• Title/Summary/Keyword: Nursing Working Environment

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A Comparative Study on the Operation Status of Comprehensive Nursing Care Ward (간호·간병통합서비스 제공 병동의 운영현황 비교연구)

  • Lee, Kyoung A;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.25 no.3
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    • pp.196-204
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    • 2018
  • Purpose: The purpose of this study was to contribute to the activation of comprehensive nursing care services by comparing and analyzing the working environment and operational status of comprehensive nursing care wards with general wards. Methods: A questionnaire survey was conducted at hospitals operating comprehensive nursing care services. We collected data on patient characteristics, workforce, working environment, and work support facilities of 40 hospitals voluntarily participating in the survey. The collected data were analyzed by dividing it into an comprehensive nursing care ward and a general ward. Results: Compared with the general ward, the comprehensive nursing care ward had fewer hospitalized patients, but the severity of the patients and the need for nursing were high. The number of nurses, assistant nurses, and ward support workers per patient was higher in the comprehensive nursing care ward than in the general ward, and the implementation rate of night shift fixed system, the fixed shift system, and the preceptor system were higher. In terms of structural environment, comprehensive nursing care wards had more room for interviews. Conclusion: The comprehensive nursing care ward had more nursing staff and provided a better working environment than the general ward, but required additional support for the structural environment.

A Study on the Current Status of Nursing Personnel in Cheju Island (제주도 지역 간호인력 현황 분석)

  • Ham, Eun-Ock
    • Journal of Korean Academy of Rural Health Nursing
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    • v.5 no.1
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    • pp.25-32
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    • 2010
  • Purpose: The purpose of this study was to provide a fundamental data for improving nurses' working environment and securing quality of nursing care. Method: It was consisted of analyzing education system and employment status of nursing personnel, and focus group interviews in Cheju Island. Results: Total graduates were 4,139 by 2006 from two nursing schools in Cheju. Difficulties in working conditions from focal group interviews were classified into four categories; Lack of anonymity of nurses, the burden from performing nontraditional nursing roles due to shortage of physicians, irregularity of working schedule and too many night shifts for taking care of female colleague's condition related with pregnancy, and poor support for implementing and developing professional nursing. Conclusion: A survey revealing working condition of nursing personnel of all health care institutions in Cheju Island will provide the comparison between Cheju Island and other areas. It needs to cultivate the public opinion about the importance of quality of nursing care proceeded by the broad support for improving nurses' working environment. It is essential to support continuing education to bring professional nurses and establishing the system to utilize them to overcome the shortage of physicians in Cheju Island.

A Study on the Working Environment Recognition and the Caracter Disposition of Nurse Aides (간호조무사의 근무환경인식과 성격성향에 관한 연구)

  • Lee Sun Yi
    • Journal of Korean Public Health Nursing
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    • v.4 no.1
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    • pp.57-74
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    • 1990
  • As the whole world took on the tendency to be highly industrialized, it became necessary for each field of occupation to require professional man power. Especially, since the World War n, the participation of woman power in economic activities has been continually increasing. In our country also, because of the rapid economic growth, change in the way of thinking of women as well as their participation in economic activities are increasing. Thus, woman power is being utilized in various occupational fields from simple physical labor to those that require high-professional skill. Also, continued economic development policies, by setting the establishment of welfare society as the ideology to be fulfilled, brought expansion of medical facilities in the field of public health and increase in man power in that field. As for the nursing specialists, more than 6000 have been being produced per year and as of the end of 1988, the total number of nursing specialists, reached 123, 115. Therefore, this study is done to recognize the professional knowledge and ability of nursing specialists, who take up $40\%$ of the total public-health related man power in our country, through evaluating their working environment and their disposition of character. This study, which was done from September 18th to September 30th 1989, took on the method of using formed questionnaires that had been amended and supplemented during two preparatory investigations, 322 of such questionnaires were used as an analytical material. In the formation of questionnaires, 12 questions were related to the working environment, and 26 in fortotal were related to the disposition of character, 5 for wise-disposition, 11 for activedisposition and 10 for open-disposition. The measuring method, which used 5-point-standard, allowed 5 points for affirmative recognition of the working environment, also 5 points for showing wise, active and open disposition of character and only point in opposite cases. Collected materials were analyzed, through an electronic calculation, into the average value, the standard deflection percentage, pearson corelative number and stepwise multiple regression. Summarizing the results from this study is as follows: 1. It was shown that the nursing specialists with the average of 3.07 have affirmative recognition of their working environment. The questions which drew most affirmative reaction were those concerning finance-management system such as hand, the questions that received negative reaction were those concerning communication method with the average of 2.49. Such reaction seems to have resulted from the cramming regulation by the superior authorities. Concerning the recognition of working environment in relation to employment conditions, more affirmative recognition is shown with the average of 3.14. at hospitals where injection job is not performed. The nursing specialists working at regular hospitals show more affirmative recognition than those at general hospitals, the averages being respectiely 3.16 and 3.03. 2. As for the disposition of character of the nursing specialists, active-disposition was highest with the average of 3.38, next was wise-disposition with 3.20 and the lowest was open-diposition with 2.98. Variable-wise disposition of character shows that wise-disposition and academic background are beneficially correlated by 0.12. Ative-disposition and open-disposition show correlation to the office term by respectively 0.16 and 0.21. In other words. better academic background leads to higher wise-disposition and more - experience results in higher active and open disposition. Also, the class that performs the injection job, in relation to the working environment, might cause change in the self-conceit that identify those in that class with the nurses; however, as far as professional judgment and action, in dealing with nursing job, being wise, active and open is concerned, not much effect is made. 3. The relation between the recognition of the working environment and the disposition of character is that more afirmative recognition- a nursing specialist has about her working environment, the higher the active-disposition becomes by 0.13. The degrees of the relation between recongnition of environment and wise and open dispositions show respectively 0.06 and -0.06 and -0.06. That is to say that when having more affirmative recognition of the working environment, a nursing specialist shows wise but closed disposition of character. This, howerver, didn't mean much statistically. When observing the results mentioned above, it is conspicuous that the nursing specialists, working as substitutes for the nurse at medical institutions of various sizes, get the feeling of being somewhat equal to the nurses and to some extent, fulfill their desire to accomplish their ego; however, as far as professional ability expansion if concerned. they lack wise and open dispositions. Therefore, considiering upon the results of this study, in medical institutions where the work of nursing specialists is regaded equal to that of the nurses, as a medical member who deals with human lives, it is desirable to make the nursing specialists work under the supervision of the nurses and to offer them continuous education to strengthen and improve their natural dispositions.

