• Title/Summary/Keyword: Nursing hours

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Predictors of Quality of Life among Workers in Public Health Corporations (건강관련 공기업 사무직 근로자의 삶의 질 예측요인)

  • Eom, Hye-Jeang;Lee, Hae-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.153-161
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    • 2009
  • Purpose: The purpose of this study was to identify the predictors of Quality of Life (QOL) among workers in public health corporations. Methods: Data were composed of 213 office workers in three public enterprise in Seoul. Data were collected from February 11 to March 20, 2007. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation and stepwise multiple regression using SPSS Win 12.0 program. Results: The mean QOL of the study participants was 82.60. The QOLs of the workers were significantly different according to perceived health status of workers and working hours per week. The QOL of the workers was negatively related to working hours, job stress, and depression, and positively related to the health status, self-esteem, and health promotion lifestyle (HPLS). Significant predictors of QOL were HPLS ${\beta}=.420$), depression (${\beta}=-.291$), self-esteem (${\beta}=.261$), and hours of work per week (${\beta}=-.114$), which explained 63% in the variance of QOL. Conclusion: These results suggest that strategies to enhance HPLS could improve the level of QOL. Further investigations of the direct relationship between QOL and health promotion program is warranted.

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Relationships between Short Sleep, Obesity, and Screen Time in High School Students (고등학생의 수면 부족, 비만, 스크린 타임 사이의 관련성 연구)

  • Ha, Yeongmi;Park, Hyunju
    • Journal of Korean Biological Nursing Science
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    • v.16 no.2
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    • pp.80-89
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    • 2014
  • Purpose: The purpose of this study was to investigate relationships between short sleep, obesity, and screen time. Methods: Data were obtained from a survey using a sample of 1,166 academic, and 597 vocational high school students. A structured questionnaire was used to assess demographics, hours spent in sleep, TV viewing, internet usage, and game playing. Obesity was determined using the body mass index. Descriptive statistics, Cochran Mantel Haenszel Chi-square test, and multiple logistic regression with dummy variables were performed. Results: Short sleep (<8 hours/day) was significantly related to obesity, not in academic school students, but in vocational school students. Academic high school students who had enough sleep (${\geq}8$ hours/day), had more time spent on TV viewing, internet usage, and game playing. Similar results were found in vocational high school students except for internet use. Interestingly, students with better school performance spent significantly less time in TV viewing, internet usage, and game playing, and therefore had a lower risk of obesity in academic school students. Conclusion: There is a significant relationship between short sleep and obesity that was found only in vocational high school students. The relationship between short sleep and screen time was not significant in Korean high school students.

Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy (냉요법을 이용한 수술 후 구강간호가 복강경 자궁근종절제술 환자의 오심, 구토 및 구강 불편감에 미치는 효과)

  • Jung, Mi-Young;Choi, Hyo-Sun;Park, Kyung-Yeon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.19 no.3
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    • pp.292-301
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    • 2012
  • Purpose: The purpose of the study was to evaluate the effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort after laparoscopic myomectomy. Method: The study was conducted with an experimental group (n=29) and a control group (n=35) sampled from patients admitted to a women's hospital in a metropolitan city in Korea. Data were collected between October 10, 2011 and January 31, 2012 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANCOVA with SPSS/WIN 19.0. Results: After the intervention, postoperative nausea (p<.001) and oral discomfort for patients in the experimental group were significantly lower than in the control group. There were significant differences in the presence of vomiting between both groups at 12 hours (p<.001) and 24 hours (p=.003) after leaving the recovery room. Conclusion: Oral care using cold therapy was found to be an effective nursing intervention for reducing postoperative nausea, vomiting and oral discomfort up to 24 hours after recovery in patients with laparoscopic myomectomy.

