• 가정∙방문간호학회지
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• 제26권3호
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• pp.300-308
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• 2019

Purpose: This study is a descriptive research study to identify the relationship between the experience of verbal abuse, compassion fatigue, and work engagement among nurses in the emergency unit. Methods: Study subjects were 107 nurses working in a university hospital in Gyeonggi-Do. The instruments used were a verbal abuse checklist, a subscale of the Professional Quality of Life Scale used to measure compassion fatigue, and the Utrecht Work Engagement Scale. The data were analyzed using the IBM SPSS version 22.0 program for independent t-test, one-way ANOVA, and Pearson's correlation coefficients. Results: Emergency nurses experienced more verbal abuse and compassion fatigue than nurses in other departments, and the level of work engagement was low. There was a positive correlation between experience of verbal abuse and compassion fatigue and a negative correlation between both of these variables and work engagement. Particularly, verbal abuse appeared in the order of nurses, patients & caregivers, and doctors. This means there were serious problems with communication with nurses. Conclusion: In order to reduce verbal abuse, it is necessary to establish a communication culture of mutual respect between nurses, medical staff, patients & caregivers. Moreover, a compassion fatigue management program is needed to reduce emotional fatigue.

• 한국사회복지학
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• 제60권2호
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• pp.29-51
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• 2008

본 연구에서는 청소년의 가정폭력 경험을 '부모간 폭력 목격', '부모로부터의 피학대', 그리고 '부모간 폭력 목격과 부모로부터의 피학대'의 세 가지 유형으로 나누어 청소년의 부모폭력에 미치는 영향을 살펴보고 인터넷 중독의 매개효과를 검증하였다. 이를 위해 서울에서 재학 중인 중학교 3학년생부터 고등학교 2학년 학생 540명을 대상으로 분석한 결과 조사대상자 가운데 25.3%가 지난 1년간 부모에게 언어적 또는 신체적으로 한 번 이상 폭력을 행사한 것으로 나타났다. 청소년의 가정폭력 경험과 부모폭력과의 관계에서는 '부모로부터의 피학대 경험'과 '부모간 폭력 목격과 부모로부터의 피학대 경험'이 부모폭력에 유의한 영향을 미치는 것으로 나타났다. 인터넷 중독의 매개효과를 검증한 결과 위의 두 유형의 가정폭력 경험은 부모폭력에 직접적, 그리고 인터넷 중독을 매개로 하여 간접적으로 영향을 미치는 것으로 나타나 부분매개효과가 있음이 확인되었다. 이상의 결과를 바탕으로 청소년들의 부모폭력을 감소시키기 위한 사회복지 실천적 개입 방향을 제언하였다.

• 임상간호연구
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• 제28권2호
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• pp.99-111
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• 2022

Purpose: This study aimed to identify the relationship between the experiences of workplace violence and post-traumatic stress disorder and the moderating effect of resilience and social support at work on the relationship in tertiary hospital nurses. Methods: This was a descriptive correlation study to confirm the moderating effect of resilience and social support at work on the factors affecting post-traumatic stress disorder for nurses who have experienced violence. A total of 146 registered nurses were recruited from a tertiary hospital from March to July 2020. The Participants who worked for more than one year and experienced violence at work completed self-reported questionnaires that measured the experiences of workplace violence and post-traumatic stress disorder, resilience, social support at work, and demographic information. The collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression analysis. Results: The nurses experienced verbal abuse an average of 3.70±2.06 times a week, physical threat an average of 2.30±1.71 times a month, and physical assault an average of 0.76±0.82 times a year. The Experiences of workplace violence were significantly increased post-traumatic stress disorder. The result also showed that resilience moderated the relationship between the experience of verbal abuse and post-traumatic stress disorder in hospital nurses. However, there was no significant moderating effect of social support between workplace violence and post-traumatic stress disorder. Conclusion: The experiences of workplace violence influenced post-traumatic stress disorder in nurses and were moderated by resilience. Therefore, hospital administrators need to develop and provide a workplace violence prevention and resilience reinforcement program to reduce post-traumatic stress disorder in nurses. In addition, we suggest further research on the effect of social support in a workplace on the experiences of violence.

