Clinical nurses have tendency to change their job while providing care to patient, experiencing extreme stress with shift work, increased demands for technique, and heavy workload. At this point, it is time for investigating resilience in nursing part, and resilience affect to increase organizational commitment and decrease stress and exhaustion at organization. This study is a correlation study to investigate effects resilience on stress, exhaustion, and organizational commitment of clinical nurses. The results are as follows; The participants' resilience level is 3.38(${\pm}.38$), at the maximum of 5, stress level is 3.73(${\pm}.50$) at the maximum of 5, burnout level is 2.74(${\pm}.68$) at the maximum of 6 and organizational commitment level is 4.22(${\pm}.68$) at the maximum of 7. Ftom this study, resilience, stress, and burnout showed negative correlation, and resilience and organizational commitment revealed positive correlation. In order to decrease the clinical nurses' stress, burnout and enhance nurses' organizational commitment, nurse managers have to manage nurses' resilience. For increasing resilience of nurses, nurse manager has to develop resilience program, and training for managing nurses' stress and burnout.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.10
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pp.336-343
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2017
In this study, we analyze the relationship between long-term care workers' emotional labor, professional quality of life, and service quality. The subjects of this study were 211 long-term care workers working in long-term care facilities. Self-administered questionnaires were used. In the research model, emotional labor(surface behavior, internal behavior) was verified using independent variables, with professional quality of life (compassion satisfaction, compassion fatigue) as the parameters and service quality as the dependent variables. The results of this study are as follows. First, the fit of the model was good. Second, the direct effects of emotional labor on service quality were not significant. However, there was a positive correlation between internal behavior and service quality, and a negative correlation between surface behavior and service quality. Third, professional quality of life(empathy satisfaction) was the most influential variable in terms of service quality. The results of this study demonstrate the necessity to payclinical and academic attention to long-term care workers' emotional labor and quality of life.
Journal of the Korea Academia-Industrial cooperation Society
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v.21
no.10
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pp.299-307
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2020
Purpose: The purpose of this study was to investigate the financial hardships affecting the quality of life of cancer survivors. Method: Data were collected from five convalescent hospitals using self-administered questionnaires, and 422 questionnaires were used for the final analysis. We used a 5-step hierarchical multiple-regression analysis by entering each sociodemographic variable, medical variable, and three types of financial hardship (a material situation, the psychological response, and coping behavior coming from cancer treatment cost) into each step. Results: The results of statistical analysis indicate that the most influential factor in the quality of life was the financial difficulty, which was the frustration that they could not work as usual or support their family financially. In addition, the performance of physical activity, accompanying diseases, women patients, psychological burden on cancer treatment cost, the satisfaction of communication with medical staff for medical expenses, and the feeling unsuccessful financial coping strategy were predictors for the quality of life of cancer survivors. Conclusion: This study provides a blueprint for the development of intervention programs in practice to improve the quality of life of cancer patients, clinical intervention plans, and health policies.
Three studies were conducted to determine the effect of sex on pre- and post-weaning performance of pigs. These studies were conducted in response to observations that female pigs appear to grow faster than male pigs after weaning. In addition, female pigs have been found to grow faster than male pigs when supplied with supplemental milk before weaning. The aims of the present work were to further characterise the ontogeny of sex differences growth of nursing and growing pigs. In the first study, piglets sucking 32 sows were crossfostered to produce litters of 10 boars (n=9), 10 gilts (n=l 1) or 5 boars and 5 gilts (n=12). Liveweight of the sucking pigs was then measured weekly until weaning at 4 weeks of age. In the second study, 80 boars and 80 gilts were weaned at 26 days of age and growth performance measured until 21 days post-weaning. In the third experiment, 40 boars and 40 gilts were weaned into groups of 5 pigs at either 17 or 25 days of age and pigs were weighed until they were approximately 90 kg liveweight. All-boar litters grew more slowly than the all-gilt and mixed litters such that by 14 days of age the all-boar litters were 10% lighter than the all-gilt or mixed litters (39 vs. 43.8 kg, p=0.050). The proportional difference in litter weight appeared to be maintained at 21 days of age (53.9 vs. 59.4 kg, p=0.063) but was diminished by 28 days of age (66.5 vs. 70.8 kg, p=0.28). In the second study, gilts grew more quickly than boars over the first 7 and 21 days post-weaning and as a consequence were 10% heavier than boars at 21 days after weaning (13.7 vs 12.48 kg, p=0.001). In the third study, gilts grew more quickly than boars in the immediate 7 days post-weaning (40 vs. 5 g/day, p=0.014) whereas from 7 until 35 days post-weaning there was no significant difference in growth rate (381 vs. 360 g/day, p=0.19). Gilts also grew more quickly than boars over the 14 days after being moved into the grower (631 vs. 570 g/day, p=0.013) and finisher (749 vs. 688 g/day, p=0.038) sheds. However, these differences were not maintained over the entire period in each shed. These data support the hypotheses that gilts handle the stresses of weaning and other transitions better than boars.
