• 한국산학기술학회논문지
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• 제21권4호
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• pp.65-72
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• 2020

본 연구는 간호·간병통합서비스 병동 간호사의 직무만족도에 미치는 영향을 파악하기 위해 수행된 서술적 조사연구이다. 본 연구는 3개 도시 250병상이상 종합병원 2개와 800병상이상 상급종합병원 3개로 총 5개 병원에서 수행하였다. 연구 대상자는 간호·간병통합서비스 병동에 근무하고 있는 간호사로150부를 배포하여 최종 146부를 회수하였다. 자료수집 기간은 2019년 8월 1일부터 2019년 11월 15일까지였고, x²-test, t-test, ANOVA, Pearson 상관관계, Multiple linear regression으로 분석하였다. 감정노동과 강인성은 음의 상관관계(r=-.20, p=.018), 감정노동과 직무만족도는 양의 상관관계가 나타났다(r=.25, p=.004). 대상자의 직무만족도에 영향을 미치는 예측변인은 병동업무의 적성여부(β=-.35, p=<.001)와 강직성(β=.21, p=.009)으로 나타났다. 직무만족도의 설명력은 18.2%였다(F=3.54, p=.009). 본 연구 결과 간호·간병통합서비스 병동 간호사의 직무만족도에 영향을 미치는 예측변인은 강직성과 병동업무의 적성여부로 나타났다. 따라서 해당 병동 간호사의 직무만족도를 높이기 위해서는 간호사의 강직성 향상과 적성을 고려한 인력배치 등의 행정적인 뒷받침이 요구된다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제1권2호
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• pp.91-101
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• 1996

This study is intended to summarize the contents and process of an architectural basic planning for the design competition of K University Hospital. Especially a design of low-rise and compact type hospital in sloped suburb is suggested. The major contents consists of proposed premise of planning, goal of planning, site analysis, site plan, and architectural basic plan To realize the concept of low-rise and compact type hospital which reconciles to the natural environment of the site, 4 nursing units per typical floor and hospital street system are introduced. And to design a "hospital unlike hospital", streamline form of hospital building is proposed.

• 성인간호학회지
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• 제29권2호
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• pp.131-142
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• 2017

Purpose: The aims of the study were to investigate relationships among intensive care unit (ICU) nurses' attitude, role perception, and nursing stress related to life sustaining treatment (LST), and secondly, to identify factors influencing nursing stress about LST. Methods: Participants were 202 conveniently sampled ICU nurses from general hospitals in Korea with over 300 beds. From December 1, 2015 to January 31, 2016, data were collected using structured questionnaires. The questionnaire was designed to measure nursing stress related to LST. Content validity and reliability was established for the instrument. Results: Relationships were found between attitude and role perception, and between role perception and nursing stress about LST. Participants' role perception, gender, education level, and the experience of dealing with family members of patients receiving LST accounted for 13% of variance in nursing stress about LST. Conclusion: Results confirmed that ICU nurses' role perception affects nursing stress about LST. Accordingly, the nursing education programs related to LST should aim to enhance role perception of nurses, and strategies to reduce the nursing stress about LST of the nurses in ICU need to be further developed.

• 임상간호연구
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• 제21권3호
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• pp.277-292
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• 2015

Purpose: The purpose of this study was to develop a Clinical Ladder System (CLS) model for staff nurses working in inpatient units of tertiary care hospitals in Korea. Methods: The study was carried out in 2 steps. First, a nursing competence evaluation scale was developed. Second, evaluation of the nursing competences, qualifications, and professional activities of 230 nurses from five tertiary care hospitals was done by 49 head nurses between Feb. and Dec., 2014. Nurses were selected by head nurses according to their clinical experience and expected behavioral characteristics at each level of the ladder. Results: A nursing competence scale was developed consisting of 5 subcategories (clinical practice, ethical practice, education, leadership, and professional development) and 11 elements, and 5 levels of behavioral indicators for each element. Cronbach's alphas for the entire tool and subcategories were over .853 and stability of the scale was confirmed. There were significant differences in nursing competence according to the 5 levels of the ladder. Conclusion: The findings indicate that the proposed CLS model with a standard score for nursing competence, recommended or obligatory criteria for qualifications and professional activities provides a good tool for developing nurses' competences and retaining excellent nurses in clinical practice.

• Journal of Korean Biological Nursing Science
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• 제11권1호
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• pp.42-50
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• 2009

Purpose: The purpose of this study was to identify the influence of Vancomycin-resistant enterococcus (VRE) knowledge and awareness with VRE infection control in compliance with VRE infection control among nurses in intensive care units. Method: Participants (N=154) were recruited in B city from August 2007 to October 2007. Data were analyzed with SPSS PC+. Result: The degree of VRE knowledge of the participants was 12.41 out of the total score, 17; that of awareness with VRE infection control was 3.87 out of the total score, 4; that of compliance with VRE infection control 3.75 out of the perfect score, 4. A significantly positive relationship between awareness of VRE infection control and compliance with VRE infection control has been observed. Awareness with VRE infection control and type of intensive care unitpredicted 21.1% of the variance in compliance with VRE infection control. Conclusion: The study indicated that awareness with VRE infection control has the most important impact on the compliance with VRE infection control for the participants. Based on the finding, a suggestion is made to continue the research on VRE knowledge and nosocomical infection on the subject of nurse and nurse managers who are responsible for infection control in a medical institution.

