• 디지털융복합연구
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• 제17권7호
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• pp.139-146
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• 2019

본 연구는 임상간호사의 유머감각, 낙관성, 간호업무성과의 정도를 파악하고 각 변수간의 상관관계를 파악하고 간호업무성과의 영향요인을 규명하고자 하였다. S 특별시 3개 상급 종합병원에 근무 중인 간호사 183명을 연구대상자로 하였으며, 자료수집은 2018년 2월 1일부터 2018년 4월 8일까지 하였다. 유머감각, 낙관성, 간호업무성과는 통계적으로 유의한 상관관계가 있는 것으로 확인되었다. 일반적 특성 중 간호업무성과에 영향을 주는 요인은 교육수준, 교대근무, 경력이었고, 유머감각과 낙관성이 영향을 미쳤다. 이 3개 변수의 설명력은 38.6%로 나타났다. 따라서 임상간호사의 간호업무성과를 향상시키기 위하여 유머감각과 낙관성을 증진할 필요성이 있으며, 본 연구결과가 기초자료로 이용될 수 있을 것이다. 향후 간호사에게 유머감각과 낙관성 증진 프로그램을 적용하여 간호업무성과에 미치는 영향을 규명하는 연구가 필요할 것이다.

• 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.

• 문화기술의 융합
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• 제7권4호
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• pp.43-50
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• 2021

본 연구는 교대근무 간호사의 수면의 질, 스트레스, 우울 및 섭식태도의 관련성을 확인하고, 섭식태도 영향요인을 파악하기 위해 시행되었다. 연구대상자는 대학병원 교대근무 간호사 152명이며, 설문조사는 2021년 7월 1일부터 20일까지 시행하였다. 자료분석은 기술적 통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis를 이용하였다. 연구결과 대상자의 임상적 수준의 이상섭식태도는 7.9%, 잠재적 위험 수준의 이상섭식태도는 19.1%로 나타났다. 섭식태도와 우울간에는 양의 상관관계를 보였으며, 섭식태도의 영향요인은 음주(1회/월)와 우울로 나타났다. 따라서 교대근무를 하는 간호사들의 섭식태도를 개선하기 위해 우울을 예방하기 위한 방안 모색이 필요하며, 음주와 섭식태도와의 관련성에 대해서는 추후 반복 연구가 필요하다.

• 임상간호연구
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• 제28권1호
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• pp.13-22
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• 2022

Purpose: Extravasation of diagnostic and therapeutic materials might occur when the intravascular solution leaks into the surrounding tissues. Injury associated with extravasation depends on various factors. It may range from mild skin reaction to severe necrosis. However, the incidence rate for extravasation is largely unknown because of the limited reporting in Korea. Therefore, this study was conducted to identify the incidence of extravasation and nurses' attitude and knowledge of extravasation for providing high-quality nursing care. Methods: Three acute care hospitals were surveyed to estimate the occurrence of extravasation. Knowledge and attitude toward extravasation were investigated from 793 nurses working in six hospitals. Results: The incidence rate of extravasation was 0.5%. Extravasation commonly occurred in elderly patients aged 66 or older (59.9%) and internal medicine (48.2%), and it happened 13.73±20.68 days after hospitalization on average. It mostly occurred in the forearm site (52.9%) and was mainly caused by parenteral nutrition (33.6%). The mean scores of nurses' knowledge and attitude were 14.63±2.86 and 28.91±36.00, respectively. There was a significant negative correlation between the subjects' knowledge and attitude (r=-.11, p=.002). Conclusion: It is necessary to have a reporting system that can accurately monitor the occurrence of extravasation for patient safety management. In addition, it is necessary to develop a protocol that can be applied to clinical practice and a nurse education program.

