• Title/Summary/Keyword: 임상연구간호사

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A Phenomenological Study on Psychosocial Nursing Care in Korea (한국에서의 사회심리적 간호에 관한 현상학적 연구)

  • Yi, Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.226-240
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    • 1994
  • 본 연구의 목적은 한국의 사회심리적 간호현상을 밝힘에 있다. 이를 위한 자료는9명의 임상경험이 많은 병원 간호사들을 심층면담하여 수집하였으며, 분석은 해석학적 현상학과 근거 이론 방법에서 사용하는 계속비교 분석 방법을 이용하였다. 사회심리적 간호는 ‘정보제공’, ‘위로’, ‘상담’, ‘지도’의 네가지 범주로 구분되었다. 이 중에서 정보제공이 가장 많이 사용되었고 중요하게 여겨 진 반면, 상담과 지도는 흔히 사용되지 않았다. 이는 상담과 지도는 고도의 의사소통 기술, 인간관계에 대한 이해, 그리고 타인에 대한 감성등이 요구되었기 때문이다. 사회심리적 간호제공에 방해를 주는 요인도 밝혀졌다. 첫째, 가족이나 보호자들의 상주로 인해 간호사들이 사회심리적 간호의 임을 이들에게 떠넘기는 경향이 있었다. 둘째, 간호사의 특성, 즉 치료적 인간관계를 확립할 수 있는 간호사의 능력부족이 방해요인이었다. 셋째, 신체적 간호만을 중시하고 높은 간호사대 환자 비율을 가진 병원 시스템이 방해요인이었다. 넷째, 조밀한 병상등의 병원환경도 해요인으로 나타났다. 사회심리적 간호는 간호사-환자-보호자 관계를 치료적으로 형성 유지할 수 있는 간호사의 능력에 따라 결정되었기 때문에 이에 대한 분석을 계속하였으며, 치료적 관계형성과 유지에 영향을 주는 요인은 다음과 같이 나타났다. 첫째, 간호사의 기술적, 신체적 간호의 유능성이 치료적 관계형성에 필요하였다. 둘째, 환자 및 보호자와 신뢰관계를 구축할 수 있는 능력이 필요하였다. 셋째, 환자의 요구에 따르는 역할을 제대로 수행할 수는 능력이 필요하였다. 즉, 치료적 관계형성은 환자와의 신뢰형성만으로는 부족하며, 환자와 보호자의 요구에 따르는 역할, 즉 정보제공자, 위로자, 상담자, 지도자의 역할까지도 수행할 수 있어야 함을 의미한다. 이 외에도, 간호사들이 치료적 관계를 형성하고 유지하기 위하여 사용한 대책들을 제시하고 논의하였다. 본 연구는 한국의 사회심리적 간호의 범주, 방해요인, 촉진요인 등을 설명하고 기술하였기에, 우리나라의 간호사들이 사회심리적 간호를 위해 어떠한 일들을 주로 수행하며, 어떻게 환자 및 보호자들과 상호작용하면서 간호중재를 펴나가는가를 이해하는데 도움을 주리라 여겨진다.

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Nursing Competency, Self-Esteem, and Job Stress between Floating Nurses and Clinical Nurses (플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구)

  • Ju, Won Jin;Kim, Miyoung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.248-257
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    • 2017
  • Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October $1^{st}$ and December $31^{st}$, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, $x^2$ test, ANCOVA, ANOVA, $Scheffe{\acute{e}}$ test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem (floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, ${\beta}=0.45$, p=.001; clinical nurses, ${\beta}=0.60$, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

Comparison of Resilience between Novice and Experienced Nurses (신규간호사와 경력간호사의 극복력 비교)

