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1 한국직업건강간호학회지제21권제1호, 2012년 5월 Korean J Occup Health Nurs Vol. 21 No. 1, 10-17, May 2011 ISSN 최진이 1 황인영 2 박영미 3 경희대학교간호과학대학외래강사 1, 경복대학교간호학과조교수 2, 중앙대학교적십자간호대학조교수 3 Relationship among Sense of Humor, Self-esteem, and Performance in Nurses Choi, Jin Yi 1 Hwang, In Young 2 Park, Young Mi 3 1 Lecturer, College of Nursing Science, Kyung Hee University, Seoul 2 Assistant Professor, Department of Nursing, Kyungbok University, Pocheon 3 Assistant Professor, Red Cross College of Nursing, Chung-Ang University, Seoul, Korea Purpose: The study was done to identify relations among sense of humor, self-esteem, and performance in nurses. Methods: Data were collected by questionnaires from 198 nurses in Seoul and Gyeonggi province. Measures were sense of humor, self-esteem, and performance. Data were analyzed using Pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 13.0 version. Results: This study shows that performance of nurses has significant difference according to age, marriage, education level, income and clinical experience. The performance of nurses has positive correlation with their sense of humor and self-esteem. The higher clinical experience, sense of humor, and self-esteem they have, the better performance they make. The factors that affect performance of nurses are clinical experience, sense of humor and self-esteem. The degree of explanation is 36.5%. Conclusion: Knowing that sense of humor and self-esteem of nurse are significant factors which can cause nurses' better performance, we suggest an education program that can help nurses to develop and manage their sense of humor. Key Words: Nurses, Humor, Performance 서론 1. 연구의필요성최근인터넷의대중화, 의학의급속한발전, 질병의만성화, 대형병원의증가, 소비자의의식변화등으로병원간의경쟁이치열해지고있으며소비자들은자신이이용하는의료기관의구체적인의료및간호활동에대한관심을가지게되었다. 이러한사회적인요구에따라대한병원협회에서는 1984년부터 병원표준화심사 (2003년병원신임평가로개정 ) 가시행되어져왔고, 보건산업진흥원에서는 1995년부터 의료기관서비 스평가제도 라는정책하에시범평가를시행해왔으며 2004 년부터는의료법제47조 2조에따라종합병원및 300병상이상병원을대상으로보건복지부가주관하는 의료기관평가 가실시되고있다 (Lee, Kim, Ha, Jo, & Chae, 2008). 의료기관평가의세부항목으로는환자의권리와편의수준, 업무수행및성과평가, 시설및인력수준등병원의제반업무를표준화된질지표를통해평가하는것으로간호부서는의료기관평가에대비해많은준비를하는부서로서평가에의해간호업무의성과활동, 조직의문제점, 개선활동등을평가받고있다. 또한이러한간호부서의평가는기존연구에서간호단위에대한성과평가 (Park, Kim, Park, Kim, & Kim, 2009), 간호사 주요어 : 간호사, 유머감각, 업무성과 Corresponding author: Park, Young Mi Red Cross College of Nursing, Chung-Ang University, 84, Heukseok-ro, Dongjak-gu, Seoul , Korea. Tel: , Fax: , 투고일 2011년 9월 10일 / 심사의뢰일 2011년 10월 5일 / 게재확정일 2011년 11월 9일 c 2012 Korean Academic Society of Occupational Health Nursing

