Lee Seung-Hee, Joo Min-Ho
Post Anesthesia Care Unit 2 (PACU 2), Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 03080, Republic of Korea.
Department of Educational Technology, Konkuk University, Seoul 05029, Republic of Korea.
Healthcare (Basel). 2023 Jun 27;11(13):1870. doi: 10.3390/healthcare11131870.
This study determines the importance of nurses' self-care by identifying its effects as a moderating variable on the relationships between perceived stress, job burnout, and retention intention in clinical nurses. Hence, 174 clinical nurses who worked at two university hospitals and one general hospital located in Seoul, South Korea, participated in this study. As the hospitals required the use of recruitment notices, convenience sampling methods were adopted to recruit volunteers. The data were collected using the perceived stress scale, the burnout assessment tool, the nurse retention index, and the self-care assessment worksheet. Descriptive statistics were used to analyze the general characteristics of participants, and -test and analysis of variance were conducted for comparisons. Moderated multiple regression was conducted to verify the moderating effects of self-care on the relationships between perceived stress and retention intention and between job burnout and retention intention. The results revealed that the effect of perceived stress on retention intention and the moderating effect of self-care on the relationship between perceived stress and retention intention were not significant, whereas job burnout had a direct effect on retention intention, and self-care had a positive moderating effect on job burnout. Therefore, it is necessary to consider an instructional program on the importance of self-care and conduct campaign activities at the organizational level. Moreover, various support structures should be provided at the organizational level such that nurses can reduce their levels of job burnout.
本研究通过将护士自我护理作为调节变量，识别其在临床护士感知压力、职业倦怠和留职意愿之间关系中的作用，来确定护士自我护理的重要性。因此，174名在韩国首尔的两家大学医院和一家综合医院工作的临床护士参与了本研究。由于医院要求使用招聘通知，故采用便利抽样方法招募志愿者。数据收集使用了感知压力量表、职业倦怠评估工具、护士留职指数和自我护理评估工作表。描述性统计用于分析参与者的一般特征，并进行t检验和方差分析以作比较。进行了调节多元回归，以验证自我护理在感知压力与留职意愿之间以及职业倦怠与留职意愿之间关系中的调节作用。结果显示，感知压力对留职意愿的影响以及自我护理在感知压力与留职意愿关系中的调节作用不显著，而职业倦怠对留职意愿有直接影响，且自我护理对职业倦怠有正向调节作用。因此，有必要考虑开展关于自我护理重要性的指导项目，并在组织层面开展宣传活动。此外，应在组织层面提供各种支持结构，以便护士能够降低职业倦怠水平。
