• Journal of the Korea Convergence Society
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• v.9 no.11
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• pp.491-500
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• 2018

The purpose of this study is to identify the types of nursing organization culture recognized by hospital nurses and to confirm the relationship between these nursing organizational culture and professional quality of life. A convenience sampling method was used to collect data from 216 participants who worked in a university hospital in C city, Chungbuk province. Data were analyzed using SPSS / WIN22.0 program. The significant predictors of Compassion Satisfaction, which is a subdivision of the professional quality of life, include Innovation-oriented culture, marital status, and the relationship - oriented culture. As for secondary traumatic stress, it has the significant predictors such as age, task-oriented culture and hierarchy-oriented culture. Burnout also turns out to be affected by the predictors of relationship - oriented culture, clinical career, and hierarchy-oriented culture. Based on these results, to create a innovation-oriented culture and relation-oriented culture within the organization, it is necessary to develop an intervention program for nurses' recognition change and improvement, in addition, studies that test the clinical effects are needed. In order to secure skilled nurses with rich clinical and career abilities, the working environment and treatment should be improved at the organization level.

• Proceedings of the KSCN Conference
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• 2003.11a
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• pp.1087-1088
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• 2003

영양사들이 영양서비스에 대한 중요성을 인지하고 있으나 과중한 급식업무에 많은 시간을 할애하고 있으며, 또한 영양사 인력부족으로 인하여 환자에 대한 영양상담이나 영양교육이 제대로 이루어지지 않은 병원도 있어 간호사들이 영양교육을 실시하는 병원도 있는 형편이다. 따라서 영양사의 원활한 업무수행 및 역할 확대를 위하여서는 이에 영향을 미칠 수 있는 의사, 간호사 등 타 의료진의 영양관리에 대한 인식파악이 필요하다고 생각되어 마산시와 창원시 및 경남 함안군에 위치한 2-3차 의료기관에 종사하는 보건의료인 중 간호사(197명)와 간호조무사(94명) 291명을 대상으로 영양관리 중 영양교육에 대한 인식 및 영양지식을 조사하였다. 환자에 대한 영양교육이 ‘매우 필요하다’에 74.2%, ‘약간 필요하다’에 32.8%를 보였으며, 간호사와 전문대 졸업이상에서 간호조무사와 고졸자에 비하여 영양교육의 필요성에 대한 인식이 높게 나타났다(P < 0.001). 영양관련 과목을 이수하지 않은 자는 47.9%, 이수한 자는 52.1%이였으며, 간호조무사(60.4%)가 간호사(42.1%)에 비하여 (P < 0.01), 그리고 근무경력 2년 이상(51.5-59.4%)에서 2년 미만(34.4%)에 비하여(p < 0.05) 영양관련 과목을 이수하지 않은 율이 높게 나타났다. 영양관련 과목 이수자 중 영양지식 습득정도는58.7%가 ‘부족’한 것으로, 40.6%가 ‘보통’인 것으로 답하여 대체적으로 부족하다고 인정하고 있었으며, 학력이 낮을수록 ‘부족’하다고 답하여 학력에 따른 유의적인 차이가 있었다(P <0.05). 영양교육 연수경험이 있는 대상자는 8.6%, 없는 자는 91.4%로 간호사에게 영양교육 연수가 거의 없는 것으로 나타났다. 영양교육 담당자의 적임자로는 영양사 69.3%, 간호사 21.3%로 답하였으며, 간호조무사는 영양교육 적임자로 영양사 82.7%, 간호사 5.8%로 답한 반면 간호사는 영양사 63.5%, 간호사 27.9%로 답하여 유의적인 차이가 있었다(p<0.001). 기회가 주어지면 영양교육에 참여하겠다는 대상자가 47.2%, 참여하지 않겠다는 자가 52.8%로 약1/2정도는 기회가 온다면 참여하겠다는 의지를 보였다. 영양교육에 참여하지 않겠다는 대상자의 43.4%가 ‘전문지식 부족’, 40.5%가 ‘전문가가 담당하는 것이 바람직하다’, 11.9%가 ‘업무량 과중’을 이유로 들었다. 환자치료 시에 영양에 대한 내용을 지도한 경험이 있는 대상자는 48.8%, 지도경험이 없는 자는 51.2%로 나타났으며, 간호사(60.9%)가 간호조무사(23.4%)에 비하여 지도경험율이 높고(p <0.001), 기혼자(57.4%)가 미혼자(44.2%)에 비하여 높으며(p < 0.05), 근무경력 2년 이상이 2년 미만에 비하여(P <0.05), 그리고 전문대 졸업 이상이 고졸에 비하여 유의적으로 높게 나타났다(p<0.001). 영양지식점수의 분포는 good group 55.3%, fair group 41.2%, Poor group이 3.4%이었으며, good group의 평균 점수는 16.1 $\pm$ 1.1점, fair group은 12.7 $\pm$ 1.4점, poor group은 6.6 $\pm$ 2.8점으로 세 군간에 유의적인 차이가 있었다(p < 0.001). 영양지식 점수의 전체평균은 20점 만점에 14.3 $\pm$ 2.5점이였다. 이상의 결과에서 환자의 영양교육 및 상담업무를 원활하게 수행하기 위하여 영양과 내에 급식관리와는 별도로 임상영양 및 영양교육을 담당하는 부서가 설치되어야 하며 영양사의 인력확보가 필요하다고 사료된다. 이상의 연구결과에서 간호사들은 영양교육이 필요하다고 인식하고 있었으나 간호사를 영양교육의 적임자로 보는 시각이 비교적 높았고 약 1/2정도는 영양교육에 참여하겠다는 의지를 가지고 있을 뿐만 아니라 실제로 영양지도를 한 경험이 있는 것으로 나타났다. 그러나 1/2 정도가 영양관련과목을 이수하지 않았으며, 91.4%가 영양교육 연수경험이 없는 것으로 나타났다.

