• 임상간호연구
• /
• 제25권1호
• /
• pp.98-105
• /
• 2019

Purpose: The study was conducted to investigate correlation between professionalism, organizational communication the and patient safety culture of nurses in hemodialysis units and verify factors that affect patient safety culture. Methods: Data were collected from 109 nurses working in hemodialysis units located in Seoul and Gyeonggi-do. collected data were analyzed using descriptive statistics including t-test, one-way ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS 21.0 program. Results: The Professionalism of participants was significantly correlated with patient safety culture while the Organizational communication was also correlated with patient safety culture. Factors influencing participants' patient safety culture included professionalism, organizational communication, employment history in current hospital, and the number of patients per nurse. These factors explained 57.8% of patient safety culture. Conclusion: The research findings suggest that in order to increase the awareness of patient safety culture of nurses in hemodialysis units, strategic efforts are needed to enhance professionalism and organizational communication satisfaction of nurses in hemodialysis units.

• 한국융합학회논문지
• /
• 제9권11호
• /
• pp.491-500
• /
• 2018

병원간호사가 인식하는 간호조직문화의 유형을 파악하고, 이러한 간호조직 문화와 전문적 삶의 질과의 관계를 확인하기 위함이다. 대상자는 충북의 C시에 소재한 일개 대학병원에 근무하는 간호사 216명이다. 자료 분석은 SPSS/WIN22.0 프로그램을 이용하여 분석하였다. 전문직 삶의 질의 하위영역인 공감만족에 미치는 영향요인으로는 혁신지향문화, 결혼상태, 관계지향문화가 유의한 예측변인으로 나타났고, 이차성 외상 스트레스는 연령, 업무지향문화, 위계지향문화가 유의한 예측변인으로 나타났으며, 소진은 관계지향문화, 임상경력, 위계지향문화가 유의한 예측변인으로 나타났다. 이 같은 결과를 토대로 조직 내 혁신지향문화 및 관계지향문화 형성을 위한 간호사들의 인식 전환 및 개선을 위한 중재프로그램 개발 및 임상에서의 효과를 검정하는 연구가 필요하며, 숙련되고 임상경험이 풍부한 우수한 간호사를 확보하기 위해 조직차원에서의 근무환경 및 처우 개선이 이루어져야 한다.

• 한국산학기술학회논문지
• /
• 제18권10호
• /
• pp.423-431
• /
• 2017

본 연구는 남자 간호대학생의 간호사이미지와 전공만족도가 간호전문직관에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 대상자는 B광역시, U광역시 소재 5개 대학의 1학기 이상 임상실습경험이 있는 남자간호대학생 180명이며 2016년 11월 15일부터 2016년 12월 15일까지 설문조사를 실시하였다. 수집된 자료는 SPSS/WIN 18.0 program을 이용하여 t-test, ANOVA, Scheff's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 연구결과, 대상자의 간호사이미지 정도는 5점 만점에 평균평점은 3.95, 전공만족도 정도는 5점 만점에 평균평점은 3.90점, 간호전문직관 정도는 5점 만점에 평균평점은 3.79점이었다. 대상자의 간호전문직관 정도는 학년(p=.001)과 간호학과 선택권유자(p=.02)가 통계적으로 유의한 차이가 있었다. 간호전문직관과 간호사이미지는 높은 상관관계가 있었고, 간호전문직과 전공만족은 중간정도의 상관관계가 있었다. 전문직관을 설명하는 유의한 변수는 하위요인 중 사회적 이미지, 개인적 이미지며 54.6%, 전공 만족도의 하위요인 중 일반만족, 인식만족이었으며 전공만족도를 추가했을 때 60.6%로 전체설명력은 60.6%였다. 따라서 남자간호대학생의 간호전문직관을 높이기 위해서는 남학생들에게 간호사 이미지 인식 향상 교육과 전략이 필요하며 남자간호대학생이 전공 만족을 높일 수 있는 진로에 대한 긍정적 교육과 지도가 필요할 것이다.

