• 한국보건간호학회지
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• 제6권1호
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• pp.32-45
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• 1992

An important role of community health nurses in health centers is to solve community health problems found through data collection methodology which has been used to identify the health needs of the community, diagnose the health problems and to plan health programs suitable for the health problems. Also community health nurses must be prepared to know the community health needs and to participate in the planning process. Since 1956 when the health center law was established, community health nurses have really implemented only the services which the government has asked them to do. This has kept them busy enough. But these days as society is in rapid change, community health nurses should have the flexibility to deal with the social change and demands that are unique to their community each which has different health needs and demands. So community health nurses need to identify what community health problems exist in their particular communities. The purposes of this study were as follows. 1) To explore the suitability of the health programs which the government has asked the community health nurses to do for their own communities and if these programs are not suitable, to explore the reasons why. 2) To explore the degree to which the community health nurses have the ability to identify health problems in their own communities and activate the community diagnostic process. 3) To identify the degree that the community health nurses have the ability to implement plans related to community diagnosis. 4) To find out how much data related to community health problems, the community health nurses have and how they are utilizing it. 5) To measure the community health nurses self-confidence concerning diagnostic activities for community health. The study subjects were 454 Community Health Nurses working in Health Centers in Seoul, Korea. The period of data collection was 6 days(Nov. 9th 1991-Nov. 15th 1991). A questionnaire used for data collection was composed of three different items; general characteristics, community health diagnostic activities and self-confidence in performing diagnostic activities. The results of the study are as follows. First, over one third of the respondents replied that the government required activities for their communities are not appropriate. Of these activities the most frequent reply $(51.2\%)$ indicated that many of the activities in the community were inappropriate to the actual situation. Further, $25\%$ of the replies indicated that many activities were only administratively oriented and as such not appropriate. Second, $49.8\%$ of the respondents replied that they had done general assessments and had a general idea of the health problems of their community. Effective solutions to health problems could be found with an increase in health personnel and management ability according to $41.5\%$ of the respondents. Third, to the question as to whether they had ever independently implemented a plan towards solving community diagnosed problems, $52\%$ of nurses replied 'never', $40\%$ 'occasionally' but only $7.5\%$ replied that they did it frequently. Actually there was very little done even in the basic work of collecting the necessary data. Fourth, when asked how much of basic information they had collected that might be used in community diagnosis activity, of 26 items in 5 areas, there was hardly one for which complete data had been collected. Fifteen percent did have data on the geographical aspects of their area, housing distribution and types of housing, while $17.8\%$ knew the frequency with which the health center was used. Concerning community resources, even with a list of community resources, only $12.3\%$ had data on any of these resources, and this data was incomplete. Further, information about social work institutions, and facilities was also incomplete, only $14.2\%$ of the respondents had any data and even it was incomplete; that is, in general, the nurses did not have this information. Fifth, concerning the confidence of the community health nurse in their ability to carry out community diagnoses activities, $60\%$ replied that they were very or at least nominally confident, indicating that although they were not doing community diagnostic activities they felt they could do so, as they were carrying out home visits and program planning as part of their official duties. The following recommendations are made based on the results of this study. First; since the community health nurses have a high perception of the need for community diagnostic activities and. high confidence in their ability to carry out this activity and high percentage of respondents replied that with a little training they could do this even better it is recommended that community diagnostic activity training be included in the continuing education program for community health nurses. Second, in order for the Community Health Nurses to successfully solve the health problems of their respective community they reported to a need to increase the number of health personnel, improve the facilities and the system of managing their work. Considering this, it is recommended that ways be sought to remedy these deficits.

• 한국학교보건학회지
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• 제7권1호
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• pp.29-36
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• 1994

The purpose of this study was to explain the performance pattern of health education and related factors in elementary school. The data were collected from school nurses who have been working elementary school. Sample of 77 were analyzed by percent distribution, ${\chi}^2$-test, discriminant analysis. The performance rates of health education was 74%, Only 19% of total carried out health education of 6 hours per week. Important variables that was showed significant association with health education level were as follows: Perception of importance about health education among personal characteristics of school nurses and size of school c1ass, cooperation level of school administrator, operation method of school health clinic, the difficulty of school health clinic among school organization characteristics. The canonical correlation between the health education (yes or no) and important independent variables was 0.52. Among them, operation method of school health clinic. perceiveness of health education, size of school class represented the significant contribution (canonical coefficient: 0.66, 0.54, 0.52) to school health education. These findings suggest that structure and management variables of school organization are more important than personal variables of school nurses related to activation of school health education. Therefore, it is expected that the quantity and quality improvement of school health education be able to accomplish through the systematic support of school organization and government demension.

