• Title/Summary/Keyword: nurse

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Nurse's Role Performance and Perception of the Importance of Role among Nurses Practicing in a Cancer Care Facility (암 전문병원 간호사의 간호역할 수행도와 중요도)

  • Chae, Young Hee;Lee, Won Hee;Min, Young Mi;Shin, A Mi;Kim, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.407-418
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    • 2013
  • Purpose: The purpose of this study is to examine the nurse's role performance and the perception of the importance of role among nurses practicing in a cancer care facility. Methods: A descriptive study design was applied with convenient sampling of 175 nurses working at a cancer care facility in Daegu, Korea. Data was collected using a structured questionnaire from July 1, 2013 to July 5, 2013. Results: Cancer care facility nurse's role performance score was measured on average $3.23{\pm}0.64.$ Oral medication was the most frequently performed role, followed by encouragement, care related to medication, and pain management. The perception of the importance of nurse's role was measured on average $3.31{\pm}0.35$. Care related to medication was regarded as the most important, followed by transfusion, oral medication, and intravenous & intramuscular medication. Nurse's role performance was different according to nurse's age (F=3.21, p=.024) and current practice area (F=3.73, p=.012). The perception of the importance of nurse's role was different only in relation to current practice area (F=6.82, p<.001). Conclusion: Nurses practicing in oncology setting frequently involve encouraging patients and pain management. Training programs designed to facilitate frequently performed and highly regarded nurse's roles are required for nurses practicing in oncology setting.

Value orientation and the relationship between nurse′s role perception and patient′s expectation on selected routine nursing activities (간호원의 역할인식과 환자의 기대 -기본 간호역할의 가치의식을 중심으로-)

  • 한윤복;김순자;이인자
    • Journal of Korean Academy of Nursing
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    • v.4 no.2
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    • pp.144-158
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    • 1974
  • This study was undertaken in an attempt to; 1) measure value orientation of nursing activities, 2) identify the relationship between nurse's role perception and patient's expectation, and 3) evaluate the pattern of nursing education and nursing service administration. 203 hospitalized adults and 203 professional nurses from 11 general hospitals in Seoul during the period of July to December 1973 were tested according to questionnaire based on 4 categories of clinical nursing activities, 1) physical care, 2) observation and control, 3) psycho-social care and 4) therapeutic measures. Results of the study are as follows: 1. Nurses were more concerned than patients in the physical care category. Significant difference was revealed by p<.01 level (t=2.800). Mean value score of nurses was average (2.84), and mean value score of patients was relative' y low (2.49). None of the physical care category questionnaire items were over 3.5. 2. Respondents from hospitals of total care system revealed significant difference in the physical care category by P〈.025 level. (t=2.242). Mean value score of both group were average level (nurse 2.90, patient 2.53), nurses showed higher concern. 3. Difference between nurse's role perception and patient's expectation in observation and control category was revealed non- significance by p〉0.05. level (t=1.238). Mean value score of both group revealed relatively high (nurse=3.44, patient 3.19). 4. Difference between nurse's role perception and patient〉expectation in psycho-social cart category revealed non- significance by p〉.05 level (t=0.758), Mean value score of both group revealed average level (nurse =2.71, patient =2.53), 5. Non- significant difference was noted between B. S. N. and diploma nurse's role perception in the psycho- social care category by p> 0.1 level (t=0.316). 4. Difference between nurse's role perception and patient's expectation in the rapeutic me assures category revealed non- significance by p〉0.05 level) t=0.503). Horses showed high concern by mean value score 3.56 level and patients relatively high by 3.41. All items of this category revealed very high or relatively high value score.

