• 대한간호학회지
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• 제31권1호
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• pp.139-149
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• 2001

The purpose of this study was to analyze characteristics related to the activity of Daily Living (ADL) and dementia among the elderly people who have Medicaid. The cross-sectional descriptive survey study was a nationwide randomization sampling among the population of elderly families who have Medicaid. The data were collected during the month of October, 1999 and total sample was 1,027 elderly people. There were major findings according to the studies. In the results of the ADL assessment most of elderly people were within the 24 to 45 point range. Also, 63.3% of elderly people who made 45 points do not need help when performing daily activities according to the 15 areas of activity components, and 4.9% of these people couldn't do their daily activities. The results of the Dementia assessment were 70.6% of elderly people were in the normal range, 21.7% have a mild case, and 2.8% have severe case of dementia. These were found by using instruments for mental states, which simplified to items of detection of early dementia. In the result of these tests, there was a significantly positive correlation between ADL and degree of dementia with the pearson correlation coefficients. As a result of these studies, the author recommend to strengthen function and organization of public health like a visiting nurse center for elderly people who are over 65 years old. In addition, the government should apply early detection and management system for dementia in the community continuously and cost-effectively, especially for elderly people who live alone and are vulnerable elderly as our priority.

• 대한간호학회지
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• 제48권1호
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• pp.12-25
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• 2018

Purpose: This study was performed to develop the Job Satisfaction Scale for Clinical Nurses (JSS-CN) and verify its validity and reliability. Methods: A preliminary 42-item version of the JSS-CN was developed through literature reviews and in-depth interviews. The draft scale was developed using thirty-seven items selected following content validity evaluation. Finally, thirty-three items with response options on a 5-point Likert scale were selected based on internal consistency reliability and construct validity. Subsequently, the test-retest reliability and convergent validity of the JSS-CN were verified. Results: Six factors, namely, recognition from the organization and professional achievement, personal maturation through the nursing profession, interpersonal interaction with respect and recognition, accomplishment of accountability as a nurse, display of professional competency, and stability and job worth, were identified, which explained 59.7% of the total variance. The JSS-CN's Cronbach's ${\alpha}$ for the total scale was .95, and the intra-class correlation coefficient was .90. The correlation coefficient between the scores of the JSS-CN and Slavitt's scale was .75, and that between the JSS-CN and job performance was .53. Conclusion: Results showed that the JSS-CN has good reliability and validity. Therefore, it is concluded that the JSS-CN could be a useful tool for the measurement of the job satisfaction of clinical nurses in Korea.

• 임상간호연구
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• 제18권3호
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• pp.413-423
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• 2012

Purpose: This study is to determine the patterns of relationship between organizational socialization (OS) and organizational citizenship behavior (OCB) among nurses working in a general hospital setting by examining whether organizational adaptation through OS leads to positive behavioral changes, which may be helpful to improve organizational performances. Methods: The data were collected from 494 nurses in five general hospitals using a structured questionnaire, and they were analyzed by conducting canonical correlation analysis using SPSS 12.0. Results: The analysis of the relationship patterns between OS and OCB revealed that two significant canonical correlations between the two groups of nurses with less than 5 years of working experience (LT) vs. more than 5 years of experience (MT), respectively. Thus, the complicated correlations between OS and OCB were identified. The variables that contributed to each canonical function most were 'politics', 'organizational goals and values' in the LT group, and 'organizational goals and values' and 'language' in the MT group. The notable point in the relation between OS and OCB in our study was negative contribution of 'sportsmanship' among the OCB variables in the MT group. This is thought to be the negative effect of OS. Conclusion: More effective workforce management could be achieved by adopting a differentiated approach according to work experience. To develop a better program to enhance OS, more careful attention to OCB of experienced nurses should be paid to minimize a negative effect on organization while rewarding individuals or departments for a positive organizational behavior.

• 보건의료산업학회지
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• 제9권1호
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• pp.109-122
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• 2015

This study carries out a declarative survey research designed to ascertain nursing informatics competency, job satisfaction and nursing performance of nurses and investigates the influence of nursing informatics competency on job satisfaction and nursing performance. The research was performed with 274 nurses who have been working for at least 6 month in P national university hospital in Y city, during the 30-day period of 15th October 2014 to 15th November 2014, using a questionnaire composed of questions on nursing informatics competency(30 items), job satisfaction(20 items), and nursing performance(23 items). The collected data underwent descriptive statics, t-test, ANOVA and Scheffe'test. Pearson correlation coefficients were also obtained and a stepwise multiple regression was performed by the SPSS WIN 19.0 program. The regression coefficient is positive between nursing informatics competency and conducting an information search(${\beta}=.20$, p=.012), in the case of job satisfaction,; It was also positive between nursing competency and computer related information management(${\beta}=.19$, p=.011), perception of informatics(${\beta}=.17$, p=.010), conducting an and information search(${\beta}=.17$, p=.004) in the case of nursing performance. We conclude that, in the nursing process, if nurse do their best to accomplish their tasks and strive to increase the productivity and efficiency of nursing tasks, they will achieve the organization's goals and balanced development.

