• Title/Summary/Keyword: Emergency Nurses

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The Influence of Leadership of Head Nurses on Job Satisfaction and Job Performance of Staff Nurses (수간호사의 리더십 유형이 일반간호사의 직무만족도와 간호업무성과에 미치는 영향)

  • Shin, Young-Jin;Lee, Byung-Soon
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.3
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    • pp.405-418
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    • 2000
  • The purpose of this study was to investigate the influence of the leadership of head nurses on the job satisfaction and job performance of staff nurses. The leadership styles of head nurses were classified to "authority-oriented" and "benevolence-oriented" based on korean traditional culture. The subjects of this study were 450 staff nurses working at medical-surgical units, intensive care units, emergency units of general hospitals in Kyungbuk area. Data were collected from March 13 to March 25 with several scales for the measurement of leadership styles of head nurses, job satisfaction and job performance of staff nurses. The Cronchbach alphas for the scales were. 79 in "authority-oriented" leadership style, 90 in "benevolence-oriented" leadership style, .91 in job satisfaction, .97 in job performance. Data were analyzed with SAS program using statistics of percentage, means, standard deviation, Pearson correlation, ANOVA and ANCOVA. The results were : 1. There were significant correlations between benevolence-oriented leadership style and job satisfaction, job performance of staff nurses(r=.24, p=.000 ; r=.12, p=.008), authority-oriented leadership style of head nurses and job satisfaction of staff nurses(r=.12 ; p=.024). 2. There were significant differences in job satisfaction of staff nurses by age and clinical career(F=10.36, p=.000 ; F=7.63, p=.000). Also there were significant differences in job performance of staff nurses by age, religion, marriage and clinical career(F=17.79, p=.000 ; F=2.89, p=.035 ; F=4.41, p=.036 ; F=14.33, p=.000). 3. There was significant differences in job satisfaction by the leadership style of head nurses. The job satisfaction of staff nurses with benevolence-oriented head nurses was higher than those with authority

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Factors Related to Organizational Socialization of New Nurses (신규간호사의 조직사회화 관련요인 탐색)

  • Yoo, Cheong Suk;Kim, Ju Hee;Kim, Mi Yeon;Kim, Sung Jae;Kim, Young Soo;Kim, Jeong A;Park, Seung Hyun;Cho, Eun Ju;Choi, Eun Ha;Choi, Hee Kang
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.239-250
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    • 2012
  • Purpose: The purpose of this study was to explore and describe the factors related to new nurses' organizational socialization (OS) process and to find out the strategic information for successful organizational socialization. Methods: The qualitative data were gathered from three focus group discussions with 13 new nurses and 5 experienced nurses. All interviews were recorded and transcribed. The transcript analyzed according to qualitative content analysis processes. Results: The factors related to new nurses' OS derived from new nurses' focus groups were 'burdens related to the characteristics of nursing duties', 'emotional and psychological characteristics' and 'facilitating factors to OS'. Two factors at the forepart were interfering factors to new nurses' OS. The factors related to new nurses' OS derived from experienced nurses' focus group classified to 'facilitating factors to OS', 'interfering factors to OS' and 'supports to facilitate new nurses' OS process'. Conclusion: The findings of the study revealed the facilitating and interfering factors to organizational socialization of new nurses. The main factors to interfere new nurses' OS were individual factors such as professional incompetency and psychological characteristics. On the other hand, Interactional factors within the organization were important to facilitate new nurses' OS. The findings can be applied for developing a special program to help new nurses adjust to the nursing organization successfully.

Relationships among Violence Experience, Resilience and Job Stress of Nurses Working in Emergency Department (응급실 간호사의 폭력경험, 자아탄력성, 직무스트레스와의 관계연구)

  • Song, Young-Jin;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.5
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    • pp.1390-1401
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    • 2020
  • This study is a descriptive research to identify the relationship among violence experience, resilience and job stress of nurses working in emergency department. The subjects of this study were 143 nurses with over one year working in emergency departments of 6 hospitals located in D city and C city and collected data through structured questionnaire. It was from November 6th to November 15th. The degree of violent experience of the subjects was 1.26 ± 1.31 out of 4. The average score of resillience was 2.50 ± 0.55 out of 4. The average score of job stress was 3.62 ± 0.49 out of 5. The result of correlation between violence experience, resilience and job stress, among the sub factors, in the correlation among violence experience and job stress sub factors, verbal violence experience was significantly positively correlated with nursing work(r=.194, p=.010), role conflict stress(r=.158, p=.030), and physical threat experience was positively correlated with nursing work(r=.200, p=.008), role conflict(r=.162, p=.027), and conflict with doctor(r=.145, p=.042). In the correlation between resilience and job stress sub factors, nursing work stress is hardness(r=-.189, p=.012), persistence(r=-.165, p=.025), and optimism (r=-.186, p=.013) and there was a negative correlation with the region. Expertise stress is hardness(r=-.230, p=.003), persistence(r=-.195, p=.010), optimistic(r=-.194, p=.010) and there was a negative correlation. Nurse-treated stress was positively correlated with spirituality(r=.154, p=.033). In the subcategory correlations of resilience and violent experience, the hardness had a negative correlation with the physical threat(r=-.150, p=.037) experience. The persistence was negatively correlated with the experience of physical threats(r=-.138, p=.050). The optimism was negatively correlated with the experience of physical violence(r=-.151, p=.036). As a result, it is necessary to create a safe working environment free from violence and to reinforce training on how to deal with violence in order to reduce the job stress of emergency department nurses. In addition, measures to cope with stress according to age and work experience and programs to increase resilience should be developed and mediated to reduce the job stress of emergency department nurses.

