• 대한간호학회지
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• 제39권5호
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• pp.709-719
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• 2009

Purpose: The study was done to investigate physical assessment skills used by, and educational needs of, advanced practice nurses (APNs) and nurse specialists in Korea. Methods: A total of 123 APNs and nurse specialists working in five major hospitals in Seoul were surveyed from July 15 to August 20, 2007. Results: Fourteen skills out of 126 items were reported as being performed on a regular basis by participants. The majority of these skills involved general observation. Forty-six skills were rarely used. Some participants showed a lack of confidence in certain assessment skills, such as in doing a rectal or pelvic exam, and the use of some assessment equipment. Over 90% of participants required in-depth education on health assessment provided by specialists or nursing professional organizations. Conclusion: More educational opportunities in physical assessment should be provided including education programs based on the nurses' skill levels and needs. This effort will help to increase confidence of APNs and nurse specialists in physical assessment skills, ultimately resulting in better nursing outcomes.

• 임상간호연구
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• 제23권1호
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• pp.54-63
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• 2017

Purpose: The purpose of this study was to compare the working status and Standard Shiftwork Index (SSI) between night shift-fixed nurses and rotating shift nurses. Methods: Participants were 367 nurses working as registered nurses at 7 different medical institutions. The data were collected from August 8, 2016 to September 30, 2016. Results: Night shift fixed nurses were more satisfied with work schedule than rotating shift nurses. Rotating shift nurses reported higher SSI scores, such as chronic fatigue, musculoskeletal problems, than night shift fixed nurses. In SSI's sub-items, rotating shift nurses reported higher scores, such as the amount of sleep, feeling well after sleep, heartburn or stomach-ache and heartbeat irregularities, than night shift fixed nurses. Conclusion: The results indicated that night shift fixed system might be an effective method to improve nurses' work satisfaction. It is necessary to figure out any suitable night shift fixed system based on the characteristics of each nursing organization. The SSI might be an useful tool to measure the nurses' satisfaction in reference to their work shift.

• 한국보건간호학회지
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• 제37권2호
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• pp.233-246
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• 2023

Purpose: The purpose of this study was to investigate the level of cultural competency and cultural nursing competence educational needs of public health nurses (PHNs) and community health practitioners (CHPs) and to uncover the difference between the two groups. Methods: The subjects of this study were 217 PHNs and 165 CHPs. Data were collected using a structured questionnaire. Descriptive statistics, an independent two-sample t-test, the x² test, one-way ANOVA, and the Scheffé test were used for data analysis. Result: There was no statistically significant difference between the cultural competency of CHPs (4.27±1.00) and that of PHNs (4.10±1.07) which were at a moderate level. Among the subareas, cultural awareness and sensitivity were above average, but cultural skills and knowledge showed relatively low scores. There was no statistically significant difference between the cultural nursing competence educational needs of CHPs (3.85±0.65) and PHNs (3.90±0.70) and these were at a relatively high level. Among the subareas, knowledge of key concepts, cultural communication, and attitudes and skills were above average. Conclusion: The results of this study highlight the need to develop and implement educational programs to enhance the cultural competency of PHNs and CHPs nationwide using various teaching-learning methods.

• 한국직업건강간호학회지
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• 제32권2호
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• pp.49-57
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• 2023

Purpose: This study aimed to explore the meaning of job experiences of fixed night shift nurses participating in a pilot project by a tertiary hospital, and to provide basic information for improving their night shift working environment. Methods: A descriptive qualitative study was conducted using individual interviews in September 2022. Three female nurses who worked fixed night shifts were recruited from a tertiary hospital. Data were analyzed using content analysis. Results: By analyzing the meaning of job experience as a fixed night shift nurse, four categories and nine subcategories were identified. The four categories of job experience of fixed night shift nurses were: expecting an improvement physical health due to predictable working hours, enjoying leisure time due to long off-duty hours, regretting for loosened relationships, and considering a successful settlement of fixed night shift nursing. Conclusion: As night shift work is essential for nurses to provide continuous nursing to patients, it is necessary to develop various strategies to improve the physical health of night shift nurses through fatigue management and good sleep quality, mental health through work-life harmony, and social health through intimate relationships between patients and coworkers.

