• 제목/요약/키워드: Clinical social work

검색결과 159건 처리시간 0.032초

코로나19 대유행에 따른 간호사의 감염관리 피로도, 사회적 지지가 소진에 미치는 영향 (Influence of Infection Control Fatigue and Social Support on Nurses' Burnout During the Coronavirus Disease 2019 Pandemic)

  • 강희정;이미향;임효남;이경화
    • 임상간호연구
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    • 제28권3호
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    • pp.299-307
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    • 2022
  • Purpose: The purpose of this study was to understand the effects of infection control fatigue and social support on burnout among nurses during the Coronavirus Disease 2019 (COVID-19) pandemic. Methods: This study is a descriptive survey study designed to confirm the effects of nurses' infection control fatigue and social support on burnout among nurses during the COVID-19 pandemic. The collected data were analyzed using frequency, percentage, mean, standard devia analyzed using frequency, percentage, mean, standard deviation, independent t-test, One-way ANOVA, Scheffe test, Pearson's correlation coefficient, and stepwise multiple regression analysis using SPSS Statistics 26.0. Results: An analysis of the correlations between fatigue from infection control, social support, and burnout showed a positive correlation between burnout and fatigue from infection control (r=.39, p<.001), and a negative correlation between burnout and social support (r=-.29, p<.001). Conflict and lack of support due to uncertain circumstances (β=.51, p<.001), support from supervisor's (β=-.22, p<.001), and experience of infection management education during the previous 1year (β=-.15, p=.007) were identified as the factors that influenced burnout among nurses, and explained 39.0% of the variance in burnout. Conclusion: The results of this study demonstrate that fatigue from infection control and social support influence burnout levels among nurses, which suggests the need to establish a new kind of work culture. Additionally, the findings call for the development and implementation of interventional programs that can reduce fatigue from infection control and increase social support for nurses.

성격의 선천적 요인(MBTI)과 후천적 요인(PAT)의 관계특성 연구 (A Study On The Relationship Characteristics Between Inborn(Myers-Brigg's Type Indicator: MBTI) and Acquired(Personality Adaptation Type: PAT) Factors of Personality)

  • 오수희
    • 한국사회복지학회:학술대회논문집
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    • 한국사회복지학회 2004년도 춘계학술대회 자료집
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    • pp.757-779
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    • 2004
  • The purpose of study is to provide efficient initial approaches for counseling in social work practice settings. First, it attempts to identify the correlation between the Myers-Brigg's Type Indicator(MBTI), a personality index based on the theory of psychological typology, and Personality Adaptation Types(PAT) models. Second, it attempts to develop a counseling method which can be applied to the initial interview, using the paradigm of door to therapy such as "Open Door", "Target Door", and "Trap Door" based on the PAT theory. The result of the quantitative study showed the correlation between MBTI and PAT as follows: MBTI Extrovert and Feeling(E, F) type was statistically correlated to hysterical PAT. MBTI Extrovert, Intuition and Perceiving(E, N, P) type was statistically correlated to Obsessive-Compulsive PAT. In conclusion, this study finds that when a clinical social worker approaches a client with the client's MBTI personality type and an interventional personality adaptation theory approach such as "Open Door", "Target Door", or "Trap Door", the efficiency of communication is increased significantly.

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감염관리간호사의 소진과 잔류의도 경로모형 (A Path Analysis for Burnout and Intent to Stay for Infection Control Nurses)

  • 이미향;박영임
    • 임상간호연구
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    • 제21권1호
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    • pp.1-10
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    • 2015
  • Purpose: This study was done to identify the impact of emotional labor, social support, pay satisfaction and professional concept on burnout and intention to stay for infection control nurses and to identify the relationship between burnout and intention to stay. Methods: Participants were 146 nurses who consented and faithfully responded to the research questions. Data were analyzed using SPSS 18.0 and AMOS 20.0. Results: The variables affecting burnout and intention to stay in infection control nurses were identified. Emotional labor (B=.424) had a positive impact on burnout, social support (B=-.528), professional self-concept (B=-1.056) and pay satisfaction (B=-.072) had negative impacts on burnout, social support (B=.392)and pay satisfaction (B=.136) had positive impacts on intention to stay, and burnout had a negative impact on intention to stay. Conclusion: As a result, in order to reduce burnout in infection control nurses and increase their intention to stay, the infection control nurses themselves must invest in education and self-improvement to become specialists while hospitals and the government should make efforts to develop specialists by holding workshops and seminars. In addition, institutional procedures should be put in place so as to oblige hospitals to hire nurse specialists for infection control work in infection control units.

