• Title/Summary/Keyword: nurses

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Factors Affecting Post-Traumatic Stress of General Hospital Nurses after the Epidemic of Middle East Respiratory Syndrome Infection (메르스 감염 유행 후 상급종합병원 간호사의 외상 후 스트레스 영향요인)

  • Kim, Hyun Jin;Park, Ho Ran
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.179-188
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    • 2017
  • Purpose: This study examined post-traumatic stress (PTS) and the factors affecting it among general hospital nurses after the MERS(Middle East Respiratory Syndrome) epidemic. Methods: Data were collected from 170 nurses who worked at general hospitals since the first reported MERS outbreak. The IES-R-K assessed PTS. Data were analyzed using SPSS. Results: The mean PTS level was 7.80 points (range: 0~88); 7.1% of the participants were at a high risk. Nurses who had been in contact with patients suspected or diagnosed with MERS had high post-traumatic levels; those who had been quarantined during the MERS outbreak had relatively higher PTS levels. Shift-work nurses had higher PTS levels than those with fixed working hours. Above charge' nurses stress levels were higher than staff nurses' stress levels. The results showed that factors including contact with an MERS-suspected or diagnosed patient, position at work, and working status of MERS-affected nurses explained 16% of the PTS. Among the main variables, nurses' above charge position was the greatest factor affecting PTS. Discussion: It is necessary to develop intervention studies and programs considering these variables. Furthermore, development and implementation of differentiated programs should be done considering the position of above charge nurses.

Predictors of Clinical Nurses' Presenteeism (임상간호사의 프리젠티즘 영향요인)

  • Kim, Miji;Choi, Hyang Ok;Ryu, Eunjung
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.3
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    • pp.134-145
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    • 2014
  • Purpose: The purpose of this study was to identify factors affecting clinical nurses' presenteeism. Methods: A descriptive cross-sectional design was used in which participants completed self-report questionnaires that consisted of measures for nurses' job satisfaction, job stress, professionalism and presenteeism. 267 nurses working in general hospital participated in this study. Logistic regression analysis was used to estimate predictors of the presenteeism in clinical nurses. Results: 250 nurses experienced one or more health problems last one month. The group who experienced presenteeism during the last one year had significant differences in professionalism and perceived productivity. Predictors of sickness presenteeism in clinical nurses included work experience, total health problem and last 1 year absenteeism. Last 1 year absenteeism and total health problem were strongly related to presenteeism in clinical nurses. Conclusion: Major findings of this study indicated that in dealing with nurses' presenteeism, not only managing nurses' job stress and job satisfaction but also providing flexible work schedule and increasing staffing level as an organizational approach are necessary to be considered. Further repeated and expanded research is needed to explore the multidimensional aspects of nurses' presenteeism including a broad range of work setting and the influence of Korean nurses' organizational culture on presenteeism.

A Comparison on the Tobacco Control Intervention, Barriers, and Facilitators between Oncology Nurses and General Nurses in Clinical Practice (종양간호사와 일반간호사의 흡연 중재 비교 조사 연구)

  • Oh, Pok-Ja;Shin, Sung-Rae
    • Korean Journal of Adult Nursing
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    • v.17 no.4
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    • pp.529-538
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    • 2005
  • Purpose: This study was conducted to 1) find out the frequency of tobacco control intervention, barriers, and facilitators. 2) compare the differences in tobacco control intervention, barriers, and facilitators between oncology nurses and general nurses. Method: A sample was composed of 96 oncology nurses and 284 general nurses. The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country. The questionnaire was adopted from the study of national survey on oncology nurse's tobacco interventions in United States by Sarnar, et al.(2000). Results: Oncology nurses were found to provide tobacco control interventions more frequently comparing to the general nurses. "Patient not motivated to quit smoking", "Lack of time", "Lack of recognition/rewards", were the most commonly identified barriers. "Patient wants to quit", "Adequate time", "Confidence in ability help people to stop smoking", were the most commonly identified facilitators. Conclusions: Although oncology nurses are in an important position in delivering tobacco interventions and providing resources, their participation in consistent delivery of a tobacco control intervention was less than desirable. To help nurses participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

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A Study of Knowledge of Medical Insurance Costs by Clinical Nurses (임상간호사의 의료보험수가 지식정도)

