• Journal of Korean Academy of Nursing Administration
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• v.20 no.4
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• pp.414-425
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• 2014

Purpose: The purpose of this study was to identify hospital nurses' recognition of the team system and the effectiveness of the team system as an organizational structure. Methods: A self-report questionnaire was used to collect data from 247 general hospital nurses during 4 months in 2013. Analysis was done using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and factor analysis with SPSS 18.0. program Results: There was no significant difference in nurses' recognition of team structure (t=2.06, p=.153) or effect of team structure (t=0.36, p=.549) according to use of team system. In hospitals with a team system, there were positive correlations between recognition of the effect of the team system and age (r=.25, p=.033), and total clinical career (r=.26, p=.012). In hospitals not using a team system, nurses' recognition of team structure as an organizational system (r=.31, p<.001), nurses' recognition of team structure, total (r=.30 p<.001) correlated significantly with the effects of team system. Conclusion: Results of this study provide a retrospection view of the team system in nursing organizational systems. The nursing team system's ultimate goal needs to be confirmed for complementary nursing care. Also, more studies on nurses' perceptions of, and effectiveness of the team system are necessary.

• Journal of the Korea Safety Management & Science
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• v.13 no.2
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• pp.91-96
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• 2011

The purpose of this study was to minimize of entrance surface dose (ESD) at the eye using high kVp technique in the computed radiography. We used REX-650R (Listem, Korea) general X-ray unit, and external detector with ESD dosimeter of Piranha 657 (RTI Electronics, Sweden). We used head of the whole body phantom. The total 64 images of X-ray anterior-posterior of skull were acquired using the film/screen (F/S) method and the digital of computed radiography method. The three radiology professor of more 10 years of clinical career evaluated a X-rays images in the same space by 5-point scale. The external detector was performed measurement of ESD of three times by same condition on the eye of the head phantom. The good image quality in the F/S method (90 kVp, 2.5 mAs) showed at the minimized ESD of 0.310 ${\pm}$ 0.001 mGy. the good image quality in the computed radiography method (90 kVp, 2.0 mAs) showed at the minimized ESD of 0.180 ${\pm}$ 0.002 mGy (P = 0.002). Finally the radiation dose could reduced about 50% in the computed radiography method more than the F/S method. In addition the eye entrance surface dose using high kVp technique with the computed radiography was reduced 92% more than conventional technique (F/S method).

• Journal of Hospice and Palliative Care
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• v.24 no.3
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• pp.174-183
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• 2021

Purpose: This study aimed to investigate the effects of the nursing practice environment and self-leadership on person-centered care provided by oncology nurses. Methods: This cross-sectional study included 145 nurses who worked in oncology wards at eight university hospitals in Seoul, Daejeon, and Chungcheong Province with at least six months of experience. Data were collected using a self-administered survey and analyzed using descriptive statistics, Pearson correlation coefficients, the t-test, analysis of variance, and hierarchical multiple regression analysis in SPSS version 26.0. Results: Person-centered care was significantly correlated with the nursing practice environment (r=0.27, P<0.001) and self-leadership (r=0.40, P<0.001), and the nursing practice environment was correlated with self-leadership (r=0.380, P<0.001). Hierarchical multiple regression analysis showed that the nursing practice environment was a significant predictor of person-centered care (β=0.31, P<0.001), after adjusting for covariates including monthly salary, total clinical career, and the position of oncology nurses. Self-leadership was a significant predictor of person-centered care (β=0.34, P<0.001) after controlling for the nursing practice environment, along with covariates. The final model explained 18.7% of the variance in personcentered care. Conclusion: Our findings emphasize the importance of the nursing practice environment and nurses' self-leadership for providing person-centered care in oncology care units. Educational programs to reinforce nurses' self-leadership and administrative support for nursing practice are necessary to improve oncology nurses' capability to provide person-centered care.

