• 한국융합학회논문지
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• 제13권1호
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• pp.409-415
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• 2022

본 연구는 요양병원 간호사를 대상으로 간호 서비스 질에 영향을 주는 요인을 파악하여 간호서비스 질 향상에 도움이 되고자 시도되었다. 또한 간호 근무 환경, 인간중심 돌봄, 직무스트레스와 간호서비스 질의 상관관계를 파악하고자 한다. 본 연구는 G지역에 근무하는 요양병원 간호사 129명이 대상이었으며, 자가 설문지를 사용하였다. 연구도구는 간호 근무환경, 인간중심 돌봄, 직무스트레스, 서비스 질을 사용하였고, 수집된 자료는 SPSS 24.0으로 분석하였다. 연구 결과 요양병원 간호사들의 서비스 질의 영향요인은 기혼, 간호 근무환경, 인간중심 돌봄으로 확인되었으며, 간호 서비스 질을 49.9% 설명하였다. 이중 간호 근무환경은 간호 서비스 질에 가장 큰 영향요인으로 확인되었고, 간호사의 근무환경 개선이 필수적으로 선행되어야 간호 서비스 질이 향상될 수 있음을 시사한다. 더불어 위의 결과를 토대로 병원 경영진은 바람직한 간호 근무환경을 조성하기 위한 조직 구조 개선을 통한 제도 개선에 나서야 하며, 인간중심 돌봄에 대한 병원 구성원의 인지 정착과 인간중심 돌봄 확대를 위한 다양한 프로그램 개발에 노력해야 할 것이다.

• 지역사회간호학회지
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• 제12권1호
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• pp.3-21
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• 2001

Nursing diagnosis classification is needed to define nursing phenomena and set up nursing plans. The purpose of this study is to develope common nursing diagnosis by comparing and analysing nursing diagnosis classification systems and assessment tools in home care. The target home care nursing diagnosis classifications and tools are HHCC. NANDA. OMAHA. MDS_HC 2.0. OASIS-Bl. Results of this study are as follows: - The number of components of nursing diagnosis classifications and tools is HHCC 4. NANDA 9. OMAHA 4. MDS_HC2.0 6. OASIS-B1 10. - The number of common nursing diagnosis in home care is summed up 51 which are physical heal th 17. social health 5. psychological health 11. health related behavior 13. environment 3.

• 대한간호학회지
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• 제38권3호
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• pp.474-482
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• 2008

Purpose: The purposes of this study were; 1) to test the validity and reliability of the Korean version of Rantz's Observable Indicators of Nursing Home Care Quality Instrument (ONHQ) and 2) to evaluate the quality of Korean nursing homes. Methods: The study employed a three-phase methodological research design. 1) The original instrument of Rantz's. ONHQ was translated into Korean and modified by Korean nursing home experts. 2) A pilot study using the modified instrument was done in 20 nursing homes to examine inter-rater reliability. 3) The validity and reliability were tested.in 98 nursing homes. Results: Seven factors were extracted through factor analysis: 'communication', 'care delivery', 'grooming', 'odor, 'environment-basics', 'environment-access', and 'environment-homelike'. These factors explained 86.07% of the total variance. Cronbach's alpha coefficient of the 30 items was .97 indicating a high internal consistency of the instrument. Inter-rater reliability according to Kappa was .82. The average score of nursing home quality was 112.07 indicating an average range of quality level. Conclusion: The Korean version of the ONHQ was identified as a tool with a high degree of validity and reliability. This tool can be effectively used to assess the quality of nursing homes by professions as well as family members.

• 가정∙방문간호학회지
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• 제21권1호
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• pp.69-78
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• 2014

Purpose: This study aimed at providing guidelines and educational manuals on infection control for the home care environment, by assessing the knowledge and performance among the caregivers in home care. Methods: Data were collected from January to March 2013. Participants were 172 caregivers who were registered in the home nursing center of university hospitals. Results: The total score on the level of knowledge of infection control was 13.28 points (${\pm}3.49$) out of 20 points. Secondly, 4.15 points were obtained for individual hygiene management, 4.14 points for hand wash, and 3.86 points for environment management. Lastly, the relationship between the knowledge and performance of infection control showed a significant positive correlation (r=0.37, p<.001). Conclusion: In many instances, the caregivers in the home environment provide nursing care for patients with chronic diseases and make use of various invasive devices. This study recommends the development of a manual or educational guidelines on infection control that can be used by caregivers at the home.

• 간호행정학회지
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• 제21권1호
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• pp.1-9
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• 2015

Purpose: This study was done to identify the influence of nursing work environment and social support on multidimensional organizational commitment among nurses. Methods: The survey was conducted in August 2012 with self-report questionnaire. Participants were 480 registered nurses working in one general hospital. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression using SPSS/WIN(16.0). Results: The average scores were; for affective commitment 2.84, for continuance commitment 2.48, and for normative commitment 2.57. There were significant relationships between affective, continuance, normative commitment and sub-factors of nursing work environment and social support. The affective, continuance, and normative commitment were all influenced by 'staffing and resource adequacy' and 'nursing foundations for quality of care', sub-factors of nursing work environment. Distinctively, affective commitment was influenced by 'staffing and resource adequacy', nurses' age, 'nurse-doctor relations', 'supervisor's emotional support', 'nurse participation in hospital affairs', 'nursing foundations for quality of care', and 'supervisor's informational support', which explained 30.9% of variance in affective commitment(F=31.57, p<.001). Conclusion: The findings show that programs which promote supervisors' emotional and informational support are important to enhance nurses' affective commitment. Also, it is necessary to improve nursing work environment to improve nurses' organizational commitment.

