• Title/Summary/Keyword: 간호업무분석

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Nursing Time Use in a Newborn Intensive Care Unit (NICU) (신생아중환자실 간호사의 간호업무량 분석)

  • Jun, Eun-Kyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.55-81
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    • 2000
  • This study examined nursing care in a Newborn Intensive Care Unit (NICU) by reviewing nursing activities for the newborns. Through direct observation, time used for nursing care according to the nursing activity, shift, day of the week, and position of the nurses was measured. This study was done on November 15, 21, 24, 1999 at a university medical center hospital and included eight nurses and 179 newborns as the study subjects. The data were collected from the medical records, and by using a nursing activity record for the NICU, and a nursing activity time record for the NICU. The first step in the data collection process was to develop a list of nursing activities which was done through a literature review, examination of medical affairs and duty records. Content validity was measured by a panel of three professors who were experienced clinicians. In the second step two pre-training sessions were held with three sophomore student nurses who then measured the time for each nursing activity using a stopwatch. The data were analyzed using frequencies for nursing activities, averages, percentages and ANOVA for differences between shift and between days of the week, and percentages and t-test for differences according to position of the nurse. The results are as follows: 1) The total number of activities was 156, direct or indirect nursing activities. Direct nursing activity classified according to physical, educational, emotional/social/economic/spiritual needs. There were 109 direct nursing activities in 16 fields. 2) The order of nursing activities, according to time required, was record keeping, nutritional care, measurement/observation, medication, hygiene care, examination and specimen collection, and checking supplies, and according to frequency, measurement/ examination, record keeping, nutrition care, hygiene care, elimination care and medication. 3) According to shift, direct care during the night shift at 313.4 minutes was the longest time and indirect nursing care during the night shift at 252.2 minutes was the highest time. 4) For days of the week, Monday had the highest time for direct care 275.8 minutes (34.6%) and Wednessday had the highest time for indirect nursing care 269.6 minutes (36.1%). 5) For nursing time according to position of nurse, general nurses had the highest for direct care (330.7 minutes), nurse managers for indirect nursing activities (239.0 minutes) and general nurses for individual private time (63.9 minutes). The results of this study show that the major nursing time consuming activities included record keeping, nutrition care and measurement/examination. For newborns, time needs to be allowed for care to be sensitive, sophisticated and specialized rather than concentrated on indirect nursing tasks such as record keeping. Therefore, it is imperative to develop computerized systems that support a systematic approach to record keeping which is more efficient. Moreover, nursing needs according to shift, day or position of nurse can be utilized in assessing nursing resources through a computerized process.

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Factors influencing Turnover Intention of Customized Home Health Care Nurse (보건소 방문간호사의 이직의도와 관련요인)

  • Park, Jeongsook;Oh, Yunjung
    • Journal of agricultural medicine and community health
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    • v.39 no.2
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    • pp.94-103
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    • 2014
  • Objective: The purpose of this research was to define the factors influencing turnover intention of customized home health care nurses. Methods: Research participants were 237 nurses who worked in the customized home health care of 33 public health centers in Daegu city and Gyeong-Buk Province. The data were collected by self report questionnaires from July, 1 to August, 30, 2011. The data were analyzed by t-test, ANOVA, correlation coefficient, multiple stepwise regression using the SPSS program. Results: The average score for turnover intention was 3.12 (5 score) and job satisfaction was 2.41 (4 score). The scores for sub-categories of job satisfaction were operational factors, 1.99, personnel factors, 2.03, work factors, 2.64 and relationship factors, 3.04. Marital status, religion, visiting nurses career, employment status, work area were the significant factors related to turnover intention in these subjects. There was a significant negative correlation between job satisfaction and turnover intention (r=-0.354, p<0.001). Significant factors were job satisfaction, marital status, employment status (Cum $R^2$=0.198, F=17.179, p<0.001) that explained 19.8% of turnover intention. Conclusions: Customized home health care nurses management policy which includes job satisfaction and general characteristics of visiting nurses should be established to enhance of quality of customized home health care service.

