Purpose: The purpose of this study was to identify the effects of emotional labor and self-efficacy on psychosocial stress of nurses. Methods: A cross-sectional correlation study design was used. The participants were 186 nurses from two general hospitals in Jeju Island, South Korea. A self-report questionnaire was used to collect data including data on emotional labor, self-efficacy, and psychosocial stress. Data were analyzed using descriptive statistics, Pearson correlation coefficient,

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... t, ANOVA, and hierarchical multiple regression. Results: Approximately 98% of the participants were categorized as having potential and high risk stress levels. Hierarchical multiple regression showed that employment status, surface-acting, and self-efficacy explained 37.0% of psychosocial stress and self-efficacy was the main factor influencing psychosocial stress. Conclusion: Nursing administrators should understand that nurses suffer from high risk stress and emotional labor. To reduce the psychosocial stress of nurses, there is needed to improve stressful work conditions such as irregular employment, decrease surface-acting, and improve self-efficacy. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. 서 론 1. 연구의 필요성 오늘날 병원 조직은 의료분쟁의 증가, 병원의 대형화 및 병 원간의 경쟁 심화, 의료기관 인증평가 등으로 환자에 대한 서 비스가 크게 강조되면서 환자만족 또는 고객만족이 병원의 경 쟁 우위를 결정하는 주요한 요인으로 부각되었다[1,2]. 이에 따라 병원 종사자들은 조직의 감정표현 규범에 따라 자신의 감정이나 느낌을 고객들에게 표현하도록 요구 받고 대응하는 과정에서 많은 스트레스를 받으며 이른바 감정노동(emotional labor)에 종사하는 것으로 보고된다[3-5]. 감정노동이란 조직 의 목표 달성을 위하여 자신이 실제 느끼는 감정과 감정표현 을 통제하는 것으로[6], 불쾌한 상황으로부터 심리적 거리를 ⓒ 2015 Korean Academy of Nursing Administration