2 가수행하는간호활동에대한평가 (Park, Park, Kim, & Sung, 2007), 직무만족, 조직몰입, 환자만족등의심리적성과로측정 (Han, 2000) 등다양한측면에서이루어지고있었다. 그러나간호부서의가장기본적인부분인간호서비스보장을위해서는그구성원인간호사의평가가기본이된다고할수있다. 따라서경쟁이나날이치열해지는의료환경과의료소비자들의다양한요구에반응하기위해서병원인력의다수를차지하고있는간호사의업무성과를파악하는것은매우중요하다고할수있다. 간호사의간호업무성과는간호사가업무에대한전문성을바탕으로역할을합리적으로수행하여간호조직의목표를능률적으로수행하는정도로서 (Yoon, 1995) 이에대한국내연구에서는주로직무만족 (Ha & Choi, 2010; Kim, 2005; Sim & Kim, 2010), 조직몰입 (Kim, 2005; Yang, Han, & You, 2005), 간호역량 (Ha & Choi, 2010), 병원간호사의질관리 (Yoo & Jung, 2008), 의료기관평가제도에대한간호사의인식 (Yoo & Jung, 2008), 자율성 (Yang, Han, & You, 2005), 임파워먼트 (Yang et al., 2005), 자아상 (Min et al., 2009), 자존감 (Sim & Kim, 2010), 직무스트레스와대처유형 (Choi, 2010), 정서지능 (Kim, 2005) 등과의관계를밝히는연구가수행되었다. 이러한연구에서는간호업무성과는간호사의직무만족도, 조직몰입정도, 간호역량, 병원간호사의질관리, 의료기관평가제도에대한간호사의인식, 임파워먼트, 자율성, 자존감, 정서지능이높을수록, 스트레스대처능력이좋을수록직무스트레스가낮을수록높은것으로나타났다. 또한의료서비스의많은부분을담당하고있는간호사는병원의이미지및소비자평가에큰영향을미치고, 환자간호의질에중요한책임이있는동시에새로운지식과기술의습득, 다양한사람들과의대인관계, 인간의생명을다루는점등에서매우스트레스가높은것으로보고되었다 (Lee & Kim, 2006; Lee & Park, 1988; Min, Jung, & Kim, 2004). 간호사의높은업무스트레스는부분적으로간호업무수행능력을증가시키기도하지만, 대부분에너지를고갈시키고업무에대한부적응을초래하여자기효능감과직무만족도를감소시키며신체적, 정신적건강에부정적영향을미치게되어 (Bong, So, & You, 2009; Ha & Choi, 2010; Kim, 2005; Sim & Kim, 2010) 결과적으로간호업무성과를낮추게된다 (Choi, 2010). 유머는복잡한정신적자극으로마음을즐겁게하거나웃음이라는반사행동을일으키는의사소통의한형태로서 Robinson (1977) 이유머를간호학에처음적용하였고이에대한효과로타인과의관계시긍정적인관계와간호사의긍정적인 대처에영향을미치고 (Asted-Kurki, Isola, Tammentie, & Kervinen, 2001), 간호사의업무스트레스를감소시키는것으로보고되었다 (Kim, 2009). 또한유머는간호사의자존감과의사소통능력을증가시키고, 대상자와의치료적관계개선, 삶의만족도증가, 학습촉진, 직원간의사기진작에도움을주는등의효과가보고되었으나 (Kaplan & Boyd, 1965; Robinson, 1977) 대부분의유머에관한연구는입원환자나정신과대상자, 노인을대상으로수행되었고 (Tse et al., 2010) 임상현장에서대상자를직접적으로간호를제공하는간호사를대상으로간호업무성과와연결한연구는적은편이었다 (Min, Jung, & Kim, 2004). 또한자존감이높을수록간호업무성과가높고 (Sim & Kim, 2010), 유머감각이좋을수록자존감이증가한다는연구 (Kaplan & Boyd, 1965; Robinson, 1977) 는보고되었으나간호업무성과, 유머감각, 자존감을함께살펴본연구는없었다. 따라서본연구는간호사들을대상으로유머감각, 자존감과간호업무성과와의관계를파악하고이를토대로간호업무성과를증진시킬수있는방안을모색하고자한다. 2. 연구목적본연구는간호사들을대상으로유머감각, 자존감과간호업무성과와의관계를파악하기위함이며구체적인목적은다음과같다. 간호사의일반적특성및직업적특성에따른간호업무성과정도를파악한다. 간호사의유머감각, 자존감, 간호업무성과간의상관관계를파악한다. 간호업무성과에미치는영향요인을파악한다. 연구방법 1. 연구설계본연구는간호사들의유머감각, 자존감과간호업무성과와의관계를파악하기위한서술적상관관계연구이다. 2. 연구대상본연구의대상은서울및경기도에소재하는 300병상이상의종합병원 6곳에서근무하고있는임상간호사로서본연구 Vol. 21 No. 1,

