• Title/Summary/Keyword: registered nurses

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Needs for Home Care Nursing in the Vulnerable Elderly

  • Lee, Ji-Hyun;Jeong, Youn-Hee;Park, Geum-Ja;Kwon, Sook-Hee
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.201-207
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    • 2007
  • Purpose. The purpose of this study was to determine the subjects' health status according to the needs of visiting health and the function of the family in home care nursing. Sample and Method. The data collection period was from 07/01/04 to 10/31/04 and the subjects were 488 of those above 60 years of age staying at home or living alone who registered at a visiting health service of public health center at an urban area in Korea. This survey was carried out by visiting health nurses and participation was agreed on by the elderly people. Results. The extent of the subjects' total health status to the general characteristics had differences according to the age, sex, monthly income, perceived health status, known functional disorder, and yes-or-no for disease. At all health status domains, visiting health need care in the group I was very lower than one in II, III, or IV groups. Also the severe dysfunctional family was lower than lightly dysfunctional family and normal functional family in all health status domains. Conclusion. Nurses must provide their characteristics considered nursing intervention for the elderly who have high visiting health needs and severe dysfunctional family with vulnerable health care.

The Impact of Organizational and Individual Characteristics on Outcome Variables (병원간호조직의 특성과 개인의 특성이 결과변수에 미치는 영향)

  • Lee, Sang-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.2
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    • pp.156-166
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    • 2007
  • Purpose: The purpose of the present study was to examine the causal relationships among hospital nursing organizational characteristics (organizational climate, workload), individual characteristics (experience, education) and outcome variables (job satisfaction, job stress, task performance) by constructing and testing a conceptual framework. Method: Five large general hospitals located in Seoul were selected to participated. The total sample of 245 registered nurses represents a response rate of 94 percent. Data for this study was collected from January to February in 2006 by questionnaire. Path analyses with LISREL program were used to test the fit of the proposed model to the data and to examine the causal relationships among variables. Result: Both the proposed model and the modified model fit the data excellently. The model revealed relatively high explanatory power of work stress (40%), job satisfaction (46%) and task performance (27%) by predicted variables. In predicting work stress, job satisfaction and task performance, the finding of this study clearly demonstrate organizational climate might be the most important variable. Conclusion: Based on the findings of the study, it was suggested that desirable organizational climate was needed to increase the nurses' mental and physical health as well as qualified task performance.

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Job Characteristics in Nursing and Cognitive Failure at Work

  • Elfering, Achim;Grebner, Simone;Dudan, Anna
    • Safety and Health at Work
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    • v.2 no.2
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    • pp.194-200
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    • 2011
  • Objectives: Stressors in nursing put high demands on cognitive control and, therefore, may increase the risk of cognitive failures that put patients at risk. Task-related stressors were expected to be positively associated with cognitive failure at work and job control was expected to be negatively associated with cognitive failure at work. Methods: Ninety-six registered nurses from 11 Swiss hospitals were investigated (89 women, 7 men, mean age = 36 years, standard deviation = 12 years, 80% supervisors, response rate 48%). A new German version of the Workplace Cognitive Failure Scale (WCFS) was employed to assess failure in memory function, failure in attention regulation, and failure in action exertion. In linear regression analyses, WCFS was related to work characteristics, neuroticism, and conscientiousness. Results: The German WCFS was valid and reliable. The factorial structure of the original WCF could be replicated. Multilevel regression task-related stressors and conscientiousness were significantly related to attention control and action exertion. Conclusion: The study sheds light on the association between job characteristics and work-related cognitive failure. These associations were unique, i.e. associations were shown even when individual differences in conscientiousness and neuroticism were controlled for. A job redesign in nursing should address task stressors.

