• Title/Summary/Keyword: Nurse' Performance

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The Nurse Staffing in Intensive Care Units based on Nursing Care Needs: A Multicenter Study (중환자 간호요구도에 근거한 중환자실 간호사 배치수준 산정 : 다기관 연구)

  • Park, Miok;Yang, Eunjin;Lee, Mimi;Cho, Sung-Hyun;Shim, Miyoung;Lee, Soon Haeng
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.1-11
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    • 2021
  • Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients' nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN). Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients' WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients' nursing care needs were calculated. Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48. Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients' nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.

Relationships among Job Stress, Nursing Performance, and Retention Intention of Clinical Nurses (임상간호사의 업무 스트레스, 간호업무수행 및 재직의도)

  • Choi, Soon Ook;Kim, Jihyun
    • Journal of Korean Public Health Nursing
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    • v.27 no.1
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    • pp.142-152
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    • 2013
  • Purpose: This study was aimed to identify the relationships among job stress, nursing performance, and retention intention of clinical nurse. Methods: Data was collected at a hospitals located in Seoul, from October 19 to October 26 in 2010. Total subjects were 270. Data was analyzed by PASW 18.0 program. Results: Job stress of the subjects was 3.69(0.43). Nursing performance of the subjects was 3.69(0.45). Retention intention of the subjects was 3.21(0.78). Job stress and nursing performance were correlated positively (r=0.276, p<0.001). Nursing performance and retention intension were correlated positively (r=0.151, p=0.05). But job stress were correlated with nursing performance negatively (r=-0.127, p=0.05). Conclusion: According to increasing the nursing performance and decreasing the job stress, retention intension of clinical nurse is increased. We suggest a new study on mediation effect by nursing performance on retention intention and to predict factors on retention intension.

Clinical Nurses' Perception on the Importance and Performance of Nursing Managerial Competencies (병원 간호사의 지각된 간호관리역량에 대한 중요도와 수행도)

  • Kang, Gyeongja;Kim, Jeong-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.3
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    • pp.252-267
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    • 2017
  • Purpose: This study aimed to investigate clinical nurses' perception on nursing managerial competencies. Methods: This was a descriptive study. The data were collected from 198 nurse managers who had worked in six general hospitals using a self-reporting questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Importance-Performance Analysis. Results: Only 32% of the participants had experienced nursing managerial competency training. The mean score for perceived performance of nursing managerial competency was lower than that for perceived importance. There were significant differences in perceived importance, performance, and importance-performance gaps among head, charge, and staff nurses. Importance-performance analysis showed that three of the 30 nursing managerial competencies require further development: staffing, human resources development and education, and nursing standard development competency. There were significant differences in importance-performance gaps according to age, career years in current hospital, work shift, position, nursing delivery system, and nursing managerial competency-education experience. Conclusion: A training program for developing and improving nursing managerial competencies which is focused on the gaps in importance and performance level is needed for clinical nurses. In addition, it should be considered to improve nursing work conditions such as nursing delivery system and formal appointment in order to increase the performance of nursing managerial competencies.

Educational Needs Analysis for Development of Home Healthcare Nurse Specialist Education Program (가정전문간호사의 계속교육 프로그램 개발을 위한 교육요구 분석)

  • Kim, Hae-Young;Chung, Hyun-Suk;Jeon, Byoung-Hak;Shin, Mi-Hyeon
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.135-143
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    • 2010
  • Purpose: The study analyzed continuing educational needs with the aim of developing continuing education program for home healthcare nurse specialists. Methods: A convenience sample of 101 home healthcare nurse specialists affiliated with 89 home health care agencies in Seoul, Busan, Dae-gu, Inchon, Jeonnam, Keongnam was used. Data was collected with a self-report questionnaire from May 10-31, 2010, and analyzed with descriptive statistics using SAS 9.13 program. Results: Of the participants, 88.1% reported that continuing education was necessary and 58.2% reported that the education was needed for peak job performance. The participants also reported that it would be proper if continuing education is given on a Saturday(56.4%) by home healthcare institute(49.5%) or homecare nurses association (38.6%) for 1-3 months(56.4%). The participants scored more than 3.0 in the current performance at six of the seven home healthcare nurse specialist roles, and scored more than 3.5 in the necessity of continuing education for seven roles in 47 jobs. Conclusion: Various programs for continuing education have to be developed and need to focused on the jobs needed for home healthcare nurse specialist and the most frequent disease. For this purpose, every home healthcare organization has to select their unique area and develop their own educational program. Furthemore, home healthcare nurses association has to build an education operating system that incorporates all program aspects.

