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A Structural Equation Model for Turnover Intention of General Hospital Nurses: Focusing on Mediation Effect of Organizational Silence

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KMID : 0614820240300020102
±è¹Ìȯ ( Kim Mi-Hwan ) - 

±è¸íÀÚ ( Kim Myung-Ja ) - 

Abstract

¿¬±¸¸ñÀû: º» ¿¬±¸´Â Á¾ÇÕº´¿ø °£È£»çÀÇ ¾÷¹«È¯°æ, °£È£Á¶Á÷¹®È­, °ü¸®ÀÚ ¸®´õ½Ê µîÀÇ Á¶Á÷Ư¼º ¿äÀÎÀ» ÆľÇÇÏ°í, Á¶Á÷Ư¼ºÀÌ Á¶Á÷ħ¹¬À» ¸Å°³·Î ÀÌÁ÷Àǵµ¿¡ ¹ÌÄ¡´Â ¿µÇâÀ» È®ÀÎÇϱâ À§ÇÑ ±¸Á¶¸ðÇü ¿¬±¸ÀÌ´Ù.

¿¬±¸¹æ¹ý: ÀÚ·á¼öÁýÀº ºÎ»ê¡¤°æ³² ¼ÒÀç 250º´»ó ÀÌ»ó 500º´»ó ¹Ì¸¸ÀÇ Á¾ÇÕº´¿ø °£È£»ç¸¦ ´ë»óÀ¸·Î ±¸Á¶È­µÈ ¼³¹®Áö¸¦ ÀÌ¿ëÇÏ¿© 2017³â 7¿ù 1ÀϺÎÅÍ 8¿ù 30ÀϱîÁö ½Ç½ÃÇÏ¿´´Ù. ¼öÁýµÈ ÀÚ·á´Â IBM SPSS 23.0°ú AMOS 23.0 ÇÁ·Î±×·¥À» ÀÌ¿ëÇÏ¿© ºÐ¼®ÇÏ¿´´Ù.

¿¬±¸°á°ú: °£È£¾÷¹«È¯°æ, ¿ÜºÎÃë¾÷±âȸ, °ü°èÁöÇ⹮ȭ, ü³äÀû ħ¹¬°ú ¹æ¾îÀû ħ¹¬Àº ÀÌÁ÷Àǵµ¿¡ Á÷Á¢ÀûÀÎ ¿µÇâÀ» ¹ÌÄ¡´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù. °£È£¾÷¹«È¯°æ°ú ¿ÜºÎÃë¾÷±âȸ´Â ü³äÀû ħ¹¬À» ¸Å°³·Î ÇÏ¿© ÀÌÁ÷Àǵµ¿¡ °£Á¢ÀûÀÎ ¿µÇâÀ» ¹ÌÄ¡´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù.

°á·Ð: Á¾ÇÕº´¿ø °£È£»çÀÇ ÀÌÁ÷Àǵµ¸¦ ³·Ãß±â À§Çؼ­´Â ¿ÜºÎȯ°æÀ» °ËÅäÇÏ°í Áö¼ÓÀûÀ¸·Î ºñ±³Çؼ­ ´õ ³ªÀº ³»ºÎ °£È£¾÷¹«È¯°æÀ» Á¦°øÇÏ¿©¾ß ÇÑ´Ù. ¶ÇÇÑ ±¸¼º¿ø°£ÀÇ ´ëÀΰü°è¸¦ Áß½ÃÇÏ´Â °ü°èÁöÇ⹮ȭ¸¦ Á¶¼ºÇÏ°í Á¶Á÷¿¡ ºÎÁ¤ÀûÀÎ ¿µÇâÀ» ¹ÌÄ¥ ¼ö Àִ ü³äÀû ħ¹¬À» ³·Ãâ ¼ö ÀÖ´Â ¹æ¾ÈÀ» ¸ð»öÇؾßÇÑ´Ù.

Purpose: This study used a structural model to identify organizational characteristics, such as work nvironment, nursing organizational culture, and manager leadership of general hospital nurses, and to examine the effect of organizational characteristics on turnover intention through organizational silence.

Methods: Data were ollected from July 1, 2017 to August 30, 2017, using structured questionnaires. Participants were nurses in general ospitals with more than 250 beds and less than 500 beds in Busan City and Gyeongsangnam Province. The collected data were analyzed using IBM SPSS 23.0 and AMOS 23.0.

Results: The nursing work environment, external employment opportunities, relationship-oriented culture, and acquiescent and defensive silence directly impacted turnover intention. Additionally, the nursing work environment and external employment opportunities indirectly affected turnover intention through acquiescent silence.

Conclusion: To lower general hospital nurses¡¯ turnover intention, the external environment should be reviewed and continuously compared to provide a better internal nursing work environment. In addition, it is necessary to find a way to lower the acquiescent silence, which can negatively affect the organization, by creating a relationship-oriented culture that emphasizes the relationship between members.
KeyWords
¾÷¹«È¯°æ, °£È£Á¶Á÷¹®È­, °ü¸®ÀÚ ¸®´õ½Ê, Á¶Á÷ħ¹¬, ÀÌÁ÷Àǵµ
Work environment, Nursing organizational culture, Manager leadership, Organizational silence, Turnover intention
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