• Health Policy and Management
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• v.22 no.3
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• pp.297-314
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• 2012

Purpose : The purpose of this study was to analyze the trend of the number of nursing staffs and skill mix and to assess the effectiveness of hospital nurse expansion policies in Korea. Methods : The trend of the number of nursing staffs and skill mix were analyzed using time series data, which composed of yearly series data from 1975 to 2009. The impact of hospital nurse expansion policies was estimated by autoregressive integrated moving average(ARIMA) intervention model. Results : The number of general hospital and hospital nurses per 100 beds was decreased in late 1980s and late 1990s due to rapid growth of beds. As a result of the number of nurse aids per 100 beds decreased, skill mix became high in general hospital but nurse ratio among hospital nursing staffs was about 50%. Expansion of new nurse and revised differentiated inpatient fee were only effective in expansion of hospital nursing staffs. But they had no effect in general hospitals. Conclusion : In Korea, a few policies related to expansion of hospital nurses have an effect on increasing the number of hospital nurse. Nevertheless, level of hospital nursing staffs is inferior to that of general hospital.

• Journal of the Korean Applied Science and Technology
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• v.37 no.3
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• pp.543-550
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• 2020

This study is Stress, Stress Symptoms and Turnover Intention in Nurses. Method: Data was accumulated from 183 nurses serving at least more than one year in 500 bed order hospitals during the period of three months from October 1, to December 30, 2018. Results: Data were analyzed using SPSS 22.0 program. Frequency, percentage, mean, standard deviation, t-test, ANOVA and correlation were used. In the present study, the perceived stress of the subjects was 95.05 ± 10.21, stress symptoms were 200.02 ± 50.73 points, turnover intention was 39.591 ± 8.3 points. As the perceived stress increased, the stress symptoms and turnover intention increased appear. Conclusion: As a result of this study, it is necessary to provide a multidisciplinary support system to reduce the perceived stress of the nurse. The results of this study can be useful as basic data for efficient operation of nursing personnel.

• The Journal of the Convergence on Culture Technology
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• v.9 no.5
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• pp.919-926
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• 2023

Aim(s): This study aims to explore the relationship between multicultural awareness, multicultural acceptance and sensitivity of nursing students in the midst of rapid changes in multiculturalism, and to explore the direction for improving multicultural awareness as health care workers in the future. A survey was conducted among 135 nursing students from two universities in one region, and 108 students, excluding random responses and dropouts, were the final subjects for analysis. For data analysis, frequency analysis, correlation analysis, reliability analysis and mediation effects were tested using SPSS and process Macros. The results confirmed a statistically significant relationship between multicultural awareness and multicultural acceptance (r=.572, p<.001). The relationship between mutual cultural sensitivity, multicultural acceptance (r=.650, p<.001) and multicultural awareness (r=.456, p<.001) also showed a significant positive correlation. In addition, the effect of mutual cultural sensitivity was confirmed in the relationship between multicultural awareness and multicultural acceptance. As a result, in the relationship between multicultural awareness and multicultural acceptability, intercultural sensitivity ranged from 0.188 to 0.554, and the 95% confidence interval did not include 0; thus, indirect effect was statistically significant. Considering these results, it was confirmed that it is important to increase multicultural awareness and intercultural sensitivity in order to increase multicultural acceptance.

• Journal of Hospice and Palliative Care
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• v.22 no.1
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• pp.39-47
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• 2019

Purpose: This study was performed to investigate the current status of pediatric palliative care provision and how it is perceived by the palliative care experts. Methods: A descriptive study was conducted with 61 hospice institutions. From September through October 2017, a questionnaire was completed by experts from the participating institutions. Data were analyzed using SPSS 21.0. Results: Among 61 institutions, palliative care is currently provided for pediatric cancer patients by 11 institutions (18.0%), all of which are concentrated in Seoul, Incheon and Gyeonggi and Gyengsang provinces; 85.2% of all do not plan to provide specialized pediatric palliative care in the future. According to the experts, the main barriers in providing pediatric palliative care were the insufficient number of trained specialists regardless of the delivery type. Experts said that it was appropriate to intervene when children were diagnosed with cancer that was less likely to be cured (33.7%) and to move to palliative care institutions when their conditions worsened (38.2%); and it was necessary to establish a specialized pediatric palliative care system, independent from the existing institutions for adult patients (73.8%). Conclusion: It is necessary to develop an education program to establish a nationwide pediatric palliative care centers. Pediatric palliative care intervention should be provided upon diagnosis rather than at the point of death. Patients should be transferred to palliative care institutions after intervention by their existing pediatric palliative care team at the hospital is started.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.5
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• pp.2117-2124
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• 2012

This is the study of actual condition and improvement on emergency medical treatment by 119 emergency medical service personnel. The subjects in this study were 299 emergency medical service personnel. Data were collected from May 1 to August 31 of 2010, and analyzed by SPSS 12.0 program. The major area of study of them were study of emergency medical services 41.5%, study of nursing 10.0%, fire fighting related studies 15.4%, health related studies 1.0%, and others 32.1%. The certificate of them were 1st class emergency medical technician(EMT) 38.1%, 2nd class EMT 33.8%, nurse 9.4%, first aid education 14.0%, and others 4.7%. Frequency of Prehospital emergency care, oxygen supply(274), splint apply(229), spinal immobilization(229), external bleeding control(223), medication(7), intravenous(4). Professionally trained EMT makes possible to secure high quality emergency medical treatment in the prehospital phase. Therefore, it is essential for the quality improvement of prehospital emergency care that well trained EMT ride on the ambulance together and take the responsibility for the treatment and transferring of emergency patients. In order to improve the proficiency of 119 emergency medical services personnel, it is also necessary to provide continuous job training programs for the prehospital emergency medical treatment.