한국노인의 연구참여를 위한 동의능력평가척도의 타당성 연구 (The Validation of a Measurement for Assessing the Capacity of Korean Older Adults to Consent to Research)

  • 이민홍
    • 한국사회복지학
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    • 제61권3호
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    • pp.55-76
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    • 2009
  • 본 연구의 목적은 국내에서 노인복지연구 참여를 위한 고지된 동의과정에 동의능력평가가 활발하게 적용될 수 있도록 한국형 동의능력척도를 실증적으로 검증하는 것이다. 본 연구를 위해 재가복지서비스를 이용하거나 노인복지시설에서 보호를 받고 있는 404명의 노인을 조사하였다. 연구 1(n=202)에서는 동의능력검사척도의 신뢰도, 탐색적 요인분석, 수렴 및 기준 타당도 분석을 하였다. 연구 2(n=202)는 연구 1을 통해 수정된 척도의 신뢰도와 타당도는 내적 신뢰도, 확증적 요인분석, 수렴 및 기준 타당도 분석 등을 통해 검증하였다. 연구결과 본 척도의 내적신뢰도 계수가 .90로 높은 수준이었고, 모델 적합도 지수(RMSEA=.057, NNFI=.94, IFI=.96, CFI=.96)도 양호하게 나타났다. 또한 관련변수와의 높은 상관관계 계수를 통해 수렴 및 기준타당도가 검증되었다. 한국형 동의능력평가척도가 우리나라 노인을 대상으로 임상(clinical) 및 조사(survey)연구 참여를 위해 동의능력을 평가하는 척도로서 적합함을 통계적으로 확인하였다. 본 척도는 노인을 대상으로 수행될 연구와 프로그램에서 고지된 동의과정을 위해 활용될 것으로 기대된다.

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The Efficacy of Visual Activity Schedule Intervention in Reducing Problem Behaviors in Children With Attention-Deficit/Hyperactivity Disorder Between the Age of 5 and 12 Years: A Systematic Review

  • Thomas, Naveena;Karuppali, Sudhin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제33권1호
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    • pp.2-15
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    • 2022
  • Objectives: Children with attention-deficit/hyperactivity disorder (ADHD) tend to be noisy and violate rules with their disruptive behaviors, resulting in greater difficulties with off-task behaviors and being at risk for social refusal. The visual activity schedule (VAS) intervention program is a frequently used method to teach multiple skills involving on-task, use of schedules, transition behaviors, social initiation, independent play skills, classroom skills, and academic skills. The current systematic review aimed to examine the efficacy of using VAS intervention in reducing problem behaviors in children with ADHD between 5 and 12 years of age. Methods: Systematic searches were conducted using two electronic databases (PubMed and Scopus) to identify relevant studies published in English between 2010 and 2020. Four studies met the inclusion criteria: two studies examined the effect of schedule-based tasks and the use of an iPad on classroom skills, while the other two examined randomized clinical trials (RCTs) of psychosocial treatment for ADHD inattentive type and a cross-sectional study examined the impact of the group size on task behavior and work productivity in children with ADHD. Results: The findings indicate that the interventions used in all four studies could lead to increased satisfaction among participants and parents, as well as a reduction in problem behavior. In terms of the research indicators, the RCT had low quality, while the others were of high quality. Conclusion: A larger number of studies and the ADHD clinical population would help to increase the generalizability of future reviews of treatments in this context.

임상간호사의 감정노동과 직무 스트레스 정도 비교 (Comparison of Emotional Labor and Job Stress of Hospital Nursing Staff)

  • 한숙정;윤오순;권명순;송명선
    • 한국직업건강간호학회지
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    • 제20권1호
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    • pp.55-64
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    • 2011
  • Purpose: This study was to investigate the relationship between the level of emotional labor and occupational job stress of hospital nursing staff. Methods: The survey was conducted from Mar. to Oct. 2009 to collect data from clinical nurses (N=496). Results: The study showed that nurses without religion and those working in big-sized hospitals had higher scores in emotional labor, and those of 26~30 years old felt the highest stress in the occupational role. The same applied to the married, more work experienced, atheist and those working in big-sized hospitals. Unmarried, under educated nurses with less work experience working in the big-sized hospitals showed higher scores in personal strain. The scores of the personal resources depended on religion, work experience, marital status and position of their jobs. Emotional labor was positively correlated with an occupational role and personal strain, respectively, but the emotional labor, occupational role and personal strain were negatively correlated with personal resources respectively. Conclusion: Intervention program is required to reduce overload of nurse's role and to relieve physical and psychological strains of the under-30-age-group. Also, social support and rational/cognitive coping must be reinforced.

