중환자실 간호사의 영성, 영적 돌봄, 회복탄력성 및 임종 간호 스트레스와의 관계

Relationship between Spirituality, Compassionate Care, Resilience and Terminal Care Stress of Nurses in Intensive Care Units

본 연구는 중환자실 간호사의 영성, 영적 돌봄(연민어린돌봄), 회복탄력성 및 임종 간호 스트레스를 파악하고, 이들 변인 간의 관계를 알아보는 서술적 조사연구이다. 서울시에 소재한 C 대학병원 중환자실에서 근무하는 간호사 164명을 대상으로 자가보고식 설문지를 이용하여 조사하였으며, 자료 분석은 SPSS/WIN 22.0 프로그램을 이용하여 t-test와 ANOVA, Scheffé test, Pearson’s correlation analysis로 분석하였다. 영성은 6점 만점에 평균 3.78점이었으며, 연민어린돌봄은 5점 만점에 평균 3.59점, 회복탄력성은 4점 만점에 평균 3.46점, 임종 간호 스트레스는 5점 만점에 평균 3.74점이었다. 영성과 연 민어린돌봄, 영성과 회복탄력성, 연민어린돌봄과 회복탄력성은 각각 유의한 양의 상관관계가 있었다. 영성과 임종 간호 스트레스, 연민어린돌봄과 임종 간호 스트레스, 회복탄력성과 임종 간호 스트레스는 각각 유의한 음의 상관관계가 있었다. 중환자실 간호사의 영성, 영적 돌봄(연민어린돌봄), 회복탄력성 증진을 위한 교육프로그램 등의 개발을 통해 임종 간호 스트레스를 낮출 수 있을 것으로 기대한다.

The purpose of this study was to descriptive levels of spirituality, compassionate care, resilience, and terminal care stress for nurses in Intensive care units(ICUs) and to identify the relationship between variables. As a method, descriptive correlation design was applied with self-reported questionaires among 164 nurses working in the ICUs in a university affiliated tertiary hospital in Seoul, Korea. These nurses agreed to voluntarily participate in the study from June 27 to July 23, 2019 when the data was collected. Spirituality, compassionate care, resilience, and terminal care stress were surveyed using self-report questionnaires. The data was analyzed by t-test, ANOVA, Scheff&#233; test and Pearson’s correlation analysis using the SPSS / WIN 22.0 program. The research results are as follows. Spirituality was 3.78 out of 6 points, compassionate care was 3.59 out of 5 points, resilience was 3.46 out of 4 points, and terminal care stress was 3.74 out of 5 points. There was a positive correlation between the following variables: Spirituality and compassionate care (r=.650, p <.001), spirituality and resilience (r=.694, p <.001), compassionate care and resilience (r=.663, p <.001). There was a negative correlation between the following variables: Spirituality and terminal care stress (r=-.250, p =.001), compassionate care and terminal care stress (r=-.273, p <.001), resilience and terminal care stress (r=-.198, p =.011). Based on the above results, the relationship between spirituality, compassionate care, resilience and terminal care stress of nurses in intensive care units showed that the higher the three former variables were the lower the terminal care stress was. Therefore, in order to reduce the terminal care stress of nurses in intensive care units, an intervention program considering this relationship has been determined to be necessary. Endurance nursing stress is expected to be lowered through the development of intensive care units for nurse s spirituality, compassionate care, and educational programs to improve resilience.