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Factors Influencing Care Left Undone among Newly Graduated Nurses (신규간호사의 간호업무누락 영향요인)

  • Kim, Eun Young;Oh, Yun Kyung
    • Journal of East-West Nursing Research
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    • v.25 no.1
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    • pp.33-40
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    • 2019
  • Purpose: The purpose of this study was to identify factors that affect care left undone among newly graduated nurses. Methods: Participants were 236 newly graduated nurses with less than 1 year of experience from 5 general hospitals in Busan. Self-report questionnaires were completed by nurses between October and November, 2016. Data were analyzed using t-test, ANOVA and multiple regression analysis with the SPSS/WIN 25.0 Program. Results: The mean score for care left undone was $2.18{\pm}1.43$. Factors influencing care left undone were monthly income and working environment. Regression analysis showed that working environment and monthly income explained 11.0% of the variance while controlling for participants' demographics and work characteristics. Conclusion: The findings suggest that better working environment and appropriate monthly income are important to reduce care left undone in hospitals. The quality of nursing and patient safety may be ensured by reducing care left undone.

Factors Influencing Job Satisfaction Among Nurses in Integrated Nursing Care Service Wards (간호·간병통합서비스 병동 간호사의 직무만족에 미치는 영향요인)

  • Kim, Jung-Mi;Lee, Yu-Mi
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.53-65
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    • 2019
  • Objectives: This descriptive survey study aimed to identify factors that affect job satisfaction among nurses working in integrated nursing care service wards and to explore measures to increase job satisfaction among these nurses. Methods: Data were collected between July 20 and August 3, 2018 from nurses working in integrated nursing care service wards in Busan and Changwon city, in Korea. Data were analyzed with SPSS/WIN 23.0 software(IBM corp., Armonk, NY, USA). Results: Factors affecting job satisfaction among nurses working in integrated nursing care service wards were identified as follows: professional self-concept (${\beta}=.32$, p=.003), which is a subdomain of nursing professionalism, and nursing foundations for quality care (${\beta}=.30$, p=.001), which is a subdomain of nursing work environment. The model had an explanatory power of 54.7%. Conclusions: Nursing professionalism should be strongly established among nurses, as nurses are key players in a health system that allows stable and expanded operations of integrated nursing care. Intervention measures that create a better work environment for nurses should also be implemented. Furthermore, it is necessary to develop systematic strategies and multifaceted efforts to increase nurses' job satisfaction in integrated nursing care service wards.

The Impacts of Nurses' Working Environment on Health Problems (간호사의 근로환경이 건강문제에 미치는 영향)

  • Jang, Hyunjoo;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.1
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    • pp.1-7
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    • 2020
  • Purpose: The purpose of this study is to investigate the effect of work environment on health problems of nurses. Methods: The subjects of the study were 395 nurses who were wage workers among KWCS (Korean Working Conditions Survey) respondents in 2014. The work environments were measured by the KWCS questionnaire. Results: 48.5% of the 395 nurses had health problems. The prevalence of musculoskeletal diseases (34.7%) was the highest among all health problems. The ergonomic work environment was significantly related to musculoskeletal disorders, headache and eye strain, and fatigue. In addition, the increase in work-individual interface area was significantly related to fatigue. Conclusion: The work environment of nurses affects health problems. It is therefore important to develop strategies that improve the health problems of nurses by reducing ergonomic and psycho-social risk factors.

