• 제목/요약/키워드: nursing tasks

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임상시험 연구간호사의 업무 실태와 직무만족에 관한 연구 (Job Status and Job Satisfaction among Clinical Research Coordinator)

  • 김태은;김계하
    • 간호행정학회지
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    • 제15권3호
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    • pp.336-345
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    • 2009
  • Purpose: The purpose of this study was to examine job status and job satisfaction among clinical research coordinators. Method: Subjects were 91 clinical research coordinators participating in clinical trials at hospitals in Korea. Data were collected from July to August, 2008 using a structured questionnaire that include informed consent, and question as pertaining to, general characteristics, job related characteristics, and job satisfaction. The collected data were analyzed using SPSS 12.0 version. Result: Almost half of the subjects were called as nurse researcher. Major tasks included participant screening (100%), participant scheduling (100%), and obtaining informed consent from participants (98.9%). The most difficult aspect of work was salary (28.6%). The mean score on the job satisfaction was 80.21 (range: 54.00-109.00). Item related to promotion ranked lowest in job satisfaction. There were significant differences in job satisfaction according to the type of hospital (t=-3.640, p<.001), title (t=7.894, p=.001), and route for information of CRC (t=4.970, p=.001). Conclusions: Subjects feel poorly compensated, unrecognized, and perceive a limited career path. These factors are likely to diminish job satisfaction over time. Attention to these aspects through education program and criteria for clinical research coordinators could be helpful.

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환자안전 문화에 대한 의료 종사자의 인식과 경험 (Experience and Perception on Patient Safety Culture of Employees in Hospitals)

  • 김은경;김희정;강민아
    • 간호행정학회지
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    • 제13권3호
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    • pp.321-334
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    • 2007
  • Purpose: The objectives of this study were to understand and compare perception and experience between clinical staffs(nurses and pharmacists) and Quality Improvement managers. Method: A qualitative study was conducted with 14 clinical staffs and QI managers who are working at tertiary hospitals in Korea. Interviews were recorded and transcribed for systematic analyses of qualitative data. Results: Most critically, while QI managers acknowledged that establishment of the patient safety culture and reduction of medical errors are urgent tasks for QI effort, clinical staffs don't seem to share such perceptions. All participants agree that staff shortage and no compliance to safety procedures were major reasons for medical error occurrences. Many suggested that an organizational culture where errors were perceived as a systematic problems rather than individual failures or carelessness should be formed to promote voluntary reporting of medical errors. Conclusion: A more systematic effort and attention at the hospital leadership and public policy level should be promoted to constitute societal consensus on the urgence of promoting patient safety culture and more specific approaches to tackle the patient safety problems.

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통합건강관리간호사 역할규명을 위한 직무분석: 연 회원제 건강관리 서비스 중심 (Job Analysis of Health Guide Nurse for Role Identification: Focusing on Annual Health Guidance Membership Service)

  • 심원희;이주연
    • 간호행정학회지
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    • 제22권2호
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    • pp.129-136
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    • 2016
  • Purpose: The aim of this study was to identify nurses' role in the delivery of health guidance service within the annual health guidance membership service. Methods: Dynamic job analysis process was applied with vertical job analysis and horizontal job analysis through a focus group workshop and expert survey. Results: As a result of this study, job description was established with 4 duties, 11 tasks, 60 task elements. Major duties consisted of 'professional nurse practice', 'coordination and cooperation', 'education and consultation', and 'administrative work and improvement'. A job process map was also framed. Conclusion: The results can be used to establish nurses' role in providing health care service. Ongoing research on nurse's role as a health guider will be a fundamental base for health care service development and will contribute to expansion of common health management services.