Evaluation of Clinical Alarms and Alarm Management in Intensive Care Units (중환자실에서 사용되는 의료장비의 경보음 발생과 관리 현황)

  • Jeong, Yu Jin;Kim, Hyunjung
    • Journal of Korean Biological Nursing Science
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    • v.20 no.4
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    • pp.228-235
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    • 2018
  • Purpose: This study aimed to investigate the clinical alarm occurrence and management of nurses toward clinical alarms in the intensive care unit (ICU). Methods: This observational study was conducted with 40 patients and nurses cases in two ICUs of a university hospital. This study divided 24 hours into the unit of an hour and conducted two times of direct observation per unit hour for 48 hours targeting the medical devices applied to 40 patients. Data were analyzed using IBM SPSS Statistics 23. Results: On average, 3.8 units of medical devices were applied for each patient and the ranges of alarm settings were wide. During 48 hours, 184 cases of clinical alarm were occurred by four types of medical devices including physiological monitors, mechanical ventilators, infusion pumps, and continuous renal replacement therapy. Among them, false alarm was 110 cases (59.8%). As for the alarm management by ICU nurses, two-minute alarm mute took up most at 38.0% (70 cases), and no response was second most at 32.6% (60 cases). When valid alarm sounded, nurses showed no response at 43.2%. Conclusion: The findings suggest that a standard protocol for alarm management should be developed for Korean ICU settings. Based on the protocol, continuous training and education should be provided to nurses for appropriate alarm management.

The Effects of Sedentary Behavior on Subjective Health in Korean Adolescents (한국 청소년의 좌식행동이 주관적 건강상태에 미치는 영향)

  • Kwon, Min;Lee, Jinhwa
    • Journal of the Korean Society of School Health
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    • v.32 no.2
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    • pp.125-134
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    • 2019
  • Purpose: The purpose of this study was to investigate the effects of sedentary behavior on subjective health in Korean adolescents. Methods: This study is designed as a cross-sectional study. The study sample comprised of 60,040 middle and high school students primarily at the age of 12 to 17. Using data from the 14th (2018) Korea Youth Risk Behavior Web-based Survey, multiple logistic regression analysis was conducted. Results: The rate of engaging in sedentary behavior for less than 2 hours was 28.4% and for more than 4 hours was 28.2% in Korean adolescents. In the result from the logistic regression analysis, compared to engaging in sedentary behavior for 2 hours or less, the adjusted odds ratio was 1.15 for over 4 hours, with other factors controlled. Conclusion: It is necessary to actively develop and promote active leisure activities and limit excessive media exposure and supplementary learning for adolescents.

The Relationship between Long Working Hours and Industrial Accident (장시간 근로와 산업재해와의 관계)

  • Lee, Ju-Young;Choi, Eunhi;Lim, Sung-Ho;Kim, Hyoung-Ah;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.23 no.1
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    • pp.39-46
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    • 2014
  • Purpose: This study analyzed the relationship between working hours and the occurrence of industrial disasters based on manufacturing businesses that are members of Federation of Korean Trade Unions.Methods: Repliers were managers of the safety & health department in the union, and 215 surveys out of 300 businesses that agreed to participate in the research were analyzed. Results: 94 out of 300 companies, which counted for 43.7%, replied to have experienced industrial disasters. 56 of those (59.6%) had less than 52 working hours per week, and 38 companies (40.4%) had more than 52 working hours per week. 109 companies, which counted for 50.7%, did not have an incident of industrial disaster. Companies with an average of more than 52 hours of working hours per week were shown to have a 2.29 times (95% CI 1.08~4.87) higher possibility of having industrial disasters than those with less than 52 hours of working hours. Conclusion: As the study showed that industrial disasters were more likely to occur in businesses with working hours longer than 52 hours, ways to reduce working hours need to be developed and various safety measures need to be taken to prevent industrial disasters in case workers are undergoing long working hours.

