• Title/Summary/Keyword: 간호사 요구

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Factors Affecting Nursing Productivity of Clinical Nurses: Focused on Emotional Intelligence and Burnout (임상간호사의 간호생산성 영향요인: 감성지능과 소진을 중심으로)

  • Cho, Hoe-Kyung;Choi, Yun-Jeong;Jeon, Mi-Kyung;Jung, Gye-Hyun
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.307-316
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    • 2015
  • The purpose of this study was to investigate the relationship between emotional intelligence, burnout and nursing productivity, to find the factors for nursing productivity need to the efficient management of nursing organization. 255 nurses were collected a structured questionnaire by convenience sampling with 300 beds, Nov. 12-Dec. 26 in 2013. Data were processed SPSS 17.0, using t-test, one way ANOVA, Scheffe test, Pearson's correlation coefficient, and enter multiple regression analysis. These results showed a significant negative correlation between emotional intelligence and burnout, a significant positive correlation between emotional intelligence. Emotional intelligence, total clinical experence, burnout and position had a significant influence on nursing productivity, Nursing productivity explained 43.4% of the variation. Therefore, it demanded that to build the infrastructure for the nursing organization of carrer management, to improve emotional intelligence, to design diverse intervention program for the nurses, to reduce burnout, and to increase work productivity.

Improvement of customer satisfaction with "Explanation Nurse Unit" (설명간호사실 운영 활성화를 통한 외래 환자 만족도 증진)

  • Yoo, Hye Hyun;Kim, Hyun Mi;Bae, Mi Hyoung;Kim, Min Jung;Woo, Jung In;Lee, Eun Young
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.79-87
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    • 2009
  • 문제: 본원의 외래 상황은 진료의가 짧은 시간 내에 많은 환자를 진료해야 하고, 진료 환자 모두에게 충분히 만족하도록 설명해주는 것은 매우 어려운 실정이었다. 2007년의 의료기관 본 평가에 앞서 병원 자체 평가 결과 외래환자의 설명 만족도는 57점으로 저조하였다. 목적: "이해하기 쉽게 설명하는 서울대학교 병원" 이라는 슬로건 하에 설명간호사 제도를 운영하기 시작하여, 설명간호사실 운영 활성화를 통한 외래 환자 만족도를 향상시키고자 한다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 설명간호사실 방문율 증가 및 one-stop service care을 실현할 수 있는 방안을 모색하였고, 검사 시행 이유, 귀가 후 주의사항 검사 결과, 검사일정 외래 진료 안내 브로셔 및 표준화된 교육 자료를 개발하였다. 또한 설명간호사의 역할 및 업무의 확립을 위한 업무기술서를 개발 및 설명간호사실 환경을 개선하였다. 개선효과: 설명간호사실의 방문율이 내과는 2배, 신경과는 3배 정도 증가하였다. 표준화된 교육 자료 개발로 설명 요구도를 충족시켰고, '환자의 알 권리'와 '설명을 들을 권리'를 보장하였다. 업무기술서 개발로 설명간호사의 업무 및 역할을 확립하였으며 설명간호사실의 환경 개선으로 개인 신상 비밀을 보호받을 권리를 보장하였다. 외래 설명만족도가 2007년 57점에서 2008년 74점으로 향상되었다. 설명간호사실 자체 설문조사에서도 97%가 만족한다고 답하였고, 100% 모두 재방문 의사를 보였다. one-stop service care를 제공함으로써 외래가 복잡하다는 부정적인 이미지를 긍정적인 이미지로 변화시켰다.

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Decreasing the application rate of unnecessary physical restraint through the establishment of a guideline for restraint application (억제대 적용지침 개발을 통한 불필요한 억제대 적용율 감소 활동)

