• 간호행정학회지
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• 제18권1호
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• pp.106-117
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• 2012

Purpose: This study was designed to develop quality outcome indicators for nursing homes and community-based home care that would contribute to an appropriate evaluation and improvement of quality of long term care in Korea. Methods: The preliminary quality indicators of long term care were developed from a literature review and clinical expert panel. A content validity testing was done using a panel of experts who were selected from academic and clinical field of long-term care. The final quality indicators were confirmed after application in four nursing homes and four home care agencies to test clinical validity. Results: The preliminary quality indicators consisted of 3 domains and 19 indicators. The final quality indicators were composed of 4 domains and 17 indicators. Conclusion: This study demonstrated the feasibility of outcome quality indicators in long term care. These quality indicators can be effectively used to evaluate the quality of nursing home and home care and to improve the quality of care in the Korean long-term care system.

• 간호행정학회지
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• 제8권4호
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• pp.515-534
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• 2002

Purpose : This study was to provide a meaningful framework for establishment of the direction of Nursing Management area to get ready for Nursing Personal Licensing Examination Board. Method : Using methodological and descriptive research method, the research process was as follows: a preliminary work list which was performed by New Nurse related to nursing management area was made of such key information as the domain of nursing management work, the element of that domain, and the detail work content, by means of a broad review of literature related to nursing management on Licensing Examination for the new nurse. After this preliminary work list sought to obtain examination, consensus, and modification of expert group in the nursing management field, research instrument which was the work list performed by new nurse within nursing management area was to developed. And next, it was to survey various of the importance and the frequency of that work performance by registered nurse, nurse manager, and the professors to take responsible of nursing management. Finally, the educational content for nursing management at the level of baccalaureate was proposed by various analyzing of research results. Results : The work list which was performed by new nurse related to nursing management area consisted of 9 domains, 24 elements, and 80 detail work contents. After it was examined into such various analysis as descriptive statistics, ANOVA, mean range, and so on, of the importance perception of the work and the frequency of work performance, the educational contents for baccalaureate in nursing management which consisted of total 65 contents made up of 18 core contents and 47 essential contents, which new nurses have to necessarily know and perform within the nursing management area. Conclusion : The results of this study will contribute to identifying the work list of new nurses performed in nursing management area and also proposing the educational contents that was taught at the level of baccalaureate in nursing management area based on doing actually in nursing unit.

• 간호행정학회지
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• 제6권2호
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• pp.259-279
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• 2000

This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

• 간호행정학회지
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• 제12권1호
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• pp.63-75
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• 2006

Purpose: This study was aimed to specify roles of nurses from the anesthesia and recovery room by analyzing nursing activities as well as anesthesia nursing during surgery. Method: The objects were 12 RNs working in the recovery room of a university hospital located in Incheon. Self-report was performed by measuring stop-watch for five days from May 17th to May 21st in 2004. Research method was designed to record the time and frequency of the nursing activity from anesthesia and recovery room based on nurses' statement and other references for five days. The data were analyzed with descriptive statistics, ANOVA, and t-test via SPSS Win 10.0 program. Result: Nursing activities in anesthesia recovery room were classified into two different characteristics such as direct and indirect nursing activity. The activities consisted of 11 direct nursing areas and 39 nursing activities in anesthesia preparation room. The indirect nursing was classified into 8 nursing areas and 32 nursing activities. The direct nursing was classified into 12 nursing areas and 55 nursing activity. Also, the indirect nursing was classified into 7 nursing areas and 21 nursing activities in recovery room. In terms of prevalence of nursing activities in the anesthesia preparation room, observation and cooperation of anesthesia was the most prevalent activity, drug and eqipment management the second prevalent, and drug administration the third. On the other hand, in the recovery room, the most prevalent activity was vital sign checking and observation, the second most prevalent activity informative activity, and the third body temperature control. Nursing activity time was recorded according to the nursing characteristics. In the anesthesia preparation room, the direct nursing spent for 8092.20 minutes was larger than the indirect nursing spent for 7198.50 minutes. Also, in the recovery room, the direct nursing spent for 2361.16 minutes was larger than the indirect nursing spent for 1134.13 minutes. 4. Nursing activity time was compared to duty shifts. In the anesthesia preparation room, the direct nursing was more prevalent on day shift and the indirect nursing was prevalent on evening shift. However, in the recovery room, both direct and indirect nursing activities were prevalent on day shift. Conclusion: The role of anesthesia and recovery room nurses was analysed according to the time, frequency, and its characteristics.

• 간호행정학회지
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• 제11권3호
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• pp.303-314
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• 2005

Purpose: To describe the status on the education of the nursing management practice in college of nursing in Korea. Method: A descriptive survey research design was used. The participants were 47 of the college of nursing across the nation. The data were collected by mail from 15th August to 10th November, 2005. Result: The results are as follows : 1. In content analysis of teaching goals Nursing Management Process(n=66), management of environment, material and safety(n=16), Implication of Nursing Management Theory(n=16) were identified. 2. In 39 college of nursing, The education on Nursing Management Practice conducts 1${\sim}$2 credits. Also in 41 college of Nursing, The credits on Nursing Management Practice were opened in senior grade. 3. The type of instructors of Nursing Management Practice were varied in Nursing Schools. 4. As teaching methods, conference(93.5%), ward assigned instruction(73.9%), case report(67.4%), practice report(63%), presentation(52.2%) were used. 5. The education on Nursing Management Practice was performed mainly in clinical nursing area. 6. In evaluation of the education on Nursing Management Practice, all colleges have used evaluation tools. Promptness, neatness, responsibility, sincereness etc. were founded in evaluation criteria in evaluation of the education on Nursing Management Practice. 7. A standardized evaluation tools included essential content of the education on Nursing Management Practice needs to be developed. Conclusion: The result of this study will contribute to improve the education on Nursing Management Practice and also proposing to develop standardized evaluation tools in evaluation of the education on Nursing Management Practice.

