• 한국응용과학기술학회지
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• 제37권3호
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• pp.613-624
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• 2020

본 연구는 종합병원 간호사의 감정노동, 직무스트레스와 간호업무성과 정도를 살펴보고 간호업무성과에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 연구 대상자는 G 광역시에 소재한 200~400병상 규모의 종합병원 2곳에 근무하는 간호사 132명이었고 자료수집 기간은 2019년 8월 20일부터 9월 2일까지였으며 본 연구자가 직접 구조화된 설문지를 이용하여 조사하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 빈도와 백분율, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient 및 Multiple regression analysis로 분석하였다. 연구결과, 대상자의 간호업무성과에 미치는 영향요인은 회복탄력성(β=0.58, p<.001), 현 직위가 수간호사인 경우(β=0.21, p<.01), 현 근무지경력(β=0.18, p<.05)이었다. 또한, 추정된 회귀모형의 적합도에 대한 F통계량은 30.901(p<.001)으로 매우 유의하였고, 설명력은 42.4%인 것으로 나타났다. 본 연구결과, 종합병원 간호사의 간호업무성과에 회복탄력성이 가장 큰 영향요인으로 확인되었고, 수간호사일수록, 현 근무지경력이 많을수록 간호업무성과가 높은 것으로 확인되었다. 따라서 연구결과를 토대로 간호업무성과를 향상시키기 위한 방안을 모색하고 이에 대한 중재프로그램을 개발하는 기초 자료로 활용될 것으로 기대된다.

• 보건의료산업학회지
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• 제1권1호
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• pp.31-44
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• 2007

The purpose of this study is to shed light on the effect of work-family conflict on organizational effectiveness, focusing on the moderating effect of organizational support among married working women of health services organizations. Data were collected from 149 married working women of health services organizations located in Busan Metropolitan areas by structured self-administered questionnaire. Main results of this study is as the following: First, based on the type of work-household conflicts, namely time-based conflict(2.82 points), strain-based conflict(2.81 points) and behavior-based conflict(2.69 points), working women mainly experienced time and strain-based conflicts. The level of work-household conflicts was significantly higher among younger groups, highly educated, nurses, and regular workers. Second, the perceived organizational effectiveness found to be an above-average. Especially scores were high in the subcategories of customer orientation(3.84), followed by organizational commitment (3.42) and job satisfaction(3.19). The level of organizational effectiveness was significantly higher among older groups, medical technician and administrative job holders, day-time workers, and higher income groups. Third, the results of the regression analysis on the effects of work-household conflicts on organizational effectiveness showed that strain-based conflicts have a significant negative effect on organizational effectiveness such as job satisfaction and organizational commitment. Fourth, organizational support found to have a strong controlling effect for strain-based conflicts on organizational effectiveness. Above results imply that practical family-supportive policies for lessening the work-household conflicts is crucial for enhancing organizational effectiveness in health services organization.

• 여성건강간호학회지
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• 제6권2호
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• pp.258-268
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• 2000

This study was to investigate the relationship between hospital nurses 'knowledge of breast-feeding and their ability to provide care to breast-feeding mothers and their children. From Nov. 1 to 30, 1999, 105 nurses of the obstetric ward, delivery room, OPDs of obstetrics and gynecology, and nurseries of three general hospitals from Seoul and Pusan were evaluated. The results are as follows: 1.Mean score of nurse's knowledge to breast-feeding was 12.76. Mean score of performance of nursing activities was 109.80. 2.General characteristics and feeding characteristics were significantly related to nurse's knowledge to breast-feeding and performance of nursing activities related to breast-feeding. Nurse's knowledge about breast-feeding was significantly related to age, working ward, clinical experience, rank of position, experience of breast-feeding and experience education on breast-feeding. Performance of nursing activities for breast- feeding was significantly related to age, working ward, experience in other ward, marital status, and education on breast-feeding. 3.A positive correlation between nurse's know-ledge to breast-feeding and performance of nursing activities related to breast-feeding was statistically significant(r=.381, P<0.05).

