• Title/Summary/Keyword: Emergency Nurses

검색결과 374건 처리시간 0.023초

연하장애를 가진 노인에 대한 노인요양시설 간호사의 경험: 포커스 그룹 연구 (Nurses' Perception and Experiences at Nursing Home Residents with Dysphagia: Focus Group Interviews)

  • 박연환;장희경;방활란;이진이
    • 재활간호학회지
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    • 제16권2호
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    • pp.112-121
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    • 2013
  • Purpose: This study aimed to describe Korean nursing home nurses' perceptions on dysphagia management and their working experiences of older adults with dysphagia. Methods: Using a purposive sampling design, 23 eligible nurses were interviewed as four focus groups from 4 facilities out of nursing homes. The qualitative data from focus group interviews were analyzed using thematic analysis to classify common themes into larger categories. Results: Two main themes on the attributes of caring nursing home residents with dysphagia were 'Need for nursing resources' and 'Need for support'. In addition, four subthemes emerged as a result of analysis: 'need for nursing protocols for assessing and managing dysphagia', 'need for emergency care skills of nurses and nurse assistants', 'need for prompt and accurate management by cooperation of physicians and therapists', and 'need for partnership upon comprehension of visiting family members concerning dysphagia'. Conclusion: Nursing home nurses fully recognized the importance of dysphagia management; however, they experienced substantial barriers due to lack of adequate nursing protocols or partnership with family caregivers, insufficient training for emergency care, and deficient support from medical staff. Development of nursing guidelines tailored to the nursing home context and based on partnership among medical experts and family caregivers is needed.

일 종합전문요양기관 간호사의 핵심역량 도출 및 근무지 특성별 중요도 인식 비교 (Defining the Core Competencies of the Nurses in A Tertiary Hospital and Comparing Different Units based on Their Respective Characteristics)

  • 성영희;정정희
    • 간호행정학회지
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    • 제12권1호
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    • pp.76-93
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    • 2006
  • Purpose: The purpose of this study was to define the core components required of nurses to provide quality nursing care to patients and analyze the significance of these components in the hospital's various units to maintain a high level of competence among nurses. Method: The study evaluated 3 categories included 35 subcategories with 148 core components that were derived from literature review and interviews of nursing professionals. The nursing professional category included 18 subcategories with 98 components, the organizational culture category included 4 subcategories with 16 components, and the temperament-attitude category included 13 subcategories with 34 components. The study included 335 nurses with more than one year of hospital experience and measured disparities among different hospital units. The data was analyzed with SPSS-Win 10.0, differing perceptions of the importance of general traits among the participants were measured using standard deviation, and differing perceptions of the importance of professional traits among the participants were assessed using ANOVA and subsequently with the Bonferroni Test. The reliability of the aforementioned research tools were evaluated using the Cronbach's ${\alpha}$. Result: The results of the study were as follows: 1. Among the three categories, temperament-attitude category was perceived to be the most important, followed by nursing professional category and organizational culture category. Among the ten most important subcategories within the three categories, safety and infection prevention as well as responsibility were perceived to be the most important, followed by promotion of physiologic adaptation, document management and presentation, self-control, ethics, observance law, coping with emergency, humanity, and medication. 2. The relative importance of category associated with the core competencies within the hospital unit were as follows : 1) The units that rated nursing professional category as being the most significant were: internal medicine, surgical unit, mother-child unit, emergency room, intensive care unit, and operating room, in that order. 2) The units that rated the organizational culture competencies as being the most significant were: mother-child unit, internal medicine, surgical unit, emergency room, operating room, and intensive care unit, in that order. 3) The units that rated temperament-attitude category as being the most significant were: internal medicine, surgical unit, emergency room, mother-child unit, operating room, and intensive care unit, in that order.

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학교보건교사를 위한 치과 응급처치 교육의 효과 (Effectiveness of Dental Emergency Education for School Nurses)

  • 양선미;김재환;최남기;임회순;김선미
    • 대한소아치과학회지
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    • 제44권1호
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    • pp.38-46
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    • 2017
  • 교내에서 학생들의 치과적 외상은 흔하며 일반교사들보다 보건교사들이 외상의 일차적인 처치를 담당한다. 본 연구는 광주, 전남지역의 초, 중, 고등학교 보건교사들을 대상으로 어린이들의 치아외상시의 대처 방법에 대한 지식수준을 조사하고, 치과 응급처치에 대한 교육을 시행한 후 그 효과가 어느 정도인지를 알아보고자 하였다. 본 연구에 참여한 보건교사는 194명으로 치아외상교육 전후에 설문지를 배분하였다. 설문지는 일반적인 사항, 치아외상이 일어난 상황에서의 태도 및 지식에 관한 질문을 포함하고 있다. 치과 응급처치 교육을 시행한 후 적절한 응급처치, 치아의 완전 탈구 시에 치과 내원시간, 재식여부, 치아 운반방법, 파상풍백신 접종여부와 치아 아탈구 및 파절시의 파절편의 재접착 가능 여부 및 처리법에 관한 항목에서 보건교사들의 응급처치에 대한 지식수준이 향상되었다. 따라서 보건교사의 치과적 응급처치에 관한 지식수준향상을 위한 주기적인 교육의 시행이 요구된다.