Knowledge and Attitude about Organ Donation and Organ Transplantation among the Organ Donation Candidates (장기기증희망자의 장기기증과 장기이식에 대한 지식과 태도)

  • Seo, Young Sim;Lee, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.95-105
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    • 2009
  • Purpose: This study was conducted to investigate the knowledge and attitude about organ donation and organ transplantation among the organ donation candidates. Methods: The subjects were 91 candidates who are enrolled in organ transplantation center in general hospitals for organ donation or transplantation. The knowledge and attitude instruments about organ donation and transplantation by Matten, et al. (1991) were utilized. The collected data were analyzed by SPSS/WIN 14.0: descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test and Pearson correlation coefficient. Results: The mean score of knowledge was relatively low ($9.61{\pm}3.47$, out of 21.0). The mean score of attitude was relatively high ($4.24{\pm}0.97$, of max score 5). There was significant difference (p<.05) in knowledge according to academic career, registered period as a candidate, the intention to participate in an organ donation education. There was significant difference (p<.05) in attitude according to occupation, family's consent, and recommendation to family. The relationship between knowledge and attitude was not stylistically significant (r=.043, p=.683). Conclusion: These findings suggest that nurses should develop educational programs to increase knowledge and positive attitude toward the organ donation and transplantation.

Optimal Nursing Workforce and Financial Cost to Provide Comprehensive Nursing Service in the National Health Insurance System (국민건강보험 간호·간병통합서비스의 전면 도입을 위한 간호인력 및 재정비용 추계)

  • Kim, Jinhyun;Kim, Sung-jae;Lee, Eunhee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.119-128
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    • 2017
  • This study estimated the optimal nursing workforce and financial costs of providing comprehensive nursing services at hospitals under the national health insurance system. Data on registered nurses, nursing aids, medical institutions, and number of patients were obtained from the Health Insurance Review and Assessment Service. The optimal size of the nursing workforce was calculated using the workload model. A bottom-up approach was used to estimate the annual total financial cost of comprehensive nursing services. The number of registered nurses and nursing aids would need to be increased by 81.75% and 83.23%, respectively, in order to fully apply comprehensive nursing care on a national scale. The additional financial costs for comprehensive nursing services at all hospitals was estimated to be as much as 110.39% of the current cost. For the comprehensive nursing service, nurses with a career and newcomers need to be retained at their hospitals, and the validity of the nurse-patient ratio should be continuously checked. The financial shock to the national health insurance system could be minimized by gradually extending the system to all hospitals.

Effects of self-determination and learning commitment on the learning outcome of nurses currently under academic credit bank system (학점은행제 간호학과 재학 간호사의 자기 결정성, 학습몰입이 학습성과에 미치는 영향)

  • Lee, KyoungSook
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.311-318
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    • 2020
  • This study was done to explore the correlation among self-determination, learning commitment and learning outcomes and identify factors related learning outcomes under academic credit bank system. The survey was conducted self-report questionnaire. The data collection period was form April to November 2018. Participants were 144 registered nurses working currently under academic credit bank system. Collected data were analyzed using SPSS/WIN 24.0. Learning outcomes had a positive correlation with self-determination and learning commitment. learning commitment. Self-determination was positively correlated learning commitment. Factors affecting learning outcomes included self-determination and learning commitment. And self-determination and learning commitment accounted for 32.1% of the variance in learning outcomes. Therefore, developing learning outcomes support for improving self-determination and learning commitment. Future research will be needed to clarify the effects of learning outcomes promotion program on self-determination and learning commitment.

Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units (간호사의 환자확인 행동 관련 요인 및 개인-조직 가치일치 분위기의 상호작용 효과)

  • Kim, Young Mee;Kang, Seung-Wan;Kim, Se Young
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.198-208
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    • 2014
  • Purpose: This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used. Methods: A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed. Results: The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high. Conclusion: This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

Effects of Internal Marketing, Organizational Commitment and Business Performance : Focused on the Nurses (내부마케팅과 직장애착도가 경영성과에 미치는 영향 : 간호사를 중심으로)

  • Lee, Seon-Hye;Moon, Myeong-Ja;Kim, Ji-Mee
    • The Journal of the Korea Contents Association
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    • v.11 no.8
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    • pp.300-310
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    • 2011
  • The purpose of this study was to examine the relationship between internal marketing, organizational commitment and business performance. Therefore this study is helped to build the strategies that is more efficient internal marketing and organizational commitment for the hospital business. A cross-sectional design was used, with a convenience sample of 284 registered nurses from two university hospitals, two general hospitals and two maternal-child hospital in one region. Collected data were analyzed by descriptive statistics, Pearson's correlation coefficient and multiple regression through the SPSS WIN program. The predicting factors for communication and organizational commitment had the explanation power of 41.5% in business performance by the individual. The hospital size, compensation and segmentation system comprise about 53.2% of business performance by the organizations. So, nursing leaders should be interest in the strategies for good business performance. It is possible that they implement the policies to suitable internal marketing strategies and the program to improve organizational commitment for nurses.