A Study of Role-Conflict, Stress and Job Satisfaction of Nurses According to Their Current Work Posts (근무병동별 간호사의 역할갈등, 직무스트레스 및 업무만족에 관한 연구)

  • Park, Seon-Wha;Kim, Kwuy-Bun
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.65-74
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    • 2005
  • This research has been conducted in order to compare and analyze the role-conflict, job stress and job satisfaction of nurses according to their current work posts. The subjects of this research were carefully selected 426 nurses from 2 university hospitals. The research tool were a role-conflict measurement index, job stress a tool, and job satisfaction Minnesota Satisfaction Questionnaire. The data have been collected using a structured questionnaire from March to May 2003. The collected data have been analyzed using the SPSS PC 10.0V program. The nurses at Intensive Care Unit (ICU) showed highest level of job stress while the nurses at surgical ward showed the lowest level of job stress (F=8.37, p=.000). There was no significant difference in role-conflict and job satisfaction according to the current work posts. According to the results of this research, there was a difference in stress according to the current work posts, and it turned out that the nurses at ICU had the highest level of stress compared to the nurses at other departments, and it causes a fall in job satisfaction.

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The Clinical Experiences of Newly-qualified nurses (신규 간호사의 임상 경험)

  • Hwang, Seon-Young;Lee, Eun-Joo;Na, Duk-Mi;Lee, Gwang-Sook;Sun, Gwang-Soon;Lee, Chung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.261-271
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    • 2002
  • Purpose: This phenomenological study is aimed at illuminating the lived experiences of newly-qualified nurses who working in general hospitals in C province. Method: The data was collected through unstructured, in-depth interviews with 10 new nurses from April to June 2001, and analysed by Colazzi' methodology. Results: Thematic content analysis identified 6 central themes in this experience-difficulties m making interpersonal relationship, negative feelings, fatigue and unskilled work performance, self-reflection, a sense of accomplishment, identity formation as a nurse. Also, this themes were constructed into 6 constructs explaining new nurses' experience. The results may contribute to a better understanding of what new nurses experienced and how their negative conflicts could be managed. Conclusion: New nurses need to get more education and supportive empowerment regarding diverse conflicts during training period. Educational programs like a preceptorship or individual counselling should be developed and adopted to all clinical settings.

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Development and Psychometric Evaluation of the Resuscitation Self-efficacy Scale for Nurses

  • Roh, Young Sook;Issenberg, S. Barry;Chung, Hyun Soo;Kim, So Sun
    • Journal of Korean Academy of Nursing
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    • v.42 no.7
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    • pp.1079-1086
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    • 2012
  • Purpose: The purpose of this study was to develop and evaluate psychometric properties of the instrument, Resuscitation Self-Efficacy Scale for nurses. Methods: This was a methodological study for instrument development and psychometric testing. The initial item pool derived from literature review and experts resulted in 30 items linked to resuscitation self-efficacy. A convenience sample of 509 Korean nurses from eleven academic teaching hospitals participated in a survey to examine psychometric properties of the scale. To examine construct validity, exploratory factor analysis and known-group comparison were used. Cronbach's coefficient alpha was used to determine the scale's internal consistency reliability. Results: The final scale included 17 items with four-component structure termed 'Recognition', 'Debriefing and recording', 'Responding and rescuing', and 'Reporting'. These four factors accounted for 57.5% of the variance. Each subscale and the total scale demonstrated satisfactory internal consistency: .82; .88; .87; .83; and .91 respectively. Experienced nurses reported significantly higher self-efficacy mean scores in both total and subscales compared to new graduate nurses. Conclusion: The Resuscitation Self-Efficacy Scale for nurses yields reliable and valid results in appraising the level of resuscitation self-efficacy for Korean nurses. Further study is needed to test and refine the scale.

Ageing Experiences of Nurses with Overseas Employment: Focusing on the Korean Nurses Dispatched to Germany in the 1960s and 1970s (해외 취업 간호사의 나이듦: 파독간호사를 중심으로)

  • Kim, Hack-Sun;Hong, Sun-Woo;Choi, Kyung-Sook;Lee, Ae-Joo
    • Korean Journal of Occupational Health Nursing
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    • v.20 no.2
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    • pp.185-194
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    • 2011
  • Purpose: Global shortages in nursing and strong demand for nursing services provided Korean nurses with more overseas employment opportunities, especially in the developed countries such as the United States and Canada. The purpose of this study was to explore the ageing experiences of the Korean nurses dispatched to Germany in the 1960s and 1970s. Methods: The researcher interviewed 10 Korean nurses living in four cities in Germany. Interviews were performed twice in January and July, 2010, and the data, in the form of field notes and interview transcripts, were analyzed using the Agar's (1980) ethnographic method. Results: The ageing experiences of the participants can be summarized into three theme stages: coming upon old age, reluctantly realizing getting old, and finally accepting being old. The first stage is characterized by 'wiring money to homeland all throughout youth', second 'still feeling like a stranger anywhere', and finally 'burying homeland in heart'. Conclusion: The research findings not only suggest crucial materials for training prospective nurses overseas for their successful settlement, but also shed lights on related problems and solutions with ageing experience in overseas employment.

