The Effects of Work Sense, Job Stress, Job Satisfaction on Turnover Intention of Caregivers in Long-Term Care Hospitals

요양병원 간병인의 직업의식, 직무스트레스, 직무만족도가 이직의도에 미치는 영향

  • Hyeon-Suk Han (Graduate School of Public Health & Welfare, Daegu Haany University) ;
  • Wang-keun Yoo (Department of Health, Daegu Haany University) ;
  • Eun-Su Do (Department of Nursing, Daegu Health College)
  • 한현숙 (대구한의대학교 보건복지대학원 보건학과) ;
  • 유왕근 (대구한의대학교 보건학부) ;
  • 도은수 (대구보건대학교 간호학과)
  • Received : 2023.09.22
  • Accepted : 2023.12.04
  • Published : 2023.12.30

Abstract

Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

Keywords

References

  1. Statistical Office. 2022 Senior Citizen Statistics [cited 2022 Sep 29]. Available from http://www.kostat.go.kr.
  2. Lee, MR. Influence of Occupational Stress and Burnout on Turnover Intention of Caregivers in Geriatric Hospitals. The Korean Journal of Occupational Health Nursing 2012;21(3): 290-298. DOI: https://doi.org/10.5807/kjohn.2012.21.3.290
  3. 2015-2025 mid-to long-term manpower supply and demand revised outlook. Korea Employment Information Service [cited 2017 June 14]. Available from http://www.keis.or.kr.
  4. Improving working conditions for caregivers in nursing hospitals and medical institutions. Anti-Corruption and Civil Rights Commission [cited 2008 Feb 25]. Available from http://www.acrc.go.kr.
  5. Cavanagh SJ. Job satisfaction of nursing staff working in hospitals. Journal of Advanced Nursing 1992;17:704-711. https://doi.org/10.1111/j.1365-2648.1992.tb01968.x
  6. Park SB, Kang HY. Factors Influencing Turnover Intention in Geriatric Hospital Nurses. Journal of the Korea Entertainment Industry Association 2022;16(1):105-114. DOI: https://doi.org/10.21184/jkeia.2022.1.16.1.105
  7. Jang HJ. Factors to Affect Turnover Intention of Nursing Workers at Long-Term care Hospitals. Journal of the Korean Applied Science and Technology 2023;40(1):48-58. DOI: https://doi.org/10.12925/jkocs.2023.40.1.48
  8. Yoon NR, Kim LO. Nursing Assistants' Work-Life Balance on Turnover Intention: Mediating Effect of Job Satisfaction and Organizational Commitment. Health and Social Welfare Review 2021;41(4):295-312. DOI: https://doi.org/10.15709/hswr.2021.41.4.295
  9. Seon JY, Kim HJ. The Effect of Organizational Culture in Care facilities for The Elderly on Turnover Intention of Caregivers: Focusing on the Mediation Effect of Job Satisfaction. Korean Journal of Gerontological Social Welfare 2022;77(4):117-141. DOI: https://doi.org/10.21194/kjgsw.77.4.202212.117
  10. Suh YJ. Relationship between Occupation Consciousness and Job Stress of Caregivers Employed at Silver Hospitals and Their Intention to leave [master thesis]. Gwangiu: Chosun University;2011.
  11. Lee MR, Influence of Occupational Stress and Burnout on Turnover Intention of Caregivers in Geriatric Hospitals. Korean Journal of Occupational Nursing 2012;21(3):290-298. DOI: http://dx.doi.org/10.5807/kjohn.2012.21.3.290
  12. Choi MY. Factors to be affact in leaving their position for the Care Givers in Elder Care Unit[master thesis]. Chungnam: Chungnam National University;2009
  13. Wollack S, Goodale JG, Wijting JP, Smith PC. Development of the survey of work values. Journal of Applied Psychology 1971;55(4): 331-338. DOI: https://doi.org/10.1037/h0031531
  14. Clerk, EH. An Analysis of occupational stress factors as perceived by public school teachers [Doctoral Dissertation]. Alabama: Auburn University;1980.
  15. D'Arienzo RV. Stress in teaching: A comparison of perceived occupational stress factors between special education and regular classroom teachers[Doctoral Dissertation]. Ausburn: Ausburn University;1981.
  16. Jang MA. Impact of Job Stress on Care giving Service in the Long-Term Care Hospitals [master thesis]. Kyoungbuk: Daegu Haany University;2009.
  17. Lee KS. Study on Job-Satisfaction of Care Workers Working for Hospitals for the Elderly in Daegu [master thesis]. Daegu: Keimyung University; 2009
