• 한국산학기술학회논문지
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• 제15권4호
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• pp.2225-2234
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• 2014

본 연구는 감정노동과 조직문화가 임상간호사의 자아효능감에 미치는 영향을 파악하기 위해 시도되었다. 이를 위해 C와 D지역에 소재한 6개 병원에 근무하는 간호사 475명을 대상으로 구조화된 설문지를 통해 일반적 특성, 감정노동, 간호조직문화, 자아효능감에 대한 자료를 수집하였다. 자료분석은 서술적 통계, t-test, ANOVA 및 Pearson's correlation coefficient, hierachial multiple regression으로 분석하였다. 본 연구 결과, 감정노동, 간호조직문화와 자아효능감은 중등도 이상으로 나타났으며, 자아효능감과 감정노동(r=-.24, p<.001), 감정노동과 간호조직문화(r=-.15, p=.001)는 음의 상관관계를, 자아효능감과 간호조직문화(r=.33, p<.001)는 양의 상관관계를 나타내었다. 또 전체 자아효능감에 유의한 설명력(27. 6%)을 가진 변수는 간호조직문화와 일반적 변수 중 학력, 직무만족, 이직경험이었다. 본 연구결과 간호사의 정서적 요인과 환경적 요인이 자아효능감에 직접적으로 영향을 주었으므로 간호사의 자아효능감을 관리하기 위한 프로그램과 더불어 환경관리중재가 필요할 것으로 보인다.

• 대한간호학회지
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• 제44권1호
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• pp.21-30
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• 2014

Purpose: This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. Methods: A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. Results: Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. Conclusion: To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.

• 대한간호학회지
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• 제51권1호
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• pp.27-39
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• 2021

Purpose: This study aimed to identify the degree of non-nursing tasks and nursing care left undone in integrated nursing care wards, and examine their relationships with nurses' burnout, job satisfaction, turnover intentions, and medical errors. Methods: A cross-sectional questionnaire survey was conducted. Data were collected using self-report questionnaires from 346 nurses working in 20 wards of seven small and medium-sized general hospitals, and analyzed using multiple regression and multiple logistic regression analysis with the SPSS WIN 25.0 program. Results: The mean score for non-nursing tasks was 7.32±1.71, and that for nursing care left undone was 4.42 ± 3.67. An increase in non-nursing tasks (β = .12, p = .021) and nursing care left undone (β = .18, p < .001) led to an increase in nurses' burnout (F = 6.26, p < .001). As nursing care left undone (β = .13, p = .018) increased, their turnover intentions also (F = 3.96, p < .001) increased, and more medical errors occurred (odds ratio 1.08, 95% confidence interval 1.02~1.15). Conclusion: Non-nursing tasks and nursing care left undone are positively associated with nurses' burnout, turnover intentions, and the occurrence of medical errors. Therefore, it is important to reduce non-nursing tasks and nursing care left undone in order to deliver high quality nursing care and in turn increase patient safety.

• 문화기술의 융합
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• 제9권1호
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• pp.463-469
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• 2023

본 연구의 목적은 신규간호사가 경험하는 현실충격 관련 연구를 텍스트 네트워크 분석을 통해 분석함으로써 신규간호사의 성공적인 임상적응과 이직률 감소에 기여할 수 있는 기초자료를 제공하기 위함이다. 2002년 1월부터 2021년 12월까지 국내외 학술지에 게재된 115편의 논문에서 신규간호사가 경험한 현실충격에 관한 토픽을 추출하였다. 6개의 데이터베이스(국내: DBpia, KISS, RISS / 해외: Web of science, Springer, Scopus)에서 문헌을 검색하였다. 키워드는 문헌의 초록에서 추출되었고 의미론적 형태소를 사용하여 정리되었다. 네트워크분석 및 토픽모델링은 NetMiner 4.5 프로그램을 사용하여 수행되었다. 핵심 키워드는 '신규간호사', '현실충격', '전환', '학생간호사', '경험', '실습', '근무환경', '역할', '돌봄', '교육' 등으로 확인되었다. 최근 신규간호사의 현실충격에 관한 연구에서 잠재적 디리클레 할당(LDA) 기법으로 '이직', '근무환경', '전환 경험'의 세 가지 주요 주제를 추출하였다. 본 연구결과를 바탕으로 신규호사가 경험하는 현실충격을 효과적으로 감소시키고 성공적으로 임상적응을 도울 수 있는 중재 연구의 필요성을 제언한다.

