• 간호행정학회지
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• 제6권1호
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• pp.55-81
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• 2000

This study examined nursing care in a Newborn Intensive Care Unit (NICU) by reviewing nursing activities for the newborns. Through direct observation, time used for nursing care according to the nursing activity, shift, day of the week, and position of the nurses was measured. This study was done on November 15, 21, 24, 1999 at a university medical center hospital and included eight nurses and 179 newborns as the study subjects. The data were collected from the medical records, and by using a nursing activity record for the NICU, and a nursing activity time record for the NICU. The first step in the data collection process was to develop a list of nursing activities which was done through a literature review, examination of medical affairs and duty records. Content validity was measured by a panel of three professors who were experienced clinicians. In the second step two pre-training sessions were held with three sophomore student nurses who then measured the time for each nursing activity using a stopwatch. The data were analyzed using frequencies for nursing activities, averages, percentages and ANOVA for differences between shift and between days of the week, and percentages and t-test for differences according to position of the nurse. The results are as follows: 1) The total number of activities was 156, direct or indirect nursing activities. Direct nursing activity classified according to physical, educational, emotional/social/economic/spiritual needs. There were 109 direct nursing activities in 16 fields. 2) The order of nursing activities, according to time required, was record keeping, nutritional care, measurement/observation, medication, hygiene care, examination and specimen collection, and checking supplies, and according to frequency, measurement/ examination, record keeping, nutrition care, hygiene care, elimination care and medication. 3) According to shift, direct care during the night shift at 313.4 minutes was the longest time and indirect nursing care during the night shift at 252.2 minutes was the highest time. 4) For days of the week, Monday had the highest time for direct care 275.8 minutes (34.6%) and Wednessday had the highest time for indirect nursing care 269.6 minutes (36.1%). 5) For nursing time according to position of nurse, general nurses had the highest for direct care (330.7 minutes), nurse managers for indirect nursing activities (239.0 minutes) and general nurses for individual private time (63.9 minutes). The results of this study show that the major nursing time consuming activities included record keeping, nutrition care and measurement/examination. For newborns, time needs to be allowed for care to be sensitive, sophisticated and specialized rather than concentrated on indirect nursing tasks such as record keeping. Therefore, it is imperative to develop computerized systems that support a systematic approach to record keeping which is more efficient. Moreover, nursing needs according to shift, day or position of nurse can be utilized in assessing nursing resources through a computerized process.

• 성인간호학회지
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• 제27권6호
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• pp.673-683
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• 2015

Purpose: This study was aimed to identify the mediating and moderating effects of safety-specific transformational leadership on the relationship between barrier to and intention of reporting medication errors. Methods: Two hundred thirty seven nurses from seven different hospitals participated in the study. Safety-specific transformational leadership was measured by an instrument with 10 items, barrier to reporting medication errors with 16 items, and intention of reporting medication errors with 3 items. The data was collected from September to October 2012. Descriptive statistics, factor analysis, t-test, ANOVA, Pearson correlation coefficient and a hierarchial regression analysis were used. Results: There were significant negative correlations between the subcategories of barrier to reporting medication errors and intention of reporting medication errors (r=-.16~-.27, p<.001), and a positive correlation between the intention and safety-specific transformational leadership (r=.25, p<001). Transformational leadership was a mediator between barrier to and intention of reporting medication errors. Conclusion: Safety-specific transformational leadership mediated the relationships between barrier to and intention of reporting medication errors. Enhancing safety-specific transformational leadership of nursing unit managers is necessary to increase the intention to reporting medication errors.