  • Lee Hea-Shoon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.300-306
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    • 2003
  • Purpose: This study was done to help provide patients with information on medical insurance cost through medical insurance education for nurses, to increase effective management, check on omissions in treatment and appropriateness and accuracy of fees, and to contribute to the economic growth of hospital by providing nurses with necessary knowledge about medical insurance cost. Method: The participants in this study were clinical nurses in general hospitals. The study instrument was a questionnaire developed by the researcher through reference to data for medical insurance education. The data were analyzed with percentages, means, ANOVA, and Duncan method using SPSS PC+10. Result: The results on knowledge of medical insurance according to general characteristics of the nurses showed that there were significant differences according to age: (p=.0036) highest level of education (p=.0007), position (p=.0010) and place where education on medical insurance was received (p=.0093). Conclusion: Continuous in-service education for clinical nurses is reflected in increased knowledge about medical insurance costs but special attention needs to be given to younger nurses and nurses with less education, as well as staff nurses, and those nurses who only received education on medical insurance during their schooling. Accordingly, in-service education is necessary for nurses at the time of orientation so that they have knowledge on standards for recuperation allowance, guidelines to calculate material costs, and guidelines to calculate drug rates. In addition, as medical insurance cost frequently change, all nurses need continuous in-service education.

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Verbal job stress experienced by Nurses. (간호사의 언어직무스트레스)

  • Kim, Suck-Joon
    • Journal of Industrial Convergence
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    • v.10 no.1
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    • pp.27-40
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    • 2012
  • The purpose of this study is to understand verbal violence and stress experienced by nurses, to identify measures to reduce such stress, and to present basic information needed for performing their professional roles. The results of this study are as follows. First the types of verbal violence by doctors, nurses, patients and their caregivers included "they speak roughly" and "they speak in a commanding tone" when they were marked on the basis of 5 points. In other words, speaking roughly is highest in frequency. Second, the main harmers of verbal violence were doctors, nurses, and patients and their caregivers, and thus verbal violence by nurses was most frequent. Third, the emotional reactions of the nurses after verbal violence were "angry", "frustrated", and "depressed" in order. As a result of analysis of effects on the emotional reactions of nurses. Fourth, the job stress of the nurses after experience of verbal violence was show as "frequently struggling with friends", "frequently struggling with family members", and "frequently drinking" in order. Fifth, based on general characteristics, the emotional reactions and job stress of nurses after verbal violence were significant on age, acdemic years, and current workplace, and the job stress of nurses after verbal violence was significant on marriage, clinical career, department of working, and types of working. This study may be significant in that it suggests methods of intervention, safe job environment, and administrative institution to relieve the emotional reactions of nurses after verbal violence, to reduce their stress, and to support the emotional reactions of nurses experienced verbal violence.

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The 'Nurses Ordinance' of Korea under Japanese Rule (일제강점기 ‘간호부규칙(看護婦規則)’에 관한 연구)

  • Yi, Kod-Me;Kim, Hwa-Joong
    • Journal of Korean Academy of Community Health Nursing
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    • v.9 no.2
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    • pp.291-302
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    • 1998
  • The Japanese colonial authorities promulgated the 'Nurses Ordinance(Kanhoboo Kyuchick), in 1914. It was the first act that regulated nurses' licensure in Korea. The gendarme did the administrational work of the ordinance. After the Nurses Ordinance of 1914, nurses without licenses could no longer work with the name of nurse, and Korean nursing gained a more professional status. After the March 1st Movement of 1919, Japan realized that its iron rule had to be more sophisticated. The gendarme gave way to an ordinary constabulary force. The Nurses Ordinance was amended to set the nurses quality as good as that of Japanese nurses, and the nurses licensure of Korea could also be used in Japan. In 1931 the Japanese war against China began, and the Japanese imposed military rule once again. The Nurses Ordinance was amended to 'The Korea Nurses Ordinance'. After the outbreak of the Sino-Japanese War(1937) and of World War II in the Pacific(1941), the Japanese desperately needed additional manpower to re plenish the dwindling ranks of their military and labour forces. To produce more nurses, the colonial authorities amended the 'Korea Nurses Ordinance' and lowered the age and educational status of nurses to produce more numbers. Until the Japanese surrender in August 1945, Korea was under Japanese rule. Koreans had no say in the passing of these acts, and the colonial authority could make and pass any act at will.

