• Title/Summary/Keyword: Clinical Research Nurse

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Predictors of Clinical Nurses' Presenteeism (임상간호사의 프리젠티즘 영향요인)

  • Kim, Miji;Choi, Hyang Ok;Ryu, Eunjung
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.3
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    • pp.134-145
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    • 2014
  • Purpose: The purpose of this study was to identify factors affecting clinical nurses' presenteeism. Methods: A descriptive cross-sectional design was used in which participants completed self-report questionnaires that consisted of measures for nurses' job satisfaction, job stress, professionalism and presenteeism. 267 nurses working in general hospital participated in this study. Logistic regression analysis was used to estimate predictors of the presenteeism in clinical nurses. Results: 250 nurses experienced one or more health problems last one month. The group who experienced presenteeism during the last one year had significant differences in professionalism and perceived productivity. Predictors of sickness presenteeism in clinical nurses included work experience, total health problem and last 1 year absenteeism. Last 1 year absenteeism and total health problem were strongly related to presenteeism in clinical nurses. Conclusion: Major findings of this study indicated that in dealing with nurses' presenteeism, not only managing nurses' job stress and job satisfaction but also providing flexible work schedule and increasing staffing level as an organizational approach are necessary to be considered. Further repeated and expanded research is needed to explore the multidimensional aspects of nurses' presenteeism including a broad range of work setting and the influence of Korean nurses' organizational culture on presenteeism.

The Mediating Effects of Mindfulness and Growth Mindset on the Relationship between Occupational Stress and Happiness among Clinical Nurses (임상간호사의 직무 스트레스와 행복감의 관계에서 마음챙김과 성장마인드셋의 매개효과)

  • Park, Hyeji;Choi, Hyunkyung
    • Korean Journal of Occupational Health Nursing
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    • v.30 no.2
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    • pp.68-77
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    • 2021
  • Purpose: This study was conducted to investigate the mediating effects of mindfulness and growth mindset on the relationship between occupational stress and happiness among clinical nurses. Methods: The participants were 220 clinical nurses working in two hospitals in D city. Self-report questionnaires were used to collect the data, which were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, hierarchical multiple regression, and Sobel test. Results: Occupational stress had significant negative correlations with happiness, mindfulness, and growth mindset. On the other hand, mindfulness and growth mindset had significant positive correlations with happiness. Meanwhile, partial mediating effects of mindfulness and growth mindset were found on the relationship between occupational stress and happiness. Conclusion: Mindfulness and growth mindset can play an important role in buffering the negative influence of occupational stress on the happiness of clinical nurses. Therefore, interventions that ease occupational stress and encourage mindfulness and growth mindset are recommended to increase happiness among clinical nurses.

Incivility experienced by nursing students in relations with nurses during clinical practice (현장실습 중 간호사와의 관계에서 간호대학생이 경험한 무례함)

  • Hwang, Yoon Young;Chu, Min Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.1
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    • pp.29-38
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    • 2021
  • Purpose: The purpose of this study was to describe the meaning of incivility experienced by nursing students in relations with nurses during clinical practice. Methods: This is a descriptive qualitative study that included thirty participants using convenience sampling in universities in S, J, Ch, and C provinces. Data saturation was achieved and methodological rigor was established. Qualitative content analysis was used to inductively determine categories. Results: The four categories derived from analysis were 'left alone at clinical field', 'treated as an assistant', 'not respected as a person' and 'ignored future dreams'. Conclusions: Nursing students continue to carry out repetitive, low-risk tasks, for which they are not properly trained due to the lack of practical guidance in clinical practice. During clinical practice, they are not respected as persons by nurses and are negatively influenced by nurse professionals. A solution to this requires organic cooperation and policy preparation at universities and hospital sites to improve practical training of nursing students.

Comparing Satisfaction and Importance of Nursing Care Nursing Work Environment, Nurse's Intention to Work between Comprehensive Nursing Care Unit and General Nursing Care Unit (간호간병통합병동과 일반병동의 간호서비스 만족도와 중요도, 간호 근무환경, 간호사 재직의도 비교)

