• Title/Summary/Keyword: 정신과 간호사

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A Study on the Influence of Servant Leadership on Change-Oriented Behaviors and Job Exhaustion with Trust toward Supervisor as a Mediator: Moderating Effects of Organizational Support (서번트 리더십이 상사에 대한 신뢰를 매개로 변화지향행동과 직무소진에 미치는 영향에 관한 연구: 조직지원의 조절효과)

  • Kwon, Hyeok-Gi;Han, Na-Young
    • Journal of Korea Society of Industrial Information Systems
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    • v.23 no.3
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    • pp.143-159
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    • 2018
  • In a changing environment of parallel management, members must respond more flexibly to customers and have the maximum service spirit, which makes servant leadership more important than the existing leadership style. This study will examine the impact of servant leadership on trust toward supervisor and the impact of trust toward supervisor on change-oriented behaviors and job exhaustion. Finally, this study will also analyze the moderating effect of organizational support in the relationship between servant leadership and trust toward supervisor. A survey questionnaire was conducted on nurses in university hospitals and general hospitals located in Busan. First, growth support, community building, and stewardship among servant leadership had a positively significant influence on trust toward supervisor but did not significantly influenced vision suggestion. Second, trust toward supervisor had a positively significant influence on change-oriented behaviors. Third, trust toward supervisor had a negatively significant influence on job exhaustion. Fourth, the interaction effect between the independent variable stewardship and moderating variable organizational support was significant on the dependent variable trust toward supervisor, but interaction effect between the independent variables that were vision suggestion, growth building, and community building and moderating variable organizational support was not significant.

A Study on the Fatigue Analysis by the Boarding Period on Training Ship (실습선 승선기간에 의한 승선 집단별 피로도 분석에 관한 연구)

  • Kim, Seungyeon;Park, Youjin;Lee, Yunsok
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.22 no.2
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    • pp.160-166
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    • 2016
  • Crew fatigue has been recognized as a major cause of maritime accidents. Systematic study on crew fatigue has a direct impact on the human factor, but the various measures being taken to prevent human error account for most of the causes of marine accidents situation are still insufficient. In this study, 128 people who have a variety of career and job types boarded the T/S Hanbada were analyzed the changes of fatigue during the 87-days a Maritime Silk Road Sailing Expedition. Crew fatigue was measured by period of time onboard classified as mental, physiological and physical changes through survey responses and individual interviews of nurses. Also, it was identified the fatigue factor through quantitative statistical analysis. As a result of repeated measures analysis of variance for the changes of fatigue in position and gender criteria in accordance with boarded period, the position-specific analysis was that Professor Rating group has appeared to feel more mental and physical fatigue than the student population. Also, the results of fatigability about the sex-specific analysis have been found that women feel more physical fatigue than men.

Education Need of the Visit ing Health Service Workers in Gwangju and Jeollanam-do Public Health Facilities (일부 공공보건기관 방문보건요원의 교육요구도 조사)

  • Kim, Young-Lak;Kim, Shin-Woel;Chung, Eun-Kyung;Choi, Jin-Su
    • Journal of agricultural medicine and community health
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    • v.27 no.1
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    • pp.51-64
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    • 2002
  • This study was aimed to provide the basic data for the development of effective educational program by reflecting the opinions of the visiting health service workers. The subjects were 144 visiting health service workers in Gwangju and Jeollanam-do area who responded the mail questionnaire. The data were collected from June to July, 2001 using questionnaire composed of the education need, knowledge by subjective appraisal, and experience of education. The major findings of this study were as follows: 1. The number of respondents who received at least one education within recent three years were 43(29.9%) at the central level, 57(39.6%) at the provincial level and 53(36.8%) at the district level. The satisfaction with education was higher at the central level than at the provincial and district level. 2. Knowledges by subjective appraisal on the 'chronic degenerative diseases management' and 'health promotion' was relatively high. while that of 'rehabilitation' was low. 3. The knowledge by subjective appraisal of visiting health service was related with experience of education and license status. The knowledge was higher in registered nurses than in nurse aids. The curricula related to increased level of knowledge of visting health service workers were 'elderly health care', 'rehabilitation' and 'psychiatric-mental health nursing' educations at the central level 'continuing education for the community health practioners' and 'psychiatric-mental health education' at the provincial level and 'elderly health care', 'rehabilitation' 'psychiatric-mental health' and 'acute diseases control' educations at the district level. 4. The respondents preferred elderly health management as the contents of education, officer group education as the method of education, province(30.4%) as the main body of education, exercise and practice as the form of education, 2-3 times per year as the frequency of education, and 3-5days as the period of education. The findings of this study could suggest that future education program should be planned to increae the knowledge level of visiting health service workers by reflecting their educational need.

