• Journal of Korean Biological Nursing Science
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• 제21권4호
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• pp.300-307
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• 2019

Purpose: The purpose of this study was to provide basic data on the infection prevention management program, which is one of the infectious disease control program by identifying the prevalence and risk factors of latent tuberculosis infection (LTBI) in healthcare workers. Methods: We surveyed a total of 3,046 LTBI test results, including those of 2,269 existing staff and 777 new employees. An interferon-gamma release assay (IGRA) for the diagnosis of LTBI was performed using QuantiFERON^®-TB Gold In-Tube (QFT-IT). The risk factors of LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 16.0% (487/3,046). The prevalence of LTBI in the existing staff was 17.9% (406/2,269) and the prevalence of LTBI in new employees was 10.4% (81/777). Multivariate logistic regression analysis revealed that the risk factors of latent tuberculosis infection among the existing staff were gender, age and work period wheres, the risk factor amongst the new employees depended on their age. Conclusion: The LTBI was not related to the type of occupation and work unit. Therefore, while establishing an infection control program for the prevention of tuberculosis infection at medical institurions, institutional heads and infection control experts should encompass a policy for all the employees.

• Safety and Health at Work
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• 제15권1호
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• pp.102-109
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• 2024

Background: In today's modern world, longer working hours, shift work, and working at night have become major causes of the disruption of our natural circadian rhythms. This study aimed to investigate the effects of the type of shift work (rotating vs. fixed day), duty period (on-duty vs. off-duty), and working period within each shift (nighttime vs. daytime) on the circadian rhythm characteristics of nurses who provide direct patient care. Methods: This cross-sectional study used a purposive sampling method. Cosinor analysis was applied to analyze the actigraphy data of nurses providing direct patient care for seven consecutive days. The linear mixed effects model was then used to determine any variances between shift type, duty period, and working period within each shift for the nurses. Results: The mesor value did not differ according to nurses' shift type, duty period, and working period within each shift. The amplitude was statistically higher in on-duty nurses and in daytime working hours. The acrophase was significantly delayed in nighttime working hours. As well as nurses in rotating shift had experience. Conclusion: Our findings revealed that the peak activity of nurses occurs significantly later at night while working and nurses working during nighttime hours may have a weaker or less distinct circadian rhythm. Thus, this study suggests that limits be placed on the number of rotating nighttime shifts for nurses.

• 간호행정학회지
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• 제3권2호
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• pp.95-107
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• 1997

간호학의 독자적인 지식체계의 구축을 위해서는 먼저 간호 연구가들의 간호철학 정립이 필요하다. 그러한 간호철학 정립을 워해 우선 간호학의 본질과 영역 그리고 간호학의 학문적 특성을 밝히는 것이 필요하다. 이 연구의 목적은 소외의 개념과 소외가 발생되는 상황 및 마르틴 부버의 사상을 이해하는 것이다. 이러한 개념들의 이해는 간호사들이 상호작용과 관계에 대한 문제점을 깨닫게 하여 관계와 상호작용을 향상시키게 된다. 소외는 현대 사회의 중요한 문제로 문화적 소외, 정치적 소외, 경제적 소외 기술과 기계에 의한 소외, 종교적 소외 등이 있다. 소외극복을 위한 간호의 한 방안으로 마르틴 부버의 관계사상에 기초를 둔 참된 만남의 상호관계 및 돌봄이 필요하다. 마르틴 부버 사상의 본질은 "너와 나" 관계이며 너와 나 관계는 5가지 특성이 있다. 1) 상호성 2) 직접성 3) 현재성 4) 강렬성 5) 표현불가능성 의료기술이 발전되고 복잡해짐에 따라 환자상태를 사정하는데 가계에 의존하며, 기계의 성능과 기계의 관리에 촛점이 맞추어지면서 환자와의 의미있는 의사소통은 점점 더 적어지는 결과를 낳게 되었다. 이러한 문제점 해결을 위해 의료진과 환자와의 "너와 나" 관계가 중요한데, 이 관계에는 의료진이 환자에게 성실하게 관심을 가지고 존경심과 온화함으로 대해야함이 포함되어야 한다. 궁극적으로 이 연구가 "나와 너" 관계개념에 대한 이해를 돕고 간호교육의 간호철학 정립을 위한 기초자료가 되기를 바라는 바이다.

