• 한국직업건강간호학회지
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• 제31권4호
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• pp.157-166
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• 2022

Purpose: The purpose of this study was to identify factors influencing fall-prevention behaviors of nurses working in long-term care hospitals. Methods: Participants included 147 nurses working in 10 long-term care hospitals in B city. Data were collected from September 20-October 12, 2016. SPSS/WIN 21.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression. Results: It was found that attitude toward fall (r=.29, p<.001) and patient safety culture (r=.25, p=.002) had a significant positive correlation with fall-prevention behaviors of nurses working in long-term care hospitals. The factors influencing fall-prevention behaviors in participants were clinical career and patient safety culture (β=.21, p=.012), contributing to 19% of the total variance in fall- prevention behaviors. Conclusion: The findings showed that systematic delivery of differentiated fall prevention education is preferred to nurse's clinical career as a private factor to improve fall-prevention behaviors of nurses in long term care hospital. Particularly, it is imperative to conduct periodical and practical fall-prevention education for nurses to prevent career discontinuity. An independent report system and open communication system as well as a scheme that can disseminate patient safety culture in individual departments to implement patient direct nursing are required to encourage patient safety culture in organizations.

• 대한간호학회지
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• 제40권3호
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• pp.349-358
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• 2010

Purpose: The purpose of this study was to estimate nursing costs and to establish appropriate nursing fees for long-term care services for community elders. Methods: Seven nurses participated in data collection related to visiting time by nurses for 1,100 elders. Data on material costs and management costs were collected from 5 visiting nursing agencies. The nursing costs were classified into 3 groups based on the nurse's visit time under the current reimbursement system of long-term care insurance. Results: The average nursing cost per minute was 246 won. The material costs were 3,214 won, management costs, 10,707 won, transportation costs, 7,605 won, and capital costs, 5,635 won per visit. As a result, the average cost of nursing services per visit by classification of nursing time were 41,036 won (care time <30 min), 46,005 won (care time 30-59 min), and 57,321 won (care time over 60 min). Conclusion: The results of the study indicate that the fees for nurse visits currently being charged for long-term care insurance should be increased. Also these results will contribute to baseline data for establishing appropriate nursing fees for long-term care services to maintain quality nursing and management in visiting nursing agencies.

• 대한간호학회지
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• 제45권5호
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• pp.742-751
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• 2015

Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

• 한국산학기술학회논문지
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• 제16권6호
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• pp.4048-4055
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• 2015

본 연구는 요양병원 간호사의 생명의료윤리 의식정도를 파악하는 것이다. 본 연구는 광주와 전남 지역 요양병원에 근무하고 요양병원에서 근무한지 5개월 이상 된 간호사 183명을 대상으로 설문지를 사용하였으며, 수집된 자료는 SPSS 21.0 프로그램을 이용하여, 기술통계, Independent t-test와 one-way ANOVA, 사후검증은 $scheff{\acute{e}}$ test, 상관관계분석(Pearson's Correlation Analysis)으로 분석하였다. 본 연구에서 대상자의 생명의료윤리 의식에 대한 대상자들의 의식은 중간보다 높은 수준이었다. 생명의료윤리 하위영역별 의식 중 태아생명권의 의식과 임신중절의 의식이 가장 유의한 양적 상관관계가 있었다. 요양병원 간호사의 생명의료윤리의식 정도는 높았으나, 가치관이 정립되지 않아 임상상황에서 의사결정이 혼돈된다. 따라서 기관의 신규간호사나 간호대학생에게 생명의료윤리 교육을 통해 윤리적 가치관을 확립하여 환자의 안녕에 기여해야 할 것이다.

• 산업융합연구
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• 제20권6호
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• pp.55-63
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• 2022

본 연구의 목적은 인지기능저하 대상자를 돌보는 요양병원 간호사의 공감역량이 의사소통행위에 미치는 영향을 파악하고 그 과정에서 회복탄력성의 매개효과를 검정하는데 있다. 자료수집 기간은 2021년 9월27일부터 10월 22일까지이며, P시에 재직 중인 요양병원 간호사 131명을 대상으로 하였다. 수집된 자료는 SPSS WIN 25.0을 이용하여 기술통계, 상관관계, 단계별회귀분석으로 분석하였다. 연구결과 첫째, 공감역량과 의사소통(r=.625, p<.001), 회복탄력성과 의사소통행위(r=.535, p<.001)간 에는 유의한 정(+)적 상관관계가 있음을 확인하였다. 둘째, 공감역량은 의사소통행위(𝛽=.725, p<.001)에 유의한 영향을 주며, 그 과정에서 회복탄력성이 부분매개효과(Z=2.012, p=.042)가 있는 것으로 나타났다. 따라서 인지기능저하 대상자를 돌보는 요양병원 간호사의 의사소통행위를 향상시키기 위해서는 공감역량과 회복탄력성를 증진시킬 수 있는 프로그램을 개발하고 적용할 것을 제안한다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.458-470
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• 2016