3 최진이 황인영 박영미 의목적을이해하고연구참여동의서에서면동의한 198명을대상으로하였다. 표본수는 G*Power 3 analysis software 를이용하여 medium effect size.15, power를.95로계산하였을때권고한표본수인 121명보다많아충족되었다 (Faul, Erdfelder, Lang, & Bunchner, 2007). 3. 연구도구 문항과간호단위에서간호를제공하는데필요한물리적환경조성과안전관리, 물품의확보와관리를포함한간호지원 6개문항, 간호사의능력과태도 22문항등으로총 57개문항으로구성되어있다. 본도구는 57개문항의 Likert 5점척도로점수가높을수록간호업무성과정도가좋은것을의미한다. 도구의신뢰도는개발당시는 Cronbach's =.97이었으며본연구에서는 Cronbach's =.977이었다. 1) 유머감각유머감각은인지적이며정의적인경험을바탕으로자극을인지하고정서적으로표현을하는능력인동시에상황의부조화를이해하고수용할수있는능력 (Whang, 1993) 으로본연구에서는 Svebak (1974) 가개발한 SHq (Sense of Humor Questionnaire) 를 Son (2008) 이수정, 보완한도구로서정서표현성, 메타메세지감수성, 유머선호도의 3개영역 21문항 4점척도로구성되어있고, 점수가높을수록유머감각수준이높은것을의미한다. Son (2008) 의연구에서도구의신뢰도인 Cronbach's =.743이었고, 본연구에서는.816이었다. 2) 자존감자존감 (Self-esteem) 은자아개념의평가적인요소로서자신을긍정적으로수용하고가치있는사람으로인지하는것을말하며 (Rosenberg, 1965), 자존감정도를측정하기위해 Rosenberg (1965) 의자아존중감측정도구를 Jeon (1974) 이번안한도구를이용하여측정하였다. 이측정도구는총 10문항 4 점척도로 ( 거의그렇지않다 1점, 약간그렇다 2점, 대체로그렇다 3점, 항상그렇다 4점 ), 5개의긍정문항과 5개의부정문항으로구성되어있으며, 부정문항은역환산하였다. 가능한총점의범위는 10~40점이며, 점수가높을수록자존감정도가높은것을의미한다. 개발당시도구의신뢰도는 Cronbach's =.85였으며, 본연구에서는 Cronbach's =.707이었다. 3) 간호업무성과간호업무성과는간호사가업무에대한전문성을바탕으로역할을합리적으로수행하여간호조직의목표를능률적으로수행하는정도를말하며 (Yoon, 1995), 본연구에서는 Park, Park, Kim과 Sung (2007) 이개발한간호성과측정을위한표준화된간호사인사고과도구에서의사소통및인간관계기능을제외한간호제공기능, 간호지원기능, 간호사의능력및태도를사용하였다. 하위영역별로는간호업무수행영역인독자적, 비독자적간호활동을포함하는개념인간호제공 29개 4. 자료수집본연구의자료수집기간은 2010년 4월 1일부터 2010년 7 월 30일까지시행하였다. 자료수집절차는연구자가대상자들에게직접연구목적및방법에대해설명하고개별적으로연구참여동의서를받은후자가보고식설문지를이용하여자료를수집하였다. 연구대상자의윤리적고려를위하여본연구의진행과정중에중단하고자하거나포기하기를원할시에는언제든지가능하며, 수집된자료에대해서는익명으로관리될것이며연구를위해서만사용될것임을사전에설명하였고서면동의를받았다. 5. 자료분석수집된자료는 SPSS/WIN 13.0 프로그램을이용하여전산통계처리하였으며, 분석방법은다음과같다. 본연구대상자의인구학적특성, 지각된건강상태, 유머감각, 자존감, 간호업무성과와그에대한하부영역의정도는서술적통계를, 인구학적특성, 직업적특성에따른간호업무성과와그에대한하부영역은 ANOVA와 t-test를사용하였다. ANOVA에서유의한변수는 Scheffe test를이용하여사후검정으로분석하였다. 각주요변인간의관계는 Pearson correlation 을이용하였다. 대상자의간호업무성과에영향을미치는변량을설명하기위하여분석시유의하게나타났던모든요인들을반응변수로포함하여 Stepwise multiple regression 으로분석하였다. 검증을위한유의도수준은.05로하였다. 연구결과 1. 연구대상자의일반적인특성및직업적특성대상자의일반적특성으로여성이 190명 (96.0%) 이었고, 평균연령은 29.7세였다. 결혼상태는미혼이 73.7% 를차지 12 Korean Journal of Occupational Health Nursing