Nurses' Perceptions toward Parent Participation in Pediatric Intensive Care Unit: A Content Analysis (소아중환자실 부모의 돌봄참여에 대한 간호사의 인식: 내용 분석 연구)

  • Kim, Cho Hee;Chae, Sun Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.493-501
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    • 2019
  • This paper describes nurses' perceptions toward parental participation in pediatric intensive care units (PICU). Qualitative data were collected from five nurses working at two PICUs in Seoul through individual in-depth interviews. The interviews were conducted from January to February 2016 and analyzed using traditional content analysis. Five categories were found for the parent participation in PICU: needs, attributes, benefits, barriers, and facilitating strategies for parent participation in PICU. Nurses acknowledged the necessities and benefits of parent participation, particularly in PICU, considering the parents' emotional burdens due to the critical health condition of their child as well as the limited visiting policy. The major barriers were a lack of knowledge and the skills of nurses to facilitate parent participation, nurses' heavy workloads, and lack of policies and guidelines supporting parent participation within the PICUs and hospitals. The participants indicated that organizational facilitating-strategies, such as education for nurses about meaning and skills of parent participation in PICU, raising awareness for nurses as well as parents, and ensuring professional staff dedicated to promoting parent participation, to be significant factors. Further study will be needed to develop nursing interventions to integrate parent participation in PICU care.

Convergence factors Affecting Burnout of Emergency Room Nurses During the COVID-19 Pandemic (COVID-19 팬데믹 상황에서 응급실 간호사의 소진에 영향을 미치는 융합적 요인)

  • Noh, Seung-ae;Yang, Seung Ae
    • Journal of Internet of Things and Convergence
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    • v.8 no.6
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    • pp.99-113
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    • 2022
  • This study is descriptive research to investigate the effects of COVID-19 stress, interpersonal (caregiver-patient) stress, and emotional labor on burnout in emergency room (ER) nurses during the COVID-19 pandemic. The data collection of this study was conducted from December 9 to 23, 2021 with ER nurses working at five tertiary general hospitals and general hospitals of Medical Center H. The data was collected with a questionnaire using tools measuring the subjects' general & job-related characteristics, COVID-19 stress, interpersonal(caregiver-patient) stress, emotional labor and burnout. The collected data was analyzed using the SPSS/WIN 25.0 statistical program for frequency analysis, descriptive statistical analysis, independent sample t-test, one-way ANOVA, Scheffé test, correlation analysis, and multiple regression analysis. The average score of COVID-19 stress in ER nurses was 3.64, interpersonal(caregiver-patient) stress 4.35, emotional labor 3.38, and burnout 3.44. As a result of analyzing differences according to general & job-related characteristics, burnout showed a significant difference according to gender, marital status, total clinical experience, and working organization. And burnout showed a significant positive correlation with COVID-19 stress, interpersonal stress and emotional labor. As a result of multiple linear regression analysis, regional emergency medical centers and local emergency medical centers among the work organization types, interpersonal stress, COVID-19 stress, and gender and the explanatory power was 28.6%. Through these results, we intend to provide basic data for the development of an intervention program to prevent burnout of emergency room nurses and improve nursing performance at the time of a new infectious disease pandemic.

The Frequency of Job Performance of the Korean Professional Medical Support Staff at Medical Institutions over 500 Beds (500병상 이상 의료기관에서의 전문지원인력의 직군별 업무 수행빈도 분석)

  • Kim, Min Young;Choi, Su Jung;Seol, Miee;Kim, Jeong;Kim, Hee Young;Byun, Sook Jin
    • Journal of Korean Critical Care Nursing
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    • v.11 no.1
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    • pp.15-27
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    • 2018
  • Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

Analysis of Gender Differences in Job Engagement among Working Adolescents (근로청소년의 직무열의에 관한 성별 차이 분석)