• Health Policy and Management
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• v.21 no.2
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• pp.309-328
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• 2011

In order to effectively attain the objectives of an organization, it is important for the leader to provide an environment where members can co-exist and mutually advance, and also to have an emotional impact on them. This study examines the structural relationship among emotional intelligence in leadership, organizational commitment, job satisfaction, turnover intention, and organizational performance effects of emotional leadership in the nursing profession of a general hospital. A structured questionnaire was sent to 550 nurses in 11 general hospitals in Seoul Metropolitan City, among which 350 responses were used in the analysis. The independent variable, emotional intelligence in leadership, was measured by 18 items, including self-awareness, self-regulation, social awareness and relationship management. The dependent variable, organizational effectiveness, consisted of 46 items, including 15 items regarding organizational commitment, 20 items on job satisfaction, 3 items on turnover intention and 8 items on organizational performance. The structural equation modeling technique was used to identify the impact of emotional intelligence in leadership on organizational effectiveness. The results of the analysis show that the emotional intelligence in leadership of superior nurses has a significant impact on the nurses'organizational commitment and job satisfaction. While the direct effect on turnover intention and organizational performance was not significantly high, organizational commitment and job satisfaction were parameters in low turnover intention and high job performance. In conclusion, emotional intelligence in leadership is critical as nursing services in hospitals are based on interpersonal relationships. Therefore, by developing appropriate programs and training, hospitals can anticipate improved self-awareness, self-regulation, social awareness and relationship management of nurses, and further improve the effectiveness of the nursing profession.

• Journal of Hospice and Palliative Care
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• v.21 no.1
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• pp.33-39
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• 2018

Purpose: This study aimed to identify how an education program on palliative care affects nursing home caregivers' perception of hospice care and attitude towards terminally ill patient care. Methods: This study was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 101 certified care workers: 58 in the experimental group and 43 in the control. The experimental group completed the palliative care education program consisted of 20 hours of classroom training and 20 hours of clinical practicum. An ANCOVA was performed to compare the score changes to outcome variables. Results: Compared with the control group, the experimental group showed significant pretest-posttest differences in both the perception of hospice care (F=21.09, P<0.001) and attitude towards caring for terminally ill patients (F=13.28, P<0.001). Conclusion: These results indicate that the palliative care education program for caregivers is effective in preparing participants to provide hospice/palliative care service. Further study is warranted to explore the effects of this program on palliative caregivers' performance.

• The Journal of the Convergence on Culture Technology
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• v.6 no.2
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• pp.145-152
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• 2020

The objective of this study was to examine the degree of job stress and drinking levels among emergency room nurses and to investigate the association between these variables. Data were collected using self-reported questionnaires completed by 106 nurses working in emergency room of hospitals from 3 different cities. The collected data were analyzed using SPSS 21.0 program. The results showed that the mean job stress score was 45.93±6.81 points, while 18.9% of the subjects were in the disordered alcohol use group. Differences in drinking levels were found according to the work experience of the nurses (χ²=8.249, p=.041), while significant differences in job stress scores were found according to marital status (t=-2.72, p=.008) and desire to continue working (t=-2.272, p=.025). There was a significant correlation between job stress and drinking level (r=-.147, p= .000). Measures to lower job stress among emergency room nurses are need based on the findings in the study and it is expected that decreasing the drinking level of nurse would contribute to this.

• Journal of the Korea Society of Computer and Information
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• v.26 no.2
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• pp.109-117
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• 2021

This study was attempted to identify the working environment of nurses by identifying the key keywords associated with the unfair working conditions of Korean nurses reported in various media outlets in the media. "Nurse NOT (nurse) or nurse" was searched on BIG KINDS, selected articles related to the unfair treatment of nurses, extracted the final 309 cases, and classified into six categories of hospital-level, regional, keyword, and integrated keywords in the article using Excel2007. Of the 309 articles, 79 (22.56 percent) were published from November 2015 to October 31, 2016, 92 (29.77 percent) from third medical institutions, and 121 (39.1 percent) from across the country. The integrated keywords were summarized into a total of 14, followed by sexual assault/sexual harassment (14.88%), shortage of nurses (11.65%), burning nurses (11.0%), unfair dismissal (10.67%) and physical assault (10.35%). The findings could be used as basic data for establishing a positive working environment for nurses and improving positive image awareness of nursing professionals.

• Quality Improvement in Health Care
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• v.29 no.2
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• pp.2-14
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• 2023

Purpose: This study aimed to identify strategies to enhance the competencies of patient safety coordinators in Korea. Methods: Fourteen participants from nine hospitals were interviewed between May and November 2022. Qualitative content analysis was used to analyze the data. Results: As for the strategies to enhance patient safety management competency, 3 themes and 11 sub-themes were derived. The first theme was 'Having individual competence as a patient safety coordinator', and the sub-themes were 'Communication skills with members', 'Flexible thinking from multiple perspectives', and 'Preparing for administrative work competencies that they had not experienced as a nurse.' The second theme was 'Responding strategically to promote improvement activities', and the sub-themes for it were 'Multi-angle approach to the problem', 'A careful approach so as not to be taken as criticism in the field', 'Increasing the possibility of improvement activities through awareness', 'Activating the network between patient safety coordinators', and 'Expanding learning opportunities through patient safety case analysis.' The third theme was 'Obtaining support to facilitate patient safety activities', and the sub-themes for this were 'Improving staff awareness of patient safety', 'Providing a training course for nurse professional of patient safety', and 'Expanding the manpower allocation standard of patient safety coordinators.' Conclusion: This study explored personal competencies such as document writing and computer utilization capabilities, focused on ways to improve the field of patient safety management, and emphasized the need for organizational and political support.