• 한국학교ㆍ지역보건교육학회지
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• 제21권2호
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• pp.15-26
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• 2020

Objectives: The aim of this study was to investigate the education status, knowledge, and perception of oral care among senior nursing students from Republic of Korea who completed all four curricular courses of Introduction to Nursing, Pediatric Nursing, Adult Nursing and Gerontological Nursing in order to provide basic data for effective oral care of inpatients. Methods: A questionnaire survey was conducted for 137 senior nursing students in the Seoul and Gangwon regions who were selected by convenience sampling. The questionnaire consisted of questions about the perception of oral care. A frequency analysis was conducted to analyze education status, perception, and general characteristics of participants. In addition, independent t-test and one-way analysis of variance were conducted to assess differences in the knowledge level according to the characteristics of the students. A p-value less than 0.05 was statistically significant. Results: The study results revealed that 63.5% of the respondents received education on oral care, with 67.8% of them receiving the education during their regular curriculum. Of the responders who said they received education, 41.4% said that education was not enough. Furthermore, the majority of respondents (56.9%) considered dental hygienists to be most suitable for the administration of oral care for inpatients. Conclusion: This study revealed nursing students' positive perceptions of the importance of oral care and dental hygienists'performance of oral care for inpatients. Consideration should be given to healthcare workers in various professions for improving oral health in inpatients, as well as for further study of oral care in the curriculum.

• 한국간호교육학회지
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• 제14권1호
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• pp.98-107
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• 2008

Purpose: The purpose of this study was to provide basic data which is necessary for educating nursing and medical students for establishing a desirable sense of ethics values Method: In this descriptive research, a total of 140 nursing students and 124 medical students were selected. The tools used for data analysis were descriptive statistics, t-test, one-way ANOVA, and Scheffe test by using SPSS/WIN 12.0 version. Result: When the differences in the consciousness of biomedical ethics of nursing and medical students were compared, statistically significant differences were found in the category of brain death (t=-3.26, p=.001). Statistically significant differences were found in the general characteristics of religion (F=3.05, p=.018), and participation in religious activity (F=3.34, p=.006). Statistically significant differences were found in the characteristics related to the subjects' ethical values such as satisfaction level of a nurse/doctor (F=7.39, p=.000) occupation, the experience of A Patient's Bill of Rights (F=2.97, p=.020), the intention to attend biomedical ethics (F=5.61, p=.000), and the possibility of increasing ethical problems according to the development in the field of medical science (F=7.92, p=.000). Conclusion: An effort should be made to overcome the differences in the perception of biomedical ethics between nursing students and medical students. Moreover, when investigating the course of an integrated education for the establishment of a desirable sense of biomedical ethics, an alternative plan that could promote ethical values must be considered so that the significant variables can promote bioethical perception.

• 디지털융복합연구
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• 제15권1호
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• pp.339-346
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• 2017

본 연구는 간호대학생을 대상으로 임상실습 중 경험하는 무례함, 전공만족도, 자기효능감 및 소진간의 관계를 알아보고, 질적인 임상실습을 위한 기초자료를 제공하기 위하여 시도되었다. 본 연구는 상관성 조사연구로서, 간호학과에 재학 중인 임상실습 경험이 있는 간호대학생 4학년 210명을 대상으로 실시하였으며, 자료수집기간은 2016년 10월 1부터 10월 15일까지였다. 자료는 SPSS Program20.0을 이용하여 Correlation coefficient, regression으로 분석하였다. 간호대학생이 경험한 무례함은 소진과 정적 상관관계를, 전공만족도 및 자기효능감은 소진과는 부적 상관관계를 나타냈다. 간호대학생의 소진에는 무례함, 전공만족도, 자기효능감이 영향력을 나타냈다. 결론적으로 무례함을 감소하기 위한 병원과 학생, 임상실습지도자 및 병원의 유기적인 관계형성 및 대처 능력 향상을 위한 방안이 필요하다.

• 문화기술의 융합
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• 제5권1호
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• pp.59-66
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• 2019

본 연구는 간호학생의 윤리적 가치관에 의무론과 공리주의가 윤리적 가치관 확립에 미치는 영향을 파악하여 기초자료를 제공하기 위하여 시행되었다. 자료 수집은 2018년 5월 14일부터 6월1일까지 D지역에 소재한 일개 대학교 간호학과 학생 180명을 대상에게 연구를 설명 후 동의한 학생을 대상으로 하였다. 수집된 자료는 SPSS 21.0 program을 이용하여 일반적 특성은 기술통계를 사용하여 실수와 백분율로 나타내고, 대상자의 인구학적 특성과 간호 관련 특성에 따른 차이를 확인하기 위하여 independent t-test, ANOVA 로 분석하고 사후검정은 $Sch{\acute{e}}ffe$ 사후 검정을 실시하였다. 간호학생의 윤리적 가치관은 150점 만점에 $97.51{\pm}8.96$점 인 것으로 나타나 의무론의 입장에 기울어져 있는 것으로 나타났다. 1학년 학생들은 의무론적 입장이 더 우세했으며 학년이 높아질수록 공리주의 입장으로 더 기울어지는 것으로 나타났다. 결과를 토대로 임상현장에서 있을 여러 가지 간호딜레마 상황에 놓였을 때, 철학적인 사고를 통한 따라 윤리적 의사결정을 할 수 있도록 윤리적 가치관 확립에 교육 개발이 필요하다.

