• Title/Summary/Keyword: Staff workload

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The Relationship of the Nursing Work Environment and Nursing Outcome among it's Nurses and Content Analysis of Nurses' Workload (간호근무환경과 간호결과와의 관련성 및 간호사 업무 부담에 대한 내용분석)

  • Ko, Yu-Kyung;Park, Bo-Hyun
    • Korea Journal of Hospital Management
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    • v.19 no.1
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    • pp.54-67
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    • 2014
  • Purpose: The aim of this study was to explore the relationship between nursing work environment and nursing outcome of clinical nurses. Also, the purpose of this study was to identify the nurses' workload. Method: The participants in this study were 246 nurses working at one hospital in a province. Data was collected using a structured questionnaire from October 2011 to November 2011. Open questions were subject to content analysis; closed questions were subject to descriptive statistics and Pearson correlation coefficient with SPSS 18.0 program were used. Result: The number of patients per nurse in day-duty and overtime work had a positive correlation. Nursing performance and the overtime work in night duty nurses had a negative correlation. The results of this study, with a much higher number of patients per nurse, showed an increase in overtime hours. In the nursing delivery system experience of nurses, 13 themes were identified and they were divided into five categories. Conclusion: Therefore, in order to improve nursing performance and increase job satisfaction, efforts must be made to reduce overtime, and nursing personnel placement to secure a substantial nursing staff.

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A Study on the Status of the Visiting Health Care Services at the Public Health Centers in Gangwon Province (강원도 보건소 방문보건사업실태와 업무분석)

  • Ahn, Yang-Heui;Kim, Sung-Sil;Yang, Soon-Ok;Yi, Sung-Eun
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.177-187
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    • 2005
  • The purpose of this study was to 1) identify the current management status of the Visiting Health Care Services (VHCS) and 2) to analyze the workload of the staff in the VHCS located in the Public Health Centers (PHCs) in the urban and rural areas. Method: A descriptive research design and a prospective, time and motion research design were used. A total of 18 PHCs in Gangwon Province participated in this study. A questionnaire and semi-structured observational sheet were utilized. A total of 650 self report records of the work load from the VHCS personnel were collected for a 10 day period at each of the 18 PHCs. A descriptive analysis was then done. Results: The major results were as follows. 1) The VHCS staff (nurses and nurse aids) was being assigned additional work such as maternal health care, chronic disease care, mental health care and health promotion on top of their VHCS duties. 2) The average number of home visits per client during the past year was 5.8. More specifically, the clients in the severe dependent group received an average of 27.1 visits, those clients in the moderate dependent group received 14.0 visits those clients in the slightly dependent group received 5.0 visits and those clients in the self-care group received 1.6 visits. 3) The time required for the work duties of the VHCS staff totaled 488 minutes per day. The percentage of time for home visits was only 17.4%, and this didn't include travel time. Conclusion: The main problems of VHCS were identified as a lack of personnel and a lack of time for the home visits. Strategies that are directed at the construction of a better infrastructure for VHCS are needed.

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Estimation of Nurse Staffing Based on Nursing Workload with Reference to a Patient Classification System for a Intensive Care Unit (중환자의 중증도에 따른 적정 간호인력 수요 산정)

  • Park, Young Sun;Song, Rhayun
    • Journal of Korean Critical Care Nursing
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    • v.10 no.1
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    • pp.1-12
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    • 2017
  • Purpose: This study aimed to estimate the appropriate nurse staffing ratio in intensive care units (ICUs) by measuring nursing workload based on patient's severity and needs, using the Korean Patient Classification System for critical care nurses. Methods: The data were collected from January 18 to February 29, 2016 using a standardized checklist by observation or self-report. During the study period, 723 patients were included to be categorized from I to IV using the patient classification system. Measurement of total nursing workload on a shift was calculated in terms of hours based on the time and motion method by using tools for surveying nursing activities. The nursing activities were categorized as direct nursing care, indirect nursing care, and personal time. Total of 127 cases were included in measuring direct nursing time and 18 nurses participated in measuring indirect and personal time. Data were analyzed using descriptive statistics. Results: Two patients were classified into Class I (11.1%), 5 into Class II (27.8%), 9 into Class III (50%), and two into Class IV (11.1%). The amount of direct nursing care required for Class IV (513.7 min) was significantly more than that required for Class I (135.4 min). Direct and indirect nursing care was provided more often during the day shift as compared to the evening or night shifts. These findings provided the rationale for determining the appropriate ratio for nursing staff per shift based on the nursing workload in each shift. Conclusions: An appropriate ratio of nurse staffing should be ensured in ICUs to re-arrange the workload of nurses to help them provide essential direct care for patients.

