[논문]임상간호사의 직무스트레스, 직장가정 갈등, 소진이 우울에 미치는 영향

이은숙; 강희순

doi:10.14400/jdc.2019.17.8.237

임상간호사의 직무스트레스, 직장가정 갈등, 소진이 우울에 미치는 영향
The Effects of Clinical Nurses' Job Stress, Work-family Conflicts & Burnout on Depression 원문보기

디지털융복합연구 = Journal of digital convergence, v.17 no.8, 2019년, pp.237 - 248

초록
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본 연구의 목적은 임상간호사의 직무스트레스, 직장가정 갈등 및 소진이 우울에 미치는 영향을 알아보고자 하였다. 분석방법은 기술통계, t-test, one way ANOVA, Pearson's Correlation Coefficient, Stepwise multiple regression analysis를 이용하였다. 연구결과로는 간호사의 직무스트레스는 중간보다 높은 정도였고, 직장가정 갈등은 중간 정도, 소진은 중간 이하였고, 우울은 가벼운 우울 정도였다. 직무스트레스가 높고, 직장가정 갈등이 높고, 소진이 높을수록 우울이 높은 것으로 나타났다. 간호사의 우울에 영향을 미치는 요인으로는 직장가정 갈등이 가장 큰 것으로 나타났고, 다음으로 소진이 영향을 미치는 것으로 나타났다. 따라서 임상간호사의 우울을 예방하고 삶의 질을 향상시키기 위하여 직장가정 갈등 해소를 위한 직무스트레스 및 소진을 예방할 수 있는 프로그램 개발이 필요하다.

Abstract ▼ AI-Helper

The purpose of this study was to investigate the effects of clinical nurses' job stress, work-family conflicts, and burnout on their depression. Data was analyzed using descriptive statistics, t-test, one way ANOVA, Pearson's Correlation Coefficient and Stepwise multiple regression analysis. The results of this study shows that the job stress of the nurses was higher than average, the work-family conflicts was moderate, burnout was less than moderate, and depression was mild. The higher the job stress, the higher the conflict between workplace and family, the higher the burnout, and the higher the depression was. The main factor impacting upon the mental health of nurses was work-family conflicts followed by burnout. Therefore, it is necessary to develop a program that can prevent job stress and resolve burnout and support work-family conflicts to prevent depression of clinical nurses and to improve quality of life.

주제어

표/그림 (5)

표 Table 1. General Characteristics of Participants
표 Table 2. Level of Job stress, Work-family conflict, Burnout and Depression
표 Table 3. Differences of Job stress, Work-family conflict, Burnout and Depression according to Characteristics of Participants
표 Table 4. Correlations among Variables
표 Table 5. Factors Predicting Nurses’ Depression

AI 본문요약
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문제 정의

A total of 300 copies of questionnaire sheets were distributed, but a total of 272 copies were used for final data analysis, excluding those questionnaire sheets with poor responses. The data were collected by conducting self-report questionnaire surveys after calling or visiting the nursing departments of the medical institutions to which the subjects belonged to explain the purpose of the study and get approval for cooperation. After explaining the purpose of this study and the ethical protection of study subjects, the questionnaire sheets were given for completion only to those nurses who voluntarily agreed to participate in the study and submitted written consent.
The purpose of this study is to figure out the level of depression of clinical nurses and to explore factors that affect depression. The concrete objectives of this study are as follows.
Fourth, identify the effects of clinical nurses' job stress, work-family conflicts, and burnout on their depression. This study is a descriptive correlation study to identify the level of depression of clinical nurses and figure out the effects of their job stress, work-family conflict, and burnout on their depression.

제안 방법

In this study, job stress was measured using the scale made by[20] based on the tool developed by[21] through modification and supplementation. The job stress tool is composed of a total of 23 items in six areas comprising excessive workloads (5 items), professional role conflict (5 items), lack of expertise and skills (3 items), interpersonal problems (5 items), inappropriate treatment and compensation (4 items), and night duty (1 item).
0 program. The general characteristics of the subjects and the degree of the variables were used frequency, percentage, mean and standard deviation. Differences in job stress, work-family conflict, burnout, and depression according to general characteristics were analyzed by t-test and one-way ANOVA.
In this study, job stress was measured using the scale made by[20] based on the tool developed by[21] through modification and supplementation. The job stress tool is composed of a total of 23 items in six areas comprising excessive workloads (5 items), professional role conflict (5 items), lack of expertise and skills (3 items), interpersonal problems (5 items), inappropriate treatment and compensation (4 items), and night duty (1 item). Each item was answered with a 5-point scale in which higher scores mean higher levels of job stress.
Third, figure out the correlations between clinical nurses' job stress, work-family conflicts, and burnout and their depression.
This study was conducted to figure out the level of nurses' depression and the relationship between nurses' depression and their job stress, work-family conflict, and burnout in order to use the results as basic data for development of intervention programs effective on nurses' depression.

