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상급종합병원 간호·간병통합서비스병동과 일반병동 간호사의 시점별 직무만족도 및 삶의 질 비교연구

A Comparative Study on the Nurses Job Satisfaction and Quality of Life in Integrated Nursing Care Service and General Wards in a Tertiary Hospital

  • 하유미 (강북삼성병원 간호본부) ;
  • 하은호 (중원대학교 간호학과) ;
  • 김지희 (강북삼성병원 간호본부) ;
  • 김효주 (강북삼성병원 간호본부)
  • Ha, Yu-Mi (Department of Nursing, Kangbuk Samsung Hospital) ;
  • Ha, Eun-Ho (Department of Nursing, Jungwon University) ;
  • Kim, Ji-Hee (Department of Nursing, Kangbuk Samsung Hospital) ;
  • Kim, Hyo-Ju (Department of Nursing, Kangbuk Samsung Hospital)
  • 투고 : 2022.02.10
  • 심사 : 2022.04.20
  • 발행 : 2022.04.28

초록

본 연구는 간호·간병통합서비스병동(INCSW) 및 일반병동(GW) 간호사들의 직무만족도와 삶의 질을 비교, 분석하여 간호·간병통합서비스 제도를 도입한 의료기관의 간호 질 향상과 고품질의 간호환경조성을 위한 기초자료를 제공하고자 시도되었다. K 병원 INCSW와 GW에서 근무하는 간호사 88명 대상으로 총 3회에 걸쳐 6개월 동안 추적 조사하였다. 연구결과 INCSW와 GW는 6개월 동안 직무만족도에 유의미한 차이가 없는 반면, 삶의 질은 '전반적인 삶의 질'(1차 p=.033, 2차 p=.030)과 '전반적인 건강상태'(1차 p=.049) 항목에서 유의미한 차이가 있었다. 직무만족도 차수별 비교에서는 '조직별 인정 및 전문적 성취'(2/3차 p=.037)와 '존중과 인정의 인간관계'(1/3차 p=.005, 2/3차 p=.006) 항목에서 통계적으로 유의미한 차이가 있었다. INCSW의 삶의 질을 차수별로 비교한 결과 '전반적 삶의 질' 항목의 통계적으로 유의한 차이가 있었다(1/3차 p=.025, 2/3차 p=.010). 본 연구 결과를 토대로 간호 인력의 숙련도와 환자 요구도를 반영한 인력배치, 배치 전 직무 교육 및 조직문화 개선 등의 기간별 다양한 간호중재전략을 개발한다면 INCSW와 GW 간호사 직무만족도와 삶의 질 향상에 도움이 될 것이다.

The purpose of this study was to investigate the job satisfaction and quality of life of nurses in a integrated nursing care service ward (INCSW) and a general ward (GW). A total of 88 nurses working in INCSW and GW were invited and followed up for 6 months over 3 times. There was no significant difference in job satisfaction between INCSW and GW for 6 months, while there was a difference in quality of life: overall quality of life (1st p=.033, 2nd p=.030), and overall general health (1st p=.049). Comparison of two groups by period in job satisfaction, there were statistically significant differences of the item 'recognition from the organization and professional achievement' (2nd versus 3rd, p=.037) and 'interpersonal interaction with respect and recognition' (1st versus 3rd, p=.005; 2nd versus 3rd, p=.006) in the INCSW. Comparison of two groups by period in quality of life, there was a statistically significant difference of the item 'overall quality of life' (1st versus 3rd, p=.025; 2nd versus 3rd, p=.010) in the INCSW. Development of various nursing strategies (such as manpower arrangement that reflects the nursing skill levels, patient needs, job training and organizational culture before placement) can be helpful for improving nurses job satisfaction and quality of life in INCSW and GW.

