• 대한안전경영과학회:학술대회논문집
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• 대한안전경영과학회 2013년 춘계학술대회
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• pp.337-353
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• 2013

의료서비스산업은 인구 고령화, 소득 증대, 건강보험의 보장성 강화 등으로 시장이 급속히 확대되는 추세이다. 의료서비스산업의 대다수를 차지하는 것은 병원으로, 병원은 의사, 의료기사, 간호사, 행정직 등 전문적이고 다양한 직종의 종사자들의 협동작업을 통해 환자들에게 의료서비스를 제공하는 조직이다. 간호사는 많은 직무를 담당하고 있는 다양한 전문 인력 중에서 병원인력의 40%를 차지하고 있으며, 환자에게 제공되는 대부분의 서비스인 치료와 간호업무를 담당하고 있다. 병원인력의 다수를 차지하고 있는 간호사의 잦은 이직과 낮은 생산성은 환자의 치료와 간호업무에 지장을 줄 수 있는데, 소진과 직무스트레스가 간호사의 이직과 생산성에 영향을 주는 것으로 나타나고 있다. 이에 본 연구는 간호사의 일반적 특성에 따른 소진과 직무스트레스의 차이를 연구하여, 간호사 개인 맞춤별 내부마케팅 자료로 활용하고자 한다. 간호사의 일반적 특성에 따른 소진과 직무스트레스의 차이는 첫째, 소진에 차이가 있는 일반적 특성으로는 연령, 결혼, 근무형태, 직위, 간호사 경력, 근무처, 병상 수로 나타났으며, 둘째, 직무스트레스에 차이가 있는 일반적 특성으로는 연령, 학력, 결혼, 근무형태, 간호사 경력, 근무처, 병상 수로 나타났다.

• 한국간호교육학회지
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• 제25권3호
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• pp.300-311
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• 2019

Purpose: The purpose of this study was to review and synthesize the existing literature on the experience of nursing students in simulation. Methods: A systematic review was undertaken using meta-ethnography. Eight databases were searched up to January 2014 for peer-reviewed studies, written in Korean and English, that reported primary data, used identifiable and interpretative qualitative methods, and offered a valuable contribution to the synthesis. Results: Nine studies were identified, with quality appraisal undertaken. Three key concepts were generated: ambivalence of simulation practice, learning by reflection, and building up of the competency as a future nurse. Six sub-concepts emerged: double sidedness of simulation setting; feeling ambivalence of simulation; learning from others; learning from self-reflection; improvement of confidence by role experience; and internalization of nursing knowledge. A line of argument has been developed based on the themes generated. Conclusion: The findings from this qualitative synthesis and other related literature indicated the importance of capability of educator and extension of the simulation system to facilitate effective simulation-based education.

• 간호행정학회지
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• 제9권3호
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• pp.337-352
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• 2003

Purpose: The purpose of this study is to analyse research trends related to the evaluation of quality of nursing, thereby obtaining basic data relating to the identification of current situation of instrument development of quality of nursing, and of future research orientation and to the development of performance index of nursing organization. Method: The data were collected from June to December, 2002 through the review of total of 32 research papers which had evaluated quality of nursing among published papers in Korea from 1976 to August 2002. The analysis was done in terms of research period, the periodicals in which research papers were published, domains and the approaches of evaluation of nursing quality. The content analysis of lowest-level items amounting was performed using NIC developed by McCloskey & Bulecheck(1998) and consequential indices of quality of nursing developed by Chi(1995). Results: Twenty-three of 32 papers(71.8%) turned out to be published after 1995, indicating surging interest in the evaluation of quality of nursing from the mid 1990s. Also, ten of 12 research papers dealing with subjects' diseases were published after 1995. In content analysis of lowest-level items of the process-oriented evaluation of quality of nursing, the highest nursing intervention was patient education about procedure and treatment; followed in descending order by patient education about disease process, strengthening of communication, managing environment, infection control, admission care, defecation and urination care. In content analysis of lowest-level items of the outcome-oriented evaluation of quality of nursing, items of physical and psychological state, of patient and family satisfaction, of knowledge and home care, of change of patients' state, of addressing nursing issues, and of patient recovery were the outcome indicators in more than 60 percent research papers. Conclusion: The findings provided the foundation for their effective use in nursing practice with comparing and presenting various core evaluation items representing process and outcome domains.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.561-571
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• 2016

