• Title/Summary/Keyword: Nursing Organization

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A Study on Job Involvement according to Working Pattern and Daytime Sleepiness among Hospital Nurses (병원간호사의 근무형태와 주간수면과다증에 따른 직무몰입)

  • Hwang, Eun-Hee;Kang, Ji-Sook
    • Journal of East-West Nursing Research
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    • v.17 no.2
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    • pp.81-86
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    • 2011
  • Purpose: The purpose of this study was to examine job involvement according to working pattern and daytime sleepiness in hospital nurses. Methods: At 2 hospitals in affiliation of university, after obtaining participant's consent form, data were collected from October to November, 2007. Twohundred fifty nurses participated in the study. Questionnaire consisted of Epworth Sleepiness Scale (ESS), Job Involvement. Collected data was analyzed with SPSS 14.0 program, which was used for frequency, percentage, mean, standard deviation, t-test and Pearson correlation coefficients. Results: Major findings of this study were as follows 1) The nurses for 3 shift work was 172 (68.8%), the nurses for 2 shift work was 3 (1.2%) and the nurses for day fixation was 75 (30.0%). 2) Mean of ESS was 5.94 (3.28), daytime sleepiness was 13.2% and Job involvement had a mean of $21.27.{\pm}4.61.3$) There were significant differences between shift work and day fixed work on ESS (t=4.33, p<.001), job involvement (t=6.54, p<.001). Higher ESS were significantly related to lower job involvement (r=-.185, p=.003). Conclusion: The finding of this study gives useful informations about sleep and work involvement of hospital nurses. It is need to develop systemic management for shift work nurses by hospital, nurse organization, and government.

The Effects of Job Stress on Workers' Physiological Somatic Complaints (직무스트레스가 근로자들의 신체적 불편감에 미치는 영향)

  • Lee, Jong-Eun;Jung, Hye-Sun;Lee, Bok-Im;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.15 no.2
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    • pp.289-297
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    • 2004
  • Purpose: This study was conducted to determine factors affecting workers' physiological somatic complain using the Job Stress Model proposed by the National Institute for Occupational Safety and Health (NIOSH). Method: Data were collected from the 1st to the 30th of December 1999. The subjects were 2.123 workers employed at 155 work sites. Collected date were analyzed through SAS/PC program. Result: According to individual characteristics, younger and women groups showed significantly higher physiological somatic complaint than elder men groups. By work condition, groups with higher physiological somatic complaint included workers of irregular shift work. Dark lighting, improper temperature in winter, improper ventilation, inappropriate humidity, unpleasant work environment and crowded work place were significantly related with physiological somatic complaint. By work-related factor, physiological somatic complaint was high in those with higher variance in work load, quantitative work load, role conflict, job burden, role ambiguity and future ambiguity. On the other hand, physiological somatic complaint was low in those with little underutilization of ability. As for the relationships between physiological somatic complaint and non-work related factors, physiological somatic complaint was high in workers who had a side job, were bringing up infants alone, cleaned the house alone, cared for the elderly and disabled persons, were studying, were volunteering at another organization, and were spending 5-10 hours in religious activities per week. Physiological somatic complain was in significantly negative correlations with overall social support, supervisory support and family support, but in significantly positive correlations with co-worker support. Conclusion: The main predictors of physiological somatic complain were gender, shift work pattern, overtime work, ventilation, role ambiguity, role conflict, future ambiguity, job control, variance in work load, overall social support, worker with side job, worker who cleans the house alone, worker who is studying. These predictors explained 19.10% of the total variance of physiological somatic complain.

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Quality of Life in Colorectal Cancer Patients with Chemotherapy-Induced Peripheral Neuropathy (항암화학요법으로 인한 말초신경병증을 경험하는 대장암 환자의 삶의 질)

