• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.1
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• pp.11-18
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• 2012

Purpose: The aim of this study is to evaluate the efficiency of the outpatient clinics in a hospital, using DEA. Methods: Data were collected using an activity-based costing system, medical information system, and annual reports of customer satisfaction management team of a general hospital in a city. The input variables were the number of doctors, the number of nurses, and the number of staffs. The output variables were the number of treatment times, the number of outpatient clinic patients, the total profits from outpatient clinic, the patient's satisfaction score, and the number of re-visit appointments. EMS Window version 3.1 was used to measure the efficiency score and benchmarking analysis. Results: The average efficiency score of 24 outpatient clinics was about 82.01%. Thirteen outpatient clinics had 100% efficiency score among them. The lowest efficiency score was 57.56%. Conclusion: According to these results, we found that, generally, outpatient clinics were operated very efficiently. However, some outpatient clinics had low efficiency and they needed specialized outcome improvement strategies. To increase the efficiency of inefficient outpatient clinics, we will recommend using results of DEA, as a benchmark point of the most efficient outpatient clinics.

• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.461-470
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• 2013

Purpose: This study examined factors influencing subjective quality of life in baby boom generation men. Methods: This was a descriptive survey study. Data were collected from 279 baby boom generation men from September to October 2012. The instruments used included a subjective quality of lifescale, a self-esteem scale, a spiritual well-being scale, a communication with spouse scale, a social support scale, and a job satisfaction scale. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and Scheff$\acute{e}$ test, Pearson's correlation coefficients, and Hierarchical multiple regression. Results: All variables were positively correlated with subjective quality of life. As a result, factors influencing subjective life of quality were self-esteem (${\beta}$=.21, p<.000), social support (${\beta}$=.20, p<.002), job satisfaction (${\beta}$=.19, p<.001), communication with spouse (${\beta}$=.15, p<.004), spiritual well-being( ${\beta}$=.16, p<.004), and family income (${\beta}$=.15. p<.023). These factors accounted for 61% of the total variances. Conclusion: The findings indicate a need to develop nursing intervention programs for community health nurses in consideration of these variables to improve the subjective quality of life for baby boom generation men.

• Women's Health Nursing
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• v.20 no.3
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• pp.204-214
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• 2014

Purpose: This study was to investigate the effects of the provision of concrete information about patient-controlled analgesia (PCA) in hysterectomy patients. Methods: Study design was a nonequivalent control group non-synchronized pre- and post-test design. Sixty subjects participated were assigned to experimental group (30 patients) or control group (30 patients) at one university hospital. Concrete information about PCA was composed of three sections: explanation with a leaflet, practice of using PCA, and question and answer session. Results: The experimental group who received concrete information about PCA before surgery had statistically higher knowledge level about PCA, more positive attitude toward pain control analgesia, a lower pain score, and a higher satisfaction level of the use of PCA post-surgery compared to the control group who received general information before surgery. Conclusion: Provision of concrete information about PCA was an effective nursing intervention that reduced post-operative pain for patients and increased their satisfaction with using PCA. It is recommended that concrete information about PCA be provided by nurses to promote the use of PCA and consequently reduce patient's pain post-surgery.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.2
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• pp.107-117
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• 2008

Purpose: The aim of this study was to testify effectiveness and adaptability of the job characteristics model in nursing organization. Methods: The subjects of this study were 250 nurses who were working in the 2 general hospitals located in Metropolitan city area. The data were collected by self-reporting questionnaires. The data were analyzed using descriptive statistics and path analysis. Results: The modified path model revealed a highly fitness of the data in the overall fitness indexes. The prediction power of modified model was from 44% to 58%, which was very high. The highest predict factors of organizational commitment were identified meaning of empowerment and feedback of job characteristics. The highest predict factors of job satisfaction were identified impact of empowerment and autonomy of job characteristics. Conclusion: With these findings, it was suggested that the nursing job-redesign plan focused on nursing feedback and autonomy among the job characteristics was needed to increase the nurse’ empowerment as well as nursing organizational effectiveness.

• International Journal of Advanced Culture Technology
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• v.7 no.4
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• pp.1-13
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• 2019

Purpose: Rehabilitation nursing requires an interdisciplinary comprehensive team approach that allows for enough time to promote patients' functional recovery. We identified the effects of a nurse-led rehabilitation intervention program on subacute stroke patients' activities of daily living, anger, and muscle strength, as well as their chief caregivers' satisfaction. Methods: Intervention group participants (n = 20) completed a rehabilitation intervention program, which integrated physical activities with psychological and social approaches. Results: The program did not significantly improve patients' activities of daily living or anger management; however, it significantly affected both anger-in (t = 3.384, p = .002) and anger-out (t = 2.167, p = .037) attitudes. Caregivers' satisfaction among the intervention group (t = 6.935, p < .001) decreased more significantly than that of the comparison group (t = 0.224, p = .825). Conclusion: Rehabilitation intervention program should enlist nurses' participation and promote a team-based approach during the rehabilitation program. Further, patients and their caregivers should be encouraged to express their emotions during counseling.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.21 no.2
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• pp.112-122
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• 2014

Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.

