• Title/Summary/Keyword: Nurse' Performance

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Experience of the Role Conflict of Nurses in Long-term Care Hospitals (요양병원 간호사의 역할갈등 경험)

  • Park, Soeun;Yeom, Eun-Yi
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.368-381
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    • 2016
  • Purpose: The purpose of this study was to describe the experience of the role conflict among nurses in long-term care hospitals. Method: Data were collected through in-depth interviews with nine nurses in long-term care hospitals. Colaizzi's phenomenological method was used for data analysis. Result: In this study, five categories and twelve theme clusters were generated. The five categories consisted of 'Heavy workload,' 'Nursing job delegation of unclear regulations,' 'Unprotected doctor's job performance,' 'Non-systematic nursing assistants management' and 'Limit of competency.' Conclusion: These results will contribute to the role establishment of nurse in long-term care hospitals and the qualitative improvement of work by providing the grounds for the strategy development which improve working environment and job satisfaction of nurses in long-term care hospitals apposite to the case of Korea.

Development and Application of Simulation Learning Scenario using Standardized Patients: Caring for Neurological Patients in Particular (표준화 환자를 활용한 시뮬레이션 학습시나리오 개발 및 적용 : 신경계 환자 간호를 중심으로)

  • Kim, Ye-Eun;Kang, Hee-Young
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.236-248
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    • 2013
  • This study was to develop the simulation learning scenario using standardized patients, and to evaluate the effect of it. This study was a pre-post test design with a single group and participants were recruited from fourth-year nursing students at a university. This study has developed the case scenario for a patient with spontaneous intracerebral hemorrhage and the simulation learning using standardized patients, which was applied in this study, had improved problem solving ability and clinical performance ability on nursing students. Through this study, the nursing student will grow up to be a professional nurse by learning the nursing assessment including consciousness assessment. Also, the simulation learning scenario using standardized patient should be developed in the various fields.

Economic Evaluation of a Workplace Occupational Health Nursing Service: Based on Comparison with Atmospheric Environment Managing Engineer (사업장 내 간호사 활동의 경제성 분석: 간호사와 대기환경관리기사 비교를 통하여)

  • Jung, Hye-Sun;Lee, Bokim
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.507-516
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    • 2013
  • Purpose: The purpose of this study was to use cost-benefit analysis of activity to clarify the economic effect of prepared nurses versus atmospheric environment managing engineers as healthcare managers. Methods: For the study 111 workplaces were surveyed, workplaces in which nurses or atmospheric environment managing engineers were employed as healthcare managers. The survey content included annual gross salaries, participation in external job training, costs in joining association covered by the company, location and year of construction of the healthcare office, various kinds of healthcare expenditures, costs in operating healthcare office, health education, and activity performance in the work of environment management. Results: In the case of the healthcare manager being a nurse, benefit was larger than input costs at a ratio of 2.31. On the other hand, in the case of healthcare manager being an atmospheric environment managing engineer, input costs were larger than benefits (benefit-cost ratio 0.88). Conclusion: Results indicate that nurses are an effective healthcare human resource and can offer good quality healthcare service. Therefore companies should hire nurses and actively promote the economic efficiency of nurses in workplace.

A Meta-analysis of the Variables related to the Major Satisfaction of Nursing students. (국내 간호대학생의 전공만족도 관련변인에 대한 체계적 고찰과 메타분석)

  • Kim, Shin Hyang;Baek, Min Ja
    • Journal of Korean Public Health Nursing
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    • v.33 no.3
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    • pp.409-419
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    • 2019
  • Purpose: Factors related to the major satisfaction of nursing students were systematically searched and quantitatively synthesized. Methods: Meta-analysis was conducted upon 47 articles in Korean master and doctorate degree dissertations and academic journals. Meta-analysis of major satisfaction-related variables was conducted using Comprehensive Meta-Analysis (CMA) 2.0 program. The effect size of the related variables was analyzed by converting the statistic r value to Fisher's Z. Results: The overall average effect size of major satisfaction was the largest effect size (ES=.49), followed by cognitive factors (ES=.58), affective factors (ES=.45), and psychomotor factors (ES=.31). The cognitive factors were in the order nursing professionalism(ES=.70), nurse's image (ES=.65), and critical thinking disposition (ES=.36). The affective factors were self-esteem (ES=.59), emotional intelligence (ES=.55), career identity (ES=.49), self-efficacy (ES=.48), college adjustment (ES=.45), practice satisfaction (ES=.45), resilience (ES=.42), (ES=.40), grit (ES=.34), and stress (ES=.26). The psychomotor factors were clinical performance ability (ES=.38) and career search behavior (ES=.31). Conclusion: The results of this study are valuable when giving consideration to the variables related to nursing students' major satisfaction, for developing a strategic model to enhance the satisfaction of nursing students.