4 하였고, 종교가있는대상자가 65.7% 로가장많았고, 교육정도는학사과정중이 40.9% 로가장많았다. 대상자의직업적특성으로근무병동은내과계, 외과계, 특수병동 ( 중환자실, 응급센터, 수술실, 분만실, 신생아실, 인공신장실 ), 기타병동 ( 산부인과병동, 정신과병동, 소아과병동 ), 외래및검진센터로분류하였으며특수병동이 33.8%, 외래가 30.3% 로가장많았다. 월수입은 200만원에서 300만원사이가 59.6% 로가장많았고, 평균임상경력분류는 5.9년으로 4년미만이전체의 45.5 % 로나타났다 (Table 1). 일반적특성및직업적특성에따른간호업무성과는 Table 1, 2와같다. 성별과종교유무, 근무하는병동종류에따른간호업무성과는유의한차이가없었고, 나이분류 (F=17.410, p<.001), 결혼유무 (t=12.290, p=.001), 교육정도 (F=8.704, p<.001), 수입분류 (F=21.716, p<.001), 임상경력분류 (F= , p<.001) 에따른간호업무성과는유의한차이가있었다. 사후분석결과 21~25세인그룹은 26~30세인그룹 (p=.003), 31~35세의그룹 (p<.001) 과 36세이상의그룹 (p<.001) 보다유의하게낮았다. 미혼의간호업무성과는기혼보다유의하게낮았다. 전문대졸인그룹은대졸 (p<.001) 과대학원재학이상인그룹 (p=.037) 에비해유의하게낮았고, 학사과정인그룹은대졸그룹에비해유의하게낮았다 (p=.001). 수입이 100만원미만인그룹의간호업무성과는 201~ 300만원인그룹과 301만원이상인그룹의간호업무성과보다유의하게낮았고 (p<.001), 101~200 만원인그룹의간호업무성과는 201~300만원인그룹과 301만원이상인그룹의간호업무성과보다유의하게낮았다 (p<.001). 201~300만원인그룹의간호업무성과는 301만원이상인그룹의간호업무성과보다유의하게낮았다 (p=.001). 임상경력이 2년미만인그 Table 1. Nurses' Performance according to General and Job Characteristics Characteristics Categories n(%) Gender Age (year) 29.68±6.50 Marriage Religion Education level Ward Income (monthly-won) Clinical experience (year) 5.92±5.61 Female Male 21~25 a 26~30 b 31~35 c 36 d No Yes Yes No College a In bachelor course b Bachelor c Master d Medical ward Surgical ward Special ward Other ward Outpatients ward <100 a 101~200 b 201~300 c 301 d <2 a 2~4 b 4~6 c 6~8 d 8~10 e >10 f 190 (96.0) 8 (4.0) 65 (32.8) 61 (30.8) 40 (20.2) 32 (16.2) 149 (75.3) 49 (24.7) 130 (65.7) 68 (34.3) 69 (34.8) 81 (40.9) 31 (15.7) 17(8.6) 24 (12.1) 37 (18.7) 67 (33.8) 10(5.1) 60 (30.3) 13(6.6) 42 (21.2) 118 (59.6) 25 (12.6) 47 (23.7) 43 (21.7) 34 (17.2) 14(7.1) 16(8.1) 44 (22.2) Nurses's performance 3.71± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.45 F or t (p) (.116) (.001) (.337) (.616) (N=198) Post-hoc comparison a<b a<c, d a<c a<d b<c a<c, d b<c, d c<d a<b, c, d a<e, f b<f Vol. 21 No. 1,