• 산업융합연구
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• 제21권5호
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• pp.67-75
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• 2023

본 연구는 임상간호사의 그릿, 직무착근도에 미치는 영향에서 일과 삶의 균형의 매개효과를 확인하기 위한 서술적 조사연구이다. D시에 소재하는 4곳의 종합병원 간호사 155명을 대상으로 2022년 7월 29일부터 8월 19일까지 자가 기입식 설문지를 사용하여 자료수집 하였다. 수집된 자료는 SPSS 22.0 프로그램을 이용하여 기술통계, independent t-test, one-way ANOVA, Scheffe test, Pearson 상관계수로 분석하였다. 매개효과는 Baron과 Kenny의 3단계 계층적 회귀분석과 bootstrapping 방법으로 분석하였다. 본 연구에서 간호사의 그릿, 직무착근도와 일과 삶의 균형 간의 양의 상관관계가 있는 것으로 나타났으며, 그릿과 직무착근도와의 관계에서 일과 삶의 균형은 부분매개를 하는 것으로 확인되었다. 따라서 간호사의 직무착근도를 향상하기 위해서는 그릿과 일과 삶의 균형의 요소를 포함한 프로그램의 개발이 필요하다.

• 임상간호연구
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• 제29권3호
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• pp.337-347
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• 2023

Purpose: The objectives of this study were to categorize the conflict management types of preceptor nurses and determine the effects of these types on preceptors' role perception and core competencies. Methods: Data was collected from 192 preceptor nurses with at least two years experiences in general hospitals, from July 1 to July 31, 2022. Conflict management type, preceptor role perception, and core competency were investigated using structured instruments. The data was analyzed using K-means cluster analysis, Independent samples t-test, One-way ANOVA with Scheffé's test, and multiple regression analysis. Results: The conflict management types were categorized into four types; comprehensive type (cluster 1), integrating, obliging, compromising type (cluster 2), undifferentiated type (cluster 3) and obliging, avoiding type (cluster 4). The effect of conflict management types on preceptors' role recognition occurred in the following order of cluster 2 (integrating/obliging/compromising type), cluster 1 (comprehensive type), and cluster 4 (obliging/avoiding type). Next, cluster 1 (comprehensive type), cluster 2 (integrating/obliging/compromising type), and cluster 4 (obliging/avoiding type) were shown in the order of the impact on the core competencies of the preceptor. Conclusion: When preceptor nurses use a mixture of various attributes of conflict management evenly, they have been shown to demonstrate effective preceptor role recognition and core competencies. Therefore, it is proposed that future development of conflict management training programs for preceptor nurses should begin with identifying their conflict management type, followed by creating a program that addresses any deficiencies.

• 임상간호연구
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• 제23권3호
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• pp.302-311
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• 2017

Purpose: The purpose of this study was to examine nursing organizational culture and resilience and their effects on quality of nursing service. Methods: A cross-sectional study was conducted. A convenience sampling method was used to collect data from 199 participants who worked in a tertiary hospital in G city. Demographic and work related variables, quality of nursing service, resilience, and nursing organizational culture were measured using validated self-report questionnaires. Results: All of the participants were women and the majority were staff nurses and single. A statistically significant difference in quality of nursing service was found for age, marital status, educational level, clinical career, position and perceived health status. Age, educational level, clinical career, position, resilience, innovation-oriented culture, relation-oriented culture, and hierarchy-oriented culture were significant predictors of quality of nursing service, explaining 47% of total variance. Among the predictors, resilience was the strongest predictor, followed by innovation-oriented culture, and hierarchy-oriented culture. Conclusion: Findings indicate that quality of nursing service can be improved by raising individual nurse's resilience and advancing nursing organizational culture. Considering the identified factors, researchers and administrators need to develop and provide clinical nurses with a variety of programs to improve the quality of their nursing service.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.169-178
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• 2021

본 연구는 간호대학생의 정신간호학실습에 대한 교내실습 경험을 탐색하기 위한 질적 연구이다. 연구대상자는 강원도 소재 일 대학교에서 정신간호를 실습하는 3학년 학생 62명으로, 자료수집 기간은 2020.08.03.~08.20까지였다. 수집된 자료는 Colaizzi의 방법을 적용하여 분석하였다. 연구 결과 1) 현장경험에 대한 아쉬움 2) 배움을 통한 성취 3) 미래 간호사 역할에 대한 두려움 4) 과제 작성에 대한 부담감 5) 임상 긴장감으로부터 자유로움 6) 타 부서와의 협력의 중요성의 6가지 범주가 도출되었다. 교내실습 평가에서는 즉각적 피드백과 자세한 설명, 간접 체험의 내용이 긍정적으로 평가되었다. 이를 바탕으로 향후 교내실습의 효과적 운영을 위해서는 시뮬레이션 실습을 포함하여, 간접 체험실습, 온라인/비대면 실습, 대면실습 등의 다양한 콘텐츠가 적절히 활용되어 임상실습과의 격차를 줄이는 효율적 프로그램의 개발이 필요하다. 더불어 정신간호학 실습 교육에서는 치료적 의사소통 및 환청 중재와 같은 실무의 격차를 줄이기 위한 다각적 노력이 더욱 필요함을 제언하는 바이다.

