• Title/Summary/Keyword: Experience of turnover

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Newly graduated Nurse's Resilience Experience (신규간호사의 극복력 경험)

  • Hwang, Hyenam;Lee, Yoonshin
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.656-667
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    • 2021
  • Purpose: The purpose of this study was to explore the resilience experience and to identify in-depth the meaning of the resilience of newly graduated nurses. Methods: This study was a qualitative study using phenomenological research method and used data obtained from semi-structured in-depth interviews with 9 newly graduated nurses under 12 months of employment in tertiary general hospitals. The data were analyzed using Colaizzi's method. Results: As a result of analyzing the experiences of newly graduated nurses' resilience, there were totally 86 meaningful statements, 13 themes were derived from them, and they were integrated into 4 theme clusters. The four theme clusters were 'Acknowledging shortcomings and developing oneself', 'Enduring and tolerating', 'Support from people around oneself', and 'Freshening and sublimating oneself'. Conclusion: Understanding and enhancing the resilience of new nurses will help them improve nursing professionalism and reduce turnover due to reduced work stress.

Treatment of Chronic Wound in a Patient with Systemic Vasculitis (전신성 혈관염 환자의 족부 만성 창상의 치험례)

  • Lim, Jin Soo;Kim, Hyung Jun;Joo, Hong Sil;Choi, Yun Seok
    • Archives of Plastic Surgery
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    • v.33 no.1
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    • pp.116-119
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    • 2006
  • Management of chronic wound has been a great problem to many surgeons because the wound is usually associated with an underlying disease of the patient. Without accurate diagnosis and treatment of the disease, the wound can not be healed. Systemic vasculitis is a rare systemic disease which causes inflammation and obstruction of the vessels. This autoimmune disease involves multiple organs and may inflict skin wound spontaneously without traumas. It would improve or aggravate the wound in proportion to the activities of the disease. Our experience is a case of 28-year-old female who has had chronic ulcers on her right foot, especially on the great toe for 1 year. Although she had several operations of sympathectomy, debridement and artificial dermal graft, her wound was not improved. She has been diagnosed as systemic vasculitis during the evaluation for histopathology and cause of fever and pancytopenia. After medical treatments, she had the operation of adipofascial turnover flap coverage and skin graft, and the wound was improved without any complication or relapse. The diagnosis and treatment of the underlying disease should be ahead of the management of chronic wound.

Influences of job performance of dental hygienists on emotional labor evaluation (치과위생사의 직무수행능력이 정서적 노동평가에 미치는 영향)

  • Lee, Jong-Ryol;Bae, Soo-Myoung;Kim, Hye-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.6
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    • pp.835-847
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    • 2016
  • Objectives: The purpose of the study was to investigate the influences of job performance of dental hygienists on emotional labor evaluation. Methods: A self-administered questionnaire was completed by 203 dental hygienists working at dental hospitals and clinics in Gyeongnam and Busan from May 2014 and March 2015. The study instruments comprised general characteristics of the subjects (9 items), job performance competency (44 items), and emotional labor evaluation (29 items) by Likert 5 point scale. Data were analyzed by SPSS 21.0 program and AMOS 18.0 program. Results: Those who had turnover intention showed higher scores in the dental treatment cooperation category and overall job performance than those who had not. Higher job performance was shown in those who had more work experience and higher salary. The scores of emotional labor evaluation were higher in the group of higher salary and team and department leaders. The job performance had a significant impact of the emotional labor evaluation. Conclusions: The job performance of dental hygienists had a significant influence on the emotional labor evaluation. Psychologic stress by work caused the dental hygienists to have depression and lower quality of life.

Presenteeism and Absenteeism According to Health Problems on Nurses (간호사의 건강문제에 따른 프리젠티즘과 결근율의 관계)

  • Lee, Young-Mi;Jung, Moon-Hee
    • Research in Community and Public Health Nursing
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    • v.19 no.3
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    • pp.459-468
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    • 2008
  • Purpose: The purpose of this study was to examine the presenteeism and absenteeism in relation to the health problems of nurses. Method: Informed consent was provided before study. Data was collected from January 7 to March 6, 2008 by Stanford Presenteeism Scale-13. Data was collected from 3 hospitals in Seoul Gyeonggi area. The response rate of the questionnaires was 96.2%. Incomplete data was analyzed using SPSS program. Results: Shoulder, back and neck pain were the highest reported health problems and primary health Problem of nurses. Impaired presenteeism was ranked in this order: depression or anxiety, cold, and uterus or ovary disorder. Absenteeism was ranked in this order: uterus or ovary disorder, cold, and dermatological problem. Impaired presenteeism was significantly increasing according to the number of health problems. But Absenteeism was not. Presenteeism was significantly different by age, educational level, religion, whether or not the worker lived with their family, marital status, whether or not the worker has children, time spent in the workforce, experience of turnover, shift work, night work, and level of satisfaction with salary. But absenteeism was not significantly different given these criteria. Conclusions: Health problems of nurses can negatively effect the quality of nursing service and productivity at hospital. Therefore the hospital administrator should control the presenteeism and absenteeism through the management of health problems of nurses.