5 최진이 황인영 박영미 룹의간호업무성과는임상경력이 2~4년미만 (p=.003), 4~6 년미만 (p=.001), 6~8년미만 (p=.011), 8~10년미만 (p<.001), 10년이상 (p <.001) 인그룹의간호업무성과보다유의하게낮았다. 2~4년미만인그룹의간호업무성과는 10년이상의간호업무성과보다유의하게낮았다 (p =.008). 일반적특성및직업적특성에따른간호업무성과의하부영역을분석한결과간호제공은연령 (p<.001), 결혼유무 (p<.001), 교육수준 (p<.001), 수입정도 (p<.001), 임상경험 (p<.001) 에따라유의한차이가있었다. 간호지원은성별 (p=.019), 연령 (p <.001), 결혼유무 (p =.008), 교육수준 (p <.001), 수입정도 (p <.001), 임상경험 (p <.001) 에따라유의한차이가있었다. 능력및태도는연령 (p<.001), 결혼유무 (p <.001), 교육수준 (p <.001), 수입정도 (p <.001), 임상경험 (p <.001) 에따라유의한차이가있었다 (Table 2). 2. 간호사의유머감각, 자존감, 간호업무성과와의상관관계 간호사의간호업무성과는유머감각 (r=0.232, p =.001), 자존감 (r=0.230, p=.001) 과유의한양적상관관계가있었다. 즉간호사의유머감각이좋을수록, 자존감이높을수록간호업무성과는높은것으로나타났다 (Table 3). Table 3. Correlation between a Sense of Humor, Selfesteem, and Performance in Nurses Variables Sense of humor Self-esteem Sense of humor 1 Self-esteem Performance.232 (.001).230 (.001) Table 2. Subdomains of Nurses's Performance according to General and Job Characteristics Characteristics Gender Categories Female Male Age (year) 21~25 26~30 31~35 36 Marriage Religion Education level Ward Income (man-won) Clinical experience (year) No Yes Yes No College In bachelor course Bachelor Master Medical ward Surgical ward Special ward Other ward Outpatients ward < ~ ~ <2 2~4 4~6 6~8 8~10 >10 Nursing service 3.68± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.46 F or t (p) (.434) (.001) (.227) (.390) Nursing support 3.78± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.52 F or t (p) (.019) (.008).051 (.822) (.793) Ability & attitude 3.67± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ± ±0.47 (N=198) F or t (p) (.222) (.200) (.553) Korean Journal of Occupational Health Nursing

6 3. 간호업무성과에영향을미치는요인간호사의간호업무성과에영향을미치는요인을 Stepwise multiple regression 으로분석하였다. 그결과간호업무성과에영향을미치는요인은임상경험 (26.3%), 유머감각 (35.0%), 자존감으로나타났으며설명력은 36.5% 였다 (Table 4). 논의본연구는병원에근무하고있는간호사들을대상으로유머감각, 자존감과간호업무성과와의관계를확인하고임상현장에서간호업무성과를증진시킬수있는요인을찾고자시도한서술적상관관계연구이다. 본연구결과대상자의일반적특성중나이분류, 결혼유무, 교육정도, 수입분류, 임상경력에따른간호업무성과는유의한차이가있었다. 사후분석결과간호업무성과는 21~25 세인그룹은 26세이상인다른그룹에비해낮았고, 미혼인간호사그룹은기혼그룹보다낮았다. 임상경력이 2년미만인그룹의간호업무성과는임상경력이 2년이상이었던다른그룹의간호업무성과보다유의하게낮았다. 본연구결과에서간호업무성과가연령이증가할수록, 기혼에비해미혼인간호사가낮은것은연령이증가함에따라결혼을하는대상자가증가하고, 임상경력도같이증가하기때문으로해석된다. 이는기존의연구에서간호업무성과가기혼인대상자가미혼대상자에비해높았으며임상경력이많은그룹이경력이적은간호사그룹에비해높은것과일치하였고 (Min et al., 2004; Sim & Kim, 2010). 