• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.1
• /
• pp.112-120
• /
• 2020

This study examined the relationship between the happiness, empowerment, and nursing performance of nurses with more than one-year of clinical experience, and the factors affecting the nursing performance. The subjects were 164 nurses who worked in two general hospitals in Incheon and Chungcheong-do, Korea. Data were collected from October to November 2018. The main findings of this study were as follows. The mean scores for happiness, empowerment, and nursing performance were 3.07±0.36, 3.37±0.43, and 3.40±0.44 points. Happiness was positively correlated with empowerment (r=.58, p<.01) and nursing performance (r=.58, p<.01), empowerment was positively correlated with the nursing performance (r=.58, p<.01). The factors influencing the nursing performance were empowerment (β=.65, p<.001), total length of a clinical career (β=.19, p<.001), education level (β=.12, p<.05), and happiness (β=.12, p=.05), showing an explanatory power of 64%. Based on these results, it is necessary to provide sufficient human and physical resources to improve the nursing performance and manage the organizational level to increase the nurses' happiness and empowerment. To improve the work performance of nurses, an empowerment improvement program tailored to the clinical experience and educational level should be developed, and the working environment that can increase the nurse's happiness should be improved.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.5
• /
• pp.367-373
• /
• 2023

This study aimed to examine the effect of self-leadership, organizational commitment, nursing work environment on clinical competency of nurses in small and medium-sized hospitals. The participants were 123 nurses working shifts at three small and medium-sized hospitals in Daejeon city and Chungcheongbuk-do. Data analysis were performed by using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis. The results showed that organizational commitment and self-leadership were significant predictors of clinical competency, and the overall model explained 15.4% of the variance. Therefore, it is necessary to develop and implement programs aimed at enhancing organizational commitment and self-leadership of nurses working in small and medium-sized hospitals to improve their clinical competency.

• Journal of Korean Academy of Nursing Administration
• /
• v.3 no.2
• /
• pp.61-80
• /
• 1997

The purpose of this study is to measure the direct and indirect nursing care hours with establishment of nurse substations and compare the experimental nursing units with the existing nursing units For this study, two experimental nursing units: (1) a medical nursing unit and (2) a surgical nursing unit with a nurse substation were selected. And two control nursing units : (1) a medical nursing unit and (2) a surgical nursing unit without a nurse substation were selected. After a three-month experimental operation from June 1 to August 31,1996, research data were collected for three days from September 2 to 4, 1996. We investigated the effects of the direct & indirect nursing care hours with establishment of the nurse substations (improved nursing environment) without adding the staff nurses. The effect of establishment of the nurse sub-station was measured for the differences direct & indirect nursing care hours between experimental and control nursing units. An investigator measured the time for a staff nurse to practice each nursing activity and recorded it every minute. Percentage, average, standard deviation, t-test and ANOVA were used for data analysis. The results are as follows: 1. There was no significant difference between the experimental and control nursing units in staffs' working hours during their shift. 2. There were significant diffferences between the experimental and control nursing units in dierct nursing care hours (t=0.0288, p=0.0001) and indirect nursing care hours (t=0.3886, p=0.0103) per patient. 3. There was significant difference between the experimental and control nursing units in direct nursing care hours done by nurses(t=0.0012, p=0.0111) and aids(t=0.3011, p=0.0027). There was significant difference between the experimental and control nursing units in indirect nursing care hours done by head-nurses(t=0.0051, p=0.0253), nurses(t=0.0071, p=0.0024) and aids (t=0.3227, p=0.0351). There was significant difference between the experimental and control nursing units in indirect nursing care hours done by nurses(t=0.0005, p=0.0015) and aids(t=0.2400, p=0.0013) per patient. There was significant difference between the experimental and control nursing units in indirect nursing care hours done by head-nurses(t=0.0005, p=0.0379) and nurses (t=0.0035, p=0.0198) per patient. 4. Thre were significant differences between the experimental and control nursing units in direct nursing care hours (t=0.1134, p=0.0010) and indirect nursing care hours (t=0.7106, p=0.0008) per staff during the day shift. There were significant differences between the experimental and control nursing units in direct nunsing care hours during the day(t=0.0723, p=0.0003) and evening shift (t=0.0004, p=0.0285) per patient, and indirect nursing care hours during the day shift(t=0.5565, p=0.0036) per patient. 5. There were differences between the experiemental and control nursing units in dircet nursing activities including measurement and observation, medication, communication, teratment, hygiene, and nutrition, and in indirect nursing activities including confirmantion, communication, record, computer work, management of goods. But it was not statistically proven. 6. There was difference between the experimental and control nursing units in unmet-need nursing care hours per patient, but not statistically proven.

• Journal of Korean Clinical Nursing Research
• /
• v.20 no.3
• /
• pp.303-312
• /
• 2014

Purpose: This study aimed to use the DACUM analysis technique and identify the job description among nurses of the Central Supply Department, in order to clarify their duty and task descriptions, identify the characteristics of job. Methods: Through a DACUM workshop, job descriptions, and the job duties and tasks were derived. A total of 150 nurses from the Central Supply Departments of medical Institutions over 100 beds were surveyed using drafting and a job analysis table. Individual jobs' frequency, importance and difficulty were measured using a 3-point scale, and the results were analyzed using SPSS. Results: The nurses' job in the Central Supply Department consisted of 13 duties and 64 tasks. Duties with highest importance and difficulty was 'sterilization assurance system', the second was 'employee safety management' and the duty with highest frequency was 'manage packaging before sterilization'. Conclusion: This study clarified the types of nursing jobs in the Central Supply Departments, as well as identified the job characteristics and status in the given setting. Given the sterilization assurance system for preventing hospital infection, and safety management for ensuring work environment safe were found to be important duties, it is suggested for the department to stress those important jobs for managing hospital safety.

