일 종합병원 간호사의 윤리적 딜레마와 직무만족도의 관계

The Relationship between Ethical Dilemma and Job Satisfaction of One General Hospital Nurses

This study was a correlational study to identify the relationship between ethical dilemma and job satisfaction in one general hospital nurses. The subjects of this study were obtained 240 nurses by using a convenience sampling of nursing department who involved G University Hospital in Gwangju City from September 2 to September 8, 2002. The instruments used for this study were the modified ethical dilemma scale developed by Han Sung Sook(1992) and the modified job satisfaction scale developed by Siavitt et al(1978). The data were analyzed by the SAS computer program that included descriptive statistics, Hest, ANOVA, Duncan s multiple range test, and Pearson s correlation coefficient. The findings were as follows : 1. Grade Point of Average(GPA) of the ethical dilemma was 2.44(maximum point: 4) and GPA of the job satisfaction was 2.44(maximum point: 4). 2. The degree of the ethical dilemma according to age(F=5.34, p=.OO14), marriage (F=10.85, p=.OO11), and education level(F=3.78, p=.0242) showed statistically significant difference. The degree of the ethical dilemma according to career(F=4.31, p=.OO56) showed statistically significant difference. 3. The degree of the job satisfaction according to age(F=3.12, p=.0268) showed statistically significant difference. The degree of the job satisfaction according to ward (F=2.88, p=.010), attitude about nursing profession(F=19.04, p~.OOO1), acknowledge about nurse s ethical principles(F=5.33, p=.0014), opinion about counseling instrument of ethical dilemma(F=2.98, p=.0320), experience of education about nursing ethics (F=3.48, p=.0324) showed statistically significant difference. 4. The relationship between the ethical dilemma and the job satisfaction was found that the lower ethical dilemma, the higher job satisfaction(r -.165, p=.0103). Especially the highest negative was the correlation between nurse and cooperator in ethical dilemma and administration in job satisfaction(r=-.343, p=.OOO1). In conclusion, these findings suggest a need for developing strategies which solve ethical dilemma for promoting job satisfaction in clinical nurses.