• Journal of Hospice and Palliative Care
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• v.11 no.1
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• pp.42-50
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• 2008

Purpose: Undertreatment of canter pain, especially due to the differences in the perception of pain between the patients and caregivers, is a well recognized problem. The purpose of this study were to determine if there exist differences in communication about pain intensity scores between patients and their family caregivers in Korea. Methods: A total of 127 patient-family caregiver dyads who have experienced canter pain participated in this study at a hospital in Seoul for six months. The data were obtained by fare to face interview with a structured questionnaire based on Brief Pain Inventory-Korean version and other previous researches. The clinical information for all patients was compiled by reviewing their medical records. Results: Patients' 'worst-pain for 24-hour' and 'right-now-pain' scores estimated by family caregivers were significantly higher than those by patient themselves. The degree of agreement between patients and family caregivers in the estimate of patients' 'worst-pain for 24-hour' intensity categories was 78.7% for 'severe pain', 40% for 'no pain', 27.5% for 'mild pain' and 22.9% for 'moderate pain'. In case of 'right-now-pain' intensity categories, the agreement was 50% for 'severe pain', 47.2% for mild pain, 46.3% for 'no pain', and 26.3% for 'moderate pain'. Conclusion: This study demonstrates that the degree of agreement between patients and family caregivers in the estimate of patients 'pain intensity categories was less than 50% except for 'severe pain'. The results indicate that Korean family caregivers tend to overestimate the canter pain intensity of their caring patients, especially, when a lancer patient has 'moderate' or 'mild pain'. Health Providers are advised to educate patient-family caregiver dyads to use a pain measurement scale to promote their agreement in pain Intensity stores. Further analyses and studies are needed to identify the factors and differences that influence their communication about pain intensity scores between patients and their family caregivers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.12
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• pp.627-635
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• 2018

This study was conducted to investigate the effects of trust in supervisor, work intensity, and organizational cynicism on organizational silence of clinical nurses. Data were collected from 134 nurses in 6 hospitals in two cities in February 2018. The data were analyzed by t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression using SPSS 25.0. There were significant correlations between trust in supervisor, work intensity and organizational silence, r=-.32(p=<.001) and r=.18(p=.043), respectively. The factors that significantly influenced organizational silence were trust in supervisor (${\beta}=-.36$, p<.001), the length of career in current hospital (over 10 years, ${\beta}=-.67$, p=.002), type of work (day only, ${\beta}=-.79$, p<.001; 3-shift, ${\beta}=-.64$, p<.001). In order to reduce clinical nurses' organizational silence, programs should be provided to increase trust in supervisor and to offer changes in work types and work intensity.

• Journal of Korean Clinical Nursing Research
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• v.20 no.2
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• pp.162-176
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• 2014

Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.1
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• pp.5-16
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• 2007

Purpose: This study is to verify the validity and reliability of classified items and criteria of the patient classification system(PCS) based on Park's definition of nursing intensity. Methods: An expert group of 8 persons verified the content validity of the tools. The 1817 inpatients at a tertiary hospital in Seoul, Korea were classified into 4 groups according to two tools for verifying concurrent validity and interraters' reliability. These verifications were performed from September to October, 2004. Results: Nursing domains of the tools have been divided into 12 items: hygiene, nutrition, elimination, exercise & activity, education & counseling, emotional support, communication & consciousness, treatment & examination, medication, measurement & observation, coordination of multidisciplinary team, admission & discharge & transfer management. Content validity was verified by the content validity index(above 0.75 in all 12 areas). Interraters' reliability was no significant difference in the results of the patient classification between the two raters(A group 93.75%. B group 88.24%). Concurrent validity was also verified by the agreement of two tools(73.7%). Conclusion: These results showed that the reliability and validity of the PCS based on the nursing intensity were verified. These will use an data for nursing productivity in the future.

• Journal of Korean Academy of Nursing Administration
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• v.22 no.4
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• pp.362-372
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• 2016

Purpose: The aim of this study was to investigate whether job satisfaction in clinical nurses was dependent on work intensity and whether physical discomfort mediated the relationships between these variables. Methods: Structural equation modeling was used with a sample of 253 clinical nurses from four general hospitals. In the model, absolute work intensity, relative work intensity, and flexibility were considered as exogenous variables and physical discomfort as a mediating variable. Data were collected using self-report measures such as the Labor Intensity Questionnaire, the Rating of Perceived Exertion, and the Index of Job Satisfaction. Results: The results of the structural equation modeling found that the higher scores on absolute and relative work intensity were positively associated with physical discomfort but only relative work intensity was significantly related to job satisfaction. Physical discomfort mediated the relationships between absolute work intensity and job satisfaction and between relative work intensity and job satisfaction. Among three kinds of work intensity, only relative work intensity had direct and indirect effects on job satisfaction. Conclusion: The findings suggest that increase in relative work intensity might play an important role in decreasing job satisfaction in clinical nurses and a reasonable reward system considering relative work intensity could be necessary.

• Journal of Korean Clinical Nursing Research
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• v.26 no.3
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• pp.275-284
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• 2020

Purpose: For this study the moderating and mediating effects of resilience on the relationships between work intensity, conflicts in interpersonal relationship and nurses' burnout were investigated. Methods: In this descriptive research 227 nurses who consented to participate in the study were surveyed. The tool included nurses' objective work intensity, subjective work intensity, conflicts in interpersonal relationships, resilience, and burnout. Data were collected from nurses in general hospitals in D city from July to August 2017. Collected data were analyzed using SPSS 23.0 program. Results: Participants' burnout showed a statistically significant difference according to age, marital status, total clinical experience, position, work pattern, frequency of night shifts, work department, and salary. Participants' burnout was significantly positively correlated with subjective work intensity and conflicts in interpersonal relationships, and significantly negatively correlated with resilience. Resilience moderated the relationship between participants' subjective work intensity and burnout, and mediated the relationship between conflicts in interpersonal relationships and burnout. Conclusion: Resilience had a moderating effect on the relationship between subjective work intensity and burnout, and a mediating effect on the relationship between conflicts in interpersonal relationships and burnout. Therefore, further efforts and diverse intervention measures are required to enhance resilience and reduce work intensity and conflicts in interpersonal relationships in order to prevent burnout in nurses.