키워드

참고문헌

  1. S. M. Jung & S. H. Yoon. (2017). Comparative analysis research of inpatient satisfaction with nursing on comprehensive nursing service units & general units and nurses' work stress. Journal of Korean Academy of Nursing Administration, 23(3), 229-238. DOI : 10.11111/jkana.2017.23.3.229
  2. D. Y. Park & H. S. You. (2020). Factors influencing role conflict and resilience of nursing performance of nurses in comprehensive nursing care service units. Journal of Korea Society for Wellness, 15(2), 51-60. DOI : 10.21097/ksw.2020.05.15.2.51
  3. J. H. Kim, S. J. Kim, E. T. Park, S. Y. Jeong & E. H. Lee. (2017). Policy issues and new direction for comprehensive nursing service in the national health insurance. Journal of Korean Academy of Nursing Administration, 12(3), 312-322. DOI : 10.11111/jkana.2017.23.3.312
  4. National Health Insurance Service. (2020). Standard operation manual for integrated nursing service. [Brochure]. National Health Insurance Service.
  5. Y. A. Jung & K. M. Sung. (2018). A comparison of patients' nursing service satisfaction, hospital commitment and revisit intention between general care unit and comprehensive nursing care unit. Journal of Korean Academy of Nursing Administration, 24(1), 30-39. DOI : 10.11111/jkana.2018.24.1.30
  6. H. S. Yoon, J. Y. Lim & M. J. Kang. (2017). Comparison of expectation-perception between patient and nurse on nursing care service in comprehensive nursing care wards. The Journal of the Korea Contents Association, 17(3), 507-522. DOI : 10.5392/JKCA.2017.17.03.507
  7. Y. N. Lee, J. H. Kim, G. G & P. R. Kang. (2021). Exploring the subjective frame of patient satisfaction among patients admitted to the comprehensive nursing care service: Q methodology application. Journal of Korean Academy of Nursing Administration, 27(5), 323-333. DOI : 10.11111/jkana.2021.27.5.323
  8. J. H. Park & M. H. Lee. (2017). Effects of nursing and care giving integrated service on nursing work performance, nurses' Job satisfaction and patient safety. Journal of Korean Academic Society of Home Health Care Nursing, 24(1), 14-22. DOI : 10.22705/jkashcn.2017.24.1.014
  9. H. K. Moon, D. N. Oh & H. Y. Lee. (2018). A systematic study on nursing-related variables of comprehensive nursing care. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 8(12), 503-511. DOI : 10.21742/AJMAHS.2018.12.04
  10. H. J. Choi. (2019). The analysis of trends in domestic nursing research on integrated nursing care service. Journal of Korean Academy of Nursing Administration, 25(5), 510-525. DOI : 10.11111/jkana.2019.25.5.510
  11. G. W. Jo & E. A. Kim. (2018). The influence of role conflict, role ambiguity, nursing workload and job satisfaction on turnover intention of comprehensive nursing care unit nurses. Journal of The Korean Data Analysis Society, 20(5), 2649-2663. DOI : 10.37727/jkdas.2018.20.5.2649
  12. J. M. Kim & Y. M. Lee. (2019). Factors influencing job satisfaction among nurses in integrated nursing care service wards. The Korean Society of Health Service Management, 13(3), 53-65. DOI : 10.12811/kshsm.2019.13.3.053
  13. A. S. Ahn & J. Y. Ha. (2019). Nurse's job satisfaction working at the nursing caring integrated service wards. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology, 9(4), 369-378. DOI : 10.21742/AJMAHS.2019.04.36
  14. K. H. Chun, J. H. Choi, Y. L. Kim, S. O. Lee, C. H. Chang & S. S. Kim. (2017). The effects of both shift work and non-shift work nurses' empathy on life and job satisfaction. The Journal of the Korea Contents Association, 17(3), 261-273. DOI : 10.5392/JKCA.2017.17.03.261
  15. K. A. Kim. (2019). Relationship between job datisfaction, and turnover intention and quality of life in small and medium hospital's nurses. Journal of the Korea Academia-Industrial cooperation Society, 20(12), 678-688. DOI : 10.5762/KAIS.2019.20.12.678
  16. M. S. Park & Y. S. Yoo. (2005). Burden, job satisfaction and quality of life of nurses caring for cancer patients. Korean journal of hospice and palliative care, 8(1), 8-17.
  17. H. K. Kim & H. J. Yu. (2004). Development of 'quality of life' scale for korean adults. Andragogy Today: International Journal of Adult & Continuing Education, 7(3), 65-101