연구목적: 본 연구는 미국의 학부 간호교육에서 노인간호에 대한 바람직한 태도를 강화하기 위해 시도된 새로운 교육적 접근법을 고찰하고 국내 간호교육에서의 적용방안을 모색하고자 수행되었다. 연구방법: PubMed, CINAHL의 검색엔진을 사용해 미국 John A. Hartford 재단의 지원으로 노인간호교육을 위한 획기적인 전략개발 프로젝트를 수행한 간호대학의 연구 8편과 그 외 다양한 교육적 방안을 고찰한 논문 4편을 포함한 12편의 연구를 고찰하였다. 연구결과: 노인간호에 대한 올바른 태도형성을 위해 제시된 교육적 접근법은 다음의 네 가지로 구분할 수 있다: 1) 노인간호에 대한 간호전공교과 간의 연계교육, 2) 지역사회 노인의 교육적 멘토 역할, 3) 시청각 매체의 활용, 4) 자기성찰을 통한 토론학습. 향후 응용: 국내 간호교육에서의 효과적인 적용을 위해서는 연계교육을 위한 간호전공교과목 간의 긴밀한 협의 및 교육과정의 탄력적 운영을 위한 교육행정부서의 협조가 수반되어야 한다. 또한, 교육기관과 지역사회와의 긴밀한 파트너십을 구축함으로써 지역사회 노인이 교육적 멘토로 참여하는 방안을 적용해 나갈 수 있다. 무엇보다, 노인간호에 대한 바람직한 태도형성을 위한 간호교육의 중요성을 인식하고 교수자의 교육역량강화와 새로운 교수법 개발을 위한 지속적 노력이 요구된다.

• 간호행정학회지
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• 제11권1호
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• pp.89-104
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• 2005

Purpose: The authors reviewed researches related to performance appraisal(32 researches), in order to identify the direction for future research and to establish a credible performance appraisal system. Method: Almost all of the theses and research published in 9 major journals of nursing in korea were reviewed. Results: Most of research(84.4%) were theses and all researches were used to non-experimental design; survey 81.3%, methodological research 15.6%, review 3.1%. The major subjects of study were appraisees and appraisers. Psychosocial data collection which only used questionnaire were 81.3% and carried out interview(12.5%) and delphi-method(3.1%). Data analysis methods were used frequency 78.1%, t-test 62.5%, mean/SD 59.4%, Pearson's correlation 50%, and Cronbach α 50%. Appraisal tool used or developed in studies was graphic rating scales in nine studies and ran parallel with forced distribution in 2. Also, MBO and BSC were developed. Total number of korean terms in performance measurement were 11, and english terms 15. The tendency of the terms was toward performance appraisal or evaluation. Conclusion: In the light of results, we expect development of corporate appraisal tool that can evaluate nurse competence and performance. Total performance management system also should be established.

• 간호행정학회지
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• 제7권1호
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• pp.145-163
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• 2001

The purpose of this research is to identify antecedent variables and outcome variables of the empowerment in clinical nurses, and to suggest managerial strategies for increasing their empowerment. Data were collected from October 12 to 18, 2000 through questionnarie taken by 566 nurses in 3 general hospitals. The 5 structured instruments were used for collecting the data : Spreitzer's Items Measuring Empowerment, Bass's Multifactor Leadership Questionnaire-1, Moorman's Equity of rewards scale, Mobley's turnover intention scale, and the Organizational Commitment Scale developed by Mowday, Porter & Steers. The data obtained were analyzed using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Scheffe' test, Pearson's Correlation Coefficients, Factor Analysis, Cronbach's alpha Coefficients, Multiple Regression. The results were as follows; 1. Head nurse's transformational leadership showed an positive correlation with empowerment(r=.304, p=.00). Regression coefficient between transformational leadership and empowerment was significant(${\beta}=.326$, p=.00), However, there was no a correlation between equity of rewards and empowerment. 2. The general characteristics of nurses were significant differences with empowerment. As for position, age, working experience, and education background showed significant difference with empowerment(F=10.979, 11.224, 6.812, 5.411, p<.01). 3. Empowerment showed a positive correlation with organizational commitment and a negative correlation with turnover intention (r=.387, -.274, p=.00). Regression coefficient between empowerment and organization commitment was significant(${\beta}=.365$, p=.00). In conclusion, the more head nurse took the transformational leadership, the higher nurses perceived empowerment. The higher their empowerment level, the higher organizational commitment they perceived. On the contrary, the higher their empowerment level, the lower their turnover intention. Therefore, in order to increase nurses' organization commitment and decrease their turnover intention, their empowerment should be increase. And it is necessary to develop the transformational leadership of head nurses so as to increase empowerment.

• 간호행정학회지
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• 제8권1호
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• pp.55-72
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• 2002

Purpose : This study aimed at understanding the lived experience of new graduate nurse in hospital setting.Method : This study was based on a phenomenological approach. For this study, 8 new graduate nurses participated. The unstructured in-depth interviews were carried out from June to October, 1998. The data was analyzed Van Kaam's method.Results : Clinical new graduate nurses experienced clinical adaptation and endeavor, professional conflict of nursing, disability of nursing performance, work stress and management, maladaptation of human relationships, diverse emotions of interpersonal relationships, change of personal identity, difference between theory and reality of nursing.Clinical adaptation and endeavor included to get familiar with hospital life, satisfaction and worth for nursing, to get familiar with scoldings, calm down by oneself, efforts for self-development. Professional conflicts of nursing included future uncertainties in the hospital, dissatisfactions in work, doubts and regrets in nursing.Disability of nursing performance included lack of knowledges and skills, desolate working, stresses from mistake in working. Work stress and management included psychological signs and symptoms, physical signs and symptoms, management of stress. Maladaptation of human relationships included unsuitabilities in nursing unit climate, difficulties in human relationship. Diverse emotions of interpersonal relationships included regrets and absurdities to clients, thanks and regrets to colleagues, difficulties with doctors, sense of rivalry with colleague nurses. Change of personal identity included to become narrowing life circle, change of personality. The differences between theoretical knowledge and practice included needs of systematic pre-education for clinical nursing practice, differences between nursing educations and clinical practices.Conclusion : Therefore, the human resource management reflecting new graduate nurses' experiences should be developed.

