• Title/Summary/Keyword: Distribution of nurses

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Types of Anger Expression in Clinical Nurses: Q Methodology (임상간호사의 분노표현양상: Q 방법론 적용)

  • Kim, Myung Ae;Ko, Sung Hee;Park, Eun A;Park, Jeong Eon;Jung, Bok Hee;Kim, Sun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.107-117
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    • 2010
  • Purpose: The purpose of this study was to identify types and characteristics of anger expression in clinical nurses. Methods: Q methodology was used to analyze each individual participant's subjectivity on anger expression. A total of forty clinical nurses arranged 32 pre-selected Q statement cards on a 9 point scale, shaping the cards' pile into a normal distribution. Then the data from the arranged cards were analyzed using the QUANL PC Program. Results: Three types of anger expression were identified; 'reasonably overcoming', 'emotionally expressing', and 'internally mitigating' including both positive and negative aspects. Conclusion: Adequate strategies to resolve anger in clinical nurses needs to be developed according to anger expression types.

Nurses' Self-Image Perceived by Clinical Nurses: An Application of Q-Methodology (임상간호사가 지각한 간호사 자아상: Q 방법론적 접근)

  • Ha, Eun-Ho;Hyun, Kyoung Soon
    • Korean Journal of Adult Nursing
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    • v.26 no.1
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    • pp.117-128
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    • 2014
  • Purpose: The views, perceptions, and feelings of nurses themselves would be important to quality of nursing and professionalism, and turnover intentions. The purpose of this study was to identify nurses 'self-image to develop a customized program. Methods: The Q-methodology which is to create a typology was used. The 40 selected Q-statements from each of 35 participants were classified into a shape of normal distribution using a nine point scale. The collected data were analyzed using a PC-QUANL program. Results: Three types of nurses 'self-image were identified: 'proactive self-image', 'critical self-image', and 'adaptive self-image'. Two consensus items in three types were extracted: 'need to develop healing therapies to overcome the constant tension and exhaustion from work', and 'just think as a colleague than the senior-junior relationship. Conclusion: The results is the typology and this leads to further research.

Monopsony Power of General Hospitals in Nurse Labor Market (간호사 노동시장의 수요독점에 대한 연구 - 종합병원을 중심으로 -)

  • Jeong, Hyun-Jin;Yang, Bong-Min
    • Korea Journal of Hospital Management
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    • v.5 no.2
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    • pp.40-58
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    • 2000
  • Nurses are medical personnel, who play a key role in supporting patient care, so it is important to supply them adequately in balance with ever increasing medical demand. But there appears severe shortage of nurses in some hospitals because of their uneven distribution, especially in small sized-hospitals and rural-hospitals. As nationwide distorted distribution of nurses in Korea is just like what monopsony model(a kind of market structure model) tells us, it is attempted to explain this situation of nurse labor market in Korea on the basis of monopsony model and presented in this paper. Specifically, determinants of nurse wage and the level of their relative employment were examined, and monopsony impact on their wage and the level of relative employment controlling those determinants were studied. Major results of this study arc as follows. The most important determinant of nurse wage level in this study was the wage level of a local community where each hospital located Hospital owner's characteristics an educational function of each hospital were also important factors. With these factor controlled, it was found that monopsony power of each hospital was negativel associated with nurse wage level as expected. 1% increase in monopsony power of hospital(measured by Herfindah-Hirschman Index) reduced nurse wage by $5,674{\sim}19,19$ won(in Korean currency). With regard to the level of relative employment, the most important determinant wa the capacity for supplying nurses of the local community. Again, hospital owner characteristics and educational function of each hospital were also important. With these factors controlled, it was found that monopsony power of each hospital was negative associated with the number of nurses per bed, as expected. 1% increase in monopsony power of each hospital(again measured by Herfindah-Hirschman Index) reduced the number of nurses per 100 bed as much as $0.46{\sim}0.67$. In conclusion. structural factors of nurse labor market influence the instability of nurse labor supply in Korea. Further consideration for these market structural characteristics needed for policy making related to nurse resource allocation.

