• 제목/요약/키워드: General Hospital Nurse's

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응급 간호 서비스에 대한 환자만족도 (Patient Satisfaction with Nursing Care in the Center for Emergency Medicine)

  • 김영혜;김정순;이내영
    • 간호행정학회지
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    • 제13권4호
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    • pp.455-461
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    • 2007
  • Purpose: To examine patient satisfaction with nursing care and the difference of patient satisfaction by the characteristics of emergency care service in the center for emergency medicine. Method: We surveyed 145 patients who visited Pusan-Wide Emergency Medical Center from Nov 01, 2003 to Nov 30, 2003. Patient satisfaction was assessed by asking patients and medical records reviewed to obtain the characteristics of emergency care service. Results: The mean score of patient satisfaction with nursing care was 3.12. For patient satisfaction, 'The nurse seemed earnestly concerned about my pain, fear, and anxiety' represented highest score (3.58). Patient satisfaction according to the general characteristics of patients was revealed as significantly high for the higher educated and the older. Patient satisfaction by the characteristics of emergency care service was significantly higher in no-wait group. Conclusion: Also, the fundamental of nursing, like respect for human, was maintained in emergency setting, the hospital's administration has implemented service for a high level of satisfaction with nursing care up to the expectations of the patients for with the staff and medical equipment.

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간호사의 비판적 사고 성향과 비판적 사고술에 관한 연구 (A Study on the Relationships between Critical Thinking Disposition and Critical Thinking Skill in Clinical Nurses)

  • 임은주
    • 성인간호학회지
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    • 제18권1호
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    • pp.31-40
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    • 2006
  • Purpose: The descriptive-correlational study was undertaken in order to investigate the relationships between critical thinking disposition and critical thinking skill in clinical nurses. Methods: A convenience sample of 50 registered nurses was obtained from E University Hospital. The instruments used in this study were general characteristics, California Critical Thinking Disposition Inventory (CCTDI) and California Critical Thinking Skill Test(CCTST) developed by Facione & Facione (1994). The data were analyzed by descriptive statistics, t-test, ANOVA, Duncan test and Pearson's Correlation Coefficient with SPSS 12.0 Program. Results: 1) There was a statistically significant difference in critical thinking disposition according to age (F=3.23, p=.03) and educational background (F=39.07, p=.00). 2) There was a statistically significant difference in critical thinking skill according to age (F=3.40, p=.02), educational background(F=32.51, p=.00), and period of professional nursing experience(F=3.56, p=.02). Conclusion: A significant positive correlation between critical thinking disposition and critical thinking skill was found(r=.68, p=.00). Critical thinking disposition and critical thinking skill according to age and educational background had statistically significant differences. Therefore, it is needed to emphasize the necessity of continuous education and training of nurses which prepare their critical thinking ability.

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간호사의 인문학적 소양과 감성지능 및 의사소통능력 (The Effects of Humanistic Knowledge and Emotional Intelligence on Communication Skills of Nurses)

  • 하주영;전소영
    • 한국간호교육학회지
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    • 제22권3호
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    • pp.264-273
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    • 2016
  • Purpose: The purpose of this study was to investigate humanistic knowledge, emotional intelligence, and communication skills among nurses and to identify factors influencing the communication skills of nurses in five hospitals. Methods: Data were collected from 248 nurses in hospitals from August 25 to September 9, 2015. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlations and enter method regression analysis using the SPSS/Win 22.0 program. Results: There were significant differences in humanistic knowledge according to religion, education, work department, number of night duty, pay level satisfaction, job satisfaction, and job performance. There were significant differences in emotional intelligence according to all general characteristics. There were significant differences in communication skills according to education, position, number of night duty, and job performance. Communication skills showed positive correlations with humanistic knowledge and emotional intelligence. Emotional intelligence correlated positively with humanistic knowledge. Emotional intelligence was a significant predictor and accounted for 32% of variance in the communication skills. Conclusion: To strengthen communication skills, programs need to be complemented in order to promote humanistic knowledge and emotional intelligence for nurses.