• 한국병원경영학회지
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• 제11권1호
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• pp.91-109
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• 2006

This study was conducted to find out factors affecting patient safety management activities at nursing devisions of two university hospitals. The indicators of patient safety activities used in the study were selected from Hospital Survey on Patient Safety Culture which was developed by The Agency for Healthcare Research and Quality in the United States. Data were collected from 372 nurses working at inpatient wards at two university hospitals located in Seoul and Won-Ju cities through the self-administered questionnaires, and analyzed using frequency analysis, t-test, correlation, and regression analysis. The result of this study were as follows. First, The mean of patient safety management activities was 3.41 which was a little bit higher than the average level. The mean of communication within the ward was the highest, whereas that of patient safety management culture was the lowest. Second, there were significant differences in the perception of nurses on patient safety management activities in terms of the educational background, length of employment, and work hours per week. Third, three variables of communication within the unit, attitude of top management, and attitude of nurses have significant positive effects on patient safety management activities. Fourth, 37.4% of the variation in the patient safety management activities was explained by the study variables. In conclusion, hospital administration and nursing managers should make an effort to learn the knowledge of patient safety program, show their deep interest on the patient safety to the employees and motivate them to communicate effectively each other within the work unit to develop a good patient safety culture and system.

• 임상간호연구
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• 제20권2호
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• pp.177-188
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• 2014

Purpose: This study was conducted to identify factors influencing endoscopy nurses' protective behavior against radiation exposure. Methods: Data were collected using self-report questionnaires from 122 endoscopy nurses in 21 hospitals located in Seoul, Gyeonggi province and six metropolitan cities in Korea. Collected data were analyzed using SPSS 18.0 program and included multiple regression analysis. Results: 1) There were significant relationships between protective behavior and protective environment (r=.74, p<.001), number of education sessions on radiation protection (r=.32, p<.001), number of protective devices (r=.28, p=.002), number of fellow nurses (r=.27, p=.003), and protective attitude (r=.18, p=.048). 2) Protective environment (${\beta}=0.79$, p<.001), type of hospital foundation (${\beta}=0.18$, p=.011) and marital status (${\beta}=-0.13$, p=.040) significantly predicted endoscopy nurses' protective behavior against radiation exposure (adjusted R square=.58, p<.001). The most powerful predictor for protective behavior against radiation exposure was a protective environment. Conclusion: Effective protective behavior of endoscopy nurses from radiation exposure requires improvement in their protective environment. Hospital administrators and managers should make efforts to increase protective facilities in endoscopy departments and provide endoscopy nurses with regular education on radiation protection.

• 한국산학기술학회논문지
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• 제14권10호
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• pp.5078-5090
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• 2013

본 연구는 중소병원 간호사의 경력정체, 자기효능감, 직무배태성과 이직의도와의 상관관계를 파악하기 위해 시도된 서술적 조사 연구이다. 연구대상은 J시에 소재한 5개의 중소병원에서 근무하는 간호사 217명으로 하였으며, 자료수집기간은 2013년 8월 5일부터 8월 20일까지였으며, SPSS win 18.0 프로그램을 이용하여 분석하였다. 연구결과 이직의도는 5점 만점에 평균 3.07점 이었으며, 경력정체, 자기효능감, 직무배태성, 이직의도와의 관계에서 이직의도는 경력정체(r=.284)와는 정적관계로 나타났고, 자기효능감(r=-.165)과 직무배태성(r=-.432)과는 부적관계로 나타났다. 대상자의 이직의도에 가장 큰 영향을 미치는 변수는 직무배태성이었으며, 현 병원 근무경력, 경력정체, 근무부서 순으로 영향을 미치는 것으로 나타났다. 따라서 이직의도를 낮추기 위한 관리 방안으로 직무배태성을 높이는 간호사 유지 프로그램을 개발하여 간호현장에 적용할 필요가 있다.

