• 가정∙방문간호학회지
• /
• 제26권1호
• /
• pp.91-101
• /
• 2019

Purpose: The purpose of this study was to identify factors associated with stress related to home mechanical ventilator (HMV) care in general ward nurses. Methods: The study participants were 110 general ward nurses. Data on participant characteristics, level of knowledge, education needs, coping ability in emergency situations, confidence, and stress were collected from August 1 to 30, 2018 using a structured questionnaire by web-based surveys. Data were analyzed using SPSS/WIN 20.0 for descriptive statistics and independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Significant factors associated with stress related to HMV care were ward career, intensive care unit (ICU) career, intensive care room (ICR) career, education experience, and satisfaction level of HMV education. Stress had negative correlations with confidence and positive correlations with education needs. The determining factors affecting stress related to HMV care in the general ward were confidence (${\beta}=-.31$, p=.004), ICR career (${\beta}=-.27$, p<.001), education needs (${\beta}=.24$, p=.005), education frequency (${\beta}=-.18$, p=.040), and ICU career (${\beta}=-.18$, p=.025); their explanation power was about 41.8%. Conclusions: It is necessary to develop HMV care training manuals and guidelines and consider ICU or ICR careers for patient safety.

• 대한간호
• /
• 제31권5호
• /
• pp.39-52
• /
• 1992

As society has changed, the demand for improved health care has increased. To keep up with this type of social need, professional nursing care is seeking to efficiently satisfy the care needs of human beings. The goal of clinical nurse is to meet nursing care needs of patients. This study was designed to survey attitudes of nursing profession of clinical nurses. The following specific 5 objectives were investigated and the attitudes of clinical nurses were determined. 1. The social position of nursing as a profession. 2. Factors influencing the development of nursing. 3. The future of nursing. 4. Their work. 5. Job satisfaction. The subjects consisted of 120 nurses who are working at 5 general hospital over 150 beds Ill CHONG NAM. The nurses were surveyed by means of a questionnaire from May 24 to Jun 15, 1992. The tool used for this study was based on earlier work by Lee, Nam Hi(1978) and Kim, Myong Hee(1984). Computer was used for Data Analysis. Frequency and Percentage were used to examine the genera] characteristics of the subjects. ANOV A and t.test were used to test the relation in characteristics of the subjects and attitudes Loward nursing prfession. The finding of this study were as follows; 1. Social position of nursing as a profession; The response with the highest agreement was "The professional nursing organization is less power. ful than the other professional organization" 3.333 points, and the response with the lowest agreement was "Nursing get a big salary" 2.225 points. 2. Factors influencing the development of nursing; the response with the highest agreement was "Hospital environment should be improved" 4.267 points, and the response with the lowest agreement was "Nurses satisfaction with salary"2.175 points. 3. The future of nursing; the response with the highest agreement was "Along the deveiopmem of science technique will be elevated educational state and graduate to needed in nursing" 3.958 points, and showed generally positive response toward the future of nursing. 4. Their work; the response with the highest agreement was "Work loading due to nursing staff insufficient" 4. 308 points, the response with the lowest agreement was "Nurses are unkind to patient" 2.508 points. 5. The subject's view regarding job satisfaction;it showed that "Interpersonal nursing staffs" 3.508 points, showed generally unsatisfactory response toward job satisfaction. 6. The relationship between the subject's attitudes toward professional nursing and general characteristics showed a significant difference statistically in regard to the field of work(P<.05). 7. The relationship between general characteristics and the subject's attitudes toward factors influencing the development of nursing showed a significant difference statistically in regard to the age and the status of position(P<.05). The subject's attitude toward the future of nursing showed a significant difference statistically in regard to the age and the period of nursing career and the field of work(P<.05, P<.005). The subject's attitude toward the job satisfaction showed a significant difference statistically in regard to the age and the period of nursing career and the status of position and the field of work(P<.005).

• 디지털융복합연구
• /
• 제18권11호
• /
• pp.319-328
• /
• 2020

본 연구는 간호사의 기본심리욕구, 긍정심리자본, 진성리더십과 심리적 소진 간의 관계를 알아보고, 기본심리욕구와 심리적 소진의 관계에서 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과를 파악하기 위한 서술적 조사연구이다. 연구대상자는 2020년 4월부터 2020년 6월까지 M시에 소재한 5개 종합병원 간호사 182명을 대상으로 하였으며 자료수집은 자기보고 설문지법을 사용하였다. 자료분석은 SPSS/WIN 23.0 Program과 SPSS PROCESS MACRO(모텔4번과 모텔 7번)을 활용하여 분석하였다. 연구 결과 기본심리욕구는 심리적 소진에 부적영향을 주었으며, 기본심리욕구와 심리적 소진의 관계에서 긍정심리자본의 매개효과와 진성리더십의 조절된 매개효과가 있었다. 본 연구결과 간호사의 심리적 소진 감소를 위해서는 기본심리욕구 충족과 긍정심리자본의 향상이 필요하며, 관리자의 진성리더십이 요구되는 것으로 확인되었다. 그러므로 간호사의 심리적 소진 감소를 위해서는 간호사의 기본심리욕구와 긍정심리자본을 향상시킬 수 있는 전략개발과 간호관리자의 진성리더십 개발을 위한 리더십 프로그램개발이 필요하다.