• 대한간호학회지
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• 제45권6호
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• pp.879-889
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• 2015

Purpose: The purpose of this study was to construct and test a structural equation model of quality of work life for clinical nurses based on Peterson and Wilson's Culture-Work-Health model (CWHM). Methods: A structured questionnaire was completed by 523 clinical nurses to analyze the relationships between concepts of CWHM-organizational culture, social support, employee health, organizational health, and quality of work life. Among these conceptual variables of CWHM, employee health was measured by perceived health status, and organizational health was measured by presenteeism. SPSS21.0 and AMOS 21.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factors affecting quality of work life among clinical nurses. Results: The goodness-of-fit statistics of the final modified hypothetical model are as follows: ${\chi}^2=586.03$, ${\chi}^2/df=4.19$, GFI=.89, AGFI=.85, CFI=.91, TLI=.90, NFI=.89, and RMSEA=.08. The results revealed that organizational culture, social support, organizational health, and employee health accounted for 69% of clinical nurses' quality of work life. Conclusion: The major findings of this study indicate that it is essential to create a positive organizational culture and provide adequate organizational support to maintain a balance between the health of clinical nurses and the organization. Further repeated and expanded studies are needed to explore the multidimensional aspects of clinical nurses' quality of work life in Korea, including various factors, such as work environment, work stress, and burnout.

• 대한간호학회지
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• 제33권8호
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• pp.1111-1118
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• 2003

Background. A midwife is a medical professional who has a nursing license, and is also licensed as a midwife with one additional year of education. In this globalization era, a midwife's role is increasing in importance for women and children's health care worldwide. Purpose. The primary purpose was to analyze midwifery education programs in Korea and other nations. The secondary purpose was to define strategies to improve midwifery education and practice, and to extend the role of a midwife women and children's health care in Korea. Methods & Results. 1) The definition of a midwife and midwifery practice recognized internationally by World Health Organization (WHO) and International Council of Nurse Midwives (ICNM) was identified. 2) Midwifery education programs of Korea, U.S.A., Sweden, Australia, and Japan, were investigated and discussed. 3) Core competencies for the basic midwifery practice suggested by ACNM of the U.S.A. were reviewed as standard of midwifery practice. 4) As for the midwifery education system, a Masters degree program in a college of nursing is suggested. 5) The role of a midwife includes not only health care of childbirth women and newborn babies, but also a lifelong health care of women as well as her family and children. Conclusion. An effort to extend the midwife's role and to improve service is imperative. The Laws/Acts related to midwives should be revised in regard to education, and practices, and the national examination for midwifery licensure needs revision to qualify for international approval. Also, midwifery curriculum and standards of practice need to be evaluated periodically, and an effective system needs to be established to renew midwife licenses.

• 간호행정학회지
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• 제16권3호
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• pp.229-239
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• 2010

Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Methods: As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0. Results: In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable. Conclusion: The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

• 한국의료질향상학회지
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• 제4권2호
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• pp.280-284
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• 1997

한국의 병원 구조에서는 우리 실정에 맞게 QA를 조직하고 운영하여야 한다. QA 실은 원장 직속 기구로 두고, QA 위원회의 자문을 받는다. 의료 보험과 QA의 근원지 국가들에서는 보험 심사실이 없고, 심사 업무를 QA실에서 하고 있다. 심사실과 QA 실이 이미 따로 설치된 병원에서는 이들을 통합하고, QA 실을 신설하고자 하는 병원은 심사실을 QA 실로 전환시킨다. 심사 간호사회가 이를 적극적으로 찬성하고, 이를 수용 할 준비를 하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10367-10374
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• 2015

Background: Cancer and non-communicable diseases are a major issue not only for the developed but also developing countries. Public health and primary care nursing offer great potential for primary and secondary prevention of these diseases through community and family-based approaches. Within Thailand there are related established educational curricula but less is known about how graduate practitioners enact ideas in practice and how these can influence policy at local levels. Aim: The aim of this inquiry was to develop family nursing practice in primary care settings in the Isaan region or Northeastern Thailand and to distill what worked well into a nursing model to guide practice. Materials and Methods: An appreciative inquiry approach involving analysis of written reports, focus group discussions and individual interviews was used to synthesize what worked well for fourteen family nurses involved in primary care delivery and to build the related model. Results: Three main strategies were seen to offer a basis for optimal care delivery, namely: enacting a participatory action approach mobilizing families' social capital; using family nursing process; and implementing action strategies within communities. These were distilled into a new conceptual model. Conclusions: The model has some features in common with related community partnership models and the World Health Organization Europe Family Health Nurse model, but highlights practical strategies for family nursing enactment. The model offers a basis not only for planning and implementing family care to help prevent cancer and other diseases but also for education of nurses and health care providers working in communities. This articulation of what works in this culture also offers possible transference to different contexts internationally, with related potential to inform health and social care policies, and international development of care models.

• 한국콘텐츠학회논문지
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• 제16권5호
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• pp.375-383
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• 2016

본 연구의 목적은 전문직 자아개념과 감정노동이 이직의도에 미치는 영향을 고찰해보는 것으로서, 감정 노동 상황에 노출되며 전문직 자아개념의 강하게 작용하고 있는 여성아동병원 간호사 대상으로 실증분석을 하였다. 분석결과 전문직자아개념과 감정노동간의 관계에서는 전문직자아개념의 구성요소 중 업무만족감만 감정노동과 통계적으로 유의한 결과로 나타났다. 전문직 자아개념과 이직의도간의 관계에서는 전문직 실무 업무에 대한 자부심과 업무만족감이 이직의도에 유의한 영향을 미치는 것으로 나타났다. 감정노동과 이직 의도간의 관계에서는 감정노동중 표면행위만 이직의도에 정의관계로 유의하게 나타났다. 연구 결과를 토대로, 여성아동병원 간호사처럼 전문성을 지니며 감정노동이 강한 조직구성원의 이직의도를 낮추기 위해서는 전문가로서의 자부심이 강한만큼 전문가로서의 인정 및 업무만족감을 높이기 위한 조직관리방안이 모색되어야 하며, 감정노동의 내면화나 표면행위에 따른 부정성 해소 방안이 적용되어야 할 것이다.