Journal of Korean Clinical Nursing Research (임상간호연구)

Hospital Nurses Association (병원간호사회)
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The Effects of a Shift Improvement Pilot Project on Nurses' Shift Adjustment, Work-Life Balance, and Turnover Intention: A Mixed-Methods Study

교대제 개선 시범사업이 간호사의 교대근무 적응, 일과 삶의 균형 및 이직의도에 미치는 효과: 혼합연구방법

  • Choi, Su Jung (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Kim, Mi Soon (Graduate School of Clinical Nursing Science, Sungkyunkwan University) ;
  • Jeon, Mi-Kyeong (Department of Nursing, Changwon National University) ;
  • Choi, Jin Ju (Department of Nursing, Samsung Medical Center) ;
  • Son, Sook Yeon (Department of Nursing, Changwon National University) ;
  • Kim, Eun Hye (Department of Nursing, Seoul National University Hospital)
  • Received : 2023.09.27
  • Accepted : 2023.10.25
  • Published : 2023.12.31
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Abstract

Purpose: This study aimed to investigate the impact of a nurse shift improvement pilot project on nurses' shift adjustment, work-life balance, and turnover intention, as well as nurses' experiences of participating in the pilot project. Methods: An explanatory sequential mixed-methods study was performed. Survey data was collected from a total of 1,051 nurses both in participant and non-participant groups. For the qualitative study, focus group interviews were conducted with 22 nurses who participated in the shift improvement pilot, including 12 staff nurses, 7 nurse managers, and 3 substitute nurses. Results: There were significant positive effects on the key variables of nurses' shift adjustment, work-life balance, and turnover intention in the group that participated in the nurse shift improvement pilot project. Based on the qualitative study, participants in the shift improvement pilot project indicated that it enabled nurses to recover their circadian rhythm, and achieve a better work-life balance, and they wanted to continue working as a nurse, and hoped expanded application of the pilot project. Conclusion: In order for expanded implementation of the pilot project and continued improvement in the shift system, we recommend establishing compensation standard, systematizing the use of substitute nurses, developing guidelines for shift schedules, and expanding the shift improvement pilot project to other departments such as the emergency room.

Keywords

Acknowledgement

본 논문은 2022년 병원간호사회에서 연구비를 지원받아 진행한 연구임.

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