  • Song, Ji-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.9
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    • pp.495-503
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    • 2019
  • The purpose of this study was to investigate the general characteristics, work overload, work life balance, job engagement of working adolescents and the factors affecting job engagement. We examined 1,772 working adolescents under the age of 24 years in response to the fifth Korean Working Conditions Survey. Technical statistics, t-test, ANOVA, and regression analysis were used. The study results showed that men had high-level job engagement when they were professional, self-employed, 41-52 hours per week, and never experienced employment discrimination. For women, job engagement was high if they were under 19 years of age, college graduates, professions, temporary work, 41-52 hours a week, and had never experienced gender discrimination, and employment discrimination. In addition, the job engagement of both men and women was higher when work overload was less and work life balance was good. This study is meaningful in that it examined the job engagement of working youth by using the Korean Working Conditions Survey representative of Korean workers. However, it has limitations in that it does not take into account specific circumstances such as academic status or military service. Based on the study results, it can be used as basic data for developing educational programs to manage job engagement and understanding of working adolescents.

A Study on Job Satisfaction and Stress in Relation to Job Features of Nursing Assistants - Case Study with Nursing Assistants in Seoul Metropolitan City - (간호조무사의 직무영역별특성이 직무만족도와 스트레스에 미치는 영향 -서울시 의료기관 근무자 중심으로-)

  • Yang, Kab-Suk;Cho, Sung-Je
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.5
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    • pp.2859-2869
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    • 2014
  • The present study aims to examine job satisfaction and stress in relation to features of jobs taken by nursing assistants. The subjects for study are 469 nursing assistants active at work in various medical clinics and hospitals in Seoul Metropolitan City, engaged in a study conducted from May 1, 2013 through September 4, 2013. The positive analysis was verified at a significance level of five percent, and SPSS/WIN18.0 was used for statistics process. The analysis of frequency, t-test, one-way analysis of variance, and multiple regression analysis were conducted, and was then analyzed by multiple range test for statistics. The analysis reveals that job satisfaction level marks significant variance in accordance to the year of nursing assistant certificate acquired, age, and their final academic backgrounds. As to the job satisfaction variances in accordance to job features, the location of working places, fields of jobs, and the mode of jobs mark the highest. The study indicates that standardized directions for tasks in specific fields of jobs and education programs should be implemented for consistent management are requisite for improved efficiency of nursing assistants and professional nursing workforce.

An Analytic Study on factors Affecting the School Nurse's Activities in Daegu City and Kyungpook Province (대구.경북지역 일부 양호교사의 업무수행에 미치는 요인분석)

  • Gwak, Oh-Gae
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.503-517
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    • 1989
  • This study is to analyze factors affecting the school nurse's activities. The survey was undertaken during Sept. 1-Nov. 30, 1986. The subjects were 137 school nurses from elementary, junior-high, and senior-high schools in Daegu City and Kyungppk Province. The results are as follows: 1. Correlational findings between school nurse's self-confidence and their general characteristics 1) Program Planning & Evaluation: Health Experinece(r=-0.1803, p<0.05) Salary Step(r=-0.1741, p<0.05) 2) Clinic Management: Salary STep(r=-0.2580, p<0.01) 3) Health Education: Salary Step(r=-0.1929, p<0.05) 4) Management of School Environment: Salary Step(r=-0.2501, p<.05) 5) Health Care Services: Health Experience(r=0.1901, p<0.05) Salary Step(r=-0.2424, p<0.05) 2. The degrees of school nurse's self-confidence(high: 4 point, low: 1 point) 1) Clinic Management: 2.92 2) Health Education: 2.86. 3) Program Planning & Evaluation: 2.74 4) Health Care Services: 2.73 5) Management of School Environment: 2.67 6) Operating of School Health Organization: 2.42 3. Significances to self-confidence on school nurse's activities 1) Program Planning as Evaluation: Expending Times for Health Care Services (r=-0.2262, p<0.05) Expending Times for Health Education (r=0.2943, p<0.05) Size of Clinic(r=0.2163, p<0.05) Location of Clinic(t=2.43, gH0.047) Use of Clinic(t=2.06, p<0.007) 2) Clinic Management: Location of Clinic (t=3.36, p<0.010) 3) Health Education: Purchase of Medicine(r=-0.1736, p<0.05) No, of Classes (r=-0.1794, p<0.05) (4) Management of School Environment: School Health Budget(r=0.1731, p<0.05) Home Message(r=0.1805, p<0.05) Location of Clinic(t=4.46, p<0.0001) 5) Operating of School Health Organization: School Health Budget(r=0.1878, p<0.05) Use of Clinic(t:1.90, p<0.018) 6) Health Care Services: School Health Budget(r=1.90, p<0.018) Expending Times for Health Education(r=0.2577, p<0.05) Size of Clinic(r=0.4336, p<0.001) Location of Clinic(t:5.10, p<0.001)