Application of Methods of Management Science in Care Process Management (의료프로세스 관리에 경영과학적 접근방법의 응용)

  • Kim, Tae Hyun
    • Korea Journal of Hospital Management
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    • no.spc
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    • pp.1-13
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    • 2016
  • In a situation where competition becomes intense, health care organizations constantly strive to provide more services with given personnel and time. While not only the 'quantity' of the services but also the 'quality' becomes increasingly important, various problems that can occur during the 'process' of service provision can be effectively managed by applying the methods of management science. In this study, we introduce the cases where the methods of management science can be applied for the management of health care organizations in Korea and abroad. There are many cases where various scenarios for improving the patients' accessibility to the services and for maximizing the efficient use of limited resources are established, and simulation or basic statistical analysis methods are used to solve the problems more systematically or to develop improvement plans. In this study, several exemplary cases, such as no-show of patients, crowding in the emergency room, prediction of the number of available beds in the intensive care units, nurse scheduling, delay of arrival of patients, and ordering of the proper amount of therapeutic materials, are introduced and discussed. From the perspective of administrators or clinicians, however, it may not be easy to master the methodology that requires considerable mathematical background or apply the theories to practice directly. Therefore, it is suggested that more practical and relatively simple analytical methods should be applied. Also, having a more positive attitude toward improving the current performance (e.g., a belief that 'we can always be better than now'), and paying attention to improving the job satisfaction by addressing problems, with experimental spirit and data-driven decision management.

A Concept Analysis of 'Taeoom' to Newly Employed Nurses (신규간호사 '태움(Taeoom)'에 대한 개념 분석)

  • Kim, Jiwon;Bae, Sung-Yoon
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.1-13
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    • 2020
  • Purpose: This study was conducted to identify the conceptual definition and attributes of 'Taeoom' (or workplace bullying) inflicted to newly employed nurses in Korea. Method: Walker & Avant(2011)'s eight-stage process was used to perform a conceptual analysis of 'Taeoom'. Literature review of 40 studies published between Jan. 2009 and March 2018 published in Korea was followed by the in-depth interview with nine newly employed hospital nurses and the ex-post review of results by nursing experts. Findings: 'Taeoom' was associated with five attributes: (1) bullying for no reason, (2) peer rejection for no reason, (3) decreased physical function and psychological withdrawal, and (4) verbal abuse, defamation and nagging, (5) impotent feeling due to power imbalance. Four antecedents found in this study include offensive action, distrust, power imbalance, and undue workload exceeding capacity. As consequences of Taeoom, negative physical and psychological symptoms and turnover intention were increased while nursing performance was decreased. Conclusion: This study suggests the need for more qualitative researches with more comprehensive approach on Taeoom and the development of effective program to improve the organizational culture in nursing field. This study is significant in that it provides a qualitative but comparative review on the attributes, antecedents and consequences of Taeoom through literature review accompanied by focus group interview and expert review.

The Relationships between Emotion Display Rule and Nurse's Job Attitudes;Mediation Effects of Negative Emotion Suppress and Inauthenticity (정서표현규범과 간호사의 직무태도의 관계;부정정서억제와 가식의 매개효과)

  • Park, Jung-Ae;Han, Tae-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.213-224
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    • 2006
  • Purpose: This study examined Korean nurses' job attitude (i.e., satisfaction and burnout) regarding the extent to which organization's emotion display rule influences on job attitudes through emotion-related variables (i.e., negative emotion suppress behavior and inauthenticity), thereby examining mediation effects of negative emotion suppress behavior and inauthenticity. Method: Using a survey to nurses working in various general hospitals in Korea, structural equation modeling was adopted. Result: Emotion display rule affected outcome variables but these effects were mostly observed via the two mediators, negative emotion suppress and inauthenticity, which largely supports the research model. Conclusion: Individuals who perceived stronger emotional display rule suppressed more their negative emotion, and also perceived more inauthenticity. In turn, negative emotion suppress behavior only affected job burnout positively. Inauthenticity showed a negative effect on job satisfaction while it had a positive effect on burnout. The study provided directions for future research and practical implications to help nurses' effective job performance.