• 대한간호학회지
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• 제37권5호
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• pp.762-771
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• 2007

Purpose: The purpose of this study was to identify the reactions of emergency department nurses to violence. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty emergency department nurses classified 33 selected Q-statements into a normal distribution using a 9 point scale. The collected data was analyzed using the Quanl PC Program. Results: Three types of reactions to violence were identified. The first type(emotional and physical reactions) showed a sense of regret on the selection of an occupation and emotional and physical reactions such as anxiety, fear, depression, hopelessness, heart palpitations and trembling hands due to the violence. The second type(problem solving) actively coped to prevent the occurrence of violence, grasped the causes of violence and sought out a problem solving plan. The third type(anger reactions) felt a lot of anger against violence, and resented their reality of working under conditions of inadequately secured facilities and systems. Conclusion: The emotional and physical reactions type and the anger reactions type should be required to attend educational programs to improve attitudes and abilities to solve the problems in a more active and positive manner.

• 성인간호학회지
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• 제15권4호
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• pp.542-550
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• 2003

Purpose: The purpose of this study was to suggest the projected workforce of certified emergency nurses in Korea. Method: The methods used in this study are 1) demand & ratio model was used for the projected workforce of CEN, 2) Index functional formula was used for the suggestion of the number of general hospitals and hospitals, 3) Experts in Emergency care were contacted to get an opinion and information about the criteria of distribution and scope of CEN, 4) National and international internet data were collected. Result: The demand of CEN were analyzed by two ways; demand of Emergency centers only and demand of emergency centers including community centers. The number of CENs needed to meet the demands in 2002, 2005 and 2010 was estimated at minimum of 1,512 to maximum1,576, 1,640 to 1,704 and 1,892 to 1,956 respectively. The projected number of CENs for the 2002 was 1% total available nurses in Korea, and 3.2 CENs per 100,000 population. Conclusion: It is really desirable that CENs not only work for hospital emergency centers but also for emergency related centers in community.

• 보건교육건강증진학회지
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• 제21권1호
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• pp.25-43
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• 2004

This study is aimed at determining stress and the degree of stress coping among nurse as well as such general characteristics as daily life styles, duty, and socio-demographic characteristics of that group. 525 nurses, from four university hospitals in Daejeon city underwent a self-administered questionnaire during the 3-week period from July. 21 to August. 9, 2003. The questions focused on general characteristics including： socio-demographic and duty characteristics, daily life styles, and stress and methods of coping with stress. Based on the distribution of degree of stresses, 66.1% of the study subjects were at the potential risk of stress, with the high risk group constituting 30.3% and the normal group 3.6%. The stress and the degree of stress coping were shown to be affected by socio-demographic and job-related characteristics as well as daily life styles. The group at higher risk of stress was shown to have a lower degree of coping with stress, implying that a lower degree of coping with stress would in turn heighten the occurrence of stress. Therefore, it is required to develop an effective strategy that includes stress-reduction programs available in the field and prompting further build-up of comprehensive stress-management programs.

• 대한간호학회지
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• 제23권2호
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• pp.269-283
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• 1993

The purpose of this study was to develop a typology of stress in Nurses through the use of a Q methodology. The research was done between June, 1 and November 30,1992 Fifty nurse working in a hospital were interviewed to solicit statements on their opinions about concepts factors and coping methods related to stress. The statements which were collected were classified and categorized to a find list 48 statements. Each of the statements was written dr a separate card and 30 nurses were a shed to sort the co\ulcorner\ulcorner\ulcorner ac-cording the degree of agreement along with quasinormal distribution. The results of the sorting by each subject were coded and analyzed using the Quanal PC program. As a result of the analysis, four types were identified ; Type I was classified and named as ” neccessary for living Type II was named as ” stimulues to be avoided Type III was named as ” situation to be consumption. Type IV was named as ” self-limited problem which can be solve The correlation among each types was relatively high, but the characteristics of each type are unique and distinct. throughout this study, it was indentified that the type of Nurse’s stress would be formed.