또한월수입이낮은그룹의간호업무성과는월수입이높은그룹의간호업무성과보다유의하게낮았는데이는간호사개인이간호업무에대한보상이라고할수있는월수입이적절하다고느끼는정도에따라간호업무성과에영향을준것으로 Min, Jung과 Kim (2004) 의연구에서평균봉급수준이높았던그룹이간호업무성과가높았던결과와일치하였다. 이러한결과로볼때간호사의간호업무성과와관련 하여간호단위에서는 2년이상의경력직간호사가많이요구되므로이직과사직을감소시키기는전략이요구되며, 간호업무에대한적절한보상이있어야할것으로생각된다. 본연구에서는간호사의간호업무성과는간호사의유머감각이좋을수록, 자존감이높을수록높은것으로나타났고이는이전의연구에서유머감각정도와자존감정도가높을수록간호업무성과가높은것과일치하였다 (Min et al., 2004; Sim & Kim, 2010). 또한 Min 등 (2009) 의연구에서는간호사의자아상이간호업무성과에 33.5% 정도의설명력이있는것으로보고되었는데여기서자아상은자신에대한긍정적신념, 수용적태도, 심리적여유를가지고현실에건전하고긍정적인자세등을의미하는것이었다. 본연구에서의자존감의개념은자신을중요하다고생각하거나성공적이거나가치가있다고믿는정도 (Coopersmith, 1967) 로서 Min 등 (2009) 의연구에서자아상개념에서자신에대한긍정적인태도나신념과부분적으로유사한개념으로본연구결과와비슷한결과를나타낸것으로볼수있다. 또한본연구에서간호업무성과에영향을미치는요인은임상경력, 유머감각, 자존감순으로나타났으며설명력은 36.5% 로나타났다. 이러한결과는 Min 등 (2004) 의연구에서는유머감각을지닌하급자가상급자의리더십을더높게지각하여간호업무성과에영향을끼치는것으로보고한것과비슷하게나타났다. 그리고 Son (2008) 과 Yang과 Han, You (2005), Park (2002) 의연구에서유머감각이높으면임파워먼트가증가하고, 이에따라간호업무성과가증가하는것으로보고되어본연구의유머감각이높을수록간호업무성과가향상된다는것을간접적으로설명하였다. 임파워먼트는개인의과업역할에대해내재적인과업동기를증진하도록파워를증대시키는과정으로 (Spreitzer, 1995) 리더십이매우중요한역할을담당하고하고개인의임파워먼트가증가되었을때집단과조직으로확산되어간호업무성과가증가하게된다 (Park, 2002). 따라서유머감각이높을수록잠재능력과창의력을최대한발휘하는임파워먼트가증가되고임파워먼트의간호단 Table 4. Influencing Factor for Nurses's Performance Variables B SE β t p Adjusted R 2 F(p) (Constant) < Clinical experience < Sense of humor < Self-esteem Vol. 21 No. 1,

7 최진이 황인영 박영미 위조직에서의확산으로결과적으로간호업무성과가증가한것으로설명할수있다. 그러나간호업무성과와유머감각, 자존감과의관계를구체적으로파악한연구는없어객관적으로설명하는것에는제한이있었다. 이러한연구결과를통해서간호업무성과를증가시키기위해서는간호서비스제공을위한계속적인보수교육과간호단위에서간호를제공하는데필요한물리적환경조성과안전관리, 물품의확보와관리를포함한행정적인측면의지원뿐아니라간호사의내적인측면향상을위한유머감각및자존감향상을위한교육의필요성이제시되었다. 따라서간호업무성과를증진시키기위해서는지식향상을위한교육과간호제공을위한자원관리등과같은행정적인면의지원뿐아니라간호사의이직및사직을감소시키기위한전략, 간호업무에맞는적절한보상, 간호사의유머감각증진및자존감증진프로그램이개발되어제공되어야효과적으로향상될수있다고생각된다. 결론및제언본연구는간호사들의유머감각, 자존감과간호업무성과와의관계를파악하기위한서술적상관관계연구로서울및경기도에소재하는종합병원에근무하고있는간호사 198명을대상으로자료를수집하였으며수집된자료는 SPSS/WIN 13.0 프로그램을이용하여분석하였다. 본연구결과는다음과같다. 첫째, 간호업무성과는나이, 결혼유무, 교육정도, 수입, 임상경력에따라유의한차이가있었다. 사후분석결과간호업무성과는임상경력 2년을기준으로했을때경력이많을수록, 교육수준이높을수록, 수입이높을수록, 기혼인간호사일수록높은것으로나타났다. 둘째, 간호사의간호업무성과는유머감각, 자존감과유의한양적상관관계가있었다. 셋째, 간호업무성과에영향을미치는요인은임상경력, 유머감각, 자존감순으로나타났으며설명력은 36.5% 로나타났다. 본연구결과에서간호사의간호업무성과는임상경력, 유머감각, 자존감이영향을미치는것으로나타났다. 따라서간호업무성과를높이기위해임상경력이유지될수있는행정적인방안뿐아니라유머감각및자존감향상을위한중재프로그램을개발되어야할것으로사료된다. 