• 한국보건간호학회지
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• 제35권1호
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• pp.5-18
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• 2021

Purpose: This study aimed to develop a client-centered integrated home nursing care model for rural areas by analyzing public health nursing, hospital-based home care services, and long-term nursing care in Korea. Methods: The literature review performed included data from the National Assembly Library, DBpia, RISS, and KISS, Google Scholar, the Ministry of Government Legislation, Statistics Korea, and the Ministry of Health and Welfare. Results: The client-centered and integrated home nursing care model in a rural area was opened as the Home Nursing Care Center in a public health center operating directly or on consignment. This model provides both a hospital-based home care services as well as long-term care, in accordance with the health status of the client and difficulty of nursing services. Moreover, the nurse who worked in a sub-organization (Centers for Supporting Healthy Living, Public Health Units, and etc.) of the public health center as care coordinator and case manager facilitates to connect home nursing care services and social welfare services. Conclusions: Our data indicates that the client-centered integrated home nursing care model in rural areas effectively combines professional services, regional accessibility, and social welfare services.

• 임상간호연구
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• 제29권2호
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• pp.163-174
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• 2023

Purpose: To identify the effect of a new leadership type by confirming the effect of clinical nurses' grit and nursing work environment on nursing performance and retention intention with the mediating effect of compassionate rationalism leadership in the process. Methods: A proportional stratified sampling method was used with 45 tertiary general hospitals nationwide as the sampling unit. An online survey targeting nurses who have been working continuously for more than one year was conducted from October 14 to November 9, 2022. The final analysis included 1,256 questionnaires. The correlation between the participants' variables was analyzed using Pearson's correlation coefficients. The mediating effect was confirmed using a regression analysis, and bootstrapping. Results: The compassionate rationalism leadership had a mediating effect on the relationship between grit and nursing performance (F=203.21, p<.001), nursing work environment and nursing performance (F=109.48, p<.001), grit and retention intention (F=149.90, p<.001), and nursing work environment and retention intention (F=25.14, p<.001). Conclusion: The compassionate rationalism leadership of nursing managers had a positive effect on nursing performance and retention intention. Therefore, with the development and application of educational programs of compassionate rationalism leadership, it can be used to improve nursing performance and operate an efficient nursing organization.

• 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.

• 지역사회간호학회지
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• 제15권2호
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• pp.209-217
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• 2004

Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.

• 한국융합학회논문지
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• 제12권11호
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• pp.511-519
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• 2021

본 연구는 병원간호사의 직무배태성과 조직애착이 잔류의도에 미치는 영향을 파악하기 위하여 시도되었다. 종합병원 간호사 211명을 대상으로 수집된 자료는 t-test, ANOVA, Pearson Correlation, Multiple regression으로 분석하였다. 본 연구결과 병원간호사의 직무배태성이 높을수록, 조직애착이 높을수록 잔류의도에 높은 점수를 나타냈다. 잔류의도의 주요 영향 요인은 직무배태성, 조직애착으로 나타났으며, 잔류의도의 45%를 설명하였다. 따라서 간호사의 능력에 알맞은 업무 배치 및 평가가 필요하며, 조직애착을 높일 수 있는 개인적·조직적 활동을 지원해야 한다.

• 한국융합학회논문지
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• 제2권1호
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• pp.37-44
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• 2011

본 연구에서는 보건소 근무자들의 학력 및 직급에 따른 보건소 조직에 관한 인식도를 조사하였다. 이를 토대로 보건소의 효율적인 운영 및 직원들의 근무환경 개선을 위한 기초자료를 제공하고자 한다. 조사결과 학력에 따른 직원들의 보건소 조직에 대한 인식은 설문 문항 중 "조직에는 승진을 위한 기회가 존재 한다" 및 "내가 속한 단위조직의 구조는 잘 설계되어 있다"가 가장 높은 점수를 나타내었다. 반면 직급에 따른 직원들의 보건소 조직에 대한 인식은 설문 문항 중 "조직을 하나로 묶는 적절한 방편이 있다"와 "성취된 일들은 보상과 연결되어 있다" 및 "내가 받는 봉급은 수행하고 있는 업무에 상응 한다"가 가장 높은 점수를 나타내었다.

• 한국간호교육학회지
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• 제26권2호
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• pp.167-175
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• 2020

Purpose: The purpose of this study was to explore the subjective experience of moral distress among nurses working in long-term care hospitals. Methods: A phenomenological approach was used for the study. Data were collected from May to July, 2019 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of moral distress. Nine nurses participated in this study. Results: Three themes emerged from the analysis using Colaizzi's method: (1) confusion and distress about the meaning of care, (2) a feeling of helplessness caused by connivance, (3) enduring in the organization. Conclusion: Sufficient labor supply, environmental improvements, programs for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long-term care hospitals are suggested to reduce the moral distress of long-term care hospital nurses.

• 한국보건간호학회지
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• 제13권1호
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• pp.77-87
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• 1999

Poverty directly affects health and well-being, The poor population has a higher rate of chronics illness. higher infant morbidity and motality rates. shorter life expectancy. more complex health problems. and greater physical limitations resulting from chronic disease. In order to activate primary health care for the poverty in urban area the following measures should be taken : 1. Health center must be expended or establish subhealth center. 2. Health center must monitor neighbour's workplace's health management for their working population. 3. Health centers must do active home visiting nursing care for the urban-poor. 4. Health center must carry out flexible problem-centered practice according to the area. 5. For the urban-poor's health care must have organization of the health center & practice according to community's characteristics. 6. Public health care must be closely connected with welfare. 7. For the health care of the urban-poor must demand active community participation. 8. Health center is closely connected with Community hospital. 9. Active management of public health resource system is demanded.

• 간호행정학회지
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• 제11권3호
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• pp.315-322
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• 2005

Purpose: The purpose of this study was to investigate the impacts of psychological empowerment and transformational leadership on organizational commitment among hospital nurses. Method: The sample consisted of 279 nurses from 3 university affiliated hospitals. Data were collected with self-administered questionnaires and analyzed using Pearson correlation and hierarchical regression. Result: Transformational leadership has greater influence on organizational commitment for nurses. Psychological empowerment and three transformational leadership(charisma, individualized consideration and inspiration) has direct effects on organizational commitment. Psychological empowerment did not interact the relationship between transformational leadership and organizational commitment. Conclusion: The results imply that nurse managers should exercise transformational leadership and empowering behaviors for nurses to be committed in organization.

• 간호행정학회지
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• 제15권1호
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• pp.72-80
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• 2009

Purpose: To investigate the influence of a team learning climate on group performance of hospital nurses. Method: The subjects were 386 nurses who have been working in six hospitals. The data were collected by a structured questionnaire from January 20 to April 30 of 2006. The data were analyzed by SAS version 8.2, including descriptive statistics, Pearson correlation coefficient, and stepwise multiple regression. Results: The mean score of group performance was 3.38 and team learning climate was 4.89. The group performance was positively correlated with team learning climate(r=.40, p<.0001). The team learning climate explained 15% of the variance in group performance. Conclusion: The findings showed that team learning climate was an important factor in enhancing group performance in nursing organization. Therefore, the nurse manager will establish the strategies to improve the team learning climate of the nurses in order to promote organizational performance.