• 간호행정학회지
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• 제16권1호
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• pp.17-25
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• 2010

Purpose: This study was to investigate the relationship among emotional intelligence, self-efficacy and job stress of nurses. Method: Data was collected from convenient sample of 265 nurses who work for a university hospital in a city. The Questionnaire measured the level of emotional intelligence, self-efficacy and job stress of nurses. The data were analyzed using descriptive statistics, t-test, ANOVA, scheffe' test, pearson's correlation coefficient and hierarchical multiple regression. Result: The mean score of emotional intelligence was 3.41(${\pm}.37$), self-efficacy was 3.27(${\pm}.45$) and job stress was 3.35(${\pm}.65$). There were significant differences on self-efficacy according to age, marital status and education level. And there were significant differences on job stress according to age, working unit. It was a significant positive correlation between emotional intelligence and self-efficacy. The emotional intelligence and self-efficacy were significantly negative correlation with job stress. The emotional intelligence explained 24.8% of self-efficacy and 1.9% of job stress and self-efficacy explained 2.7% of job stress. And the self-efficacy was showed a mediate variable between emotional intelligence and job stress. Conclusion: To decrease job stress, nursing managers ought to develop the emotional intelligence and self-efficacy of nurses, reinforce as a mediating role between emotional intelligence and job stress

• 한국산학기술학회논문지
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• 제18권5호
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• pp.160-168
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• 2017

본 연구는 중소병원에 근무하는 간호사들의 의료기관인증제 인식, 직무스트레스, 조직몰입과 이직의도를 파악하고 이 요인들이 이직의도에 미치는 영향을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 500병상 이하의 의료기관에 근무하는 간호사 202명이었다. 자료수집을 위한 설문조사는 2015년 12월 1일부터 2016년 3월 30일까지 최근 인증평가를 실시한 5곳의 중소병원에 연구자가 직접 방문하여 기관의 승인 후 간호사들에게 설문조사를 하는 방법으로 실시하였다. 연구결과 중소병원 간호사의 이직의도에 유의한 영향을 주는 일반적 특성은 연령(F=4.68, p<.001), 결혼상태(F=3.92, p<.001), 부서유형(F=3.23, p<.008)이었다. 간호사의 이직의도와 의료기관인증제 인식(r=-.46, p<.001), 조직몰입과는 음의 관계(r=-.35, p<.001), 직무스트레스와는 양의 관계(r=.21, p=.002)로 나타났다. 회귀분석 결과 중소병원 간호사의 이직의도에 유의한 영향을 미친 변수는 조직몰입, 근무유형, 직무스트레스가 유의하였으며 전체 22.0%의 설명력을 가졌다. 본 연구 결과를 통해 의료기관 인증제를 실시하는 중소병원 간호사의 이직의도를 낮추기 위해서 중소병원 관계자는 간호사가 직무에 몰입할 수 있는 환경과 제도적 개선에 힘써야 할 것으로 보이며 직무스트레스의 경감을 위한 방안을 마련해야 할 것이다. 또한 근무유형별 이직의도에 차이가 있는 것으로 나타났으므로 특수파트, 병동, 외래 등의 근무유형별로 차별화된 접근이 필요할 것으로 사료된다.

• Journal of Radiation Protection and Research
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• 제47권1호
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• pp.1-7
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• 2022

Background: In Japan, new regulations that revise the dose limit for the lens of the eye (hereafter the lens), operational quantities, and measurement positions for the lens dose were enforced in April 2021. Based on the international safety standards, national guidelines, the results of the Radiation Safety Research Promotion Fund of the Nuclear Regulation Authority, and other studies, the Working Group of Radiation Protection Standardization Committee, the Japan Health Physics Society (JHPS) developed a guideline for radiation dose monitoring for the lens. Materials and Methods: The Working Group of the JHPS discussed the criteria of non-uniform exposure and the management criteria set not to exceed the dose limit for the lens. Results and Discussion: In July 2020, the JHPS guideline was published. The guideline consists of three parts: main text, explanations, and 26 examples. In the questions, the corresponding answers were prepared, and specific examples were provided to enable similar cases to be addressed. Conclusion: With the development of the guideline on radiation dose monitoring of the lens, radiation managers and workers will be able to smoothly comply with revised regulations and optimize radiation protection.