• Title/Summary/Keyword: General Hospital Nurse's

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Patient Classification Technique based on Computerized Clinical Data and Nursing Workforce Management : Analysis case of a general Hospital (전산화된 임상 데이터에 기반한 환자 분류 체계 및 간호 인력 관리 방안 : 일개 종합병원 분석 사례)

  • Kim, Kyoungok;Park, Kyungsoon;Suh, Changjin
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.287-298
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    • 2013
  • To develop a technique classifying patients based on computerized clinical data followed by validity verification by comparing with nurse's examination. Class scores were determined by nurses for a day on 348 resident patients in 7 wards of a general hospital according to KPCS-1. The class scores were simultaneously evaluated by reviewing the computerized clinical data acquired from the hospital management information system. These two class scores were both significantly different among different departments as well as disease patterns. Intraclass correlation analysis resulted a very high correlation coefficient of 0.96(p<0.01) between the two scoring methods, but the clinical data scores were somewhat higher. An automated patient classification system seemed possible to be developed in future with further enhancement of the present results based on computerized clinical data without manual scoring, which can be applied for performance evaluation as well as workforce planning.

The Effect of the Shift Work by Types on Sociopsychological Stress in the University Hospital Nurses (대학병원 간호사의 교대근무 형태에 따른 사회심리적 스트레스)

  • Jiwoo Kim;Chi-Nyon Kim;Jin-Ha Yoon;Jong-Uk Won;Sangjun Choi
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.33 no.2
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    • pp.206-214
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    • 2023
  • Objectives: To determine the effect of the various type and number of shift work on sociopsychological stress in the university hospital nurses in Seoul, South Korea. Methods: Data was collected through a self-administered questionnaire that included general characteristics, the type and number of shift work in the past 4 weeks and the an sociopsychological stress based on PWI-SF. Logistic regression analysis was conducted to analyze the effect of shift work by types on sociopsychological stress of university hospital nurses using SAS 9.4 and it adjusted general characteristics by the additional models. Results: When the number of night shift work 3 or 4 compared to 0, sociopsychological stress was significantly high(OR=2.16, 95% CI=1.29-3.65). When 5 or more, it was higher(OR=2.39, 95% CI=1.55-3.72). Two continuous night shift work compared to 0 increased sociopsychological stress(OR=2.37, 95% CI=1.49-3.81) and 3 or more even more(OR=2.70, 95% CI=1.72-4.27). If the shift work type changes 14 or 15 times compare to below 11, sociopsychological stress is increased and even higher when 15 or more times but it's not significant after adjusting for covariates. Conclusions: It suggests that workplace with nurse expose to shift work should be on lookout for more than three night shift work, more than two continuous night shift work and more than 14 shift work change which can lead to burnout, absenteeism, depression and decreased productivity.

A Study of Nursing Power Perception for Nurse in General Hospital (종합병원 간호사의 간호권력 인식에 관한 연구)

  • In Kyung Sun
    • Journal of Korean Public Health Nursing
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    • v.7 no.2
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    • pp.67-76
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    • 1993
  • This study was conducted to investigate the nurses' recognition extent of nursing power and related factors. It was performed in a private university hospital using questionaire papers from Jul. 11 to Jul. 20, 1993. The collected data were in number of 209, and they were handled and analyzed by computer program (SPSS). Through above process, we got meaningful results as follow. 1. The factor concerned with whether the nursing department show its independent power or not was 4.1 on an average. Consequently above results showed that the independent power roles as a important factor. The factor concerned with study and research was 3.9 on an average. So that the extension of learning was also a comparatively important nursing power. But ensuring good material environment was merely 1.6 on an average. So it was understood as less important nursing power. 2. Between the factor concerned with enforcement of independence of nursing department and the factor concerned with extension of learning, there was positive correlation of 0.32 Pearson's Correlation Coefficent. It can be interpreted as the effort of extension of learning go side by side with the showing of independent power of nursing department. As a result the power of nursing become strong. And between the factor concerned with enforcenment of independence of nursing department and the ensuring o(good material environment, there was negative correlation of -0.28 Pearson's Correaltion Coefficint. It can be interpreted as the stronger the independent power of nursing, the more overlooked the recognized of material environment of nurses.