• 간호행정학회지
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• 제2권1호
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• pp.17-33
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• 1996

The primary purpose this descriptive study was to identify, describe, and compare the patterns of shared governance and nursing unit culture in the hospital settings. The secondary purpose of the research was to identify, describe whether the participation style or responsibility style of nursing management activities shared through nurses in a consistent way. Methodology included survey and in-depth interviews with a total 145 members of 15 nursing units in 3 hospitals. One was a national hospital, another was a corporation hospital and the other was a teaching hospitals. Conclusions from this research included the following: 1. The degree of shared governance in nursing management activities was the highest in the corporation hospital. 2. In the participation style of nursing management activities, 'all participation' was the highest in the corporation hospital. 'Nursing administration only' was the highest in the national hospital. 3. Distribution of responsibility style differed from that of participation style. Three hospitals showed high in nursing management activities such as 'nursing administration only' and 'head nurse only' style. 4. Five experts surveyed showed that the ideal level of nurses' participation in nursing management activities was a traditional nursing governance pattern. 5. There was a distinct difference in the nursing unit culture throughout the institutions in the professional growth. 6. There was no significant difference in the same nursing units of three hospitals in nursing unit culture. According to these results, the following implications can be made; 1. In nursing administration, there should be an emphasis on preparing staff nurses' potential decision-making ability through continuing education so that staff nurses' autonomy and responsibility will be developed and increased. 2. It is necessary to develop a strategic nursing unit for improving nursing quality in hospital setting. 3. The relationship of shared governance, nursing unit culture and nursing outcome should be researched further.

• 간호행정학회지
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• 제3권2호
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• pp.17-40
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• 1997

The purpose of this descriptive, correlational study was to identify, describe the patterns of nursing unit culture, nursing performance, job satisfaction and turnover intention in the hospital setting, and to analyze the relationships between nursing unit culture, nursing performance, job satisfaction and turnover intention among the characteristic of the subjects The subject consisted of 223 nurses who were employed in medical & surgical units of 3 different University hospitals in Seoul. Data collection was done in November, 1996 by means of questionnaire. The instruments used for this study were the questionnaire based on the Nursing unit cultural assessment tool developed by Coeling(1993), Nursing performance scale used by Yoon(1991), Job satisfaction scale developed by Slavitt, et al.(1978) and Turnover intention scale used by Lee(1995). The data were analyzed by percentage distribution. Pearson correlation coefficient and ANOVA. The summarized results were as follows: 1. There was significant differences in the nursing unit culture between individual cultural behavior and group cultural behavior. 2. There was positive correlation between nursing unit culture, nursing performance and job satisfaction. 3. There was negative correlation between nursing unit culture and turnover intention. 4. There was significant difference in nursing performance efficiency according to the age, educational level, professional carrier in the nursing unit, in the hospital. 5. There was significant difference in turnover intention according to the age, educational level. According to these results, the following implications can be made ; 1. It needs to study on the nursing unit culture in other size hospitals and compare them to these results. 2. It is necessary to assess nursing unit culture and endeaveor good climate for the nursing organizational outcomes and prepare the training course of leadership of nurse manager. 3. In nursing administration, there should be an emphasis on assessment of staff nurses' cultural behavior in case of nurses' orientation, allocation, recruitment, continuning education, so that staff nurses' performance and job satisfaction will be increased and trunover intention will be decreased.

• 보건교육건강증진학회지
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• 제5권2호
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• pp.26-40
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• 1988

