Journal of Korean Academy of Nursing Administration
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v.12
no.4
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pp.624-632
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2006
Purpose: This study is performed to develop the contents of career ladder program for nurses in a hospital. And this study present the appropriate strategies of career ladder program using the clinical ladder in clinical nursing field in Korea. Methods: The method of the study were modified Delphi technique with professional group for identifying nursing domains, steps of career ladder system and managerial strategy. Result: We identified tool of the nursing domains; nursing patient, quality approvement and research, development of human resources, leadership and qualifications of promotion and contents of ladder of each level. We created expected role consisted of clinical ladder and classified 4 steps; novice, competent, proficient, expert. And finally managerial principles and application process are presented in this study. Conclusions: Development of career ladder program at a hospital was not need many time consumption but very important tool of nursing profession. And it is needed to validate and refine the tool developed continuously.
Lee, Eun Nam;Kim, Bog Ja;Kim, Sung Sook;Kang, Kyung Hee;Kim, Young Soon
Journal of Korean Clinical Nursing Research
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v.14
no.1
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pp.99-111
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2008
Purpose: This study was done to provide basic data for developing an in-service education program to improve nurses' quality. First, frequency of nursing activities and competency levels of emergency nurses according to their career ladders were compared through job analysis and then practical education programs were presented on based of the results. Method: Data were collected from 335 nurses working in emergency rooms in 31 tertiary hospitals. Data collection was done from September to November 2005 using the job analysis questionnaire. Results: There were 41 nursing activities that showed differences in frequency and 78 activities that showed differences in perceived competency level. Irrespective of emergency nurses' careers, activities that show high frequency but low competency were sputum liquefying therapy, assessment of cranial nerve function, identification of diagnostic radiology, and communication with various departments. In-service education content according to nurse's career ladders was presented by adding high frequency nursing activities and activities with low competency level even though having high frequency. Conclusion: There is a need to develop and provide in-service education programs, which consider nurses' difference in frequency and competency level for their career ladders.
Journal of Korean Academy of Nursing Administration
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v.15
no.2
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pp.275-283
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2009
Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.1
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pp.604-611
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2020
This study was undertaken is to improve the working conditions by improving the job satisfaction of clinical research nurses and clinical nurses involved in and conducting clinical trials. The survey was conducted from November 6 to December 6, 2017 for 100 nurses working in Seoul and Gyeonggi-do. The accumulated data were analyzed by frequency analysis, reliability verification, and t-test using the SPSS program. Our results reveal that job satisfaction was higher for clinical nurses (2.94 ± 0.609 points) as compared to clinical research nurses (2.89 ± 0.620 points). Also, the satisfaction level of salary received was higher amongst the clinical nurses than the clinical research nurses. Furthermore, although career decision was relatively lower for the clinical nurse than the clinical research nurse, the importance of job performance and job stability ranked high. Considering importance of the role of clinical research nurses in clinical trials, it is necessary to enhance their job satisfaction by improving the clinical trial environment such as appropriate treatment and professional role, and the working environment including remuneration, professional status, and administrative work to establish their jobs.
Journal of the Korea Academia-Industrial cooperation Society
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v.19
no.8
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pp.456-465
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2018
This study was conducted to examine the correlations between fatigue, health perception, happiness, and health promoting behaviors, and to identify the influencing factors on health promoting behaviors of clinical nurses in two general hospitals. Data were collected from 153 clinical nurses from February 5 to March 30, 2018. Data were collected through personal interviews using a questionnaire. Data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Fatigue according to the general characteristics showed significant differences in drinking and job stress. Health perception according to the general characteristics showed significant differences in disease. Happiness according to the general characteristics showed significant differences in marital status, type of work, clinical career, nursing unit satisfaction, economic level, and job stress. Health promoting behavior according to the general characteristics showed significant differences in clinical career and economic level. Health promoting behaviors showed significant positive correlations with health perception and happiness, but a significantly negative correlation with fatigue. Happiness and economic level, which accounted for 24% of the variance, were significant predictors influencing health promoting behavior in clinical nurses. To improve health promoting behavior in clinical nurses, it is necessary to develop a program that can raise the happiness considering the economic level.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.3
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pp.89-95
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2020
This study is a descriptive research to investigate the effects of nurses' internal orientation, social support and job orientation on turnover intention. The subjects were two university hospital nurses in D metropolitan city who agreed to participate in the study. Data collection was conducted from October 2, 2018 to March 20, 2019. The data were analyzed using SPSS 22.0 program, frequency and percentage, mean and standard deviation, correlation analysis, t-test, ANOVA, Pearson's correlation, and multiple regression. The study results were 3.04 ± .62 points for internal orientation policy, 3.08 ± .55 points for social support, 3.81 ± .59 points for peers, 3.67 ± .60 points for family members, and 2.98 ± 0.43 points for job placement and intention to turnover. The degree of turnover decreased with higher internal orientation, social support and job orientation. An examination of the general characteristics of the factors affecting turnover intention showed significant results with clinical experience and working department. The higher the clinical experience, the higher the turnover intention, and the department of work showed the higher turnover intention in the order of surgical ward, medical ward, ICU, and OR. These results show the need to actively develop and educate programs to improve nurses' intention to turnover, as well as internal hospital-oriented policies, social support, and job placement.
