• 디지털융복합연구
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• 제18권1호
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• pp.169-175
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• 2020

본 연구는 간호조직 내 태움(직장 내 괴롭힘)이 간호 조직성과의 인과관계와 조직침묵의 매개효과를 검증을 목적으로 한다. 본 연구의 조사대상은 서울에 위치한 A대학병원 273명의 간호사이며, 인과관계 및 매개효과 분석을 위하여 매개회귀분석를 실시하였다. 분석결과 태움은 기본적으로 간호조직성과에 부정적 영향을 주고 있었다. 조직침묵의 매개효과를 고려하였을 때, 체념적 침묵은 완전매개효과를 갖고 있는 것으로 나타나 태움이 직접적으로 조직성과에 부정적 영향을 주지는 않았으나, 체념적 침묵을 통하여 부정적 영향을 주고 있는 것으로 분석되었다. 방어적 침묵의 매개효과는 부분적이었으며, 태움이 직접적인 영향을 주고 있는 것과 동시에 방어적 침묵을 통하여서도 매개하여 부정적 영향을 주고 있는 것으로 나타났다. 태움의 부정적 영향은 간호조직의 성과에 직·간접적으로 영향을 주고 있고, 조직 침묵을 매개하기 때문에, 태움에 대한 제도적 예방을 통한 적극적 간호관리가 이루어져야 할 것이다.

• 한국직업건강간호학회지
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• 제23권2호
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• pp.55-66
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• 2014

Purpose: The purpose of this study is to analyze the structural model on the Nursing Task Performance of Hospital Nurses. Methods: Data collection was done by the 200 hospital nurses from May 1st to May 20th, 2013 in Seoul city. The sample variance-covariance matrix was analyzed using AMOS 19.0 and the maximum likelihood minimization function. The goodness of fit was evaluated using the SRMR, RMSEA and its 90% confidence interval, CFI, and TLI. Results: First, hospital nurses' organizational justice and empowerment was not found to have a significant direct effect on nursing task performance. Second, organizational justice and empowerment had a direct effect on job satisfaction and organizational commitment. Third, organizational commitment was found to have a significant direct effect on nursing task performance. Forth, hospital nurses' empowerment was found to have a significant direct effect on nursing task performance. Conclusion: Nurses' nursing task performance was influenced by organizational justice, empowerment, and organizational commitment. In order to increase the degree of nursing task performance in hospital nurse, it is necessary to develop the nursing program and its application considering hospital nurses' organizational justice and empowerment and organizational commitment.

• 디지털융복합연구
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• 제15권4호
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• pp.309-316
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• 2017

본 연구의 목적은 수술실 간호사의 목표관리특성과 직무몰입이 간호업무성과에 미치는 영향을 파악하기 위함이다. 연구대상은 서울에 소재한 3차 의료기관 수술간호팀의 자발적 참여의사가 있는 간호사 226명을 대상으로 자료수집을 하였고, 수술실 간호사의 간호업무성과에 미치는 영향을 파악하기 위하여 다중회귀분석을 실시하였다. 본 연구의 결과 수술실 간호사의 간호업무성과에 관계하는 영향요인은 목표관리특성중 목표구체성, 직무몰입, 측정가능성 순으로 나타났으며, 간호업무성과의 25.8%를 설명하였다. 따라서 간호업무성과를 높이기 위하여 수술실 간호의 직무특성상 수술상황에 몰입되어 간호를 할 수 있는 업무환경을 만들기 위해 노력해야 한다. 또한 수술실 간호사의 간호업무성과를 향상시키기 위해서는 목표관리특성 중에서 목표구체성과 목표의 측정가능성 부분에 대하여 이들의 영향력을 더욱 높일 수 있는 전략을 개발하여야 한다.

• 동서간호학연구지
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• 제28권2호
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• pp.151-159
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• 2022

Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

• 간호행정학회지
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• 제19권5호
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• pp.613-621
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• 2013

Purpose: To identify the extents of nursing professionalism, clinical decision making abilities and job performance of advanced practice nurses and investigate the relationship among the variables Methods: Participants, selected by a convenience sampling method, were 135 advanced practice nurses working in 4 tertiary care general hospitals in 'B' Metropolitan City and in 1 tertiary care general hospital in 'J' city. Data collection was done from January 15 to February 28, 2013 using self-reporting questionnaires. Results: The average score for nursing professionalism of study participants was $81.19{\pm}7.56$. for clinical decision making abilities, $140.42{\pm}9.62$ and for job performance, $102.54{\pm}10.30$. These averages are relatively high. The relationship between the extent of nursing professionalism and the extent of clinical decision making abilities showed an intermediate level positive correlation (r=.45, p<.001). The relationship between the extent of nursing professionalism and the extent of job performance was also an intermediate level positive correlation (r=.42, p<.001). The extent of clinical decision making abilities and the extent of job performance was an intermediate level positive correlation (r=.41, p<.001). Conclusion: Developing a program, which can improve nursing professionalism and clinical decision making abilities of nurse, is required to enhance their job performance.