대상 데이터

The subjects of this study were 272 nurses working at five medical institutions located in Jeonnam, who understood the purpose of the study and agreed to participate in the study.

데이터처리

The general characteristics of the subjects and the degree of the variables were used frequency, percentage, mean and standard deviation. Differences in job stress, work-family conflict, burnout, and depression according to general characteristics were analyzed by t-test and one-way ANOVA. Sheffe test was used for post-test.
Sheffe test was used for post-test. Pearson Correlation Coefficient was used to identify the relationship between job stress, workplace family conflict, burnout, and depression, and hierarchical regression analysis was conducted to examine the effect of job stress, workplace family conflict, burnout on depression.

이론/모형

Depression was measured using the Korean version of the depression screening tool made by[20] translating PHQ-9(Patient Health Questionnaire-9), which is a major depressive disorder diagnostic tool validated by[27] and proving the reliability and validity. This tool is composed of a total of 9 items.
Differences in job stress, work-family conflict, burnout, and depression according to general characteristics were analyzed by t-test and one-way ANOVA. Sheffe test was used for post-test. Pearson Correlation Coefficient was used to identify the relationship between job stress, workplace family conflict, burnout, and depression, and hierarchical regression analysis was conducted to examine the effect of job stress, workplace family conflict, burnout on depression.
The burnout was measured using a tool named MBI(Maslach Burnout Inventory) developed by[24, 25]. The MBI is composed of a total of 22 items for three sub-factors, which are emotional burnout comprising 9 items, dehumanization comprising 5 items, and declines of the sense of accomplishment comprising 8 items.

성능/효과

001). Differences between groups were examined and the results indicated that the level of burnout was higher among general nurses compared to chief nurses, in the group of nurses with total clinical careers not longer than 10 years compared to the group of nurses with clinical careers not shorter than 20 years, among unmarried nurses compared to married nurses, in the group of nurses dissatisfied with their job compared to the group of neutral nurses, and in the group of neutral nurses compared to nurses satisfied with their job. Depression was significantly different according to current positions(t=2.
Depression was significantly different according to current positions, marital status, and job satisfaction. Differences between groups were examined and the results indicated that the level of depression was higher among general nurses compared to chief nurses, among unmarried nurses compared to married nurses, in the group of nurses dissatisfied with their job compared to the group of neutral nurses, and in the group of neutral nurses compared to nurses satisfied with their job. Although these results are contrary to the results of a previous study[28] in which age, monthly pays, and forms of employment were shown to be factors that affect depression, they are consistent with most previous studies in terms of marital status and positions that were shown to be associated with high levels of depression[33-35].
001). Differences between groups were examined and the results indicated that the level of depression was higher general nurses compared to chief nurses, among unmarried nurses compared to married nurses, in the group of nurses dissatisfied with their job compared to the group of neutral nurses, and in the group of neutral nurses compared to nurses satisfied with their job.
004). Differences between groups were examined and the results indicated that the level of stress was higher in the group of nurses aged at least 31 years compared to the group of nurses aged 25 years or less, among chief nurses compared to general nurses, in the group of nurses with at least 11 years of clinical career compared to the group of nurses with clinical careers not exceeding two years, among married nurses compared to unmarried nurses, and in the group of nurses dissatisfied with their job compared to the group of nurses satisfied with their job. The work-family conflicts were significantly different according to ages (F = 4.
001). Differences between groups were examined and the results indicated that the level of work-family conflicts was higher in the group of nurses aged at 31-40 years compared to the group of nurses aged 25 years or less, among chief nurses compared to general nurses, among married nurses compared to general nurses, and in the group of nurses dissatisfied with their job compared to the group of nurses satisfied with their job or neutral nurses. burnout was significantly different according to current positions(t=3.
The work-family conflicts were significantly different according to ages, current positions, marital status, and job satisfaction. Differences between groups were examined and the results indicated that the level of work-family conflicts was higher in the group of older nurses, among chief nurses compared to general nurses, among married nurses, and in the group of nurses dissatisfied with their job.
However, this study can be regarded to be meaningful in that it showed that more than half of the nurses had depression symptoms indicating that active intervention in nurses' depression is necessary and that it identified work-family conflicts and burnout as important variables that affect nurses depression.
In this study, the mean depression score of the target nurses was 6.72 ± 4.15 points (full score; 27 points), indicating that the overall level of depression was mild depression and at least a half of the target nurses were shown to have depression symptoms.
The correlations between nurses' job stress, work-family conflicts, burnout, and depression were examined and the results indicated that the higher the levels of job stress, work-family conflicts, and burnout, the higher the level of depression, that the higher the levels of job stress and work-family conflicts, the higher the level of burnout, and that the higher the level of job stress, the higher the level of work-family conflicts.

저자의 다른 논문 :

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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