• 한국산학기술학회논문지
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• 제20권12호
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• pp.493-501
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• 2019

본 연구의 목적은 부모의 돌봄참여에 대한 소아중환자실 간호사의 인식을 파악하는 것이다. 연구대상은 서울에 위치한 상급종합병원 2곳의 소아중환자실에 근무하고 있는 간호사 5명이며, 일대일 심층 면담을 수행하였다. 자료수집 기간은 2016년 1월부터 2월까지였고 전통적 내용분석을 이용해 자료를 분석하였다. 연구 결과 소아중환자실 부모의 돌봄참여에 대한 간호사의 인식은 5개 범주와 43개 하위범주가 도출되었으며, 5개 범주는 필요성, 의미, 효과, 장애 요인과 촉진방안으로 나타났다. 간호사는 소아중환자실에서 집중 간호를 필요로 하는 자녀의 중증 상태로 인해 부모가 정서적 부담을 경험하며, 면회가 제한된 병원 정책이 이러한 부담을 악화시킨다는 점에서 소아중환자실에서 부모 돌봄참여의 필요성과 그 효과를 인식하고 있었다. 주요한 장애 요인은 부모의 돌봄참여에 대한 간호사의 지식과 역량의 부족, 과중한 업무 부담, 소아중환자실과 병원 내 정책이나 지침의 부족으로 나타났다. 촉진방안은 간호사 대상 부모 돌봄참여의 의미와 실천방안에 대한 교육 제공, 간호사뿐 아니라 부모를 포함하여 인식개선 활동, 전담 전문가를 지원하는 방안으로 나타났다. 본 연구의 결과를 기반으로 향후 소아중환자실에서 부모의 돌봄참여를 통합적으로 도입하기 위한 간호 중재의 개발과 효과 검증을 위한 후속 연구가 필요할 것이다.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.226-233
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• 2012

맞춤형 방문건강관리사업 담당인력의 실무적 역량 강화를 위하여 가정 방문 시 필수적으로 요구되는 대상자와의 치료적, 공감적 의사소통 및 상담 능력 향상을 위한 상담매뉴얼을 개발하고 이의 효과를 측정하였다. 상담매뉴얼은 1단계 상담준비, 2단계 신뢰형성, 3단계 진단발굴, 4단계 행동, 5단계 마무리 단계로 개발하였으며, 대상자의 상담요구에 따른 상담유형을 지지호소형, 문제해결요구형, 정보 및 조언요구형의 3가지로 분류하고 각각의 유형에 적합한 주요 상담 기법을 제시하였다. 주요 상담 기법은 지지호소형에서는 공감하기, 감정반응하기, 자기공개하기, 즉시 반응하기를, 문제해결요구형에서는 개방질문하기, 목표설정하기, 해결방안 모색하기, 요약하기를, 정보 및 조언요구형에서는 정보 제공하기, 제안하기, 해석하기 새로운 기술 가르치기를 중심으로 각각의 상담 예문을 제시하였다. 상담매뉴얼 교육 전, 후 맞춤형 방문건강관리사업 전담인력의 상담능력 향상 정도를 상담자 활동 자기효능감 척도(Counselor Activity Self-Efficacy Scales: CASES)를 이용하여 측정하였다. 측정 결과 조력기술 자기효능감과 회기관리 자기효능감 그리고 상담난제 자기효능감의 모든 영역에서 통계적으로 유의한 차이가 있는 것으로 분석되었고, 상담매뉴얼 교육을 받은 후에 맞춤형 방문건강관리사업 전담인력의 상담자활동 자기효능감이 증진된 것으로 나타났다.

