COVID-19 팬데믹 상황에서 임상간호사의 간호근무환경, 직무 스트레스, 직무 스트레스 대처가 소진에 미치는 영향

Abstract

This study aims to identify the impact of nursing work environment, occupational stress, and its coping mechanisms on the burnout of clinical nurses during the corona virus disease 19(COVID-19) pandemic. The recruited 155 clinical nurses working in general wards responded to a structured questionnaire from August 18 to November 14, 2021. The collected data were analyzed using descriptive statistics; t-test, ANOVA, Pearson‘s correlations and multiple regression analysis were conducted using the SPSS 28.0 program. The results of this study were as follows: The mean score of nursing work environment was 2.71±0.41, occupational stress was 3.61±0.59, coping with occupational stress was 3.38±0.37, and burnout was 3.51±0.54. Furthermore, burnout was significantly correlated with occupational stress (r=.633, p<.001) and emotion-focused coping (r=.222, p=.006). There were significant negative correlations between burnout and nursing work environment (r=-.295, p<.001). A multiple regression analysis revealed that occupational stress (β=.548, p<.001), nursing work environment (β=-.237, p<.001), emotion-focused coping (β=.235, p=.002), and change of department (β=.174, p=.020) were associated with burnout. These four variables accounted for 47.8% of the total variance in burnout of clinical nurses during the COVID-19 pandemic (F=14.617, p<.001). In conclusion, the results suggest that ensuring better work condition and implementing policies that decrease the level of occupational stress and increase the awareness of the nursing work environment would improve the burnout of clinical nurses in COVID-19 pandemic.

Key Words: COVID-19, Nurses, Occupational Stress, Coping Behavior, Burnout