Clinical Experience of Nurses in a Consultative Hospice Palliative Care Service

  • Sinyoung Kwon;Jinyee Byun
    • Journal of Hospice and Palliative Care
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    • 제27권1호
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    • pp.31-44
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    • 2024
  • Purpose: The purpose of this qualitative study was to employ Colaizzi's phenomenological research method to elucidate and understand the essence of practical experiences among consultative hospice palliative care nurses working in hospice institutions. Methods: The participants in the study were 15 consultative hospice palliative care nurses with over 1 year of work experience in institutions located in S City, I City, and K Province in South Korea. Data were collected from 23 in-depth interviews and analyzed using Colaizzi's phenomenological qualitative method. Results: The practical experiences of consultative hospice palliative nurses were categorized into five categories, 10 theme clusters, and 25 themes. The five categories included "being aware of patients' situations at the time of transition to hospice palliative care," "empathizing with patients and their families by putting oneself in the other's shoes," "providing patient and family-centered end-of-life care," "experiencing difficulties in practical tasks," and "striving to improve hospice service quality." Conclusion: This study is significant in that it provides practical data for understanding the experiences of consultative hospice palliative care nurses caring for terminally ill patients. This could enhance our understanding of care solutions that effectively tackle the challenges consultative hospice palliative care nurses encounter while fulfilling their roles.

간호대학생의 임상실습 교과의 교내실습 경험연구: 정신간호학 실습을 중심으로 (A Study on the Experience of Nursing Student's Clinical Education in School Practice: Focused on Psychiatric Nursing Practice)

  • 김현실;김은미;이동숙
    • 한국산학기술학회논문지
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    • 제22권2호
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    • pp.169-178
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    • 2021
  • 본 연구는 간호대학생의 정신간호학실습에 대한 교내실습 경험을 탐색하기 위한 질적 연구이다. 연구대상자는 강원도 소재 일 대학교에서 정신간호를 실습하는 3학년 학생 62명으로, 자료수집 기간은 2020.08.03.~08.20까지였다. 수집된 자료는 Colaizzi의 방법을 적용하여 분석하였다. 연구 결과 1) 현장경험에 대한 아쉬움 2) 배움을 통한 성취 3) 미래 간호사 역할에 대한 두려움 4) 과제 작성에 대한 부담감 5) 임상 긴장감으로부터 자유로움 6) 타 부서와의 협력의 중요성의 6가지 범주가 도출되었다. 교내실습 평가에서는 즉각적 피드백과 자세한 설명, 간접 체험의 내용이 긍정적으로 평가되었다. 이를 바탕으로 향후 교내실습의 효과적 운영을 위해서는 시뮬레이션 실습을 포함하여, 간접 체험실습, 온라인/비대면 실습, 대면실습 등의 다양한 콘텐츠가 적절히 활용되어 임상실습과의 격차를 줄이는 효율적 프로그램의 개발이 필요하다. 더불어 정신간호학 실습 교육에서는 치료적 의사소통 및 환청 중재와 같은 실무의 격차를 줄이기 위한 다각적 노력이 더욱 필요함을 제언하는 바이다.

수술실간호사의 직무수행과 피로에 관한 연구 (A Study On the Operating Room Nurses' Performances of Duties and Their Fatigue)

  • 박정숙
    • 한국직업건강간호학회지
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    • 제6권2호
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    • pp.110-127
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    • 1997
  • The aim of this study is to present the basic datum for the promotion of effectiveness and improvement of nursery tasks, by grasping the situation of operating room nurses tasks and the degree of their fatigue. For these researches, 70 nurses out of the operating rooms of 3 university-affiliated hospitals-two in Seoul and one in Pusan, were chosen at random by a non-probability sampling method. These researches were done from April 14 to April 26 in 1997 by questionairing method. The questionaire was composed of 30 items, which asks the examinees of their physical, mental, and neurosensory symptoms, with 10 items respectively. The reliability of the research instrument was turned out very high with Cronbach's ${\alpha}=.9376$. The datum were electronically processed using Statistics Program for Social Sciences(SPSS). The analysis of datum in this study has a general character, in which the demosociological character and the special ex-officio character was calculated by frequency and percentage. The situation of tasks in operating rooms was calculated by frequency and percentage. The fatigue of operating room nurses was calculated by average and standard deviation. To compare the fatigue with regard to the character of operating room nurse's tasks, t-test and F-test(ANOVA) were used after the character of variations, and the variations at the level of P<.05 which might have some meaning was verified after the fact with Duncan's Multiple Range(DMR). The results of this research are as follows : 1) The nurses working in operating rooms show their fatigue in three fields-in Group I physical symptoms 3.28, in Group III neurosensory symptoms 2.85, and in Group II mental symptoms 2.73, which shows I Dominant type (general type). 2) They complain, in Group I they are "feeling the heavy legs," 3.28 and in Group II they "occasionally forget soon what to do," 3.09. and in Group III, they "feel lumbago," 3.47, which is the highest rate of the three. The highest rate results from the character of their tasks, in which they have to move rapidly the heavy appliances and do their jobs standing many hours, especially wearing heavy radiation protector. 3) As to transportation, subway using group feel the greatest fatigue, 3.18(F=4.315, P=.008). 4) As to department, nurses in the orthopedic's surgery part feel the greatest fatigue, 3.26(F=2.040, P=.050). 5) As to the change of physical symptoms, the group answering that they found physical abnormality after working in operating rooms show the greatest fatigue, 3.12(t=-3.13, P=.003). 6) At to the general circumstances, the group answering that they receive insufficient consideration on their physical abnormality in their department, show the greatest fatigue, 3.10(F=3.200, P=0.47). 7) As to the relation with superior officers, the group answering that their superior officer has an impetuous temperament, show great fatigue, 3.11(F=4.855, P=.011). 8) As to the time of feeling fatigue, the fatigue reaches the highest point 1~2 hours after operations, 3.04(F=2.703, P=.046). 9) When they feel fatigue after scrub nurse duties, they feel the greatest fatigue 2 hours after the duties, 3.09( F=2.841, P=.038). 10) As to the operation instruments, when they use complex instruments borrowing from the outside in addition to the basic instruments, their fatigue becomes the greatest, 3.09(F=7.831, P=.000). 11) As to the kind of operation, when they participate in orthopedic's surgery operations, they feel the greatest fatigue, 3.18(F=4.362, P=.000). With the above results, it is proved that the degree of operating room nurses' fatigue is considerably high. So it may be concluded that the measure for lessening the fatigue should be find immediately, not on the level of personal matters but on the level of hospital nursing administration.