  18. Backer, TE. Foci and Bases of Commitment: Are They Distinctions worth Making?. The Academy of Management Journal 1992;35(1):232-244. https://doi.org/10.2307/256481
  19. Lim, HS. The Impact of Occupational Stress on Caregiver's Turnover : Moderating Effect of Social Support. Cultural Exchange and Multicultural Education 2023;12(2):417-438. DOI: https://www.earticle.net/Article/A429719 https://doi.org/10.30974/kaice.2023.12.2.18
  20. Park EJ, Kang MJ. A Study on the Effect of Social Worker's Job Stress on Turnover Intention and Work Exhaustion. The Journal of the Convergence on Culture Technology 2023;9(1): 205-211. DOI: https://doi.org/10.17703/JCCT.2023.9.1.205
  21. Kang, EH, Seo, IS. Relationship of Job Stress to Turnover Intention in Hospital Nurses of Rural Areas: Job Embeddedness as a Mediator. Journal of Korean Academy of Nursing Administration 2022;28(5):534-544. DOI: https:// doi.org/10.11111/jkana.2022.28.5.534
  22. Lee EH. A Study on Relationship beetwen Job stress and Job Satisfaction of Caretaker's : Base On Data gathered from Health Caretakers of Geriatric Hospitals [master thesis]. Seoul: Ewha Womans University;2004.
  23. Park HJ, Koo YJ. Effects of Nurses' Sexual Harassment Experiences in Hospitals, Self-Esteem and Job Satisfaction on Turnover Intention. The Journal of Fisheries and Marine Sciences Education 2023;35(2):387-400. DOI : https://doi.org/10.13000/JFMSE.2023.4.35.2.387
  24. Kim MR, Lee JW. The Effect of Hospital Workers' Job Satisfaction on Turnover Intention: Difference Between Regular and Irregular Workers. The Korean Journal of Health Service Management 2022;16(2):13-24. DOI: https://doi.org/10.12811/kshsm.2022.16.2.013
  25. Kim JH, Yoon JS, Cho MH. Analysis of Factors Related to Job Satisfaction and Turnover Intention of Medical Technologists. Journal of The Health Care and Life Science 2022;10(1):111-118. https://doi.org/10.22961/JHCLS.2022.10.1.111
  26. Lee MW, Lee SG, Choy YS. The Influence of Job Satisfation on Turnover Intention of Nurses in Geriatric Hospital. Korea journal of hospital management 2016;21(3):22-36.
  27. Jung, MH. (2010). A Study on Caretaker's Attitudes Toward the Elderly and Work Satisfaction-Base On Data gathered from Health Caretakers of Geriatric Hospitals-. Korean Academy of Practical Human Welfare 2010;4:199-218. DOI: https://db.koreascholar.com/Article/Detail/272851
  28. Kim MJ, Kim SH. Influences of Calling, Work Value, and Organizational Commitment on Turnover Intention in Nurses Employed at University Hospitals in a Region. The Korean Journal of Health Service Management 2016; 10(1):67-77. DOI:http://dx.doi.org/10.12811/kshsm.2016.10.1.067
  29. Lee JH. Effects of Professionalism and Job stress on Turnover intention in Care helpers [master thesis]. Seoul: HanYang University; 2011.
  30. Kang EJ. Job Consciousness and Service Satisfaction Among Care Assistants Working in Hospital [master thesis]. Gimhae: Inje University; 2006.
  31. Hamner WC. Smith FJ. Work attitudes as predictors of unionization activity. Journal of Applied Psychology 1979;63:414-421.
  32. Kim SH. The Mediating Effort of Vacational Consciousness on the Relationship between Job Stress and Turnover Intention in Long-Term Care Worker. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology 2019;9(8):569-576. DOI: http://dx.doi.org/10.35873/ajmahs.2019.9.8.050
  33. Yun AL. Labour Protections for Care Workers in Triangular Employment Relationship. Journal of Labour Law 2023;0(48):279-315.
  34. Survey on the use of caregiver brokerage services - Focusing on services used by individual caregivers -Korean Consumer Agency [cited 2022 Sep 22]. Available from http://www.kca. go.kr.
  35. Kwak CY, Kim SJ, Kang KA, Yim ES. A Study on the Status and Problems of Formal Caregiving System by Hospitals in South Korea. Journal of the Korean Data Analysis Society 2013;15(2):827-839.