• Title, Summary, Keyword: Nurse

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The Characteristics and Spatial Configuration for a Nurse's Office in an Elementary School in a Rural Area -Focused on Cheongwon Gun Area- (농촌지역 초등학교 보건실의 공간구성 및 특성 -청원군 지역을 중심으로-)

  • Lee, Jae-Hyung;Jung, Jin-Ju
    • Journal of the Korean Institute of Rural Architecture
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    • v.12 no.1
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    • pp.9-16
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    • 2010
  • As the importance of health and school health grows, the purposes of this research are to investigate the differences between the characteristics and the utilization of the nurse's office of an elementary school in an urban area and the nurse's office of an elementary school in a rural area, and to provide the data for the planning of construction of a nurse's office convenient for students to use after grasping the regional characteristics. The methods of this research include the interview and the survey conducted to the heath teachers after visiting 20 nurse's offices in 13 eups and myeons, and examined and analyzed the differences between the characteristics and the utilization of the nurse's office of elementary schools in an urban area and the nurse's office of an elementary school. The nurse's offices of the elementary schools in Cheongwon, a rural area, are worse in access to health care institutions and in the connection to the placement than those of the elementary schools in urban areas, so most of eups and myeons were not allowed for easy access to medical service. Depending on the bad personal surroundings of each elementary student, mental stress and the lack of heal care of each student should be taken care of along with the educating of the parents and the children. Also because of the difficulties in access to the health care institutions, it is suggested that a lot of support and interest should be provided for the nurse's offices and that a lot of changes with functions should occur to the nurse's offices so that the nurse's office of an elementary school can play the role as a local health care institution. Besides, the health teachers also should be able to provide more professional medical services by taking in-service training courses.

Differences between Male Nurses and Female Nurses Recognized by Female Nurses (여성간호사에게 인식된 남성간호사와 여성간호사의 상이점)

  • Kim, HyunSu;Yun, HeeJang
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.147-155
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    • 2019
  • The purpose of this study is to analyze the difference between female nurse and male nurse in female nurse by applying the phenomenological method of Colaizzi which is one of the qualitative research methodology and to analyze the difference between female nurse and male nurse. What is the difference between a male nurse and a female nurse perceived by a female nurse? This study investigated the differences between female nurses and male nurses with research problems. The participants in this study were 13 female nurses who agreed to participate in the study after explaining and understanding the purpose of the study. The recruitment of the subjects was applied by the snowball method. As a result of this study, five categories were found. The categories were different in clinical tasks, the burden of family economic life, differences in interpersonal relationships, differences in nursing organization, and differences in unknown areas. The results of this study can be used as teaching materials and research data to expand the understanding of difference between male nurse and female nurse.

The Effects of Institutional and Market Factors on Nurse Staffing in Acute Care Hospitals (의료기관과 시장특성이 간호사 확보수준에 미치는 영향)

  • Kim, Yun-Mi;Cho, Sung-Hyun;Jun, Kyung-Ja;Go, Su-Kyung
    • Health Policy and Management
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    • v.17 no.2
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    • pp.68-90
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    • 2007
  • Nurse staffing level is an important factor that influences the quality of health service and patient outcomes. This study was carried out to examine the current state of acute hospital nurse staffing and find out factors that affect the nurse staffing level. Nurse staffing of individual hospitals was measured using the number of registered nurses per 100 beds. Descriptive and multiple regression analyses were conducted using 592 acute care hospitals' data. Regression model included structure factors such as referral level, ownership, medical and general staffing, and financial outcome factors such as occupancy rate, inpatient and outpatient revenues. Market characteristics included strength of competition, supply of nurses, and income and health status level of consumers. The average number of nurses per 100 beds was 28 and showed a great variation according to the referral level. Regression model explained this variation as much as 76.87%. Hospital structure variables which affecting the hospital nurse staffing level positively were ICU bed ratio, the staffing level of specialist, training doctor and employees except doctor and nursing personnel, while the negative factor was nurse aid staffing level. General hospitals employed more nurses than hospitals. Among outcome characteristics, occupancy rate and the amount of health insurance inpatient revenue affected positively on the hospital nurse staffing level. The more supply of the new nurse and the higher consumer income and health status in the medical service markets, the more nurses were employed by the medical institutes. According to the study result, hospitals employed more nurses when they had more financial incentive by increasing nurses. This means appropriate hospital incentive policy and regulation policy, which hospital violate nurse staffing level have to pay penality, should be needed. Clarifying job description between nurses and nurse aids and the reentry program for unemployed experienced nurses will be helpful to increase nurse staffing level.

