• Title/Summary/Keyword: Environment of care

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Critical Care Nursing Work Environment and Family Satisfaction (중환자실 간호사 근무환경과 환자가족 만족도의 관계)

  • Jung, Hye-Jin;Kang, Jiyeon
    • Journal of Korean Critical Care Nursing
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    • v.7 no.2
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    • pp.58-67
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    • 2014
  • Purpose: The purpose of this study was to investigate the nursing work environment and family satisfaction in Korean intensive care units (ICUs). Methods: The study participants were 190 critical care nurses and 133 family members of ICU patients who were randomly chosen from four of the hospitals located in B city. The Korean Nursing Work Environment Scale was used to assess the work environment of critical care nurses. Family satisfaction was measured with the Korean version of the Critical Care Family Needs Inventory. Results: Critical care nurses reported moderate satisfaction with their work environment. The mean score for family satisfaction was 3.59 on a 5-point scale, and satisfaction with information provision received the highest score. Family satisfaction was higher in hospitals where the critical care nurses evaluated their work environment positively. Conclusion: This study revealed that the work environment of nurses affects family satisfaction in ICUs. Therefore, it is necessary to explore various methods of improving the critical care nursing work environment in order to provide the highest possible level of nursing care.

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Quality of Child Care Environment and Toddler's Adjustment in Child Care Centers - Based on Child Care Centers in Inchon- (보육환경의 질과 영유아의 적응 - 인천시 보육시설을 중심으로 -)

  • Hyun, On-Kang;Tae, Jin
    • Journal of the Korean Home Economics Association
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    • v.38 no.3
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    • pp.25-42
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    • 2000
  • To examine toddlers’adjustment in child care centers according to the quality of child care environment, the followings were asked; 1. Are toddlers’adjustment in child care centers different by toddlers’individual characterisitcs, caregiyer’s individual characteristics, and/or care center variabless\ulcorner 2. Are the quality of child care center different by caregiver’s individual characteristics and child care center variables\ulcorner 3. Are toddlers’adjustment in child care centers different according to the quality of child care center\ulcorner Forty caregivers and 108 toddlers in 40 child care centers in Inchon were randomly selected. After 2 hours of observation in each child care center, the quality of child care environment were rated using Infant/Toddler Environment Rating Scate(ITERS) by 2 observers and toddlers’adjustment in child care centers were rated by caregivers using the Preschool Adjustment Questionnaire(PAQ). Toddlers’adjustment in centers were different by toddlers’gender, caregiver’s age, caregiver’s educational level, group size, and the adult/child ratio. The quality of child care environment of child care centers was different by caregiver’s age, caregiver’s career level, the length of working time, group size, and the adult/child ratio. Finally, toddler’s adjustment in child care centers were significantly different by the quality of child care environment of child care centers.

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Influence of Ethical Sensitivity and Person-environment Fit on Person-centered Care of Nurses in Long-term Care Hospitals (요양병원 간호사의 윤리적민감성과 개인-환경적합성이 인간중심돌봄에 미치는 영향)

  • Lee, Hye Ran;Yang, Nam Young
    • Journal of Home Health Care Nursing
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    • v.29 no.2
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    • pp.175-182
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    • 2022
  • Purpose: The study examined the effects of ethical sensitivity and person-environment fit on person-centered care of nurses in long-term care hospitals. Methods: The participants were 111 nurses. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The mean of person-centered care was 2.95±0.62 out of 5. There were significant differences in person-centered care in terms of age, shift pattern, total clinical career, and educational experience of person-centered care. Person-centered care and ethical sensitivity, person-centered care and person-environment fit showed a positive correlation. Factors affecting the person-centered care were the age (20-29), shift pattern (three shift), person-environment fit. The explanatory power was 42%. Conclusion: These results can be used to increase the person-environment fit and adopt a differented approach based on age and shift pattern in order to enhance person-centered care. Therefore, it is necessary to develop and apply an person-centered care program for nurses in long-term care hospitals.