The purpose of this study was to examine dental hygienist's emotional labor, burnout and turnover intention. Data were collected from 215 dental hygienists working at hospitals and dental clinics through self-administered questionnaire, and analyzed by statistical analysis using t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis. The main findings of the study are as follows: the higher the educational level of dental hygienists, and the bigger the size of dental institutions they work, and the lower the monthly income of dental hygienists, the higher the level of emotional labor of dental hygienists. Burnout was influenced on emotional labor and turnover intention. Emotion labor and turnover intention were influenced on burnout. Tenure under 5 years, five-day workweek (non), emotional burnout were found to have significant effects on the turnover intention. Dental hygienists were doing relatively high emotional labor, and it influences his burnout experience and turnover intention. It is needed to make the workplace better environment which can secure appropriate work load and rewards, and education programs etc.
The main premise of this study is that family involvement which is based on professional-family collaborative partnership is very important for successful treatment and rehabilitation of the mentally ill. Accordingly, this study aims to find out factors which are related to family involvement in therapeutic process. This study conducted the survey with 275 service providers(i.e. mental health professionals) and with 124 service consumers(i.e. family members) in order to discover in what extent do related factors affect on the family involvement. The major findings of the study are; 1) From the service providers standpoint, using multiple regression, job characteristics, perception of family culpability, frequency of contact with family, functioning of their organization affect significantly on the family involvement by 33.0% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are frequency of contact with family, type of agency, type of profession, and their career. 2) From the service consumers standpoint, using multiple regression, socioeconomic level, attitudes of professionals, optimistic perception of prognosis, functioning of their family, diagnosis affect significantly on the family involvement by 40.9% of explanatory power. Using a step-wise multiple regression, the most powerful influenced factors on family involvement are economic level, attitudes of professionals, optimistic perception of prognosis, educational level. In conclusion, family accessibility to the therapeutic system must be allowed and further, politically encouraged by the related legislation. Also this study recommends clinician to use an empowerment model for the families with the mentally ill.
The purpose of this study was to investigate job satisfaction of dental hygienist. A questionnaire survey was conducted on 224 dental hygienist. The 224 data were analyzed by descriptive statistics, ANONA, Pearson's correlation analysis, and multiple regression analysis with SPSS(Statistical Package for Social Science) Ver.19.0. The average score of the communication skill was $3.32{\pm}0.49$, interpersonal relationship ability was $3.45{\pm}0.48$, job satisfaction was $3.19{\pm}0.44$. The average score of the communication skill according to the general characteristics was the married was higher than the singles, the higher the career. The average score of the interpersonal relationship ability according to the general characteristics was the higher he education, the higher the income and the business management. The average score of the job satisfaction according to the general characteristics was the higher the business management. A multiple regression analysis was conducted to examine the effects of communication skill and interpersonal relationship ability on job satisfaction, which had the lower career(t=-2.846, p=0.005), high communication skill (t=2.099, p=0.037), high interpersonal relationship ability(t=4.142, p=0.000). In order to improve the job satisfaction of the dental hygienist, provide proper compensation and the effort to improve the communication skill and interpersonal relationship ability.
The Journal of Korean society of community based occupational therapy
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v.8
no.3
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pp.49-57
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2018
Objective : The purpose of this study was to investigate the level of human rights sensitivity of occupational therapist and to compare the difference of the human rights sensitivity according to their characteristics and to provide basic data for the development of human rights education programs for occupational therapists in the future and to emphasize their role as human rights advocates. Methods : The subjects for this study were occupational therapists who chosen by snowball sampling method. The questionnaire consisted of 5 episodes and 30 questions to measure the level of occupational therapist's human rights sensitivity and 7 questions for identifying general characteristics of subjects. We distributed the questionnaire by on-line. 165 copies were collected and used to final data analysis. Results : The average of occupational therapists' human rights sensitivity was $33.52{\pm}14.96$. According to the subcategories, the average of perception of situation was $20.44{\pm}2.32$, perception of result was $19.85{\pm}2.32$, and the perception of responsibility was $19.14{\pm}2.21$. Among 5 episodes, The highest score was the right to pursue one's happiness of the elderly($12.72{\pm}1.56$), and the lowest score was the right to personal freedom in disabled ($11.04{\pm}2.23$). There were significantly differences of the subjects' age, educational level, organization type, and the level of clinical experiences. Conclusion : Occupational therapists' human rights sensitivity increased with age and the level of clinical experiences. And the human rights sensitivity increased as they were exposed to various human rights related circumstances. The reason of the highest score for situational awareness was that empathy for the client-centered intervention is important. This study confirmed that it is necessary to have human rights education and various educational programs.
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