병원간호사 이직의도에 관한 문헌 분석 (A Review of Research on Hospital Nurses' Turnover Intention)

  • 김종경;김명자
    • 간호행정학회지
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    • 제17권4호
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    • pp.538-550
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    • 2011
  • Purpose: The purpose of this study was to review articles, thesis and dissertation on turnover intention of hospital nurses in order to identify overall trends in turnover intention of nurses and suggest strategies for reducing turnover intention. Method: Thirty research papers on turnover intention of nurses were reviewed. Result: These papers were journal articles and thesis regarding nurses who worked in general wards, intensive nursing units, and emergency rooms in hospital. The tools used to measure turnover intention were Lawler (1983), Mobley (1982), and Lee (1995), and others. Most of tools were composed of 1-11 items, with 4-7 point Likert scales. Reported reliability was .55 to .91. The mean score for turnover intention was between 2.40 and 3.85. The important results revealed that job satisfaction, organizational commitment, and stress affected turnover intention of hospital nurses. Conclusion: The findings from this review indicate that to reduce turnover intention for hospital nurses, a nurse manager should increase job satisfaction, organizational commitment, and reduce stress by developing a good culture and work climate. Moreover it is necessary to assess stress and job satisfaction of nurses, and to manage nurses' welfare, including night duty policy, salary, and career ladder.

Parental satisfaction with pediatric emergency care: a nationwide, cross-sectional survey in Korea

  • Jang, Hye Young;Kwak, Young Ho;Park, Ju Ok;Kim, Do Kyun;Lee, Jin Hee
    • Clinical and Experimental Pediatrics
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    • 제58권12호
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    • pp.466-471
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    • 2015
  • Purpose: This study attempted to examine parental satisfaction with pediatric emergency care (PEC) in Korea and investigate the features influencing overall satisfaction. Methods: A nationwide, cross-sectional survey was conducted among parents who had taken their children to an Emergency Department (ED) in the three years prior to the study. A 21-item, structured questionnaire was administered to the parents through a web-based system. Participants' satisfaction levels and the strength of the association between PEC components and overall satisfaction were rated using a 7-point Likert scale. Results: In total, 1,000 parents participated in the survey, of which 402 (40.2%) stated that they were generally satisfied with the delivered PEC. Female participants, mothers, and parents with low-acuity patients were more likely to be dissatisfied with the delivered PEC. Although the ED environment was the lowest level of satisfaction, it did not significantly influence the respondents' overall levels of satisfaction. The most influential factors in terms of overall satisfaction were "nurses' professionalism" and "doctors' attitude and proper explanation". Conclusion: Parents' overall level of satisfaction with PEC is relatively low and is closely related to factors associated with ED personnel.

A Study on Job Stress and Emotional Burnout of Clinical Nurses

  • Park, Junghee;Han, Woosok;Lee, Mihyang;Kim, Jinkyung
    • International Journal of Advanced Culture Technology
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    • 제10권3호
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    • pp.18-24
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    • 2022
  • This study attempts to provide basic data for the development of manpower maintenance programs by checking the degree of job stress and emotional burnout for nurses working in a university hospital and identifying factors affecting emotional burnout. Data were obtained through a structured questionnaire survey conducted on 187 nurses. The average score for job stress of nurses was 2.50 (range 1 to 4) and emotional burnout was 3.29 (range 1 to 5). The factors affecting emotional burnout were occupational climate, job demand, job insecurity, and lack of reward, which accounted for 44% of explanatory power. In order to reduce the emotional burnout of nurses, the management of medical institutions needs administrative and financial support. Further, it is necessary to improve the organizational culture regarding job assignment through job analysis, employment security, and a performance-based reward system.