• 성인간호학회지
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• 제19권3호
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• pp.495-507
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• 2007

Purpose: This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients. Methods: Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis. Results: Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment. Conclusion: We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

• 보건의료산업학회지
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• 제8권4호
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• pp.1-12
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• 2014

This study is designed to develop a hospital communication program and to verify its effectiveness in graduate nurses self-esteem, communication conflicts, turnover intention and early resignation rate. The study method is a randomized control group with a pre-post test design. In order to help new graduate nurses adapt to the hospital, eight week hospital communication program is developed. The study participants are 104 nurses(47 experiment, 57 control) who have been working for less than six months. The data on self-esteem, communication conflict, and turnover intention was collected one week before the program and four weeks after the program. Then, the early resignation rate of the participating nurses was surveyed one year after the start of employment. The nurses who participated in the hospital communication program exhibit higher self-esteem, fewer communication conflicts, and lower early resignation rates than those who did not. However, effect in the turnover intention is not observed. Overall, the hospital communication program will help new graduate nurses adapt to hospitals.

• 한국직업건강간호학회지
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• 제27권2호
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• pp.77-88
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• 2018

Purpose: This study aimed to investigate the degree of role conflict and its ambiguity, and fatigue in clinical nurses and to analyze the effect of these on their self-resilience in order to provide fundamental data for improving their working environment after the Middle East Respiratory Syndrome outbreak. Methods: After the collection of data from 258 clinical nurses in five general hospitals, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression were performed using IBM SPSS Statistics 20.0. Results: A significant positive correlation was found between nurses' role conflict and ambiguity and fatigue; while a negative correlation was found between nurses' role conflict and ambiguity and self-resilience. A significant negative correlation was found between fatigue and self-resilience. According to the study results, the factor that affected clinical nurses' self-resilience the most was role conflict and its ambiguity, followed by marital status, fatigue, educational level, religion, and related tasks, which together accounted for 38% of self-resilience in clinical nurses. Conclusion: To improve weaknesses in nursing care after the Middle East Respiratory Syndrome outbreak, the scope of nursing care was changed upon the expansion of integrated nursing and care-giving services. Therefore, in the rapidly changing environment of nursing, policies to improve nursing performance, as well as successful reaction capability, are suggested.

• 대한안전경영과학회지
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• 제23권2호
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• pp.1-8
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• 2021

The purpose of this study is to understand the impact of the nursing work environment, job embeddedness, and job esteem on the retention intention in the millennial generation nurses. The subjects of this study are nurses working in general hospitals with more than 300 beds. Among nurses born in the 1980s and early 2000s, 97 agreed to study. As a result of the study, there was a significant difference in academic background.(F=6.74, p=.002) In terms of final education, those with graduate or higher were higher than those with three-year graduation and four-year graduation Retention intention is the degree of job placement (r=.319, p=.001), job respect (r=.331, p=.001) had a positive relationship with the nursing working environment (r=-.252, p=.013) was negatively correlated. Factors affecting the retention intention is 12.9% explanatory skills as a result of the introduction of job embeddedness, nursing work environment, and job esteem. It is necessary to understand the characteristics of the generation in order to increase the retention intention as a millennial generation nurse.

• 간호행정학회지
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• 제12권2호
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• pp.189-195
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• 2006

Purpose: This study was to identify nursing interventions which were perceived highly in the importance and performance of nursing interventions by nurses in long-term care facilities for elderly. Method: Data was collected from nurses working in long-term care facilities for elderly over 2 years who participated in continuous education by Korea Association of Senior Citizens Welfare Institution. Data was analyzed using mean and paired t-test to compare difference between the importance and performance of each nursing intervention. Results: Among 264 nursing intervention, 49 nursing interventions were considered highly important and performed very often by nurses. Especially, 11 nursing interventions had significant difference between the importance and the performance, which meant that nurses perceived them as the most important and they were not implemented often as much as that by nurses. Conclusion: The results of this study revealed that what kinds of the nursing interventions were perceived highly important and performed very often by nurses in long-term care facilities for elderly. These nursing interventions can be utilized in the development of standardized nursing intervention classification to be used for the long-term care facilities for elderly.