Despite a recent increased nation's attention given to improving end-life care, we professionals need to be more critical and reflective on our realities surrounding hospice palliative care. The aim of this paper is to suggest that palliative care models can be used for patients/families in the last phase of life and examine whether they are appropriate for caring them in congruence with philosophy of hospice. The hospice experience model (HEM) of Eagan & Labyak and the developmental model of Byock are introduced and examined for their congruence with philosophy of hospice in applying to clinical practice. The HEM as a patient/family value-directed end of life care model emphasizes three principles; unique experience of patient/family, interactions/relationships among multiple dimensions of personhood and between family, and personal growth and development in the face of suffering through a life-completion. The developmental model stipulates dying as the last stage of living, a stage of life cycle in which patients/family may have growth through life-completion in multidimensional relationships of personhood. The model includes the developmental landmarks and tasks for life-completion as the framework to guide a means of professionals' to recognize their opportunity to grow. The landmarks and tasks include worldly and social affair, individual relationships, intrapersonal, and transcendent dimension. The models could work as appropriate palliative care models for patients/families in the last stage of living. The professionals need to be encouraged to apply the models to end of life care setting.
The purpose of this study was to investigate on paid hospital-nurses' work perception, knowledge, performance and the performance-related factors of a nurse who works in a hospital with no guardian which is phased in its beginning as well as interactions between the factors. Data were collected from nurses working in wards without guardian at 9 hospitals among a total of 10 Korean hospitals carrying out a national pilot project which is designed for institutionalization of national caregiving services. Self reported questionnaires were used to collect data from 167 nurses, and 135 returned forms were analyzed(December, 2010). The score of perception was 4.24/5.00, knowledge 4.25/5.00, and performance 3.49/5.00. The performance was significantly different depending on the hospital types(p=.002). Significant correlations were found among perception(p<.001), knowledge(p=.004) and performance. The degree of perception(p<.001) and types of hospital(p<.001) attributed to 16.5% of variance in the practice. To enhance level of performance by taking account of perception and types of hospital, can be effective for hospital-nurses when there is no guardian.
This study was aimed at identifying the actual state of workplace violence based on a survey conducted to 876 subway workers in Seoul and determining the relationship between workplace violence and mental health of workers. Data were collected via web site, using a structured questionnaire and for the analysis of the data, a multiple linear regression analysis was carried out by the statistical program SPSS 20.0. According to the results, the perpetrators of violence turned out to be "passengers" in all types of workplace violence: physical violence, verbal violence, sexual harassment and disregard for personality. As for the relationship between workplace violence and the mental health of the workers, statistically significant differences were shown between all the above mentioned workplace violence types and sub-areas of mental health. Also, as for the impact of workplace violence on the mental health of the workers, significant differences were found in physical violence, sexual harassment and disregard for personality, with 8.3 percent of explanatory power. Based on these findings, the study suggests the establishment and the application of customer interaction guidelines to protect subway workers from workplace violence along with specific measures customized for each work environment to prevent violence.