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The Effect of Work Interruption on Workload and Perception of Patient Safety Culture in Ward Nurses (병동간호사의 간호업무중단이 업무부담과 환자안전문화인식에 미치는 영향)

  • Doo-Nam Oh;Ye-Won Lee
    • Quality Improvement in Health Care
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    • v.28 no.2
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    • pp.2-13
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    • 2022
  • Purpose:This study aimed to identify the effect of work interruption that influenced workload and perception of patient safety culture on ward nurses. Methods: Participants were 184 ward nurses, with more than 12 months of work experience, from two tertiary hospitals in S city. A descriptive correlational study design was used. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Mann-Whitney U test, Kruskal-Wallis test, Pearson's correlation, and hierarchical multiple regression analysis via SPSS version 27.0. Results: The results showed that general wards nurses had a higher degree of work interruption (t=5.632, p<.001) and workload (t=3.603, p<.001) compared to comprehensive nursing care service wards nurses. More interruption in nursing work caused more burden on work (γ=.440, p<.001) and led to lesser perception of patient safety culture (γ=- .199, p=.007). Finally, the regression analysis showed that work interruption had a statistically significant relevance on nurses' workload (F=20.582, p<.001) and perception of patient safety culture (F=8.792, p<.001). Conclusion: To alleviate ward nurses' work interruption and decrease the negative effect on workload and perception of patient safety culture, it is necessary to mediate nurse staffing level and the number of assistants and utilize the environment.

A study on the hand washing practice of a clinical nurse in a hospital based on health belief model (건강신념모형을 적용한 일개 병원 임상간호사의 손씻기 수행도에 대한 연구)

  • Kim, Ga-Hyun;Kwon, Yong-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.2
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    • pp.532-539
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    • 2018
  • This study is a descriptive study to analyze the hand washing practice of nurses working in clinic applying health belief model. This research involved 162 clinical nurse at G city. The data were collected from Sep 1, 2017 to Oct 31, 2017. The collected data were analyzed using an independent t-test, 1-way ANOVA, pearson's correlation coefficient and multiple regression analysis, where p-values of <0.05 were considered statistically significant by using SPSS 20.0. The overall practice of hand washing by general subjects were high 3.1 in all subjects, but there was no statistically significant difference. Health beliefs about hand washing practice according to general characteristics showed significant difference in perceived benefits (p<0.05), and there was a significant difference in perceived benefits and perceived barriers in age(p<0.05). In regard to the correlation among the subfactor of health beliefs, benefits had a statistically significant negative correlation to barriers and, positively correlated to cues to action. The results of this study suggest that continuing education of infection management in hospitals considering health beliefs about proper hand washing training will enhance hand washing practice.

An Analysis of Nursing Research on Cancer Prevention and Early Detection, Reported in Korea from 1980-2001 (한국인 6대 암의 예방과 조기발견 관련 연구논문 분석)

  • Park, Jeong-Sook;Oh, Yun-Jung;Jang, Hee-Jung;Choi, Young-Hee;Park, Eun-A
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.363-375
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    • 2002
  • Objectives: The aim of this study was to analyze the trend of research on cancer prevention and early detection in Korea, in order to suggest a future direction of research on cancer prevention and early detection for Koreans. Methods: A total of 97 studies published from 1980 to 2001 were analyzed according to the year of publication, research design, journal type, cancer type, major study concepts, and findings. Results: 1) The number of studies related to cancer prevention and early detection had increased rapidly since the year 1995. 2) The most frequently used research design in the studies was the descriptive study design (55.7%). 3) There were 10 master's theses on cancer prevention and early detection, and 10 studies published in the Korean Epidemiology Journal. 4) When classified by the published field, 47 studies (48.5%) were published in nursing journals, 46 studies (47.4%) were published in medical journals, and 4 studies (4.1%) were published in public health journals. 5) The major topics of the studies were cancer prevention (51.5%), early detection (44.4%), and cancer prevention and early detection (4.1%). 6) Breast cancer was the most largely addressed issue in the studies (N=25; 25.7%), followed by lung cancer (N=23; 23.7%), hepatoma (N=17; 17.5%), gastric cancer (N=16; 16.5%), other general type of cancer (N=6; 6.2%), colorectal cancer (N=5; 5.2%) and cervical cancer (N=5; 5.2%). Conclusion: It is suggested that there should be more studies on cancer prevention and early detection in the future, and, particularly, experimental studies to exam the effects of intervention on cancer prevention and early detection are considered necessary.