중환자실 환자의 억제대 경험과정 (ICU Patients' Experience Process of Physical Restraint)

  • 김미영
    • 성인간호학회지
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    • 제19권4호
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    • pp.583-592
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    • 2007
  • Purpose: The purposes of this study were to explore and describe the use of restraint on patients and to generate a grounded theory of how the use of restraint affects patients who have been restrained. Methods: Interview data from seven patients with physical restraint was analyzed using the Strauss and Corbin's grounded theory method. Data were collected and analyzed simultaneously. Unstructured and in-depth interviews were conducted retrospectively with patients recalling their memories of ICU following their transfer to general unit. Results: 'Safety belt' was emerged as a core category and it reflected that physical restraint provided a sense of security to patients. On the basis of core category, a model of the experience process of restrained patients in ICU was developed. The experience process were categorized into four stages: resistance, fear, resignation, and agreement. Stages of these proceeds appeared to have been influenced by the nurses' attitude and caring behavior such as the frequency of nurse-patient interaction, repetition of explanation, and empathetic understanding. Conclusion: These findings indicate that patients have mixed feelings towards restraint use, although negative feelings were stronger than positive ones. The result of this study will help nurses make effective nursing intervention.

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병원 간호사의 근거중심 노인통증관리 지침에 대한 인지도와 수행도 (Nurses' Awareness and Performance about Evidence-based Pain Management in Older Adults)

  • 김은경;박명화
    • 성인간호학회지
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    • 제24권1호
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    • pp.20-30
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    • 2012
  • Purpose: This study was to explore the gap between awareness and performance toward evidence-based pain management in older adults for the purpose of establishing baseline data for evidence-based pain management protocol development and dissemination. Methods: The subjects were 290 staff nurses from three general hospitals. Self administered questionnaires were used to collect the data and the results of the study were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: There were statistically significant differences between awareness and performance in pain assessment (t=17.31, $p$ <.001), patient and family education (t=17.33, $p$ <.001), pharmacologic management (t=12.99, $p$ <.001), non pharmacological management (t=16.28, p<.001), and evaluation of effectiveness (t=11.70, $p$ <.001). There were also statistically significant differences in awareness and performance according to the workplace, knowledge, and usual performance. Conclusion: The study showed that the hospital nurses' performance about evidence-based pain management in older adults was lower than their awareness level thus indicating significant gaps between evidence and actual practice. To ensure effective pain care, the factors contributing to these gaps need to be analyzed to identify the barriers. In addition, the evidence-based pain management guideline suitable for various clinical settings needs to be developed and disseminated.

간호사의 교대근무내성 영향요인 (Influencing Factors on the Nurse's Shiftwork Tolerance)

  • 서연옥;김숙영
    • 한국직업건강간호학회지
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    • 제25권4호
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    • pp.373-383
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    • 2016
  • Purpose: The purpose of this study was to identify the factors affecting shiftwork tolerance among nurses and provide basic data, ultimately, in formulating a plan for improving their shiftwork tolerance. Methods: The participants were 317 nurses who were working at three general hospitals in Daejeon and Seoul. Data analyzed t-test, ANOVA, correlation analysis, and regression analysis using SPSS 20.0 program. Results: As for the sub-areas of shiftwork tolerance for the respondents, more than a half of nurses working at shifts suffered from insomnia, felt drowsy, complained of chronic fatigue, and were at the anxious and depressed state. Shiftwork tolerance differed by the daily intake of coffee and exercise. Shiftwork tolerance was significantly positively correlated with sleep-wake habits, hardiness, and flexibility and negatively correlated with a languidity. Regression analysis revealed that shiftwork tolerance was affected by age, sleep-wake habits, languidity, flexibility, and hardiness. Conclusion: To put the results, nurses had shiftwork tolerance affected by sleep-wake habits, languidity, and hardiness. It is therefore necessary to make a scheme for allowing nurses to improve hardiness and flexibility and decrease the languidity with the objective of improving their shiftwork tolerance.

임상간호사의 감정노동과 행복감의 관계에서 회복탄력성의 매개효과 (The Mediating Effect of Resilience on the Relationship between Emotional Labor and Happiness of Clinical Nurses)

  • 김현지;최현경
    • 한국직업건강간호학회지
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    • 제26권1호
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    • pp.40-46
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    • 2017
  • Purpose: The purpose of this study was to investigate the mediating effect of resilience on the relationship between emotional labor and happiness of clinical nurses. Methods: A descriptive, cross-sectional study was conducted with 224 clinical nurses who had one or more years of clinical experiences from four general hospitals in D city in Korea. Data collected from the survey using self-reported questionnaires were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis using IBM SPSS statistics 21.0 program. Results: There were statistically significant correlations among variables; a negative correlation between happiness and emotional labor, a positive correlation between happiness and resilience, and a negative correlation between emotional labor and resilience. Meanwhile, resilience had a partial mediating effect on the relationship between emotional labor and happiness. That is, resilience can play an important role between emotional labor and happiness of clinical nurses as a mediator. Conclusion: Considering the findings of this study, developing programs that can improve resilience of clinical nurses who experience emotional labor are needed to increase their level of happiness.