  • Hwang, Eun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.530-539
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    • 2018
  • This study was conducted to compare the resilience, social support, psychosocial stress and burnout between novice and experienced nurses. Data collection was conducted using structured questionnaires for 65 novice nurses with less than one year of clinical experience and 70 experienced nurses with at least seven years of clinical experience working in general hospitals. The results revealed that the resilience of novice nurses was lower than that of experienced nurses, and there were significant differences according to educational level, job satisfaction, and subjective health status. Conversely, experienced nurses' resilience differed according to their position. In addition, the resilience of novice and experienced nurses showed the highest correlation with psychosocial stress (r=-0.633, p<0.001; r=-0.586, p<0.001), while novice nurses' social support (r=0.560, p<0.001) and experienced nurses' burnout (r=-0.404, p=0.001) showed the second highest correlations. These results demonstrate that the factors related to resilience of novice and the experienced nurses differ. Therefore, it is necessary to develop a differentiated program according to the characteristics of resilience of each nurse to improve the resilience of novice and experienced nurses.

Effects of sense of humor and optimism on the nursing performance of the clinical nurse in the advanced general hospital (상급종합병원 임상간호사의 유머감각과 낙관성이 간호업무성과에 미치는 영향)

  • Lee, Kyoung-Sook;Jang, Insil
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.139-146
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    • 2019
  • This study was done to explore the correlation among sense of humor, optimism, and nursing performance and identify factors related nursing performance among nurses. A survey was conducted for April 2018 with self-report questionnaire. Participants were 181registered nurses working in three tertiary hospitals. Sense of humor was positively correlated optimism, and nursing performance. Factors affecting nursing performance included educational background, work shift, clinical career. Nursing performance had a positive correlation with sense of humor and optimism. And work shift, sense of humor and optimism accounted for 38.6% of the variance in nursing performance. Therefore, quality management for developing nursing professionalism support for improving nursing performance and sense of humor and optimism . Future research will be needed to clarify the effects of the sense of humor and optimism promotion program on nursing performance.

Influences of Compassion Satisfaction, Compassion Fatigue, and Burnout on Positive Psychological Capital of Clinical Nurses (임상간호사의 공감만족, 공감피로, 소진이 긍정심리자본에 미치는 영향)

  • Jeong, Eun;Jung, Mi-Ra
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.246-255
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    • 2018
  • The purpose of this study was to investigate factors affecting positive psychological capital in clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city using self-reported questionnaires and November 20 2017 to November 30 2017. The data were analyzed by descriptive statistics, T-test, one-way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression with SPSS 20.0 program. Positive psychological capital had a significant positive effect on compassion satisfaction, while Positive psychological capital had a negative effect on burnout. The result of the multiple regression indicates the compassion satisfaction, burnout and job position predict 55.5% (F=30.88, p<.001) of positive psychological capital. Therefore, strategies to decrease burnout and to enhance compassion satisfaction for clinical nurses.

Effects of Nursing Practice Environment and Positive Psychological Capital in Clinical Nurses on Turnover Intention (임상간호사의 간호근무환경과 긍정심리자본이 이직의도에 미치는 효과)

  • Jung, Mi-Ra;Jeong, Eun
    • Journal of Digital Convergence
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    • v.16 no.2
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    • pp.277-285
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    • 2018
  • The purpose of this study was to examine influences on turnover intention in the clinical nurses. The data were collected from 193 nurses working in the three general hospital located Y city. The data were analyzed by descriptive statistics, T-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. The result of the stepwise multiple regression indicates the nursing practice environment, positive psychological capital and clinical career predict 41.8% (F=7.35, p<.001) of turnover intention. Therefore, it is necessary to develop changing the nursing practice environment and positive psychological capital strategy program for decrease turnover intention in clinical nurses.