  • Kwak, Kyung-Sun;Kim, Sung-Eun;Bae, Eun-Kyoung;Lee, Eun-Sook;Lee, Eun-Hye;Choi, Yun-Jeong;Lee, Yun-Kyung
    • Quality Improvement in Health Care
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    • v.15 no.2
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    • pp.93-103
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    • 2009
  • 문제: 억제대 적용에 대한 구체적 적용 지침 없이 의례적으로 억제대를 사용함으로 인해 환자들의 신체적 또는 정신적 안전을 위협할 수 있다. 목적: 완전 진정 상태 이거나 근력이 약하여 발관 능력이 없는 환자에 대한 예방적 적용, 바빠서 환자를 볼 수 없는 경우, 간호사 본인의 판단이 없이 타인의 요구에 따르는 등의 불필요한 억제대 적용이 증가하는 원인을 파악하여 중환자실의 특수성에 맞는 억제대 적용 및 제거 지침을 마련하고자한다. 의료기관: 인천광역시에 소재한 의과대학 소속병원의 집중치료실 질 향상 활동: 불필요한 억제대 적용에 영향을 미치는 요인을 선정하여 개선활동 수행. 개선효과: 억제대 적용에 대한 중환자실 간호사에게 미치는 영향을 보면 태도 정도 p=0.09(p<0.1), 올바른 수행 능력은 p=0.005(p<0.05)로 통계적으로 유의한 것으로 나타났다. 지식 정도 p=0.172(p<0.05) 통계적으로 유의 하지는 않지만 모든 항목이 개선 활동 전 에 비해 2,3차 개선 활동 후에 향상 한 것으로 나타났다. 개선 활동 전에 8.1%였던 간호 기록, 0.7%였던 간호 중재, 0%였던 의사 처방율이 3차 개선 활동 후 3가지 모두 100% 달성되었다. 이는 억제대 적용율 감소 및 부적절한 억제대 적용율은 유의하게 감소 하였다. 교훈: 중환자실 간호사의 억제대 적용에 대한 태도, 지식, 올바른 간호 수행 능력은 지속적으로 재평가 되어지고, 교육내용은 좀 더 나은 간호 제공을 위하여 개발되어져야 할 것이다. 억제대 적용 기준과 제거 기준을 Check List 하여 객관성의 유지를 위한 개선 활동은 계속적으로 Feedback 되어야 할 것이다.

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Professional Self-Concept and Self-Efficacy according to the Need for Advanced Practice Nurse among Korean Nurses (전문간호사 요구에 따른 간호사의 자기효능감 전문직 자아개념)

  • Jang, Hee-Jung;Yang, Soon-Ok;Lee, Myung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.110-119
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    • 2007
  • Purpose: The purpose of this study was to identify the need for advanced practice nurse and explain the relationship between self-efficacy and professional self-concept among Korean nurses. Method: The participants were 511 Korean nurses who were recruited in hospitals or public health centers in Korea. The instruments used in this study were Sherer et al's self-efficacy instrument, Arthur's professional self-concept instrument, and a structured questionnaire on the need for advanced nurse practitioners. Cronbach alpha, mean, SD, $X^2$, t-tests, ANOVA, Pearson correlation coefficient were used to analyze the data using SPSS PC+ ver 12.0 for Windows. Results: Of the nurses, 57.9% of wanted to be advanced practice nurses. The mean of professional self-concept and self-efficacy scores for the nurses were at the medium level. Professional self-concept and self-efficacy of nurses showed significant differences according to age, working location, marital status, level of education, and length of clinical experience. A significant positive correlation was found between professional self-concept and self-efficacy. Conclusion: Before planning to develop the role of Advanced practice nurse, there is a need to measure self-efficacy and professional self-concept among nurses. Politically, strategies to increase self-efficacy and professional self-concept among Korean nurses will be necessary in order to prepare good advanced practice nurse.

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Use of Physical Assessment Skills and Education Needs of Advanced Practice Nurses and Nurse Specialists (전문 및 전담 간호사의 신체검진 수행정도 및 심화교육 요구)

  • Shin, Hyun-Sook;Kim, Bog-Ja;Kang, Hee-Sun
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.709-719
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    • 2009
  • Purpose: The study was done to investigate physical assessment skills used by, and educational needs of, advanced practice nurses (APNs) and nurse specialists in Korea. Methods: A total of 123 APNs and nurse specialists working in five major hospitals in Seoul were surveyed from July 15 to August 20, 2007. Results: Fourteen skills out of 126 items were reported as being performed on a regular basis by participants. The majority of these skills involved general observation. Forty-six skills were rarely used. Some participants showed a lack of confidence in certain assessment skills, such as in doing a rectal or pelvic exam, and the use of some assessment equipment. Over 90% of participants required in-depth education on health assessment provided by specialists or nursing professional organizations. Conclusion: More educational opportunities in physical assessment should be provided including education programs based on the nurses' skill levels and needs. This effort will help to increase confidence of APNs and nurse specialists in physical assessment skills, ultimately resulting in better nursing outcomes.

Study on The Oral Health Awareness of Long-term Care Facility Among the ICT Age (ICT 시대에서 노인요양시설의 구강건강 인식에 관한 연구)

  • Song, Seol-Kyung;Seong, Jeong-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.2
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    • pp.211-217
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    • 2014
  • This study is of elderly care facilities in Seoul oral health care providers survey of recognition and affecting factors. The subjects were selected 92 people who care providers, data were collected using a questionnaire. Multiple regression analysis, duration of carrer and experience of oral care education significantly affected in the presence of factors. As a result, in order to improve the oral health of the elderly nursing staff to promote oral health education and training programs are urgently needed.