• 디지털융복합연구
• /
• 제14권8호
• /
• pp.343-353
• /
• 2016

본 연구는 임상간호사의 기본심리욕구, 셀프리더십, 직무스트레스가 간호업무성과에 미치는 영향을 알아보기 위한 서술적 조사연구다. 연구대상자는 2016년 2월부터 2016년 3월까지 P시와 D도에 소재한 3차 의료기관에 근무하는 간호사 160명을 할당표집 하였으며, 자료수집은 자가보고 설문지법을 사용하였다. 자료 분석은 SPSS/WIN 18.0프로그램으로 t-test와 분산분석, 상관분석, 다중회귀분석의 방법을 이용하였다. 연구결과 간호업무성과는 일반적 특성 중 연령, 결혼여부, 임상경력, 직위, 근무형태에 따라, 셀프리더십은 연령, 결혼여부, 종교, 임상경력, 직위와 근무위형에 따라, 직무스트레스는 직위에 따라 유의미한 차이를 보였다. 간호업무성과는 기본심리욕구(r=.59, p<.001), 자율성(r=.31, p<.001), 유능감(r=.68, p<.001), 관계성(r=.48, p<.001, 셀프리더십(r=.58, p<.001) 및 직무스트레스(r=.19, p<.05)와 정적상관 관계가 있었다. 간호업무성과에 대하여 기본심리욕구(${\beta}$=.43), 셀프리더십(${\beta}$=.33), 직무스트레스(${\beta}$=.21)은 47.3%의 설명력을 보였다. 본 연구결과 기본심리욕구, 셀프리더십, 직무스트레스는 간호업무성과를 향상시키는 것으로 확인되었다. 그러므로 임상간호사의 간호업무 향상을 위한 간호사의 기본심리욕구와 셀프리더십을 증가시키기 위한 프로그램 개발이 요구된다.

• 여성건강간호학회지
• /
• 제8권2호
• /
• pp.177-189
• /
• 2002

Sexual health education for the patients is an independent function as well as a professional responsibility of nurses. Education should be based on the needs of patients in order to be successful and effective. Therefore nurses must identify sexual health education needs of their patients. A sexual health education protocol for hysterectomy patients was developed by the researcher for this study and included physiosexual and psychosexual topics as well as the topic of sexual interaction. The subject pool was composed of 108 post op total hysterectomy patients who had undergone doing a hysterectomy 5 to 10 days previously at 5 hospitals located in the Seoul and Kyunggi-do area from July 23 to September 30, 2001. The questionnaire was composed of 60 items on sexual health education and used a Likert-type 4-point scale. Internal consistency of this questionnaire in this study was cronbach's $\alpha$=.9495 for sexual health educational needs. For data analysis, the study executed a t-test, ANOVA, and Duncan's Test, in accordance with the purpose of the study using SPSS/PC Win 10.0. The results were as follows: The need for education was highest in the psychosexual area (3.38 point) with education related to sexual interaction the lowest (3.20 point). Osteoporosis (3.75 point) was ranked overall as the highest area of educational need. The degree of educational need varied in correlation with other characteristics of the patients including age, status of marriage, duration of marriage, religion, academic career, monthly income, occupation, the number of children age of menarche, menstruation, other diseases except gynecological disease, previous genital organ operation experience, disease discovery method, pre-explanation for the hysterectomy, average sexual intercourse frequency, how to acquire sexual health information and previous sexual health education (p<.05). In conclusion, the degree of sexual health education needs of hysterectomy patients was very high. Therefore, sexual health educational programs planned according to characteristics of the participating women is necessary.

• 정보관리학회지
• /
• 제39권1호
• /
• pp.281-308
• /
• 2022

본 연구는 중소병원에서 근무하는 보건의료인 중에서도 지금까지 연구 대상으로 채택되지 못한 간호사, 의료기사, 약사의 정보이용행태 및 정보요구를 탐색하여 병원 내 의학도서관의 정보서비스 개선 방향을 제시하는 것을 목적으로 한다. 이론적 배경과 선행연구 분석을 기반으로 하여 연구 설계를 진행하였으며, 전국의 중소병원에서 근무 중인 간호사, 의료기사, 약사를 대상으로 심층면담을 실시하였다. 연구 결과, 중소병원 보건의료인의 정보요구 발생 동기와 정보이용행태, 병원 내 의학도서관에 대한 인식을 파악할 수 있었으며, 이를 종합하여 병원 내 의학도서관 정보서비스 개선 방향을 제시하였다. 본 연구는 중소병원에서 근무하는 다양한 보건의료인의 정보이용행태 및 정보요구를 탐색한 초기 시도라는 점에서 의의를 갖는다.