  • Kim, Jeong-Hye;Choi, Kyung-Sook;Kim, Tae-Won;Hong, Yong-Sang
    • Asian Oncology Nursing
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    • v.11 no.3
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    • pp.254-262
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    • 2011
  • Purpose: The purpose of this study was to identify the quality of life in colorectal cancer patients with chemotherapy-induced peripheral neuropathy. Methods: A total of 93 patients were recruited in the cross-sectional survey design. Quality of life in colorectal cancer patients were measured by European Organization for Research and Treatment of Cancer (EORTC) QLQ C30 and CIPN20. Results: In the QLQ C30, the mean score of the global health status was 59.41, the functional scale was 73.29 and symptom scale was 26.72. In CIPN20, the mean score of sensory scale was 32.70, autonomic scale was 22.88 and motor scale was 16.12. In the QLQ C30, the global health status showed significant differences according to surgery (p=.027) and the functional scale, and the symptom scale showed significant differences according to gender (p=.046, p=.020) and nonpharmacologic intervention (p=.001, p=.009). The CIPN20, the sensory scale showed significant differences according to age (p=.006), DM (p=.005), grade of CIPN (p=<.001) the status of chemotherapy (p=.001) and nonpharmacologic intervention (p=.010). Conclusion: The level of quality of life in colorectal cancer patients with peripheral neuropathy was relatively low. There is a need for developing a nursing intervention for colorectal cancer patients to improve their quality of life and to decrease chemotherapy-induced peripheral neuropathy.

The Effects of Clinical Education Program for Nurses in Regional Public Hospital (공공보건의료인력 임상교육효과 평가: 지역거점공공병원 간호사 대상)

  • Shin, Yoonhee;Park, Kwanjun;Byun, Eunkyung;Lee, Dongwon;Ju, Woong
    • Health Policy and Management
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    • v.26 no.4
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    • pp.373-381
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    • 2016
  • Background: The purpose of this study is to evaluate the outcomes of clinical education program for nurses in regional public hospital, utilizing the Kirkpatrick's model. Methods: Kirkpatrik's 4-level model was applied to this study. Trainees were asked to fill out questionnaires in the middle and at the end of the program. Also administrators of excellent trainees were asked to fill out the questionnaires regarding nursing management performance after 1-2 months from the end of the training course. Results: All trainees had positive reactions to the clinical education program. Not only the results of individual level (satisfaction and achievement scores, academic achievement scores, practical application rate, and educational transition factors) but also the scores of organization level (nursing management performance scores) are improved. Conclusion: By showing a correlation between the effectiveness factors we need to verify the relationship between these factors in a future study. In addition, development of quantitative and qualitative performance indicators are needed. To establish a long-term education system, it is required to applying the excellent trainee's successful experiences.

A Study on Dental State of Health and Dental Health Behaviors of Students in Elementary School and their Mothers (초등학생과 어머니의 구강건강 상태와 행동에 관한 연구)

  • Mun, Dug-Nam;Park, Hyoung-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.229-244
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    • 2001
  • The purposes of this study are to do surveys of the state of health and dental health behaviors of higher grade students in elementary school and their mothers, to investigate the relationship of students' dental health, and to apply those results to the systematic and efficient dental health care. The subjects were totally 618 people, including 309 elementary school students in 4th, 5th, or 6th grades and their mothers in Pusan. The questionnaires were used as instruments, which were made by the researcher and related with other preceeding studies. The content validity of the instruments was tested by two professors of nursing. Dental checking were conducted by an expert of dental sanitation, according to the standard of the World Health Organization. The period of collecting data was 20 months from October 20th to December 20th in 2000 and the collected data were analyzed by SAS program and classified as the real number, the percentage, the mean, the standard deviation, t-test, and F-test. In conclusion, there is no significant correlation between grades and treated or treatment-needed permanent teeth. There is the highest significant correlation between treated or treatment-needed permanent teeth and students' dental health behaviors. There is high significant correlation between mothers' dental health behaviors and students' dental health behaviors. Also, There is significant correlation between mothers' state of dental health and students' state of dental health. From the results of this study, the students' dental health behaviors are the most important variables in the students' state of dental health. But both boys(9.48) and girls(9.97) get the low marks on the total mark 15 about brushing, which can be self-controlled. Therefore, the developments of dental health guidance in education about dental health by mothers or the educational courses in schools, such as brushing educations by the experts, dental health education, brushing after lunch, or the various equipments in brushing, should be accomplished. Above all, behavior-centered education should be conducted instead of knowledge-centered education.

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Family Member's Perceptions of Side Rail Use in Geriatric Hospital (노인요양병원에서의 침대난간(Side Rail) 사용에 대한 환자가족의 인식)

  • Lee, Keum-Jae;Park, Gyeong-Sook;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.503-513
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    • 2016
  • The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.