Nurse Staffing and Health Outcomes of Psychiatric Inpatients: A Secondary Analysis of National Health Insurance Claims Data

  • Park, Suin;Park, Sohee;Lee, Young Joo;Park, Choon-Seon;Jung, Young-Chul;Kim, Sunah
    • Journal of Korean Academy of Nursing
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    • v.50 no.3
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    • pp.333-348
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    • 2020
  • Purpose: The present study investigated the association between nurse staffing and health outcomes among psychiatric inpatients in Korea by assessing National Health Insurance claims data. Methods: The dataset included 70,136 patients aged 19 years who were inpatients in psychiatric wards for at least two days in 2016 and treated for mental and behavioral disorders due to use of alcohol; schizophrenia, schizotypal and delusional disorders; and mood disorders across 453 hospitals. Nurse staffing levels were measured in three ways: registered nurse-to-inpatient ratio, registered nurse-to-adjusted inpatient ratio, and nursing staff-to-adjusted inpatient ratio. Patient outcomes included length of stay, readmission within 30 days, psychiatric emergency treatment, use of injected psycholeptics for chemical restraint, and hypnotics use. Relationships between nurse staffing levels and patient outcomes were analyzed considering both patient and system characteristics using multilevel modeling. Results: Multilevel analyses revealed that more inpatients per registered nurse, adjusted inpatients per registered nurse, and adjusted inpatients per nursing staff were associated with longer lengths of stay as well as a higher risk of readmission. More adjusted inpatients per registered nurse and adjusted inpatients per nursing staff were also associated with increased hypnotics use but a lower risk of psychiatric emergency treatment. Nurse staffing levels were not significantly associated with the use of injected psycholeptics for chemical restraint. Conclusion: Lower nurse staffing levels are associated with negative health outcomes of psychiatric inpatients. Policies for improving nurse staffing toward an optimal level should be enacted to facilitate better outcomes for psychiatric inpatients in Korea.

Patient′s Preferances for Nurse′s Nonverbal Expressions of Warmth During Nursing Rounds and Administration of Oral Medication (간호회진과 경구투약시 환자가 선호하는 간호사의 비언어적 온정행위에 관한 연구)