  • Park, Ihn Sook;Kim, Ju Hee;Hong, Heejung;Kim, Hyesun;Han, Insun;Lee, Sunyoung
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.1
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    • pp.34-43
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    • 2018
  • Purpose: This study was aimed to identify the difference in satisfaction and importance of nursing care between patients in comprehensive nursing care unit (CNCU) and general nursing care unit (GNCU). It also confirms the difference between practice environment of nursing work and nurse's intention to work. Methods: Nursing care satisfaction and importance levels were measured from 202 patients. Practice environment of nursing work and nurse's intention to work were measured from 54 nurses. Results: The satisfaction level was higher in the CNCU in comparison to the GNCU (p<.001). There was no significant difference between the importance and satisfaction level of nursing care for patients at the CNCU (p=.973), whereas in the GNCU, patients' satisfaction level was lower than the importance level (p<.001). The score for practice environment for nursing work was higher in the CNCU than in the GNCU (t=3.34, p=.002). The nurse's intention to work in the CNCU was higher than that of the GNCU, but there was no statistically significant difference. Conclusion: Through the survey, the paper suggests that comprehensive nursing care is a service type that satisfies the nursing demand (importance) that patients consider important. Results from nurses showed no significant differences.

Development of Korean Patient Classification System for Neonatal Care Nurses (한국형 신생아중환자간호 분류도구 개발)

  • Yu, Mi;Kim, Dong Yeon;Yoo, Cheong Suk
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.205-216
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    • 2016
  • Purpose: This study was performed to develop a valid and reliable Korean Patient Classification System for Neonatal care nurses (KPCSN). Methods: The study was conducted in tertiary and general hospitals with 1~2 grade according to nursing fee differentiation policy for NICU (neonatal intensive care unit) nurse staffing. The reliability was evaluated for the classification of 218 patients by 10 nurse managers and 56 staff nurses working in NICUs from 10 hospitals. To verify construct validity, 208 patients were classified and compared for the type of stay, gestational age, birth weight, and current body weight. Nursing time was measured by nurses, nurse managers, and nurse aids. For the calculation of conversion index (total nursing time divided by the KPCSN score), 426 patients were classified using the KPCSN. Data were collected from September 5 to October 28, 2015, and analyzed using t-test, ANOVA, intraclass correlation coefficient, and non-hierarchial cluster analysis. Results: The final KPCSN consisted of 11 nursing categories, 71 nursing activities and 111 criteria. The reliability of the KPCSN was r=.83 (p<.001). The construct validity was established. The KPCSN score was classified into four groups; group $1:{\leq}57points$, group 2: 58~80 points, group 3: 81~108 points, and group $4:{\geq}109points$ in the KPSCN score. The conversion index was calculated as 7.45 minutes/classification score. Conclusion: The KPCSN can be utilized to measure specific and complex nursing demands for infants receiving care in the NICUs.

An Adaptation Experience of Male Nurses at General Nursing Unit (상급종합병원 남자간호사의 일반병동 적응 경험)

  • Kim, Ji Hye;Park, Kwang Ok;Kim, Jong Kyung;Yun, Ha Jeong;Lee, Jin hee;Cho, Eun Kyung;Kim, Soon Hee;Kim, Yeon Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.496-506
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    • 2016
  • Purpose: This study was conducted to examine the adaptation experience of male nurses working in general wards. Methods: Experiential data was collected from 16 general ward nurses through in-depth interviews. Participants were selected from male nurses working in the general wards with over one year of clinical experience at a tertiary university hospital. The main question was "Can you describe your adaptation experience in the general ward as a nurse?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Four categories were derived from the analysis: 'difficulties from task adaptation by characteristics', 'limited nursing situation and circumstance as a male nurse', 'efforts to adapt at general nursing unit', and 'self-worth, and worry about something as a male nurse'. Conclusion: Male nurses had a difficulty adapting to work in wards due to lack of multi-tasking skills, as well as some social prejudice or negative views on male nurses. Establishing reasonable guidelines for male nurses in practice, promoting their responsibilities to patients, developing mentoring programs, and reassessing the policy of assigning male nurses to general wards are recommended to help in better adaptation.

The Effect of Backrest Elevation Education on ICU Nurse's Knowledge, Perception and Performance (침상각도 상승 교육에 대한 중환자실 간호사의 지식, 인식 및 수행 정도)

  • Lee, Hyun Sim;Park, Young Woo;Kim, Jung Yeon;Lee, Eun Sook;Park, Ai Soon;Han, A Reum;Kim, Eun A;Lee, Ho Sun;Koh, Shin Ok
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.117-128
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    • 2008
  • Purpose: This study was conducted to examine the differences of knowledge, perception, and performance between the points of time before and after ICU nurses had the backrest elevation education. Method: The study subjects were 58 nurses at a medical and surgical ICU of one general Y hospital located in Seoul. They received the education, including backrest elevation guideline and related education materials. Data were collected from May 11 throughout August 12, 2007 with a structured questionnaire. Results: 1) There were significant differences in the mean scores of knowledge(2.21 at pre-education, 5.24 at post-education), perception(36.96 at pre-education, 53.36 at post-education), and performance(32.08 at pre-education, 43.51 at post-education), 2) There was a significant correlation between nurse's perception and performance (p=.000). 3) The nurse's perception regarding the importance of the back rest elevation education was significantly effective on their performance (p=.000). Conclusion: The backrest elevation education would contribute to improve ICU nurse's knowledge, perception and performance. The more the nurses would consider the importance of this education, the better they would perform the nursing intervention of backrest elevation.