This study was conducted to investigate the perception of nurse's use of physical restraints. This study is a descriptive research study for 138 nurses who work at the small hospitals under 300 beds. Statistical analysis was performed using descriptive statistics, t-test, ANOVA, and factor analysis using the SPSS statistical program. The results of this study were as follows: The overall average of the nurses' perception of physical restraint was $3.91{\pm}0.54$, and the most important reason for using a physical restraint was to protect the patient from falling out of bed($4.37{\pm}0.68$). The factor analysis showed that 'behavior, psychological symptom management($3.81{\pm}0.67$)', 'maintain medical treatment($4.11{\pm}0.60$)' and 'patient safety($4.13{\pm}0.63$)'. It is necessary to understand the characteristics and factors of nurse's use of physical restraint in small and medium hospitals. Moreover, it is also required to use minimum physical restraints for patient's safeties and rights based on accurate understanding of physical restraint's use. Therefore, it is needed to provide job training for the physical restraint that is used in various situations and to develop education and intervention program to adjust in nurses' situation.
The purpose of this study is to develop business models for current situational scenarios reflecting customer needs emphasize the need for implementing a logistics cooperation system by analyzing big data to strengthen SCM competitiveness capacities. For healthcare SCM competitiveness needed for the logistics cooperation usage intent, they were divided into product quality, price leadership, hand-over speed, and process flexibility for examination. The wordcloud results that analyzed major considerations to realize work efficiency between medical institutes, words like unexpected situations, information sharing, delivery, real-time, delivery, convenience, etc. were mentioned frequently. It can be analyzed as expressing the need to construct a system that can immediately respond to emergency situations on the weekends. Furthermore, in addition to pursuing communication and convenience, the importance of real-time information sharing that can share to the efficiency of inventory management were evident. Accordingly, it is judged that it is necessary to aim for a business model that can enhance visibility of the logistics pipeline in real-time using big data analysis on site. By analyzing the effects of the adaptability of a supply chain network for healthcare SCM competitiveness, it was revealed that obtaining competitive capacities is possible through the implementation of logistics cooperation. Stronger partnerships such as logistics cooperation will lead to SCM competitive capacities. It will be necessary to strengthen SCM competitiveness by searching for a strategic approach among companies in a direction that can promote mutual partnerships among companies using the joint logistics system of medical institutes. In particular, it will be necessary to search for ways to utilize HCSM through big data analysis according to the construction of a logistics cooperation system.
The purpose of this study is to ascertain whether the effect of introduction of OCS(Order Communication System) to the hospital is satisfied or not comparing the anticipated effect with the actual effect. For this purpose, a domestic hospital which has introduced and has been operating OCS for several years was chosen. Based on the internal data of S Hospital prepared before introducing OCS, researcher has analyzed the basic direction, design standard and status of operation after the introduction of OCS, etc. After analyzing the status of operations of several departments using OCS and interviewing with the chiefs of pertinent departments, a survey form was designed. Actual survey and interviews were conducted by the researcher for weeks to know whether doctors, nurses, medical technicians and clerks of the patient management dept. were satisfied with OCS and to find if they have any recommendations to improve OCS. Based on the analysis of survey, the effect of OCS was evaluated whether it has satisfied the anticipated effectiveness. For the question if they feel convenient in using OCS, doctors, nursing staffs in charge of ward and the staffs of billing dept. has answered that they were all satisfied(100%). The answers for the same question were relatively high in the case of nurses in charge of outpatient and staffs of radiography. Of course, there have been some nurses and staffs who complained for the inconvenience. However, overall satisfaction was high on the average. Some common problems occurred after the introduction of OCS were frequent errors due to instability of OCS system, paralysis of function of hardware on data back-up system and redundant investment due to erroneous choice of DB program in setting DB. It was also pointed out that lack of computer education and low participation of medical staffs has resulted in failure of developing effective software. As a result, it has lowered the efficiency of OCS. For example, some works have to be done by hands even after OCS. Based on the result of this research, recommendations to maximize the effect of OCS were presented as follows. First, strong leadership of CEO and active cooperation of doctors are mandatory. Second, all the process of hospital work should be analyzed and be redesigned in more efficient ways. Third, OCS should be designed to be user-based system which can be used efficiently by all staffs of the hospital. Forth, prior to the operation of OCS, proper tests of the program and trainings of the pertinent staff are required. Fifth, prior to the selection of hardware, BMT(Bench Marking Test) should be conducted. Sixth, before introducing OCS, staffs in charge of OCS should visit many hospitals operating the OCS system and take their cases into account.
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