• 임상간호연구
• /
• 제26권3호
• /
• pp.305-313
• /
• 2020

Purpose: The purpose of this study was to identify factors influencing the Radiation Protection(RP) behaviors of endoscopy nurses during endoscopic interventional radiology. Methods: A total of 188 endoscopy nurses working at 30 tertiary or general hospitals participated in this questionnaire-based study. The questionnaire included items on general and job related characteristics, RP knowledge, RP attitude, RP behavior, self-efficacy, and safety climate. Data were collected through online surveys from March 22 to April 10, 2019. Results: Multivariate analysis revealed that RP attitude (β=.65, p<.001), safety climate (β=.12, p=.035), self-efficacy (β=.14, p=.009), and existence of RP protocols (β=.11, p=.038) were significant predictors of better RP behavior. Conclusion: The findings showed that the RP behavior of endoscopy nurses was at high levels and the continuing education for endoscopy nurses and development of a radiation safety management education program were important to improve RP behavior.

• 한국콘텐츠학회논문지
• /
• 제21권3호
• /
• pp.541-551
• /
• 2021

본 연구는 성소수자를 간호한 간호사의 경험을 토대로 성소수자 간호에 질적 향상을 위한 기초자료 제공을 위해 시도된 현상학적 연구이다. 이를 위해 S시 소재 H대학병원에 근무하는 간호사중 성소수자를 간호한 경험이 있는 6명을 대상으로 2020년 8월1일부터 2020년 9월30일까지 개별 심층면담을 사용하여 자료수집이 이루어졌다. 연구 결과, 4개의 범주와 9개의 주제묶음으로 구성되었다. 4개의 범주는 '양가감정', '조심스럽고 어려운 간호실행', '다양하고 전문적 간호를 위한 교육 부족' 그리고 성소수자 간호 경험이 쌓이면서 '간호 전문인으로 도약'으로 나타났다. 이처럼 대부분의 참여자들은 성소수자 간호에 대해서 다양한 이해를 나타낸다. 본 연구는 성소수자를 간호한 간호사의 경험에 대한 의미를 제공하였으며, 간호사들이 적절한 교육과 임상 훈련의 부족으로 성소수자 간호에 어려움을 확인할 수 있었다. 따라서 간호사에게 효과적인 훈련 및 교육 프로그램을 개발하여 적용하는 것이 필요하다.

• 디지털융복합연구
• /
• 제17권2호
• /
• pp.231-241
• /
• 2019

본 연구는 간호사의 전문직 자율성과 공감능력이 환자안전문화에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 서울의 종합병원에서 일하는 191명의 간호사를 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며 SPSS/WIN 24.0 program을 이용하여 분석하였다. 환자안전문화는 전문직 자율성(r=.26, p<.001), 공감능력의 하위 영역인 관점 취하기(r=.30, p<.001), 공감적 관심(r=.27, p<.001)과 통계적으로 유의한 양의 상관관계가 있었다. 환자안전문화에 영향을 미치는 요인으로는 공감의 하위 영역인 관점 취하기(${\beta}=.27$, p<.001), 전문직 자율성(${\beta}=.20$, p=.004), 11년 이상의 총 임상 경력(${\beta}=.17$, p=.012)이었고, 세 개의 변수의 설명력은 15%였다. 본 연구의 결과는 환자안전문화 증진의 영향요인인 간호사의 전문직 자율성과 공감능력을 증진 시킬 수 있는 프로그램 개발의 기초자료로 활용할 수 있을 것이다. 아울러 향후 다양한 표본 집단에서의 반복연구를 제언한다.