Nurse's Job Satisfaction and Organizational Commitment according to Hospital Ethical Climate Types (병원조직의 윤리풍토가 간호사의 직무만족, 조직몰입에 미치는 영향)

  • Noh, Yoon Goo;Jung, Myun Sook;Lee, Young Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.513-524
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    • 2013
  • Purpose: This study was conducted to identify ethical climate factors in hospitals and analyze their influence on job satisfaction and organizational commitment. Methods: A convenience sample of 196 nurses from one national university hospital in J city participated in this descriptive study survey. Instruments included the Ethical Climate Questionnaire, Job Satisfaction Scale, and Organizational Commitment Scale. Cronbach's ${\alpha}$ and factor analysis were done to test reliability and construct validity of the scales. Data were collected from March 15 to March 25, 2013 and analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson correlation, and multiple regression with SPSS/WIN 18.0. Results: Seven ethical climate factors were identified; laws and professional codes, social responsibility, company rules and procedures, self-interest, personal morality, efficiency, and friendship. Factors influencing job satisfaction were friendship (${\beta}$=.25), social responsibility (${\beta}$=.20), laws and professional codes (${\beta}$=.20), and educational level (${\beta}$=.27), explaining 37.6% of variance in job satisfaction. Factors influencing organizational commitment included social responsibility (${\beta}$=.29), friendship (${\beta}$=.27), laws and professional codes (${\beta}$=.23), and age (${\beta}$=.19), with explanatory power of 44.6%. Conclusion: Results can be used as preliminary data for developing new strategies to establish positive ethical climates in hospital environments and thus enhance nurses' job satisfaction and organizational commitment.

Reliability and Validity of the Korean Version of the Perinatal Post-Traumatic Stress Disorder Questionnaire (한국판 주산기 외상 후 스트레스장애 척도의 신뢰도 및 타당도)

  • Park, Yu Kyung;Ju, Hyeon Ok;Na, Hunjoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.29-38
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    • 2016
  • Purpose: The Perinatal Post-Traumatic Stress Disorder Questionnaire (PPQ) was designed to measure post-traumatic symptoms related to childbirth and symptoms during postnatal period. The purpose of this study was to develop a translated Korean version of the PPQ and to evaluate reliability and validity of the Korean PPQ. Methods: Participants were 196 mothers at one to 18 months after giving childbirth and data were collected through e-mails. The PPQ was translated into Korean using translation guideline from World Health Organization. For this study Cronbach's alpha and split-half reliability were used to evaluate the reliability of the PPQ. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and known-group validity were conducted to examine construct validity. Correlations of the PPQ with Impact of Event Scale (IES), Beck Depression Inventory II (BDI-II), and Beck Anxiety Inventory (BAI) were used to test a criterion validity of the PPQ. Results: Cronbach's alpha and Spearman-Brown split-half correlation coefficient were 0.91 and 0.77, respectively. EFA identified a 3-factor solution including arousal, avoidance, and intrusion factors and CFA revealed the strongest support for the 3-factor model. The correlations of the PPQ with IES, BDI-II, and BAI were .99, .60, and .72, respectively, pointing to criterion validity of a high level. Conclusion: The Korean version PPQ is a useful tool for screening and assessing mothers' experiencing emotional distress related to child birth and during the postnatal period. The PPQ also reflects Post Traumatic Stress Disorder's diagnostic standards well.

Occupational Health Care Management Model in Small Scale Enterprises (소규모 사업장 보건관리 모델개발에 관한 연구)

  • Yun, Soon-Nyung;Jung, Hye-Sun
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.647-660
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    • 2001
  • Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and community based approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent. is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidence-based program.

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The Study on the patient safety culture convergence research topics through text mining and CONCOR analysis (텍스트마이닝 및 CONCOR 분석을 활용한 환자안전문화 융복합 연구주제 분석)

  • Baek, Su Mi;Moon, Inn Oh
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.359-367
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    • 2021
  • The purpose of this study is to analyze domestic patient safety culture research topics using text mining and CONCOR analysis. The research method was conducted in the stages of data collection, data preprocessing, text mining and social network analysis, and CONCOR analysis. A total of 136 articles were analyzed excluding papers that were not published. Data analysis was performed using Textom and UCINET programs. As a result of this study, TF (frequency) of patient safety culture-related studies showed that patient safety was the highest, and TF-IDF (importance in documents) was highest in nursing. As a result of the CONCOR analysis, a total of seven clusters were derived: knowledge and attitude, communication, medical service, team, work environment, structure, organization and management that constitute the patient safety culture. In the future, it is necessary to conduct research on the relationship between the establishment of a patient safety culture and patient outcomes.