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Relationship Between Nursing Organizational Structure and Nursing Outcome (간호 조직구조와 간호결과의 관계)

  • Lee, Eun-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.37-48
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    • 2004
  • Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses' job satisfaction, nurses' clinical experiences, nurses' unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication). Method: The subjects consisted of 86 hysterectomy patients and 23 nurses in gynecology unit. Data were collected from May 16, 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson's correlation coefficient, path analysis. Result: Relationship between organizational structure and process ; Bed/nurse ratio was negatively related to nurses' job satisfaction(r=- .37, p<.05), and nurses' clinical experience(r=- .69, p<.00). Decentralization(r=.42, p<.05) and comunication(r=.61, p<.00) were positively related to nurses' clinical experiences. Relationship between process and nursing outcome ; There was a significant relationship between nurses' unit experiences and patient satisfaction(r=.63, p<.00), nurses' job satisfaction and physiologic adaptation(r= .44, p<.05), nurses' unit experiences and physiologic adaptation(r=.64, p<.00), Relationship between organizational structure and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r=.86, p<.00 ; r=.88, p<.00) and physiologic adaptation(r=,51, p<.01, r=.64, p<.00). Conclusion: Nurses' unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses' unit experience, nurses' job satisfaction, communication were significant variables for patient physiologic adaptation.

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Effects of Nursing Professionalism, Job Stress and Nursing Work Environment of Clinical Nurses on Person-centered Care (임상간호사의 간호전문직관, 직무 스트레스, 간호근무환경이 인간중심간호에 미치는 영향)

  • Cho, Kyeonga;Kim, Myoungsuk
    • Journal of muscle and joint health
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    • v.29 no.3
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    • pp.176-184
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    • 2022
  • Purpose: This study attempted to examine the degree of nursing professionalism, job stress, nursing work environment, and person-centered care of clinical nurses, and also to identify the relationship between the variables and the factors affecting person-centered care. Methods: Participants included 162 nurses with a clinical experience of six months or more, who have worked at hospitals with more than 500 beds in Gangwon Province. Results: Person-centered care showed a statistically significant positive correlation with nursing professionalism (r=.43, p<.001) and nursing work environment (r=.34, p<.001). The adjusted R2 was 0.266, indicating that the measured variables explained 26.6% of the variance in person-centered care. Nursing professionalism had the greatest impact on person-centered care among clinical nurses (β=.37, p<.001), followed by job stress (β=.21, p=.005), nursing work environment (β=.19, p=.007), and master's or higher degree (β=.15, p=.036). Conclusion: The findings show that four factors affect person-centered care: nursing professionalism, job stress, nursing work environment, and education level. For clinical nurses to provide high-quality person-centered care, it is necessary to strengthen nursing professionalism, address job stress and improve nursing work environment.

The Effect of Nursing Students Satisfaction in Major and Consciousness of Biomedical Ethics on Nursing Professionalism (간호대학생의 전공만족도, 생명의료윤리인식이 간호전문직관에 미치는 영향)

  • Lee, keyoungim;Jeong, Gyeongsun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.77-86
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    • 2020
  • Purpose : This study is a descriptive survey research that examines the effect of nursing students' satisfaction in major and consciousness of biomedical ethics on nursing professionalism. Methods : The research subjects consisted of junior and senior nursing students enrolled in four colleges located in City B, South Korea Structured questionnaires were distributed to the subject and a total of 262 copies of survey responses were analyzed. The collected data were analyzed by frequency, percentage, mean and standard deviation, t-test, and analysis of variance (ANOVA) using SPSS/WIN 22.0 program. The correlation relationship was investigated based on the Pearson correlation coefficient. Multiple regression was used to capture the effect on the nursing professionalism. Results : A positive correlation was observed between the nursing students satisfaction in major and consciousness of biomedical ethics (r=.280, p<.001), between satisfaction in major and nursing professionalism (r=.581, p<.001), and between consciousness of biomedical ethics and nursing professionalism (r=.290, p<.001). General satisfaction (β=.227, p=.001), and relationship satisfaction (β=.248, p=.000) among major satisfaction had the strongest prediction power for the nursing professionalism of nursing students, followed by right to life of fetus (β=.190, p=.000) among consciousness of biomedical ethics and motivation for admission (β=.137, p=.006). These predictors explained 36.9 % of the variable of nursing professionalism. Conclusion : Based on this study result, repeated studies are required that can confirm diverse influential factors on the nursing professionalism of nursing students. Operation of curriculums and development of programs that increase the nursing students' satisfaction in major and foster their nursing professionalism are required in the future.