• 한국콘텐츠학회논문지
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• 제18권2호
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• pp.103-112
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• 2018

본 연구는 종합병원 여성간호사의 폭력경험을 파악하고, 폭력경험이 우울에 미치는 영향을 확인하고자 시도된 연구이다. 연구 대상자는 서울시와 경기도에 소재한 5개 종합병원의 여성간호사 2,714명이었다. 연구결과 종합병원 여성간호사의 근무 중 폭력경험은 언어적 폭력, 신체적 폭력, 성적 폭력의 순으로 많게 나타났고, 우울에는 연령, 결혼상태, 근무형태, 언어적 폭력경험, 성적 폭력경험이 영향을 미치는 것으로 나타났으며, 그 중에서도 성적 폭력경험이 가장 큰 영향을 미치는 것으로 나타났다. 본 연구의 결과를 토대로 향후 연구에서는 폭력의 심층적인 확인을 위해 인터뷰 등의 다양한 방법을 사용한 연구 및 직종에 따른 직장 내 폭력과 대응의 차이를 확인하여 보다 실질적인 해결방안을 마련하기 위한 연구를 시행할 것을 제안한다.

• 한국간호교육학회지
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• 제27권3호
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• pp.321-332
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• 2021

Purpose: The purpose of this study is to determine the influence of the learning environment on nursing students' clinical practice education and the violence experienced during clinical practice on vocational identity. Methods: The design of the study was a descriptive survey, and data were collected from November 15 to November 27, 2019. The data of the study were obtained from 515 nursing students attending three universities using self-administered questionnaires. Data were analyzed using the SPSS 25.0 program. Results: For the experience of violence, verbal violence (98.3%) was the type most commonly experienced, and patients (97.7%) were the most frequent perpetrators. The clinical learning environment was perceived differently according to gender, personality, interpersonal relationship, satisfaction with nursing, clinical practice satisfaction, violence prevention education, the need for violence prevention education, sexual violence experiences, and violent perpetrators. The most influential factor on vocational identity was satisfaction with the nursing major (β=0.24, p<.001), followed by extroverted personality (β=0.18, p<.001), clinical learning environment (β=0.15, p=.001), satisfaction with clinical practice (β=0.15, p=.002), and the experience of violence by patients (β=-0.10, p=.016), which together explained 24.1% of the variance in the model. Conclusion: It is necessary to make efforts to ensure that students do not experience violence during clinical practice, to maintain a close cooperative relationship between university and clinical institutions to improve the learning environment for clinical practice, and to make the clinical field an educational learning environment.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.393-405
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• 2019

본 연구는 폭력경험으로 인한 정신과병동 간호사의 소진을 감소시키고 문제 중심의 표준화된 폭력대처 중재방안을 수립하기 위해 폭력경험, 폭력대처, 사회적지지가 소진에 미치는 영향요인을 파악하기 위한 서술적 조사연구이다. 연구 대상자는 정신과 병원에서 근무하는 임상경력 1년 이상인 병동 간호사 204명이었다. 자료수집기간은 2018년 7월 1일부터 8월 31일까지 구조화된 설문지로 시행하였다. 수집된 자료는 SPSS program을 이용하여 평균, 표준편차, t-test, ANOVA, Pearson's Correlation coefficient, Multiple Regression으로 분석하였다. 연구결과는 다음과 같았다. 정신과병동 간호사는 언어적 폭력 92.2%, 신체적 위협 92.2%, 신체적 폭력 75.5%를 경험하고 있었다. 대상자의 폭력경험과 폭력대처(r=0.15. p<.027), 폭력경험과 소진(r=0.16, p<.017)은 정적 상관관계, 폭력대처와 사회적지지(r=0.30, p<.001)는 정적 상관관계, 사회적지지와 소진(r=-0.28, p<.001)은 부적 상관관계를 나타냈다. 또한 소진에 영향을 미치는 요인으로 간호직 만족도, 사회적지지, 신체적 폭력경험이 나타났다. 소진을 설명하는 회귀모형은 약 33.3%의 설명력을 나타내었다. 그러므로 정신과병동 간호사의 폭력경험을 낮출 수 있는 예방교육과 사회적지지 강화를 위한 체계마련 및 간호직 만족도를 향상시키는 환경을 조성한다면 소진을 감소시켜 양질의 간호를 제공할 수 있으리라 생각된다.