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Service Program and Job Description of Workers in Long-term Care Facilities for Older Adults (노인요양기관별 서비스 유형과 종사자의 업무분석)

  • Lee, Hung-Sa
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.12 no.1
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    • pp.70-91
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    • 2005
  • Purpose: Long-term care facilities have a responsibility to provide care service that enables residents to maintain their maximal functional capacity and quality of life. Also their needs must be reflected to the service programs. In oder to provide an adequate service, we should assess the elderly's physical, psychological and social health status and the need. In addition to this, the long-term care facilities must be defined clearly by the type of services. This study would contribute to conduct appropriate services in public long-term care policy for the older population in the future. This study would provide informations of long-term care facilities' services and older persons' needs for long-term care. Method: To achieve this objectives, this paper investigates the types, service programs of long-term care institutes and job descriptions of workers. The subjects were consisted of 150 long-term care institutes. 150 institutes of long-term care facilities were drawn from all over the country by a nonrandom, convenience sampling. The data were analyzed by frequency, percentage, $x^2$-test using SPSS program. The instruments of this study were self-reported questionnaires for long-term care institutes. The data were collected from March 1, 2004 to may 31, 2004. Results: Service programs of long-term care institutes were not enough for residents' demands. The job descriptions among nurse, social worker and physical therapist were not clearly defined. The nurse's main role was medication and checking vital sign(49.7%), that of social worker's was observation and supervising (31.2%). The most significant problems were lacking of diverse service programs for residents. Conclusion: Considering these findings and conclusion, the needs of long-term care services should be provided by individual physical and psychological level. And the professional manpower for elderly should be educated in multi disciplines.

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The Trends and Status of Work-related Musculoskeletal Diseases under Korean Worker's Compensation System (업무상 근골격계질환 산업재해판정자에 대한 현황 분석)

  • Kim, Kyung Ha;Hwang, Rah Il;Suk, Min Hyun
    • Korean Journal of Occupational Health Nursing
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    • v.22 no.2
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    • pp.102-111
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    • 2013
  • Purpose: This study was conducted to analyze the characteristics of work-related musculoskeletal diseases (MSD) and the factors for approving MSD by the parts of the body. Methods: The analysis was done using the data which were drawn from the Industrial Accident Compensation Insurance that is operated by the Korea Worker's Compensation & Welfare Service. The data were composed of total cases related to the work-related diseases from 2006 to 2009. In addition, MSD data input by an investigator were collected. The factors associated with MSD were analyzed using ${\times}2$ and multiple logistic regression. Results: MSD approved cases have increased since 2006 and the proportion of the approved work-related MSD cases in the workers with work-related diseases in 2009 were 33.4%. Spinal approved cases were the highest percentage and upper and lower extremities cases gradually increased. The factors for approving upper extremity were found to be age, company size, type of industry, working duration, and in the case of spine to be company size and heavy lifting. Conclusion: Work-related MSD have increased and the factors that affected MSD by the parts of the body varied. Management strategy must be established to prevent MSD by the parts of the body.