• Journal of Digital Convergence
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• v.14 no.6
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• pp.355-362
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• 2016

The purpose of this study was to conduct the impact of unit-level nurse practice environment on turnover intention among nurses in a tertiary hospital. A cross-sectional study was carried out using questionnaires with 267 nurses in 24 nursing units of hospital in Seoul. Data were collected in November 2013 and were analyzed using SPSS/WIN 23.0. The results of the study indicate that nurse turnover intention is associated with the nurse practice environment at the unit level. In addition, the model including age, unit-level nurse practice environment explained 23.0% of the variance for nurse turnover intention. Hospital can improve nurse retention and lower turnover intention by changing the nurse practice environment of unit, such as nurse participation in hospital affairs, improvement of the nurse manager leadership and nurse-physician collaborative relationships.

• Journal of Convergence for Information Technology
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• v.9 no.9
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• pp.94-107
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• 2019

This study was aimed to clarify the concept of professionalism of the nurse. Walker and Avant's concept analysis process was used. The main attributes of professionalism of the nurse were advanced nursing knowledge, excellent nursing skill, person-centered nursing care, ethicality, responsibility, peer cooperation, autonomy, and outstanding situational judgement, and problem solving. The antecedents were a long enough period of nursing education and experience, research activities, personal qualities, and self-directed training. The consequences were improvement of professional identity and low turnover rates of nurses; improvement of nursing satisfaction, health recovery and well-being for patients; improvement of nursing quality, revenue, and reputation for hospital; gaining social recognition and development of nursing profession; obtaining financial benefits in national health care for nation. The findings of the study provide clarification of the concept of professionalism of the nurse and lay the foundation to establish professionalism among nurses to deliver good nursing care.

• Journal of Korean Academy of Nursing Administration
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• v.14 no.2
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• pp.167-175
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• 2008

Purpose: To examine the changes in nurse staffing in hospitals after implementing the policy of differentiating inpatient nursing fees by staffing grades. Method: The study sample included 43 tertiary hospitals, 185 general hospitals, and 282 non-general hospitals that were operating in both 1999 and 2008. Nurse staffing grade was categorized from Grade 1 (highest) to 6 (lowest) in 1999 or Grade 7 in 2008, based on the nurse-to-bed ratio. Results: Tertiary hospitals at Grade 3 and Grade 4 accounted for 49% and 35%, respectively, in 2008, whereas 63% were Grade 6 in 1999. General hospitals at Grade 6 decreased from 87% to 48%. In non-general hospitals, little change was found in the staffing distribution, in that 92% still remained in Grade 6 or 7 in 2008. Forty tertiary hospitals (93%) and 45% of general hospitals improved their staffing grades, while only 7% of non-general hospitals did. Greater likelihood of improvement in staffing grades was found in general hospitals located in metropolitan areas or having 250 or more beds. Conclusion: Elaboration of the financial incentive system is needed to increase the policy impact on staffing improvement.

• The Journal of the Korea Contents Association
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• v.22 no.2
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• pp.752-761
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• 2022

The purpose of this study is to present basic data for developing patient-centered care by identifying the current situation and problems of caregivers' protection management for the problem behaviors of the elderly with dementia targeting caregivers working at three nursing hospitals among the facilities for the elderly in the Uiseong area. From January 2021 to July 2021, 1 caregiver with less than 1 year, 5 caregivers with 1 to 3 years of care, and 2 caregivers with 4 years or more, who are directly caring for the elderly with dementia in clinical practice working at a nursing hospital, managing and supervising them A total of 13 patients were included, including 3 nurses and 2 secretary generals. As a qualitative case study, the results of caregivers' protective management for the problem behaviors of the elderly with dementia were listed in mental, physical, and relational aspects. Conflicts in the process and the results of conflicts in the care process with hospital managers are listed based on case studies. More specifically, the efforts and passion of researchers to understand the problem behaviors of the elderly with dementia and to devise and verify practical management methods based on this are urgently needed. It will be necessary to secure data of various case studies in clinical practice through research methods.