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Influence of Authentic Leadership and Coworker Support on the Psychological Well-being of Staff Nurses (수간호사의 진성리더십과 동료지지가 간호사의 심리적 안녕감에 미치는 영향)

  • Cho, Jeonghwa;Yu, Junghee;Seo, Kawoun
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.2
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    • pp.89-98
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    • 2018
  • Purpose: This descriptive study investigated the effects of authentic leadership and coworker support on psychological well-being of staff nurses. Methods: The participants were 166 staff nurse working in university hospital located in D city. Data were collected from July 1 2017 to 31, 2017. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. Results: The regression model that included demographics and coworker support explained about 40.0% of psychological well-being. Marital status, nurse satisfaction, turnover experience, and coworker support were the predictors of psychological well-being in staff nurses. Conclusion: Coworker support was an important predictor of the psychological well-being of staff nurse. Therefore, strategics to improve coworker support are needed to increase psychological well-being in the clinical field.

Research Trends on Compassion Fatigue in Korea Nurses (간호사의 공감피로에 관한 국내연구동향)

  • Cho, Ho Jin;Jung, Myun Sook
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.255-264
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    • 2014
  • Purpose: The purpose of the study were to analyze the research trends of compassion fatigue in Korea nurses and to suggest future research directions. Methods: For this study, RISS, KISTI, KISS, National Assembly Library databases were searched using the key words 'compassion fatigue', 'secondary traumatic stress', 'professional quality of life' that contains compassion fatigue as a sub-element, and 'nurses' for this study. A total of 124 articles published in June 2014 were searched and analyzed 19 articles for the final analysis. Results: The most frequently used study design was descriptive (N=17, 89.5%). High compassion fatigue was reported in this study. Factors affecting compassion fatigue were personal factors (e.g., age, health state, and sleep hours), work-related factors (e.g., experience with traumatized patients), and psychological factors (e.g., job stress, anxiety, excessive empathy, social support, and coping strategy). Finally, Consequence factors of compassion fatigue was reported burnout, silencing response and turnover intention. Conclusion: There was a few studies on compassion fatigue. Further research on compassion fatigue needs to use a variety of study designs instruments suitable for Korean nurses, and to develop management programs on compassion fatigue in nurses.

The Effects of Self-leadership Reinforcement Program for Hospital Nurses (병원간호사의 셀프리더십 강화 프로그램의 효과)

  • Park, Eun Ha;Chae, Young Ran
    • Journal of Korean Biological Nursing Science
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    • v.20 no.2
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    • pp.132-140
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    • 2018
  • Purpose: This study has been carried out in order to develop and verify the effects of self-leadership reinforcement program for hospital nurses. Methods: The research design was a non-equivalent control group pre-posttest design. Participants were 64 individuals (32 in each group), all of whom were nurses working at a university hospital, with less than five years of job experience. Experimental group was provided with two hours of self-leadership reinforcement program, once per week, for four weeks. The questionnaire for pre and post test included general characteristics, transfer motivation for learning, self-leadership, communication ability, clinical nursing competency, organizational commitment, and turnover intentions. Results: There was a significant difference in self-leadership scores between experimental group and control group (F= 15.10, p<.001). There was also a significant difference between the experimental group and the control group in terms of transfer motivation for learning (t = -5.44 p<.001), communication ability (F = 15.29, p<.001), clinical nursing competency (F = 15.23, p<.001), and organizational commitment scores (F = 7.21, p=.009). Conclusion: The self-leadership reinforcement program developed in this study was effective in improving self-leadership, communication ability, clinical nursing competency, and organizational commitment. Thus, by implementing the program at clinical levels, it will be a basis for nursing personnel resource administration.

A Correlational Study on Professional Autonomy and Self-Concept of Clinical Nurses (임상 간호사의 자율성과 전문직 자아개념)