Development of Hospice Care Service Program about Advanced Cencer Patient I - The Effect of Hospice Education Programs on the Death Orentation - (말기 암환자 호스피스 간호에 대한 봉사프로그램 개발 I)

  • Kim, Boon-Han;Kim, Moon-Sil;Kim, Hung-Kyu;Jung, Tae-Joon;Tak, Young-Ran;Chon, Mi-Young
    • The Korean Nurse
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    • v.37 no.1
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    • pp.98-106
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    • 1998
  • The purpose of this study was to investigate what effect providing the hospice care team with hospice education programs had on the death orientation. The subjects of study were 28 volunteers. 14 nurses. 30 clergies who registered on hospice education programs from Aug. 6th. 1996 to May 20th. 1997. The data were analysed by descriptive analysis. ANOVA. Duncan test. paired t-test. The results of the study can be summarized as follows ; 1. The degrees of death orientation were 85.70 in volunteers group. 84.31 in nurses group. and 73.00 in clergies group. So. clergies group has more positive death orientation than others(F=6.33. p=. 000). The degree of death orientation showed significant differences between age groups(F=5.78. p =.002). and religiosity(t=3.92. p=.000). There were no significant differences between the degree of death orientation and the others general characteristics of subjects. 2. The mean of death orientation was 80.04 before hospice education programs. but was 75.56 after hospice education programs(t= 3.92. p= .000). In conclusion. the subjects who received the hospice education programs showed the positive change in the degree of the death orientation. Therefore. it has been judged that education programs has been prerequisite in positive death orientation for hospice care. Furthermore. all of the hospice care members those who complete the hospice education program. will be performed efficient hospice care intervention for dying patients and their families.

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Evaluating the Accuracy of Blood Pressure Measurement (혈압측정의 정확성 평가)

  • Cho, Sung-Hyun;Hwang, Jeong-Hae;Kim, Eun-Gyung;Oh, Byung-Hee;Kim, Chang-Yup
    • Quality Improvement in Health Care
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    • v.3 no.1
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    • pp.94-103
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    • 1996
  • Background : Blood pressure is an important indicator in diagnosis and assessing treatment of a patient. Clinical staffs use blood pressure on the assumption that measured value is accurate and reliable. However, whether measured blood pressure is accurate has been rarely investigated in Korea. Objectives : The aims of this study are to evaluate clinical staffs' knowledge and technique as well as accuracy of sphygmomanometer. Also the program to improve the measurement is developed. Methods : Seventy-three registered nurses were asked nine multiple choice questions including Korotkoff sound, cuff size, and deflation rate. Simultaneously characteristics of nurses were examined, age, working place, duration of employment and academic degree. A testing videotape(Standardizing Measurement Video-Tutored Course) was used for evaluating the accuracy of measurement. Testees were to read and record the 12 cases of blood pressure measurement, watching a falling mercury column and hearing Korotkoff sounds. After 10 minutes' education, they were again tested with the same cases. Additionally, 83 mercury sphygmomanometers were checked to find defects such as inaccurate calibration and zero setting, leaky bladder, etc. Results: For the knowledge testing correct response rate was 41.1%. They were the lowest in selecting the proper cuff size and Korotkoff sound. In examining accuracy of blood pressure with videotape, nurses had 67.7% correct response rate. The correct response rate was significantly improved by a session of education. About 23% of sphygmomanometers was without discernable defects. Conclusion : The knowledge and skill of clinical staffs along with the accuracy of equipment have to be improved. A properly designed education program would contribute to the accuracy improvement of blood pressure measurement. Also, more concerns should be given to the precision and maintenance of equipment.

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