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Nursing Students' Patient Safety Competency and Patient Safety Management Practice (간호대학생의 환자안전 역량과 환자안전관리 행위)

  • Park, Jung-Ha
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.216-223
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    • 2019
  • This study was conducted to identify the effects of patient safety competency on patient safety management practice by nursing students and provide basic data for the development of the program to improve patient safety management practice. Participants were 293 fourth year nursing students who had clinical practice as student nurses for more than one year. Data were collected from April 26 to May 9, 2018. Collected data were analyzed for frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson' s correlation coefficient, and multiple regression with SPSS/WIN 24.0 computer program. Nursing students' patient safety competency was an average $2.90{\pm}0.38$ points (patient safety knowledge $2.68{\pm}0.65$; patient safety skills $3.26{\pm}0.56$; patient safety attitudes $2.75{\pm}0.40$). The average core of management practices to patient safety recorded $4.13{\pm}0.57$ points. In terms of the correlation among subjects' patient safety knowledge, skills, attitudes and patient safety management practices, significant correlation existed between skills and management practices (r=.337, p<.001), attitudes and management practices (r=-.150, p =.010), knowledge and management practices (r=.171, p=.003). Regression analysis revealed that 15.7% of the variance in patient safety management practice by nursing students could be explained by patient safety skills (${\beta}=.307$, p<.001), patient safety accident experience of Fire (${\beta}=-.127$, p=.026), patient safety attitudes (${\beta}=-.121$, p=.026), and patient safety accident experience of patient education (${\beta}=-.119$, p=.034). Additional studies to determine the various factors affecting patient safety management practice of nursing students and to develop educational program for increasing patient safety management practice should be conducted.

The Effect of Stress Coping Ability and Recovery Resilience on Retention Intention of Nurses in Medium-Sized Hospitals (중소병원 간호사의 스트레스 대처능력과 회복탄력성이 재직의도에 미치는 영향)

  • Bae, Eun-Joo;Kim, Ka Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.662-671
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    • 2018
  • This study was designed to investigate the impact of stress coping ability and recovery resilience on nurses' retention intent in medium-sized hospitals. For this descriptive study, a survey was conducted with 265 nurses from 5 medium-sized hospitals with over 150 sickbeds located in G and I province; the data were collected from May 19 to May 25, 2018. The collected data were analyzed by t-test, ANOVA, Pearson's correlation coefficients, and multiple regression. The average score was $2.55{\pm}0.25$ for stress coping ability, $3.47{\pm}0.49$ for recovery resilience, and $2.59{\pm}0.29$ for retention intent. Retention intent was positively correlated with stress coping ability (r=0.285, p<0.01) and recovery resilience (r=0.457, p<0.01). The factors affecting retention intent were gender (${\beta}=0.117$, p=0.027), job satisfaction (${\beta}=0.345$, p<0.001), stress coping ability (${\beta}=0.142$, p=0.008), and recovery resilience (${\beta}=0.238$, p<0.001). Furthermore, the model explained 37.8% of the retention intent (F=11.686, p<0.001). In conclusion, effective strategies for improving job satisfaction, stress coping ability, and recovery resilience for nurses need to be developed and investigated.

Factors Affecting Turnover Intention of General Hospital Nurses (종합병원 간호사의 이직의도 영향요인)

  • Kwon, Young-Eun;Kim, Seon-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.414-422
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    • 2019
  • The purpose of this study was to explore the predictors of turnover intention among nurses working in general hospitals. The subjects were 181 nurses who worked in two general hospitals in Gyeonggi-do, Korea. Data were collected from June to November 2018, and analyzed by descriptive statistics, Independent t-test, One-way ANOVA, Pearson's correlation coefficients, and Stepwise multiple regression analysis, using SPSS/WIN 21.0. The main findings of this were as follows. The mean scores for the nursing work environment, professional self-concept, job satisfaction and turnover intention were $2.43{\pm}0.38$, $2.60{\pm}0.25$, $2.59{\pm}0.29$ and $3.43{\pm}0.72$ points. Turnover intention is negatively correlated with the nursing work environment (r=-.43, p<.001) and job satisfaction (r=-.46, p<.001). Factors influencing turnover intention were job satisfaction(${\beta}=-.47$, p<.001), nursing work environment(${\beta}=.32$, p<.001), professional self-concept(${\beta}=.20$, p<.001), and total length of a clinical career(${\beta}=-.15$, p<.05) showing an explanatory power of 38%. Since various variables influence the turnover intention of nurses, it is necessary to improve the nursing environment in the medical field rather than the strategy to increase the number of simple nurses. In the university, education for establishing through introductory nursing specialty is needed.