• Journal of Korean Critical Care Nursing
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• v.12 no.2
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• pp.39-49
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• 2019

Purpose : The purpose of this study was to identify the extent to which intensive care unit (ICU) nurses' perceptions of life-sustaining treatment decisions and "a good death" affect attitudes toward terminal care. Method : Participants included 109 ICU nurses from three university hospitals. Data were collected using structured questionnaires, and collected data were analyzed using a t-test, ANOVA, the $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and a multiple regression analysis (SPSS 24.0 program). Results : Perceptions of life-sustaining treatment decisions and a sense of closeness (a constituent for the awareness of "a good death") were positively correlated with terminal care attitudes. The factors affecting terminal care attitudes were a clinical career in ICU (${\beta}=.20$, p =.035), a sense of closeness(${\beta}=.19$, p =.041), and the perception of a life-sustaining treatment decision (${\beta}=.22$, p =.017). This finding indicates that more than 10 years of experience in ICU, a greater sense of closeness, and a higher view of life-sustaining treatment decisions results in more positive attitudes toward terminal care. The explanatory power of these variables on terminal care attitudes was 14% (F=6.84, p < .001, Adj $R^2=.140$). Conclusion : A sense of closeness and the perception of life-sustaining treatment decisions were identified as the factors affecting terminal care attitudes. Thus, various programs must be developed to raise awareness among ICU nurses of "a good death" and perceptions of life-sustaining treatment decisions.

• Journal of radiological science and technology
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• v.44 no.4
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• pp.389-397
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• 2021

The purpose of this study was to compare the demographic and job characteristics and job satisfaction of sonographers (SONO) and radiological technologists (RT). The subjects were a total of 148 people (69 SONO, 79 RT), who had been working in clinical and hospitals. The method was conducted using a questionnaire with a total of 54 questions consisting of demographic characteristics, job characteristics, and job satisfaction. Reliability was secured with Cronbach's alpha coefficient of 0.6 or higher for the response of the questionnaire. For statistical analysis, descriptive statistics, cross-analysis, independent sample T-test, and correlation analysis using Pearson's correlation coefficient and Spearman's correlation coefficient were performed for each occupation. As a result, first, the SONO had more female workers than RT. They are more than three times as many in graduate school and above. Second, the SONO had 4.5 times more morning shift than the RT and no form of weekend shift. Third, the average monthly salary of the SONO is higher than that of the RT, but when a certain portion of the salary goes up, the salary no longer goes up. Fourth, satisfaction with expectations, growth desire, positive mentality, growth opportunity, job importance, organizational attachment was higher SONO than the RT, but self-efficacy was higher in RT than SONO. Last, SONO had higher educational background than RT. It is hoped that the results of this study will be able to understand the job characteristics of SONO and RT and identify the factors of job satisfaction and provide them as fundamental materials for job selection.

• Journal of Korean society of Dental Hygiene
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• v.22 no.2
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• pp.143-151
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• 2022

Objectives: This study investigates dropout intention and the structural relationship between the dental hygienist role and satisfaction with the study major perceived by dental hygiene students. Methods: A survey was conducted on 269 dental hygiene students. The survey items covered general characteristics, department choice motivation, the desirability of dental hygienist career, practice clinical experience, perception of dental hygienist role, satisfaction with study major, and dropout intention. Independent sample t-test, one-way ANOVA, Mann-Whitney U test, multiple linear regression analysis, and structural equation modeling were used for statistical analysis. Results: The dropout intention level of dental hygiene students was 2.4 out of 5.0. Satisfaction with study major partially mediates perception of dental hygienist role and dropout intention (direct effect=0.182, p=0.024, indirect effect=-0.437, p=0.010). Perception of dental hygienist role (β=-0.255, p=0.010) and satisfaction with study major (β=-0.661, p=0.010) showed a negative relationship with dropout intention. The factor most affecting dropout intention was satisfaction with study major. Dropout intention was high when selecting a major based on external motivations (β=-0.448, p<0.001). Conclusions: Perception of dental hygienist role and satisfaction with study major directly or indirectly affect dropout intention. Therefore, improving satisfaction with study major and improving the perception of dental hygienists will help reduce dropout intention.

• Journal of Home Health Care Nursing
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• v.29 no.2
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• pp.165-174
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• 2022

Purpose: This study was a descriptive research design to identify nursing professionalism, communication competence, and working environment factors of dedicated COVID-19 hospital nurses and investigate factors affecting person-centered care. Methods: Participants were 211 nurses working in one tertiary hospital, two general hospitals, and one dedicated COVID-19 hospital in a metropolitan area. Collected data were analyzed using descriptive analysis, an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. Analysis was performed using SPSS 26.0 software. Results: Person-centered care was statistically significant. It positively correlated with nursing professionalism (r=.57, p<.001), communication competence (r=.56, p<.001), and nursing work environment (r=.60, p<.001). As a result, communication competence (𝛽=0.33, p<.001), hospital type (𝛽=0.25, p<.001), nursing professionalism (𝛽=0.23, p=.002), nursing work environment (𝛽=0.18, p=.006) and clinical career (𝛽=-0.11, p=.045) in that order. The regression model was statistically significant (F=30.467, p<.001) and showed an explanatory power of 49.6%. Conclusion: It is necessary for individuals and hospitals to provide opportunities for nurses to participate in various education and programs to improve person-centered care. This may enable them to enhance their nursing professionalism and communication competence.