Fatigue and weakness hinder patient social reintegration after liver transplantation

  • Kang, So Hyun;Choi, YoungRok;Han, Ho-Seong;Yoon, Yoo-Seok;Cho, Jai Young;Kim, Sungho;Kim, Kil Hwan;Hyun, In Gun;Shehta, Ahmed
    • 대한간학회지
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    • 제24권4호
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    • pp.402-408
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    • 2018
  • Background/Aims: With improvements in the survival of liver transplantation (LT) recipients, the focus is shifting to patient quality of life (QOL), and employment is an important factor in aiding the social reintegration of LT patients. This study aims to evaluate the current employment status of liver graft recipients and various factors that may hinder reemployment. Methods: Fifty patients above age 18 who underwent either living or deceased donor LT at a single center from March 2009 to July 2016 were interviewed during their visit to the outpatient clinic. The internally developed questionnaire consisted of 10 items. The Karnofsky Performance Scale and EQ-5D were used to evaluate patient function and QOL. Results: A total of 25 (50%) patients returned to work after transplantation (the working group), and 21 (84%) patients in the working group returned to work within the first year after transplantation. In the non-working group (n=25), 17 (68%) answered that their health was the reason for unemployment. Fatigue and weakness were the most frequent symptoms. Conclusions: The data shows that as many as 50% of total patients returned to work after receiving LT. Fatigue and weakness were the most common complaints of the unemployed group, and resolving the causes of these symptoms may help to increase the employment rate.

치위생과 학생의 임상실습에 관한 의식실태조사 (Research on the Actual Condition of Consciousness that the Students in Dept. of dental hygiene have about Clinical Training)

  • 강용주;장계원
    • 한국치위생학회지
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    • 제4권1호
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    • pp.1-17
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    • 2004
  • The purpose of this study is to investigate the actual condition of consciousness that the students in Dept. of dental hygiene who will be engaged in dental hygiene at a dental office in the future have about a clinical training, to see whether there is any difference between the results, and then to provide fundamental data which can be helpful to develop more effective clinical training programs. For this, we investigated consciousness, that 114 daytime school students and evening school students(76 daytime school students and 38 evening school students) in Dept. of dental hygiene in J college have, using questionnaires on clinical training with Self-Administrated Method. SPSS 12.0 for Windows was used to analyze all of the questionnaires, and the results analyzed at meaningful level a=.05 are like followings: 1. The degree of satisfaction on clinical training was high as average 3.30 ; it was high in case of night training as 3.34, and of a dental office in a general hospital and an university hospital as 3.83. The degree of stress caused by clinical training was high as average 3.30, and it means that they are under relatively heavy pressure ; it was shown they got the most heavy stress as 3.39 at night, as 3.68 at a dental clinic 2. The students showed the highest tendency to recognize that clinical training is needed "for learning various clinical case experiences" as average 3.54 ; the students trained at daytime showed the highest average 3.55, and at a clinical hospital, the highest average 3.64. 3. In the study on an actual condition of consciousness about clinical training according to class difference by time(at day time and at night), there is meaningful difference between two kinds of class ; the students trained at day time showed average 2.68 that they don't like to attend, on the other hand the students at night showed higher average 2.84(p<.05). In the study on an actual condition of consciousness about clinical training according to the institutions they are trained, there is meaningful difference at satisfaction on learning method and amount of assignment : they show the highest degree of satisfaction on the learning method in case of working at a dental office in a general hospital and an university hospital as average 3.3(p<.0.1) ; the amount of assignment was shown most high at a dental clinic and a dental office in a general hospital and an university hospital as average 3.00 each(p<.05). 4. In the study of the degree of satisfaction on the clinical training, it has relatively high connections with learning contents(r=.656), learning methods(r=.497), special lessons and supplementary lessons(r=.472), the case they don't like attend at work (r=-.439), discriminatory treatment(r=-.25l), respectability on the senior dental hygienists(r=.464), a social status of a dental hygienist(r=.213), the degree of satisfaction from the relationship with other dental hygienists(r=.274), the degree of understanding which clinical training institutions have on the trained students(r=.494), trainers' ability to teach the students(r=.499). enthusiasm on guiding (r=.523), the amount of assignment(r=.333). 5. In the study on stress they got from a clinical training, it has relatively high connections with learning contents(r=-.399). learning methods(r=-.536), comprehension on training program(r=-.208), special lessons and supplementary lessons(r=-.306), the case they don't like attend at work(r=.467), discriminatory treatment(r=.366), respectability on the senior dental hygienists(r=-.341), a social status of a dental hygienist(r=-.l97), the degree of satisfaction from the relationship with another dental hygienists(r=-.289), the degree of understanding which clinical training institutions have on the trained students(r=-.430), trainers' ability to teach the students(r=-.396), enthusiasm on guiding(r=-.495).

