• 대한간호
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• 제29권1호
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• pp.72-83
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• 1990

The purpose of this study was to identify role conflict and professional attitude of Health Center nurses for health nursing administration. The data were obtained from 151 nurses of 7 Health Centers in S from July 15 to July 22 1989 using the questiennaires which consisted of 2 scales of role conflict and profess" ional attitude. The data were analyzed by percentage, mean, t-test, ANOVA and Cronbach's $\alpha$ reliability test. The results were as follows. 1) Institutional factor had the highest mean score for the degree of role conflict. The relationship between the degree of role conflict and general characteristics was found to be statistically significant for duty position. (F=2.61, p<.05) 2) Professional educational level had the highest mean score for the professional attitude. The relationship between professional attitude and general characteristics was found to be statistically significant for educational background. (F=4.91, p<.00l), p<.00l)

• 대한간호
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• 제37권2호
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• pp.53-62
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• 1998

ursing as a profession is characterized by its holistic, mind-body-spirit approach to the patient. Also, nurses have historically been the leaders in health education and promotion. Parish nursing has a great potential for providing primary preventive health care. services as well as assisting people to access the health care system. While working in the community, parish nurses see the church as the new arena for delivering health care services. The parish nurse program was introduced by Granger Westberg in 1984. The concept of parish nursing is based on several beliefs; health is multidimensional and affects all aspects of an individual-physical, psychological, social, and spiritaul being. Parish nursing is one model in which churches can cooperatively work with health care institutions to address the needs of their parishioners. The role of the parish nurse is emphasized in four basic area: a) health education, b) health counseling, c) referal services, and d) facilitation and organization of support groups within the congregation. The parish nurse programs work chiefly in congregation or commuity where a certain language of faith is ready at hand. This means that the parish nurse works in an ecology of meanings and care which encourages the drawing on the message of God's grace, the practices and habits it encourages. The parish nurse may be involved in the church's health ministries and may work on either paid or volunteer basis; however, one of the most important qualification of the parish nurse is to have the nursing knowledge and skills to practice within the standards of Nursing Practice Act. The completion of standards of practice for professional nurses practicing as parish nurses had been identified as a priority by the HMA Executive Board (1996, HMA). In conclusion, parish nursing promotes health and healing by empowering the faith community, family, or individual to incorporate health and healing practices. There are several preconditions that should proceed to establish the foundation for successful development of the parish nursing program in Korea. First, reciprocal relationship with home health nursing should be considered. Second, correct terms and concepts of parish nursing should be studied and understood. Third, systematic study and investigation should be followed for further development of parish nursing. Fourth, strengths and weaknesses of different models should be studied to develop proper model of parish nursing for Korean situation. Finally, consensus of standardized education program and corporation with various religious communities as well as health institutions should be established. When these preconditions are met, the role of parish nursing as a new program for the promotion of holistic health will be established.

• Journal of Hospice and Palliative Care
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• 제11권1호
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• pp.30-41
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• 2008