• 보건의료산업학회지
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• 제11권1호
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• pp.67-78
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• 2017

Objectives : This study investigated the fatigue, emotional labor and job embeddedness factors influencing the turnover intention of clinical nurses. Methods : A survey was conducted with 479 hospital nurses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation coefficients. and multiple regression with SPSS/WIN 23.0. Results : The mean scores fatigue, emotional labor, job embeddedness. and turnover intention were $3.06{\pm}0.71$, $3.43{\pm}0.60$, $2.94{\pm}0.47$, and $3.39{\pm}0.62$, respectively. Turnover intention was positively correlated with fatigue and emotional labor, but negatively correlated with job embeddedness. Multiple regression analysis showed that the factors affecting turnover intention were job embeddedness, emotional labor, gender, and with studying. Conclusions : The results indicate that emotional labor and job embeddedness are very important factors affecting nurses turnover intention. Therefore nurse managers should decrease nurses emotional labor and maximize their job embeddedness by developing various emotional sensitivity and support programs.

• 한국임상보건과학회지
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• 제3권1호
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• pp.256-267
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• 2015

Purpose. The objective of this study was to investigate factors influencing turnover intention index of work environment, emotional labor by hospital nurses Methods. A survey was conducted with 290 nurses who were working hospital. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and multiple regression with SPSS window 18.0 program. Result. Findings revealed that; 1) The mean scores were 2.81 [range : 1-5] for work environment, 3.24 [range : 1-5] for emotional labor, 3.43 [range : 1-5] for turnover intention. 2) Pearson's correlation revealed work environment was negatively correlated with turnover intention but emotional labor positively correlated with the turnover intention. 3) Hrarchical multiple regression analysis showed work environment, ages, assign ward, period in current hospital, emotional labor significantly influenced turnover intention in hospital nurses. Conclusion. These findings can be utilized to development of strategies to improving the work environment, managing the emotional labor for decreasing turnover intention of hospital nurses so that can be long time.

• 간호행정학회지
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• 제16권3호
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• pp.276-285
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• 2010

Purpose: The purpose of this study was to investigate the effects of organizational justice and dispositional affectivity on job satisfaction and intent to leave among nurses. Methods: The sample of this study consisted of 274 nurses from 2 general hospitals located in Incheon. Data were collected with self-administered questionnaires and were analyzed by hierarchical multiple regression. Results: Distributive and interactional justices had positive impacts on nurses' job satisfaction. Distributive, procedural and interactional justices had negative impacts on nurses' intent to leave. It was found out that positive affectivity significantly moderated the effect of interactional justice on job satisfaction while dispositional affectivity did not significantly moderate the effect of organizational justice on the intent to leave. Conclusion: The results imply that hospital administrators should pay attention to the dispositional affectivity of nurses to increase their job satisfaction. Further, hospital needs to maintain organizational justice to reduce nurses' turnover.

• 대한간호학회지
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• 제38권4호
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• pp.561-572
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• 2008

Purpose: The purpose of this study was to understand and analyze the experience of hurt and forgiveness of clinical nurses in Korea. Methods: A phenomenological research method guided data collection and analysis. The subjects were a total of 5 nurses who had experienced hurt and forgiveness. Data was collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. Results: The following three common constituents have been found as a retrospective focus based on the primary hurt related to the clinical situation; recognizing their personal values, obtaining their view about forgiveness, as well as their view of self. Conclusion: The results of this study may contribute to health professionals working in various clinical settings to understand Korean nurses with hurt and forgiveness experiences.

• 보건의료산업학회지
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• 제5권3호
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• pp.1-11
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• 2011

The objective of this study is to identify the relationship between nursing organizational culture and job satisfaction and turnover intention. Furthermore this study analyzed the mediating effect of empowerment on the relationship between two variables. Data were collected by self-administered questionnaires. Structural Equation Modeling(SEM) analysis was conducted. The major findings of this study are as follows: nursing organizational culture having a positive effect on empowerment and organizational effectiveness. The empowerment as a mediating role between nursing organizational culture and job satisfaction and turnover intention was statistically significant. This finding showed that desirable organizational culture and improvement of empowerment is necessary to maintain nursing staff's organizational loyalty and eventually to improve total organizational performance.

• 한국병원경영학회지
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• 제26권4호
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• pp.1-11
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• 2021

This study is to identify the relationship among work-life balance and turnover intention of nurses and examine the influence of work-family balance, work-leisure balance, work-grow balance on turnover intention of nurses. Data were collected from nurses working at five hospitals with more than 30 beds in Seoul and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis using Jamovi(1.6.23) program. The final sample were made up of 247 participants. In the correlation analysis, work-life balance and turnover intention showed negative correlation. As a result of multiple regression analysis, work-grow balance affected as a meaningful influence factor on turnover intention. It is necessary to carefully examine the sub-factors of work-life balance in order to understand the impact on turnover intention of nurses. And, hospitals need to provide organizational support for nurses' growth and career development.