The Effects of Job Demand and Job Resources on Burnout and Work Engagement of Hospital Nurse Administrators (직무요구와 직무자원이 병원행정직 간호사의 소진과 조직몰입에 미치는 영향)

  • Cha, Woo Jung;Kim, Soukyoung
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.262-272
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    • 2020
  • Purpose: This study aims to investigate the degree of job demand, job resources, burnout, and the organizational commitment of administrative nurses based on the job demands-resources model. Further, it seeks to confirm the influencing factors affecting nurses' burnout and organizational commitment. Methods: The participants were 188 administrative nurses working at hospitals (one tertiary hospital and six general hospitals) located in D City. The collected data were analyzed with IBM SPSS Statistics 23.0 using frequency, percentage, mean, standard deviation, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The influential factors of burnout were role conflict (β=.50), job demand (β=.18), job position (β=-.17, team leaders and above), and social support (β=-.15). The regression model had an explanatory power of 59%. The influential factors of organizational commitment were appropriate rewards (β=.59), job position (β=.15, team leader or above), working department (β=.14, referral center and health screening administration department), and social support (β=.18). The regression model had an explanatory power of 59.5%. Conclusion: The results support the job demands-resources model, and interventions should be developed to decrease job demand and provide sufficient job resources.

Nurses' Usage of Clinical Practice Guideline and Demand of Evidence Based Clinical Practice Guideline (간호사의 임상실무지침서 사용현황과 근거중심 임상실무지침서 요구도 조사)

  • Ha, Mi Suk;Park, Myong Hwa
    • Korean Journal of Adult Nursing
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    • v.18 no.4
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    • pp.582-592
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    • 2006
  • Purpose: The purpose of this study was to offer the baseline data for developing a systematic and high quality of clinical practice guideline by exploring how nurses utilize clinical guidelines and what they need for. Method: This study has been done with 242 nurses of a university hospital in Daegu using a self-administered questionnaire. The instrument used in this study was developed by researchers based on the results of the previous studies. Data analysis was done with SPSS 11.0 Program. Results: Nurses felt that clinical guidelines were not sufficiently disseminated to update their clinical knowledge education. Nurses showed the strong demand for developing clinical practice guidelines with the newest and systematic evidence. However, a relatively low number of nurses knew evidence-based nursing and evidence-based clinical guidelines. Conclusion: It is necessary to develop an educational program for evidence-based nursing and an evidence-based nursing clinical practice guideline for nurses and to explore the strategies for development and dissemination of evidence-based clinical practice guidelines to solve the urgent and frequent clinical problems.

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A Study on the Nurses Need for the Planning in Children's Hospital (어린이전문병원 계획을 위한 간호사의 요구에 관한 연구)

  • Kim, Hye-shin;Park, Soo-Been
    • Korean Institute of Interior Design Journal
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    • v.25 no.4
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    • pp.105-112
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    • 2016
  • Nurses in a children's hospital have to meet a special condition with their younger patients who need continuous supervision and cares. The planning of the ward where the nurse as well as the patient and his/her caregivers stay all day long should cover all the users need. This study focused on the nurse's need for the ward in children's hospital. The nurse stay longer than any users in hospital and their treatment have to be based on deep understanding of their patients. The survey research followed the literature review on the children's hospital and the nurses' task and behavior. 119 nurses answered the structural questionnaire and their answers were analyzed using the statistical process such as basic descriptive statistics, ANOVA, and actor analysis. Results and conclusions are as follows. (1) The subjects least satisfied with the accessibility for the children and the nature-and child-friendly design features among physical environment design factors of the hospital. (2) The Subject regarded the patients' room to a private place of the patients and their caregivers not to the work places. (3) The design factors of the nursing station were classified into four: the functionality-, the privacy-, the supervision-and the restfulness-factor. The functionality and supervision factor were highly required as a workplace, the privacy factor between the patients, their caregivers and subject were also represented high score, but the restfulness factor were least required.

Mediating Effect of Social capital between Transformational leadership and Organizational Commitment of Nurses in Hospitals (병원간호사의 변혁적 리더십과 조직몰입의 관계에서 미치는 사회적 자본의 매개효과)

  • Kim, Soon-gu;Seo, Young-sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.282-289
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    • 2016
  • This study examined the mediating effects of social capital between transformational leadership and organizational commitment in hospitals nurses'. The survey was conducted with 244 nurses working in a general hospital. The data was collected with the transformational leadership, social capital and organizational commitment and analyzed using the SPSS/WIN 21.0 and Amos 18.0. A positive relationship was observed between transformational leadership, social capital, and organizational commitment; social capital had a partial mediating effect of a transformational leadership and organizational commitment. To increase the organizational commitment, mediating between the head nurse' transformational leadership and social capital is recommended.