burnout on the Intention of University Hospital Nurses to Keep Nursing Job", Korean Academy of Nursing Administration, Vol.23, No.3, pp.259-269, 2017. DOI: http://dx.doi.org/10.11111/jkana.2017.23.3.259
  15. S. E. Kim, "Influence of Clinical Nurses' Personality and Resilience on Happiness Index", Journal of Digital Convergence, Vol.17, No.8, pp.357-365, 2019. DOI: http://dx.doi.org/0.14400/JDC.2019.17.8.357 https://doi.org/10.14400/JDC.2019.17.8.357
  16. B. M. Gillespie, W. Chaboyer, M. Wallis, P. Grimbeck, Resilience in the operating room: Developing and testing of a Resilience Model, Journal of Advanced Nursing, Vol.59, pp.427-438, 2017. DOI: http://dx.doi.org/10.1111/j.1365-2648.2007.04340.x
  17. N. Garmezy, Children in poverty: Resilience despite risk. Psychiatry, Vol.56, No.1, pp.127-136. 1993. https://doi.org/10.1080/00332747.1993.11024627
  18. D. Jackson , A. Firtko, M. Edenborough, Personal resilience as a strategy for surviving and thriving in the face of workplace adversity: a literature review, Journal of Advanced Nursing, Vol.60, No.1, pp.1-9, 2007. https://doi.org/10.1111/j.1365-2648.2007.04412.x
  19. I. O. Moon, S. K. Park, J. M. Jung, Effects of Resilience on Work Engagement and Burnout of Clinical Nurses, Journal of Korean Academy of Nursing Administration, Vol.19, No.4, pp.525-535, 2013. DOI: https://doi.org/10.11111/jkana.2013.19.4.525
  20. J. K. Ko, S. K. Lee, Influence of Resilience and Job Embeddedness on Turnover Interntion in General Hospital Nurses, Journal of Korean Academy of Nursing Administration, Vol.25, No.4, pp.362-372, 2019. DOI: https://doi.org/10.11111/jkana.2019.25.4.362
  21. H. Y. Choi, Perfectionism Tendency, Social Support, and Burnout Among Counselors, Master's thesis, Catholic University, Seoul, pp.1-96, 2002.
  22. K. M. Connor, J. R. Davidson, Development of a new resilience scale: The Connor‐Davidson resilience scale (CD‐RISC), Depression and anxiety, Vol.18, No.2, pp.76-82, 2003. https://doi.org/10.1002/da.10113
  23. H. S. Baek, K. U. Lee, E. J. Joo, M. Y. Lee, K. S. Choi, Reliability and validity of the Korean version of the Connor-Davidson Resilience Scale, Psychiatry investigation, Vol.7, No.2, pp.109-115, 2010. DOI: https://doi.org/10.4306/pi.2010.7.2.109
  24. R. M. Baron, D. A. Kenny, The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations, Journal of Personality and Social Psychology, Vol.51, No.6, pp.1173-1182, 1982. https://doi.org/10.1037/0022-3514.51.6.1173
  25. S. J. Han, J. W. O, H. W. Kim, Mediating Effects of Resilience between Nurse's Character and Happiness for Nurses in General Hospitals, Journal of Korean Academy of Nursing Administration, Vol.26, No.1, pp.22-30, 2020. DOI: https://doi.org/10.11111/jkana.2020.26.1.22
  26. H. J. Kim, H. K. Choi, The Mediating Effect of Resilience on the Relationship between Emotional Labor and Happiness of Clinical Nurses, Korean Journal of Occupational Health Nursing, Vol.26, No.1, pp.40-46, 2017. DOI: http://dx.doi.org/10.5807/kjohn.2017.26.1.40
  27. M. J. Jo, M. H. Seong, Impact of role conflict, self-efficacy, and resilience on nursing task performance of emergency department nurses, Korean Journal of Occupational Health Nursing, Vol.27, No.1, pp.59-66, 2018. DOI: https://doi.org/10.5807/kjohn.2018.27.1.59
  28. H. J. Jung, Y. S. Lee, S. H. S. A Study the Relationships among Verbal Violence Experience, Job Stress, and Resilience and the Communication Ability of Operating Room Nurses, Journal of Korean Academy of Nursing Administration, Vol.26, No.2, pp.120-129, 2013. DOI: https://doi.org/10.11111/jkana.2020.26.2.120
  29. D. W. Baik, Y. H. Yom, Effects of Social Support and Emotional Intelligence in the Relationship between Emotional Labor and Burnout among Clinical Nurses, Journal of Korean Academy of Nursing Administration, Vol.18, No.3, pp.271-280, 2012. https://doi.org/10.11111/jkana.2012.18.3.271
  30. M. Y. Choi, H. S. So, E. Ko, Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses, Journal of Korean Academy Fundamentals of Nursing, Vol.26, No.1, pp.42-51, 2019. DOI: https://doi.org/10.7739/jkafn.2019.26.1.42
  31. E. J. Hwang, S. J. Moon, The Effect of Self-Leadership of Nurses on Organizational commitment, Burnout and Turnover intention, Journal of Learner-Centered Curriculum and Instruction, Vol.20, No. 13, pp.211-226, 2020. DOI: http://dx.doi.org/10.22251/jlcci.2020.20.13.211
  32. Y. K. Yang, A study on Burnout, Emotional labor, and Self-efficacy in Nurses, Journal of Korean Academy Fundamentals of Nursing, Vol.17, No.4, pp.423-463, 2011. https://doi.org/10.11111/jkana.2011.17.4.423
  33. D. S. Byun, Y. H. Yom, Factors affecting the burnout of clinical nurses: Focused on emotional labor, The Journal of Korean Nursing Administration Academic Society, Vol.15, No.3, pp.444-454, 2009.
  34. H. S. Jeong, S. Y. Choi, The Mediating Effect of Resilience on the Relationship between Role Conflict and Burnout in Physician Assistant Nurses, Journal of Korean Academy of Nursing Administration, Vol.26, No.2, pp.142-150, 2020. DOI: https://doi.org/10.11111/jkana.2020.26.2.142
  35. K. H. Choi, J. K. Tak, The Effects of A Group Coaching Program Focusing Strengths on Self-esteem, Job Search Efficacy, and Resilience for Career Discontinued Women, Korean Journal of Coaching Psychology, Vol.1, No.1, pp.73-97, 2017. https://doi.org/10.51457/kjcp.2017.06.1.1.73
  36. M. M. Park, J. W. Park, Development of resilience scale for nurses. The Korean Journal of Fundamentals of Nursing, The Korean Journal of Fundamentals of Nursing, Vol.23, No.1, pp.32-41, 2015. DOI: https://doi.org/10.7739/jkafn.2016.23.1.32
  37. S. Ghiyasvandian, A. A. Gebra, Coping work strategies and job satisfaction among Iranian nurses, Iran Red Crescent Med Journal, Vol.16, No.6, pp.1-8, 2014.
  38. A. S. Masten, M. J. Reed, Resilience in development. In C. R. Snyder and S. Lopez (Eds.), Handbook of positive psychology, UK, Oxford University Press, 227-239. 2002.