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Informatization of Early Childhood Education: the EU Experience

  • Puyo, Olga;Yemchyk, Oleksandra;Klevaka, Lesya;Voloshyn, Svitlana;Dulibskyy, Andriy
    • International Journal of Computer Science & Network Security
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    • v.21 no.12spc
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    • pp.696-702
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    • 2021
  • Informatization of early childhood education in the EU occurs in the context of the use of ICT as a means of sharing experiences, practices in the education and training of preschool children, communication, both at the national level and locally - within educational institutions, as a means of document management, search, data processing and information for the management of early childhood educational institutions, and planning activities for these institutions. This article aims to identify the features of the informatization of early childhood education in EU countries. Results. The countries of the EU have different levels of workload on the staff of early childhood education institutions, which is caused by different numbers of preschoolers and workforce. The greatest load on the staff in France due to a large number of preschoolers, which, despite the reduction, remained the highest among all the countries. By comparison, Poland's significant workload is mitigated by the size of its workforce. With almost equal numbers of staff in Poland and Germany, the countries differ significantly in the number of preschoolers. The countries also have different funding mechanisms for early childhood education, which determines the potential for digitalization. In France, total spending on early childhood education has grown the least (by 11 % between 2012 and 2018), in Poland by 51 %, in the Czech Republic by 44 %, and in Germany by 49%. In France, 100 % is funded by the government, in Poland 78 % is funded by the government, in the Czech Republic and Germany 87 % and 85 % respectively is funded by the government. The results of the survey of teachers' training in the use of ICTs and the level of specialists' readiness to use them in their studies indicate a mismatch between education and the practice of using technology. At the same time, given the high level of professional training of teachers in the use of technology in education, a low level of practice of ICT use in teaching preschool children was revealed. Teachers require professional development of ICT skills.

The Determinants of Propensity To Stay Among Hospital Nurses (병원간호직 근무자의 근속성향 결정요인)

  • Seo, Young-Joon;Ko, Jong-Wook
    • Korea Journal of Hospital Management
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    • v.2 no.1
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    • pp.137-161
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    • 1997
  • This study purports to investigate the determinants of propensity to stay among nursing staff working at Korean hospitals. The independent variables contains three groups of determinants: environmental variables(job opportunity, spouse support, and parent support), psychological variables(met expectations, work involvement, positive affectivity, and negative affectivity), and structural variables(job autonomy, work unit control. routinization, supervisor support, coworker support, role ambiguity, role conflict, workload, resource inadequacy, distributive justice, promotional chances. job security, job hazards, and pay). The sample used in this study consisted of 329 nurses and 175 nurse aides from two university hospitals in Seoul and its surburbs. Data were collected with self-administered questionnaires and analyzed using path analysis. The results of this study indicate that: (1) the following variables, listed in order of size, have significant positive effects on propensity to stay among hospital nursing staff: job satisfaction, met expectations, supervisor support, job security, and positive affectivity, (2) the following variables, listed in order of size, have significant negative total effects on propensity to stay among hospital nursing staff: job opportunity, negative affectivity, and rutinization, (3) the model explains 44.2 percent of the variance in propensity to stay among nursing staff working at two university hospitals, and (4) managerial support for improving the job autonomy, distributive justice, and promotional opportunity for nurse aides are needed.

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Multicultural Family Support Center Staff's Perceptions on Family Programs and Needs of Multicultural Family Programs based on the Family Life Cycle (다문화가족지원센터 종사자의 가족영역 지원 사업 인식 및 가족생활주기별 다문화가족 프로그램 필요도에 관한 연구)

  • Jun, Mikyung;Kang, Bogjeong;Son, Seohee;Lee, Eunjoo
    • Journal of Families and Better Life
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    • v.34 no.3
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    • pp.147-163
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    • 2016
  • Multicultural Family Support Centers (MFSC) have provided five program areas including family, gender equality, human rights, social integration, and counseling since 2015. It is important to examine the MFSC staff's perceptions of the family programs and program needs for multicultural families to improve the effectiveness of these programs. In this study, we aim to explore the staff's perceptions of the family programs and to assess multicultural family program needs based on the family life cycle. A total of 130 MFSC staff were recruited through 128 MFSCs across Korea. Descriptive statistics were conducted for data analysis. Our findings revealed that MFSC staff have increasingly recognized that their target audiences are not only marriage immigrants and their families but also foreign workers' families and families from North Korea. In addition, the MFSC staff identified the importance of family programs instead of only programs for individual family members and multicultural families' different program needs based on their family life cycle. Contrary to the positive perception of the family programs, they described challenges of the family programs including a shortage of funds, difficulty recruiting family member combinations (e.g., couples, parent-child) for family programs, a lack of a program manual, and a heavy workload. This study provides insights into the family programs including their development and delivery.