The Perception of Delirium, Barriers, and Importance of Performing Delirium Assessment of ICU Nurses Utilizing the CAM-ICU (섬망사정도구를 사용하는 중환자실 간호사의 섬망인식, 섬망사정의 장애요인 및 섬망사정 수행의 중요도)

  • Gong, Kyung-Hee;Ha, Yi-Kyung;Gang, In-Soon
    • Journal of Korean Critical Care Nursing
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    • v.8 no.2
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    • pp.33-42
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    • 2015
  • Purpose: This study was conducted to identify the perception, barriers, and importance of delirium assessment of intensive care unit nurses utilizing a tool for delirium assessment. Methods: The subjects were 150 intensive care unit nurses who routinely use the CAM-ICU to screen delirium. Data were collected using self-report questionnaires and analyzed using descriptive statistics and ranking. Results: Most intensive care unit nurses had experience of education about delirium and delirium assessment, and had assessed over once in a shift. However, a small number of nurses recognized utilizing their assessment result and the effect on higher mortality and underdiagnosed and preventable problem. The first rank of barriers was being too busy to assess patients and the second was difficulty of interpreting intubated patients. The importance of delirium assessment was considered lower than assessing catheter placement and level of pain. Conclusion: The study identified intensive care unit nurses' use of a delirium assessment tool, and the perception, barriers, and importance of delirium assessment. Furthermore, it is necessary to develop education programs to improve the early recognition of delirium by intensive care unit nurses.

Factors Influencing Nurses' Attitudes towards Nurse-led Defibrillation (간호사에 의한 제세동 시행에 대한 간호사 태도의 영향요인)

  • Yun, Hee Je;Kim, Chun-Ja
    • Journal of Korean Critical Care Nursing
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    • v.13 no.3
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    • pp.11-23
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    • 2020
  • Purpose : This study examined factors influencing the attitudes towards nurse-led defibrillation in the emergency department (ED) and intensive care unit (ICU). Methods : This was a cross-sectional study. A total of 212 nurses in the ED and ICU from three general hospitals responded to the survey. Data were collected between September and October 2015 using structured questionnaires. Independent t-test, Mann-Whitney U test, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and hierarchical multiple regression were used to analyze factors affecting nurses' attitudes towards nurse-led defibrillation. Results : The mean score of nurses' attitudes towards nurse-led defibrillation was 61.37 of a possible 91. Hierarchical multiple regression showed that nurses' attitudes towards nurse-led defibrillation were significantly affected by their experiences regarding cardiopulmonary resuscitation (p=.003), knowledge regarding electrocardiogram interpretation and defibrillation (p=.007), and tenure in ED or ICU (p=.043). Conclusion : Results indicate that employers should set policies to support nurses in maintaining their careers in the ED or ICU and conduct systematic educational programs for them. This will increase nurses' confidence in performing defibrillation, which will lead to early defibrillation during in-hospital cardiac arrest. Consequently, it can be a strategy to increase the survival rate of cardiac arrest patients.

The Effect of Basic Life Support Education Using a Standardized Basic Life Support Video Program in Nurses' Cardiopulmonary Resuscitation Knowledge, Attitude and Performance (표준 기본심폐소생술 교육용 비디오를 이용한 실습교육이 간호사의 심폐소생술에 대한 지식, 태도 및 수행능력에 미치는 효과)

  • Park, Jeong-Sook;Jeon, Hyun-Rye
    • The Journal of Korean Academic Society of Nursing Education
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    • v.16 no.2
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    • pp.301-311
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    • 2010
  • Purpose: The study was done to identify variations in Nurses' CPR knowledge, attitude and performance before and after BLS Education. Method: This study was designed to evaluate the differences in Nurses' CPR knowledge, attitude and performance. For the study we selected 167 nurses working in Daegu K University hospital. The study group was given a test before (pre test) and after (post test) BLS education. The BLS education was given by two BLS instructors certified by the American Heart Association, using a DVD and manikin. Result: The results showed a statistically significant difference the nurse's knowledge, belief, emotion and performance but there was no significant difference in their behavior after BLS education. CPR knowledge and performance was higher among emergency room nurses compared to surgical ward nurses. Conclusion: CPR education has shown to have a positive effect on nurses' attitudes towards CPR. It also improved their related knowledge and performance. Therefore, cardiopulmonary education should be given continuously, and different steps of CPR education programs need to be developed in order to fill the knowledge deficiency gap.