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Comparison of Nursing Activity Time According to the Change in Grade of Nursing Management Fee in One University Hospital (일개 대학병원의 간호관리료 등급변화에 따른 간호사의 간호활동시간 비교)

  • Park, Jeong Ok;Kim, Heai Yong;Roh, Gyeong Shik;Roh, Young Duck;Park, Myeong Bun;So, Ji Eun;Park, Mi Mi;Bang, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.95-105
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    • 2010
  • Purpose: The purpose of this study was to examine the difference between direct and indirect nursing activity times according to the grade of nursing management fee. Methods: The subjects of this study were 324 working nurses at the time of 3rd grade and 319 working nurses at the 2nd grade of nursing management fee in one university hospital. Nursing activity time was measured in April and May, and in September and October of 2008 for comparison. The data were analyzed by SPSS win using frequency and t-test. Results: Direct nursing care activity time per one patient was significantly higher at 2nd grade than 3rd grade in day shift (t=-2.55, p=.012). Direct nursing care workload per one nurse was significantly lower at 2nd grade than 3rd grade in evening shift (t=2.21, p=.030), whereas indirect nursing care workload was lower at 2nd level in night shift (t=2.43 p=.016). Conclusion: The findings from this study showed that higher nurse-to-patient ratio can provide greater amount of direct nursing care activity for the patient. Also, it decreased workload of nurses. The higher nurse-to-patient ratio will be beneficial for promoting quality of nursing care as well as decreasing nurse's heavy workload.

The Effects of Verbal Violence Experience, Social Support, and Coping Patterns on Job Stress among Operating Room Nurses (수술실 간호사의 언어폭력경험, 사회적 지지, 대처양상이 업무 스트레스에 미치는 영향)

  • Kim, Jeong Wook;Ko, Suk Jeong;Shin, Sung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.1
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    • pp.38-45
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    • 2016
  • Purpose: The purpose of this study was to understand the effects of verbal violence experience, social support, and coping patterns on job stress among operating room(OR) nurses. Methods: The participants were 214 operating room nurses in general hospitals. Data were collected from April 1st to May 1st in 2013 and were analyzed using a multiple regression. Results: The most influencing factor on job stress for OR nurses was verbal violence experience from doctor(${\beta}=.35$), and verbal violence experience from nurse (${\beta}=.27$) followed. Social support from co-workers was a significant factor in decreasing job stress (${\beta}=-.22$). Those three factors explained 43.0% (F=54.76, p<.001) of OR nurses' job stress. Conclusion: The findings of this study revealed that doctors' and nurses' verbal violence increased job stress of OR nurses and social support from co-workers was found decreasing OR nurses' job stress. The results of the study provides an necessity for developing an effective program for minimizing job stress of OR nurses caused by work place verbal violence.

The Hospital Work Experience of Generation Y Nurses (Y세대 간호사의 병원 근무 경험)

  • Mun, Eun Ju;Lee, Eun Yeong;Kim, Hye Jin
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.2
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    • pp.65-74
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    • 2024
  • Purpose: This study aimed to understand and explore the work experiences of Generation Y nurses in hospital organizations. Methods: Participants were nine nurses with generation Y working in the hospital. Data were collected through individual interviews from December 2, 2022 to June 30, 2023. The transcripts were coded and analyzed using Colaizzi's phenomenological method. Results: A total of 33 formulated meanings were derived from the meaningful 50 statements of nine study participants, and then categorized them into 12 themes with a collection of five theme clusters. Conclusion: This study found that Generation Y nurses experienced role confusion and physical and mental burden as they caught in the middle in other generations. Even they were wondering whether to continue working as a nurse, which seems that it is crucial to establish a recognition and compensation system to maintain Generation Y nurses in the field. In addition, Generation Y nurses have been found to endure difficult hospital work and demonstrate patience even when working alone, while also deriving strength from their colleagues. Therefore, it is necessary to establish a program for intergenerational harmony among nurses.