• 간호행정학회지
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• 제20권1호
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• pp.35-47
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• 2014

Purpose: The purpose of this study was to describe nurses' experiences of accidents in patient safety. Methods: Data were collected from October 8, 2011 to January 31, 2012 through in-depth interviews with seven nurses who had worked on wards or in the ICU in a university hospital. Data were analyzed by applying Colaizzi's phenomenological methodology. Results: The following six categories were extracted: Fear of the patient's condition caused by the accident, Conflict in the accident report, Blame on others and circumstances, Feeling guilty and sorry as the patient's condition is improving, Being disappointed with the unfavorable atmosphere in dealing with the accident, After the accident, being sensitive in performing nursing duties and being faithful to the principles. Conclusion: The results indicate that the organizational culture in the hospital related to accidents in patient safety is still closed and punitive, and such an atmosphere causes nurses to feel seriously hurt, but through this experience nurses are likely to mature as nursing professionals. Programs on prevention of accidents in patient safety and a system to guard against these accidents should be established. Also the organizational safety culture should be improved.

• 간호행정학회지
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• 제19권1호
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• pp.138-145
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• 2013

Purpose: This study was done to provide fundamental ontological understanding of caring and inquiring into the possibility of a caring practice in nursing based on existential phenomenology. Methods: According to Heidegger's existential phenomenology, caring has been interpreted as a fundamental ontological basis for caring practice in nursing. Further, based on Merleau-Ponty's phenomenology, the meaning of the lived experience of illness and the way of caring practice have been described from the aspect of the existential involvement in the embodied life world. Results: Heidegger's phenomenology provided ontological thinking about caring, which is understood in a basic way as the possibility of human existence and dwelling in oneself in the confrontation of the illness experience. Merleau-Ponty's phenomenology offered a meaning of human existence according to bodily intention and situated freedom in the life world. This perspective of embodiment enables nurses to understand bodily experiences of patients and recovery of their bodily capacity in responding to the situation in caring practice. Conclusion: Existential phenomenology gives insight into fundamental reflection for caring attitude and practice in nursing. Existential phenomenological nursing research can provide descriptions and meaning of the lived experience of illness and a way of coping with the crisis of human existence in caring practice.

• 간호행정학회지
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• 제12권4호
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• pp.564-573
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• 2006

Purposes: This study was to provide basic data to explain the effect of the organizational effectiveness factor on hospital nursing, to construct an appropriate model to examine the validation and relationship with variables and to provide basic data for improving the organizational effectiveness of hospital nursing. Method: This study was a descriptive correlation research. Subjects of the study were 348 nurses, 219 patients, and 89 nurses for nursing quality. Twelve measurement variables and nine paths were established in the hypothetical model. Results: The fitness indices of the model were GFI=0.91, NFI=0.90, and PGFI=0.49. Five among the nine paths proved to be statistically significant : level of nurse manpower to organizational effectiveness, conflict to organizational effectiveness, organizational climate to organizational effectiveness, level of nurse manpower to organizational climate, and leadership to organizational climate. Level of nurse manpower and leadership influenced organizational climate. Organizational climate accounted for 43% by the predictor variables, and the level of nurse manpower, conflict, and organizational climate influenced the organizational effectiveness, which accounted for 77% by the predictor variables. Conclusion: This study identified that the level of nurse manpower, leadership, conflict, and organizational climate are important factors affecting organizational effectiveness.

• 간호행정학회지
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• 제15권3호
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• pp.355-364
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• 2009

Purpose: The purpose of the research is to investigate the effect of self-image on work performance and controlling ability of self-leadership in relationship in between self-image and work performance. Methods: The data were collected from Mar 16th to April 15th 2009, a descriptive survey study was conducted with 140 nurses. Results: The hypothesis "Self image of nurse would affect on work performance" is supported ($R^2$=.335, p<.001). In the hypothesis of "Self-leadership would have controlling ability on self-image and work performance", as a result of regression analysis in independent variables of self-image(A) and self-leadership(B), adding relation of both variable($A{\times}B$) would increase in 36.6% (p<.05). Conclusion: Self-image of nurse was confirmed that it had positive effect on work performance and that it had moderating ability on relationship between self-image and work performance. The shaping and strategic operation are required to increase self-leadership and positive development on self-image of nursed.

• 간호행정학회지
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• 제17권4호
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• pp.538-550
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• 2011

Purpose: The purpose of this study was to review articles, thesis and dissertation on turnover intention of hospital nurses in order to identify overall trends in turnover intention of nurses and suggest strategies for reducing turnover intention. Method: Thirty research papers on turnover intention of nurses were reviewed. Result: These papers were journal articles and thesis regarding nurses who worked in general wards, intensive nursing units, and emergency rooms in hospital. The tools used to measure turnover intention were Lawler (1983), Mobley (1982), and Lee (1995), and others. Most of tools were composed of 1-11 items, with 4-7 point Likert scales. Reported reliability was .55 to .91. The mean score for turnover intention was between 2.40 and 3.85. The important results revealed that job satisfaction, organizational commitment, and stress affected turnover intention of hospital nurses. Conclusion: The findings from this review indicate that to reduce turnover intention for hospital nurses, a nurse manager should increase job satisfaction, organizational commitment, and reduce stress by developing a good culture and work climate. Moreover it is necessary to assess stress and job satisfaction of nurses, and to manage nurses' welfare, including night duty policy, salary, and career ladder.