• 대한간호학회지
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• 제21권1호
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• pp.63-78
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• 1991

The purpose of this study was to test the effects of health contract on the performance level for activity of daily living(ADL) in the hemiplegic patients. A quasi - experimental research for health contract, which was approved as an effective method of nursing intervention, was attempted to increase the performance of the hemiplegic patients' ADL. As a purpose sample, 69 hemiplegic patients hospitalized at Oriental medicine hospital of K university were taken and devided into the experimental group and the control group by means of random assignment. After Contracting with the experimental group, they were reinforced everyday for 20 minutes. The experimental group and the control group were observed and interviewed for five times at the in terval of 3~4 days by the trained nurses for this research. The data Collected through above mentioned methods were compute analyzed by t-test and ANOVA according to the purpose of this study. The data collected through above mentioned methods were computer analyzed by t-test and ANOVA according to the purposre of this study. strate increased the performance level for ADL than the Control group” was supported(t＝2.96, df＝52.76, p＝ .004). Sub Hypothesis 1,2,4,5 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for eating(t＝2.29, df＝42.70, p＝ .027), personal hygiene and grooming (t＝4.04, df＝43.10, p＝ .000), dressing(t＝3.32, df＝67, p＝ .001) and undressing (t＝3.47, df＝48.44, p＝ .001) than the control group” was supported. Sub Hypothesis 3.6 : “The hypothesis that the experimental group with health contract will demonstrate increased the performance level for toiletting(t＝ .19, df＝67, p＝ .849) and mobilization (t＝ .30, df＝67, p＝ .765) than the control group” was not supported. The conclusion can be that the positive relationship between the nurse and the patient results in the desired performance level for ADL in the hemiplegic patients.

• 한국간호교육학회지
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• 제19권4호
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• pp.617-626
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• 2013

Purpose: This study was to investigate the effect of nurses' core competencies and cognition of job competency of senior nurses on work performance. Methods: Three hundred two nurses participated in the study. The collected data were analyzed with SPSS/WIN 20.0. Frequency, t-test, ANOVA and stepwise multiple regression were utilized. Results: The level of nurses' core competencies was 3.65 (${\pm}.40$) points, cognition of job competency of senior nurses was 4.02 (${\pm}.60$) points, and work performance was 4.04 (${\pm}.55$) points. In accordance with the participant's general characteristics, work performance was found to be significant in their age, marital status, educational level, total clinical experience, length of time on the present ward, and their income. Cognition of job competency of senior nurses was found to be the most effective factor in work performance, followed by core competencies and total clinical experience, and these factors accounted for 63.4%. Conclusion: The study suggested that work performance was highly affected by the nurses' core competencies and cognition of job competency of senior nurses. Therefore, effective education programs are required to provide an appropriate experience to both entry-level and experienced nurses, as well as to help in enhancing nurses' and senior nurses competency at the same time.

• 지역사회간호학회지
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• 제8권2호
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• pp.250-261
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• 1997

In Korea, visiting nursing services in pubic health centers have been in place since 1991. The purpose of this study is to compare the job characteristics, job motivation and job performance between visiting nurses and other public health nurses. 196 subjects were sent mailed questionnaires from Aug. to Sep., 1997. The response rate was 65.3%. Data were analyzed by a SPSSWIN program with a t-test, $X^2-test$, ANCOVA. The results were as follows : 1. The level of job ability in visiting nurses was higher than that of other public health nurses, but it was an insignificant difference(t=1.5975, p=.2078). Among job characteristics, skill variety was significantly higher in other public health nurses(t=8.2121, p=.0046); autonomy and feedback were significantly higher in visiting nurses(t=8.1877, p=.0047/t=7.7026, p=.0085). 2. There was no significant difference in the level of job motivation(t=.6485, p=.4216) and in job performance between the two groups (t=2.7393, p=.0995). In job performance, general nursing and organizational jobs were significantly higher in other public health nurses (t=4.8486, p=.1288/t=9.4237, p=.0024). 3. It was reconfirmed that there was, a significant difference in the level of skill variety, autonomy and feedback in analyzing age and career as covariates. 4. Significant positive relationship was found in job characteristics and job motivation(r=.5488, p=.0000). No significant relationship was found in job characteristics and job performance(r=.0486, p=.498). Through these results, it was supported that there were differences in some of the job characteristics and job performance between visiting nurses and other public health nurses. Therefore, it is requested to redesign job standards, training programs and management styles focusing on the job characteristics of visiting nurses.

• 동서간호학연구지
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• 제24권1호
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• pp.10-19
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• 2018

Purpose: The purpose of this study was to examine factors affecting the performance of the forensic nursing role among emergency department (ED) nurses. Methods: Data collection was conducted on 125 nurses of EDs in 9 medical centers in U metropolitan city from June 20 to July 20, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS Win 21.0 program. Results: There were statistically significant differences in the performance of the forensic nursing role according to the types of emergency medical institutions, perception of the forensic nursing and forensic nurse. Performance of the forensic nursing role had positive relationships with the awareness of the forensic nursing role and forensic nursing competency. Factors affecting the performance of forensic nursing role were forensic nursing role awareness, the types of emergency medical institutions and forensic nursing competency. These factors explained 40.8% of the total variance. Conclusion: The results suggest that awareness of the forensic nursing role, forensic nursing competency and the types of emergency medical institutions have influences on the performance of forensic nursing role. Therefore, it is necessary to design interventions suitable for the types of emergency medical institutions for ED nurses to enhance the awareness of forensic nursing role and to reinforce forensic nursing competency.

• 성인간호학회지
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• 제14권2호
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• pp.296-305
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• 2002

Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.