일 상급종합병원 간호사의 경력단계별 간호사 직장 삶의 질 영향요인 = Influences of Organizational Culture, Nursing Workplace Spirituality, and Nurses’ Perceived Health Status on Quality of Nursing Work Life according to Nursing Clinical Ladder

국문 초록 (Abstract)

연구목적: 본 연구는 일개 상급종합병원 경력단계별 간호사의 조직문화, 간호일터영성, 지각된 건강상태가 직장 삶의 질에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 연구방법: 본 연구의 대상은 전체 352명으로 초보자 단계(1년 이하), 상급초보자 단계(2-3년), 유능한 단계(4-6년), 숙련단계(7년 이상)의 4그룹으로 나누어 2023년 2월 7일부터 2월 16일까지 자가 보고형 설문지를 이용하여 수집되었다. 수집된 자료는 IBM SPSS 25.0 프로그램을 사용하여 기술 통계량, t-검정, ANOVA, Scheffé test, Pearson’s correlation coefficients, Multiple regression 방법으로 분석하였다. 연구결과: 혁신지향문화, 간호일터영성, 지각된 건강 상태는 직장 삶의 질과 통계적으로 유의한 상관관계가 확인되었다. 모든 경력단계에서 간호일터영성과 지각된 건강상태는 직장 삶의 질에 영향을 미치는 요인이었으며, 혁신지향문화는 숙련단계를 제외한 초보자 단계, 상급초보자 단계, 유능한 단계에서 간호사 직장 삶의 질의 영향요인이었다. 결론: 간호사 직장 삶의 질 향상을 위해서는 경력단계별 간호사들의 특성을 반영한 실제적인 프로그램의 개발과 적용이 필요하다.

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to examine the influence of nursing organizational culture, nursing workplace spirituality, and nurses’ perceived health status on quality of nursing work life according to nursing clinical ladder at a tertiary hospital. Methods: Participants were nurses working at a tertiary hospital in D city, and a total of 352 participants were recruited according to four stages of clinical experience: novice stage (below 1 year), advanced beginner stage (2~3 years), competent stage (4~6 years), and proficiency stage (above 7 years). Data were collected from February 7-February 16, and analyzed using descriptive statistics, one-way ANOVA, Scheffe test, and Multiple regression.
Results: There was statistically significant correlation between innovation-oriented nursing organizational culture, nursing workplace spirituality, nurses’ perceived health status and quality of nursing work life. In all clinical ladder stages, nursing work spirituality and nurses’ perceived health status were factors influencing the quality of nursing work life; innovation-oriented nursing organizational culture was an influencing factor in the novice, advanced beginner, and competent stage, but not the proficient stage. Conclusion: To improve the quality of nursing work life, it is necessary to develop and apply practical programs that reflect nurses’ characteristics at each clinical ladder stage.

참고문헌 (Reference)