간호사의 아동학대 신고의도 영향요인 (Predictors of Intention to Report Child Abuse among Nurses)

  • 김진선;박경숙
    • Child Health Nursing Research
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    • 제11권2호
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    • pp.211-220
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    • 2005
  • Purposes: The purposes of this study were to examine knowledge related to child abuse, attitudes toward child abuse, and intention to report child abuse and to identify the predictors of nurses' intention to report child abuse. Method: A descriptive-correlational study was conducted. Participants were 171 nurses who worked in the pediatric or emergency rooms in G city. Self-administered questionnaire was used for data collection. Descriptive statistics, t-test or ANOVA, Pearson correlation, and stepwise multiple regression analysis were used for data analysis. Results: Nurses had a limited knowledge related to child abuse. Nurses had negative attitudes toward child discipline, were inclined to punish the abuser, and had positive attitudes about professional responsibility for reporting child abuse. Nurses perceived difficulty in the actual behavior of reporting child abuse. Nurses' intention to report child abuse was predicted by nurses' attitudes to professional responsibility for reporting child abuse. Conclusions: Based on the findings of this study, educational programs need to be developed, implemented, and evaluated. The conclusion of this study is that supplementary education is needed for multidisciplinary decision making concerning the role of the nurses within the context of child abuse. Implications for nursing practice, education and research are discussed.

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간호.보건 계열 대학생이 지각하는 간호사 이미지 (Nurses' Image Perceived by Nursing and Health Allied College Students in Korea)

  • 서은희
    • 간호행정학회지
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    • 제15권4호
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    • pp.610-616
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    • 2009
  • Purpose: The purpose of this study was to compare and analyze the nurses' image perceived by nursing and health allied college students in Korea. Method: The data was collected from October 15th to November 15th, 2004. Subjects were composed of 679 students in three-year Junior College. The data was analyzed by SPSS 12.0 PC+ Win. The difference of nurse' image among departments and locations of Junior College were analyzed by t-test, ANOVA and Tukey test. Result: The mean score of nurses' image 3.1 point of the total 5 point. Nurses' image is showed significantly difference according to the departments; the department of nursing (3.54), physical therapy (3.01), radiology (2.97), emergency medical technology (2.76) and clinical pathology (2.67). Nurses' image was significantly differed among the 4 domains according to 5 departments; 'the qualification of nurse', 'the role of nurse', 'the interpersonal relationship of nurse', 'the social participation of nurse'. Nurses' image formed through directly contacting with nurses' and seeing nurses' action (69.1%), watching nurse in TV drama (15.9%). Conclusion: It is considered that nursing and health allied college students were affected by inter-communications with nurses' more than by mass media.

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시뮬레이션 교육이 간호사의 전문심장소생술 수행능력에 미치는 효과 (Effects of simulation-based training on the critical care nurses' competence of advanced cardiac life support)

  • 백지윤
    • 중환자간호학회지
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    • 제1권1호
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    • pp.59-71
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    • 2008
  • Purpose: This study was to identify the effects of simulation-based training for advanced cardic life support on the competence of nurses in critical care settings. Methods: In this study, a nonequivalent control pretest-post test quasi-experimental design was used. Data were collected from May 1 to June 1, 2006 at one general hospital in W city. Among 40 nurses in critical care settings, twenty were assigned to the experimental group and twenty to the control group. Nurses in the experimental group received simulation-based training for advanced cardiac life support. Measurement tool were ACLS related knowledge and skills developed by AHA & Mega Code (2005) and some items were modified. The collected data were statistically processed using SPSS version 12.0 for Windows, and analyzed using descriptive statistics, $X^2$test, t-test, paired ttest, Pearson correlation coefficients. Results: 1) Hypothesis 1“: Nurses who received simulationbased training would have more knowledge of advanced cardiac life support than nurses who received traditional training”, was supported (t=11.51, p=.00). 2) Hypothesis 2: “Nurses who received simulation-based training would have better advanced cardiac life support skills than nurses who received traditional training”, was supported (t=2.38, p=.00). Conclusion: Simulation-based training for advanced cardiac life support is an effective strategy for increasing the competence of nurses in advanced cardiac life support in critical care settings.

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응급실 간호사의 직무특성과 조기몰입 및 이직의도와의 관계 (The Relationship between Job Characteristics and Organizational Commitment, and Turnover Intention in Emergency Department Nurses)

  • 성미혜;조수연
    • 기본간호학회지
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    • 제17권4호
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    • pp.566-574
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    • 2010
  • Purpose: This study was done to identify the relationship of emergency department(ED) nurse's job characteristics, organizational commitment and turnover intention. Method: This study was conducted through a survey of 171 nurses from ED in nine general hospitals of Band U cities. The data were collected by self-report questionnaires and analyzed with the SPSS WIN 17.0 program using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: The mean score for job characteristics was 3.37. Job characteristics according to position, number days night duty, and monthly income showed significant differences. Turnover intention according to age, total career, and monthly income showed significant differences. A significant positive correlation was found between job characteristics and organizational commitment. Significant negative correlations were found between job characteristics and turnover intention, organizational commitment and turnover intention were found. The significant factors influencing turnover intention were organizational commitment, monthly income, and total career, which explained 27.6% of the variance. Conclusion: The findings indicate that nurse managers should analyze the reasons for high turnover intention, focusing on the main factors affecting turnover intention and consider solutions for decreasing turnover intention.