급속한 고령화 사회로의 진입에 따라 장기요양시설이 활성 화되면서 우리나라 요양병원의 수가 2012년 12월 말 988개 기관으로 2007년 대비 67.2% 증가했다(Health Insurance Review and Assessment Service, 2013). 2008년부터 정부는 요양병원에 간호인력 확보 수준에 따 른 차등수가제를 적용함으로써 간호사 인력을 충분히 확보하 도록 하고 있음(Ministry of Health of Welfare, 2007)에도 불구하고, 요양병원 간호인력이 2007년 간호사는 5,331명에 서 2011년 9,405명으로 76.4% 증가 대비 간호조무사는 3,025명에서 8,921명으로 194.9% 증가하여 간호인력 내 간 호조무사의 비율이 급격히 증가하였다(HIRA, 2013). 이러한 간호인력 구성 비율의 변화는 요양병원 간호사가 간호조무사 에게 간호행위를 위임할 수밖에 없는 상황임을 예측할 수 있다.
Purpose: The purpose of the study was to investigate the correlation of nurses' professionalism and job satisfaction with the level of delegation of nursing activities in long-term care hospitals. Methods: Participants in this study were 154 nurses working in 13 long-term care hospitals in the J region. Data were collected between September 24 and October 26, 2012 using self-report surveys with structured questionnaires. Collected data were analyzed using SPSS/WIN 12.0 with the following statistics: descriptive statistics, Pearson correlation coefficients, t-test, ANOVA, multiple regression analysis and Cronbach's ⍺. Results: The mean score for level of delegation of nursing activities in long-term care hospital was 1.25±0.57 points, for professionalism, 3.29±0.40 points and for job satisfaction, 2.61±0.33 points. Level of delegation of nursing activity showed a significant inverse correlation with professionalism and job satisfaction. Professionalism of nurses working in long-term care hospitals had a significant positive correlation with job satisfaction. Conclusion: Guidelines for legal and institutional policies, standards, methods and procedures for delegation of nursing activities in long-term care hospitals are needed and efforts to improve professionalism and job satisfaction are needed.
서 론 연 구 방 법 연 구 결 과 논 의 결 론
