• Title/Summary/Keyword: Industrial Health Nurse

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A Study in an Effective Programs for Emergency Care Delivery System (응급의료 전달체계의 충실 방안)

  • Kwon Sook Hee
    • Journal of Korean Public Health Nursing
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    • v.9 no.1
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    • pp.83-102
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    • 1995
  • As the society is being industrialized, the fast-paced economic development that has caused substantial increase in cerebrovascular and coronary artery diseases and the industrial development and increased use of means of transportation have resulted in the rapid rise of incidents in external injuries as well. So the pubic has become acutely aware of the need for fast and effective emergency care delivery system. The goal of emergency care delivery system is to meet the emergency care needs of patients. The emergency care delivery system is seeking to efficiently satisfy the care needs of people. Therefore the purpose of this study is designed to develop an effective programs for emergency care delivery system in Korea. The following specific objectives were investigated. This emergency care delivery system must have the necessary man power, for transfering the patients, communication net work, and emergency care facilities. 1) Man power Emergency care requires n0t only specialized traning in the emergency treatment but also knowledge and experience i11 other related area, so emergency care personnel traning program should be designed in order to adapt to the specific need of emergency patients. It will be necessary to ensure professional personnel who aquires the sufficient traning and experience for emergency care and to look for legal basis. We have to develop re-educational programs for emergency nurse specialist. They should be received speciality of emergency nursing care so that they will work actively and positively in emergency part. Emergency medical doctor and nurse specialist should be given an education which is related in emergency and critical care. Emergency care personnel will continue to provide both acute and continuing care as partner with other medical team. 2) Transfering the patients. Successful management of pre-hospital care requires adequate traning for the emergency medical technician. Traning program should be required to participate in a actual first aids activites in order to have apportunities to acquire practical skills as well as theoretical knowledge. The system of emergency medical technician should be remarkablly successful with first responder firefighters. Establishing this system must add necessary ambulances operating at any given time. It will be necessary to standardize the ambulance size and equipment. Ambulance should be arranged with each and every fire station. 3) Communication net work. The head office of emergency commumication network should be arranged with the head office of fire station in community. It is proposed that Hot-line system for emergency care should be introduce. High controlled ambulance and thirtial emergency center should simultaneously equip critical-line in order to communication with each other. Ordinary ambulance and secondary emergency facility should also simultaneously equip emergency-line in order to communication with each other. 4) Emergency care facilities. Primary emergency care facilities should be covered with the ambulatory emergency patients-minor illness and injuires. Secondary emergency care facilities should be covered with the emergency admission patients. Third emergency care center should be covered with the critical patients who need special treatments and operation. Secondary and third emergency care facilities should employ emergency medical doctor and emergency nurse specialist to treat in-patients with severe and acute illness and multiple injuires. It should be fashioned for a system of emergency facilities that meets emergency patients needs. Provide incentives for increased number of emergency care facilities with traning in personal/clinical emergency care. 5) Finance It is recommended to put the finance of a emergency care on a firm basis. The emergency care delivery system should be managed by the government or accreditted organizations. In order to facilitate this relevant program the fund is needed for more efficient and effective emergency researchs, service, programs, and policy. 6) Gaining understanding and co-operation of pubic It is also important to undertake pubic education to improve understanding of first aids and C. P. R of individuals, communities and business. It is proposed that teachers and health officers be certified in C. P. R. The C. P. R education can be powerful influence save lives. Lastly appropriate emergency care information must be provided to the pubic for assisting them in choosing emergency care.

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Relationship Between Job Satisfaction and Turnover Intention Among Nurses in General Hospitals (일부 종합병원 간호사들의 직무만족도와 이직의도와의 관련성)

  • Lee, Hyun-Joo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.7
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    • pp.4404-4415
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    • 2014
  • This study was carried out to verify the relationship between the job satisfaction and turnover intention of nurses working in general hospitals The study included 312 nurses working in three general hospitals located in Gyeoungpook area. The data was collected by a survey using self-administered questionnaires structured from February 25 to March 16, 2013. The level of turnover intention was negatively correlated with job satisfaction and professional position, autonomy, administrative capacity, pay, task requirement. In logistic regression analysis, the adjusted odds ratio of the high risk turnover intention was increased significantly in the lower groups of job satisfaction, job autonomy, administrative capacity and pay than in the higher groups of these items. Hierarchical multiple regression analysis showed that the turnover intention correlated significantly with the education level, subjective sleep evaluation, job career, job position, monthly pay, satisfaction with work, fitness of the job, career choice motives, physical burden of work, and job satisfaction. In addition, there was a negative correlation between the job satisfaction and turnover intention in the studied nurses, which showed that the turnover intention increased with decreasing level of job satisfaction. The variations in the job related characteristics and job satisfaction have a significant influence on the turnover intention.

