• Title/Summary/Keyword: Nursing Care Environment

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A Study of Factors Causing Anxiety of Patients by Medical Personnel (의료팀에 의하여 발생되는 입원환자의 불안요인에 관한 조사연구)

  • 김정화
    • Journal of Korean Academy of Nursing
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    • v.6 no.2
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    • pp.18-24
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    • 1976
  • This study to find out the causes and degree of anxiety experienced by hospitalized patients, with the objective of instituting improvement of Nursing care program based on the needs of patients. The present study was carry out from July 1 , 1975 to October 10, 1975 with 168 patients random sampling from those admitted of Kyung Hee Medical Center. The Questionnaire form included 47 questions which are considered to be anxiety events for admitted patients and was divided into four areas namely, such events related to 1) hospital environment, 2) Psychology and emotion, 3) Nursing care and treatment, and 4 )Education. The results of the study were as follows : 1) Most of the respondents (70.09%) felt uneasy about their disease affected by the behaviors of medical personnel. 2) Regarding the correlation between anxiety felt by patients and their educational level. Only 9 sub- items of 47 items showed significant difference. 3) There was revealed no particular significance in the correlation between anxiety felt by patients and period of hospitalization. 4) Only 5 sub- items out of 47 items showed significant difference ill the correlation between anxiety felt by patients and previous experience of operation. 5) Only 3 sub-items out of 47 items showed signigicant difference in the correlation between anxiety felt day patients and previous experience of hospitalization. 6) Regarding the extent of anxiety felt by patients, "insufficient explanation about meals" showed the highest score followed. "The visit of physicians and Nurses to the patient is too frequent " showed the lowest score and "Nurses change too frequently the physical posture of patients" followed.

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Patients' and Family Caregivers' Perception on Recovery from Mental Illness: "An Ongoing and Steady Change Together" (정신질환 회복에 대한 환자와 가족의 인식: "함께하는 지속적이고 꾸준한 변화")

  • Nam, Kyoung A;Jin, Juhye
    • Journal of Home Health Care Nursing
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    • v.27 no.3
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    • pp.344-355
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    • 2020
  • Purpose: Recovery has a growing influence on policy for individuals with mental illness and their families. This study was designed to examine the meaning of recovery from the perspectives of community-dwelling patients with mental illness and their families. Methods: Using a descriptive qualitative approach, in-depth, face-to-face interviews were conducted on 24 adults (14 patients with mental illness and 10 family members). All interviews were audiotaped, transcribed and analyzed using thematic analysis. Results: The findings showed that recovery for the patients with mental illness suggested gradual changes by individual will and self-awareness, the relationship with both their family and self-help group, and the support of a therapeutic environment. Seven primary themes emerged from the analysis: improving insight on illness, strong will toward hope, discovering changed myself, helping each other together, gradual influence of positivity, being oriented to a therapeutic setting, and recognizing of home as a calm place. Conclusion: The findings of this study revealed that based on the conceptual elements of recovery of the patients with mental illness and their families, we expect to improve the systematic, comprehensive, and quality mental health services.

Factors Influencing on Musculoskeletal Symptoms of Care Workers in Long-Term Care Hospitals for Job Environment, Psychological Work Demand, Fatigue (요양병원 요양보호사의 작업환경, 심리적 업무요구, 피로가 근골격계 증상에 미치는 영향)

  • Oh, Jinyoung;Ha, Yeongmi
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.559-569
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    • 2020
  • This study was conducted to examine relationships among job environment, psychological work demand, fatigue, musculoskeletal symptoms, then to investigate the factors influencing musculoskeletal symptoms of care workers in long-term care hospitals. A total of 128 care workers recruited from three long-term care hospitals in S city. Self-reported questionnaire survey was conducted from April to May, 2020. The results were as follows: The musculoskeletal symptoms of the care workers were the sum of the frequency of symptom occurrence, duration of symptoms, and intensity of pain in the three parts of the shoulder, hand/wrist/finger, and waist. The average score was 11.41±9.50 points out of 42. According to the hierarchical regression analysis, their musculoskeletal symptoms were significantly influenced by working department(β=.18, p=.034), psychological work demand(β=.21, p=.013) and fatigue(β=.25, p=.003), explained 21.6% of the total variance(F=6.87, p<.001). Based on our results, in order to reduce musculoskeletal symptoms of care workers in nursing hospitals, it is necessary to develop and apply an intervention program that can reduce psychological work demand and fatigue in consideration of the severity of the patient in charge.