• 간호행정학회지
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• 제3권2호
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• pp.137-150
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• 1997

This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

• 한국산학기술학회논문지
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• 제18권6호
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• pp.449-458
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• 2017

본 연구는 요양병원 간호사의 임종간호스트레스, 간호근무환경과 소진 정도를 파악하고, 소진과의 관련요인을 분석하기 위한 서술적 상관관계 연구로, 2016년 10월 1일부터 10월 31일까지 B광역시에 있는 8곳의 요양병원 간호사 195명을 대상으로 임종간호스트레스, 간호근무환경, 소진에 관하여 구조화된 설문지로 자료를 수집하였고, SPSS win 21.0 프로그램을 이용하여 분석하였다. 간호사가 경험하는 대상자의 임종간호스트레스는 평균평점 $3.84{\pm}0.56$이며, 간호근무환경은 평균평점 $3.25{\pm}0.60$이며, 소진 정도는 평균평점 $2.93{\pm}0.52$로 나타났다. 대상자의 임종간호스트레스와 소진과는 상관관계를 보였고 (r=.206, p=.004), 간호근무환경과 소진의 상관관계는 역 상관관계를 보였으며 (r=-.431, p<.001), 소진에 가장 중요한 유의한 변수는 간호직 만족도 (${\beta}=-.302$)이었으며, 간호근무환경 (${\beta}=-.294$), 나이 (${\beta}=.286$), 근무형태 (${\beta}=-.17$), 임종간호스트레스 (${\beta}=.164$)순으로 나타났다. 전체 설명력은 41.2%였다. 따라서 요양병원 간호사의 소진을 최소화하기 위하여 간호사로서의 자긍심과 책임감을 가질 수 있는 지지적인 근무환경 조성 및 인센티브 제공, 효율적인 업무분담과 임종간호교육 프로그램 개발 및 스트레스를 완화할 수 있도록 행정적 차원이 필요하다고 사료된다.

• 중환자간호학회지
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• 제15권3호
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• pp.62-74
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• 2022

Purpose : This study aimed to identify the factors influencing physical restraint-related practice among nurses working in the intensive care unit (ICU). Methods : The participants consisted of 169 ICU nurses in three general hospitals in B and U cities. Data were collected from December 2021 to January 2022 through a structured self-administered questionnaire. Demographic characteristics, physical restraint-related practice, Person-centered Critical Care Nursing (PCCN), work environment, and attitudes toward physical restraint use were measured. For data analyses, hierarchical multiple regressions were conducted using SPSS/WIN 25.0. Results : Clinical careers in the ICU, better work environments, higher PCCN levels, and more positive attitudes toward physical restraint use were associated with a better practice of physical restraints, which together explained 35.5% of the total variance of the outcome. Conclusion : Our findings suggest that to promote a safe physical restraint-related practice among ICU nurses, it is important to improve the nursing environment, prepare guidelines for applying PCCN, and provide education for endorsing positive attitudes toward the use of physical restraints.

• Child Health Nursing Research
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• 제28권1호
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• pp.9-22
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• 2022

Purpose: The purpose of this study was to identify the gaps in research related to developmentally supportive care in the neonatal intensive care unit (NICU). The ultimate goal was to explore directions of further research on developmentally supportive care for premature patients. Methods: The Arksey and O'Malley scoping review method was used. Articles on developmentally supportive care for preterm infants in the NICU, written in English or Korean, were identified through electronic search engines. A total of 279 papers were identified in the initial search, of which 22 full-text papers were included in this review. Results: Several nursing studies have been published in the past 5 years. The important elements of developmentally supportive care were family-centered care and management of the NICU environment. The primary developmentally supportive care interventions were training programs to promote the care competency of NICU nurses. Conclusion: It is necessary to actively develop comprehensive developmental support interventions that consider the various elements of developmentally supportive care for preterm infants. Additional studies should be done to develop programs that provide direct intervention for premature infant and their families.

• 한국보건간호학회지
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• 제29권3호
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• pp.528-539
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• 2015

Purpose: The aim of this study is to provide baseline data on the housing environment of a vulnerable population. Methods: This study provides a descriptive survey on the housing environment of a vulnerable population of a city in Gyeong-gi province. A total of 9,061 households were selected as research participants. Data were collected through face-to-face interviews by visiting nurses from February 2014 to March 2014. Results: Interviewees answered "poor" on items including cold drafts, illumination, daylight penetration, inflow of polluted air, house odor, stairs safety, noise, mold, pests, and ventilation. The score for housing environment problems showed a significant group difference due to gender, age, economic status, family type, type of housing, and type of ownership. Conclusion: These results indicate that the vulnerable population is exposed to a poor housing environment. Thus, there is an urgent need to improve the housing environment for the vulnerable population. Based on this study, linking a visiting health care service program and housing environment improvement projects from relevant administrative agencies might be recommended in order to effectively improve the housing environment.