• 한국보건간호학회지
• /
• 제36권1호
• /
• pp.75-89
• /
• 2022

Purpose: Domestic violence is an important issue encountered in nurses' home visitation programs. This study analyzed the types of domestic violence and associated interventions provided by nurses in a prenatal and early childhood home visitation program in Korea. Methods: For 24 families who experienced domestic violence in the Seoul Healthy First Step Project, registration information and home visit nursing records were analyzed through directed qualitative content analysis. Results: Physical violence was found in all 24 cases, followed by emotional violence, coercive control, financial abuse, and sexual violence. Twenty-two interventions derived from existing nurse-family partnership (NFP) program strategies were identified in the nursing practices of the Seoul Healthy First Step Project. Conclusion: In a prenatal and early childhood nurses' home visitation program in Korea, various approaches and interventions were provided to nurses to address domestic violence. However, differences in the level of interventions provided by nurses were found, implying a need to educate and support nurses to address domestic violence in-home visitation programs.

• 한국콘텐츠학회논문지
• /
• 제22권10호
• /
• pp.359-373
• /
• 2022

본 연구는 입원환자들의 급성 악화 시 신속한 대응을 위한 근거 기반 가이드라인을 개발하고자 수행되었다. 가이드라인 개발을 위해 기존의 가이드라인을 검색하였고, 총 13편이 선정되어 가이드라인에 대한 Appraisal of guidelines for research and evaluation (AGREE II) 도구를 활용한 질 평가, 최신성 평가, 권고 내용 비교표를 통한 내용 및 권고안의 근거평가, 권고의 수용성 및 적용성 평가를 수행하였다. 본 가이드라인은 신속대응체계의 개념 모형에 따라 관리, 인식, 활성화, 대응, 평가에 대한 권고로 구성되어 있다. 전문가 16명에게 가이드라인 초안의 적절성, 적용 가능성, 효과성에 대한 평가와 적용 여부에 대한 검토를 통해 최종적인 평가 결과를 반영하여 130개의 권고를 확정하였다. 가이드라인의 실무 적용성 평가를 위해 임상 현장에서 신속대응 업무를 수행하는 간호사를 대상으로 실무 적용성을 파악한 결과, 가이드라인에 대한 전체 실무 적용성 평균은 5점 만점에 4.41±0.78점으로 지침 내용에 대한 실제 임상 업무에서의 적용성이 높은 것으로 나타났다.

• 한국간호교육학회지
• /
• 제28권2호
• /
• pp.204-217
• /
• 2022

Purpose: This study was conducted to determine the factors affecting a hypothetical model of testing for general hospital nurses' job embeddedness. Methods: Data were collected from August 20 to September 19, 2021, by a self-administered questionnaire answered by 428 general hospital nurses. The data were analyzed by SPSS and AMOS. Results: Nine of the hypothetical model's 12 hypotheses were supported by the data collected from all participants. The test results indicate that ego resilience, subjective career success, and recovery experience from job stress directly affect participants' job embeddedness. Nurses' work environments were reported to affect ego resilience and subjective career success, while at the same time ego resilience and subjective career success affected the participants' job embeddedness. Work-life balance was found to affect ego resilience and ego resilience affected subjective career success, and at the same time subjective career success directly affected participants' recovery experiences from job stress and job embeddedness. Of these variables, subjective career success had the strongest direct effect on participants' job embeddedness. Work-life balance affected the participants' recovery experiences from job stress, and their recovery experiences from job stress were found to directly affect job embeddedness. Conclusion: These results suggest that different management strategies to enhance hospital nurses' job embeddedness should address nurses' ego resilience, subjective career success, and recovery experiences from job stress.

• 중환자간호학회지
• /
• 제15권2호
• /
• pp.1-13
• /
• 2022

Purpose : The study aimed to identify relationship among intensive care unit (ICU) nurses' critical thinking disposition, medication error risk level of high-alert medication, and medication safety competency, as well as the factors affecting medication safety competency. Methods : The participants were 266 ICU nurses of one higher-tier general hospital and one general hospital in Province. The data were collected using structured self-administered questionnaire from August 10 to August 31, 2021. Measurements included the critical thinking disposition questionnaire, nurses's knowledge of high-alert medication questionnaire, the medication safety competency scale. Data were analyzed using hierarchical multiple regressions using SPSS/WIN 28.0. Results : In the multiple regression analysis, the medication safety competence has a statistically significant correlation with the working department, the critical thinking disposition, and medication error risk level of high-alert medication. Conclusion : Based on the results of this study, it is suggested to develop and apply an educational strategy that can strengthen the knowledge and skills of critical thinking disposition and medication error risk level of high-alert medication to improve the ICU nurse's medication safety competency.