Comparative studies in Perception of Patient safety culture of Nurses and Dental hygienist (간호사와 치위생사의 환자안전문화 인식수준 비교연구)

  • Kim, Mi-Young;Kim, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5196-5205
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    • 2012
  • Purpose: The Purpose of this study were to compare the level of perception and to identify factors associated with perception on patient safety culture by nurses and hygienists. Method: The data were collected from september to December, 2010 using Hospital survey on patient safety culture questionnaires. The subjects were 399 Nurses, hygienists, recruited from the hospital in Busan & Kyungnam. The collected data were analyzed using SPSS descriptive statistics, mean and standard deviation, t-test and ANOVA, Spearman rank coefficient. Result: The perception level of nurses on patient safety culture was 3.48. In case of hygienists, the level was 3.51. Compared to nurses, hygienists showed a significantly difference on the items "Staff arrangement"(t=2.841, p<.01) and "Administator attitude"(t=-2.471, p<.05), "Feedback and communication in accident"(t=-3.356, p<.01). Nurses and hygienists' age and career, working hour per week were identified as factor associated with patient safety culture. Conclusion: The perception level of hospital health providers on patient safety culture was moderate. and identified factors associated with patient safety culture were age and career, working hour per week.

The Experiences of Nursing Student's Introductory Clinical Practice (간호대학생의 임상입문실습 경험)

  • Kim, Hyun-Ju;Song, Hoo-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.74-84
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    • 2020
  • This study was conducted to discover the meaning and the essential structure of the experiences of nursing students' introductory clinical practice. The participants were eight nursing students who had carried out the introductory clinical practice at a hospital. The data was collected from July 15 2019 to July 31, 2019 through focus group discussions and in-depth individual interviews using non-structured questionnaires. The data was analyzed by Colaizzi's phenomenological analysis methodology. The introductory clinical practice experienced by nursing students was categorized as followed: 'Feel worried and concern about expectations at the same time', 'Hospital experience as reality', 'Becoming accustomed to complexed emotion's, 'The first step of becoming a nurse', and 'Preparation for the future'. The five categories were expanded in the same context according to time. The essential structure of the clinical introductory practice experiences of the nursing students revealed by the study is that they begin to practice feeling worried and concerned about expectations, and concern about experience and adaption to various situations, emotions and preparation for the future. Based on the results obtained from this study, it is necessary to develop a realistic and effective education program before starting clinical practice.

Recognition for Nursing Competency Importance, Nursing Competency Level, and Their Influencing Factors of Nurses in the Long-term Care Hospitals (요양병원 간호사의 간호역량 중요성 인식과 간호역량수준 및 영향요인 분석)

  • Kim, Eun-Jae;Gu, Mee-Ock
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1989-2001
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    • 2015
  • This study was conducted to identify the recognition for nursing competency importance, nursing competency level, and their influencing factors of nurses in the long-term care hospitals. Participants were 243 nurses who were working in the 11 long-term care hospitals. Data were collected from August 25 to September 3, 2014. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation and multiple regression by SPSS 19.0. Mean scores of the recognition for nursing competency importance and nursing competency level were $4.21{\pm}0.48$ and $3.47{\pm}0.46$ respectively. Nursing competency level was significantly lower than the recognition for nursing competency importance. The variable influencing the recognition for nursing competency importance was the position(${\beta}=.19$). The variables influencing the nursing competency level were the recognition of nursing competency importance (${\beta}=.37$), age (${\beta}=.20$), current work experience (${\beta}=.13$), health status (${\beta}=.13$). The results suggest the need of developing measurement tool and nursing competency enhancement programs which can well reflect the characteristics of nursing competency required in the long-term care hospital.

Relationship Between Job Stress and Fatigue Symptoms Among Nurses in a University Hospital (대학병원 간호사들의 직무스트레스와 피로수준과의 관련성)

  • Kim, Soon-Young;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.4
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    • pp.1759-1768
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    • 2012
  • The present study was intended to measure the level of fatigue symptoms among nurses working for a university hospital and to reveal its related factors. The self-administered questionnaires were given to 450 nurses during the period from October 1st to 31st, 2010. As a results, the level of fatigue symptoms were 75.1% in normal group, and the high-risk group 24.9%. The level of fatigue symptoms reflected in job stress contents were higher as job demand was higher, and the autonomy of job and the supervisor support was lower. In correlations, fatigue symptoms were found to be in a positive correlation with job demand, whereas in negative correlation with autonomy of job and supervisor support. The adjusted odds ratio of fatigue symptoms on job demand were significantly increased in the high risk group than in low group, but autonomy of job. were significantly decreased in the high risk group than in low group. In conclusion, the study results indicated that the level of fatigue symptoms is independently influenced by job stress contents.

