Relationship of Violence Experience to Turnover Intention among Hospital Nurses: Resilience as a Mediator or Moderator

Abstract

This thesis is a study on the relationship between the violence experience of nurses working in hospitals and turnover intention. The purpose of the study is to investigate the effect of mediation and the moderator by the resilience under the condition of between the violence experience of nurses working in hospitals and turnover intention. The questioners of the study were about 300 hospital nurses in a general hospital, Gyeonggi-do Province and two general hospitals, Gangwon-do Province in South Korea as full time nurses who are at least over 1 year experience under the each hospital. The questionnaires were composed of demographic characteristics, WPVB for violence experience, turnover intention, and CD-RISC Korean version for resilience, so on. The collected data were analyzed by using IBM SPSS version 25.0. To verify the mediation effect and the moderator effect of resilience between violence experience and turnover intention, the data was analyzed by controlling demographic characteristics to find the function and by using PROCESS macro like a indirectly effect. The result of the analysis might be controlled by demographic characteristics, and focused on analyzing the effect of mediating and the modulating by the resilience. As a result, it was found that the resilience partially mediated the relationship of violence experience by bullying, work criticizing, personality blaming, and being aggressive behaviors in the hospital and turnover intention. However, the resilience was not a significant effect on the relationship of violence experience and turnover intention. Therefore, the result of this study suggests that it can be necessary for the people who are in the hospital including medical staff to develop enhancement programs and professional training on the resilience to reduce the turnover intention by the violence experience for the further study.

이 논문은 병원에서 근무하는 간호사의 폭력경험과 이직의도 관계에 대한 연구이다. 연구의 목적은 위의 관계에서 극복력이 조절과 매개 작용하는지에 관한 상관관계를 연구하기 위함이다. 연구대상은 경기도 소재 1개의 대학병원과 강원도에 위치한 2개의 병원에서 근무하는 1년 이상의 간호사 300명을 대상으로 하였고, 설문 내용은 인구학적 특성, 폭력경험, 이직의도, 극복력으로 구성된 질문을 실시하였다. 수집된 자료는 IBM SPSS version 25.0을 사용하여 분석하였고, 극복력이 폭력경험과 이직의도의 관계에서 매개변수 및 조절변수로 작용하는지를 검증하기 위해 일반적 특성을 통제하여 Process macro를 이용해 간접효과를 분석하였다. 분석결과는 공변량인 일반적 특성을 통제하고, 극복력의 매개 및 조절효과를 분석한 결과 폭력경험의 하위척도별인 직장내 괴롭힘, 업무비난, 인격비난, 공격적인 행동과 이직의도에서 부분매개작용을 하는 것으로 나타났고 조절작용은 유의미하지 않았다. 따라서 향후 폭력경험으로 인한 이직의도를 줄이기 위해 극복력을 향상시키는 전문프로그램 개발과 교육이 절실할 것으로 사료된다.