본 연구의 목적은 요양병원 입원 노인의 성공적 노화에 대해 간호사가 어떻게 인식하는지를 파악하여 서술하는 것이다. 자료 수집을 위해 2016년 포커스 그룹 면담을 이용하였다. 포커스 그룹은 3개의 요양병원에 각각 1개씩의 포커스 그룹을 구성하여 총 3개의 포커스 그룹을 운영하였으며, 전체 14명의 간호사가 대상자로 참여하였다. 모든 면담 내용은 녹음하여 참여자가 말한 그대로 필사하였으며, 자료는 질적 내용분석을 이용해 분석하였다. 연구결과 25개의 개념이 확인되었으며, 15개의 하위범주와 5개의 범주가 도출되었다. 간호사가 인식하는 요양병원 입원 노인의 성공적 노화에 대한 5개 주요 범주는 "요양병원 삶에 익숙해지기", "주어진 상황에서 긍정적으로 살아가기", "주변과 소통하고 관계 형성하기", "가족의 관심과 지지 받기", "경제력 유지하기"로 나타났다. 요양병원 입원 노인의 성공적 노화를 위해 향후 요양병원에 입원한 노인을 대상으로 성공적 노화에 관한 심층적인 질적 연구를 수행하여 본 연구 결과와 비교 분석하고, 연구 결과를 바탕으로 요양병원 장기 입원노인의 성공적 노화를 위한 프로그램 개발 및 적용이 필요하다고 본다.

• 간호행정학회지
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• 제16권4호
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• pp.446-454
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• 2010

Purpose: This study was conducted to compare job satisfaction, self-esteem, and nursing task performance between registered nurses (RN) and nurse assistants (NA) in long-term care hospitals. Method: The sample consisted of 203 nursing personnel (RN 99 and AN 104), who were working in one of 5 long-term care hospitals in 5 different areas. Data were collected by structured questionnaires from March 15 to April 30, 2010, and analyzed using the descriptive statistics, independent t-test, One-way ANOVA, and Pearson correlation coefficients with SPSS/Win 17.0 program. Result: There was no significant difference between nurses and nurse assistants in job satisfaction and self-esteem. But nurses had higher levels of nursing task performance than nurse assistants. Conclusions: These findings demonstrate the necessity of developing programs that will help to improve job satisfaction and self-esteem in nurses and nursing task performance in nurse assistants. Strategies need to be developed to maximize the value of the existing workforce without impacting on the quality of care delivered.

• 대한간호학회지
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• 제40권6호
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• pp.903-912
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• 2010

Purpose: This study was conducted to examine whether the level of classification for long-term care service under longterm care insurance reflects resource utilization level for residents in nursing homes. Methods: From 2 long-term care facilities, the researchers selected 95 participants and identified description and time of care services provided by nurses, certified caregivers, physical therapists and social workers during a 24-hr-period. Results: Resource utilization level was: 281.04 for level 1, 301.05 for level 2 and 270.87 for level 3. Resource utilization was not correlated with level. Differences in resource utilization within the same level were similar with the coefficient of variance, 22.7-27.1%. Physical function was the most influential factor on long-term care scores (r=.88, p<.001). The level for long-term care service did not reflect differences in resource utilization level of residents on long-term care insurance. Conclusion: The results of this study indicate that present grading for long-term care service needs to be reconsidered. Further study is needed to adjust the long-term care classification system to reflect the level of resource utilization for care recipients on the long-term care insurance.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.250-258
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• 2019

본 연구의 목적은 일 지역에 위치한 요양병원 간호사들의 근무환경과 관련된 실태를 알아보는 것으로 본 연구의 결과를 통해 요양병원 간호사의 근무환경 개선에 도움이 되고자 한다. 이를 위해 서술적 조사연구가 시행되었다. 현재 광주지역에 위치한 요양병원에서 근무하는 일반 간호사와 수간호사 이상의 간호관리자 포함 179명의 대상자가 임의 표출되었다. 자료수집은 2015년 7월부터 12월까지였다. 구조화된 설문지가 연구 도구로 사용되었고, 이 설문지에는 대상자의 일반적 특성과 병원관련 특성 및 근무환경 특성이 포함되었다. 모든 자료분석은 SPSS 22.0 version을 이용하여 수행되었다. 본 연구결과, 대상자의 73.2%가 개인에 의해 설립된 요양병원에서 근무하고 있었다. 대다수의 대상자들이 요양병원 인증평가를 받았다고 응답하였다. 대상자들이 근무하는 병동 내 간호사 대 간호조무사의 비율은 1:2인 경우가 많았다. 요양병원 간호사들이 한달 동안 받는 평균 휴가 수는 8일이 가장 많았고, 간호사의 평균 연봉은 2,500~3.000만 원이었다. 본 연구의 결과를 근거로 볼 때, 요양병원 간호사에 대한 근무환경은 좋다고 할 수 없는 상황이었다. 따라서 이러한 요양병원의 근무환경에 대해 간호사들이 어떻게 인지하고 있는지를 좀 더 심층적으로 살펴보는 질적연구를 제안한다.

• 동서간호학연구지
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• 제25권1호
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• pp.81-89
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• 2019

Purpose: This study aimed to investigate influencing factors on nursing competency of nurses in long-term care hospitals. Methods: A descriptive research design was used with a convenience sample of 150 nurses. Data were collected from Feb 15 to Mar 8, 2017 using self-reported questionnaires and analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using the SPSS/WIN 18.0 program. Results: The mean scores of self-efficacy, organizational citizenship behavior and nursing competency were 3.84 out of 5, 3.77 out of 5 and 3.80 out of 5, respectively. Nursing competency was positively correlated with self-efficacy (r=.63, p<.001) and organizational citizenship behavior (r=.64, p<.001). Factors influencing on nursing competency were self-efficacy (${\beta}=.38$, p<.001), organizational citizenship behavior (${\beta}=.37$, p<.001) and Clinical career(${\beta}=.14$, p=.011), which explained 51% of the variance. Conclusion: Based on the finding of this study, it is necessary to develop education and intervention programs in order to increase the nursing competency for nurses in long-term care hospitals.