간호‧간병통합서비스병동 간호사의 간호근무환경과 팀워크가 직무스트레스 프리젠티즘(Presenteeism)에 미치는 영향

Abstract

The Effect of Nursing Work Environment and Teamwork on Job Stress Presenteeism in Comprehensive Nursing Care Service Ward Na Soo Yeon Advisor : Prof. So-Hyun Moon Department of Nursing Graduate School of Chosun University Purpose : This study examines the nursing work environment, teamwork, job stress presenteeism of comprehensive nursing care service ward nurses and identifies the influential factors of job stress presenteeism. Method : Data collection was conducted from Augus 21 to September 10 2023, a total 172 nurses with more than 6 month of clinical experience in a comprehensive nursing care service ward were targeted and those four hospitals where they work more than 100 beds in the area. Data were collected using self-administerd questionnaire and analyzed by IBM SPSS version 27.0. Statistical analysis was conducted using descriptive statistics analysis, t-test and One-way ANOVA, Scheffe’test, Pearson’s Correlation Coefficient and Stepwise multiple regression Results : The nursing work environment of nurses in the comprehensive nursing service ward was 2.95±0.42 points on a four-point scale; teamwork was 3.26±0.18 points on a five-point scale; job stress presenteeism was 3.66±0.62 points on a five-point scale. As a result of analyzing the subject's nursing work environment, there was a statistically significant difference in clinical experience (F=2.77, p=.043) among the general characteristics of the subject, but as a result of post-analysis, it was not statistically significant. The subject's job stress presenteeism and nursing work environment (r=.181, p=.018) showed a positive correlation, and teamwork (r=.020, p=.798) did not show a correlation. There were correlations between job stress presenteeism and nursing work environment sub-region were found to be significantly correlated: high quality nursing base (r=.209, p=.006), nurse-doctor cooperation (r=.164, p=.032) and in the correlation between the job stress presenteeism and teamwork sub-region were found to be significantly correlated: leadership (r=-.230, p=.002), mutual support (r=.152, p=.047), situation monitoring (r=.220, p=.004), and team structure (r=-.207, p=.006). The factor influencing job stress presenteeism is teamwork leadership (β=-.191, p=.013), foundation for quality nursing in a nursing work environment(β=.164, p=.032). This regression model was statistically significant (F=7.177, p=.001) and the explanatory power of job stress presenteeism was 7.8%. Conclusions : The better the nursing work environment to improve nursing quality of nurses in the Comprehensive nursing care service ward, the higher the job stress presenteeism, and the better the team leader's leadership, the lower the job stress presenteeism. If the nursing work environment of nurses in the comprehensive nursing care service ward is improved and team leadership is demonstrated, job stress presenteeism is expected to reduce. Therefore, It is intended to provide basic data necessary to improve the nursing work environment of the integrated nursing and nursing service ward and to prepare intervention measures to reduce nurses' presentism through efficient teamwork. Key words : Job stress presenteeism, Nursing work environment, Teamwork, Comprehensive Nursing Care Service Ward