• 대한간호
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• 제33권2호
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• pp.45-58
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• 1994

This study was conducted for the purpose of identifying the trends of nursing research and to suggest the direction of future research in the graduate levels of the study. The data was collected from 469 abstracts of master's and doctoral rapers from three graduate schools, one in Nursing, another in Education, and the other in Public Health Graduate College. The results of the study are as follows: The number of research was increased from 102 to 286 between the 1970 s and 1980's. The most frequently employed research design was descriptive studies in the master's level, but there was some balance between descriptive and experimental studies along with some qualitative approaches in the doctoral thesis. Patients were the most often studied sample group reaching 42% of the cases, though it Was noted that there was steady shift: toward the non-ratient population. With this shifting of the study sample, the places of the study also have showed some changes moving toward community. The most widely studied area was in clinical practice. Chronic illness, preventive, and health promoting areas of studies also increased in numbers. However, most of them were at the descriptive level of phenomena and only a few were concerned with cost/effective measures of nursing intervention. The number of variables studied repeatedly more than five times was 43. They were not only physical but also psychosocial aspects which imply the efforts to incorporate the whole person in nursing discipline. However, most researches with repeated studies showed little relation to previous studies, and thus little accumulation in knowledge. There was also little evidence of linkage to nursing theory in most studies of master's level. For the doctoral rapers, 17 out of 51 rapers showed specific theories related to the researches. Based on the above findings, the following suggestions were made. Various research design should be employed including case studies, historical studies, as well as qualitative approaches. There should be more effort to establish linkage between theory and research. The areas needing more attention are Korean Nursing History, Ethics in our Culture, Cost/Effective Measures of Nursing Intervention, Concept and Thory Development, and the Strategies for the Implication of the Research Results in clinical practice.

• 여성건강간호학회지
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• 제10권3호
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• pp.190-199
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• 2004

This thesis explores the actual circumstances of Korean nursing by investigating its present situations. Ultimately, the intent of this study aims to establish a future direction of Korean Nursing. As such, the current conditions of Korean nursing is analyzed in the following categories: education, practice, research, nursing policy, expansion of nursing field, and entrepreneurship. In the final conclusion, an appropriate orientation of the future of Korean nursing is discussed. There are two primary Nursing programs, a three-year(63) and a four-year(53), in Korean Nursing education. Master's programs are available at 32 nursing schools or 32 professional graduate schools. A total of 15 nursing schools have a doctoral program in Korea. The ratio of graduates between the three-year and four year programs is 76:24. Hence, it is highly encouraged to expand four-year nursing programs, because it will help raise the social status of nursing professionals as well as the quality of nursing. In the clinical nursing field, independency and self regulation are critical. As such, organizational change, implementation of a standardized nursing m information system, appropriate workforce, and improvement of the reimbursement system in nursing is recommended. In community nursing, the following should be resolved to provide better nursing services: improvement of working condition and benefits, establishment of a law enforcing the hiring of nurses, and providing continuing education. The number of nursing research has increased and nursing studies are in great quantity. However, research in practices and theories are more in demanded. Hence, research that integrates theories and practices are very significant. Ultimately, it is critical to support nursing studies that will influence nursing policy. The Korean Nurses Association(KNA) is an organization that supervises the nation's nursing policy. The primary focus of KNA is to combine the three and four year undergraduate education systems into 4 years and to establish the Nursing Practice Act. The Ministry of Health and Welfare has adapted a system to educate and certify nurse specialists in 10 nursing areas in 21 nursing graduate schools expecting high-quality nursing services and a decrease of cost. The government also allowed nurses to operate facilities for health management or welfare agencies.