본연구는일부지역에근무하는간호사를대상으로수행되어일반화하기에는다 소어려움이있으므로추후대상을확대하여임상경력, 유머감각, 자존감과간호업무성과의관계를파악할수있는반복적인연구가필요하다. REFERENCES Asted-Kurki, P., Isola, A., Tammentie, T., & Kervinen, U. (2001). Importance of humor to client-nurse relationships and client's well-being. International Journal of Nursing Practice, 7(2), Bong, Y. S., So, H. S., & You, H. S. (2009). A study on the relationship between job stress, self-efficacy, and job satisfaction in nurses. Journal of Korean Academy of Nursing Administration, 15(3), Choi, E. J. (2010). The effect of job stress and stress coping type on nursing performance among a university hospital nurses. Unpublished master's thesis, Inje University, Busan. Coopersmith, S. (1967). The antecedent of self-esteem. San Francisco: Freeman. Faul, F., Erdfelder, E., Lang, A. G., & Bunchner, A. (2007). G power 3: A flexible statistical power analysis program for social, behavioral, and biochemical sciences. Behavior Research Method, 39, Ha, N. S., & Choi, J. (2010). An analysis of nursing competency affecting on job satisfaction and nursing performance among clinical nurses. Journal of Korean Academy of Nursing Administration, 16(3), Han, S. J. (2000). A study on the relationship between nursing organizational culture and organizational performance. Unpublished doctoral dissertation, Ewha Womans University, Seoul. Hwang, M. S. (1993). A study the humor sense and coping with stress. The Journal of Unfolding Spirit, 12, Jeon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Nonchong, 11, Kaplan, H., & Boyd, I. (1965). The social functions of humor on open psychiatric ward. Psychiatric Quarterly, 39, Kim, K. S. (2005). A study on nurses' emotional intelligence, nursing performance, organizational commitment, and turnover intension. Unpublished master's thesis, Sungkyunkwan University, Seoul. Kim, M. R. (2009). Relationship between sense of humor and job stress of nurses. Unpublished master's thesis, Chonbuk National University, Jeonju. Lee, J. M., & Park, H. G. (1988). A study on developing of job stress scale (II). The Collection of Chonnam University, 33, Lee, S. H., Kim, H. M., Ha, G. Y., Jo, H. S., & Chae, Y. M. (2008). The opinion and attitude of hospital managers toward 16 Korean Journal of Occupational Health Nursing

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