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A Study on the Contents and Performance of drug Education among Elementary School Teachers (초등학교 교사의 약물교육 수행정도)

  • Jung Mi-Suck;Lee Hwa-Za;Kim Young-Hae;Kim Myung-Hee;Eo Yong-Sook
    • Child Health Nursing Research
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    • v.10 no.1
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    • pp.29-36
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    • 2004
  • Purpose: This study was attempted to find out the actual conditions of drug education among the elementary school teachers. Method: 468 teachers consists of nurse-teachers 175, class-room teachers 240 and athletics teachers 53 of the elementary schools in Pusan city were subjected for this study. The period was December 23th through December 28th, 2002 and collected data was analyzed by SPSSWIN program using frequency, percentage, mean, standard deviation and ANOVA. Result: The results of this study were as follows: 1. The average point of nurse-teachers performance(2.11) was higher than that of class-room teachers(1.37) and athletic teachers(1.56). 2. Practical difficulties of drug education was no system in the curriculum for nurse-teachers(22.9%), insufficient expert knowledge for class-room teachers(26.3%) and a lack of education materials for athletics teachers(37.7%). For more effective drug education, 25.7% of nurse-teachers hope to have more organized curriculum presentations, class-room teachers(24%) and athletics teachers(22.7%) hope that more various education materials will be developed. Conclusion: Based on this results, drug education contents is needed to supplement a drug use prevention program.

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An analysis on performance of visiting health care services by general characteristics of visiting nurse in public health center (보건소 방문간호사의 일반적인 특성에 따른 방문건강관리 서비스 수행도 분석)

  • Park, Jeong Sook;Oh, Yun Jung
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.381-393
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    • 2014
  • The purpose of this research was to analyze the work performance and the general characteristics influencing work performance of customized home health care nurse. Research participants were 204 nurses who worked in the customized home health care of 33 public health centers in Daegu city and Gyeong-Buk Province. The data were collected by self report questionnaires from July, 1 to August, 30, 2011. The highest degree of work performance was the diabetes mellitus service, while the lowest degree was pregnant women services. Age, marital status, education level, religion, career at public health center, visiting nurses career and work area were the significant factors related to work performance in these subjects. Customized home health care nurses management policy which includes assignment tasks and employment security considering general characteristics of visiting nurses should be established to enhance of activation and stable settlement of customized home health care service.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

Development and Evaluation of an Educational Program on Legal Issue-focused Nursing Records (법적 관점의 간호기록 작성방법에 대한 교육프로그램 개발과 효과)

  • Kim, Young Mee
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.369-382
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    • 2013
  • Purpose: This study aimed to develop an educational program on nursing records especially focused on legal issues, and to test the effects of the educational program on nurses' knowledge, performance, and behavior. Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point scale (1-5) for measuring the nurses' charting-related performance and behavior were developed from November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman's coefficient, and multiple regression. Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group. The factors influencing the improvement of knowledge were 'job attitude' (t=-3.32, p=.001) and 'career in present unit' (t=2.95, p=.004). The factor influencing the improvement of performance was 'career in present unit' (t=-3.39, p=.001). The factor influencing the improvement of behavior was 'job attitude' (t=-3.46, p=.001). Conclusion: The educational program on legal issue-focused nursing records was effective in improving nurse charting-related knowledge, performance, and behavior.

The Male Experience in Nursing (남자간호사의 간호사 되기 경험)

  • Kim, Suol;Bae, Kyungeui
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.105-117
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    • 2019
  • Purpose : Using qualitative research and a phenomenological approach, the present study aimed to explore men's experiences of becoming a nurse. We posed the question "What has been your experience of becoming a nurse?" Methods : Eleven male nurses from three regions in Korea were selected through convenience sampling. The protocol suggested by Colaizzi was used for data analysis. Results : The principal themes were "Challenging to the stochastic stereotype of gender mechanics," "Floating outside the enclosure of multiple groups," "The male nurse's conceptualization of nursing organizations," "To stand with self-doubt, thinking of it as a stopover," and "Situations encountered by a male nurse." Conclusion : Men experience gender discrimination based on the social roles that are imposed on males and females both at school and in the workplace. They prefer to work where they have more diverse tasks that require quick responses. However, most male nurses adapt to this work by outlasting the difficulties. These nurses become accustomed to their tasks, and satisfied with their mature work performance. They often feel they are not adequately compensated for their work. They may judge the future as uncertain, and have lingering doubts about maintaining their positions, ultimately gravitating toward specialized fields that promise a brighter future and are more consistent with traditional gender expectations.

Relationships Among Nursing Professionalism, Nurse Image, and Core Elements of Nursing Professionalism that Nursing Students Perceive (간호대학생이 인지하는 간호전문직관, 간호사 이미지, 간호전문직업성 핵심요소간의 관계)

  • Cho, Hun Ha;Kim, Nam Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.548-557
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    • 2014
  • Purpose: This study investigates the level of nursing professionalism and factors that affect nurse perceptions. Method: This study is a descriptive study involving 443 nursing students from two universities. Data were collected in September 2012 via a structured self-report questionnaire and subsequently analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson correlation coefficients, and multiple regression. Results: The mean scores for nurse image, core elements of nursing professionalism and nursing professionalism were $3.65{\pm}.46$, $4.17{\pm}.39$ and $3.59{\pm}.45$, respectively. Nursing Professionalism had a significant positive correlation with nurse image (r=.749, p<.001) and core elements of nursing professionalism (r=.365, p<.001). In multiple linear regression, factors that influenced nursing professionalism were: temperament as nurses, professionalism, vision of career, role performance of nurses' image, and fundamental nursing practical experience. These variables explained about 58.8% of the total variance in nursing professionalism. Conclusion: For more positive nursing professionalism among students, more attention should be paid to enhancing the positive image of nurses. Doing so can serve as a fundamental resource for the development of appropriate strategies for nursing professionalism.