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Moderating Effect of Organization Performance Recognition on the Relationship between Job Value and Organization Value of Hospital Employees (병원종사자들의 직무가치와 직장가치 인식 간의 관계에 조직성과 자각상태의 조절효과)

  • Ha, Au-Hyun;Lee, Young-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.229-239
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    • 2020
  • This study aims to provide suggestions for effective human resource management at the organization level, by considering the psychological and behavioral attributes of hospital employees. Employees at 4 general hospitals, 5 hospitals, 7 convalescent hospitals, and 7 psychiatric hospitals were surveyed. A three-step model adjustment return analysis was performed using mean centering methods to the moderating effect of organizational performance recognition, for analyzing the relationship between job value and organization value. Assessing the relationship between job value and organization value revealed that awareness of customer response effort and awareness of hospital image has a moderating effect amongst hospital nurses. Considering the administrative employees of hospitals, awareness of customer response effort had negative moderating effect, whereas awareness of hospital image had positive moderating effect. In nurses of convalescent hospitals, awareness of customer response effort had positive moderating effect, but awareness of growth and competitiveness, and awareness of hospital image, had negative moderating effect. Taken together, our results indicate that depending on the hospital type and occupation, the effect of adjustment of organizational performance recognition when considering the relationship between job value and recognition of organization value by hospital employees, is varied.

Historical Review of Modern Public Health Nursing (근대 보건간호의 역사적 고찰)

  • Lee, Bong-Suk;Han, Young-Ran;Yang, Sook-Ja
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.114-124
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    • 2018
  • Objectives: The purpose of this study is to examine the modern history of public health(PH) and suggest a way forward for PH nursing(PHN). Methods: This paper is a review article that derives results from literature review. Results: In the period of beginning (up to 1944), PHN began as the PH Department was created in the Hygiene Bureau in 1908 and tasks about nurses were legislated. PHN was limited to infectious disease tasks and performed mostly by missionaries. In the period of foundation formation (1945 to 1961), the Republic of Korea was founded, and PH policies and tasks were defined with the establishment of the central government organization and the applicable laws. In the period of foundation establishment (1962 to 1979), the Regional PH Act was amended, and as a result, PH Centers(PHCs) spread across the country. In the period of foundation expansion (1980 to 1994), the PH referral system of PHCs, PH Units, and Primary Health Care Post was established. In the period of organization in each area (1995 to 2005), PH programs reflecting changes in disease structure and public needs for the quality of life. A regional health care plan was launched. In the period of funtion expansion (2006 to present day), Centers for support health living were established. Conclusions: In the future, PH nurses need to have a macroscopic perspective that views PH through the overall PH system, and to expand from the existing healthcare concept to the national and global healthcare one.

