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This study was designed to survey the degrees of career plateau, job satisfaction, and turnover intention of hospital nurses, as well as to identify the relationship among them. We surveyed 239 nurses working at five different hospitals in J city and C city. Data collection was conducted between April 1 and April 30, 2016. The data was analyzed using SPSS 23.0. This study shows that the significant factors influencing job satisfaction were content plateau and structural plateau, which account for 55.0% of the variance. It also shows that the significant factors that influence turnover intention were structural plateau, present clinical career, content plateau, and working department, which account for 43.0% of the variance. As such, we identified that a decrease in the content plateau of hospital nurses enhances job satisfaction and that a decrease in structural plateau reduces turnover intention. The results indicate that a systematic managerial strategy for nursing resources should be developed and applied in the nursing field. This strategy should supplement the content plateau by job redesign and job enrichment. In addition, to increase retention of skilled nurses and to achieve superior organizational performance, as well as to contribute to the success of hospital nurses, supplementation of the structural plateau by adopting and applying a career ladder system is important.
본 연구는 병원 간호사의 경력정체, 직무만족, 이직의도의 정도를 파악하고, 경력정체가 직무만족과 이직의도에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 연구대상은 경남 J시, C시에 소재한 5개 종합병원에 근무하는 간호사 239명을 대상으로 하였고, 자료수집 기간은 2016년 4월 1일부터 4월 30일까지였으며 자료분석은 SPSS 23.0을 이용하여 기술통계, t-test, ANOVA, 상관관계 및 위계적 회귀분석을 실시하였다. 연구결과 병원간호사의 경력정체가 직무만족에 미치는 영향은 내용적 경력정체(β=-.45, p<.001), 구조적 경력정체(β=-.39, p<.001) 순이었고, 총 설명력은 55.0%였다. 또한, 병원간호사의 경력정체가 이직의도에 미치는 영향은 구조적 경력정체(β=. 42, p<.001), 현 병원 근무경력(β=-.39, p=.002), 내용적 경력정체(β=.14, p=.012), 근무부서(β=-.13, p=.016) 순이었고, 총 설명력은 43.0%였다. 이와 같이 병원간호사의 내용적 경력정체를 감소시키는 것은 직무만족을 높이고, 구조적 경력정체를 감소시키는 것은 이직의도를 낮추는 효과가 있음을 확인하였다. 결과적으로 직무재설계, 직무충실화 등을 통해 내용적 경력정체를 보완하고, 숙련된 유능한 간호사의 보유율을 높이고, 질적으로 우수한 조직성과를 달성하고, 간호사의 경력성공을 위해 경력사다리제도의 도입 및 활용 등을 통해 구조적 경력정체를 보완할 수 있는 체계적인 인적자원관리 전략을 개발하여 간호현장에 적용할 필요가 있다.
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