Analysis on Spatial Pattern of Child Care Environment in Rural Area using Accessibility (접근성을 이용한 농촌지역 유아보육환경의 공간적 특성 분석)

  • Jeon, Jeongbae;Park, Meejeong;Choi, Jinah;Lim, Changsu;Kim, Eunja
    • Journal of Korean Society of Rural Planning
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    • v.24 no.1
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    • pp.1-10
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    • 2018
  • This study is to evaluate the per capita accessibility to child care facilities using road map in rural village unit considering the supply and demand of child care facilities in municipal (Si-Gun) units. Using these estimated accessibility, the most accessible regions to child care facilities was identifies using Moran's index. Assuming establish a new child care facility in the most accessible region, the sensitivity of child care environment was analyzed. The number of regions are 71 si-gun-gu where supply of child care facilities is insufficient. The average accessibility per capita is 1.09 km to child care facilities and the average accessibility in Myeon unit is approximately 2.2 times higher than accessibility in Eup unit (Eup unit 0.54 km, Myeon unit 1.21 km). Approach tendency from village to child care facilities has positive relationship as 0.451 global Moran's index. The high-high (H-H) accessibility regions are wide as Gangwon-do, Gyeongsangbuk-do, Gyeongsangnam-do, Jeollanam-do and Chungcheongbuk-do. Assumed to be established the new child care facilities in Yangyang-gun (Ganwon-do), accessibility changes of child care environment are up to 2.7 times greater and the recipient population is 77% of Yangyang-gun.

The Effect of the Child Care Environment on Child Care Efficacy of Child Care Teachers (어린이집 보육환경이 보육교사의 보육효능감에 미치는 영향)

  • Kim, Jeong Wha;Kim, Kab Soon
    • Korean Journal of Childcare and Education
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    • v.14 no.5
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    • pp.137-152
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    • 2018
  • Objective: The purpose of this study is to examine the effect of the childcare environment on childcare efficacy of childcare teachers. Methods: The participants in the study were 274 childcare teachers working at childcare centers. The childcare environment was divided into physical environment and the work support environment. Results: The results of this study are as follows. First, there was a significant difference in childcare efficacy depending on the age and career of the childcare teacher. Second, the childcare environment of the childcare center showed a static correlation with the childcare efficacy of the childcare teacher in both the physical environment and the work support environment. Third, the physical environment of the day care center had an affect on child care efficacy. Among the subfactors, furniture for routine care, play and learning had a significant impact. Fourth, the work support environment of the childcare center had an affect on childcare efficacy of the childcare teacher. Among the subfactors, staff interaction and cooperation, and opportunities for professional growth had a significant impact. Conclusion/Implications: In order to enhance childcare efficacy of childcare teachers, a high quality childcare environment should be established.

Effects of Nursing Professionalism, Job Stress and Nursing Work Environment of Clinical Nurses on Person-centered Care (임상간호사의 간호전문직관, 직무 스트레스, 간호근무환경이 인간중심간호에 미치는 영향)

  • Cho, Kyeonga;Kim, Myoungsuk
    • Journal of muscle and joint health
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    • v.29 no.3
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    • pp.176-184
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    • 2022
  • Purpose: This study attempted to examine the degree of nursing professionalism, job stress, nursing work environment, and person-centered care of clinical nurses, and also to identify the relationship between the variables and the factors affecting person-centered care. Methods: Participants included 162 nurses with a clinical experience of six months or more, who have worked at hospitals with more than 500 beds in Gangwon Province. Results: Person-centered care showed a statistically significant positive correlation with nursing professionalism (r=.43, p<.001) and nursing work environment (r=.34, p<.001). The adjusted R2 was 0.266, indicating that the measured variables explained 26.6% of the variance in person-centered care. Nursing professionalism had the greatest impact on person-centered care among clinical nurses (β=.37, p<.001), followed by job stress (β=.21, p=.005), nursing work environment (β=.19, p=.007), and master's or higher degree (β=.15, p=.036). Conclusion: The findings show that four factors affect person-centered care: nursing professionalism, job stress, nursing work environment, and education level. For clinical nurses to provide high-quality person-centered care, it is necessary to strengthen nursing professionalism, address job stress and improve nursing work environment.