• 한국직업건강간호학회지
• /
• 제31권2호
• /
• pp.77-85
• /
• 2022

Purpose: This study aimed to identify the influence of effort-reward imbalance and job satisfaction on turnover intention among hospital nurses. Methods: Data were collected from January 28 to February 10, 2022, from 237 nurses from five hospitals including clinics, general hospitals, and tertiary care hospitals located in B city. The collected data were analyzed using descriptive statistics, t-test, ANOVA, the Scheffe test, Pearson's correlation coefficients, and multiple linear regression analysis, using SPSS/WIN 26.0. Results: The average of the effort-reward ratio, an indicator of effort-reward imbalance, was 1.67±0.66, and 86.5% of the participants had a value of 1 or more. The mean job satisfaction and turnover intention were 3.32±0.48 and 3.69±0.89 on a 5-point scale, respectively. Multiple regression revealed that factors affecting turnover intention among hospital nurses included effort-reward imbalance (β=.30, p<.001) and job satisfaction (β=-.32, p<.001), and these variables explained 29.0% of turnover intention. Conclusion: These findings indicate that effort-reward imbalance and job satisfaction are associated with turnover intention. Therefore, to decrease the turnover intention of hospital nurses, interventions and policies should be prepared to resolve the nurse's effort-reward imbalance and increase job satisfaction at regional or national level hospitals.

• 동서간호학연구지
• /
• 제28권2호
• /
• pp.151-159
• /
• 2022

Purpose: This study was conducted to identify the performance and need of professional nursing care among nurses in a neurosurgery department at a tertiary hospital. Methods: This study used a descriptive design using a questionnaire with 77-item. The participants were 58 nurses with more than 3 years of clinical experience in both the neurosurgery intensive care unit and ward at a tertiary hospital in Gangwon province. Data collection was conducted from January to February of 2021. The performance and need for each workforce were analyzed with the mean and standard deviation, and the effectiveness of the difference between the performance and the need were analyzed with a paired t-test using SAS 9.4. Results: The recognition for work performance level was in order of direct nursing activities (3.20±.54), consultation and coordination (3.18±1.15), education (2.55±.85), administration (1.92±.86), and research (1.57±.89). The recognition for need level was in order of consultation and coordination (3.95±.83), education (3.91±.87), direct nursing practice (3.83±.55), research (3.49±.87), and administration (3.45±.54). The results showed a statistically significant differences between work performance and need (p<.001). Conclusion: It is required to hire professional nursing personnel who can bridge the gap between the performance and need of professional nursing workforce in a neurosurgery department at a tertiary hospital. A professional nurse may be a good alternative.

• 동서간호학연구지
• /
• 제28권2호
• /
• pp.170-178
• /
• 2022

Purpose: This study aimed to identify the factors influencing post-traumatic stress disorder in intensive care unit nurses in dedicated hospitals for coronavirus disease of 2019 (COVID-19) during the peak of the outbreak. Methods: This study used a cross-sectional correlational design. A total of 100 participants completed questionnaires comprising the Impact of Event Scale-Revised (IES-R), coping strategy indicator, social support, and post-traumatic growth. Post-traumatic stress disorder was classified as normal, mild risk, and high risk. Data were analyzed using 𝛘² test, Fisher's exact test, Kruskal-Wallis test with multiple comparison analysis, Pearson correlation coefficient, and multinominal logistic regression analysis. Results: Fifty seven nurses (57.0%) had a high risk of post-traumatic stress. Higher levels of post traumatic stress were associated with higher levels of social support seeking, and higher levels of avoidance, and lower levels of social support from supervisors. Higher post traumatic growth was correlated with higher social support for seeking coping, and problem solving coping strategies, and social support from supervisors and colleagues. Post-traumatic stress risk was associated with social support seeking and supervisors' social support. In addition, a higher risk of post-traumatic stress was related to COVID-19 work duration and supervisors' social support. Conclusion: Supportive programs, including increasing social support and building coping skills, may be suggested to safeguard the mental health of critical care nurses during the pandemic.