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The Development and Evaluation of an e-Learning Program for Novice Nurses before Beginning to Work in a Hospital Using KMS(Knowledge Management System) (지식경영 시스템을 활용한 신규간호사 e-Learning 프로그램 개발 및 평가)

  • Song, Young-Shin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.82-89
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate an e-Learning Program designed to enhance novice nurses's performance ability Method: The e-Learning program was designed for novice nurses before beginning to work in a hospital using a KMS(Knowledge Management System). This study was carried out from February 2006 to April 2007. The program had progressive steps including design, pilot test & modification, contents development, program application and evaluation. After the program design and pilot testing, the learner's satisfaction was analyzed. Result: The program site is http://kms.emc.ac.kr titled, 'Cyber Education Center'. The sixteen part course has been developed as follows: blood sugar test, skin test, insulin test 1, insulin test 2, blood culture, blood sampling, heat therapy, cold therapy, glycerin enema, preparation of operation, oxygen therapy, suction technique, transfusion, foley catheterization and aseptic technique. The overall learner's satisfaction score was 4.08 out of 5 points. Conclusion: E-Learning could be useful for education and nursing work. This method may be effective for clinical nurses.

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Perceived Occupational Stress and Depression of School Nurses (일지역 보건교사의 지각된 직무스트레스와 우울)

  • Oh, Kyong-Ok;Gang, Moon-Hee;Lee, Sun-Thyun
    • Journal of Korean Public Health Nursing
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    • v.26 no.1
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    • pp.60-71
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    • 2012
  • Objectives: The purpose of this study was to identify occupational stress and to determine level of depression of school nurses and to identify factors that influence depression. Methods: A cross-sectional design was employed in this study. Participants included 146 school nurses from D city. Data collection was conducted on January 17-21, 2011, using self-administered questionnaires. The SPSS/WIN 11.5 was used in performance of data analysis. Results: Significant differences in occupational stress were observed according to age, occupation and perceived mental health status, and in depression according to marital status, perceived mental health status and physical disease. Depression showed significant positive correlation with occupational stress (r=.35, p<.001). In regression analysis, occupational stress and physical health state were found to be the cause of depression in 17% of subject. Conclusion: Findings of this study allow for a comprehensive understanding of occupational stress and level of depression of school nurses in Korea. Further study using a larger random sample and various variables is needed.

The difference of DISC Behavioral Style on Nursing Student's Clinical Performance (간호대학생의 DISC행동유형에 따른 임상수행능력 차이)

  • Park, In-Sook
    • Proceedings of the Korea Contents Association Conference
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    • 2019.05a
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    • pp.237-238
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    • 2019
  • 본 연구는 간호대학생이 성공적으로 임상실습을 경험하여 전문역량을 갖춘 전문인으로서 성장하기 위해 간호대학생의 DISC 행동유형에 따른 임상수행능력을 파악하고자 시도된 서술적 조사연구이다. 연구 대상자는 G도 J시 소재 J대학의 간호학과 4학년 학생들이다. 자료수집 기간은 2018년 11월 5일부터 11월 9일까지였다. 수집된 자료는 SPSS 18.0을 이용하여 분석항 결과 대상자의 DISC 행동유형별 임상수행능력 하위 영역별 살펴보면 간호과정은 D형(주도형) $3.67{\pm}0.43$, C형(신중형) $3.66{\pm}0.40$, I형(사교형) $3.61{\pm}0.47$, S형(안정형) $3.55{\pm}0.43$의 순으로 유의한 차이가 나타났고(F=4.03, p=.005), 간호기술은 D형(주도형) $4.03{\pm}0.45$, C형(신중형) $4.02{\pm}0.41$, I형(사교형) $4.01{\pm}0.47$, S형(안정형) $3.91{\pm}0.37$의 순으로 유의한 차이가 나타났으며(F=5.07, p=.001), 전문직 발전영역은 D형(주도형) $3.77{\pm}0.47$, I형(사교형) $3.61{\pm}0.53$, C형(신중형) $3.60{\pm}0.37$, S형(안정형) $3.56{\pm}0.49$의 순으로 유의한 차이가 나타났다(F=5.07, p=.001). 이상의 결과로 간호대학생의 다양성을 이해하고 강점을 개발할 수 있는 기회를 제공해야 할 것이다.

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