목적: 본 연구의 목적은 호스피스 병동에서 근무하는 간호사의 역할 변화 경험이 무엇인지 조사하여 호스피스서비스의 질향상을 위한 기초자료를 제공하고자 함이다. 방법: 본 연구는 포커스 그룹 인터뷰 방법을 사용한 질적 연구로서 연구 참여자는 서울시내 일 대학병원의 호스피스병동 간호사 12명이었다. 자료 수집은 2006년 5월에서 7월 사이에 3차에 걸쳐 이루어졌으며 포커스 그룹 인터뷰에 사용된 연구 질문은 "호스피스 환자를 돌보면서 경험한 역할변화는 무엇인가?", "호스피스 간호를 하면서 변화된 역할에 대한 자신의 경험과 반응은?" 이었으며 3차 인터뷰에서는 위의 두 가지 질문과 함께 "호스피스 환자를 간호하면서 경험한 부담감과 어려움을 위한 해결책은 무엇이라고 생각하는가?"라는 질문을 추가하였다. 수집된 자료의 분석은 Kruger(1998)가 제시한 분석과정에 따라 4단계 지침을 이용하였다. 결과: 1차 포커스 그룹 인터뷰 결과 호스피스 병동 간호사가 경험한 역할 변화는 '기계적인 간호에서 인간적인 간호로의 변화', '임종을 지키는 간호', '가족지지 및 상담', '팀워크 조율' 등의 4개 범주인 것으로 나타났으며 일반병동에서 근무할 때와 비교하여 심리사회영적인 부분과 가족을 배려하는 진호실무의 질적향상을 경험한 것으로 나타났다. 2차 포커스 그룹 인터뷰 결과 변화된 역할에 대한 간호사의 경험과 반응은 두려움, 난감함, 성숙, 부담감, 미안함, 뿌듯함, 감정이입, 우울 등 총 8개의 범주인 것으로 확인되었으며 간호사들이 개인적으로 삶과 죽음에 대한 성숙을 경험한 것으로 나타났다. 3차 포커스 그룹 인터뷰 결과 두려움, 난감함, 부담감, 미안함 등의 부정적인 경험의 감소를 위한 해결책은 호스피스 간호를 수행하기 전에 간호사 인력에 대한 체계적인 호스피스 교육이 필요하고 호스피스 전용병상의 형태보다는 독립 호스피스 병동의 개설이 필요함을 강조한 것으로 나타났다. 결론: 호스피스 환자와 가족을 간호하는 간호사들은 자신들의 경험을 통해 신체적인 면뿐만 아니라 심리사회영적인 부분을 포함하는 전인간호, 가족을 배려하고 팀�p을 중시하는 발전된 간호를 수행하게 되었으며 개인적으로도 삶과 죽음을 이해하게 되는 성숙을 경험하게 되는 것을 알 수 있다. 또한 효율적인 호스피스간호 서비스의 제공을 위해서는 독립적인 호스피스 병동 형태인 것이 바람직하고, 호스피스 병동에 근무하게 된 간호사들이 사전에 적절한 호스피스 교육을 제공하는 것이 필수적이라 하겠다.

• Journal of Hospice and Palliative Care
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• 제13권1호
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• pp.13-23
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• 2010

목적: 말기 환자와 가족을 돌보는 호스피스 완화 간호사의 정의와 직무내용을 파악하고, 직무기술서를 작성하여, 호스피스 완화 간호사의 역할을 제시하는 데 있다. 방법: 호스피스 완화 간호사의 직무를 분석하기 위해 데이컴 직무분석 기법을 적용하였으며 직무분석의 빈도, 중요도, 난이도 조사를 위한 대상은 ELNEC project Korea에 참석한 간호사 136명의 설문자료를 대상으로 하였다. 직무분석을 위한 설문지는 8개의 임무와 36개의 일 내용으로 구성되었다. 36개의 일 내용에 해당되는 일의 요소는 137개 문항으로서 각 일의 요소에 대한 중요도, 빈도, 난이도는 각각 4점 척도로 측정하였다. 수집된 자료는 일반적 특성과 직무내용에 대한 빈도, 중요도, 난이도를 백분율, 평균, 표준편차로 분석하였다. 결과: 호스피스 완화 간호사는 '간호사 면허 소지자로서 호스피스 완화의료 영역에서 신체적(신체사정, 통증 및 증상관리 포함), 심리사회적, 영적 간호 돌봄에 대한 임상경험과 실무능력을 갖춘 간호사'로 정의하며, 호스피스 완화 간호사 직무 기술서 임무 8개, 일 36개, 일의 요소 137개로 구성되었다. 호스피스 완화 간호사의 임무에 대한 빈도, 중요도, 난이도 평균은 각각 2.94, 3.66, 2.80점이었고, 가장 빈도가 높은 임무는 자료수집(평균 3.23), 빈도가 가장 낮은 임무는 환경 및 자원관리(평균 2.74)이었다. 각 임무에 대한 중요도는 모두 평균 3.50점 이상(평균범위 3.53~3.72)으로 모두 중요한 임무라고 응답하였다. 난이도는 의뢰/조정/협동(평균 2.63)과 환경 및 자원관리(평균 2.65)를 제외한 모든 임무 영역에서 비슷한 난이도(2.73~2.77)를 보였다. 호스피스 완화 간호사 직무의 일에서 가장 빈도가 높은 역할은 통증 사정(평균 3.64)이었고 빈도가 가장 낮은 역할은 재정관리하기 (평균 2.36)이었다. 중요도 수준에서 가장 높은 점수를 보인 일은 통증 사정(평균 3.92)이었고 가장 점수가 낮은 일은 진단 검사를 통한 자료수집하기(평균 3.43)이었다. 난이도 항목에서 가장 점수가 높은 일은 말기환자와 가족의 영적 상태 사정하기(평균 3.11)였고 난이도가 가장 낮은 일은 문서/정보관리하기(평균 2.31)이었다. 결론: 이상의 호스피스 완화 간호사의 역할은 호스피스 전문 간호사에 비해 직접간호 실무 영역에서 더욱 활발한 역할을 수행하고 있으나 보다 체계적인 통증 및 신체증상 관리에 대한 계속교육이 요구되며 치료적 관계를 형성하기 위한 심리사회적, 영적 요구사정 및 중재, 의사소통 및 상담, 사별관리 영역의 실무지침 및 심화교육이 절실히 필요한 것으로 파악되었다. 이를 통해 호스피스 완화의료 대상자(환자와 가족)의 요구에 맞는 변화되고 진보된 호스피스 완화 간호사의 역할을 수행할 수 있다고 본다. 또한 호스피스 완화 간호사의 직무분석 결과를 토대로 이들도 호스피스 관련 자격인증을 받을 수 있는 호스피스 완화의료학회와 호스피스 완화간호사회 및 대한간호협회 차원의 노력이 조속히 진행되어야겠다.