An analysis of studies on Assertiveness Training reported in Korea from 1982 to 1997. (주장훈련 프로그램을 적용한 국내학위논문 분석)

  • Ha, Na-Sun;Choi, Jung
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.215-228
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    • 1998
  • The purpose of this study is analysis of 52 dissertations on assertiveness training which presented from 1982 to 1997 in Korea. It was diversified the research purpose to by 1) time of publication or presentation 2) research design, characteristics of subjects used in each study 3) related concepts, the effects of nursing interventions according to related concepts 4) the effects of nursing interventions according to the subjects 5) the effects of nursing interventions according to the frequency and the period of assertiveness training 6) the effects of nursing interventions according to the group size. 7) the effects of nursing interventions according to the necessary time per round. Findings obtained in the study were as follows : 1. At the point of the numbers of studies presented by year, the number of the studies tend to increase, especially the most plentiful papers were presented during five years from 1991 to 1995. 2. Research design of the studies belong to experimental research. The subjects of research consists of 5 Nursing related subjects and 47 Non-nursing related subjects so that Non-nursing related subjects contain much large proportion. 3. When studies were classified by the related concepts, they were classified that 17 studies were by assertiveness & assertive behaviour, 15 ones anxiety, 9 ones self & ego, 7 ones depression. It can be inferred that studies related to assertive behaviour, self & ego, sociality and power of learning were increasing. Otherwise, studies related to anxiety, depression, aggression, shyness and anguish were decreasing. 4. At the point of the nursing intervention effect by the subjects, the concepts of assertive behavior, feeling of self-respect and sociality were increasing, but the concepts of conflict and interpersonal stress were decreasing and the concepts of anxiety and sociality were ineffective in the subjects related Nursing. On the contrary, the concepts of assertive behavior, sociality and personalty were increasing, but the concepts of anxiety, depression, aggression, shyness, self-estranged feeling were decreasing and the concepts of assertive behavior, aggression, personalty, power of learning, anxiety, self-concepts and self-expression were ineffective in the subjects related Non-Nursing. 5. 18 studies can be found, which investigated 10 times for 5 weeks from the point of the nursing intervention effect by the times and the period of assertiveness training. In case of over 5 times of assertiveness training, assertiveness, assertive behavior and personality(tranquility, depression) increased. In 6 times, feeling of self-respect & egorespect increased but depression, interpersonal stress and anxiety decreased. In over 10 times, shyness, shame and feeling of self-estrangement decreased. In over 12 times, interpersonal anxiety decreased. 6. In the event of nursing intervention effect by the size of the group, it was greatest within 10 persons in 21 studies. In case of within 10 to 20, only feeling of self-expression were ineffective. Particularly, in case of over 31 persons, there were no ineffective concepts. 7. At the viewpoint of nursing intervention effect by the necessary time of one time, it was greatest within 1 to 2 hours in 32 studies. In case of within 1hour, aggression, power of learning and assertiveness were ineffective. In case of within 1 to 2 hours, assertive behavior, self-expression, personality and anxiety were ineffective. Particularly, in case of within 2 to 3 hours, there were no ineffective concepts.

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Impact of 12-hour Shifts on Job Satisfaction, Quality of Life, Hospital Incident Reporting, and Overtime Hours in a Pediatric Intensive Care Unit (일 소아 중환자실에서의 12시간 교대근무가 간호사의 직무만족도, 삶의 질, 안전사건 보고 및 시간 외 근무에 미치는 영향)

