• 대한간호학회지
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• 제25권1호
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• pp.80-87
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• 1995

The critical problem of nurse scheduling in the hospital is determining the day-to -day shift assignments for each nurse for the specified period in a way that satisfies the given requirements of the hospital. As nurse scheduling involves many factors and requirements, manual scheduling requires much time and effort to produce an adequate schedule. A PC - based decision support system, developed in Turbo - C/sup ++/, for nurse scheduling was introduced. The system is composed of 4 sub-systems : 1) Entering basic information for each nursing unit : 2) Generation of an appropriate initial schedule and revised schedule for a given period, maximally satisfying each nurse's duty requests : 3) Provision of variety of statistical information, and 4) Help messages for each modular function. Icons and a mouse are used for easier graphic user interface and reducing the need for typing efforts. This system can help nurses develop quick and easy schedule generation and allow more time for the patient care.

• Applied Microscopy
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• 제25권4호
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• pp.17-25
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• 1995

This paper aims to probe the cell differentiation and gene activity in early Oogenesis from Dendrolimus spectabilis Butler by transmission electron microscope. The 8 cystocytes are formed by mitosis of the Oogonia, and differentiated to the 1 Oocyte and 7 nurse cells. The oocyte and nurse cells are connected by ring canals, through which the cytoplasmic organelles such as mitochondria, free ribosomes, and electron dense granular materials are passed from nurse cells to o cyte. Many replication fork in the cystocyte nuclei and 2 transcriptional units of $2.7{\mu}m\;and\;0.36{\mu}m\;or\;0.5{\mu}m$ in the nurse cells are observed by the chromatin spreading technique. It is possible that transcriptional units are passed from nurse cells to Oocyte.

• 한국보건간호학회지
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• 제10권1호
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• pp.118-138
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• 1996

Because of accelerated urbanization public body visiting nursing project that started according as matter of health on urban class in the lower brackets of income was concentrated on Social interests has a unsatisfied points to propel project efficiently from the lack of rating materials. Therefore centering around written contents in documentary literature of citizen health by household in five years from starting year of project to now. visiting frequency by medical manpower was evaluated quantitatively and qualitatively in aspect of management hereupon. for the sake of giving a basic materials for public health project of this field. This research presents documentary literature of citizen health which become materials is that as one person's charged region of nurse in duty scale. district is Kang-Buck Gu. the object is resident in the lower brackets of income grounded livelihood protection law and who is admitted by the head of organ~chief of health care). and the number of material centering around the head of a household is 415 copy. The result of research is summarized. as follow. 1. Average visiting frequency examinated by medical manpower show difference according to valuables of supervision characteristics namely average visiting. Frequency of nurse has long term residence in case registration season is early and supervision season is the first year and is high incase a kind of house is unlicdnsed mountain town. Average visiting frequency with doctor is high incase supervision season is the first year and the medical insurance system is admitted by chief of health care. That shows that a man of discomfort behavior left alone are yet many in local society. The meaning of this result shows that the continuity of official relation about class in the lowest brackets of income of long term residence goes well between househole who is a user of visiting nursing service of the object according to midway income under management influences a given duty of nurse s and so causes quantitative decrease. 2. In case behavier and condition of health that nurse diagnoses are bad. as the type matter is a lack of health and the number of patient is large. the average visiting frequency of nurse is high. because average visiting frequency with doctor is high as the condition of health is bad and the number of patient is large. That is similar with that of nurse. CD Average visiting frequency of nurse s seen by matter of disease is very high only in apoplexy by 39.50 and is confined within limits from 7.63 to 11.36 in other disease. But average visiting frequency with doctor is double as many as that of nurse but defined in apoplexy hypertension and articulate. (1) Average visiting frequency of nurse by existence in inoculation of hepatitis is low by 6.73 in unidentified group and very high by 26.89 in group of non-inoculation and the case of the antigenic positive man of B type hepatitis or epileptic who can't be inoculated shows 13.00 and that even family nursing service is needed to them. That result shows that though one person nurse of local charge has a large scale of duty. as visting nursing service is given a class who has a large demand preferentially by respectively accurate nursing diagnosis. the number of diagnosis service is similar with it. 3. During five years. average visiting frequency of nurse is 10.84 and average visiting frequency with doctor is 76.50 seeing from the official scale of nurse. visiting by household is performed two more per year to the average. Seeing this by type of service. average visiting frequency of nurse is higher in indirectly nursing than in directly nursing and that suggests that at the time of visiting household nurse performs education of protection lively save patient but at the time of contrastedly visiting with doctor. directly nursing is more contents of service show no difference by man power and medication dressing by demand is 14.3 and 18.6 the aid of hardship term of doctor and nurse is high by 18.7 and 17.00 in the request of hospitalization when seeing by demands. 4. Action by turns exemplified 1994 is well in sequence of 2/4 turn. 3/4 turn. 1/4 turn. 4/4 turn. When seen by average visiting frequency of nurse but gradually is even. Without difference by turns. average visiting frequency of doctor is much higher in 1/4 turn than other turns. Type of service by turns is all even but directly nursing is inactive in 4/4 and indirectly nursing. Very increases in 4/4 and so. Nurse's quantity of duty is plentiful that shows that by evaluation of last turn and plan of project. Contents of service follows that medication and dressing is the highest by' 5.57 in 1/4turn. goes down gradually by turn. becomes 3.57 in 3/4 turn. and increases again by 4.83 in 4/4 turn. the rest service is higher in 2/4 turn than other turns. 5. Total visiting frequency of nurse is explained to total $37.5\%$ by six valuables of visiting frequency of doctor. nursing demand. demand of diagnosis. condition of behavior. year. Special terms and magnitude of influential power is the same as sequence of enumerated valuables. Namely. the higher the visiting frequency of doctor. the bigger nursing and demand of diagnosis is. the worse the condition of behavior is. the older the object is and the more the household of special terms is. the high total visiting frequency of nurse is.

