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KMID : 0367019920040010043
Journal of Korean Academic of Adult Nursing
1992 Volume.4 No. 1 p.43 ~ p.61
A Study on The Duty Stress and Adaptation Method of The Clinical Nurses
Kim Nam-Shin

Moon Hee-Ja
Abstract
There are many stress factors which nurses can experience in duties. We find that the stresses of the nurse are increasing as the social expectation to medical team become higher than before. And then we try this research to investigate the relation between duty stress factor and adaptation method in those who work with heavy duty stress. By those investigation, we intend to offer the source for adjustment of stress from April, 6th, 1992 to April 25th. We tried question research by 317 nurses who worked at three public hospitals, three university hospitals and seven individual hospitals. We used study article which was composed of eleven questionnaire about general characteristics and two instruments. We examined reliability with 65 questions(Cronbach¡¯s ¥á=.9696) which amended article of Kim and Koo¡¯s test method of duty stress checking means. And adaptation method¡¯s reliability was authorized by 36questions which used method of Bell¡¯s eighteen-item questionnaire. Collected data was analyzed statistically by SPSS-Program with computer and relatively by the arithmetic mean, t-test, ANOVA and Pearson¡¯s Correlation Coefficient. By this study, the conclusion was induced as follows. First, total duty stress of nurses was very high as the means 3.678. Second, most high factor of stress was caused by night-work as the means 4.307, discord with medical doctor as the means 4.048 and unfair entertainment as the means 4.007. Third, short term adaptation method as the means 1.82 was preferable to long term adaptation method as the means 2.68(t=-30.89, P=.000). Fourth, between stress grade and general characteristics of nurse, official grade was primary factor(t=-1.95, P<.050). And so we recognized that general nurse had more stress as the means 3.7443 than chief nurse as the means 3.9623. Especially, in the study of duty stress divided with the hospital type, heavy duty(F=8.1627, P=.0004), agony as a professional job(F=3.6720, P=.0265), personal relations of duty(F=3.2034, P=.0420), discord with medical doctor(F=3.0895, P=.0469) and unfair entertainment(F=12.7924, P=.0000) were significant differences by the hospital type. Fifth, in the relation study of general characteristics and short term adaptation method, marriage(t=2.15, P=.032) was meaningful. The married was as the means 1.7796 and the unmarried as the means 1.8420 was preferable to the short term adaptation method. In the relation study of long term adaptation method, age(F=4.3430, P=.0138), year of career(F=3.5910, P=.0141), religion(t=3.08, P=.002), official grade(t=-3.37, P=.001) and reserved periods as nurse(t=2.63, P=.009) were meaningful. In ages, those who were over 31-year old as the means 2.8348 ; in career, those who did work over 6-years as the means 2.7946 ; in case of religion, those who had religion as the means 2.7456 ; in case of official grade, chief nurse as the means 2.9101 ; in case of reserved periods, those who should work longer time as the means 2.7708 ; were preferable to long term adaptation method. Sixth, the relation coefficient between stress factor and long and short term adaptation method was thought as a few meaning(r=.2170, p<.001). Conclusively we recognized for above results that the level of stress was very high, to dissolve this problem long term adaptation method was preferable to short term method. We believed that to be better nurse, experience, affirmative attitude and religion are the most effective factor to lesson the stress.
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