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수술실 환자안전문화가 수술실 간호사의 소진에 미치는 영향

Effects of Patient Safety Culture on Nurse Burnout in the Operating Room

스트레스연구 2020년 28권 3호 p.118 ~ 124
이예솔, 고진강,
소속 상세정보
이예솔 ( Lee Ye-Sol ) - Seoul National University College of Nursing
고진강 ( Koh Chin-Kang ) - Seoul National University College of Nursing Research Institute of Nursing Science

Abstract

수술실 간호사가 인식한 환자안전문화가 소진에 미치는 영향을 탐구한 연구로 서울의 일개 병원 수술실 간호사 122명을 대상으로 Safety Attitude Questionnaire와 Maslach Burnout Inventory를 통하여 환자안전문화와 소진을 측정하였다. 다중회귀분석 결과, 정서적 고갈에 영향을 미치는 환자안전문화는 직 무만족도(β=?.524, p=.000)와 근무환경(β=?.282, p=.015)이었다. 비인격화에는 근무환경(β=?.323, p=.009)이, 개인적 성취감 부족에는 직무만족도(β=?.250, p=.004)와 근무기간(β=?.397, p=.001)이 영향 요인이었다. 따라서 수술실 간호사 소진의 감소를 위해서는 수술실 근무환경을 개선하고 직무만족도 를 증진시키는 것이 필요하다.

Background: The occurrence of nurse burnout, which could affect the quality of nursing, largely depends on the characteristics of a hospital department. An operating room (OR) environment comes with a high possibility of nurses committing errors, and OR nurses respect the value of patient safety and perform their safety management duties as needed. Although patient safety culture in an OR might affect OR nurse burnout, there is insufficient evidence to show such an association.

Methods: This cross-sectional study was conducted in a hospital in Seoul, South Korea in 2019. One-hundred and twenty-two OR nurses completed the Safety Attitude Questionnaire Korean version 2 and Maslach Burnout Inventory that measured perceived levels of patient safety culture and burnout, respectively.

Results: Correlation analyses found that lower burnout was significantly associated with better patient safety culture. Through a multiple regression, the predictors of emotional exhaustion in patient safety culture identified were job satisfaction (β=?.524, p=.000) and working conditions (β=?.282, p=.015). Working conditions predicted depersonalization (β=?.323, p=.009), while job satisfaction predicted lack of personal accomplishment (β=?.250, p=.004). Meanwhile, years in the unit (β=?.397, p=.001) predicted lack of personal accomplishment.

Conclusions: These results suggest an important role for two dimensions of patient safety culture in mitigating burnout among OR nurses. It would be effective to improve working conditions in ORs by reducing the nurse-patient ratio, and to enhance job satisfaction among OR nurses by securing resources introduced by the conservation of resources theory.

키워드

환자안전문화; 소진; 간호사; 수수실; 직무만족도
Patient safety; Burnout; Nurses; Operating rooms; Job satisfaction

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