• 안보군사학연구
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• 통권1호
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• pp.155-190
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• 2003

The objective of this study is to provide basic information for planning and practicing social welfare services for married nurse officers serving in the Korean military. For such a purpose, this study identifies the difficulties which married nurse officers have faced and the necessary services which are supposed to alleviate them. The data were collected by sending a questionnaire to 114 married nurse officers from July 16 to August 10, 2001. The results of this study are as follows: First, the married nurse officers were relatively dissatisfied with such domains as child care and education, health, and housing. And among the thirty-four problems, the married nurse officers expressed the most serious dissatisfaction with the difficulty in attending the events held in child's school, lack of children's dormitory run by the military, difficulty in adjusting to the school due to frequent house-moving, and limited access to dental care. Second, the married nurse officers needed services in domains such as housing, child care and education, and health. Specifically, they wanted the military-run housing, child care facility within military hospitals, maternity leave for child care and education, extension of risk allowances, and support for BOQ. Third, with regard to the seriousness of problems as well as the priority of services, the married nurse officers gave higher priority to such domains as child care and education, health, and housing. These results indicate that married nurse officers were to the largest extent concerned with these three domains and that they had the urgent need for services relevant to those domains. The importance of routine need assessments as well as solutions to the family-related problems for married nurse officers is therefore suggested in this study.

• 임상간호연구
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• 제22권2호
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• pp.173-182
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• 2016

Purpose: This study investigated the linking words of nurse which were presented together with nurse on phrase, clauses or sentence of documents or conversations in the Internet portals and social media. Methods: The linking words with nurse were calculated by the number of presentation on conversations or documents, in Google, Daum, Naver, Twitter and Facebook. The changes of characteristics and the trend of yearly changes of major linking words of nurse were investigated by the type of media. In order to identify the meaning of the words, clustering of the collected linking words by categories was analysed and the characteristics of each cluster were classified. Results: A total number of reviewed linking words was 17,399,711 and the most frequently presenting words were hospital, work and person. The words related to people were the most highly presented and the next were those of emotion, professional and place respectively. Conclusion: With analysing the trends of changes and characteristics of words by yearly base and clusters, we attempted to investigate the image of nurse that the public think and feel about nurse.

• 한국의료질향상학회지
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• 제4권2호
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• pp.210-221
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• 1997

Background : Willingness to satisfy patients(WSP) among nurses is essential to promoting patient satisfaction which is a critical component in the quality of health care and its outcomes. This study was carried out to empirically find out the affecting factors of WSP among nurses in hospital settings. Methods : The model contains seven job relating determinants and two intervening variables as follows: i) job relating variables of professional status, task requirements, pay, physician-nurse interaction, nurse-nurse interaction, organizational policies, and autonomy, ii) intervening variables of job satisfaction and organizational commitment. Data were collected from 205 nurses in two general hospitals owned by one foundation located in Pusan, Korea, using a structured and self-administered questionnaire. Results : The major results were as follows: First, the results of ANOVA on WPS by personal characteristics showed a statistically significant relationships between WPS and hierarchical orders(p<.01) ana tenure(p<.10). Comparing with the lower orders and shorter tenure, the higher orders and the longer tenure showed better WPS. Second, the results of simple correlation analysis between WPS and determinants and intervening variables showed the following variables, in order of importance, were statistically significant(p<.01): work satisfaction(+), organizational commitment(+), task requirements(+), nurse-interaction(+), professional status(+), physician-nurse interaction(+). Third, the results of path analysis showed that two intervening variables of job satisfaction and organizational commitment, and three determinants of task requirements, professional status, and nurse-nurse interaction had a positively significant direct effect to WPS. Conclusion : The results suggest that nurses who are more satisfied with task requirements, status, nurse-nurse interaction, overall job satisfaction, and organizational commitment, will behave in ways that patients find more satisfied.