Factors to Affect Turnover Intention of Nursing Workers at Long-Term care Hospitals (노인요양병원 간호종사자의 이직의도에 영향을 미치는 요인)

  • Hyun-Jung Jang
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.1
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    • pp.48-58
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    • 2023
  • This study is a descriptive survey research on nursing workers at long-term care hospitals, who are largely divided into nurses and nurse aides, to identify the factors that affect their turnover intention. From August 12 to 16, 2022, the survey was conducted for 146 nursing workers in four long-term care hospitals located in G city. The survey results indicated that there were differences in their turnover intention depending on their age, religion, marital status, educational level, average monthly salary, job type, duty pattern and turnover experience, of all general characteristics (p<.05). Turnover intention had a significant positive correlation with job stress (r=.51, p<.001) and burnout (r=.62, p<.001), and had a significant negative correlation with organizational commitment (r=.-56, p<.001). Organizational commitment had a significant negative correlation with job stress (r=-.25, p=.002) and burnout (r=.-.67, p<.001), while burnout had a significant positive correlation with job stress (r=.56, p<.001). Factors influencing the nursing workers' turnover intention included job stress (β=.32, p<.001), organizational commitment (β=-.30, p=.001) and education level (β=.17, p=.022), with an explanatory power of 49.6%. Based on the results of this study, it is considered that efforts to improve the working environment for nursing workers at long-term care hospitals are needed by reducing their job stress and improving organizational commitment in order to reduce their turnover intention.

Job Satisfaction among ICU nurses according to the Preference and Perception of work Characteristics (근무환경 특성에 대한 선호도 및 인지도에 따른 중환자실 간호사의 직무만족도)

  • 송라윤;서연옥
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.431-440
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    • 1998
  • The purposes of this study were to determine the factors that influence job satisfaction for ICU nurses and to analyze group differences in job satisfaction based on the nurses' preference and perception of the work environment with an enhanced professional role. A total of 231 nurses who had been working in Intensive Care Units at least for 6 months at selected university hospitals participated in the study while head nurses or those with administrative positions were excluded. The study participants had an average of 33 months of clinical experience with an age range of 23 to 40 years. The data were analyzed by utilizing SPSSWIN and the results are as follows. 1) Hierarchical multiple regression analysis showed that work characteristics defined by Job characteristics theory and nurses' preference / perception of ideal work environment together explained 33% of variance in job satisfaction. Skill variety, task identity and autonomy as well as individual perception of work environment were significant variables for explaining job satisfaction. Job satisfaction was not significantly related to age, marital status, education, and clinical experience. 2) The groups classified by nurses' preference and perception of work environment were significantly different in their job satisfaction. Nurses with high preference and high perception showed significantly higher general and specific job satisfaction than other nurses. The nurses who showed high preference but perceived their work environment as not reflecting ideal job characteristics reported the lowest job satisfaction among the groups. In conclusion, the role of individual preference and perception of the work environment in explaining the relationship between the redesign of work environment and job satisfaction was supported by the study, The preferences of nurses to the innovative work characteristics should be considered in the process of enhancing job characteristics to lead job satisfaction and low turnover and ultimately to improve quality of care.

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Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea

  • Moon, Seol-Hee;Park, Ho-Ran;Kim, Dong Yeon
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.297-307
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    • 2021
  • Purpose: This descriptive study compared the perceived parental stress levels between parents with very low birth weight infants (VLBWIs) and nurses in the neonatal intensive care unit (NICU). Methods: In total, 83 parents of VLBWIs and 78 NICU nurses were enrolled. Data were collected with the Parental Stress Scale (PSS) and analyzed using the t-test and analysis of variance in SAS version 9.4. Results: The average PSS score was 3.31 among parents and 3.45 among nurses. The stress score was significantly higher among nurses with children (t=2.46, p=.016) and senior nurses (t=2.12, p=.037). There was a significant difference in the stress score according to parents' education (t=3.29, p=.002) and occupation (F=3.14, p=.049) in the sights and sounds subscale. Mothers had significantly higher stress scores than fathers in the parental role alterations subscale (t=2.32, p=.023). Parental stress scores were higher than those perceived by nurses in the infant's appearance and behaviors subscale for breathing patterns (t=2.95, p=.004), followed by jerky/ restless behavior (t=2.70, p=.008). Conclusion: Nurses should provide explanations to parents of VLBWIs in order to reduce parental stress about the appearances and behavior of VLBWIs. This is more important than aspect of the NICU environment and education about parental roles.

Spiritual and Psychosocial Effects of the Spirituality Promotion Program on Clinical Nurses (영성 증진 프로그램이 임상 간호사의 영적 및 심리사회적 상태에 미치는 효과)

  • Seo, Imsun;Yong, Jinsun;Park, Junyang;Kim, Juhu
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.726-734
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    • 2014
  • Purpose: The purpose of this study was to evaluate the effects of the Spirituality Promotion Program(SPP) for young nurses working in the stressful university hospital environment. Methods: The study included 41 nurses in the experimental group, nurses who had worked less than 5 years and completed 8 weeks of SPP between June and July in 2011. The control group, 44 nurses, also received the same program after the study was completed. For the study, a survey was conducted of all participants concerning spirituality, perceived stress, positive and negative affect, empathy, job satisfaction, and leadership practice. Results: No significant difference was found between the two groups on study variables. Perceived stress decreased significantly in the experimental group (p=.012). Spirituality (p=.019), positive affect (p=.014), empathy (p=.004), job satisfaction (p=.016), and leadership practice (p=.021) increased significantly in the experimental group. Conclusion: The results show that the Spirituality Promotion Program has positive effects on the spiritual and psychosocial aspect of young nurses. Continuation of this program for nurses is recommended in order to help them develop their self-care ability and improve nursing competency.