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'직장 내 괴롭힘 방지법' 교육을 이수한 간호사의 직장 내 괴롭힘과 직무스트레스 관계에서 간호조직문화의 매개효과 (The Mediating Effects in the Relationship among Workplace Bullying, Job Stress, and Nursing Organizational Culture after completing the course of 'Workplace Bullying Prevention Law')

  • 박인희;조은정
    • 한국산학기술학회논문지
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    • 제21권5호
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    • pp.523-531
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    • 2020
  • 본 연구는 직장 내 괴롭힘 방지법 교육 후 간호사의 간호조직문화, 직장 내 괴롭힘. 직무스트레스 정도 변화를 확인하고 간호사의 직장 내 괴롭힘과 직무스트레스에 영향을 미치는 과정에서 간호조직문화의 매개효과를 알아보고자 시도된 서술적 상관관계 연구이다. 대상자는 경기도에 소재한 대학병원 간호사 130명에게 설문조사를 실시하였고, 자료분석은 SPSS 23.0 프로그램으로 분석하였다. 간호사의 간호조직문화는 평균 2.99±.74이었으며, 직장 내 괴롭힘은 평균 1.85±.65 이었으며, 직무스트레스는 평균 2.50±.35로 나타났다. 간호사의 간호조직문화는 직장 내 괴롭힘(r=-.45, p=.001), 직무스트레스(r=-.61, p=001)와 부적 상관관계를 나타났으며, 직장 내 괴롭힘은 직무스트레스(r=.42, p=.001)와 정적 상관관계가 있는 것으로 나타났다. 매개효과를 확인하기 위하여 Sobel test를 실시하였고, 간호사의 직장 내 괴롭힘이 직무스트레스에 미치는 영향에서 간호조직문화는 .13의 부분 매개로 통계적으로 유의미하였다(sobel'z=-2.287, p<.05). 따라서 직장 내 괴롭힘을 감소시키기 위해 관계지향적 간호조직문화와 혁신지향적 간호조직 문화를 형성하는 것이 필요하고 직무스트레스를 감소시킬 수 있는 간호근무환경과 간호업무 간의 관련된 조직문화의 이해를 높이는 것이 중요하며 병원조직에서도 예방교육에 대한 제도적인 교육전략이 필요하겠다.

