Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.24(1) > 1058061

Kim: Exploration of the Experience of Work Environment in Korean Psychiatric Nurses Working in Mental Hospitals



The purpose of this study was to explore psychiatric nurses' experiences of positive and negative factors in the workplace that may influence the nurse to burnout or engagement.


Three focus groups of 15 psychiatric nurses working in 3 mental hospitals were interviewed. Qualitative descriptive methods and qualitative content analysis were used.


For negative factors, there were 6 domains (compensation and welfare, manpower, organizational support, duty, work load, role identity), 9 categories (poor benefits, low level of salaries and unreasonable pay system, nurse shortage, lack of nurse competency, poorly prepared assistant staff, lack of support systems for development, irrational duty assignments, work overload, identity crisis as a psychiatric nurse) and 17 subcategories. For positive factors, there were 3 domains (client, colleagues, nurses' role), 4 categories (rapport with client, client recovery, respect and support from colleagues and head nurses, nursing leadership and participation in the treatment process) and 7 subcategories.


Results of this study suggest the following: a) further research is needed to identify strategies to improve negative factors, particularly, he establishment of a rational nursing personnel policy b) recognizing and encouraging positive factors to strengthen nurses' work engagement with support from institutions and nurse administrators.

Figures and Tables

Table 1

General Characteristics of Participants (N=15)


PNo.=Participant number.

Table 2

Categories and Subcategories of Burnout in Korean Psychiatric Nurses

Table 3

Categories and Subcategories of Work Engagement in Korean Psychiatric Nurses



1. Cleary M, Hunt GE, Horsfall J, Deacon M. Nurse-patient interaction in acute adult inpatient mental health units: a review and synthesis of qualitative studies. Issues Ment Health Nurs. 2012; 33(2):66–79. DOI: 10.3109/01612840.2011.622428.
2. Kipping CJ. Stress in mental health nursing. Int J Nurs Stud. 2000; 37(3):207–218.
3. Bai JY, Suh MJ. A study on work stress perceived by clinical nurses. J Nurs Acad Soc. 1989; 19(3):259–272.
4. Park HS, Bae YJ, Joung SY. A study on anger expression and burnout of psychiatric mental health nurses. J Korean Acad Psychiatr Ment Health Nurs. 2003; 12(3):235–244.
5. Kim HJ, Im SB, Song YS. The stress response and coping of psychiatric nurses. Korean J Stress Res. 2007; 15(1):35–42.
6. Jin MJ. Study on job satisfaction in workers working in psychiatric mental hospital [master's thesis]. [Daejeon]: Daejeon University;2002. 45.
7. Eun KS. A study on the influencing factors of organizational commitment and turnover intention related to the equity perception of the personnel of mental hospitals. [master's thesis]. [Seoul]: Yonsei University;2001. 3.
8. Lee DE, Suh TW, Lee TK, Park JI, Hong JP, Kwon SH, et al. An estimation of optimal medical manpower in mental hospital. J Korean Neuropstchiatr Assoc. 2005; 44(5):560–567.
9. Freeney YM, Tiernan J. Exploration of the facilitators of and barriers to work engagement in nursing. Int J Nurs Stud. 2009; 46:1557–1565. DOI: 10.1016/j.ijnurstu.2009.05.003.
10. Paris MJ, Hoge MA. Burnout in the mental health workforce: a review. J Behav Health Serv Res. 2010; 37(4):519–528. DOI: 10.1007/s11414-009-9202-2.
11. Aiken LH, Clarke SP, Sloane DM, Lake ET, Cheney T. Effects of hospital care environment on patient mortality and nurse outcomes. J Nurs Adm. 2008; 38(5):223–229.
12. Lee NH. A study on the relationship among self-efficacy of psychiatric nurses, job stress and burnout. Nurs Sci. 2011; 23(2):47–59.
13. Schaufeli WB, Bakker AB. Job demands, job resources, and their relationship with burnout and engagement: a multi-sample study. J Organ Behav. 2004; 25(3):293–315. DOI: 10.1002/job.248.
14. Schaufeli WB, Salanova M, Vicente Gonzalez-Roma V, Bakker AB. The measurement of engagement and burnout: a two sample confirmatory factor analytic approach. J Happiness Stud. 2002; 3:71–92.
15. Shin GH, Oh HS. The importance of job engagement in predicting job satisfaction and turnover intention. In : Korean J Psychol. Annual Conference; 2004. p. 244–245.
16. Van Bogaert P, Wouters K, Willems R, Mondelaers M, Clarke S. Work engagement supports nurse workforce stability and quality of care: nursing team-level analysis in psychiatric hospitals. J Psychiatr Ment Health Nurs. 2013; 20(8):679–686. DOI: 10.1111/jpm.12004.
17. Simpson MR. Engagement at work: a review of the literature. Int J Nurs Stud. 2009; 46(7):1012–1024. DOI: 10.1016/j.ijnurstu.2008.05.003.
18. Morgan DL, Krueger RA. Focus group kit (six book set). Thousand Oaks, California: Sage;1998. p. 77.
19. Downe-Wamboldt B. Content analysis: method, application, and issues. Health Care Women Int. 1992; 13(3):313–321.
20. Atlas. ti 6.0 scientific software (The qualitative data analysis software) [CD]. Version 6.0. Berlin: ATLAS.ti Scientific Software Development GmbH;2011.
21. Guba EG. Criteria for assessing the trustworthiness of naturalistic inquiries. ECTJ. 1981; 29(2):75–91.
22. Kim HJ, Bae JH. The degree of job stress, self-efficacy and job satisfaction in psychiatric nurses. J Korean Assoc Crisis Emerg Manage. 2014; 6(2):21–32.
23. Robinson S, Murrells T, Smith EM. Retaining the mental health nursing workforce: early indicators of retention and attrition. Int J Ment Health Nurs. 2005; 14(4):230–242. DOI: 10.1111/j.1440-0979.2005.00387.x.
24. Tourangeau AE, Cummings G, Cranley LA, Ferron EM, Harvey S. Determinants of hospital nurse intention to remain employed: broadening our understanding. J Adv Nurs. 2010; 66(1):22–32. DOI: 10.1111/j.1365-2648.2009.05190.x.
25. Jang HS. The structural causes and perpetuating factors affecting long-term hospitalization of the mentally ill in Korea [dissertation]. [Ulsan]: Ulsan University;2010. 135.
26. Lee HN, Lee SY, Lee MA. A study of nurses job satisfaction. J East West Nurs Res. 2009; 15(2):91–101.
27. Whittington D, McLaughlin C. Finding time for patients: an exploration of nurses? time allocation in an acute psychiatric setting. J Psychiatr Ment Health Nurs. 2000; 7(3):259–268. DOI: 10.1046/j.1365-2850.2000.00291.x.
28. Bai JI. A experience of the psychiatric nurse: a phenomenological approach. J Korean Acad Psychiatr Ment Health Nurs. 1998; 7(2):298–309.
29. Quirk A, Lelliott P. What do we know about life on acute psychiatric wards in the UK? a review of the research evidence. Soc Sci Med. 2001; 53(12):1565–1574. DOI: 10.1016/S0277-9536(00)00457-3.
30. Meadows S, Levenson R, Baeza J. The last straw: explaining the NHS nursing shortage [Internet]. London: King's Fund;2000. cited 2014 Dec 25. Available from:
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