The Protective Factors of Suicide Probability in Religious Male High School Students (종교계고등학교 남학생의 자살위험성 보호요인)

  • Kim, Hee-Sook;Chae, Young-Sun;Bae, Young-Joo
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.1-8
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    • 2012
  • Purpose: This study was conducted to identify the protective factors that influence suicide probability in religious male high school students. Methods: The data was collected from Nov. 5 to Dec. 10, 2009. Data were collected by self-report questionnaire from 255 students selected from 2 religious male high schools in B city. The instruments for this study were the Suicide Probability Scale for Adolescence (SPS-A), Inventory Parents Peer Attachment-Revision (IPPA-R), Spiritual Well-being Scale (SWBS), and Ego-identity Scale. The data were analyzed using t-test, one-way ANOVA, Scheffe test, Pearson correlation coefficients and stepwise multiple regression with the SPSS 14.0 program. Results: The protective factors of suicide probability in religious male high school students were identified as existential spiritual well-being (${\beta}$= -.46, p<.001), self-identity (${\beta}$= -.30, p<.001), and mother attachment (${\beta}$= -.21, p<.001). These three factors explained 61.5% of the variance in suicide probability. Conclusions: The results suggest that improvement in spirituality, ego-identity, and mother attachment for religious male high school students is important to reduce the probability of suicide.

Effects of Self-Resilience and Social Support on Reality Shock among New Graduate Nurses (신규간호사의 자아탄력성과 사회적 지지가 현실충격에 미치는 영향)

  • Lee, Yeon Ju;Yeo, Jung Hee
    • Journal of East-West Nursing Research
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    • v.23 no.1
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    • pp.45-52
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    • 2017
  • Purpose: This study was to identify the effects of self-resilience and social support on reality shock among new graduate nurses. Methods: The data was collected using self-reported questionnaires from a convenience sample of 111 new graduate nurses. The data was analyzed by descriptive statistical, independent t-test, ANOVA, Scheffe test, Pearson correlation coefficient, and multiple regression via the SPSS Window 23.0 program. Results: Among general and work related characteristics, factors that have shown significant differences on reality shock were gender (t=-2.29, p=.024), work unit (t=3.31, p=.023) and whether they are working at unit they desired (t=-5.08, p<.001). Reality shock has shown a negative correlation with self-resilience (r=-.51, p<.001) and social support (r=-.41, p<.001). Factors that affected the reality shock on new graduate nurses were self-resilience (${\beta}=-.43$, p<.001), whether they are working at unit they desired (${\beta}=.35$, p<.001) and their currently work unit (${\beta}=-.17$, p=.028). These factors take into account of 38.0% of overall reality shock. Conclusion: The results suggest that self-resilience, desired unit and current work unit should be considered as factors when developing an intervention to alleviate the reality shock experienced by new graduate nurses.

Factors Influencing Suicidal Ideation in Girls' High School Students (여고생의 자살사고 영향 요인)

  • Kim, Gab-Yeon;Kim, Hee-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.366-375
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    • 2016
  • Purpose: This study was conducted to identify factors which influence suicidal ideation in students in girls' high schools. Methods: The participants were 202 students attending a girls' high school and a specialized girls' high school in D city. Data were collected from October 8 to December 23, 2013. Research tools were suicidal ideation, existential spiritual well-being, interpersonal relations, and depression. Data were analyzed using t-test, one-way ANOVA with Scheffe-test, Pearson's correlation coefficient, and multiple regression by stepwise selection with SPSS/WIN 12.0. Results: Suicidal ideation was negatively correlated with existential spiritual well-being, interpersonal relations, and positively correlated with depression. Effective variables were depression (${\beta}=0.54$, p<.001), existential spiritual well-being (${\beta}=-0.22$, p=.001), and grades (${\beta}=-0.10$, p=.042). These variables explained 52% of the variance in suicidal ideation. Conclusion: Based on the outcomes of this study, it is necessary to design an intervention program that teachers and community mental health nurses can use to increase existential spiritual well-being and decrease the depression and suicidal ideation for students in girls' high schools.