Verbal Violence Type in Operating Room Nurses, Fusion Study on Emotional Response and Coping (수술실 간호사의 언어폭력유형, 정서적 반응과 대처에 대한 융합연구)

  • Oh, Suk-Hee;Sun, Jeong-Ju;Kang, Hee-Sun
    • Journal of Convergence for Information Technology
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    • v.9 no.8
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    • pp.53-62
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    • 2019
  • This study is a descriptive study to investigate the relationship between verbal violence type, emotional response and coping in the operating room nurse. The subjects of the study were 400 nurses working in 20 general hospitals and 372 nurses in the operating room. As a result of the analysis, it was found that the perpetrators of the verbal violence experienced by the subject were physicians, direct supervisors, and more than half of the subjects were considering the transition. The most frequent cases of language violence were when the equipment was inoperable or not used during surgery, There were significant differences in verbal violence experience according to marriage, clinical career, and work style. Language violence emotional response showed significant difference with gender, position and coping, age, academic background, clinical career, and position. There was a significant correlation between experience of verbal violence and emotional response, emotional response and coping. Therefore, the results of this study will contribute to the development of coping strategies and prevention education programs.

Comparative Research of Patient Safety Culture Long-term Care Hospital Nurses and General Hospital Nurses (종합병원과 요양병원 간호사의 환자 안전 문화 인식에 관한 비교 연구)

  • Hyojin, Won;Eunju, Seo
    • Journal of Industrial Convergence
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    • v.20 no.11
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    • pp.149-155
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    • 2022
  • This study conducted a descriptive research to compare the degree of patient safety culture awareness among general hospitals and long-term care hospital nurses. The subjects of this study were 150 nurses who worked for more than 6 months at 2 general hospitals and 4 long-term care hospitals located in 3 cities, the data has collected from October to December 2021. To Measure patient safety culture, the patient safety culture measurement tool developed by Soon Gyo Lee was used. Data were analyzed by 𝑥2-test, ANOVA, and t-test using SPSS 20.0 program. As a result of the study, the variables with high patient safety culture were the nurse's age(F=44.17, p=.000), clinical career(F=62.86, p=.000), and current workplace career(F=26.27, p=.000). Among the subdomains of patient safety culture, leadership(t=2.07, p= .040) and patient safety priorities(t=2.18, p=.031) were found to be higher in long-term care hospital nurses than general hospital nurses. Based on this result, we expected that it can be used as data in developing programs to raise the level of patient safety culture in hospitals and long-term care hospitals.

The Effects of Clinical Nurse's Emotional Intelligence and Core Self-evaluation on Career Commitment (임상간호사의 정서지능과 핵심자기평가가 경력몰입에 미치는 영향)

  • Cho, Ok-Hee;Yoo, Yang-Sook;Hwang, Kyung-Hye
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.269-278
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    • 2018
  • The purpose of this study is to investigate the effects of clinical nurse's emotional intelligence (EI) and core self-evaluation (CSE) on career commitment. Subjects were 462 clinical nurses at two general hospitals in Seoul, and survey was conducted from May to July, 2017. Data were analyzed by t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression analysis. The results showed that career commitment was correlated with EI or CSE (r=.28, p<.001; r=.34, p<.001). EI was correlated with CSE (r=.44, p<.001). CSE, spouse status, EI, position, subjective health status, and working department were identified as the factors affecting the clinical nurse's career commitment ($R^2=.21$). To improve career commitment, it is necessary to assess clinical nurse's EI and CSE according to subjective health status, and to be considered marriage, position, and working department in developing a career convergence program.

Importance-Performance Analysis about Early Mobilization after Abdominal Surgery Patients in Surgical Ward Nurses (복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도-수행도 분석)

  • Kim, Bo Eun;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.19 no.12
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    • pp.567-575
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    • 2021
  • This study was aimed to identify surgical ward nurses' importance-performance awareness toward early mobilization after abdominal surgery patients. The date were collected from 162 nurses and the importance and performance of early mobilization were analyzed by the IPA method. The collected data were analyzed using the SPSS/WIN 25.0 by implementing descriptive statistics, independent t-test, paired t-test, and ANOVA. Early mobilization was divided into exercise of pulmonary complications and early ambulation. As a result of the study, the areas requiring concentration were 'check risk of aspiration', and areas requiring improvement were 'oral care', 'check lung sound', 'percussion/vibration', 'suction', and 'reinforcement exercise in bed'. Therefore, each item of early mobilization is recommended to reduce the gap between importance and performance in clinical care.