  • 김형선;김문실
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.381-398
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    • 1990
  • Nursing involves deep human interpersonal relationships between nurses and patients. But in modem Korea, the nurse - patient relationship tends to be ritualistic and mechanestic. Patients usually express the hope that nurses be more tender and kind. Patients expect nurses to express their warmth especially through nonverbal behaviour. This study was conducted to identify patients' preferences for nurse's nonverbal expressions of warmth. Through the confirmation of these preferences, nurses may learn how to enhance their interpersonal relationships with patients. Subjects for the study were 73 patients who had been admitted to a university teaching hospital for at least three days and agreed to be interviewed by the investigator. The interactions were studied nonverbal expressions of warmth during nursing rounds and administration of oral medication. The interview schedule was expecially designed by the investigator to measure the nurse's posture, the distance between the nurse and the patient, the nurse's eye contact, facial expression, hand motion and head nodding. Data analysis included frequencies, percentages and X²-test. The results of this study may be summerized as follows : 1. Patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds. Preferred nurse's posture was sitting(50.7%) or standing(49.3%) opposite the patient. Preferred distance between the nurse and the patient was close to the bed(93.2%), less than 1m. Preferred eye contact was directed to the patient's eyes or their affected part (41.1%). Preferred facial expression was a smile(97.3%). Preferred hand motions were light gestures(41.1%). Patients preferred head nodding which approved their own opinions(69.9%). 2. Patient's preferences for nurse's nonverval expressions of warmth during administration of oral medication. Preferred nurse's posture was standing and waiting to confirm that the medication had been taken(58.9%). Preferred distance from the patient was at arm's length, 0.5-1m(64.4%). Patients preferred direct eye contact(58.9%) and a smile(94.5%). Patients preferred that the nurse put the medicine directly the patient's hand(64.4%). Whether the nurse nodded her head or not was not considered important. 3. The relation of general characteristics and patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds and administration of oral medication. During nursing rounds, the age of subjects(p=0.010) and the standard of education(p=0.026) related to the distance between the nurse and the patient. The sick hospital ward related to the eye contact(p=0.017) and facial expression(p=0.010). During administration of oral medication, the age of subjects(p=0.044) and days of hospital treatment (p=0.043) and the sick hospital ward(p=0.0004) related to the facial expression. From this study, nurses can learn what kind nonverbal expressions of warmth are preferred by patients during rounds and administration and thus will enhance nurse- patient interpersonal relationships.

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Study of Nurse's Interpersonal Conflict and Communication (간호사의 인간관계 갈등과 의사소통에 관한 조사연구)

  • Cho, Nam-Ok;Hong, Yeo-Shin;Kim, Hyun-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.369-378
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    • 2001
  • It is important for nurses to try to improve their interpersonal relationship and communication skill. The purpose of this study was to examine the nurse's inerpersonal conflict and expression with physicians, other nurses and patients & their caregivers. A convenient sample of 62 RN-BSN students were recruited. The data collection was done from August, 2001 to September, 2001. Nurses experienced the most conflicts with high-positioned nurses, then doctors, patients and their families, administrators, nurse-aid, nurse colleagues and lower-positioned nurses. There was a significant correlation between nurse's interpersonal conflict with doctors and nurse's age & career, between with high-positioned nurses and region of hospitals & nurse's position. The expression that nurses least-like from physicians was 'Do it as order'. From other nurses was 'manner of speech such like order'. And from patients and their family was 'naming such like young lady or sisters'. The other side, the expression that nurses most like expression from physicians and ohter nurses was 'You are excellent'. From patients and their family was 'You are kindness'. In conclusion, it is necessary to improve nurse's communication skills and interpersonal relationships.

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The Factors Affecting The Nurse-Patient Interaction (환자와 간호사의 상호작용에 영향을 미치는 요인)

  • Kim In-Ja;Son Haeng-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.1
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    • pp.31-42
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    • 1997
  • The factors that affect the nurse-patient interaction were identified. Sixty-six nurses participated in the cross-sectional survey. Based upon the literature, the factors were classified into 4 categories : the patient, the nurse, the family caregiver, and the situational factors. The data were collected with the open-and closed-ended questionnaire developed by researchers. In the closed-ended questionnaire, the significant factors differentiating the best-liked from the least-liked caring situation were found in all factors except the nurse factors. None of the nurse factors was found to be significant. In patient factors, the physically attractive stereotype was found to affect patient-nurse interaction. As expected, family caregiver factors were found to affect the nurse-patient interaction. The content analysis was done to identify the specific factors affecting nurse-patient interaction. In both of the best-liked and the least-liked caring situations, the patient factors were the most contributing causes as likely as 68.51% and 66.45%, respectively. Some factors that nurses perceived as causes for the best-liked and the least-liked to care were presented. In conclusion, these results show that nurses are influenced by stereotypes in caring patients. So, some programs to increase awareness of the biases of nurses are included in in-service education. Also the incentives to encourage nurses are needed.