The Selection of Optimal Mixing Proportion and Cost Analysis in the SFC (초유동 콘크리트의 최적배합 선정방법 및 경제성 분석)

  • Park, Chil-Lim;Kim, Moo-Han;Kwon, Yeong-Ho;Lee, Sang-Soo;Won, Cheol
    • Proceedings of the Korea Concrete Institute Conference
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    • 1998.10a
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    • pp.262-268
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    • 1998
  • This research is to examine the selected method of optimal mixing proportion and cost analysis in the super flowing concrete. As confined water $ratio($\beta_p$)$ and K is introduced, itis to establish optimal mixing design of super flowing concrete according to the steps of paste, mortar and concrete. From paste and mortar test, it was led to $$\beta_p$$ and $K_p$satisfying the optimum condions depending on the kinds of binders. Then $$\beta_p$$ and $K_p$ is reflected to the mix condition of super flowing concrete. The result of test, the mix condition of super flowing concrete satisfied the quality performance of concrete with adjustment of additional rate of the superplasticizer. Besides, in case of design strength $350kg/\textrm{cm}^2$ of concrete, material cost in super flowing concrete is able to be reduced 5~16% in replacement of fly ash 30% in ordinary portland cement and slag cement.

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Factors Affecting the Oral Health Status in Vulnerable Elders (취약계층 노인의 구강건강상태에 영향을 미치는 요인)

  • Park, Jeong Sook;Lee, Hye Ran;Park, Mi Hyang
    • Journal of Korean Public Health Nursing
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    • v.30 no.2
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    • pp.206-220
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    • 2016
  • Propose: This study was to identify the factors affecting the oral health status in vulnerable elders receiving home visiting health care service. Methods: A total of 444 elderly people over the age of 65 at 33 public health centers in Daegu and Gyungbuk areas were included in this survey. The data were collected by personal interview with nurses using oral health knowledge, behavior, and status questionnaires from the $10^{th}$ to $22^{nd}$ of July, 2012. The data were analyzed with t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, and stepwise multiple regression, using SPSS program. Results: Factors affecting the oral health status were chewing satisfaction with denture 14.5% (${\beta}=.391$, p<.001), denture care (wash with water) 3.2% (${\beta}=-.187$, p<.01), and types of health insurance (medical aid type1, 2) 1% (${\beta}=-.111$, p<.05). The factors explained 18.7% of variance in the oral health status of vulnerable elderly subjects. Conclusion: The results of this study indicate that in order to improve the oral health status of vulnerable elders, it is necessary to provide oral health education that includes the proper usage of denture to elders who receive home-visiting care.

Influencing Factors on Presenteeism of Clinical Nurses (임상간호사의 프리젠티즘에 영향을 미치는 요인)

  • Yeom, Eun Yi;Jeong, Gye Seon;Kim, Kyoung Ah
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.4
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    • pp.302-312
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    • 2015
  • Purpose: This study was conducted to identify the influencing factors of job stress, self-efficacy, and organizational culture to presenteeism in clinical nurses. Methods: A descriptive correlation research design was used for the this study. The subjects were 245 nurses working at the hospital in S, A and C City, from August $1^{st}$ to October $30^{th}$ 2014. Data were analyzed using t-test, ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, stepwise multiple regression by SPSS 21.0 program. Results: Job impairment indicated a significant positive relationship to job stress (p=.009), health problem (p<.001), and indicated significant negative relationship to self-efficacy (p<.001), innovative-oriented (p<.001), affiliative-oriented (p=.002), task-oriented (p=.026) in organizational culture. Significant factors of influencing to presenteeism were self-efficacy (p<.001, ${\beta}=-.363$), culture of task-oriented (p<.001, ${\beta}=-.248$) in organizational culture, and health problem (p=.002, ${\beta}=.187$). Conclusion: Self-efficacy was defined as a variable to influence on presenteeism, and developing of strategies and program to strengthen self-efficacy and task-oriented of organizational culture in nursing is helpful to reduce the presenteeism of clinical nurses.

Affecting Factors of the Awareness of Biomedical Ethics in Nursing Students (간호학생의 생명의료윤리의식 영향 요인)

  • Chong, Yu Ri;Lee, Young Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.389-397
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    • 2017
  • Purpose: This study was conducted to examine awareness of biomedical ethics, and to identify affecting factors of the awareness of biomedical ethics in nursing students. Methods: The subjects consisted of 266 nursing students their third and fourth years of study. The data were collected from October to December, 2015 by self-report using questionnaires. Data analysis was performed using SPSS/WIN 18.0, descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and multiple regression analysis. Results: The mean score of the awareness of biomedical ethics was $2.81{\pm}0.22$, perception of death was $3.15{\pm}0.36$, and knowledge of brain death, organ donation, and organ transplant was $12.12{\pm}3.02$. The prediction factors of awareness of biomedical ethics were gender (${\beta}=.29$, p<.001), participation in religious activity (${\beta}=.23$, p=.015), and perception of death (${\beta}=.20$, p=.016). The explanation power was 17.1%. Conclusion: These results showed that education about biomedical ethics is necessary for nursing students, and the development of biomedical ethics educational programs should reflect affecting factors.