• Journal of Korea Entertainment Industry Association
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• v.13 no.5
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• pp.127-138
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• 2019

This study was a secondary data analysis using statistics from the 13th (2017) Korea Youth Risk Behavior Web-based Survey (KYRBS) to investigate the relationship between health behaviors and physical activity among Korean adolescents. A total of 62,276 adolescents in middle and high schools enrolled in this study. Physical activity utilized moderate and vigorous physical activity variables. Health behaviors used smoking, drinking, eating, sedentary behavior, and sleep duration variables. Statistical analyses were performed applying complex sample analysis method. Chi-square tests were used to compare physical activity according to health behaviors. Multivariate multinomial logistic regression analyses were conducted to examine the relationship between health behaviors and physical activity, adjusted for general characteristics. Current smoking and current drinking were associated with high levels of moderate and vigorous physical activity. Consuming fruits≥1 times/day, vegetables≥3 times/day, and sweet drinks≥3 times/week were associated with high levels of moderate and vigorous physical activity. Eating breakfast≥5 times/week was associated with high levels of moderate physical activity, but not with vigorous physical activity. Sedentary behavior≥2 hour/day was associated with low levels of moderate and vigorous physical activity. Sleep duration<7 hour/day was associated with high levels of moderate physical activity and low levels of vigorous physical activity. These findings suggest that since there is an interrelationship between health behaviors and physical activity among adolescents, intervention programs aiming at promoting physical activity and healthy lifestyles should consider a multiple behavior approach rather than an individual behavior approach.

• The Korean Nurse
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• v.26 no.5 s.143
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• pp.25-28
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• 1988

정신 사회적스트레스원 자체는 스트레스 질환을 일으키는 원인은 아니다. 정신 사회적 스트레스를 일으키는 원인 자체보다는 그에 대한 인간의 능동적인 인지 과정이 중요한 요인으로서 작용하게 된다. 실제로 인지된 스트레스가 개개인의 적응능력보다 그 강도가 너무 크거나 장기간 지속되는 경우 혹은 개체가 효율적인 대체 기전을 통해 스트레스 반응을 최소화할 수 없을 때에는 개체의 적응력을 고갈시키게 되므로 유전적으로나 환경적 영향으로 취약해져 있는 장기에 스트레스 질환이라 불리우는 여러 신체적 정신적 질환을 유발하게 되며 기존하는 질환이 있는 경우에는 그 심각도를 가중시키게 될 것이다.

• Proceedings of the Korean Society of Computer Information Conference
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• 2016.07a
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• pp.151-153
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• 2016

본 논문에서는 병원조직에서 종사하는 진료행정직종과 간호직종을 대상으로 그들의 이직의도와 직무요인 사이의 인과관계를 통해 이직 또는 잔류의도에 영향을 미치는 동기요인과 위생요인을 분석하고, 그 결과를 근거로 이직감소 방안을 제시하고자 한다. 연구의 표본은 광주광역시 소재의 중소병의원에서 근무하고 있는 진료행정직종과 간호직종만을 대상으로 실시하고자 한다. 연구결과를 예측을 하면, 진료행정직종과 간호직종 사이에는 직무특성의 차이에 따른 이직의도 수준은 유의한 차이가 있을 것으로 보이며, 직무환경과 이직의도 간에 유의한 차이가 있을 것으로 예측해 볼 수 있다. 또한 두 직종의 감정노동 강도와 이직의도 사이에 통계적으로 인관관계가 존재할 것으로 예측할 수 있다. 따라서 본 연구에서는 가설에 대한 실증검증을 통해 진료행정직종과 간호직종에서 인지하는 직무요건 중 동기요인과 위생요인을 파악하고, 두 요인이 이직의도와 어떤 인과관계가 있는지를 분석하여 두 직종의 이직률을 낮출 수 있는 방안을 제시하고자 한다.

• Journal of Korean Academy of Nursing Administration
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• v.20 no.5
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• pp.545-557
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• 2014

Purpose: The purpose of this study was to develop a patient classification system based on nursing care intensity for patients with acute stroke-related symptoms and verify its validity and reliability. Methods: Data were collected between November, 2013 and February, 2014. The verification for content validity of the patient classification system was conducted by a group of seven professionals. Both interrater reliability and concurrent validity were verified at stroke units in tertiary hospitals. Results: The intensive nursing care for acute stroke patients consisted of 14 classified domains and 56 classified contents by adding 'neurological assessment and observation' and 'respiratory care': 'hygiene', 'nutrition', 'elimination', 'mobility and exercise', 'education or counselling', 'emotional support', 'communication', 'treatment and examination', 'medication', 'assessment and observation', 'neurological assessment and observation', 'respiratory care', 'coordination between departments', and 'discharge or transfer care'. Each domain was classified into four levels such as Class I, Class II, Class III, and Class IV. Conclusion: The results show that this patient classification system has satisfactory validity for content and concurrent and verified reliability and can be used to accurately estimate the demand for nursing care for patients in stroke units.