A Comparative Study on the Operation Status of Comprehensive Nursing Care Ward (간호·간병통합서비스 제공 병동의 운영현황 비교연구)

  • Lee, Kyoung A;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.25 no.3
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    • pp.196-204
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    • 2018
  • Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.

Blindness to and evaluation of the condition of the nu turing environment at infant/toddler child care centers by principals, teachers and mothers (원장, 교사, 어머니의 어린이집 영아반 보육환경에 대한 불인지 비율과 평가)

  • 현온강;윤정혜;오선주;이완정
    • The Korean Journal of Community Living Science
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    • v.12 no.2
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    • pp.15-32
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    • 2001
  • This research was performed to examine the ratio of blindness to the child care environment and compare the evaluation of it among principals, teachers and mothers. Data were collected from questionnaires completed by respondents of this research were 37 principals, 37 teachers and 261 mothers of infants and toddlers at child care centers in Incheon, Korea. Cross tabulation, one-way ANOVA and Duncan's Multiple Range Test were utilized to analyze the data. In almost all of the items about the child care environment, mothers showed higher degrees of blindness than principals and teachers. In most of the items, mothers'evaluations were higher than those of principals and teachers. As a result, the researchers recognize a pressing need far programs far parents to improve the quality of child care.

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The Mediating Effects of Care Work Appraisals Held by Care Workers in Elderly Care Facilities on the Relationship between Job Environment and Service Quality (시설요양보호사의 근무환경과 서비스 질과의 관계에서 돌봄노동 평가의 매개효과)

  • Kim, Su-Jeong
    • The Journal of the Korea Contents Association
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    • v.18 no.5
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    • pp.58-70
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    • 2018
  • This study aimed to investigate the positive and negative appraisals of care work held by care workers in elderly care facilities and to analyze the mediating effect of care worker's appraisals of care work on the relationship between job environment and service quality. For the purpose of the study, the data were collected from 298 care workers by using non-random and purpose sampling method. The results of the study showed job environment was a significant predictor in explaining in the variances of care work appraisal and service quality. In addition, care worker's positive and negative appraisals of care work were statistically significant mediators in the association of between job environment and service quality. Finding of the study indicated that service quality could be improved by not only improving job environment but also strengthening care worker's positive appraisal of care work. Finally, based on the findings of the study, implications and limitations of the study were discussed.

The Effects of the Nursing Practice Environment and Self-leadership on Person-centered Care Provided by Oncology Nurses

  • Shin, Sun-Ui;Yeom, Hyun-E
    • Journal of Hospice and Palliative Care
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    • v.24 no.3
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    • pp.174-183
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    • 2021
  • Purpose: This study aimed to investigate the effects of the nursing practice environment and self-leadership on person-centered care provided by oncology nurses. Methods: This cross-sectional study included 145 nurses who worked in oncology wards at eight university hospitals in Seoul, Daejeon, and Chungcheong Province with at least six months of experience. Data were collected using a self-administered survey and analyzed using descriptive statistics, Pearson correlation coefficients, the t-test, analysis of variance, and hierarchical multiple regression analysis in SPSS version 26.0. Results: Person-centered care was significantly correlated with the nursing practice environment (r=0.27, P<0.001) and self-leadership (r=0.40, P<0.001), and the nursing practice environment was correlated with self-leadership (r=0.380, P<0.001). Hierarchical multiple regression analysis showed that the nursing practice environment was a significant predictor of person-centered care (β=0.31, P<0.001), after adjusting for covariates including monthly salary, total clinical career, and the position of oncology nurses. Self-leadership was a significant predictor of person-centered care (β=0.34, P<0.001) after controlling for the nursing practice environment, along with covariates. The final model explained 18.7% of the variance in personcentered care. Conclusion: Our findings emphasize the importance of the nursing practice environment and nurses' self-leadership for providing person-centered care in oncology care units. Educational programs to reinforce nurses' self-leadership and administrative support for nursing practice are necessary to improve oncology nurses' capability to provide person-centered care.