  18. S. J. Bae & M. H. Sung. (2016). Effects of perception of death and spiritual well-being on quality of life among nurses in emergency room. Journal of East-West nursing research, 22(2), 129-137. https://doi.org/10.14370/JEWNR.2016.22.2.129
  19. L. E. Lee & N, H, Kim. (2012). Relationship among nurses' attitude on job rotation, job stress and organizational commitment. Korean Journal of Occupational Health Nursing, 21(2), 154-163. DOI : 10.5807/kjohn.2012.21.2.154
  20. K. L. Lee, E. J. Kwon, W. H. Shim, E. J. Choi, Y. S. Choo & M. H. Ko. (2021). Hospital Nurses Association. Status survey of hospital nursing personnel deployment, Seoul : Hospital Nurses Association
  21. Y. O. Lee & M. S. Kwon. (2004). A study on nurses' perception of job rotation and an organizational commitment. Korean academy of nursing administratio, 10(4), 459-472.
  22. F. Faul, E. Erdfelder, A. Buchner & A. G. Lang. (2009). Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. DOI : 10.3758/BRM.41.4.1149
  23. P. C. Austin, A. Y. X. Yu, M. V. Vyas & M. K. Kapral. (2021). Applying propensity score methods in clinical research in neurology. Neurology, 97(18), 856-863. DOI : 10.1212/WNL.0000000000012777.
  24. B. S. Lee, Y. S. Eo & M. A. Lee. (2018). Development of job satisfaction scale for clinical nurses. Journal of Korean Academy of Nursing Administration, 48(1), 12-25. DOI : 10.4040/jkan.2018.48.1.12
  25. S. K. Min, C. I. Lee, K. I. Kim, S. Y. Suh & D. K. Kim. (2000). Development of korean version of WHO quality of life scale abbreviated version(WHOQOL-BREF). Journal of Korea Neuropsychiatric Association, 39(3), 571-579.
  26. J. M. Kim & J. S. Park. (2021). Development and evaluation of a healthcare empowerment program for patients with temporary ileostomy. Korean Journal of Adult Nursing, 33(6), 616-629. DOI : 10.7475/kjan.2021.33.6.616
  27. O. S. Shim & H. J. Lee. (2017). A comparative study on the job satisfaction, nursing professionalism and nursing work environment of nurses in comprehensive nursing care service wards and nurses in general wards. Journal of Convergence for Information Technology, 7(6), 25-33. DOI : 10.22156/CS4SMB.2017.7.6.025
  28. M. S. Kim, G. J. Kim & O. K. Kim. (2020). Job satisfaction, job stress, and nursing performance of comprehensive nursing care service ward nurses and general ward nurses. Journal of the Korea Convergence Society, 11(8), 77-87. DOI : 10.15207/JKCS.2020.11.8.077
  29. Y. R. Yeun. (2015). Effects of comprehensive nursing service on the nursing performance, job satisfaction and customer orientation among nurses. Journal of the Korea Academia Industrial cooperation Society, 16(1), 317-323. DOI : 10.5762/KAIS.2015.16.1.317
  30. N. S. Lee & M. S. Koh. (2015). Comparative study for the clinical nurses work satisfaction, job stress and turnover intention-in general ward, comprehensive nursing care service ward, and Anshim unit. Journal of the Korea Academia-Industrial cooperation Society, 16(1), 516-526. DOI : 10.5762/KAIS.2015.16.1.516
  31. H. Alhawatmeh, R. Alsholol, H. Aldelky, N. Al-Ali & R. Albataineh. (2021). Mediating role of resilience on the relationship between stress and quality of life among Jordanian registered nurses during COVID-19 pandemic. Heliyon, 7(11), e08378. DOI : 10.1016/j.heliyon.2021.e08378
  32. J. Choi & Y. R. Kweon. (2018). Comparison of Nurses's Fatigue, Sleep Quality and Interpersonal Relationship Stress between Comprehensive Nursing Care Service Wards and General Wards. Journal of Korean Public Health Nursing, 32(3), 438-450. https://doi.org/10.5932/JKPHN.2018.32.3.438
  33. S. E. Kim & J. Y. Han. (2017). Clinical nurses' job stress, emotional labor, nursing performance, and burnout in comprehensive nursing care service wards and general wards. Journal of Korean Academy of Nursing Administrations, 23(3), 336-345. https://doi.org/10.11111/jkana.2017.23.3.336
  34. J. H. Hong, M. S. Kim, E. Y. Suh, S. W. Cho & S. Y. Jang. (2021). Comparison of Fatigue, Quality of Life, Turnover Intention, and Safety Incident Frequency between 2-Shift and 3-Shift Korean Nurses. International of Environmental Research and Public Health, 18(15), 7953. DOI : 10.3390/ijerph18157953