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Foreign Nurse Missionaries Starting Yonsei Nursing School (연세간호를 태동 시킨 외국 선교사들)

  • Lee, Chung-Yul;Cho, Yoon-Hee;Ko, Ji-Sook;Kim, Jung-Ae
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.1
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    • pp.44-51
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    • 2011
  • Purpose: Nursing in Korea was started by foreign nurse missionaries. This study was intended to recognize the foreign nurse missionaries contribution with the development of Yonsei nursing education in Korea. Method: This study used an historical study approach. The study target was foreign nurse missionary contributions during 1895~1917. The data was collected from the existing historical nursing studies and Korean Mission Field. Result: Since A.P. Jacobson, the first nurse missionary from the North Mission branch in America in 1895, there were 16 missionaries sent to Korea. Among them, 14 missionaries worked for Severance Hospital Nurse Training School. 7 missionaries served less than 10 years and 5 missionaries stayed in Korea more than 20 years. E.L. Shields served the longest time with 42 years in Korea. They contributed not only in nursing education and services in the hospital, but also public health in the community. Conclusion: Foreign nurse missionaries were a cornerstone for nursing development in Korea. They contributed by not only starting nursing education, but also giving women freedom into Korean society. The historical research regarding foreign nurse missionaries during early 1900s helped to recognize their effort for Korean nursing and society.

Perceived Relationship among Professional Self-Concept, Head Nurse's Leadership, and Nursing Clinical Competency by Clinical Nurses (간호사가 지각하는 전문직 자아개념, 수간호사의 리더십과 간호사 업무수행 능력간의 관계)

  • Kim, Young-Jin;Song, Hyun-Kyoung;Lee, Mi-Aie
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.1
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    • pp.96-105
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    • 2011
  • Purpose: This study was performed to investigate the perceived relationship among professional self-concept, head nurse's leadership, and nursing clinical competency by clinical nurses. Methods: This study was a cross-sectional survey. Participants were 601 nurses working at the five general hospitals in four provincial cities, Gyeungbuk, Korea. Data were collected from July 14, 2010 to August 31 and analyzed by SPSS/PC ver 18.0 programs. Results: Professional self-concept and head nurse's leadership were slightly above the middle average, but nursing clinical competency was good. According to participants' age, marital status, job satisfaction, and length of service, there were perceptional differences in professional self-concept, head nurse's leadership, and nursing clinical competency. Nursing clinical competency could be explained by head nurse's leadership, professional self-concept, job satisfaction and length of service. Head nurse's leadership was independent variable affecting nursing clinical competency, professional self-concept was partial mediating variable, and job satisfaction and length of service were extraneous variables. Conclusion: It is concluded that head nurse's leadership is more important than professional self-concept to improve nursing clinical competency. Nursing managers should plan various strategies to improve head nurse's leadership and professional self-concept, to increase clinical nurses' job satisfaction and length of service.

The Ethical Values of Nursing Students (간호학생의 윤리적 가치관)

  • Ah, Eun-Kyong;Ku, Ok-Hee;Kim, Tae-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.19-31
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    • 1998
  • The purpose of this study was to identify whether ethical values of nursing students are deontological or utilitarinian. The subjects of this study were consisted of 163 nursing students. The data was collected from September 3 to 30, 1997. Sub-scale of Nursing Ethical Values(Lee, 1990) were used to measure human life area, nurse-patient relationship area, nurse-nursing task relationship area, nurse-colleague relationship area. Data were analyzed by SPSS for Windows program. The results of this study were summarized as follows: 1. The students took the position of utilitarian slightly in human life area. 2. The students took deontological position slightly in nurse-patient relationships area. 3. The students took deontological position slightly in nurse-nursing task relationships area. 4. The students took deontological position greatly in nurse-colleague relationships area. 5. There were significant relationship between nurse-colleague relationship area and both human life area and nurse-patient relationship area(p< .01). 6. The ethical values of human life area related to religion(p< .01) and attitude of nursing(p< .05). The ethical values of nurse-colleague relationships area related to attitude of nursing(p< .01).

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