Purpose: The purpose of this study was to examine correlations between nurses' self-leadership and individual work role performance and correlations between self-leadership in nursing units and team members' work role performance. Methods: Participants were 202 conveniently selected general nurses from 5 general hospitals in Korea. The study was carried out on 35 nursing units. Data were collected during February 2015 with self-report questionnaires. Results: For factors affecting individual work role performance, self-expectation, self-goal setting, constructive thought, clinical career in the present nursing unit and marital status accounted for 44.0% of proficiency, while self-expectation, self-goal setting, constructive thought, and marital status accounted for 42.3% of adaptivity. Self-expectation, self-goal setting, constructive thought, self-reward, clinical career in the present nursing unit and position accounted for 26.4% of proactivity. In terms of team members' work role performance, self-reward and self-expectation in nursing units explained 29.0% of team members' proficiency. Self-reward and self-expectation in nursing units explained 31.6% of team members' adaptivity, and self-reward in nursing units explained 16.8% of team members' proactivity. Conclusion: The results confirm that nurses' self-leadership affects not only individual self-leadership but also team members' work role performance. Accordingly, to improve nurses' work role performance in nursing units of nursing organizations, improvement in nursing environment based on self-leadership education is necessary and nurses' tasks rearranged so they can appreciate work-autonomy and challenges of work.
International Journal of Advanced Culture Technology
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제9권4호
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pp.204-212
/
2021
Ethical sensitivity is a basic competency required for nursing students to work as professionals who will care patients in the clinical field after graduation. Therefore, efforts are needed to improve the knowledge on ethical sensitivity in undergraduate education. This study aimed to identify the demographic characteristics that influence ethical sensitivity among nursing students. This study was a secondary analysis that referred to a previous work measuring ethical sensitivity in nursing students. The participants were 128 nursing students, who had experienced clinical practicums. Among the participants, those who were third-year (t=2.345, 95% CI=[1.24, 14.64], p=0.021), female (t=2.635, 95% CI=[3.65, 25.69], p=0.009) and were satisfaction with major (t=-2.389, 95% CI=[-16.54, -1.50], p=0.019) consistently reported significantly higher mean scores on ethical sensitivity. The explanatory power of the model was 13.3%. Gender (Exp (B)=0.875, 95% CI=[0.804, 0.952], p=0.002) and year at universtiy were the strongest predictors of ethical sensitivity (Exp (B)=0.921, 95% CI=[0.873, 0.971], p=0.002). Based on the results, an appropriate ethics education that considers the following issues should be provided for undergraduate nursing students: both genders' perspectives, seniors' further development, and students experiencing low satisfaction with their major. Future nursing education should consider these individual demographic characteristics to develop nursing students' ethical sensitivity that will further affect their ethical behavior and ultimately improve the quality of nursing.
This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called 'Influence of practical atmosphere type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called 'conflict of nursing role type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called 'Lack of confidence type'. Members of this type experienced stress because of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.
Purpose: The purpose of this paper was to investigate community health status and related factors using community health and social indicators. Method: Data sources were reviewed and data for 10 categories, 75 indicators were collected. Community health status and health-related factors were categorized, and the means and standard deviation of individual indicators were obtained and standardized scores were calculated. In addition, through factor analysis of individual indicators by category using the scores and using the resultant factor coefficients as weights, indexes were calculated by area. Correlation and regression were analyzed. Result: Each indicator was highly correlated with each index, and the indexes were highly correlated with one another. Correlation coefficients were above 0.8 between community health index and population, education, housing, and economy, between population and education, housing and economy, between education and housing and economy, and between housing and economy, environment and industry. But multicollinearity was not found in the result. Significant factors on community health index were population, health personnel and facilities, education, housing and economy, and R-square were 92.4%. Conclusion: Health determinants such as population, health personnel and facilities, education, housing and economy could be influencing factors on community health in community level. These results showed the importance of intersectoral collaboration within a local government. Overall community health can be enhanced by intersectoral collaboration.
The disease occurrence rate of the cancer is rapidly increased and It is becoming the main factor for the death The chemical therapy for preventing the cancer is recently used for many patients and thus extended the life of the patients. However, the side effect caused by the medical substances when performing the chemical therapy for preventing the cancer and the consequent mental and social problem are incurred to deteriorate the quality of the life. Therefore, it is needed to help the patient In order to reduce the above problems, and so this study was executed in order to examine the effect of the individual education on the quality of the life of the patients who are treated by the chemical therapy for preventing the cancer. The study was performed from Jan. 19. 2004 to Apr. 18. 2004 for the patients who were firstly treated by the chemical therapy for preventing the cancer in a university hospital located in the downtown in Seoul. The individual education on the chemical therapy for preventing the cancer was provided to 40 patients of the experimental group. The study plan is the experimental plan before and after the sole group, and it is the beginning experimental plan. The title of the booklet on the chemical therapy for preventing the cancer is "Cancer, The more you know, the more you can be cured", and the book was composed up of the side effect of the chemical therapy for preventing the cancer, treatment way for the side effect, and guide of the daily life. The survey with the questionnaire sheet was distributed to the experi- mental group before the education, the survey sheet was made out when they were hospitalized for 3-4 weeks after the education, and the data were examined by using SPSS statistical program with making our the survey questionnaires and the change of the quality of the life before and after the education of the patients who are treated by the chemical therapy for preventing the cancer was analyzed by using the parred t-test. The research result was verified that it has the meaningful that the quality of the life for the physical field, mental field, social field, and spiritual field after the individual education. The suggestion concluded by the above research result is as follows. First, there is the limitation to interpret the result since it was the beginning experimental plan for the sole group. Thus, it is suggested that the similar experimental plan should be executed with the expansion of the research subject and also with the contrast group. Second, it is suggested that the study on the change of the quality of the lifeaccording to the support of the individual education and family of the patients who are treated by the anti-cancer therapy.