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Study of Suffering Inference by Nurses' pain Experience (간호사의 통증경험에 따른 고통추론 연구)

  • Ryoo, Eon-Na;Park, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.174-183
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    • 2002
  • Purpose: The purpose of this study was to determine the effect of nurses' pain experience on the inference of their patients' suffering. Method: Study subjects were sampled from 184 nurses who worked in general wards in one S university hospital located at Seoul. Nurses' pain experience consists of personal pain experience and professional pain experience. The Standard Measure of Inference of Suffering (Davitz & Davitz, 1981) was used for suffering inference measure, and patients' suffering which consists of physical pain and psychological distress. Result: Suffering inference scores of nurses without personal pain experience revealed a higher value than that of nurses with personal pain experience. But these differences were not statistically significant. The higher intense pain was experienced, the higher were suffering inference scores. This physical pain inference score was statistically significant(p=.044). Of the nurses who had personal pain experience, suffering inference scores of nurses with unrelieved pain experience revealed a higher value than that of nurses with relieved pain experience. Physical pain and psychological distress inference scores were statistically significant(p=.010, p=.006). Suffering inference scores of nurses without professional pain experience(internal medicine, general surgery, orthopedic surgery) revealed a higher value than that of nurses with professional pain experience. Professional pain experience of internal medical illness was statistically significant in psychological distress of internal medical illness(p=.044), and professional pain experience of orthopedic surgical illness was statistically significant in physical pain of orthopedic surgical illness(p=.027). Conclusion: Nurses who have experienced low pain intensity or good pain relief are inclined n to underestimate patient' pain. Although nurses who care for the same patient over a long time deal skillfully with that patient, nurses are inclined to underestimate that patients' pain. Nurses need to be aware of possible biases related to pain assessment as a result of pain experience.

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A Study of the Relationship between the Leadership Style of the Head Nurse and Nurses과 Burnout Level (수간호원의 리더쉽 유형과 간호원의 소진 (Burnout) 경험 정도와의 관계)

  • 김화실
    • Journal of Korean Academy of Nursing
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    • v.14 no.1
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    • pp.21-33
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    • 1984
  • The purpose of this study was to define the relationship between the leadership style of head nurses and the burnout level of nurses by taking into consideration the factors which influence the level of burnout and which show how burnout varies according to the leadership style of lead nurses. The subjects of the survey were 355 ward nurses and their 48 head nurses working in five university hospitals in Seoul. The nurses were surveyed by means of a questionnaire from Sept. 22 though Sept. 29, 1983. The Leadership Scale devised by Fleishman, and modified by Lee, and the Burnout Scale developed by Pines et al, and adapted to the Korean situation by Peek, were used as a basis of ;his survey This researcher subjected the questionnaire to a pre-test and to an internal reliability consistency test through item analysis. For the purpose of analysis of the data, the general characteristics were set at Mean and the general characteristics of head nurses in relation to the level of burnout of nurses was analysed by the Pearson Correlation Coefficient. The relation between head nurses' general characteristics 3nd leadership style, the relation between nurses' general characteristics and level of burnout and the level of burnout of nurses according to the different style of leadership of head nurses were analysed by ANOVA. A summary of the results of the study is as follows. 1. Hypothesis:“That the burnout level of the nurse will be different according to the leadership style of the head nurse”was supported. 2. Analysis of the relationship between the head nurse's general characteristics and the leadership style of the head nurse showed that the leadership style of the head nurse was not related to age and experience as head nurse. 3. Analysis of the relationship of nurses' burnout levels to general characteristics of nurses showed statistically significant differences in burnout levels according to working departments, expected working period and reasons for selecting nursing as a profession. Also, the burnout level of nurses was negatively related to the head nurse's age and experience as a head nurse.