• Safety and Health at Work
• /
• v.2 no.3
• /
• pp.260-272
• /
• 2011

Objectives: The promotion of health and safety (H&S) awareness among hospital staff can be applied through various methods. The aim of this study was to assess the risk level of physical hazards in the hospital sector by combining workers' perception, experts' evaluation and objective measurements. Methods: A cross-sectional study was designed using multiple triangulation. Hospital staff (n = 447) filled in an H&S questionnaire in a general hospital in Athens and an oncology one in Thessaloniki. Experts observed and filled in a checklist on H&S in the various departments of the two hospitals. Lighting, noise and microclimate measurements were performed. Results: The staff's perception of risk was higher than that of the experts in many cases. The measured risk levels were low to medium. In cases of high-risk noise and lighting, staff and experts agreed. Staff's perception of risk was influenced by hospital's department, hospital's service, years of working experience and level of education. Therefore, these factors should be taken into account in future studies aimed at increasing the participation of hospital workers. Conclusion: This study confirmed the usefulness of staff participation in the risk assessment process, despite the tendency for staff to overestimate the risk level of physical hazards. The combination of combining staff perception, experts' evaluation and objective measures in the risk assessment process increases the efficiency of risk management in the hospital environment and the enforcement of relevant legislation.

• Child Health Nursing Research
• /
• v.21 no.3
• /
• pp.253-260
• /
• 2015

Purpose: Child Health nurse practitioners (CHNPs) in Korea have important roles in disease management and health promotion for children and adolescents. Yet, practices of CHNPs licensed and employed in hospitals have not been adequately identified. Thus, in this study the scope of practice by CHNPs and job satisfaction and stress were investigated and compared according to the CHNPs' position in the working place. Methods: A descriptive cross-sectional survey design was used. All 53 licensed CHNPs participated in the mail survey which included a 71-item questionnaire on job performance and job satisfaction and a job contents questionnaire. Descriptive statistics, ${\chi}^2$ test, independent t-test and Mann-Whitney U test were used to compare CHNPs employed as nurse practitioner (NP) and CHNPs employed as staff nurses. Results: Compared to CHNPs employed as staff nurses, CHNPs employed as NPs more frequently provided education, environment management, coordination and research in their practice areas. No significant difference was found in job satisfaction between the two groups except for the administration and income subdomains. Only the physical exertion subdomain in job stress was stressful to CHNP employed as staff nurse. Conclusions: Job performance of CHNPs in Korea needs to be revised to include more practical practice in education, coordination, and research related areas.

• Journal of Digital Convergence
• /
• v.19 no.12
• /
• pp.359-367
• /
• 2021

The purpose of this study is to analyze domestic patient safety culture research topics using text mining and CONCOR analysis. The research method was conducted in the stages of data collection, data preprocessing, text mining and social network analysis, and CONCOR analysis. A total of 136 articles were analyzed excluding papers that were not published. Data analysis was performed using Textom and UCINET programs. As a result of this study, TF (frequency) of patient safety culture-related studies showed that patient safety was the highest, and TF-IDF (importance in documents) was highest in nursing. As a result of the CONCOR analysis, a total of seven clusters were derived: knowledge and attitude, communication, medical service, team, work environment, structure, organization and management that constitute the patient safety culture. In the future, it is necessary to conduct research on the relationship between the establishment of a patient safety culture and patient outcomes.

• Journal of the Korea Convergence Society
• /
• v.12 no.6
• /
• pp.289-302
• /
• 2021

This study is an exploratory study aimed at identifying the type and identifying type-specific characteristics by applying Q methodology to identify the perception of workplace bullying among clinical nurses. Methods: A total of 38 Q samples were selected and data were collected from 36 clinical nurses. Collected data were analyzed by the PC QUANL program. Six types have been identified about the clinical nurse's perception of workplace bullying. Type I-1 was "Endurance", I-2 was "Hazing", Type II-1 was "Rite of passage", Type II-2 was "Territorial individual", Type III-1 was "Hierarchical order", Type III-2 was "Interpersonal silent". These results can be useful in developing improvement programs such as interpersonal relationships and communication. In addition, practical strategies are required to improve the nursing work environment.

• Journal of Korean Academy of Nursing
• /
• v.34 no.6
• /
• pp.1097-1107
• /
• 2004

Purpose: The purpose of this study was to develop a job stress scale for hospital-based home care nurses in Korea. The process was construction of the conceptual framework, development of the preliminary items, verification of the content validity, item analysis and test of the reliability. The preliminary items were based on literature review and in-depth interviews with home care nurses. As a result, eight categories and sixty items were selected. These were reviewed by seven specialists for content validity and finally fifty one items were chosen. Data was collected from 180 home care nurses who were engaged in 87 hospitals from August to September 2003. The result of item analysis one was excepted, The final item count was 50. Categories were as follows: overload work(8 items), lack of specialized knowledge and technique(5 items), ethical dilemma(4 items), role conflict(5 items), interpersonal relationships(6 items), visiting home environment(9 items), driving conditions(4 items) and lack of administrative support(9 items), The reliability of the scale by Cronbach's alpha was .948 and the domain's reliability ranged from .649 to .841. The result of this study could be used to measure the job stress of home care nurses. However, for further validity and reliability, repeated studies will be necessary.

• The Journal of Korean Academic Society of Nursing Education
• /
• v.5 no.1
• /
• pp.133-141
• /
• 1999

Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.