The effects of a maternal nursing competency reinforcement program on nursing students' problem-solving ability, emotional intelligence, self-directed learning ability, and maternal nursing performance in Korea: a randomized controlled trial

  • Kim, Sun-Hee;Lee, Bo Gyeong
    • Women's Health Nursing
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    • v.27 no.3
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    • pp.230-242
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    • 2021
  • Purpose: The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea. Methods: The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods. Results: Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, p<.001), assessment of and intervention in amniotic membrane rupture (F=36.39, p<.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, p<.001), and nursing care of patients undergoing induced labor (F=48.03, p<.001). Group and time improvements were also noted for problem-solving ability (F=9.73, p<.001) and emotional intelligence (F=4.32, p=.016). There were significant differences between groups in self-directed learning ability (F=13.09, p=.001), but not over time. The three main categories derived from content analysis include "learning with a colleague by simulation promotes self-reflection and learning," "improvement in maternal nursing knowledge and performance by learning various countermeasures," and "learning of emotionally supportive care, but being insufficient." Conclusion: The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.

Factors Influencing the Adaptation to the College Life of Nursing Students (간호대학생의 대학생활 적응 영향요인)

  • Choi, Soon Ook;Park, Jin Kyoung;Kim, Sang Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.2
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    • pp.182-189
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    • 2015
  • Purpose: The purpose of this study was to determine the degree of undergraduate nursing student adaptation to college life and investigate the factors that influenced that adaptation. Methods: First-year (undergraduate) students attending three nursing colleges were surveyed from November 24 through December 5, 2014; and data from 206 respondents were analyzed. For data analysis, multiple regression analysis was performed using the SPSS WIN 18.0 program. Results: The findings showed that age (p=.002), emotional intelligence (p<.001), and self-efficacy (p<.001) were significant variables that influenced first-year undergraduate nursing student adaptation to college life. Undergraduate nursing student adaptation was explained by self-efficacy (${\beta}=.327$, p<.001), emotional intelligence (${\beta}=.222$, p=.001), satisfaction with education in their academic major (${\beta}=-.217$, p<.001), and academic achievement (${\beta}=.136$, p=.018); and, the explanatory power of these variables was 41.2%. Conclusion: To facilitate undergraduate nursing student adaptation to college life prior to clinical practice, developing and apply programs to improve self-efficacy, emotional intelligence, satisfaction with education in their major, and academic achievement is deemed necessary.

Factors Affecting Nursing Performance of Delirium for General Hospital Clinical Nurses (종합병원 간호사의 섬망 간호수행 영향요인)

  • Kim, Ji Yeon;Lee, Eun Ju
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.183-193
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    • 2016
  • Purpose: This study was conducted to identify factors affecting nursing performance of delirium among general hospital clinical nurses. Methods: This was a cross-sectional study and conducted from July 20 to July 30 2015, with a sample consisting of 167 registered nurses in three general hospitals. Data were analyzed with SPSS 21.0. Results: Nursing performance of delirium had significant positive correlations with knowledge about delirium (r=.25, p=.001), self-confidence in caring for patients with delirium (r=.45, p<.001) and nursing work environment (r=.29, p<.001). In this study, factors affecting nursing performance of delirium were self-confidence in caring for patients with delirium (${\beta}=.33$, p<.001), nursing work environment (${\beta}=.26$, p<.001), experience in nursing education about delirium(${\beta}=.18$, p=.007) and clinical experience (${\beta}=.18$, p=.007). The factors explained 32% of nursing performance of delirium. Conclusion: This study's results can be used as basic data to develope educational programs related to delirium care through continuing education and to improve work environments in developing strategies to enhance nursing performance for patients with delirium.

Influence of Nursing Students' Communication and Leadership on Ethical Nursing Competency (간호대학생의 의사소통, 리더십이 윤리적 간호역량에 미치는 영향)

  • Nam Young Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.5
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    • pp.1022-1032
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    • 2023
  • The purpose of this study was to identify the relationship between communication, leadership, and ethical nursing competency for nursing students and to identify factors that affect the ethical nursing competency of nursing students. The subjects who participated in this study were 328 people, and data were collected using questionnaires after obtaining research consent. The collected data was statistically analyzed using the SPSS/WIN 28.0 program. As a result of this study, ethical nursing competency and communication (r=.67, p<.001) and leadership (r=.56, p<.001) showed a significant positive correlation. The factors that affect the ethical nursing competency of nursing students are communication (𝛽=.52, p<.001) and leadership (𝛽=.23, p<.001) has been identified. The regression model of this study was significant (F=155.74, p<.001). The explanatory power of the model was 48%. Therefore, it should include improving communication skills and leadership when developing a program to inhance the ethical nursing competency of nursing students.