• 산업융합연구
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• 제16권3호
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• pp.23-32
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• 2018

간호대학생의 감성지능, 회복탄력성, 외상 후 성장과 의사소통능력 간의 관계를 알아보고 간호대학생의 의사소통능력에 영향을 미치는 요인을 파악함으로써 의사소통능력을 향상시키기 위한 방안을 강구하는 기초자료로 이용하고자 시행된 서술적 조사연구이다. 자료수집은 2017년 4월부터 5월까지이며 연구대상자는 D시에 소재한 대학의 간호대학생 296명이다. 연구결과는 간호대학생의 감성지능, 회복탄력성, 외상 후 성장, 의사소통능력 네 변수 간에는 모두 통계적으로 유의미한 정(+)의 상관관계가 있었다. 또한 감성지능, 회복탄력성, 외상 후 성장 정도가 증가할수록 의사소통능력이 높아졌고 회귀모형의 설명력은 51.9%였다. 결론적으로, 간호사로서 환자와의 치료적 관계를 수립하기 위해 간호대학생의 의사소통능력을 향상시키는 전략으로 감성지능, 회복탄력성 및 외상 후 성장 정도를 향상하기 위한 노력이 필요하다.

• 임상간호연구
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• 제29권3호
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• pp.296-311
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• 2023

Purpose: This study aimed to identify factors related to the workload of intensive care unit nurses through a systematic literature review and meta-analysis to provide basic data to explore the direction of development of nursing staffing standards. Methods: This study involved quantitative studies about nurses working in intensive care units related to nursing workload published in English or Korean since 2000. Search terms included 'intensive care unit', 'nursing workload', and their variations. Databases such as RISS, DBpia, MEDLINE(PubMed), CINAHL, PsycINFO, and Web of Science were utilized. Quality assessment was conducted using the Joanna Briggs Institute's Critical Appraisal Checklist for Analytical Cross-Sectional Studies. JAMOVI software facilitated the analysis of effect sizes, employing a meta-analysis approach for 7 studies with correlational or regression data. Results: From 16 studies on the workload of intensive care unit nurses, a total of 20 patient and nurse-related factors were identified. Patient-related factors included severity of illness, length of stay, and age. Meta-analysis was conducted for three patient-related factors: age, severity of illness measured by SAPS 3, and length of stay. Only severity of illness measured by SAPS 3 was significantly associated with nurse workload (Zr=0.16, p<.001, 95% CI=0.09-0.24). Conclusion: In previous studies, the characteristics of intensive care units and patients varied across studies, and a variety of scales for measuring workload and severity of illness were also used. Sustained research reflecting domestic intensive care unit work environments and assessing the workload of intensive care unit nurses should be imperative.

• 간호행정학회지
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• 제9권3호
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• pp.337-352
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• 2003

Purpose: The purpose of this study is to analyse research trends related to the evaluation of quality of nursing, thereby obtaining basic data relating to the identification of current situation of instrument development of quality of nursing, and of future research orientation and to the development of performance index of nursing organization. Method: The data were collected from June to December, 2002 through the review of total of 32 research papers which had evaluated quality of nursing among published papers in Korea from 1976 to August 2002. The analysis was done in terms of research period, the periodicals in which research papers were published, domains and the approaches of evaluation of nursing quality. The content analysis of lowest-level items amounting was performed using NIC developed by McCloskey & Bulecheck(1998) and consequential indices of quality of nursing developed by Chi(1995). Results: Twenty-three of 32 papers(71.8%) turned out to be published after 1995, indicating surging interest in the evaluation of quality of nursing from the mid 1990s. Also, ten of 12 research papers dealing with subjects' diseases were published after 1995. In content analysis of lowest-level items of the process-oriented evaluation of quality of nursing, the highest nursing intervention was patient education about procedure and treatment; followed in descending order by patient education about disease process, strengthening of communication, managing environment, infection control, admission care, defecation and urination care. In content analysis of lowest-level items of the outcome-oriented evaluation of quality of nursing, items of physical and psychological state, of patient and family satisfaction, of knowledge and home care, of change of patients' state, of addressing nursing issues, and of patient recovery were the outcome indicators in more than 60 percent research papers. Conclusion: The findings provided the foundation for their effective use in nursing practice with comparing and presenting various core evaluation items representing process and outcome domains.