  • Jang Hee-Jung;Sung Myung-Sook;Joo Young-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.324-340
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    • 1998
  • Nurses experience role conflict between nursing theory that they learned in school and clinical nursing practice. This conflict lead to lower self-image, self-esteem, job dissatisfaction. Also, the professionalism of nurses is estimatable by the grade of autonomy. The professional autonomy requires individual and professional obligation about her decision and performance. A lack of professional autonomy results in the Job dissatisfaction. Job dissatisfaction leads to absenteeism, increased proneness to mental and physical illness and higher turnover rates. The purpose of this study was to investigate professional autonomy and self-concept of clinical nurses. Data were collected from 262 clinical nurses in P city from June 1 to June 30, 1996. The instruments used for this study were made by Arthur(1990) and Schutzenhofer(1983). The data were analyzed for frequency and percetage, mean, SD, t-test, ANOVA, Pearson's correlation coefficient, stepwise mutiple regression, using SAS $PC^+$ Program. The findings were as it follows : 1. The mean of professional autonomy and self-concept were $152{\pm}18.48,\;70.65{\pm}8.20$(2.62), respectively. These showed mid level of professional autonomy and self-concept. 2. Professional autonomy of clinical nurses was found to vary significantly according to total years of clinical experience(F=4.49 p<0.01), position(F=3.49 p<0.05), and state under study for the degree(F=3.83 p<0.05). Professional self-concept was found to vary significantly according to age(F=3.52 p<0.05), marital status(F=7.39 p<0.001), total years of clinical experience(F=3.59 p<0.05), position(F= 5.22 p<0.01), the expectant period being on the duty as clinical nurse(F=8.34 p<0.001), and motivation of choosing nursing(F=5.17 p<0.001). 3. The statistical relationship between clinical nurses' professional autonomy and self-concept was found as positive correlation(r=0.42246 p<0.001). 4. Professional autonomy was the highest factor predicting professional self-concept(17.85%). Professional autonomy and marital status accounted for 20.60% in professional self-concept of clinical nurses. In conclusion, Professional autonomy and self-concept of clinical nurses showed significantly positive relationship. Therefore, nursing education needs to develop programs and policies to increase professional autonomy and self-concept of clinical nurses.

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An analysis on nursing activity in a hospital (병원 간호인력의 간호활동량에 관한 연구)

  • Yim, Yeong-Yi
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.73-88
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    • 1998
  • The management of nursing resource is very important. that is because nursing staff accounts for 30-40% of total staff in a hospital and nurses provide patoents with attentive service for hours daily. The continuous turnover of nursing staff. however, impedes the quality-oriented nursing care, which will consequently leads to the loss of human and material resource in competitive society. This study aimed to calculate nurse's activity and compare the activity amount based on career experience. Futhermore it aimed to find factors which would influence 'quality weighed direct nursing activity amount'. Questionnaires and check lists for this study were distributed to nurses in a suburban hospital outside of Seoul from October 20 to November 14. 1997. The nursing activities were calculated according to professionality. independency and working hour. And then it were accumulated by quality score. The collected data was analyzed by statistical methods as t-test, ANOVA, correlation, multiple regression. The results of this study were as follows ; Firstly, carrel' experience had no influence on the quality weighed nursing activity amount. But the quality level of service of skilled nurses was higher than that of new nurses. Secondly, career was a variable affecting the quality in nursing service. So career was positively related to the quality of nursing care. Patient's disease severity and number of patient were positively correlated with weighed nursing activity amount. But job satisfaction was negatively correlated v:ith the amount. Thirdly, the independent variables which had significant influence on the weighed nursing activity amount were disease severity and the number of patients, The severity score and number of patient were directly proportional to the weighed nursing activity amount. This results indicated· that weighed nursing activity amount was influenced by the number of patient and patient's disease severity. The quality score of nursing services for experienced members is higher than that of new staff. But both new and skilled staff showed no difference in the quality weighed nursing activity amount. Internal and. external environment influences nursing activities. The quality of nursing services is very important factor in nursing activity. Therefore nursing managers should make an effort to improve nursing care quality through continuous research. Also they should try to maintain experience nurses and assign nursing staff appropriately with patient's severity and other relevant factors being considered. The quality-improved nursing care in the hospital will strengthen hospital's competitiveness.

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A Study on the Regional Labor Market Experiences of Young Women in Jeollanam-do Province: Focusing on the Labor Mobility (전남지역 대졸 청년여성의 지역노동시장 경험연구: 노동이동을 중심으로)

  • Jun, Myung-Sook
    • Korean Journal of Labor Studies
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    • v.24 no.2
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    • pp.215-245
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    • 2018
  • The purpose of this study is to provide policy implications on the settlement of regional labor market of young women through detailed study on the experience of regional labor market in Jeollanam-do Province. For this purpose, this study analyzed the labor mobility experience in the regional labor market of young women, which lacked specific case studies. In this study, we have identified the causes of job changes by dividing the labor mobility of young women into intra-career moves and inter-career moves. For the causes of labor mobility we divided into two aspects: problems in preparation for employment and employment conditions. The inter-career moves included more diverse factors than intra-career moves. In the inter-career moves, problems in preparation for employment were highlighted as the causes of job changes. In the case of moving within the career, young women would leave because of the employment conditions such as the expiration of the employment period, but the turnover appears to be the way of retaining their previous career. On the other hand, in the case of intra-career moves, the strong desire to maintain the career was shown, and at the same time, the possibility of leaving the region was also high. Based on the case study, this study proposed systematic career counseling for career match, and construction of career management system to support continuous career development.