• 대한간호학회지
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• 제36권5호
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• pp.691-700
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• 2006

Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.

• 대한간호학회지
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• 제42권5호
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• pp.719-729
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• 2012

Purpose: This study was done to examine relationships between nurse staffing level and postsurgical patient outcomes using inpatient database from the National Health Insurance. Methods: Records of 111,491 patients who received one of 12 types of surgery between January and December, 2009 were identified and analyzed in this study. Nurse staffing level was measured using adjusted nurse staffing grades from 0 to 7. Patient outcomes were defined as in-hospital mortality, or pneumonia, sepsis, or urinary tract infection after surgery. Logistic regression analyses estimated by Generalized Estimation Model, were used to analyze the association between nurse staffing level and patient outcomes. Results: An inverse relationship was found between nurse staffing and patient mortality. Compared with patients who were cared for in hospitals with the highest nurse staffing (Grades 0-1), increases in the odds of dying were found in those with Grades 6-7 [OR (odds ratio)=2.99, 95% CI (confidence interval)=1.94-4.60], those with Grades 4-5 (OR=1.78, 95% CI=1.24-2.57) and those with Grades 2-3 (OR=1.57, 95% CI=1.25-1.98). Lower nurse staffing level was also associated with higher number of cases in pneumonia and sepsis. Conclusion: Policies for providing adequate nurse staffing is required to enhance quality of care and lead to better perioperative patient outcomes.

• 대한간호학회지
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• 제16권3호
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• pp.97-107
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• 1986

This study was about nurse's helping behaviors and the purpose of the study was to find out the nurse's helping behaviors, to identify the nurse's helping behavior level by the nurses personal back-ground and to find out the relationship between the nurse's helping behavior and patient's self-exploration. The subjects, consisting of 192 adults in-patients who had less acute physical problem and 192 registered nurses working on these ward in 3 hospitals in Seoul and 1 hospital in Kang Won province of Korea. The data were collected from Jan. to rob. 1986 through the descriptive responds and self-reported questionaires. The instruments used for this study were Carkhuff's index of communication. Henderson's Irritating Listening Behavior, revised by the Kim(1984) and patient problem understanding scale, patients trust scale on nurse, developed by the Kim(1984). Analysis of the Data was done by use of mean, t-test, F-test and Pearson correlation coefficients. The results of study are summerized as follows; 1. Mean of nurse's helping behavior was 1.84 out of 4. These point were less than 3.0 which means the minimum points as the facilitative helper. 3. There was no significant differences of nurses helping behaviors to the nurse's personal back-ground (p<.05). 3. There were positive rotation between the nurse's helping behaviors and patient's self-exploration behavior (P<0001). In conclusion, 1 may can give some suggestion, according to the study results: 1. The systematic study about nurse's helping behavior is need all over the Korea. 2. Educational program for the facilitative relationship between nurses and patient must be developed, 3. Further detailed analysis methods are need on the independent variables of patient's self-explorations behavior.

• 디지털융복합연구
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• 제15권12호
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• pp.369-380
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• 2017

본 연구의 목적은 지방 중소병원 간호사의 간호업무환경과 조직공정성이 직무배태성에 미치는 영향을 확인하는 것이었다. 자료수집은 경상남도 U시에 소재한 2개 중소 종합병원에 근무하는 233명의 간호사를 대상으로 2017년 8월 23일부터 9월 8일까지 자가기입식 설문지를 사용하여 이루어졌으며, 분석은 SPSS/WIN 24.0 프로그램을 이용하였다. 연구 결과, 간호사들이 지각한 간호업무환경은 4점 만점에 평균 2.36점, 조직공정성은 5점 만점에 평균 2.61점, 직무배태성은 5점 만점에 평균 2.89점으로 다소 낮게 나타났다. 위계적 다중회귀분석 결과, 연구모델은 간호사의 직무배태성의 49.7%를 설명하였으며, 간호사가 지각한 간호업무환경과 조직공정성의 수준이 높을수록 간호사의 직무배태성 수준이 높아지는 것으로 나타났다. 본 연구결과는 바람직한 간호업무환경과 조직공정성을 조성함으로써 간호사의 직무배태성을 향상시킬 수 있음을 보여준다. 따라서 지방 중소병원 간호사의 직무배태성을 높이기 위해서 병원과 간호관리자는 적정 간호인력 확보와 간호사-의사간 협력관계 도모 등 간호업무환경을 개선하기 위한 노력과 더불어 병원 내 간호사의 기여도를 공정하게 평가하고, 조직 내 의사결정이 공정하게 이루어지도록 하여 공정한 조직문화를 조성해 나가야 할 것이다.