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Nurse Staffing and Patient Outcomes in Korea: A Systematic Review (간호인력과 환자결과: 체계적 문헌고찰)

  • Lee, Ji Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.104-115
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    • 2021
  • The purpose of this review was to systematically assess empirical studies on the relationship between nurse staffing and patient outcomes through systematic literature review. Peer-reviewed articles published between January 2009 and December 2018 were identified in CINAHL, Pubmed, EBSCOhost, RISS, and Dbpia databases. A total of 13 articles relating to nurse staffing and patient outcomes in Korea were systematically reviewed and analyzed. The review showed that better nurse staffing aligned with better patient outcomes. However, some studies did not directly correlate patient outcomes with nurse staffing. This is because each study examined varied aspects of nurse staffing and different patient outcomes. These inconsistent study results indicate that continuous study is required. There should be continued efforts to establish guidelines and strategies for deploying nurse staff by maintaining optimal patient-to-nurse ratio.

Effects of Nurse Staffing Level on In-hospital Mortality and 30-day Mortality after Admission using Korean National Health Insurance Data (간호사 확보수준이 입원 환자의 병원사망과 입원 30일 이내 사망에 미치는 영향)

  • Kim, Yunmi;Lee, Kyounga;Kim, Hyun-Young
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.1-12
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    • 2022
  • Purpose: The purpose of this study is to investigate the association between the nurse staffing level and the patient mortality using Korean National Health Insurance data. Methods: The data of 1,068,059 patients from 913 hospitals between 2015 and 2016 were analyzed. The nurse staffing level was categorized based on the bed-to-nurse ratio in general wards, intensive care units (ICUs), and hospitals overall. The x2 test and generalized estimating equations (GEE) multilevel multivariate logistic regression analyses were used to explore in-hospital mortality and 30-day mortality after admission. Results: The in-hospital mortality rate was 2.9% and 30-day mortality after admission rate was 3.0%. Odd Ratios (ORs) for in-hospital mortality were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.72, 95% CI=0.63~0.84) and in ICUs with a bed-to-nurse ratio of less than 0.88 compared to that with 1.25 or more (OR=0.78, 95% CI=0.66~0.92). ORs for 30-day mortality after admission were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.83, 95% CI=0.73~0.94) and in ICUs with a bed-to-nurse ratio of less than 0.63 compared to that with 1.25 or more (OR=0.85, 95% CI=0.72~1.00). Conclusion: To reduce the patient mortality, it is necessary to ensure a sufficient number of nurses by improving the nursing fee system according to the nurse staffing level.

Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process (데이컴 기법을 적용한 일차의료 만성질환관리 간호사 케어코디네이터 직무분석)

  • Hwang, Ju-Hee;Choi, Yong-Jun;Kim, Mi-Sook;Yi, Seng-Eun;Park, Yong-Soon;Kim, Ji-Hyang;Yoon, Ju-Young;Shin, Dong-Soo
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.758-768
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    • 2021
  • Purpose: This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job. Methods: A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators' jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task. Results: From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, 'assess the patient's general health status' was carried out most frequently. Nurse care coordinators perceived that 'check vital signs' and 'strengthen patient competence to promote health behaviors' were more important than all other tasks. The most difficult task was 'develop professionalism as a nurse care coordinator'. Conclusion: The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.

Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

  • Hsiao-Ching Chen;Jiun-Yi Wang;Ya-Chen Lee ;Shang-Yu Yang
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.185-192
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    • 2023
  • Background: The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear. Objective: To examine the predictors of turnover behavior in newly employed licensed nurse aides. Methods: A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders. Results: A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover. Conclusion: The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

Wireless Nurse Call System (무선 간호사 비상 호출 시스템)

  • Choi, Jung-Yeon;Shin, Heon_Soo;Chung, Sung-Boo;Park, Jin-Woo;Park, Min-Sup;Eom, Ki-Hwan
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.05a
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    • pp.487-490
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    • 2008
  • This paper develop a nurse call system using the wireless communication to resolve that a portable problem of established nurse call system. The established nurse call system has a problem that don't use outside of the sickroom because using a wire communication. The proposed nurse call system is composed of a terminal for nurse, a terminal for patient and a server part. The efficacy of the proposed system is verified by means of experimental. Experimental results are presented that show the effectiveness.