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A Study of the Neonatal Care in the hospitals located in Pusan (부산광역시 소재 병원의 신생아간호 실태조사)

  • Kim, Young-Hae;Lee, Hwa-Za;Kim, Soon-Goo
    • Korean Parent-Child Health Journal
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    • v.6 no.1
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    • pp.31-45
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    • 2003
  • This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

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The Present Educational Conditions and the Demanding Outlook of Nursing in Oriental Medicine (한방병원 병상 실태와 한방 간호의 교육 현황에 따른 한방간호사 수요 예측에 대한 고찰)

  • Wang, Myoung-Ja;Ahn, Ok-Hee;Kim, Hee-Sook;Ok, Do-Hoon
    • Journal of East-West Nursing Research
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    • v.3 no.1
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    • pp.39-49
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    • 1998
  • The purpose of this research is to provide basic data for the demanding outlook and the Nursing education by grasping the present educational conditions of nursing in oriental medicine. The results of survey and study on 112 nationwide schools (47 Department of nursing and 65 Nursing junior colleges) and data of the Korean Oriental Medicine Association and General Assembly in Sep. 1998 are as follows. 1. The number of nurse Oriental Medicine hospitals require in 2002 will have increased at least 700 or more. Public health centers' and other centers' requirements will increase more and more. 2. Education of nursing in oriental medicine is offered at practice in 14 universities (29.8%) among 47 Universities and 35 colleges (53.8%) among 65 colleges. 3. Nursing education in Oriental Medicine is mostly offered in the first term of the second year at universities with 5 to 10 points, and the second term of the third year at colleges with 2 points. According to this result, we would like to suggest as follows; A nurse whose main interesting subject is human beings will be an important figure as a medical information administrator in 21 century, namely, a nurse will play the leading part in the hospital administration more than a doctor. We must take much more interest arid exert ourselves in developing education of nursing in oriental medicine because in the future it will be the one and only field in the world, so we can export our Nursing manpower.

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Survey of Doctors' Role Expectation and Patients Satisfaction with Referral Centers (의료협력센터에 대한 개원의 역할기대와 환자 만족도 조사)

  • Han, Sun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.1
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    • pp.74-81
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    • 2007
  • Purpose: This study focuses on doctors' role expectation and patients satisfaction with the referral centers to get necessary basic Method: There were 495 subjects in this study. 245 of them were doctors working in the 397 clinics and hospitals which have made contracts with the referral center in Y General Hospital located in J city, and 250 were patients who had been treated in it. The data were collected from Sep. 25 to Oct. 21, in 2006. Data analysis was processed with SPSS/WIN 14.0 electronically. Results: Concluding cooperative treaties with other clinics and hospitals, doctors expect the following effects: First, the improvement of the treatment quality of patients. The patients satisfaction ranking order for using referral centers is as follows: kindness of the staff, treatment reservation, doctor's satisfying explanation. providing one-stop service, reduction of waiting time for treatment, evasion of repetitive tests. Conclusion: Referral centers should provide various services totally and actively which reflect the role expectation and satisfaction of doctors and patients altogether.

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Influential Factors on Turnover Intention of Nurses;The Affect of Nurse's Organizational Commitment and Career Commitment to Turnover Intention (간호사의 조직몰입과 경력몰입이 이직의도에 미치는 영향)

  • Kim, Mi-Ran
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.335-344
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    • 2007
  • Purpose: The purpose of this study aims to provide a fundamental basis for more efficient human resource management of hospitals through career development and through lowering the rate of turnover of nurses. Method: The target group was 370 nurses who are currently employed at four general hospitals. Three hundred and twenty-nine documents were collected, and the statistical results were generated by the SAS program. Result: The average mean score of organizational commitment, career commitment and turnover intention were: 3.13 points for affective commitment, 3.09 points for continuance commitment and 2.92 points for normative commitment, out of a five point scale. The average mean score of career commitment and turnover intention was 2.89 and 3.28 points. The most influential variable in turnover intention was affective commitment out of organizational commitment. Conclusions: This study verified that organizational commitment and career commitment are key variables that could decrease turnover intentions.

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