• Journal of Hospice and Palliative Care
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• 제13권4호
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• pp.243-251
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• 2010

목적: 본 연구는 말기 환자에게 실시하는 수액요법에 대한 간호사들의 인식과 수액요법 실태를 파악하기 위한 서술적 조사연구이다. 방법: 대상자는 서울에 소재한 3개 대학병원의 암 병동 간호사 87명과 보건복지부의 호스피스 시범사업 지원기관으로 선정된 1개 호스피스기관의 간호사 113명, 총 200명이었다. 자료는 구조화된 설문지를 이용하여 2008년 3월 10일부터 3월 31일까지 수집하였으며, 수액요법에 대한 호스피스기관 간호사와 암 병동 간호사의 인식 차이는 $x^2test$와 ANCOVA로 알아보았다. 결과: 호스피스기관의 간호사가 암 병동 간호사에 비해 '말기 환자에게 수액을 주입하면 전신무력감이 호전되지 않는다', '수액을 주입하여도 섬망이나 안절부절함, 의식장애가 완화되지 않는다', '수액을 제한하면 폐부종이 감소되고 기침, 가래, 호흡곤란이 감소된다', '수액을 제한하면 복수가 최소화된다’고 응답한 경우가 많았다. 말기 환자에게 실시하는 수액요법에 대한 심리사회적인 측면의 인식도는 암 병동 간호사가 호스피스기관 간호사보다 높아 긍정적이었다. 호스피스기관이 암병동보다 말기 환자에게 수액을 말초정맥 혈관이나 지속적 피하 점적주사로 주입하는 경우가 많았으며, 주입하는 하루 평균 수액양이 적었다. 말기 환자에게 수액 요법을 하는 이유로 호스피스 기관은 '환자나 가족이 원해서'가 가장 많았으며, '환자 및 가족에게 치료를 지속하고 있다는 안정감을 주므로'와 '수액요법이 기본적인 처방이므로' 순이었으나 종합병원의 암 병동은 '환자나 가족에게 치료를 지속하고 있다는 안정감을 주므로', '환자나 가족이 원해서', '탈수를 교정하기 위해서' 순이었다. 결론: 종합병원의 암 병동 간호사들은 호스피스기관 간호사에 비하여 말기 환자에게 실시하는 수액요법에 대하여 긍정적이었으며, 두 기관 모두 환자나 가족이 원하여 말기 환자에게 수액요법을 시행하는 경우가 많았으므로 불필요한 수액요법을 시행하지 않도록 간호사는 물론 환자와 가족을 대상으로 교육을 하는 것이 필요하다고 생각한다.

• 대한안전경영과학회지
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• 제22권3호
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• pp.31-41
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• 2020

The purpose of this study was to identify the relationship between bullying, nursing work environment, reality shock and factors of influence on turnover intension. Data were collected from 381 nurses who were under the charge nurse at a hospital with more than 600 beds in Seoul. The collected data were analyzed using the SPSS24.0 program. The mean score for turnover intension was 3.61 ± 0.89. The intension of turnover was correlated with bullying in the workplace (r=0.197, ⍴=.001), the nursing work environment (r=-.409, p=.001), and reality shock (r=.572, p=.001). Variables affecting turnover intension were the work department(β=-0.018, ⍴=.049), working environment(β=-0.424, ⍴<.000), and reality shock(β=0.654, ⍴<.000). The total amount of explanation for turnover intension was 37.3%. The degree of turnover intension of nurses was affected by work in general wards, the experience of workplace bullying and the nursing work environment. To reduce turnover intension, nursing work needs to be analyzed and efforts are needed to establish an effective communication system.