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Collaborative Disaster Governance Recognized by Nurses during a Pandemic (코로나19 대응 간호사가 인식하는 협력적 재난 거버넌스)

  • Rim, Dahae;Shin, Hyunsook;Jeon, Hyejin;Kim, Jieun;Chun, Hyojin;Oh, Hee;Shon, Soonyoung;Shim, Kaka;Kim, Kyung Mi
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.703-719
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    • 2021
  • Purpose: We aimed to identify collaborative disaster governance through the demand and supply analysis of resources recognized by nurses during the COVID-19 pandemic. Methods: We used a descriptive study design with an online survey technique for data collection. The survey questions were developed based on focus group interviews with nurses responding to COVID-19 and expert validity testing. A 42-question online survey focusing on disaster governance was sent to nurses working in COVID-19 designated hospitals, public health offices, and schools. A total of 630 nurses participated in the survey. Demand and supply analysis was used to identify the specific components of disaster governance during a pandemic situation and analyze priority areas in disaster governance, as reported by nurses. Results: Demand and supply analysis showed that supplies procurement, cooperation, education, and environment factors clustered in the high demand and supply quadrant while labor condition, advocacy, emotional support, and workload adjustment factors clustered in the high demand but low supply quadrant, indicating a strong need in those areas of disaster governance among nurses. The nurses practicing at the public health offices and schools showed major components of disaster governance plotted in the second quadrant, indicating weak collaborative disaster governance. Conclusion: These findings show that there is an unbalanced distribution among nurses, resulting in major challenges in collaborative disaster governance during COVID-19. In the future and current pandemic, collaborative disaster governance, through improved distribution, will be useful for helping nurses to access more required resources and achieve effective pandemic response.

A Study on the Satisfaction of Occupational Health Nursing Work Related Infuluencial in Rural Area (산업간호사의 업무수행과 직무만족도에 관한 연구)

  • Kim Sung Sil;Kone Dong youn
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.37-54
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    • 1998
  • For the purpose of investigating the job implementation of industrial health nurses catch hold of satisfaction, relational character of influence. A questionnaire survey was carried out on 131 nurses who employed at the manufacture of electronic products$(27.1\%)$, distribution industry$(38\%)$, service station$(22\%)$, construction$(10\%)$, et cetra The tool of this study was modified as completed from kang's(l991) checklist of questions were composed of the performance of nurses' duty(13 items), the factor of main influential character of nurses' job(11 items), job satisfaction(26 items). The results were as follows. 1. Industrial health nurses worked to labor follow up study after physical examination$(100\%)$, medication$(97.1\%)$, workers regular physical examination(95.5%), dressing$(94.1\%)$. 2. The factor of influence of job performance were personal relation$(100\%)$, satisfaction of nurses job performance$(86.7\%)$, environment of workplace$(86.7\%)$. 3. A period of long work experienced nurses felt the highest satisfaction as 3.44 point.

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Types of Perception toward Ethical Issues in Perioperative Nurses: Q-Methodological Approach (수술실 간호사의 윤리적 이슈에 대한 인식 유형: Q방법론적 접근)

  • Kim, Jin Nam;Jeong, Seok Hee
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.679-691
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    • 2018
  • Purpose: This study was aimed at identifying the types of perceptions of ethical issues among perioperative nurses. Methods: Q-methodology focusing on individual subjectivity was used with data collected in November 2016. Thirty-four Q-statements were selected and scored by the 35 participants on a 9-point scale with normal distribution. Participants were perioperative nurses working in advanced general hospitals and general hospitals. The data were analyzed using the PC-QUANL program. Results: A total of 35 perioperative nurses were classified into 4 factors based on the following viewpoints: self-centered (type 1), onlooking and avoiding (type 2), patient-centered (type 3), and problem-centered (type 4). The 4 factors accounted for 57.84% of the total variance. Individual contributions of factors 1, 2, 3, and 4 were 41.80%, 7.18%, 5.20%, and 3.66%, respectively. Conclusion: The major contribution of this study is the clarification of perioperative nurses' subjective perceptions of ethical issues. These findings can be used in formulating effective strategies for nursing educators, professional nurses, and nursing administrators to improve ethical decision-making abilities and to perform ethical nursing care by the appropriate management of ethical issues in everyday nursing practice.