• 한국직업건강간호학회지
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• 제13권2호
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• pp.118-129
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• 2004

Purpose: The purpose of this study is to investigate effects of shift work on married nurses' role conflict and job satisfaction. Method: Study subjects consisted of married nurses employed at four general hospitals with over 500 beds located in Seoul and Kyunggi area. The data were collected from March 15th to April 7th, 2004 using the survey and the subjects were asked to reply through self-administrative method. Results: Mean value of role conflict of nurses who worked shift work was measured 3.12 out of 5, and that of nurses who did not was measured 2.98. Mean value of job satisfaction of nurses who worked shift work was measured 2.79 out of 5, and that of nurses who did not was measured 2.86. There was a significant reverse correlation between mean level of role conflict and of job satisfaction. Both groups, nurses who worked shift work and nurses who did not, showed significant reverse-correlation in two areas. In the case of nurses who worked shift work, role conflict not showed a significant correlation. Job satisfaction showed a significant correlation with the plan to work as a nurse and remuneration in the case of nurses who worked shift work. Duty of supporting family was the factor affecting role conflict and measured 4.2% in the case of nurses who worked shift work, and the plan to work as a nurse and the academic background in the case of nurses who did not work shift work. Conclusion: To reduce role conflict and to improve the degree of job satisfaction, there should be taken a measure to improve a financial compensating system for working shift work for nurses who worked shift work, and to help nurses not working shift work to design plans for their job as nurses with stability.

• 근관절건강학회지
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• 제21권3호
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• pp.224-235
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• 2014

Purpose: The purpose of this study was to test the reliability and the validity of the Practice Environment Scale of Nursing Work Index (PES-NWI) scale when applied to Korean psychiatric nurses working in the psychiatric hospital in Korea. Methods: Data from 224 psychiatric nurses working in the 6 psychiatric hospitals in Korea were analyzed using Cronbach's ${\alpha}$, item total correlation, and exploratory factor analysis. Results: The Cronbach's ${\alpha}$ for the 27 items from the PES-NWI were .93, and the item total correlation coefficients ranged from .38 to .64. Six factors which explained 61.2 of variance in the perception of practice environment, emerged; nurse professional role and development, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy, nursing foundation for quality of care, collegial nurse-physician relations, co-worker's ability and qualification. Five derived factors reconstructed, and two factors were renamed. Conclusion: Findings demonstrate that not all but 27 items from PES-NWI is a reliable and valid scale when applied to Korean psychiatric nurses working in Korea. Also findings indicate that Korean psychiatric nurses perceive practice environment differently than American nurses but have some point of similarities with Asian nurses working in the United States.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.311-314
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• 2016

Background: Nurses play an important role in preventive medicine because they represent the largest sector of health professionals. This role is very crucial in developing countries, which are going through rapid societal and economic changes, associated with a rising burden of cancers due to different risk factors. The current study aimed to compare health awareness between nurses and healthy women regarding preventive gynecological examinations and to answer the question - can nurses make a difference in women's health? Materials and Methods: This cross sectional research included a total of 150 women, 70 nurses and 80 healthy women, randomly selected. Data were collected in 2014 in Vlora city through a self-administered questionnaire that assessed different variables about preventive gynecological examinations. Results: Cervical screening rates were 20.3% and 41.8%, respectively, for nurses and healthy women, despite the former having a statistical significant greater knowledge of risk factors and symptoms. Conclusions: Even if the health awareness of nurse participants can be considered good, they need themselves to increase participation rates in cervical screening if they are to provide role models for health education/promotion addressing misconceptions and barriers.