• Journal of the Korean Applied Science and Technology
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• v.37 no.2
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• pp.287-295
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• 2020

The purpose of this study is to analyze what constitutes the sympathetic component of nurses care of dementia patients. For this study, 219 nurses in nursing dementia patients were treated in nursing hospitals. Using the Empathy Consensus Rating Scale (ECRS), basic model extraction, model modification, and model suitability verification were performed through factor structure search and confirmation factor analysis (CFA). The results of this study confirmed the validity and reliability of the constituents with 49 questions, including 3 factors including the acceptance of other emotions, the suppression of one's own emotions, and the exchange and interaction of emotions. According to these results, it is expected that the ECRS that can secure validity and reliability can be used for the study to confirm the nurse's Empathy in the dementia patients' nursing field.

• Journal of Korean Academy of Nursing
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• v.44 no.1
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• pp.21-30
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• 2014

Purpose: This study was conducted to explore the impact of registered nurse/nurses' aid (RN/NA) staffing and turnover rate on inpatient health outcomes in long term care hospitals. Methods: A secondary analysis was done of national data from the Health Insurance Review and Assessment Services including evaluation of long term care hospitals in October-December 2010 and hospital general characteristics in July-September 2010. Final analysis of data from 610 hospitals included RN/NA staffing, turnover rate of nursing staff and 5 patient health outcome indicators. Results: Finding showed that, when variables of organization and community level were controlled, patients per RN was a significant indicator of decline in ADL for patients with dementia, and new pressure ulcer development in the high risk group and worsening of pressure ulcers. Patients per NA was a significant indicator for new pressure ulcer development in the low risk group. Turnover rate was not significant for any variable. Conclusion: To maintain and improve patient health outcomes of ADL and pressure ulcers, policies should be developed to increase the staffing level of RN. Studies are also needed to examine causal relation of NA staffing level, RN staffing level and patient health outcomes with consideration of the details of nursing practice.

• The Journal of the Korea Contents Association
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• v.19 no.5
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• pp.532-541
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• 2019

This study is a descriptive correlation study to confirm the relationship between external environment factor, nursing work environment and internal factors such as job satisfaction and social support. A survey of 173 nurses was conducted. The results showed that the average nursing work environment was 2.43, job satisfaction was 3.04, social support was 3.44, and intention to work was 4.3. Nurses' intention to work was positively correlated with nursing work environment, job satisfaction, and social support. The most important factor affecting the nurse 's intention to work was job satisfaction, and explanatory power was 93%. In conclusion, in order to increase the job satisfaction of nurses and to improve their job-intention, it is necessary to pay attention to sufficient manpower and material resources to secure a good quality nursing work environment and to find new and various ways to increase emotional trust among colleagues It is necessary to induce them to work for a long time.

• Journal of Korean Clinical Nursing Research
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• v.28 no.1
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• pp.1-12
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• 2022

Purpose: The purpose of this study is to investigate the association between the nurse staffing level and the patient mortality using Korean National Health Insurance data. Methods: The data of 1,068,059 patients from 913 hospitals between 2015 and 2016 were analyzed. The nurse staffing level was categorized based on the bed-to-nurse ratio in general wards, intensive care units (ICUs), and hospitals overall. The x² test and generalized estimating equations (GEE) multilevel multivariate logistic regression analyses were used to explore in-hospital mortality and 30-day mortality after admission. Results: The in-hospital mortality rate was 2.9% and 30-day mortality after admission rate was 3.0%. Odd Ratios (ORs) for in-hospital mortality were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.72, 95% CI=0.63~0.84) and in ICUs with a bed-to-nurse ratio of less than 0.88 compared to that with 1.25 or more (OR=0.78, 95% CI=0.66~0.92). ORs for 30-day mortality after admission were statistically lower in general wards with a bed-to-nurse ratio of less than 3.5 compared to that with 6.0 or more (OR=0.83, 95% CI=0.73~0.94) and in ICUs with a bed-to-nurse ratio of less than 0.63 compared to that with 1.25 or more (OR=0.85, 95% CI=0.72~1.00). Conclusion: To reduce the patient mortality, it is necessary to ensure a sufficient number of nurses by improving the nursing fee system according to the nurse staffing level.