Purpose: The purpose of this study was to identify and assess from nursing students and nurses in the clinical field what constitute good instruction, through the review of nursing students' opinions and clinical field demands. Methods: The study design was used Creswell's exploratory sequential design by collecting and analyzing qualitative data obtained from interviews and then analysis of quantitative data. The participations were 79 seniors in nursing schools and 85 nurses with less than three years of clinical experience. The data were collected through individual interviews and analyzed based on Elo and Kyngas's content analysis method. The quantitative data were collected using the questionnaire developed based on qualitative results and analyzed by SPSS 23.0 program and Importance Performance Analysis (IPA). Results: The results showed that IPA extracted seven items with high importance but low satisfaction: "nursing fads and trends," "teacher-learner communication and reflection," "materials used in clinical settings such as monitoring results and test results," "special presentations by experienced practitioners," "instruction assures learners' comprehension," "accurate and detailed evaluation standards" and "feedback on homework and exam." Conclusion: The factors comprising good instruction were verified, and the necessity for additional efforts to improve high importance and low performance factors was noted. Therefore, this study can serve as a guide for nursing education facilities and educators in developing of a thorough education system with excellent instruction designed to achieve an ideal nursing education.
The purpose of this study was to investigate factors associated with the critical thinking ability of nursing students at the individual and school levels. The study adopted a descriptive design and recruited 465 nursing students from four nursing schools from November 2014 to September 2015 through convenience sampling. The Clinical Critical Thinking Skill Test was used to measure critical thinking ability, and the data were analyzed with the SAS ver. 9.4 program (SAS Institute Inc., Cary, NC, USA) for descriptive statistics, t-test, analysis of variance, and multi-level model. The results showed that clinical practicum experience (${\beta}=-0.72$, p=0.025), taking critical thinking courses (${\beta}=0.63$, p=0.010), and taking simulation courses (${\beta}=0.56$, p=0.035) improved critical thinking ability in the individual level model. In the school level model, the interaction effect between the years of clinical practice done by the student and the presence of full-time clinical instructors was significant (${\beta}=1.29$, p=0.011). These results suggest that critical thinking ability improves with the more years of clinical practice individual nursing students have, and this improvement is greater with the presence of full-time clinical instructors in the school. Therefore, it is recommended that nursing students undergo critical thinking and simulation courses to develop their critical thinking ability, and dedicated clinical instructors in nursing schools should play a vital role.
Purpose: The purpose of this study was to analyze alcohol drinking cessation programs to promote health status for workers on worksites. Method: Data were collected from the excellent 10 cases which were selected from "competition of health promotion programs on worksites" from 1999 to 2007 held by Korean Occupational Safety and Health Agency. Result: There were three main alcohol drinking cessation programs on worksites: health education, individual health services to change life style, and formation of supportive environments. Health education and individual health services were intervened in nine worksites. Building supportive environments for alcohol drinking cessation were implemented in 10 worksites. The most popular indicators for program evaluation were health diagnosis and percentage of alcohol drinkers. Problems to implement alcohol drinking cessation programs were low voluntary participation of labors, difficulty of applying programs to labors that had a shift duty, and complexity to evaluate the effectiveness of alcohol cessation programs due to deficits of standard instruments. Conclusion: These findings suggest that many worksites did not have alcohol drinking cessation programs and also these programs were not implemented effectively. Thus, employers, professionals and policy makers of occupational health should develop and support effective alcohol drinking cessation programs for l workers on worksites.
Purpose: The purpose of this study was to measure empowerment and to identify factors influencing empowerment. Method: Subjects included 767 clients registered with the customized home visiting health services in Daegu. Data collection was performed from June 3 to July 30, 2011. Descriptive statistics, ${\chi}^2$ test, ANOVA, and stepwise multiple regression were used in this study. Results: The mean score for total empowerment was 3.01(${\pm}0.28$). In subscales of total empowerment, the score for individual empowerment was 2.97(${\pm}0.36$), the score for interpersonal relationship empowerment was 3.09(${\pm}0.34$), and the score for political-social empowerment was 2.96(${\pm}0.48$). Job, education, economic status, living arrangement, and client classification were significant factors related to total empowerment in these clients. Job, education, economic status, types of health insurance, living arrangement, age, and client classification were significant factors related to individual empowerment, interpersonal relationship empowerment and political-social empowerment. 4.4 percent of the variance in total empowerment can be explained by education and living arrangement (Cum $R^2=0.044$, F=13.207, p<.001). Individual empowerment, interpersonal relationship empowerment, and political-social empowerment can be explained by education, job, economic status, and living arrangement. Conclusion: An empowerment intervention that includes general characteristics of clients is essential to improving empowerment of customized home visiting health care services beneficiaries.
Purpose: This study was designed to identify clinical competence and education needs of hospital nurses. Method: A questionnaire was used for data collection which was done form July 1 to July 30, 2005. The respondents were 165 staff nurses in a university hospital. The study instrument were clinical education need scale and Lee(2002)'s clinical competence scale. The data were analyzed using percentages, means, t-test, ANOVA with SPSS-WIN 10.0 program. Result: The results of this study are summarized as follows: The total mean score for clinical competence was 2.57 and education need was 3.30 on a 4 point scale. There was a significant difference in clinical competence according to individual factors of age, marital status, preceptorship experience, present ward, job satisfaction, and total clinical experience. also there was a significant difference in education needs according to preceptorship experience and present ward. Conclusions: Conducting a education needs and clinical competence assessment can provide valuable information that will plan education program and improve staff competence.
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