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Comparison of Job Satisfaction and Nursing Performance between Nurses on Fixed Nights and Nurses on Three shifts, and Nurses Understanding of Fixed Night Shift System (밤번고정근무 간호사와 3교대근무 간호사의 직무만족도, 간호업무수행정도 비교 및 밤번고정근무제도에 대한 인식)

  • Lee, Eun Sook;Kim, Kyoung Ok;Song, Hyun Jin;Lee, Ji Sun;Kim, Su Yeon;Lee, Hyun Seung;Choi, Jung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.63-73
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    • 2012
  • Purpose: The purpose of this study was to compare job satisfaction and nursing performance of nurses on fixed night shifts (FNS) and nurses working three shifts (W3S), to identify the environment of night work and recognition of the viability of the FNS system. Methods: The research was conducted with 106 nurses on FNS and 257 on W3S. The nurses had worked for 1 to 11 years at A hospital, Seoul. Results: Job satisfaction was significantly higher (t=-3.51, p< .001) for nurses on FNS. However, no significant difference was found for nursing performance (t=-1.019, p=.309) between the two groups. Both groups of nurses were mostly satisfied. Subjective fatigue scores (0 to 10 points) during the night for nurses on FNS (6.02) were lower than for W3S nurses (7.28) A high percentage (88.7%) of nurses on FNS indicated a willingness to further participate in FNS. Conclusion: Results indicate that the demonstration FNS system showed its effectiveness. Therefore, efforts are needed to enhance and revitalize FNS and to upgrade the system to control patient transfer time from emergency departments to wards, and to provide nurses needed resources for emergency or intensive care.

A Study on Nurse - Patient Interacting Behaviour Patterns (간호사-환자 상호작용 양상에 관한 연구)

  • 이성심;지성애
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.61-78
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    • 1990
  • The purpose of the present study is to confirm the interacting behavior between nurses and patients and other things concerned herewith. Subjects of investigation were : 42 nurses selected out of the average nurses who serve in hospital as nurses assigned to medical and surgical wards : and 42 male and female adult patients selected out of the average patients who were under the care of the nurse individuals and can make themselves understood verbally. A nurse and her patient were paired off for questioning. Materials for statistics were gathered by means of observaing interactions- - verbal and nonverbal - -of the chosen subjects for four hours every day from 7 : 30 a.m. through 7 : 30 p.m. between on July 15, 1988 and on Aug. 16, 1988. Classified by patterns, the materials observed and gathered were preliminarily analyzed by this researcher, and then reexamined in a full-fledged way by one professor, three nurses and three non - nurses. The researcher depended chiefly on Frequency, ANOVA, Pearson's Correlation Coefficient attached to SPSS Computer System for the process of gathered materials. The results of this investigations are follows 1) A total of 98 times' interactions between nurses and patients were provided during observation of 168 hours. 2) It took them the averaged 264.8 seconds(around 4.4 minutes) per a couple of subjects to interact between nurses and patients during observation of four hours. 3) The aim of interactions between nurses and patients appear that 29 times of injection amounted to 29.6% the most, 27 times of PO around to 27.6% the next most, 25 times of vital check to 25.5% the next most, 17 times of independent nursing works and round to 17.3% the least most. 4) As a result of qualitative analyzing the interactions between nurses and patients by the distinctive method of words were positively recognized in 19 cases with 45.2% and negatively in 23 cases with 54.8%. 5) A total of 2, 193 times. interaction behaviours between nurses and patients were provided. The frequency of these interaction behaviours took place l, 364 times with 62.2% to nurse, and 829 times with 37.8% to patients. 6) The classification of verbal and nonverbal interaction behaviour between nurses and patients indicated that it is amounted to 64.9% for verbal behaviour numbered 1, 423 and 35.1% for nonverbal one numbered 770. 7) The frequency of verbal behaviour between nurses and patients numbered 1, 423 in total. They took place 924 times to nurses and 499 times to patients, it can be also amounted to 64.9% and 35.1% respectively in percentagewise. 8) In interactions between nurses and patients, it turned out that the frequency of nurses' turns, which the present research discovered averaged 16.8 times for four hours, and the verbal behaviours by numbered 9.7 on an average. 9) Nonverbal behaviours between nurses and patients numbered 770 in total, it is assigned 440 times to nurse with 57.1% and 330 times to patients with 42.9%. 10) The investigation releases in formation that the frequency of verbal behaviours between nurses and patients was very much concerned with the age of patients(r=0.422, p<.01) and the number of patients one nurse has under her care(r=-0.356, p<.01). 11) It was found that were deep relationship of the number of a nurses turn with the patients age(r=0.377, p<.01) and the nurses burden of caring patients(r=-0.372, p<.01).

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