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The Effects of Leader's Emotional Intelligence and Nurse's own Emotional Intelligence on Organizational Commitment and Organizational Citizenship Behavior (간호사가 지각한 리더의 감성지능과 자신의 감성지능이 조직몰입 및 조직시민행동에 미치는 영향)

  • Joo, Yun-Su;Han, Sang-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.2
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    • pp.194-202
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    • 2013
  • Purpose: The purpose of this study was to identify the effects of leader's emotional intelligence and nurse's own emotional intelligence on organizational commitment and organizational citizenship behavior. Methods: Data were collected by self-administered questionnaires from 346 clinical nurses, and analysed by the SPSS 18.0 program. Results: The Factors which influence organizational commitment were use of emotion of nurse (${\beta}$=.28), other's emotional appraisal of leader(${\beta}$=.25), regulation of emotion of leader(${\beta}$=.16), other's emotional appraisal of nurse(${\beta}$=14). These factors explained 36.7% of organizational commitment. The Factors which influence organizational citizenship behavior were other's emotional appraisal of nurse(${\beta}$=.25), use of emotion of nurse(${\beta}$=.24), regulation of emotion of nurse(${\beta}$=.23), use of emotion of leader(${\beta}$=.20). These factors explained 43.6% of organizational citizenship behavior. Conclusion: The results of this study can be used to develop hospitals' management strategies for enhancement of nurses' organizational commitment and organizational citizenship behavior.

A Model on Turnover Intention of Chief Nurse Officers (병원 최고간호관리자의 이직의도 결정요인: 직무 스트레스, 직무만족, 조직몰입, 사회적 지지를 중심으로)

  • Park, Kwang-Ok;Kim, Jong-Kyung;Kim, Se-Young;Chang, Sun-Ju
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.9-18
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    • 2012
  • Purpose: The purpose of this study was to test the turnover intention model for chief nurse officers in general hospitals. The variables for the study included job stress, social support, job satisfaction, and organization commitment. Methods: A predictive, non-experimental design was used with a sample of 144 chief nurse officers from 144 general hospitals. Data were collected using self-administered questionnaires and analyzed using SPSS, AMOS program. Results: The overall fitness of the hypothetical model to the data was good (${\chi}^2$=16.80, p=.052, GFI=.96, AGFI=.90, NFI=.97, CFI=.99). Job stress, social support, job satisfaction, and organization commitment explained 59.0% of the variance in turnover intention by chief nurse officers. Both organization commitment and social support directly influenced turnover intention for chief nurse officers, and job stress and job satisfaction indirectly influenced turnover intention. Conclusion: The results imply that chief nurse officers in hospitals need social support and management of job stress to increase job satisfaction and organization commitment, and lower turnover intention.

A study of the Ethical Values of Korean Nurses (간호사의 윤리적 가치관에 관한 연구)

  • 이영숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.249-270
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    • 1990
  • The purpose of this study is to identify whether ethical values of korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of literature and interview of nurses in the clinical settings. Content validity was tested from three nursing faculties and staffs. Ethical problems are categorized into four areas : 1) human life area 2) nurse-patient relationship area 3) nurse - nursing task relationship area 4) nurse-collegue relationship area The data were obtained from the 404 nurses in the clinical settings from Feb. to Mar. in 1990 by ethical value questionnaire. The analysis of data was done by Pearson's correlation coefficient, t-test, anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical values of nurse - patient relationships slightly took up deontological position. 3. The ethical values of nurse - nursing task relationships slightly took up deontological position. 4. The ethical values of nurse - colleague relationships greatly took up deontological position. 5. The ethics of nurses related to demographic characteristics of religion, attitude of nursing, ethical standards, education level and post. Those who have religion took up more deontological position than those who have not. Those who have positive attitude of nursing and firm ethical standards took up more deontological position than those who have not. Those who have higher education level and post took up more deontological position than those who have not.

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