This survey was conducted to find out the present status of health education program being provided in primary schools focusing its planning, operation, contents and attitude of school nurses in September, 1988. Total 413 school nurses who are presently working in Seoul city was surveyed by mail and 167 school nurses who responded to the questionnaire were finally ana lysed. The following results were obtained. 1. The general charcteristics of the school nurses′ surveyed. As for age distribution, 30-40 age group was 60.4％ the highest and the mean age was 30. 13. As for educational attainment, junior nursing college was 71.9％. 68.3％ of the surveyed was married and 43.1％ of them has 5-10 years of working experiences. As for schools where school nurses are presently working, 31.7％ has 2,000-3,000 students, 22.8％ has 50-60 classes and 5 schools have more than 80 classes. 2. Planning of a school health education School health education was planned every semester in 55.7％, which was the highest. As for utilization status of the materials for planning of a school health education as a referance, 86.8％ of the total respondants utilized the guidelines published by Seoul city School nurses′ Association, and the administrative guidelines for school health, textbooks, school health statistics and articles related to school health in order. It was tried whether the number of referances being utilized was related to the working experiences. It was found that the shorter the experiances, the more materials were utilized. It was answered that teaching plan for health education was prepared by school-nurses themselves (95.2％), and was differentiated as three levels as the first and second grades, the third and fourth grades, and the fifth and sixth grades 3. The contents of the school health education 16 subjects offered to 6 grades of students were surveyed as follows. As for fifth and sixth grades, contents on growth and development was most widely provided as 54.5％, and 68.9％, respectively. And the next to this subject, dental health education was also frequently offered to the second, third and fourth grades as 50.9％, 68.9％, and 47.3％, respctively. 4. The operation of school health education Health education provided by school nurses was conducted formallu in 36.6％, and formally of informally accordin to grades in 43.9％. It was answered that 50.3％ of the surveyed school had started health education from 1987, when the plan for activation of school health was ordered from. Educational Committee. Teaching hours of school nurses was 6 in 32.9％, which was the highest. The lesson was provided for class unit in 77.2％, and sex education was sometimes offered to male and female students separately. As for support of health personnels out of school for health education, 79.0％ did not receive any support. If there were any aids out of school, 62.9％ received them from other related agencies and 74.3％ anwered that it was once in a semester. As for expenses for health education, 57.3％ did not input any expenses alloted to school health program as a whole. As audio-visual materials, slides were utulized most frequently and models, and charts in order. 5. Awareness of school nurses on the operation of school health education School nurses evaluated their educational quality as a health educator subjectively, 60-70％ of them answered to be average in 4 domains such as knowledge, educational skill, ability to prepare teaching plan, and cooperation. As for the awareness on the support and cooperation of the higher institutions, 46.4％ -61.8％ answered that "so and so" toward Ministry of Education and Ministry of Affairs, and 13-37％ "not supportive" Teachers of the corresponding schools were answered to be "so and so" in 55.9％-56.7％, and "very supportive" in 33.34％. There was a significant difference in formality of the lesson according to the support of the superintendent.

• 한국학교보건학회지
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• 제6권1호
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• pp.45-57
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• 1993

The purpose of this study was to survey the current status of informal health education which elementary school nurses have performed in these days. The questionaire survey in this study was obtained from 154 (74.0%) out of 208 elementary school nurses in Kyungbuk province. This study is about their health educational conditions, contents, attitudes. The results are summarized as follows. 1. General characteristics of respondents 1) As for age distribution, thirties with 56.5% is larger than any other group 2) As for school size, below 18 classes with 48.1% is the highest 3) As for the place in which the work, country side (below county) with 65.7% is the highest 4) 89.6% of total respondents have graduated from nurse college 5) Their total career below 10 years is 68.2% 6) Their clinical career below one year is 35.7% 2. Actual conditions of health education 1) The rate of respondents who execute health education is 75.3% out of 154 respondents 2) Health education does not execute because the task of school nurses is busy. This percentage is 55.3% 3) Respondents who draw up a yearly health education plan are 84.5% 4) Weekly health education classes with 1~2 times are 79.3% and teaching time with 89.7% is physical class. 5) 75.0% of total respondents don't use the textbook in health education and the reason is that the contents of nextbook are poor. 6) In health education, teaching aids with VTR, slide flims, charts etc. are 80.2% 7) 82.8% of total respondents don't evaluate the result of teaching 3. Analysis of contents of health education and attitudes of school nurses. 1) The rate of private sanitation for keeping health with 64.7% is high among the contents 2) 90.9% of total respondents demand health education and 92.9% of then demand its independence of a subject. 3) The degrees of school principals' help and understanding are 90.3%, and those of teachers are 89.6% 4) The degrees of school nurses' confidence are high at 35.1% 5) Regular health education classes a week of a school nurse with 3~4 times are 40.9% 6) The greatest difficulty in health education with 70.1% is lack of teaching aids.