• 중환자간호학회지
• /
• 제14권2호
• /
• pp.42-56
• /
• 2021

Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

• 대한간호학회지
• /
• 제53권1호
• /
• pp.39-54
• /
• 2023

Purpose: This study aimed to investigate the nationwide intention to delegate clinical practice of medical specialists in accordance with the enactment of the scope of practice for advanced practice nurses (APNs). Methods: Data were collected from October to December 2021 using Google Surveys. In total, 147 medical specialists from 12 provinces responded to the survey. The survey questionnaire was categorized into four legislative draft duties, according to the scope of practice (a total of 41 tasks): Twenty-nine tasks on treatments, injects, etc., performed under the guidance of a physician and other activities necessary for medical treatment (treatment domain); two tasks on collaboration and coordination; six tasks on education, counseling, and quality improvement; four regarding other necessary tasks. Participants were asked whether they were willing to delegate the tasks to APN. Results: The intention to delegate tasks to APN was higher for non-invasive tasks such as blood sampling (97.3%) or simple dressing (96.6%). Invasive tasks such as endotracheal tube insertion (10.2%), sampling: bone marrow biopsy & aspiration (23.8%) showed low intention to delegate in the treatment domain. Participants who were older, male, and had more work careers with APN, showed a higher intention to delegate tasks. Conclusion: To prevent confusion in the clinical setting, a clear agreement on the scope of APN practice as APN delegated by physicians should be established. Based on this study, legal practices that APN can perform legally should be established.

• 간호행정학회지
• /
• 제3권1호
• /
• pp.65-82
• /
• 1997

The purpose of this study was to investigate the role expectation of Clinical Nurse Specialist(CNS) in A tertiary-affiliated hospital in Seoul. Data were surveyed from Jul. 8, to Jul. 20, 1996. 74 medical doctors and 119 nurses participated in this survey. For data analysis, SPSS/PC+ program was used: ${\chi}2-test$, t-test, ANOVA. The difference was analyzed by the subjects' position and department. The results of this study were summarized as follows: 1. The perception about the CNS system : Most of the subjects of study perceived that the introduction of CNS system was needed. And the introduction time of CNS system was demanded as fast as possible, or after special preparation. 2. The comparison of the need for the subroles of the CNS in A tertiary-affiliated hospital : The need for the subroles(0=not known, 1=not needed to 4=absolutely essential) was significantly different between medical doctors and nurses. The total mean scores for degree of need for each subole were as follows: Education 3.37, Consultant 3.34, Researcher 3.29, Direct care provider 2.86. 3. The comparison of the percent of time spent in A tertiary-affiliated hospital : The percent of time spent was significantly different between medical doctors and nurses. The total mean percent of time spent in the five subroles was as follows: Direct care provider 34.9%, Educator 23.9%, Researcher 18.9%, Consultant 12.8%, and Management/Change agent 9.5% According to the study results, suggestions were made: 1. Further study for the need of the CNS role as direct care provider is needed, after correcting the items within the narrow scope in some clinical department. 2. Development of the detail roles for the extent of autonomy is needed, and validity should be tested. And then they will be used for the basic data of the role development of the CNS.

• 임상간호연구
• /
• 제29권3호
• /
• pp.238-248
• /
• 2023

Purpose: This study aimed to examine the relationships between positive nursing organizational culture, organizational communication satisfaction, and the level of work engagement among nurses working in tertiary hospitals, as well as to identify influencing factors on work engagement. Methods: This study used a descriptive research design. Data were collected from 184 general nurses working in four tertiary hospitals in Seoul using self-report questionnaires from March 13 to 30, 2023. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression. Results: In the hierarchical regression analysis, the variables that significantly influenced work engagement in Model 1 were marital status (β=.26, p=.002), graduate or higher degree (β=.41, p<.001), more than 1 year and less than 3 years (β=.18, p=.030) and 3 years or more but less than 5 years of clinical experience in present hospital (β=.17, p=.023), and satisfaction (β=.27, p=.002) and moderate satisfaction with pay (β=.18, p=.033). In model 2, adding the subdomains of positive nursing organizational culture and organizational communication satisfaction to the Model 1, the variables that had a significant effect on work engagement were trust-based organizational relationships (β=.50, p<.001) and organizational communication satisfaction (β=.25, p=.005). Conclusion: The results suggest that education level, clinical experience, and satisfaction with pay should be considered to improve nurses' work engagement. In addition, it was identified that organizational relationship based on trust and organizational communication satisfaction are the main influencing factors for improving work engagement.