• 간호행정학회지
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• 제22권2호
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• pp.189-198
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• 2016

Purpose: The aim of this study was to investigate the relationships between the hemodialysis unit nurses' experience of verbal abuse, job stress, burnout, and turnover intention, and to identify the explained variances for turnover intention. Methods: The research design was a descriptive survey using a probability sampling. The data were measured using self-report questionnaires from 231 hemodialysis unit nurses in seven cities in Korea and were analyzed with SPSS 20.0. Results: The mean scores were $2.45{\pm}0.62$ (out of 5) for experience of verbal abuse, $2.40{\pm}0.26$ (out of 4) for job stress, $2.31{\pm}0.48$ (out of 4) for burnout, and $3.16{\pm}0.05$ (out of 5) for turnover intention. There were significant correlations among the experience of verbal abuse, job stress, burnout, and turnover intention within the hemodialysis unit nurses. Factors influencing turnover intention were 'burnout' (${\beta}=.42$, p<.001) and 'job stress' (${\beta}=.17$, p=.015)which explained 42% of the variance (F=15.98, p<.001). Conclusion: Results suggest that in order to reduce nurses' turnover intention, nurse managers should explore strategies to reduce nurses' burnout and job stress in nurses in hemodialysis units.

• 성인간호학회지
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• 제27권1호
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• pp.29-38
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• 2015

Purpose: The purpose of the study was to validate fall risk assessment scales among hospitalized adult patients in South Korea using the electronic medical records by comparing sensitivity, specificity, positive predictive values, and negative predictive values of Morse Fall Scale (MFS), Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and Johns Hopkins Hospital Fall Risk Assessment tool (JHFRAT). Methods: A total of 120 patients who experienced fall episodes during their hospitalization from June 2010 to December 2013 was categorized into the fall group. Another 120 patients, who didn't experience fall episodes with age, sex, clinical departments, and the type of wards matched with the fall group, were categorized to the comparison group. Data were analyzed for the comparisons of sensitivity, specificity, positive and negative predictive values, and the area under the curve of the three tools. Results: MFS at a cut-off score of 48 had .806 for ROC curves, 76.7% for sensitivity, 77.5% for specificity, 77.3% for positive predictive value, and 76.9% for negative predictive value, which were the highest values among the three fall assessment scales. Conclusion: The MFS with the highest score and the highest discrimination was evaluated to be suitable and reasonable for predicting falls of inpatients in med-surg units of university hospitals.

• 성인간호학회지
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• 제13권1호
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• pp.29-39
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• 2001

The purpose of this study was to identify factors influencing patient satisfaction and to evaluate the utility of patient satisfaction as an outcome indicator. The study was conducted by mailed questionnaire. The subjects were 900 patients discharged from adult nursing units in a tertiary teaching hospital. On the discharge date, questionnaires were distributed by two trained research assistants. The questionnaire developed by the researchers was based on Larson(1996)'s study, and consisted of 71 items with the following components: overall satisfaction, domain-specific satisfaction(administration process, hospital facility and environment, nurses, and doctors), patients' loyalty(intention to use the health care service of the hospital in the future), recommendation to others, health benefits, and demographic characteristics. Each item was rated using a five point Likert scale ranging from '1=strongly disagree' to '5= strongly agree'. The response rate was 43%(387/900). The satisfaction level with the health care service was generally high. Perceived health status was the only significant factor influencing satisfaction level. Satisfaction with doctors contributed the most to explaining overall satisfaction. Overall satisfaction was significantly correlated with patient loyalty, recommendation, to other and perceived health benefit. It was found that the score of satisfaction was positively correlated with the score of loyalty, recommendation, and health benefit. Therefore, patient satisfaction seems to be a good outcome indicator.

• 중환자간호학회지
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• 제10권2호
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• pp.56-70
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• 2017

Purpose: This study was conducted to identify ICU nurses' knowledge of the five moments of hand hygiene and the ambiguity of these moments when demonstrating hand hygiene. Methods: The subjects were 200 intensive care unit nurses at a university hospital. Data was collected using self-report questionnaires, translated according to the instructions of training films developed by WHO, and analyzed using descriptive statistics and ranking tests. Results: The highest number of correct answers was regarding the moment before contact with a patient and the lowest was regarding the moment after contact with a patient. The rate of providing wrong answers regarding required moments of hand hygiene was high. Conclusion: The study identified ICU nurses' knowledge of specific moments of hand hygiene; they had difficulty differentiating between the moments that happened simultaneously, i.e. after touching a patient, and that patient's surroundings, and there was ambiguity concerning patient areas and medical treatment areas. It was concluded that it is necessary to educate nurses regarding both required and unrequired moments of hand hygiene and to ensure that they can distinguish between these moments.

• 대한간호학회지
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• 제42권1호
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• pp.48-55
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• 2012

Purpose: The aim of this study was to compare statistical methods to control response bias in nursing activity surveys. Methods: Data were collected at a medical unit of a general hospital. The number of nursing activities and consumed activity time were measured using self-report questionnaires. Descriptive statistics were used to identify general characteristics of the units. Average, Z-standardization, gamma regression, finite mixture model, and stochastic frontier model were adopted to estimate true activity time controlling for response bias. Results: The nursing activity time data were highly skewed and had non-normal distributions. Among the 4 different methods, only gamma regression and stochastic frontier model controlled response bias effectively and the estimated total nursing activity time did not exceeded total work time. However, in gamma regression, estimated total nursing activity time was too small to use in real clinical settings. Thus stochastic frontier model was the most appropriate method to control response bias when compared with the other methods. Conclusion: According to these results, we recommend the use of a stochastic frontier model to estimate true nursing activity time when using self-report surveys.