This study was attempted to investigate effects of ethical climate and workplace bullying on nurses’ turnover intention of nurses working in medium to large sized general hospitals in Korea. This study was conducted on 187 full-time nurses working in the general hospitals with more than 400 beds. Data were collected from the online communities of nurses using Google Foam from April 22 to April 24, 2024. The average values were 3.64±0.64 (out of 5 points) for ethical climate, 2.43±0.75 (out of 4 points) for workplace bullying, and 3.33±0.95 (out of 5 points) for nurses’ turnover intention. While ethical climate had a non-significant relationship with nurses' turnover intention, workplace bullying had a significant relationship with nurses' turnover intention. Nurses’ turnover intention was influenced by verbal attack, inappropriate task, working department, and educational level. These four variables can explain 53.0% of nurses' turnover intention. To prevent the turnover of nurses working at medium to large sized general hospitals, nursing managers need to pay more attention to nurses with low educational level and working at comprehensive wards and special wards. In addition, nursing managers should provide communication training to nurses and assign nursing tasks and working departments according to the nurses' abilities and wishes.

우리나라는 1997년 IMF 위기를 겪으면서 직장 내에서의 가부장적인 문화와 남성을 우월시하는 분위기가 팽배하게 되었고, 이러한 사회적 분위기로 인해 직장 내에서 발생하는 괴롭힘을 직장 내 업무의 일부분이라고 여기게 되었다. 특히 2010년대에 들어 직장 내에서의 괴롭힘 문제가 사회적으로 이슈 되기 시 작했고, 2019년에 이르러 직장 내 괴롭힘 금지법을 시행하게 되었다. 한편 선원은 근로관계에 있어서 근로기준법이 아닌 선원법의 적용을 받게 되는데, 선원법에는 직장 내 괴롭힘 금지 규정이 없어 직장 내에서 괴롭힘을 당하더라도 법적 보호를 받지 못하였다. 이로 인해 근로기준법상의 직장 내 괴 롭힘 금지 규정이 선원에게 적용 가능한지 여부가 지속적으로 논란이 되어 왔 었으나, 최근에 선내 괴롭힘 금지 규정을 포함하는 선원법 개정이 이뤄지면서 선원들도 선내 괴롭힘으로부터 법적 보호를 받을 수 있게 되었다. 이와 같이 괴롭힘 피해를 입은 선원들을 보호하기 위한 선원법이 개정되었 음에도 불구하고, 해당 규정은 근로기준법을 참고하여 개정이 진행됨에 따라 선박이라는 특수한 근로 환경에서 발생한 괴롭힘으로부터 피해를 입은 선원을 보호하기에는 한계를 가지고 있다. 따라서 이 연구에서는 근로기준법상 직장 내 괴롭힘 금지 규정 및 선원법상 선내 괴롭힘 금지 규정의 문제점을 검토하고, 선박에서 발생하는 괴롭힘으로부 터 선원을 보호하기 위한 제도적·입법적 개선방안을 제시하였다.

Purpose: This study was attempted to investigate the relationship among workplace bulling, organizational silence, organizational justice, ethical climate, and intent to leave in hospital nurses. Methods: This study was a cross-sectional survey. Data were collected from 267 full-time nurses working at one general hospital in South Korea from June 10 to 30, 2022 and analyzed using the SPSS 25.0 program. Results: As a result of the study, workplace bullying averaged 1.81 (out of 4), organizational silence 2.60 (out of 5), organizational fairness 3.06 (out of 5), ethical climate 3.57 (out of 5), and intent to leave was 2.88 (out of 5). The higher workplace bullying and organizational silence, the lower organizational justice and ethical climate, the intent to leave of hospital nurses was high. Organizational justice, workplace bullying, and age could explain their intent to leave of 37.0%. Conclusion: It Is found that it is important to increase organizational justice and prevent workplace bullying in order to lower hospital nurses' intent to leave. So it is concluded that managers should disclose the process and results of organization operation, and prepare measures to prevent bullying in the workplace centered the vulnerable.

본 연구에서는 병원간호사의 직장 내 괴롭힘을 지각한 간호대학생의 전공만족도와 주도적으로 진로를 결정하고 직업환경에서의 변화에 대처할 수 있는 준비성인 진로적응성에 어떠한 영향을 미치는지 규명하기 위해 실시하였다. 연구 대상자는 서울과 충청권 거주 간호대학생으로 2020년 2월 1일부터 4월 15일까지로 총 187부의 자료를 t-test, ANOVA, Pearson’s Correlation Coefficient, Multiple regression analysis로 최종 분석하였다. 연구결과는 학년과 학과 지원동기, 병원간호사의 직장 내 괴롭힘 지각의 영향 유무 및 진로적응성을 예측변수로 간호대학생의 전공만족도를 설명하는 선형회귀모형은 통계적으로 유의하였고(F=10.821, p<.001), 회귀모형의 설명력은 전공만족도 총 변화량의 33.1%를 설명하고 있다. 학년, 학과지원동기, 직장 내 괴롭힘 지각과 전공만족도를 예측변수로 간호대학생의 진로적응성을 설명하는 선형 회귀모형은 통계적으로 유의하였고(F=10.242, p<.000), 회귀모형의 설명력은 자기주도성 총 변화량의 28.9%를 설명하고 있다. 따라서 본 연구결과를 바탕으로 직장 내 괴롭힘 문화에 대한 지각 및 인식개선을 위한 상담과 비교과 교육 프로그램개발 및 활성화를 위한 기초자료로 활용할 수 있을 것이다.

Purpose: The aim of this study was to explore workplace bullying and turnover intention among new nurses whose career was less than 12 months. Method: Survey was performed using structured questionnaire which consisted of general characteristics, workplace bullying and results, turnover intention. Study participants were new nurses from a University hospital located in G-district. Total 163 questionnaires out of 180 were analyzed using descriptive statistics, t-test, ANOVA, correlation, multiple regression as appropriate. Results: Overall bullying level was rather low, yet it was true that at least some new nurses were bullies. One factor affecting both bullying and turnover intention consistently was ward assignment. Working period, working ward, mistrust were predictive factors of turnover intention among new nurses. Conclusion: Factors revealed from this study and previous studies need to be into account when developing strategies to help new nurses in adjusting working environment. In addition, qualitative studies are called for further insight regarding the context of bullying and turnover intention.