• 간호행정학회지
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• 제13권1호
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• pp.109-117
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• 2007

Purpose: This study focused on analysing the performance and the perception of importance about workload of ambulatory nurses and nurse-aides for quality of nursing. Method: The subjects of this study were 126 ambulatory nurses and 117 nurse-aides in 6 secondary and 4 tertiary hospitals. The method of data collection was used the questionnaire. Result: As a result, First, nurses' activities that the performance score is above 3.0 are reception, guidance, reservation, confirm, checking medical record, operating report, explanation of disease, explanation of examination discuss with medical part, discuss with supporting part, solving patient problem environment management, and paper work. And the other side, those of nurse-aides are reception, guidance, reservation, preparation for clinic, assistant for clinic, preparation for examination, material transfer & receipt, confirm, checking medical record, and arrangement. Second, nurses-aids perceive above 3.0 performance score activities to be important for themselves. Finally, nurses perceive three categories of patient education/counselling, patient advocacy and quality improvement to be more important and higher performance when compared with nurse-aides. Conclusions: Ambulatory nurse's important nursing activities are therapeutic care, patient education/counselling, patient advocacy, communication, personal management, quality improvement.

• 성인간호학회지
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• 제28권5호
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• pp.585-594
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• 2016

Purpose: The purpose of this study was to develop and test a predictive model on the male nurses' turnover intention. Methods: This study utilized the model-testing design based on the Price's causal model of turnover. This study collected data from 306 male nurses on a national scale with structured questionnaires measuring job opportunity, kinship responsibility, positive emotion, work autonomy, role conflict, work satisfaction, organizational commitment, and turnover intention. The data were analyzed using SPSS/WIN 22.0 program and AMOS 20.0 program. Results: As the outcomes satisfied the recommended level, the hypothetical model appeared to fit the data. Twenty-seven of the 38 hypotheses selected for the hypothetical model were statistically significant. 54.2% of turnover intention was explained by job opportunity, kinship responsibility, positive emotion, work autonomy, role conflict, work satisfaction and organizational commitment. Conclusion: The hypothetical model of this study was confirmed to be adequate in explaining and predicting male nurses' turnover intention. Findings from this study can be used to design appropriate strategies to decrease the male nurse's turnover intention.

• 대한간호학회지
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• 제6권2호
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• pp.32-38
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• 1976

The advanced knowledge is increasing day by day due to the progress of medicine and tectonics, the increase of nursing research nowadays. In parallel with these, nursing profession has a need of the nursing care with improvement of new Knowledge, tectonics and nursing procedure through the insertive education. Therefore, this study was attempted to investigate that to grasp learning need of nurses about inservice educational play a pivotal role in the progress of inservice education. This study was made from 242 clinical nurse at 4 hospitals in Seoul and through question- are consisting of 1) ideological part 2) basic sciences 3) nursing part 4) administrative part 5) the others from 10 July '75 to 7 Oct. '75. The data were treated by percentage, Licker method, arid chi- square examination. Significant difference p is 0.05. The results of this studies are as follows : A. learning needs of nurses 1) Generally the learning needs of nurses is very high. 2) Of the learning need of inservice education for nurses, the highest learning need is as follow (Table 2 ) 1 st : Charting 2 nd : The ability of grasping patient's needs and problems. 3 rd ; The contents and the methods of the advanced nursing skill. 4 th ; The importance of team work 5 th ; The general knowledge of the various disease 6 th : The decision of a propriety nursing diagnosis under the general condition. 7 th ; The introduction of the new nursing theory. 8 th : The Nurses role and the responsibility in emergency and disaster. 9 th : The improvement of nursing skill for the perfect interpersonal relationship. l0th ; Cultural education: B . Verification of hypothesis 1. Hypothesis I , learning needs of nurses and educational level of nurse will be correlated, is rejected (Table 3 ) 2. Hypothesis II, learning need of nurses and duties of post will be correlated, is rejected (Table 4) 3. Hypothesis III, learning need of nurse and clinical experience of nurses will be correlated, is rejected (Table 5).