Professional Self-concept of Psychiatric Mental Health Nurse Practitioners in Hospitals and Public Health Centers (병원과 지역사회에 근무하는 정신보건간호사의 전문직 자아개념)

  • Yang Soo;Yu Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.351-362
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    • 2001
  • This study was conducted to investigate and compare the degree of professional self -concept (PSC) of the psychiatric mental health nurse practitioners (PMHNP) in hospitals and public health centers and to identify the factors predicting PSC of them, in order to provide basic data for developing PSC increasing program PSC. The 355 PMHNP were sampled from the university or general hospitals. mental hospitals, community mental health centers and public health centers across the country. The scales used in this study were PSCNI by Arthur (1990), PSI by Heppner & Petersen (1982) and the Index of work satisfaction by Slavitt et al. (1978). The results of the study were as follows : 1. The average item score of PSCNI of PMHNP in hospitals was $2.83\pm0.27$, and that of PMHNP in public health centers was $2.76\pm0.28$. There was significantly different between two groups (p=0.0202) 2. A comparison of the scores for the dimensions of the PSCNI were as follows ; the mean item score of professional practice of nurses in hospital was $2.90\pm0.30$, and that in public health centers was $2.83\pm0.35$. There were significant differences between two groups in the scores of professional practices (p=0.0315), leadership (p=0.0071) and skills (p=0.0231). 3. There were significant differences between two groups according to education (p=0.0057) with no significant interaction effect of group and education. 4. Job satisfaction (JS) was the highest factor predicting PSC of PMHNP in hospitals $(34.5\%)$, and problem solving inventory score (PS) was the highest factor predicting PSC of PMHNP in public health centers $(33.6\%)$. JS and PS accounted for $42.6\%$ in PSC of PMHNP in hospitals. and PS, JS, age, marital status, religion, and career accounted for $57.6\%$ in PSC of PMHNP in public health centers. In the light of these results. to gam the professional self-concept. nurses should be educated continuously through role modeling in clinical nursing and research. Also, nurse educators and administrators need to develop programs and policies to increase professional self-concept of nurses, particularly of community PMHNP.

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A Study of Professional Attitudes and Mental Health of Clinical Nurses (임상 간호사의 간호전문직 태도와 정신건강에 관한 연구)

  • 한경순;염순교;조주연;정연강
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.364-376
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    • 1997
  • This study was made to analyse the nursing professional attitudes and mental health of clinical nurses in order to promote good mental health and positive attitudes. The 150 subjects obtained from 3 hospitals in Seoul completed a self-report questionnaire. Demographic data was collected in addition to data about nursing professional attitudes and mental health. The data was analyzed by SAS, t-test, scheffe's test, pearson's correlation and the GLM procedures. The results of the data analysis as follows : 1) Nursing professional attitudes were positive (MS=3.76) 2) Mental health was shown to be satisfactory (MS=0.65) 3) The relationship between nursing professional attitudes and mental health of the subjects were shown to be significant according to the professional education level with depression(r=-0.19, p=0.03/sup */), anxiety(r=-0.23, p=0.01/sup **/), hostility(r= -0.19, p=0.03/sup */), phobicanxiety(r=-0.18, p=0.04/sup */), but there was a significant difference according to the pursit of social profit with anxiety(r=-0.17, p=0.03/sup */). There was a significant difference according to autonomy with somatization(r=-0.23, p=0.01/sup **/), obsessive-compulsive(r=-0.22, p=0.01/sup **/), depression(r=-0.20, p=0.02/sup */), anxiety(r=-0.17, p=0.05/sup */). Finally, There was a significant difference according to ethics with hostility(r=-0.17, p=0.05/sup */). 4) According to nursing professional attitudes and demographic fators there was a significant difference in the professional position(t=2.01, p=0.05/sup */), work location(f=4.99, p=0.01/sup **/), length of employment (f=3.66, p=0.03/sup **/). 5) The nursing professional attitudes and occupational factors showed a positive correlation with the anticipation of length of employment (t=2.00, p=0.05/sup */). 6) According to Mental health and dmographic factors there was a significant correlation with the professional position(t=-2.21, p=0.03/sup */). 7) According to mental health and occupational factors there was a significant difference correlation. Based on the study results, the following recommendation are made : 1) Nursing education curriculum should be developed for the continuous promotion of mental of professional nurses. 2) Follow up study of identification of the variables which positively influence professional nurses attitudes.