Turnover Intention of Home Visiting Nurses of Public Health Centers in Busan (보건소 방문간호사의 타부서로의 이동 의도 -부산광역시 보건소를 중심으로-)

  • Jeong Ihn Sook;Kim Yi Soon;Lee Jung Hee
    • Journal of Korean Public Health Nursing
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    • v.17 no.1
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    • pp.17-25
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    • 2003
  • This study aimed to investigate predictors of turnover intention of home visiting nurses at 16 public health centers in Busan. There are two groups of independent factors: non-work related(i. e., age, educational level, working duration as nurses in hospitals, and certificate), and work related factors(i. e., working duration as nurses in public health centers, working duration as home visiting nurse, position, number of households visited per week, workload, cooperation among staff, support by supervisors, supply of vehicles, and supply of materials). Data were collected with self-administrated questionnaires which consisted of 4 items of non-work related factors, 9 items of work related factors, and 1 item of turnover intention to other department. Data were analyzed using an univariate logistic regression and multiple logistic regression. According to the results, heavy workload (Yes vs No, OR=4.31, $95\%$ CI=1.16-16.04) was the most powerful predictor on the turnover intention. In conclusion. this result was similar to those of other studies on the predictors of turnover intention of clinical nurses at hospitals. To decrease the turnover intention among home visiting nurses at public health centers in Busan, alleviating the workload is needed.

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Trend Analysis of Nurses' Stress Based on the Last 10 Years of International Research (최근 10년간 간호사의 스트레스에 관한 국외연구 동향분석)

  • Lee, Bok-Im
    • Korean Journal of Occupational Health Nursing
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    • v.21 no.1
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    • pp.27-36
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    • 2012
  • Purpose: The purpose of this study was to identify the trends of nurses' stress based on the last 10 years of international research and to suggest directions for future research. Methods: Fifty three articles between 2002 and 2011 were selected using key words such as 'nurse' and 'stress' from the PubMed and CINAHL. Results: The number of experimental studies increased. The nurses from the various fields were studied. Most studies used a reliable and valid tool for measuring stress of specific nursing staff. The Internet survey was recently used for a data collection method. Significant variables correlated with nurses' stress were categorized into 8 domains: Individual susceptibility, quantitative workload, qualitative workload, physical environment, organizational factors, and interpersonal conflict. Conclusion: In Korea, the next phase of research on nurses' stress needs to consider the experimental study design to find more specific causal relationships. Also, it is necessary to develop the nurses' stress tool for reliable and valid measurement.

Impact of Work Environment and Job Satisfaction on Service Quality among Staff in Elderly Facility (노인요양시설 종사자의 업무환경, 직무만족이 서비스 질에 미치는 영향)

  • Kwon, Kyong Ja;Chu, Min Sun;Kim, Jung A
    • Korean Journal of Adult Nursing
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    • v.26 no.5
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    • pp.512-521
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    • 2014
  • Purpose: This study examined the effect of work environment and job satisfaction on service quality among staff caring for the elderly. Methods: A convenient sample was 192 staff members from 95 elderly facilities. Data collection occurred from June to July, 2011 using a self-administered questionnaire. Data was analyzed using SPSS/WIN 18.0. Results: Among the subscales of Work Environment Scale, the self-realization score was the highest followed by workload, nervousness, and conflict. The mean score of job satisfaction was 71.43. Reliability was the highest followed by assurance, empathy, responsiveness, and tangibles. Predictive factors of service quality included self-realization work environment and job satisfaction. Conclusion: Exploration of strategies to improve the recognition of self-realization work environment and job satisfaction will be necessary in order to increase of service quality among staffs in elderly facility.

The Effect of Overtime Work on Organizational Trust: Testing Mediating Effect of Personal Accomplishment (중국의료기관에 종사하는 구성원들의 초과근무가 조직신뢰에 미치는 영향: 개인성취의 매개효과 검증)

  • Cai, Han;Jin, Xiu
    • Journal of Digital Convergence
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    • v.20 no.5
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    • pp.119-128
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    • 2022
  • In the context of the COVID-19 era, due to the serious epidemic and heavy workload, medical staff often work overtime. The frequency of overtime work is directly related to organizational trust, so the impact of overtime work is of high importance to medical staff. This study focuses on the role of overtime work and validates the level of organizational trust among healthcare workers. The mediating effect of personal achievement as a mediator between overtime work and organizational trust was also explored. According to the results, both voluntary overtime and inoluntary overtime of medical staff have a positive impact on organizational trust. The results also suggest that personal accomplishment has a mediating effect between overtime work and organizational trust. This study focuses on exploring the impact of medical staff overtime work on organizational trust and proposes options for improving organizational trust among medical staff.