• 가정∙방문간호학회지
• /
• 제29권2호
• /
• pp.165-174
• /
• 2022

Purpose: This study was a descriptive research design to identify nursing professionalism, communication competence, and working environment factors of dedicated COVID-19 hospital nurses and investigate factors affecting person-centered care. Methods: Participants were 211 nurses working in one tertiary hospital, two general hospitals, and one dedicated COVID-19 hospital in a metropolitan area. Collected data were analyzed using descriptive analysis, an independent t-test, one-way ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. Analysis was performed using SPSS 26.0 software. Results: Person-centered care was statistically significant. It positively correlated with nursing professionalism (r=.57, p<.001), communication competence (r=.56, p<.001), and nursing work environment (r=.60, p<.001). As a result, communication competence (𝛽=0.33, p<.001), hospital type (𝛽=0.25, p<.001), nursing professionalism (𝛽=0.23, p=.002), nursing work environment (𝛽=0.18, p=.006) and clinical career (𝛽=-0.11, p=.045) in that order. The regression model was statistically significant (F=30.467, p<.001) and showed an explanatory power of 49.6%. Conclusion: It is necessary for individuals and hospitals to provide opportunities for nurses to participate in various education and programs to improve person-centered care. This may enable them to enhance their nursing professionalism and communication competence.

• 대한간호학회지
• /
• 제53권2호
• /
• pp.222-235
• /
• 2023

Purpose: The aim of this study was to identify the factors explaining protective behaviors against radiation exposure in perioperative nurses based on the theory of planned behavior. Methods: This was a cross-sectional study. A total of 229 perioperative nurses participated between October 3 and October 20, 2021. Data were analyzed using SPSS/WIN 23.0 and AMOS 23.0 software. The three exogenous variables (attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control) and two endogenous variables (radiation protective intention and radiation protective behaviors) were surveyed. Results: The hypothetical model fit the data (χ²/df = 1.18, SRMR = .02, TLI = .98, CFI = .99, RMSEA = .03). Radiation protective intention (β = .24, p = .001) and attitude toward radiation protective behaviors (β = .32, p = .002) had direct effects on radiation protective behaviors. Subjective norm (β = .43, p = .002) and perceived behavior control (β = .24, p = .003) had direct effects on radiation protective intention, which explained 38.0% of the variance. Subjective norm (β = .10, p = .001) and perceived behavior control (β = .06, p = .002) had indirect effects via radiation protective intention on radiation protective behaviors. Attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control were the significant factors explaining 49.0% of the variance in radiation protective behaviors. Conclusion: This study shows that the theory of planned behavior can be used to effectively predict radiation protective behaviors in perioperative nurses. Radiation safety guidelines or education programs to enhance perioperative nurses' protective behaviors should focus on radiation protective intention, attitude toward radiation protective behaviors, subjective norm, and perceived behavioral control.

• 가정∙방문간호학회지
• /
• 제30권1호
• /
• pp.15-25
• /
• 2023

Purpose: This study describes the associations between shift work factors, workplace violence bystander types, and the missed nursing care of hospital nurses. Methods: A cross-sectional survey was conducted among hospital nurses using structured questionnaires related to shift work factors, workplace violence bystander types, and missed nursing care. The study participants were 199 nurses caring for adult patients and working in two tertiary hospitals. Results: The missed nursing care of the participants showed a statistically significant positive correlation with the facilitating bystander (r=.40, p<.001) and abdicating bystander (r=.28, p<.001) among the workplace violence bystander types. However, rest time during duty showed a significant negative correlation (r=-.16, p=.026). A regression model with control variables (department and clinical career), shift work factors, and workplace violence bystander types explained approximately 25% of missed nursing care of the study participants. Further, the facilitating bystander type influenced the missed nursing care of hospital nurses. Conclusion: As a result of examining the associations between shift work factors, workplace violence bystander types, and missed nursing care of hospital nurses, it was confirmed that missed nursing care was influenced by the facilitating bystander type. It is necessary to improve the nursing culture within the department so that nurses do not behave as negative bystanders to workplace violence.