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간호대학생의 임상실습 경험에 따른 간호사 이미지 비교 (A Comparison of the Nurses Image according to Clinical Practice Experience of Nursing Students)

  • 강미란;정경숙
    • 한국콘텐츠학회논문지
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    • 제17권4호
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    • pp.342-349
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    • 2017
  • 본 연구의 목적은 간호대학생의 임상실습 경험에 따른 간호사 이미지 정도를 비교하기 위함이다. 본 연구는 C시 소재 일 간호대학 학생 400명에게 설문지를 이용하여 2014년 9월 2일부터 9월 9일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 18.0 program을 이용하여 ${\chi}^2$-test로, t-test, ANOVA, ANCOVA로 분석하였다. 연구결과 간호사 이미지 정도는 임상실습 경험군 평균평점 $3.5{\pm}0.5$, 임상실습 미경험군 평균평점 $3.7{\pm}0.5$로 두 군간 유의한 차이를 보였다(F=4750.2, p<.001). 또한 간호사 이미지 하위영역의 전통적 이미지(F=3631.5, p<.001), 사회적 이미지(F=2872.5, p<.001), 전문적 이미지(F=4022.9, p<.001), 개인적 이미지(F=1812.9, p<.001) 모두 통계학적으로 유의한 차이를 보였다. 그러므로 간호대학생의 임상실습 후 간호사 이미지를 높이기 위하여 임상현장과 간호대학 뿐 만 아니라 간호사의 독자적 업무 확대를 위한 정책적 지원을 위하여 지속적인 노력이 필요할 것이다.

치과위생사의 근로생활의 질(QWL)에 관한 연구 (A study of quality of working life to dental hygienist's)

  • 오혜승;김은희
    • 한국치위생학회지
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    • 제10권2호
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    • pp.375-392
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    • 2010
  • Objectives : Dental hygienist's work satisfaction and stress affect the overall quality of work life(QWL). Therefore, this research is intended to suggest fundamental data to improve QWL by finding out characteristics of each work satisfaction and stress element. To this end, a total of 327 dental hygienists working at general hospitals, university hospitals, dental hospitals and dental clinics across Seoul, Gyeonggi and Incheon were surveyed. Results of survey are as follows. Methods : The collected data were analyzed by using an SPSS 12.0 statistical program, obtaining the following results. The collected data conducted a questionnaire survey for 327 dental hygienists who work at the hospitals, university hospitals, dental hospitals, and dental clinics located at Seoul, Gyeonggi-do, and Incheon district from January until March, 2009, and drew the conclusions as follows. Result : 1. Demographic characteristics, income from 1.5 to 1.99 million were the whole lot, more than 2 million to less than 1.5 million was similar. Marital status Married Unmarried higher than the atheist religion, Christianity, Catholicism, Buddhism, and other, respectively. Classification by level of education in the college graduate, university graduate, graduate diploma, respectively. 2. Are working in a job-related characteristics of dentistry, dental hospital, general and university hospital, respectively. The making in position, Mount, contractor, responsible, senior, was an intern in the order. The five-day workweek whether working at night and is not going to care whether the conduct was similar. Classification of working hours and 8 hours, 8 hours, 8 hours or less orderly, and total of less than 1-3 years of clinical experience, 5 years, less than one year, less than 3-5 years, respectively. 3. There comes out a significant difference according to age, income, position, gross clinical experience, and whether to put night shift into practice in job stability in terms of the quality subsequent to general characteristics(p<.05). 4. There comes out a significant difference according to marital status, one's place of work, position, whether to put a five-day workweek into practice in work environment and benefits package in terms of the quality subsequent to general characteristics (p<.05). 5. There comes out a significant difference according to age, marital status, income, position, and gross clinical experience in education & training and benefits packages in terms of the quality subsequent to general characteristics(p<.05). 6. There comes out a significant difference according to whether to put night medical treatment into practice in social usefulness in terms of the quality subsequent to general characteristics(p<.05). 7. There comes out a significant difference according to marital status, income, one's place of work, gross clinical experience, work hours, and whether to put a five-day workweek into practice in leisure activity in terms of the quality subsequent to general characteristics(p<.05). 8. There comes out a significant difference according to income, one's place of work, and position in wage level in terms of the quality subsequent to general characteristics(p<.05). 9. There was no significant difference in all items related to human relations and free communication in terms of the quality subsequent to general characteristics(p>.05). Conclusions : It is necessary to analyze factors related to work satisfaction and stress in order to improve dental hygienist's quality of work life. Hospitals must support them systematically and institutionally and related organizations must conduct practical research.