요양병원 간호사의 임종간호 스트레스가 이직의도에 미치는 영향

Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals

Purpose: This study was done to examine the effect on turnover intention (TI) of terminal care stress (TCS) on nurses working in long-term care hospitals (LCH). Methods: Participants were 182 nurses from 6 Seoul LCH. Data were collected from October to December, 2017. Self-report questionnaires were used to collect data on general characteristics, TCS, and TI. Results: Subjective satisfaction on the job (r=.52, p<.001), number of monthly terminal care elders (r=.16, p=.043), TCS (r=.16, p=.027), and sub-categories of TCS, ‘difficulty for assigning timetable to care for terminally ill patients’ (r=.17, p=.025), ‘feeling a burden of caring for terminally ill patients’ (r=.23, p=.002), and ‘conflict with terminally patients’ (r=.16, p=.034) showed statistically significant correlation with TI. Multiple regression analysis showed significant influence of subjective satisfaction with job (β=.52, p<.001) and TCS (β=.23, p=.001) with a 30.3% explanatory power. When sub-categories of TCS were entered, subjective satisfaction with the job (β=.50, p<.001) and ‘feeling burden of terminally ill patients’ (β=.28, p<.001) were factors significantly influencing TI with explanatory power of 32.8%. Conclusion: Findings of this study suggest that it is needed to develop standardized practice guidelines and educational programs for terminal care in LCH as well as stress healing programs for nurses.