Analysis of PCAs' Activity Classification System and Time of Personal Care Attendants(PCAs) Who Works in Wamco(Workers Accident Medical Corporation) (산재의료관리원 간병인의 간병활동분류체계 및 간병시간 분석)

  • Kim, Chunmi;Oh, Jin Joo;Choi, Jeong Myung
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.1
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    • pp.64-75
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    • 2008
  • Purpose: The purpose of this study was to analyze of PCAs' activity classification system and time of PCAs who worked in Wamco. Method: The data were collected from 2 WAMCO and 308 subjects between February and August, 2007, by questionnaire and 24 time survey. The data were processed with SPSS Win 12.0. Result: In activity analysis, PCAs' activities were classified into 20 domains and 76 activities, which were hygiene, bathing, feeding & nutrition, elimination, respiration, skin care, exercise & transfer, problematic behavior control, communication, observation & measurement comfort, medication, assisting test & treatment, reporting, environment management, patient belongings care, education attendance, indirect caregiving weekly/monthly PCAs' activity. And the PCAs' time analysis showed the average of 24hrs PCAs' time were 798.8 minutes, in which 46.8% were used in day-duty, 33.6% in evening-duty, and 19.6% in night-duty. There were no statistically significant difference in total PCAs time according to the type of industrial accidents and PCAs' type and qualification. But there were statistically significant difference in total PCAs time according to the type of PCAs (day-duty/all-night vigil. Conclusion: The results of this study can be utilized usefully and reasonally in deciding of PCAs staffing and PCAs' type and grade in WAMCO.

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The Development and Effect of Doctor-Visiting Nurses ICT Communication System for the Elderly: Focusing on Visiting Nursing Services for Long-term Care Patients (고령자 대상 의사-의료인간 ICT활용 협진 모델개발 및 실증에 관한 연구: 장기요양서비스 중 재가노인대상 방문간호서비스를 중심으로)

  • Cha, Sunmi;Yoo, Keunjoo;Choi, Solji;Hong, Seokwon
    • Journal of Korean Gerontological Nursing
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    • v.20 no.sup1
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    • pp.137-143
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    • 2018
  • Purpose: The purpose of this study was to examine effectiveness and usefulness of Information Communication Technology (ICT) in communication between physician and visiting nurses who provide visiting nursing services under long-term care insurance. Methods: Structured questionnaires were used to measure usefulness and satisfaction of the system, both accessibility and convenience to visiting nurses (31 people) and users (182 people). Results: From the user perspective, accessibility and convenience in terms of service users were both satisfactory as shown by users' percentage. No statistically significant difference was found for satisfaction between before and after using the system. The usefulness of the system for visiting nurses was satisfactory for most the nurses. Also most nurses answered that the system is needed and is very useful. Most of the participants (both visiting nurse and service users) were satisfied with use of the ICT system. However, there was no statistically significant difference in satisfaction between the pre and post service because the service provision period was too short (three months). Conclusion: The consensus from both users and service providers is that an ICT based visiting nursing system needs to be introduced but a more user - friendly environment for system development will be needed.

A Study on Changes in Trends of Disease of Residents Who Received Treatment at Nam Jeju County Primary Health Care Post(1997~2003) (남제주군 보건진료소 이용 주민의 상병양상변화 고찰(1997년~2003년))

  • Kang, Na-Yon
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.2
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    • pp.133-144
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    • 2007
  • Purpose: The purpose of this study was to examine the trends of disease of residents who had treatment in primary health care posts in N-county over the past seven years (1997-2003). The data will assist in planning responses to changes in the health care environment and in planning health promotion programs. Method: A retrospective descriptive survey was conducted of the computerized records of primary health care done by community health practitioners over the last seven years. Cross analysis was conducted among the data using SAS, and the results were displayed in frequencies and percentages. The data were collected from May to September 2004. Results: The results of the study are as follows: 1. The six most frequent diseases were ranked as follows: diseases of the 1) respiratory system, 2) musculoskeletal system and connective tissue, 3) digestive system, 4) skin and subcutaneous tissue, 5) circulatory system, and 6) symptoms, signs and abnormal clinical and laboratory findings. Especially in 2002, circulatory system related disease rose two steps in the ranking and digestive system related disease went a step down. 2. The patients' use of primary health care posts over the past seven years continued to increase on the whole. Conclusions: According to these results, each primary health care post should carry out special health promotion programs that fit the local society of N- county and are in accordance with changes in health care needs.