• Journal of Home Health Care Nursing
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• v.30 no.1
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• pp.15-25
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• 2023

Purpose: This study describes the associations between shift work factors, workplace violence bystander types, and the missed nursing care of hospital nurses. Methods: A cross-sectional survey was conducted among hospital nurses using structured questionnaires related to shift work factors, workplace violence bystander types, and missed nursing care. The study participants were 199 nurses caring for adult patients and working in two tertiary hospitals. Results: The missed nursing care of the participants showed a statistically significant positive correlation with the facilitating bystander (r=.40, p<.001) and abdicating bystander (r=.28, p<.001) among the workplace violence bystander types. However, rest time during duty showed a significant negative correlation (r=-.16, p=.026). A regression model with control variables (department and clinical career), shift work factors, and workplace violence bystander types explained approximately 25% of missed nursing care of the study participants. Further, the facilitating bystander type influenced the missed nursing care of hospital nurses. Conclusion: As a result of examining the associations between shift work factors, workplace violence bystander types, and missed nursing care of hospital nurses, it was confirmed that missed nursing care was influenced by the facilitating bystander type. It is necessary to improve the nursing culture within the department so that nurses do not behave as negative bystanders to workplace violence.

• Journal of Korean Critical Care Nursing
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• v.16 no.3
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• pp.62-72
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• 2023

Purpose : This study aims to assess the extent of work value, psychological ownership, the nursing work environment, and retention intention, examine the correlation between these variables, and identify the factors that influence retention intention. The goal is to provide foundational data to enhance retention intention. Method : The study involved 159 nurses employed at a tertiary general hospital and a general hospital. Data were gathered through structured questionnaires and analyzed using an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis with a simultaneous stepwise method, all conducted using the SPSS 26.0 software. Results : The intention to remain in the profession was found to have a positive correlation with work value (r = .45, p < .001), psychological ownership (r = .37, p < .001), and the nursing work environment (r = .27, p = .001). Significant factors influencing the intention to stay included total clinical career (𝛽 = .17, p = .016), work value (𝛽 = .38, p < .001), and psychological ownership (𝛽 = .19, p = .020). These variables accounted for 24.1% of the variance in the intention to remain in the profession (F = 17.71, p < .001). Conclusion: To enhance the intention of hospital staff to remain in their positions, it is crucial to identify and bolster positive psychological competencies, such as a sense of work value and psychological ownership.

• Korean Medical Education Review
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• v.26 no.2
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• pp.155-166
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• 2024

This study utilized cohort data, student lifestyle surveys, and mental health examination results from a medical school to investigate the impact of factors such as hometown, alcohol use, smoking, university life adaptation, and aptitude on academic failure, with mental health serving as a mediator. We analyzed data from 409 of the 549 incoming students at Keimyung University School of Medicine, excluding 140 individuals with missing data, from the academic years 2015 to 2021. Significant differences were found according to hometown in feelings of depression, suicidal tendencies, and internet addiction. There were also significant differences based on university life adaptation in feelings of depression, suicidal tendencies, and internet addiction, as well as significant differences according to academic aptitude in feelings of depression and internet addiction. Academic failure showed significant differences based on hometown, university life adaptation, and academic aptitude. Furthermore, students' hometown had a complete mediating effect on academic failure together with feelings of depression, suicidal tendencies, and internet addiction. University life adaptation exhibited a complete mediating effect with suicidal tendencies and a partial mediating effect with feelings of depression and internet addiction. Academic aptitude demonstrated partial mediating effects on feelings of depression, suicidal tendencies, and internet addiction. Based on these results, we suggest establishing counseling programs tailored to the characteristics of medical students, and various programs for university life adaptation are necessary. There is also a need for diverse programs not only for clinical training, but also for different career paths.