중소병원 간호사의 직무 스트레스가 환자안전간호활동에 미치는 영향 (The Impact of Job Stress on the Patient Safety Nursing Activity among Nurses in Small-Medium Sized General Hospitals)

  • 정수희;최은숙
    • 한국직업건강간호학회지
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    • 제26권1호
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    • pp.47-54
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    • 2017
  • Purpose: The purpose of the study is to examine the impact of job stress on the patient safety nursing activities among nurses. Methods: The subjects of the study are 258 nurses working at 15 small-medium sized hospitals in D city. Data analysis was done using frequency, percentage, average and standard deviation, t-test, one-way ANOVA, $Scheff{\acute{e}}test$, Pearson's correlation coefficient, stepwise multiple regression. Results: The job stress scored average 3.67 and patient safety nursing activity scored average 4.35. Job stress was positively associated with patient safety nursing activity. It explains 9.49% of the variance. Conclusion: Universal and inevitable job stress among nurses should not exceed optimum level to assure patient safety. So, personal and organizational efforts to manage job stress are needed.

기혼간호사 대상 자궁경부세포 검진의 변화 단계에 따른 관련요인 (Relating Factors in Pap Smears by Stages of Change among Married Nurses)

  • 김혜원;정연이
    • 여성건강간호학회지
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    • 제16권4호
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    • pp.317-325
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    • 2010
  • Purpose: This study was to examine the differences in health belief variables and HPV (Human Papillomavirus) knowledge in Pap smears according to the stages of change using Trans-theoretical Model (TTM) among married nurses. Methods: The research design was a cross sectional survey. Participants were 387 married nurses working in general hospital located metropolitan city. Measurement variables were perceived threatening, perceived severity, benefits of Pap, HPV knowledge and stages of the change in Pap smear. Results: Classified stages were pre-contemplation 3.9%, contemplation 17.8%, relapsing 29.5%, action 31.0%, and maintenance 17.8%. Accuracy rate of HPV knowledge were low ranging from 15% to 45%. Among the variables, perceived threatening (F=3.56, p=.007), perceived severity (F=9.73, p<.001) and HPV knowledge (F=7.52, p<.001) were significantly different by stages of change. Conclusion: Application of TTM to Pap smears was efficient to know the nurse's level of health behaviors, Health belief variables and HPV knowledge were main factors to identify the stages of change. The continuation of Pap smears and the education in relation to HPV knowledge should be encouraged for married nurses.

일 종합병원 간호사의 감정노동과 감성지능이 직무스트레스에 미치는 영향 (The Influence of a General Hospital Nurse's Emotional Labor, Emotional Intelligence on Job Stress)

  • 오경미;김윤정
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2013년도 춘계 종합학술대회 논문집
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    • pp.403-404
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    • 2013
  • 본 연구에서는 종합병원에 근무하는 간호사를 대상으로 감정노동과 감성지능이 직무스트레스에 어떠한 영향을 미치는지 알아보고자 한다. 본 연구에서 간호사들의 감정노동과 감성지능 변인들의 직무스트레스에 대한 분산 설명력은 31.9%였고, 회귀모형은 유의미한 것으로 나타났다(F=7.615, p<.001). 분석결과, 감정노동 변인 중 감정표현의 빈도는 직무스트레스에 유의미한 부(-)적 영향(${\beta}=.206$ p<.05)을, 감정표현 규범의 주의성은 유의미한 정(+)적 영향(${\beta}=.318$, p<.01)을 미치는 것으로 나타났으며, 감성지능변인 중 자기감정이해(${\beta}=.195$, p<.05)와 감정조절(${\beta}$=-.192, p<.05) 변인이 직무스트레스에 유의미한 부(-)적 영향을 미치는 것으로 나타났다. 이들 변인들의 상대적 영향력은 표준화계수(${\beta}$)를 통해 알 수 있듯이, 감정표현 규범의 주의성, 감정표현의 빈도, 자기감정이해, 감성조절 등의 변인 순으로 직무스트레스에 미치는 영향력이 큰 것으로 분석되었다. 이와 같은 결과를 통해, 간호사들이 직무스트레스를 낮추기 위해서는 환자들과 긍정적인 감정표현을 많이 하고, 간호사들이 병원의 감정표현 규범으로 인해 표현하지 못한 감정을 해소할 수 있는 방안이 필요하며, 자신의 감정에 대한 이해와 감성조절 능력을 기르도록 스스로 노력이 필요함을 알 수 있었다.

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