우리나라 병동 간호사의 병원 특성이 재직률, 근무기간 및 퇴직에 미치는 영향: 건강보험심사평가원(HIRAS)자료를 이용한 후향적 코호트 연구.

Purpose: The purpose of this study was to investigate the effects of hospital characteristics on employment rate, working period, and retirement of ward nurses in Korea through a retrospective cohort study based on HIRAS data. Methods: Data were obtained from a report on medical care institutions of...

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Published in:Journal of Korean Academy of Nursing Vol. 50; no. 6; pp. 837 - 848
Main Authors: 서희정, 김기연, 장세진
Format: research tables/charts Journal Article
Published: Korean Society of Nursing Science Dec2020
Online Access:View this record in EBSCOhost
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        20053673
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      jtl: Journal of Korean Academy of Nursing
      issn: 20053673
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      dt: Dec2020
      vid: 50
      iid: 6
      pid: 42744
      pub: Korean Society of Nursing Science
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        148040737
        148040737
        148040737
        10.4040/jkan.20190
        148040737
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        atl: 우리나라 병동 간호사의 병원 특성이 재직률, 근무기간 및 퇴직에 미치는 영향: 건강보험심사평가원(HIRAS)자료를 이용한 후향적 코호트 연구.
      aug:
        au:
          서희정
          김기연
          장세진
        affil: 연세대학교 대학원 보건의료협동과정
      sug:
        subj:
          Hospitals
          Health Facility Environment South Korea
          Employment Evaluation
          Workload
          Retirement
          Nursing Staff, Hospital
          Human
          Retrospective Design
          Prospective Studies
          Descriptive Statistics
          South Korea
          Male
          Female
          Kaplan-Meier Estimator
          Cox Proportional Hazards Model
          Regression
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Purpose: The purpose of this study was to investigate the effects of hospital characteristics on employment rate, working period, and retirement of ward nurses in Korea through a retrospective cohort study based on HIRAS data. Methods: Data were obtained from a report on medical care institutions of Health Insurance Review & Assessment Service (HIRAS). Data from 259,941 nurses who were working for a day or more from January 1, 2012, to December 31, 2016, at 2,942 medical care institutions were analyzed. Life table method analysis, Kaplan-Meier analysis, and Cox proportional hazard regression analysis were conducted. Results: The employment rates of 5 yeas and 10 years for the total sample were 38% and 28%, respectively. The estimated mean value of the working period was 3,642.7 days (SE: 17.4 days). Cox proportional hazard regression analyses revealed that nurses who were working at the general hospital/hospital, clinic, and nursing hospital were more likely to leave the hospital compared to those who were working at the 3rd general hospital. Nurses who were working at the medical institutions which were located in cities and countries, established by the private foundation, rated lower levels of nursing, and owned an insufficient number of beds, nurses and doctors were more likely to leave their workplace compared to those of the counterparts. Conclusion: This study indicates that hospital characteristics may play a significant role in retirement and working period of ward nurses in Korea. The improvement of hospital conditions to reduce ward nurses' retirement are needed.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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