• 한국직업건강간호학회지
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• 제19권1호
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• pp.50-59
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• 2010

This study was done to examine ER nurses' burn-out, as an understanding in the relationship of nursing performance and professional identity. The subjects of the study were nurses working in the emergency room of the general hospital with over 300 beds, located in D metropolitan city and C city. The self-report questionnaires were administered and 120 were collected. For the data analysis, SPSS WIN 12.0 was used. ER nurses' burn-out was 2.99, the mean of nursing performance was 3.69, and professional identity was 3.51. The extent of ER nurses' burn-out showed significantly negative correlation with the extent of nursing performance(r=-.257), along with professional identity(r=-.192). While ER nurses' nursing performance showed significantly positive correlation with professional identity(r=.696). In conclusion, the higher professional identity, the fewer ER nurses experienced burn-out, and the higher extent of nursing performance was obtained. It is necessary to create activities and programs to reduce and prevent burn-out.

• 대한간호학회지
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• 제25권4호
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• pp.709-728
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• 1995

The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

• Safety and Health at Work
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• 제12권2호
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• pp.249-254
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• 2021

Introduction: Workplace violence (WPV) is a major occupational and health hazard for nurses. It affects nurses' physical and psychological well-being and impacts health service delivery. We aimed to assess the prevalence and describe the consequences of WPV experienced by nurses working in an emergency department in Kenya. Methods: We conducted a descriptive cross-sectional study among emergency nurses at one of the largest tertiary hospitals in Kenya. We collected data using a structured questionnaire adapted from the 'WPV in the Health Sector, Country Case Studies Research Instruments' questionnaire. We described the prevalence and effects of WPV using frequencies and percentages. Results: Of the 82 participating nurses, 64.6% were female, 57.3% were married and 65.8% were college-educated (65.8%). Participants' mean age was 33.8 years (standard deviation: 6.8 years, range: 23-55). The overall lifetime prevalence of WPV was 81.7% (n = 67, 95% confidence interval [CI]: 71.6%-88.8%) and the 1-year prevalence was 73.2% (n = 63, 95% CI: 66.3-84.8%). The main WPV included verbal abuse, physical violence, and sexual harassment. Most incidents were perpetrated by patients and their relatives. No action was taken in 50% of the incidents, but 57.1% of physical violence incidents were reported to the hospital security and 28.6% to supervisors. Perpetrators of physical violence were verbally warned (42.9%) and reported to the hospital security (28.6%). Conclusion: Workplace violence is a significant problem affecting emergency nurses in Kenya. Hospitals should promote workplace safety with zero-tolerance to violence. Nurses should be sensitised on WPV to mitigate violence and supported when they experience WPV.

• 한국간호교육학회지
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• 제17권3호
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• pp.478-486
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• 2011

Purpose: The purpose of this study was to develop a guidebook for teachers about coping behavior education in emergency situations for elementary school students. Method: Dick and Carey's teaching model (1996) and Keller's ARCS theory (1985) was applied to develop this guidebook. Results: The contents consist of subjects, reference materials for teachers, a case study, and worksheets for students. The contents of the 5 units are as follows: 1)Identifying a dangerous situation around the school area and in school, 2)Coping tips in dangerous situations that can occur at school, 3)Prevention and coping method of sexual violence, 4)Coping method for natural disasters, and 5)First aid in emergency situations. The presented case study was a real case scenario and the worksheets contained various activities initiated by students. Conclusions: This guidebook can be an effective tool in coping education classes for emergency situations at elementary schools. The goal of the guideline book is reach as many elementary schools as possible.

• 임상간호연구
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• 제24권1호
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• pp.94-102
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• 2018

Purpose: The purpose of this study was to examine triage nurses' the Korean triage and acuity scale(KTAS) performance ability, perception of importance, education needs and identify the factors influencing triage nurses' the KTAS performance ability. Methods: A descriptive correlational study was conducted among 146 emergency nurses working in 13 hospitals from March to May, 2017. Data were collected utilizing a questionnaire developed to measure performance ability, perception of importance, and educational needs of 192 items of the KTAS. Statistical analysis included t-test, analysis of variance, correlation analysis and multiple regression analysis. Results: The triage nurses' the KTAS performance ability was rated as 3.3/4.0 points, perception of importance as 3.2/4.0 points, and education needs as 3.1/4.0 points. Factors influencing the KTAS performance of the participants were perception of importance, education needs, and work experience at the emergency department, explaining 26.7% of total variance. Conclusion: The KTAS performance ability of triage nurses could be improved through training programs designed to enhance their perception of importance and provide knowledge about the KTAS. Nurses' emergency department work experience needs to be considered as an important factor for the KTAS performance ability.

• 한국직업건강간호학회지
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• 제19권2호
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• pp.223-235
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• 2010

Purpose: This study was done to investigate the prevalence of job stress and musculoskeletal symptoms, and to identify the factors that affect work-related musculoskeletal symptoms of the 119 Emergency medical technicians (EMT). Method: From August 26 to September 10, 2010, the data were obtained from 456 EMT working in Daejeon city or Choongnam province. For data analysis, descriptive statistics and multiple logistic regression were performed using SAS version 9.1. Results: Physical environment, job demand, interpersonal conflict, and occupational climate were stressful to 119 EMT. The prevalence of musculoskeletal symptoms of female EMT was higher than those of the male EMT's. After gender and age were adjusted, there ware significant relationships between musculoskeletal symptoms and some risk factors including occupational class, hours of intensive musculoskeletal use, previous injury or work-related injury, physical burden, and job stress. Overall, a higher degree of job stress increased musculoskeletal symptoms. Conclusion: Job stress is a major cause of musculoskeletal symptoms. To prevent and manage musculoskeletal disease of 119 EMT, there is a need to develop a management program for musculoskeletal symptoms to reduce occupational stress, considering gender differences.