  • Lim, Eun Young;Uhm, Ju-Yeon;Chang, Eun Ji;Kim, Na Yeon;Ha, Eun Joo;Lee, Sun Hee;Kim, Hee Kyung;Kim, Yeon Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.353-361
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    • 2014
  • Purpose: The aim of this study was to compare job satisfaction, quality of life (QOL), incident report rate and overtime hours for 12-hour shifts and for 8-hour shifts in a pediatric intensive care unit (PICU). Methods: A descriptive survey was conducted with a convenience sample of 36 staff nurses from a PICU in a regional hospital in Korea. Data were collected using self-administrated questionnaires regarding job satisfaction and QOL at 6 months before and after the beginning of 12-hour shifts. Incident report rate and overtime hours for both 12-hour and 8-hour shifts were compared. Comparisons were made using $x^2$-test, paired t-test and Mann-Whitney U test. Results: After 12-hour shifts were initiated, job satisfaction significantly increased (t=3.93, p<.001) and QOL was higher for nurses on 12-hour shifts compared to 8-hour (t=7.83, p<.001). There was no statistically significant change in incident report rate ($x^2=0.15$, p=.720). The overtimes decreased from $36.3{\pm}34.7$ to $17.3{\pm}34.9$ minutes (Z=-8.91, p<.001). Conclusion: These results provide evidence that 12-hour shifts can be an effective ways of scheduling for staff nurses to increase job satisfaction and quality of life without increasing patient safety incidents or prolonged overtime work hours.

Reliability, Validity, and Conversion Index of the Workload Management System for Critical Care Nurses(WMSCN) (중환자 분류도구(WMSCN)의 신뢰도, 타당도 및 환산지수 검증)

  • Yoo, Cheong-Suk;Kwon, Eun-Ok;Kim, Soon-Hee;Cho, Yong-Ae
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.48-57
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    • 2009
  • Purpose: The purpose of this study is to establish reliability and validity and to identify the conversion index. Method: The WMSCN for ICU was revised from Workload Management System for Nurses(WMSN) of Walter Reed Army Hospital. Reliability of the WMSCN was evaluated interrater reliability between head nurses and staff nurses at 124 patients in April 2008. Validity through the correlation between direct nursing care hours and WMSCN score was conducted at 20 ICUs of 10 hospitals. Finally the conversion index was identified by total nursing hours and it divided by WMSCN score. Results: The scores by nurses were highly correlated with head nurses’(p=.967), and also scores of the WMSCN were highly correlated with the direct nursing care hours(p<.001). The distribution of patient classification ranks into class V(61.3%), class IV(24.2%) and class VI(11.3%). The scores of the WMSCN were no differences between MICU and SICU. Finally, the conversion index was 8.2 minutes. Conclusion: WMSCN is available to classify the nursing workload for critical care patients. The repeated evaluation of validity and reliability are requisite to use WMSCN effectively. And the conversion index should be adjusted to estimate the appropriate staffing in Korea.

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The Effects of Informational Intervention on Postoperative Pain following Tonsillectomy in Children (편도선절제술 아동의 수술 전 절차 정보제공이 수술 후 통증에 미치는 영향)

  • Kim Young-Hae;Lee Hwa-Za
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.400-413
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    • 2002
  • The purpose of this study was to evaluate the effect of informational intervention on postoperative pain following tonsillectomy in children. This study was performed on 30 children, aged 5-15 years, undergoing tonsillectomy and their parents by providing informational intervention with colored figure; operation procedure and information. Pain assessment was done by Pain Questionnaire. The results from this study were as follows : 1. Children in experimental group with mean 16.07 had lower pain scores than control group with mean 14.87 at 4th hours after operation(p<0.05). It showed 'significant difference' and first hypothesis was adopted. 2. Children in experimental group with mean 20.60 had lower pain scores than control group with mean 17.27 at 8th hours after operation(p<0.05). It showed 'significant difference' and second hypothesis was adopted. 3. Children in experimental group with mean 28.80 had lower pain scores than control group with mean 25.70 at 24th hours after operation(p<0.05). It showed 'significant difference' and third hypothesis was adopted. 4. When we analyzed the time difference and difference between two groups simultaneously by repeated measure ANOVA, the significant difference was not found. And so 'the experiential group with operation-related information will show the lower pain sense than the control group just as the time flows after operation', fourth hypothesis was rejected. Generally, it was found that providing information about operation to children and their parents reduced effectively postoperative pain in children, but in clinical settings there are minimum preoperative information-providing because of insufficient time and inconvenience although nursing staffs and patients know its needs. Conclusionally providing preoperative information should help children and their parents cope with Pre, Peri and Post operative events effectively.

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