• Perspectives in Nursing Science
• /
• 제15권1호
• /
• pp.18-28
• /
• 2018

Purpose: This study was designed to explore the levels of physical activity and fatigue among nurses and to identify the relationship between these variables. Methods: Participants were 89 nurses working at an intensive care unit and an operating room in a children's hospital. Data were collected using self-reported questionnaires including the International Physical Activity Questionnaire and Brief Fatigue Inventory. Results: Most of the nurses' physical activity was work related, and there was a significant difference according to the working unit. Nurses with higher work stress and lower job satisfaction showed higher levels of fatigue than their counterparts did. Work-related physical activity and the interference of fatigue with relationships were related positively, whereas transport and leisure time physical activity were negatively related to usual fatigue and the interference of fatigue with life enjoyment. Conclusion: The levels of physical activity and fatigue of nurses were higher than those observed among other populations. The appropriate level of physical activity for these nurses needs to be investigated carefully. Also, in the intervention for nurses' fatigue, their level of work-related and leisure-time physical activity should be considered separately, and their work environment and psychological satisfaction level should be included.

• Child Health Nursing Research
• /
• 제21권2호
• /
• pp.176-182
• /
• 2015

Purpose: The study purposes were to explore school nurses' experience, perceived barriers, and education needs in diabetes management at school. Methods: This study was a cross sectional study and the study participants were recruited conveniently at continuing education seminars for school nurses at Incheon Metropolitan City. Results: Data for 101 school nurses were analyzed. The nurses were all women and their mean age was $46.9{\pm}9.3$ years. About 66% of them had experience with children with diabetes at school. The school nurses reported that 74.6% of the students tested their blood glucose by themselves, the school clinic was the most common place for blood glucose tests (47.8%) and insulin injections (50.8%) and the nurses knew students' diagnosis through the student health survey (58.2%). About half of the nurses (53.7%) reported that glucagon should be available at school and 49.2% were willing to inject glucagon when necessary. The most frequently reported barrier in diabetes management was role confusion ($6.0{\pm}1.3$) and the most common educational need was emergency responses ($5.9{\pm}1.4$). Conclusions: School health policy for diabetes management and diabetes resources are necessary to minimize role confusion of school nurses, improve emergency response, and facilitate health promotion activities in diabetes management.

• 간호행정학회지
• /
• 제10권4호
• /
• pp.449-457
• /
• 2004

Purpose: This study seeks to identify situations where nurses are required to consider alternatives, for the delivery of nursing care, appropriate to the needs of a medical care unit, surgical care unit, and intensive care unit in a university hospital. Method: Data was collected from 100 nurses using an open questionnaire, during a one week period in May, 2003. These nurses all had at least two years of experience within a medical care unit, surgical care unit, or intensive care unit at a university hospital. Results: The situations that nurses typically faced were categorized into 21 problems for nurses including : respiratory problems(26.8%), pain(23.6%), problems in relation to bowel habit(23.2%). In cases where nurses were faced with making decisions in relation to solving respiratory problems, the alternatives included ; applying oxygen(29.3%), physical assessment and monitoring(14.7%), refining and modifying order and suggestion order(9.3%). Ventilator care(9.3%), was chosen to solve pain problems ; doing pm orders(30.3%), placebo medication(27.3%), and to refine and modify orders and suggestions(18.2%). To solve problems in relation to bowel habits ; enemas accounted for 32.3%, and laxative medication 30.8%. Conclusion: To improve the quality of nursing, the outcome of nursing care associated with 21 problems for nurses including : respiratory problems, pain, and problems in relation to bowel habit, should be identified and the best alternative nursing care should be developed.

• 의학교육논단
• /
• 제25권2호
• /
• pp.159-173
• /
• 2023

The purpose of this study was to develop and validate a competency tool for new nurses and to pilot-test it with new nurses. A Delphi survey was conducted to develop a competency tool, and a self-evaluation was conducted among new nurses who pilot-tested the finally derived competencies. The Delphi survey panel consisted of 18 people, including adjunct professors at the College of Nursing, nursing managers, and nurses with master's degrees. The Delphi survey asked about the validity of the competencies constructed in two rounds. After analyzing the Delphi results with mean, standard deviation, content validity ratio, degrees of convergence, and degrees of consensus, 12 core competencies and 36 enabling competencies were finally derived. The competencies consisted of clinical judgment and management (nine items), task competence (four items), patient orientation (five items), moral value orientation (three items), cooperation (two items), supply management (two items), professional development (three items), confidence (one item), self-control (two items), flexibility (two items), influence (one item), and nurturing others (two items). The finally derived competencies were pilot-tested with 229 new nurses who had worked for 2-12 months. The self-evaluation scores of new nurses were distributed differently according to their working period. In this study, the competencies required for new nurses were identified and the corresponding enabling competencies were identified. In the future, it is expected that a competency-based education program will be prepared based on these findings, and furthermore, it will be possible to provide high-quality medical and nursing services that meet patients' needs by improving the competency of new nurses and lowering the turnover rate.