Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Working-hour Characteristics and Health Status of Nurses on Work-life Balance: Using the 5th Korean Working Conditions Survey

  • Received : 2022.08.04
  • Accepted : 2022.10.29
  • Published : 2022.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to investigate the relationships between the characteristics of nurses' work schedules, health outcomes, and work-life balance. Methods: This was a secondary data analysis that included 422 nurses in Korean hospitals. Descriptive analysis, independent sample t-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis were used to identify the associated factors. Results: Multiple linear regression analysis showed that work-life balance was lower when atypical work was performed (β=-.14, p=.010). Nurses who did not work overtime showed a higher level of work-life balance than those who worked overtime infrequently (β=-.11, p=.002) or frequently (β=-.28, p<.001). The work-life balance level increased when nurses had better subjective health status (β=.16, p<.001) or higher sleep quality (β=.29, p<.001). It was verified that the work-life balance level was higher for single-person households than for households with two (β=-.18, p=.003), three to four (β=-.16, p=.022), or five or more (β=-.21, p<.001) persons. Conclusion: This study suggests that government and hospital organizations should provide high-quality care and consideration to nurses who do atypical or overtime work as well as their subjective health status and sleep quality. Further research should focus on the development of a policy that improves the work-life balance of nurses, especially for those who work during atypical hours.