• 보건행정학회지
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• 제31권1호
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• pp.24-34
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• 2021

Background: The purpose of this study is to identify factors that affect work dissatisfaction and turnover intention for dedicated nurses working in emergency departments of vulnerable areas of health care. The purpose of this study is to identify risk factors related to the working environment that influence job dissatisfaction and intention to turnover among dedicated nurses working in emergency rooms in areas of medical vulnerability. Methods: We conducted a survey of nurses working in emergency rooms in vulnerable areas of medical care, and the survey was conducted for two consecutive years. A logistic regression analysis was performed with the working environment variable as the independent variable and the work environment dissatisfaction and turnover intention as dependent variables, respectively. Results: The variables that significantly affected both dissatisfactions with the working environment and turnover intention at the current institution were age, overlapping work in other departments, and the total work experience of nurses. Annual salary, the average number of double-duty (continuous work) per month, type of work, and work experience of nurses at the current institution had a significant effect only on dissatisfaction with the working environment. Conclusion: The results of this study are thought to be of great help if the government takes reference when establishing medical policies in vulnerable areas in the future.

• 한국직업건강간호학회지
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• 제21권2호
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• pp.77-86
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• 2012

Purpose: The purpose of this study is to identify nursing professional values and job satisfaction depending on the types of personality in visiting nurses. Methods: Two hundred twenty six visiting nurses participated in this study. Data collection was conducted in 26 Public Health Centers in Korea. The Korean version of the Enneagram nursing professional values and job satisfaction was used to measure the nursing professional values and job satisfaction. Results: The most common personality is type 9, a center of the Instinctive Center where energy tends to stress outwards. There was a significant difference in nursing professional values depending on the type of personality. The type 1, 2 and type 9 had a significant difference by depending on the type of personality. There was but no difference in job satisfaction. There was a negative correlation between nursing professional values and job satisfaction by depending on the type of personality. The nurses with the type 9 and type 1 of personality showed a significant differences with the negative correlation between professional values and job satisfaction. Conclusion: The findings of this study showed the necessity of a self-understanding program to improve the working efficiency by increasing the professional values and job satisfaction of visiting nurses.

• 임상간호연구
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• 제25권2호
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• pp.107-119
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• 2019

Purpose: The purpose of this study was to investigate the welfare status of nurses and the status of fixed night shifts and flexible work arrangements in both general hospitals and advanced general hospitals in Korea. Methods: A total of 167 hospitals participated in this study, done from April to October 2018. Results: There were 103 hospitals utilizing the fixed night shift system, 22 in the two-shift system, 3 in the fixed holiday shift, 79 in the fixed shift system, and 39 in the short-time working system. The average welfare benefits for nurses increased to 33.02 million won on average. However, welfare services for the nurses were poor: 41.8% of the respondents had a nurses' lounge, 81.7% were given dormitory space at their place of employment, 41.8% had access to welfare facilities, and 56.4% were provided with welfare support countermeasures. Conclusion: The results show an increasing trend of hospitals to utilize fixed night shift and flexible work arrangements. An institutional strategy at the national policy level should be established to implement flexible work arrangements including the fixed night shift system, which has a poor level of welfare.

• 중환자간호학회지
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• 제15권2호
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• pp.39-49
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• 2022

Purpose : This study investigated coronavirus disease-19 (COVID-19) related stress, resilience, and organizational commitment, and determined the factors influencing nurses' organizational commitment at an infectious disease hospital of COVID-19. Methods : A cross-sectional descriptive survey was conducted with 138 nurses. Data analysis, including descriptive statistics, independent t-tests, one-way ANOVA, Pearson's correlations, and multiple regression analysis, were performed using SPSS 26.0 program. Results : Factors influencing organizational commitment included resilience (𝛽=0.31, p<.001), position (𝛽=0.31, p<.001), COVID-19 related stress (𝛽=-0.26, p<.001), and COVID-19 nursing period (𝛽=-0.19, p=.012). These variables explained 29.6% of the organizational commitment. Conclusion : In order to enhance the organizational commitment of nurses in infectious disease hospitals of COVID-19, active program development and intervention are required at the organizational level to improve nurses' resilience and relieve stress related to nursing infectious disease patients..