Psychosocial Working Environment and Mental Health of Financial Clerks (금융사무원의 심리사회적 작업환경과 정신건강)

  • Lee, Bokim;Lee, Joohyun
    • Korean Journal of Occupational Health Nursing
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    • v.30 no.4
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    • pp.224-231
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    • 2021
  • Purpose: The purpose of this study was to identify the psychosocial working environment and mental health of financial workers, and analyze the impact of the former on the latter. Methods: Data of 257 financial clerks were extracted from the 2017 5th Korean Working Conditions Survey. Psychosocial working environment was divided into five fields: demands at work, work organizations, interpersonal relations, workplace violence, and working hour quality. Mental health included sleeping problems, psychological well-being, and job stress. Results: A total of 6.1% subjects reported sleep problems, 28.2% experienced poor psychological well-being, and 39.6% had job stress. More than half the subjects were exposed to tight deadlines, complex tasks, hiding feelings at work, fair treatment, fair distribution of work, colleagues' support, and managers' support. Tight deadlines, workplace violence, long working hours, hiding feelings at work, and managers' support had a significant impact on the mental health of financial clerks. Conclusion: Based on the results of this study, we propose that employers, workers, and health managers in the financial industry should work together to establish a respectful organizational culture, prevent long working hours through recruitment, and conduct programs to protect emotional health.

Differences in the Working Environment and Health Outcomes according to the Employment Type of Delivery Workers (택배기사의 고용형태에 따른 근로환경과 건강결과의 차이)

  • Kim, Mu Seong;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.29 no.4
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    • pp.316-324
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    • 2020
  • Purpose: This study aimed to identify differences in physical working environments, psychosocial working environments, and health outcomes according to the employment type of delivery workers. Methods: This study was a secondary analysis of data collected from the Fifth Korean Working Conditions Survey (KWCS). Participants were 84 Korean delivery workers. Data were analyzed using the SAS 9.4 Version, χ2 test and Fisher's exact test. Results: Statistically significant differences were found according to the employment type of delivery workers (special types, wage) including "noise", "vibrations", "repetitive movements", "supervisor support", "colleague support", "manuals on emotional expression", "existence of trade union, works council or similar body". Conclusion: This study suggests the necessity of improving the working environment and health outcomes of delivery workers belonging to special employment types. In developing these, the laws and systems must be reorganized to enable the recognition of delivery workers as wage workers. In addition, delivery companies should be held responsible for managing delivery workers.

Validation Study of the Practice Environment Scale of Nursing Work Index for Psychiatric Hospital Nurses in Korea (한국 정신간호영역에서의 간호업무환경 측정도구의 타당화 연구)

  • Kim, Hee Jung
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.224-235
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    • 2014
  • Purpose: The purpose of this study was to test the reliability and the validity of the Practice Environment Scale of Nursing Work Index (PES-NWI) scale when applied to Korean psychiatric nurses working in the psychiatric hospital in Korea. Methods: Data from 224 psychiatric nurses working in the 6 psychiatric hospitals in Korea were analyzed using Cronbach's ${\alpha}$, item total correlation, and exploratory factor analysis. Results: The Cronbach's ${\alpha}$ for the 27 items from the PES-NWI were .93, and the item total correlation coefficients ranged from .38 to .64. Six factors which explained 61.2 of variance in the perception of practice environment, emerged; nurse professional role and development, nurse manager ability, leadership, and support of nurses, staffing and resource adequacy, nursing foundation for quality of care, collegial nurse-physician relations, co-worker's ability and qualification. Five derived factors reconstructed, and two factors were renamed. Conclusion: Findings demonstrate that not all but 27 items from PES-NWI is a reliable and valid scale when applied to Korean psychiatric nurses working in Korea. Also findings indicate that Korean psychiatric nurses perceive practice environment differently than American nurses but have some point of similarities with Asian nurses working in the United States.

Nursing Practice Environment and Moral Distress Impact on Person-centered Care of Long-term Care Hospital Nurses (요양병원 간호사의 간호근무환경, 도덕적 고뇌가 인간중심돌봄에 미치는 영향)

  • Lee, Jin-Sook;Lee, So-Young
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.6
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    • pp.1790-1797
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    • 2020
  • This study was conducted to evaluate the nursing practice environment, moral distress, and the factors that influence person-centered care and the experience of person-centered care among nurses working in a long-term care hospitals. 154 nurses who was working in long-term care hospitals in D city and G province were evaluated. Date were collected from May 1st to 31th, 2020 and analyzed using the SPSS/WIN 25.0 program. The mean score of nursing practice environment was 2.42, the moral distress was 3.27, and person-centered care was 3.60. Person-centered care showed significantly positive correlations with moral distress(r=.53, p<.001) and showed significantly positive correlations with nursing practice environment(r=.32, p<.001). Regression analysis revealed that the factors which significantly influenced person-centered care were nursing practice environment and moral distress. Therefore, in order to increase person-centered care, nursing intervention programs that improve the nursing practice environment and reduce moral disgtress are required for nurses working in long-term care hospitals.