• 임상간호연구
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• 제21권1호
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• pp.92-104
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• 2015

Purpose: The purpose of this study was to identify the types of violence and coping methods experienced by general hospital nurses. Methods: Data were collected from March 17 to 24, 2014, using self-report questionnaires. Responses from 449 nurses were analyzed. Results: The majority of the respondents experienced violence from patients, visitors, doctors, and other nurses. Verbal violence was more frequent than physical threats and physical violence. Most violence happened in ERs, followed by surgical units, and ICUs. The most frequent response by nurses after violence was an emotional response, especially 'anger' ($4.01{\pm}1.059$). Based on general characteristics, the responses were significant for professional experience (F=2.935, p=.013) and work areas (F=2.290, p=.021). The most frequent coping method for nurses after violence had occurred was to 'just complete their duties as if nothing happened'. Conclusion: Most nurses are exposed to frequent violence, but they feel defenseless. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. In addition, educational programs should be provided for nurses to improve their attitudes and abilities to cope with violence. Also, hospitals should offer sufficient support, stress reduction programs and counseling programs for nurses.

• 간호행정학회지
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• 제21권5호
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• pp.489-500
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• 2015

Purpose: The purpose of this study was to identify the relation between violence experiences and the professional quality of life for hospital nurses. Methods: The participants for this study were 212 nurses in one general and three special hospitals located in the metropolitan area of Seoul, South Korea. Data gathered through October and November 2013 were analyzed using descriptive statistics and $x^2$ test. Results: Nurses experienced verbal violence, physical threats and physical violence more frequently from patients and their families rather than from doctors or peer nurses. Nurse's compassion satisfaction was low when nurses experienced violence from peer nurses. Burnout was high when nurses experienced violence from doctors, peer nurses, patients and their families. Secondary traumatic stress was affected by violence from patients and their families. The professional quality of life of nurses was associated with violence from doctors, peer nurses, patients and their families. Of the nurses, 69.3% answered that formation of a positive organizational culture would be the most effective measure for prevention of violence in hospitals. Conclusion: The formation of positive organizational culture, development of violence intervention policies and education are crucial to improve the professional quality of hospital nurses' life.

• 한국직업건강간호학회지
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• 제20권2호
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• pp.212-220
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• 2011

Purpose: This study was to investigate the prevalence & types of workplace violence toward nurses in hospitals, and to understand nurse's coping response, cause of violence and prevention strategy. Methods: The data were collected from 254 nurses working in 9 hospitals in Jeju Province by the self-report from June to August 2010. Results: The respondents experienced unpleasant or insulting words (89.8%), verbal threat (38.2%), physical threat (67.7%), physical injury (32.7%), severe physical injury (2.8%), and sexual harassment (26.4%) during the last one year. The frequent offenders were patients, patients' family and physicians in order. The causes of violence which nurses perceived were personality of offenders (76.4%), lack of assessment of aggressive patients or care givers (42.1%), and lack of explanation to patients or caregivers (33.5%). They reported that coping strategies for workplace violence were 'established reporting system (63.4%)', 'building a cooperative circumstances within team members (58.3%)', and 'formulation of hospital policies for violence prevention and coping (54.3%)'. Conclusion: These findings showed nurses are at considerable risk for workplace violence, and they experience various types of violence from patients, caregivers, and physicians. We suggest that hospitals formulate appropriate policies, guidelines and programs to prevent and cope with workplace violence in hospitals.

• 한국응용과학기술학회지
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• 제39권6호
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• pp.769-782
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• 2022

본 연구의 목적은 간호문제 해결과 보호자 및 동료들과의 업무수행에 필수적으로 요구되는 언어적 의사소통 향상을 위한 기초자료로 활용하기 위해 간호대학생이 성장기 동안 경험하는 언어폭력을 van Manen의 해석학적 현상학적 질적연구 방법을 바탕으로 심층적으로 조명하고자 하였다. 이를 위해 경기도에 있는 A 대학 간호학과에 재학 중인 10명의 간호학생을 연구 참여자로 선정하여 이들과의 심층 면담을 통하여 자료를 수집하였다. 자료는 체험의 본질에 집중하고자 실존적 탐구 과정을 통해 분석하였으며, 5가지의 연구결과를 도출하였다. 다섯 가지 주제 문항은 '사소한 대화로 시작하기', '혼란스러운 마음 얻기', '나 자신을 반성하는 계기가 되기', '생각의 틀 바꾸기', '성숙한 나를 만들기'였다.이들의 경험을 바탕으로 상대방을 존중하는 언어사용과 개인역량 강화의 필요성을 확인하였다. 이러한 연구결과를 바탕으로 효과적인 의사소통 기법을 위해서는 공감이나 자기긍정적 효과에 대한 후속 연구가 필요함을 제언한다.