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병원간호사의 직무 스트레스, 윤리적 딜레마 및 소진이 이직의도에 미치는 영향

Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses

기본간호학회지 2019년 26권 1호 p.42 ~ 51
최명이, 소향숙, 고은,
소속 상세정보
최명이 ( Choi Myoung-Lee ) - 전남대학교병원
소향숙 ( So Hyang-Sook ) - 전남대학교 간호대학
고은 ( Ko Eun ) - 국립순천대학교 생명산업과학대학 간호학과

Abstract


Purpose: The aim of this research was to identify the relationships between occupational stress, ethical dilemma, burnout and turnover intention and the factors influencing turnover intention in hospital nurses.

Methods: The participants, 215 nurses, were recruited from two university hospitals located in two provinces of Korea. Data were collected through self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 22.0.

Results: Participants’ scores for occupational stress, ethical dilemma, burnout and turnover intention were 3.96±0.45, 2.60±0.39, 3.71±0.70, and 3.50±0.90 respectively. The results show that the higher the score for occupational stress, ethical dilemma, and burnout the higher the score for turnover intention. The most important factor influencing turnover intention was burnout (β=.42, p<.001), followed by position (β=.21, p=.001), educational level (β=.21, p=.007), ethical dilemma (β=.13, p=.020) in that order. These factors explained 43.5% of total variance in turnover intention (F=19.34, p<.001).

Conclusion: Changes in hospital structural management systems and support strategies should be developed and operated, taking into account burnout, ethical dilemma, and personal characteristics of clinical nurses in order to reduce turnover.

키워드

간호사; 이직의도; 직무 스트레스; 윤리
Nurses; Employee turnover; Occupational stress; Ethics

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