교대근무 간호사의 파행근무 경험이 누락간호와 간호의 질에 미치는 영향 : 피로의 매개효과

Influence of Shift Work Nurses’ Unhealthy Work Scheduling on Missed Care and Quality of Care : Mediating Effect of Fatigue

Purpose : The purpose of this study was to explore the influence of shift work nurses’ unhealthy work scheduling on missed care and quality of care in terms of the mediating effect of fatigue. Methods : Participants were 178 nurses working at tertiary general hospitals with rotating three-shift duty. Data were collected using online questionnaires consisting of unhealthy work scheduling during the past month, fatigue, missed care, and nurse-assessed quality of care. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, and Pearson’s correlation. For the mediating effect of fatigue on the relationships between unhealthy work scheduling, two dependent variables, missed care and quality of care, were analyzed using Process Macro 4.3.1, model 4. Results : The most frequently experienced unhealthy work scheduling was evening-off-day, followed by five or more consecutive workdays. Unhealthy work scheduling correlated with fatigue (r＝.22, p ＝.003), missed care (r＝.22, p＝.003), and worse quality of care (r＝.23, p＝.002). Fatigue mediated the relationship between unhealthy work scheduling and missed care, as well as the relationship between unhealthy work scheduling and quality of care. Conclusion : Based on these results, it is necessary to monitor and plan healthier work schedules for shift work nurses to help reduce their fatigue. This is important for enhancing the quality of care and improving missed nursing care in the clinical setting.