• 한국응급구조학회지
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• 제20권3호
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• pp.21-35
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• 2016

Purpose: The purpose of the study was to investigate the continuous effect of advanced cardiovascular life support (ACLS) simulation education according to Felder-Silverman learning style. Methods: A self-reported questionnaire was completed by 94 students of emergency medical technology and nursing. There were 50 female students (53.2%) and 88 students (93.6%) had basic life support certification. The study instruments included knowledge, performance, and confidence. Data were analyzed using SPSS v. 20.0. Results: The learning style consisted of reflective type (51.1%), sensory type (76.6%), visual type (63.8%), and sequential type (64.9%). There was a significant difference in continuous effect on performance by learning type. Conclusion: It is necessary to identify the learning style of students before simulation education in order to maintain continuous effect of ACLS education.

• 동서간호학연구지
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• 제20권1호
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• pp.29-36
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• 2014

Purpose: The purpose of this study is to identify relationships among work environment, job satisfaction and turnover intention of emergency department (ED) nurses. Methods: The survey was given to 220 ED nurses which are located in G metropolitan from May 1st to July 31st of 2012. The results were analyzed by descriptive statistics, t-test, ANOVA, pearson correlation coefficients and stepwise multiple regression using SPSS WIN 19.0 program. Results: The turnover intension according to the general characteristics of the subjects has significant difference between emergency room experience, current duty satisfaction, and turnover plan in 1 year. In the correlation between work environment, job satisfaction and turnover intention of the subjects, work environment and job satisfaction have positive correlation, job satisfaction and turnover intention either job satisfaction and turnover intention have a negative correlation. Factors influencing turnover intention are job satisfaction, career and current duty satisfaction, also the full explanatory power of the model was 24.4%. Conclusion: The results indicate factors that influence turnover intention are job satisfaction, career, and current job satisfaction. We hope these result help to provide effective intervention strategies for reducing ED nurses' turnover.

• 기본간호학회지
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• 제19권2호
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• pp.244-252
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• 2012

Purpose: The purpose of this study was to investigate the relationship between professional self-concept, nursing performance and retention intention of emergency department (ER) nurse. Methods: Data were collected from a convenience sample of 200 ER nurses who worked in one of 9 hospitals in 2cities. The instrument for this study was a structured questionnaire on professional self-concept, nursing performance and retention intention. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Results: The mean score for professional self-concept was 2.52 (0.27), for nursing performance was 2.70(0.31), and for retention intention, 4.87 (1.48). There were significant differences on three variables length of ER career, average income, and satisfaction with nursing. There was a significant positive correlation between professional self-concept and nursing performance, and retention intention. Professional self-concept was the most significant predictor variable. Conclusion: The results suggest that the improvement of ER nurses' professional self-concept will improve their nursing performance and retention intention. Therefore, it is necessary to develop strategies which strengthens professional self-concept in order to improve ER nurses' performance and retention intention.

• 지역사회간호학회지
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• 제7권2호
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• pp.333-348
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• 1996

본 연구의 목적은 응급실 시설 자원을 포함한 지지적 정보제공이 응급실 환자 가족의 요구충족 및 불안 감소에 미치는 영향을 규명함으로써 응급실에서 사용가능한 간호 중재를 개발하고자 함이다. 본 연구는 1996년 1월 31일부터 4월 16일까지 2개월 15일 동안 대구시에 위치한 K 대학교 병원 응급실을 내원한 환자의 가족 중 정보제공을 받은 실험군 25명과 정보제공을 받지 않은 대조군 30명을 대상으로 하였다. 수집된 자료는 SAS Program을 사용하여 백분율, 평균, chi-square test t-test, ANOVA Pearson Correlation Coefficient의 방법을 사용하여 분석한 결과는 다음과 같다. o 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 요구 충족도가 높게 나타났다. 응급실 시설 자원을 포함한 지지적 정보제공을 받은 응급실 환자 가족은 정보를 받지 않은 가족에 비하여 불안정도는 낮아지지 않았다. o 응급실 환자 가족의 요구가 충족될수록 불안정도는 낮아지지 않았다. o 일반적 특성에 따른 상태 불안 정도를 검정한 결과 응급실 내원 횟수만이 유의하게 나타났고 그 외 상태 불안 정도와 관련 있는 일반적 특성은 없었다. 본 연구결과 응급실 시설 자원을 포함한 지지적 정보제공은 응급실 환자 가족의 요구 충족도는 높였으나 상태불안을 감소시키지는 못하는 것으로 나타났고 요구 충족도와 상태불안은 유의한 관련성이 없는 것으로 나타났다. 따라서 다음과 같은 제언을 하고자 한다. 1. 응급실에서 본 연구에 사용된 정보제공용 소책자를 응급실 환자 가족의 요구충족을 위한 간호 중재로 사용할 것을 제언한다. 2. 정보제공 분 아니라 불안 감소를 위한 다양한 간호중재에 대한 연구가 계속 이루어져야 하겠다.