• 1 한주희 ; 유은광, "The study of preceptor nurses' occupational stress and burden" 26 (26): 38-45, 2018
• 2 임정민 ; 김종경, "The influence of nursing workplace spirituality and resilience of hospital nurses on professional quality of life" 20 (20): 487-498, 2020
• 3 손정은 ; 김상희, "The influence of job stress, self-esteem, and resilience on the field adaptation in newly graduated nurses" 3 : 151-260, 2019
• 4 권민정 ; 성경미, "The experiences of overcoming turnover intention among experienced nurses" 29 (29): 32-44, 2023
• 5 Ahn SE, "The effect of nursing organizational culture, organizational health and social support on quality of work life perceived by nurses at small-and medium-sized hospitals" Konyang University 2022
• 6 이연복 ; 이혜경, "The convergence factors of nursing organizational culture on the nurses' professional quality of life" 9 (9): 491-500, 2018
• 7 Mercan Y, "The association between burnout of healthcare employees and quality of worklife in Northwestern Turkey" 1-10, 2023
• 8 김미현 ; 박남희, "The Importance, Performance and Educational Needs of Nurses in Health Promotion Behaviors" 11 (11): 156-165, 2021
• 9 김미지 ; 류은정, "Structural equation modeling of quality of work life in clinical nurses based on the culture-work-health model" 45 (45): 879-889, 2015
• 10 진주현 ; 이은주, "Structural equation model of the quality of working life among cancer survivors returning to work" 15 (15): 37-46, 2021
• 11 서임선 ; 용진선 ; 박준양 ; 김주후, "Spiritual and psychosocial effects of the spirituality promotion program on clinical nurses" 44 (44): 726-734, 2014
• 12 Navales JV, "Relationship between quality of nursing work life and uniformed nurses' attitudes and practices related to COVID-19 in the Philippines : A cross-sectional study" 18 (18): 9953-, 2021
• 13 김인숙 ; 최형심 ; 임영이 ; 원선애 ; 김정우 ; 이상아, "Quality of nursing work life scale-Korean : validity and reliability" 28 (28): 646-658, 2016
• 14 Ministry of Health and Welfare (KR), "Press release: Current status of health care in Korea as seen by OECD Health Statistics 2022" Ministry of Health and Welfare
• 15 이민희 ; 권수혜, "Mediating effect of organizational commitment on the relationship between nurses' clinical characters and retention intention of the small and medium-sized hospital nurses" 28 (28): 110-120, 2022
• 16 김혜진 ; 김희정, "Influences of nursing workplace spirituality, organizational citizenship behavior, and perception of patient safety management on the patient safety nursing activities among a tertiary hospital nurses" 28 (28): 179-189, 2021
• 17 Yang K, "Impact of empowering leadership on workplace Spirituality Mediating Role of psychological ownership" Konkuk University 2023
• 18 Hwang EH, "Factors affecting the quality of work life of nurses at tertiary general hospitals in the context of the COVID-19pandemic" 19 (19): 4718-4731, 2022
• 19 Jin JH, "Factors affecting quality of work life in a sample of cancer survivor female nurses" 56 (56): 721-736, 2020
• 20 김은경 ; 정면숙 ; 김종경 ; 유선주, "Factors affecting new graduate nurses' intention on retention in hospitals : Focused on nursing organizational culture, empowering leadership and organizational socialization" 26 (26): 31-41, 2020
• 21 권혜숙 ; 하영미, "Effects of positive psychological capital, social support and head nurses' authentic leadership on organizational commitment of nurses at the advanced beginner stage" 26 (26): 284-293, 2020
• 22 권기연 ; 오복자, "Effects of nursing workplace spirituality and self-efficacy on the patient safety management activities of nurses" 25 (25): 106-114, 2019
• 23 석정원 ; 고명숙, "Development of nursing workplace spirituality instrument : confirmatory factor analysis" 22 (22): 99-108, 2016
• 24 Brooks BA, "Defining quality of nursing work life" 23 (23): 319-326, 2005
• 25 황은희, "Comparison of resilience between novice and experienced nurses" 19 (19): 530-539, 2018
• 26 심원희 ; 박지선 ; 임효민 ; 김은혜 ; 김진현, "Application and evaluation of the pilot program for the education nurse system in a medical institution" 28 (28): 242-250, 2022
• 27 Hospital nurses association(KR), "A survey on hospital nursing staffing (2022). Business report for Hospital Nurses Association" Hospital Nurses Association 2023
• 28 Han SJ, "A study on the relationship between nursing organizational culture and organizational performance" 8 (8): 441-456, 2002
• 29 Jang KS, "A study on establishment of clinical career development model of nurses" Yonsei University 2000
• 30 Lee JY, "A structural model for health promotion behavior and the quality of life of patients with ischemic heart disease" 362-362, 2005
• 31 Lawton MP, "A research and service oriented multilevel assessment instrument" 37 (37): 91-99, 1982
• 32 오희 ; 이나경, "A phenomenological study of the lived experience of nurses caring for patients with COVID-19 in Korea" 51 (51): 561-572, 2021