• Safety and Health at Work
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• v.9 no.1
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• pp.109-114
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• 2018

Background: Although work absenteeism is in the focus of occupational health, longitudinal studies on organizational absenteeism records in hospital work are lacking. This longitudinal study tests time pressure and lack of time autonomy to be related to higher sickness absenteeism. Methods: Data was collected for 180 employees (45% nurses) of a Swiss hospital at baseline and at follow-up after 1 year. Absent times (hours per month) were received from the human resources department of the hospital. One-year follow-up of organizational absenteeism records were regressed on self-reported job satisfaction, time pressure, and time autonomy (i.e., control) at baseline. Results: A multivariate regression showed significant prediction of absenteeism by time pressure at baseline and time autonomy, indicating that a stress process is involved in some sickness absenteeism behavior. Job satisfaction and the interaction of time pressure and time autonomy did not predict sickness absenteeism. Conclusion: Results confirmed time pressure and time autonomy as limiting factors in healthcare and a key target in work redesign.

• Journal of muscle and joint health
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• v.28 no.3
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• pp.234-241
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• 2021

Purpose: This study aimed to investigate the factors influencing the nursing profession perception of nursing students. Methods: Data were collected with a questionnaire distributed to 305 nursing students in U city. Data were collected from March 30 to June 15, 2019. Data analysis was performed using the SPSS 22.0 program. Results: There were significant differences in the level of interpersonal trust (F=5.42, p<.001), empathy ability (F=3.13, p=.015), interpersonal relationship ability (F=3.64, p=.006) and nursing profession perception (F=11.95, p<.001) on the major satisfaction. The level of interpersonal trust (r=.21, p<.001), empathy ability (r=.27, p<.001) and interpersonal relationship ability (r=.28, p<.001) were positively correlated with nursing profession perception. Also empathy ability (r=.11, p=.047), interpersonal relationship ability (r=.49, p<.001) with interpersonal trust and correlation of empathy ability with interpersonal relationship ability (r=.32, p<.001) were positively correlated with each other. The significant variables that influence the nursing profession perception were grade, major satisfaction, empathy ability and interpersonal relationship ability. These factors were responsible for 21.3%. Conclusion: The results of this study indicate that educational programs are necessary to raise the nursing perception of nursing students and reduce the turnover of nurses.

• The Journal of Korean Academic Society of Nursing Education
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• v.25 no.1
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• pp.5-16
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• 2019

Purpose: This exploratory study aims to identify various factors influencing the level of nursing professionalism among nursing students. Methods: This study surveyed 246 senior nursing students in U city with a structured self-report questionnaire analyzed with SPSS 22.0. Results: The average scores for clinical practice learning environment, self-leadership, clinical practice belonging, and nursing professionalism were 3.16, 3.77, 3.53, and 3.60, respectively. There were significant differences in nursing professionalism according to the subjects' satisfaction with the nursing major and satisfaction with the amount of nursing. The most significant factors affecting nursing professionalism included clinical practice learning environment (${\beta}=.40$, p<.001), self-leadership (${\beta}=.21$, p=.001), and clinical practice belonging (${\beta}=.16$, p=.011). These variables explained 39% of the total variance in nursing professionalism. Conclusion: Clinical practice learning environment, self-leadership, and clinical practice belonging are factors in the nursing professionalism of senior nursing students. Collaborative efforts by universities and clinics are needed to improve the clinical training environment and to produce good nurses. Particularly since few studies have been conducted in Korea on clinical practice belonging, it is meaningful to explore how clinical practice belonging affects nursing professionalism.

• Journal of Korean Biological Nursing Science
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• v.21 no.3
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• pp.207-216
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• 2019

Purpose: The purpose of this was to compare effects of application of the skin stimulation method and topical anesthetic cream on pain, heart rate variability and satisfaction according to nursing intervention methods during arteriovenous fistula puncture in chronic renal failure hemodialysis patients. Methods: This study was a crossover design. Participants were 36 patients with chronic renal failure receiving hemodialysis treatment. Two forms of intervention were applied to participants, and then pain and heart rate variability were measured during the puncture. Results: There were no statistically significant differences according to each treatment in vein pain and artery pain. Also, there were no statistically significant differences according to each treatment in stress index, sympathetic activity (LF), parasympathetic activity (HF) and sympathetic activity/parasympathetic activity (LF/HF ratio). Satisfaction with application of skin stimulation method was statistically higher than that of topical anesthetic cream application. Conclusion: This suggests that application of the skin stimulation method complements disadvantages of topical anesthetic cream application and demonstrates possibility of application as a nursing intervention method which can be conveniently used by nurses in clinical practice.