대학생이 지각하는 스트레스와 우울 및 자아존중감 (The Degree of Perceived Stress, Depression and Self Esteem of University Students)

  • 이순희;김신정
    • 한국보건간호학회지
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    • 제26권3호
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    • pp.453-464
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    • 2012
  • Purpose: The purpose of this study was to provide the basic data for university students to develop program for achieving successful developmental task. Method: The subjects involved this study were 462 1-4th grade university students located at Kangwon-Do & Chungchung-Do. Data were measured using Global assessment of recent stress scale, CES-D and Self-esteem scale. Data were analyzed using SPSS WIN 17.0 program that included mean, standard deviation, ANOVA, Sheffe test and Pearson correlation coefficients. Results: 1) The mean score of the degree of perceived stress was 4.17(${\pm}1.43$), depression was .92(${\pm}.47$), and self esteem was 2.89(${\pm}.48$). 2) There were significant differences in the degree of stress according to gender(t=2.03, p=.043), level of living(F=3.55, p=.029). Likewise, there were significant differences in the degree of depression according to gender(t=3.35, p=.001), age(t=2.15, p=.032), level of living(F=3.38, p=.035) and in the degree of self-esteem there were significant difference according to gender(t=3.64, p<.001), age(t=2.81, p=.005), participation of regular meeting or not(t=3.14, p=.002), frequency of alcohol drinking(F=5.59, p=.004), onset age of alcohol drinking(t=2.43, p=.016). 4) There was a significant relationship between stress and depression(r=.556, p<.001), self-esteem (r=-.423, p<.001). Also, there was a significant relationship between depression and self esteem(r=-.667, p<.001). Conclusions: Nursing interventions and educational programs which can help the students to accomplish the developmental tasks required.

사업장 규모별 업무상 근골격계질환 요양 실태와 영향 요인 (Analysis of the Factors Regarding Work-related Musculoskeletal Disease by Company Size)

  • 정성원;김경하;석민현;황라일
    • 한국보건간호학회지
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    • 제28권3호
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    • pp.522-535
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    • 2014
  • Purpose: This study was constructed in order to examine factors that influence work-related musculoskeletal disease (WMSD) approvals and current status according to the company size. Method: This is a descriptive study that utilized Industrial Accident Compensation Claim Data. Workplaces with over 35,811 workers derived from the 2012 claim data, which comprised approximately 91.5%, were selected for this study. Then workplaces were divided into three groups according to the number of workers: less than 5, 5~299, and 300 and over. Results: Since 2008, the number of small sized workplaces has increased. The 2012 data showed that 32.5% of workers at small sized workplace had WMSD. However, workplaces with 5~299 workers showed WMSD approval rate of 60%. Of note most WMSD approved workers were employed by manufacturing and construction companies, regardless of the workplace size. Most of them were engaged in elementary tasks. The days of medical treatment at OPD and IPD were most prevalent among workers at the largest workplaces. Conclusions: It is certain from this study that WMSD has been polarized by the company size. More policy attention should be paid to the WMSD status of workers at small sized workplaces which usually do not have their own health office.

일개 응급의료센터의 소생실에 입실한 호흡곤란 환자를 위한 임상 프로토콜 개발 및 적용 (Development and Evaluation of the Resuscitation Protocol for Dyspneic Patients in the Emergency Medical Center)

  • 신선화;김주원;이지연;최민진;최희강
    • 임상간호연구
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    • 제20권2호
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    • pp.223-235
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    • 2014
  • Purpose: Resuscitation rooms in emergency department are places for time-critical tasks. This study aimed 1) to develop a resuscitation protocol for dyspneic patients and 2) to evaluate the effect of the resuscitation protocol for dyspneic patients in improving clinical performances. Methods: A panel of experts including emergency physicians and nurses developed a resuscitation protocol for dyspneic patients which included a list of critical interventions and time-limits. The resuscitation protocol was implemented in a emergency medical center for two months. Clinical performances of health care providers were compared by analyzing video-recorded clinical performances. Results: The resuscitation protocol consisted of four steps: Initial treatments within 5 minutes, main treatments within 15 minutes, diagnostic tests within 30 minutes, and disposition within 60 minutes. A total of 43 dyspneic patients (23 patients experimental group, 20 patients control group) were included for the analysis of the clinical performance change. Clinical performance rates were improved significantly from control group (66.71%) to experimental group (82.41%) after implementing the resuscitation protocol (Z=-3.09, p=.004). Conclusion: The resuscitation protocol developed for dyspneic patients improved clinical performance rates of health care providers. Further development of clinical protocols for other emergent cases at resuscitation rooms are strongly recommended.