Analysis of court rulings on involuntary manslaughter or at-fault injury due to professional negligence by pediatric nurses: a systematic content analysis study

  • Song, Sung Sook;Kim, Eun Joo
    • Child Health Nursing Research
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    • v.28 no.2
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    • pp.91-102
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    • 2022
  • Purpose: This study systematically analyzed cases in South Korea wherein nurses were prosecuted for involuntary manslaughter or injury due to professional negligence in pediatric care. Methods: We analyzed the precedents using the methodology of Hall and Wright (2008) and Austin (2010). Of the 618 cases retrieved from the Supreme Court Decisions Retrieval System in South Korea, we selected the 12 cases in which children were the victims and nurses were the defendants, using a case screening methodology. Results: The most frequent penalty was a fine, and newborns were the most frequent victims. The distribution of cases according to Austin's violation categories was: improper administration of medications (n=5), failure to monitor for and report deterioration (n=4), ineffective communication (n=4), failure to delegate responsibly (n=4), failure to know and follow facility policies and procedures (n=1), and improper use of equipment (n=1). Conclusion: To ensure the safety of children, nurses are required to teach and practice a high standard of care. Nursing education programs must improve nurses' awareness of their legal obligations. Nursing organizations and leaders should also work towards enacting effective nursing laws and ensuring that nurses are aware of their legal rights and responsibilities.

Coping Styles toward Hospital Violence in Clinical Nurses: An Application of Q Methodology (임상간호사의 병원 폭력 대처 유형: Q-방법론적 접근)

  • Ha, Eunho;Cho, Jinyoung
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.263-274
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    • 2013
  • Purpose: Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify coping styles toward hospital violence in clinical nurses using Q-methodology. Methods: Q-methodology, which analyzes the subjectivity of each type of attitude, and coping styles was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the pc-QUANAL program. Results: The results revealed four discrete groups of clinical nurses toward hospital violence: take strong action and promote the recurrence prevention, appear psychosomatic symptoms, investigate the cause and focus on prevention, and request hospital assistance and keep up my duty. Conclusion: The findings indicate that development of nursing intervention program based on the four types could beneficially contribute to the violence prevention in hospital.

Attitude of nurses to turnover: A Q-methodological approach (경력 간호사의 이직의도에 대한 주관성 연구)

  • Kim, Geun Myun;Kim, Seong Kwang;Kim, Young Eun;Lee, Mi Sun
    • Journal of Home Health Care Nursing
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    • v.29 no.3
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    • pp.339-352
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    • 2022
  • Purpose: This study explored the attitudes and characteristics of nurse turnover using Q-method. Method: The Q-population was organized through in-depth interviews with nine nurses. A total of 43 Q-samples were selected from the 126 Q-population, and 30 nurses sorted the 43 statements using the principle of forced normal distribution. The PC-QUNAL program was used for Q-factor analysis. Result: Eight turnover attitude types of nurses were found: Professional pride-oriented, Seeking recognition within the organization, Perseverance, Egocentric calculation, Reality complacency, Seeking Work-life-balance, Interpersonal dependence, and Seeking justification. Conclusion: The findings of this study can serve as the basis to understand nurses' turnover attitudes and can aid in developing nursing management strategies to increase nurse retention.

Utilization of Evidence-Based Clinical Nursing Practice Guidelines in Tertiary Hospitals and General Hospitals (상급종합병원과 종합병원의 근거기반 임상간호실무지침의 활용도)

  • Eun, Young;Jeon, Mi Yang;Gu, Mee Ock;Cho, Young Ae;Kim, Jung Yeon;Kwon, Jeong Soon;Kim, Kyeong Sug
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.3
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    • pp.233-244
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    • 2021
  • Purpose: The purpose of this study was to investigate the actual utilization of clinical practice guidelines developed by Hospital Nurses Association. Methods: The subjects were 70 nurses who were in charge of guideline distributions in 70 advanced general hospital and general hospitals with 500 beds or more nationwide. Data were collected between June and August, 2020 by mail (return rate: 88.6%). Data were analyzed using descriptive statistics, t-test, and ANOVA with SPSS/WIN 24.0. Results: Among the clinical practice guidelines developed by Hospital Nurses Association, 72.9~90.1% were placed with book and electronic file in nursing department and 24.3~35.8% were placed with book and electronic file in each nursing unit at hospital. The average number of utilized clinical practice guidelines were 3.96±3.88, and average score of guideline utilization was score 2.85±0.79 which means 'use sometimes'. Conclusion: To improve the distribution and utilization of the clinical practice guidelines, it is necessary to enhance the recognition of values of evidence based nursing practice targeting head of nursing department and to stimulate the distribution and utilization of the clinical practice guidelines using diverse education programs for staff nurses.