간호·간병통합서비스 병동 간호사의 역할갈등, 간호전문직관, 간호근무환경이 직무만족에 미치는 영향

Abstract

Purpose This descriptive survey study aimed to identify factors that affect job satisfaction of nurses working in integrated nursing care service wards and explore measures to increase their job satisfaction.

Method Between July 20 and August 3, 2018, data were collected from nurses working in integrated nursing care service wards at different general hospitals with 300 or more beds in B and C city. A total of 158 nurses responded to the survey, which included instruments to assess job satisfaction, role conflict, nursing professionalism, and nursing work environment. Collected data were analyzed with SPSS/WIN statistical software, version 23.0, using descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression analysis.

Result 1. With regards to job satisfaction according to general characteristics, significant differences were found within marital status (t=-2.68, p=.008) and monthly income (t=3.08, p=.029). 2. Job satisfaction of nurses working in integrated nursing care service wards showed significant positive correlations with the following subdomaines of nursing professionalism: professional self-concept (r=.65, p<.001), social recognition (r=.55, p<.001), nursing specialty (r=.58, p<.001), and attributes of nursing practice (r=.58, p<.001)). Nurses’ job satisfaction had also significant positive correlations with all subdomaines of nursing work environment: nursing participation in hospital affairs (r=.43, p<.001), nursing foundations for quality care (r=.55, p<.001), nurse manager’s ability, leadership and support for nurses (r=.42, p<.001)), staffing and resource adequacy (r=.35, p<.001), and collegial nurse-physician relationships (r=.25, p<.001). 3. Factors affecting job satisfaction of nurses working in integrated nursing care service wards were identified: professional self-concept (β=.32, p=.003), which is a subdomain of nursing professionalism, and nursing foundations for quality care (β=.30, p=.001), which is a subdomain of nursing work environment. The model had an explanatory power of 54.7%.

Conclusion In this study, professional self-concept, which is a subdomain of nursing professionalism, and nursing foundations for quality care, which is a subdomain of nursing work environment, were identified as the major factors that affect nurses’ job satisfaction at integrated nursing care service wards. Based on these findings, nursing professionalism should be strongly established among nurses, as they are key players in a system that allows stable and expanded operations of integrated nursing care service systems. Intervention measures used to create a better work environment for nurses should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts to increase nurses’ job satisfaction at integrated nursing care service wards.