Factors Affecting Clinical Practicum Stress of Nursing Students: Using the Lazarus and Folkman's Stress-Coping Model (간호대학생의 임상실습 스트레스 영향요인에 관한 경로분석: Lazarus와 Folkman의 스트레스-대처 모델 기반으로)

  • Kim, Sung Hae;Lee, JuHee;Jang, MiRa
    • Journal of Korean Academy of Nursing
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    • v.49 no.4
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    • pp.437-448
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    • 2019
  • Purpose: This study was conducted to test a path model for the factors related to undergraduate nursing students' clinical practicum stress, based on Lazarus and Folkman's stress-coping model. Methods: This study utilized a path analysis design. A total of 235 undergraduate nursing students participated in this study. The variables in the hypothetical path model consisted of clinical practicum, emotional intelligence, self-efficacy, Nun-chi, and nursing professionalism. We tested the fit of the hypothetical path model using SPSS/WIN 23.0 and AMOS 22.0. Results: The final model fit demonstrated a satisfactory statistical acceptance level: goodness-of-fit-index=.98, adjusted goodness-of-fit-index=.91, comparative fit index=.98, normed fit index=.95, Tucker-Lewis index=.92, and root mean square error of approximation=.06. Self-efficacy (${\beta}=-.22$, p=.003) and Nun-chi behavior (${\beta}=-.17$, p=.024) were reported as significant factors affecting clinical practicum stress, explaining 10.2% of the variance. Nursing professionalism (${\beta}=.20$, p=.006) and self-efficacy (${\beta}=.45$, p<.001) had direct effects on emotional intelligence, explaining 45.9% of the variance. Self-efficacy had indirect effects on Nun-chi understanding (${\beta}=.20$, p<.001) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. Nursing professionalism had indirect effects on Nun-chi understanding (${\beta}=.09$, p=.005) and Nun-chi behavior (${\beta}=.09$, p=.005) through emotional intelligence. The variables for self-efficacy and nursing professionalism explained 29.1% of the Nun-chi understanding and 18.2% of the Nun-chi behavior, respectively. Conclusion: In undergraduate nursing education, it is important to identify and manage factors that affect clinical practicum stress. The findings of this study emphasize the importance of Nun-chi, self-efficacy, emotional intelligence, and nursing professionalism in the development of an educational strategy for undergraduate nursing students.

Acculturative Stress, Resilience, and Depression among Chinese Students in Korea (국내 중국유학생의 문화적응 스트레스와 적응유연성, 우울과의 관계)

  • Yoo, Myoung-Ran;Choi, Seon Young;Kim, Youn Mi;Han, Su-Jeong;Yang, Nam-Young;Kim, Hee Kyung;Chang, Hae Kyung;Lee, Mi-Ra;Son, Youn-Jung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.320-329
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    • 2013
  • Purpose: The purpose of this study was to identify resilience's mediating effect between acculturative stress and depression among Chinese students in Korea. Methods: Between February and May 2012, 276 Chinese students from 3 universities located in Chungnam province participated in the current study using a questionnaire survey. Data was analysed using SPSS 18.0 program. Results: The mean score of acculturative stress, resilience, and depression was 82.7, 129.0, and 15.6 respectively. The acculturative stress was significantly related to perceived health status (F=10.57, p<.001), TOPIK(t=7.55, p=.006) and the major(F=2.87, p=.024). Resilience was related to the race(F=13.49, p<.001), perceived heath status (F=10.57, p<.001), tuition(F=8.52, p<.001), and level of Koran language(F=5.91, p=.003). Resilience correlated to acculturative stress (r=-0.21, p<.001) and depression(r=-0.48, p<.001) by showing a mediating effect between accuturative stress and depression. Conclusion: In order to improve resilience as a mediating factor with depression of Chinese students in Korea, we suggest the development various programs about external supporting programs.

Factors Influencing Self-leadership in Nursing Students (간호대학생의 셀프리더십에 미치는 영향요인)

  • Kim, Doo Ree;Lim, HyoNam;Kim, Jin-il
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.369-377
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    • 2020
  • Self-leadership is a positive factor for the organization and individuals, and it is a necessary competency for nursing students. The purpose of present study was to examine the factors affecting self-leadership. 173 nursing students in D city were collected and analyzed through a structured questionnaire. Self-leadership of nursing students had a positive correlation with creativity (r=.546, p<.001), self-assertion (r=.217, p=.004) and self-esteem (r=.258, p=.001). In addition, the influencing factors for self-leadership of nursing students were gender(β=.212, p=.001), grade(β=.123, p=.060), interpersonal relationship 'very good'(β=.327,p=.007), 'good'(β=.395, p=.023), 'moderate' (β=.328, p=.040) and creativity(β=.578, p<.001). Explanatory power was 35.5%. It is noteworthy to consider creativity and interpersonal relationship in developing strategy to improve self-leadership of nursing students.