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The Effects of Emotional Labor, Burnout on Job Stress and Job Satisfaction of Nursing Home Workers : Focusing on Care Experience of Dementia Patients (요양원 종사자의 감정노동, 소진이 직무스트레스 및 직무만족에 미치는 영향 : 치매환자 돌봄 경험을 중심으로)

  • Lee, Deok-Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.382-393
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    • 2018
  • Patients with dementia are increasing steadily and becoming a social problem. Care workers in hospitals are increasingly interested in emotional labor. Therefore, this study examines the caregiving experience of dementia patients in the nursing home. The effects of emotional labor and exhaustion of nursing home workers on job stress and satisfaction were analyzed and the moderating effect of care experience was analyzed. The results of the study are as follows. First, the caregiver experience of the nursing hospital workers showed the initial mind, the perception of the early dementia patients, the difficulties, the physical and mental limitations, the satisfaction, the experience through nursing practice, and the change of mind about life. Second, emotional labor and burnout have positive effects on job stress. Care experience reduced the impact of emotional labor and exhaustion on job stress. Finally, the relationship between job stress and job satisfaction showed positive influence.

Advances in Hospice and Palliative Care in Japan: A Review Paper

  • Mori, Masanori;Morita, Tatsuya
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.283-291
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    • 2016
  • Over the past decade, hospice and palliative care in Japan have progressed rapidly under the national policies supported by the Cancer Control Act. The numbers of palliative care units/inpatient hospices, hospital palliative care teams, and clinics with a home hospice function have been steadily increasing. The increasing numbers of physicians, nurses, and pharmacists have been certified as specialists in palliative care by national associations. Collaborative efforts have been made to standardize and disseminate educational programs and training opportunities in undergraduate, postgraduate, and continuing medical education. Research activities in Japan have markedly contributed to the growing body of evidence, especially in the fields of terminal delirium, terminal dehydration, palliative sedation, care for dying patients, prognostication, communication, psycho-oncology, and regional palliative care programs. This review focuses on major palliative care settings, specialty, national associations, education, and research in palliative care in Japan.

Relationship between Job Stress Contents, Psychosocial Factors and Mental Health Status among University Hospital Nurses in Korea (대학병원 간호사의 직무 스트레스 및 사회심리적 요인과 정신건강과의 관련성)

  • Yoon, Hyun-Suk;Cho, Young-Chae
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.351-362
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    • 2007
  • Objectives: The present study was intended to assess the mental health of nurses working for university hospitals and to establish which factors determine their mental health. Methods: Self-administered questionnaires were given to 1,486 nurses employed in six participating hospitals located in Daejeon City and Chungnam Province between July 1 st and August 31st, 2006. The questionnaire items included sociodemographic, job-related, and psychosocial factors, with job stress factors (JCQ) as independent variables and indices of mental health status (PWI, SDS and MFS) as dependent variables. For statistical analysis, the Chi-square test was used for categorical variables, with hierarchical multiple regression used for determining the factors effecting mental health. The influence of psychosocial and job-related factors on mental health status was assessed by covariance structure analysis. The statistical significance was set at p<0.05. Results: The factors influencing mental health status among subject nurses included sociodemographic characteristics such as age, number of hours of sleep, number of hours of leisure, and subjective health status; job-related characteristics such as status, job satisfaction, job suitability, stresses such as demands of the job, autonomy, and coworker support; and psychosocial factors such as self-esteem, locus of control and type A behavior patterns. Psychosocial factors had the greatest impact on mental health. Covariance structure analysis determined that psychosocial factors affected job stress levels and mental health status, and that the lower job stress levels were associated with better mental health. Conclusions: Based on the study results, improvement of mental health status among nurses requires the development and application of programs to manage job stress factors and/or psychosocial factors as well as sociodemographic and job-related characteristics.