Keywords

References

  1. Greenhaus JH, Collins KM, Shaw JD. The relation between work-family balance and quality of life. Journal of Vocational Behavior. 2003;63(3):510-531. https://doi.org/10.1016/S0001-8791(02)00042-8
  2. Sohn YM, Park CY. Influence of work-family related values on work-family conflict and facilitation: focused on married working woman. The Journal of the Korea Contents Association. 2015;15(7):203-215. https://doi.org/10.5392/JKCA.2015.15.07.203
  3. Yamaguchi Y, Inoue T, Harada H, Oike M. Job control, work-family balance and nurses' intention to leave their profession and organization: a comparative cross-sectional survey. International Journal of Nursing Studies. 2016;64:52-62. https://doi.org/10.1016/j.ijnurstu.2016.09.003
  4. Park C, Jeon E, Sohn Y, Shin K. Work-life balance policy and its application in Korea. Journal of Leisure Studies. 2016;14:1-22. https://doi.org/10.22879/slos.2016.14.4.1
  5. Park JM, Choi DL, Lee SH. The effect of work-family balance on job satisfaction: the mediating effect of family supportive organizational culture. The Journal of the Korea Contents Association. 2020;20(8):262-273. https://doi.org/10.5392/JKCA.2020.20.08.262
  6. OECD. Work-Life balance [Internet]. Paris: OECD; 2020 [cited 2022 May 09]. Available from: https://www.oecdbetterlifeindex.org/topics/work-life-balance/
  7. Ministry of Health & Welfare. The working environment and treatment improvement measures for nurses [Internet]. Seoul: Ministry of Health & Welfare; 2018 [cited 2022 July 24]. Available from: https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=344262
  8. Bang YE, Park B. The effects of nursing work environment and job stress on health problems of hospital nurses. Korean Journal of Occupational Health Nursing. 2016;25(3):227-237. https://doi.org/10.5807/kjohn.2016.25.3.227
  9. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabilitation Nursing. 2014;39(1):16-25. https://doi.org/10.1002/rnj.107
  10. Baek JH, Choi-Kwon S. Sleep patterns, alertness and fatigue of shift nurses according to circadian types. Journal of Korean Biological Nursing Science. 2017;19(3):198-205. https://doi.org/10.7586/jkbns.2017.19.3.198
  11. Choi E, Kim J. The association between work-life balance and health status among Korean workers. Work. 2017;58(4):509-517. http://doi.org/10.3233/WOR-172641
  12. Oh HK, Cho SH. Effects of nurses' shiftwork characteristics and aspects of private life on work-life conflict. PLoS One. 2020;15(12):e0242379. https://doi.org/doi: 10.1371/journal.pone.0242379
  13. Hong KJ. Effect of working time quality on the work-life imbalance of nurses. Journal of Korean Academy of Nursing Administration. 2020;26(1):11-21. https://doi.org/10.11111/jkana.2020.26.1.11
  14. Bjarntoft S, Hallman DM, Mathiassen SE, Larsson J, Jahncke H. Occupational and individual determinants of work-life balance among office workers with flexible work arrangements. International Journal of Environmental Research and Public Health. 2020;17(4):1418. https://doi.org/10.3390/ijerph17041418
  15. Jung MS, Kim HL, Lee YJ. Factors influencing work-life balance in Korean registered nurses.Korean Journal of Occupational Health Nursing. 2017;26(2):114-123. https://doi.org/10.5807/kjohn.2017.26.2.114
  16. Flo E, Pallesen S, Waage S, Bjorvatn B, Moen BE. Short rest periods between work shifts predict sleep and health problems in nurses at 1-year follow-up. Occupational and Environmental Medicine. 2014;71(8):555-561. https://dx.doi.org/10.1136/oemed-2013-102007
  17. Min A, Kang M, Hong HC. Sickness presenteeism in shift and non-shift nurses: using the fifth Korean working conditions survey. International Journal of Environmental Research and Public Health. 2021;18(6):3236. https://doi.org/10.3390/ijerph18063236
  18. Korea Labor Standards Act of 2021, Article 54, Chapter IV, Act no.18176. (May 18, 2021).
  19. Heun R, Burkart M, Maier W, Bech P. Internal and external validity of the WHO Well-Being Scale in the elderly general population. Acta Psychiatrica Scandinavica. 1999;99(3):171-8. https://doi.org/10.1111/j.1600-0447.1999.tb00973.x
  20. Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychotherapy and Psychosomatics. 2015;84(3):167-176. https://doi.org/10.1159/000376585
  21. Kim HJ, Moon YS, Son BK, Lee SK, Rho HJ, Kim DH. The utility of Korean version of the WHO Five Well-Being Index in evaluating depressive symptoms and quality of life in the aged dwelling in community. Journal of Korean Geriatric Psychiatry. 2010;14(2):90-96.
  22. Bae SH, Kim GY. The moderating effect of sleep quality on the relationship between working patterns and mental health among Korean older workers. Health and Social Welfare Review. 2019;39(4):11-40. https://doi.org/10.15709/hswr.2019.39.4.11
  23. Choi EY, Choi SH, Lee H. The association between job quality profiles and work-life balance among female employees in Korea: a latent profile analysis. International Journal of Environmental Research and Public Health. 2021;18(4):1672. https://doi.org/10.3390/ijerph18041672
  24. Stimpfel AW, Djukic M, Brewer CS, Kovner CT. Common predictors of nursereported quality of care and patient safety. Health Care Management Review. 2019;44(1):57-66. https://doi.org/10.1097/HMR.0000000000000155
  25. Min A, Yoon YS, Hong HC, Kim YM. Association between nurses' breaks, missed nursing care and patient safety in Korean hospitals. Journal of Nursing Management. 2020;28(8):2266-2274. https://doi.org/10.1111/jonm.12831
  26. van Veldhoven MJPM, Beijer SE. Workload, work-to-family conflict, and health: gender differences and the influence of private life context. Journal of Social Issues. 2012;68(4):665-683. https://doi.org/10.1111/j.1540-4560.2012.01770.x
  27. Gershuny J. Increasing paid work time? a new puzzle for multinational time-diary research. Social Indicators Research. 2011;101(2):207-213. https://doi.org/10.1007/s11205-010-9654-z
  28. Jung MR, Jeong E. Effect of professional quality of life and vitality on work-life balance of clinical nurses. Journal of the Korean society for Wellness. 2019;14(3):11-20. https://doi.org/10.21097/ksw.2019.08.14.3.11
  29. Nurumal MS, Makabe S, Jamaludin FIC, Yusof HFM, Aung KT, Kowitlawakul Y. Work-life balance among teaching hospital nurses in Malaysia. Global Journal of Health Science. 2017;9(9):81-89. https://doi.org/10.5539/gjhs.v9n9p81
  30. Kim JH, Choi EJ, Kim MS, Yu M, Jun JH, Kim YH. Study on the establishment of fixed night shifts and flexible work arrangements for nurses. Journal of Korean Clinical Nursing Research. 2019;25(2):107-119. https://doi.org/10.22650/JKCNR.2019.25.2.107
  31. Shin NM, Kim YH. Health promotion behaviors, subjective health status, and job satisfaction in shift work nurses based on type D personality pattern. Journal of Korean Academy of Nursing Administration. 2021;27(1):12-20. https://doi.org/10.11111/jkana.2021.27.1.12
  32. Kim JH, Kim MS, Kim YH. A comparison of standard shiftwork index between night shift fixed nurses and rotating shift nurses. Journal of Korean Clinical Nursing Research. 2017;23(1):54-63. https://doi.org/10.22650/JKCNR.2017.23.1.54
  33. Kim HN, Kim JS. Work-family compatibility experience of married nurse: focusing on the expanding stage of the family life cycle. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(2):545-559. https://doi.org/10.5762/KAIS.2016.17.2.545