• 간호행정학회지
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• 제4권2호
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• pp.405-418
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• 1998

The purpose of this study was to describe patients satisfaction with nursing care in the emergency department and factors influencing satisfaction rates. 1. The mean score of patient satisfaction with nursing care in the emergency departments was 2.70. The mean scores of patient satisfaction with different aspects of nursing care services were 3.05 for nursing services for psychological safety: 2.67 for technical competence: 2.49 for information giving: and 1.35 for discharge teaching. 2. Patient satisfaction with nursing care services provided. according to the general characteristics of the patients. was revealed as being significantly high for the groups of patients made up of those who were male. those over 51years of age. married subjects. those with an education level of high school or below level. housewives. Buddhists. and those in the middle economic level. Patient satisfaction with nursing care according to their service utilization in the emergency departments revealed that satisfaction was significantly high for patients who were in internal medicine. neurology or psychiatry. those admitted for the first time. those for whom the distance from the department to home was less than 30 minutes. patients who visited between monday and Friday and between 8AM and 4PM. patients who did not have to wait to be seen and those who stayed in the department less than 24 hours. 3. The correlation between the patients' general characteristics. nursing service utilization of the patients in the department and their satisfaction with nursing care showed that patients with longer waiting time had lower satisfactory scores for nursing service. 4. The registered nurses working in the emergency department reported that the main reasons for low satisfaction rates included 'over worked nurses' and 'too many patients' in the emergency department. In conclusion. the results of this study suggest the necessity of developing relevant nursing interventions for discharge teaching to increase patient satisfaction with nursing care services in emergency departments: and the need for adequate support from hospital administrators to improve patients' service utilization.

• 간호행정학회지
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• 제9권4호
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• pp.615-624
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• 2003

Purpose: The purpose of this study was to find out the role conflict and ways of copying of nurses as underwriters worked at life insurance companies in Korea. Method: The subjects were 141 underwriters who were working at 4 major life insurance companies in Korea. For finding the role conflicts, Role conflict and Ambiguity scale developed by Rizzo, House & Lirtzman(1970) was used, For the ways of coping, Ways of coping scale developed by Lazarus et al. (1984) was used. The statistical method used were mean, percentage, t-test, ANOVA and Turkey test by SAS program. Result: The mean of role conflict was 2.76, and its subcategories were intersender conflict 2.95, sequential order interrole conflict 3.13, interarole conflict 2.69, organizational conflict 2.69, ambiguity from the outcome or responses to one's behavior 2.60, ambiguity from clarity of behavior requirements 2.61. The mean of ways of coping was 2.42 and its subcategories were problem focused 2.42, wishful thinking 2.26, detachment 2.09, seeking social support 2.49, focusing positive 2.72, tension reduction 2.08. There is statistically significant difference between single and married person i.e, single was high than married about role conflict. And also there is statistically significant difference among religion groups i.e., christian was high than none about ways of copying. Conclusion: The results of this study suggest that nurses as underwriters' role conflicts and ways of coping were different that of clinical nurses' and examining medical insurance nurses', Therefore it need more detail repeat studies.

• 간호행정학회지
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• 제19권5호
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• pp.589-598
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• 2013

Purpose: This study was designed to assess the degree of psychological well-being, perceived health status, and health promoting behavior of clinical nurses, and to identify correlations between variables. Methods: Participants were 194 nurses working at S hospital, Seoul and data were analyzed using descriptive statistics, ANOVA, Duncan's test, Pearson correlation coefficient, and multiple regressions. Results: Mean scores were 3.45 (5 point scale) for psychological well-being, 2.82(4 point scale) for perceived health status, and 2.30(4 point scale) for health promoting behavior. Psychological well-being correlated positively with perceived health status (r=.34, p<.001). Perceived health status showed a positive correlation with health promoting behavior (r=.30, p<.001). There was a positive correlation between psychological well-being and health promoting behavior (r=.52, p<.001). Personal growth(t=2.85, p=.005), purpose in life (t=2.30, p=.023) among subscales of psychological well-being, and perceived health status (t=2.13, p=.034) had a significant influence on health promoting behavior. These combinations explained 32.1% of health promoting behavior (F=12.58, p<.001). Conclusion: The results of this study suggest strategies to improve health promoting behavior by enhancing psychological well-being of nurses. Furthermore, a study to identify the effects of developed and applied psychological well-being promotion program should be conducted.