Relationship Between Type A Behavior Pattern and Fatigue Symptoms Among Nurses in General Hospitals (종합병원 간호사들의 A형 행동유형과 피로자각증상의 관련성)

  • Kil, Kyung-Ok;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2589-2599
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    • 2012
  • This study was intended to assess fatigue symptoms of nurses working for general hospitals and to reveal its association with the type A behavior pattern. The self-administered questionnaires were given to 306 nurses employed in general hospitals from May, 1st to June, 30th 2011. As a results, The proportion of behavior pattern was 50.7%, of type A, and 49.3% of type B. The distribution of fatigue symptoms was 76.8% of normal group, and 23.2% of high risk group. In terms of the distribution of fatigue symptoms according to the type A behavior pattern, the normal group of fatigue symptoms was higher in the type B behavior pattern group, but the high risk group of fatigue symptoms was higher in the type A behavior pattern group. The type A behavior pattern was significant positive correlation with fatigue symptoms. In logistic regression analysis, the adjusted odds ratio of the high risk fatigue symptoms were significantly increased in the group of type A behavior pattern than type B behavior pattern. As a conclusion, fatigue symptoms was higher in the group of type A behavior pattern than the group of type B behavior pattern. Hereafter, the sustainable study would require that the relation between type A behavior pattern and fatigue symptoms to the various study subjects.

Factors Affecting on Turnover Intentions among Operating Room Nurses (수술실 간호사의 이직의도에 영향을 미치는 요인)

  • Kim, Yeo-Jin;Park, Keum-Sook;Yang, Eun-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.352-362
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    • 2016
  • The purpose of this study was to examine the level of stress, healthcare accreditation related job stress, adaptation, and turnover intentions, as well as to identify influencing factors of turnover intentions for operating room nurses. This study employed a descriptive correlational design. The data were collected from 163 operating room nurses using a structural questionnaire. Stress was different by age (F=5.629, p=.004), marital status (t=-2.907, p=.004), and children (t=-2.623, p=.010). Healthcare accreditation related job stress was different by age (F=11.924, p<.001), marital status (t=-4.747, p<.001), children (t=-4.434, p<.001), work experience in the OR (F=6.000, p=.003), and work reasons in the OR (t=-2.543, p=.012). Turnover intention was different by age (F=21.472, p<.001), education level (F=4.997, p<.008), religion (t=3.235, p=.001), work experience in the OR (F=13.599, p<.001), position (t=3.222, p=.002), work reasons in the OR (t=-3.001, p=.003), and a shift pattern of duties (t=-2.797, p=.006). Turnover intention was significantly correlated with stress, healthcare accreditation related job stress, and adaptation. Factors affecting turnover intention were healthcare accreditation related job stress, adaptation, and age. These factors accounted for 36.2% of turnover intention. These results suggest that relief of stress and healthcare accreditation related job stress and interventions for improving stress management.

Effects of Job Stress, Fatigue, Burnout, and Job Satisfaction on Turnover Intention among General Hospital Nurses (종합병원 간호사들의 직무스트레스, 피로, 소진 및 직무만족도가 이직의도에 미치는 영향)

  • Lim, Yeon-Hee;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.264-274
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    • 2018
  • This study constructed a prediction model based on covariance structure to identify the causal relationship between job stress, fatigue, burnout, and job satisfaction on turnover intention in nurses working in general hospitals. The study subjects were 648 nurses at a general hospital in D city. Data collection was surveyed by using self-administered questionnaires structured during the period from November 1, 2016 to December 31, 2016. As a result, the level of turnover intention was significantly higher in the group showing higher job stress, fatigue, and burnout and significantly higher in the group showing lower job satisfaction. The turnover intention of subjects showed a significant positive correlation with job stress, fatigue, and burnout but showed a negative correlation with job satisfaction. As a result of covariance structure analysis, job stress had greater influence on turnover intention than fatigue, burnout, and job satisfaction. Higher job stress, fatigue, and burnout and lower job satisfaction were associated with increased turnover intention. The results of this study show that the turnover intention of general hospital nurses is significantly related to job stress, fatigue, burnout, and job satisfaction. In particular, job stress had a greater effect on turnover than fatigue, burnout, and job satisfaction. Therefore, in order to lower the turnover intention of general hospital nurses, it is necessary to seek ways to mitigate job stress.

Relationship Between Job stress and Job Satisfaction Among Nurses in General Hospitals (종합병원 간호사들의 직무스트레스와 직무만족도와의 관련성)

  • Lee, Hyun-Joo;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5314-5324
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    • 2015
  • The present study was intended to measure the relationship between job stress and job satisfaction among nurses working for a general hospitals. The self-administered questionnaires were given to 312 nurses during the period from February 25 to March 16, 2013. As a results, the level of job satisfaction of subjects was significantly lower in high group than low group in job demand, but it was significantly lower in low group than high group in job control, supervisor support and coworker support. In correlations, job satisfaction were found to be in a negative correlation with job demand, whereas in positive correlation with job control, supervisor and coworker support. In logistic analysis, the odds ratio of job satisfaction on job demand were significantly increased in the high group than in low group, but job control supervisor and coworker support were significantly decreased in the high group than in low group. In hierarchial multiple regression analysis, the affecting factors to the job satisfaction was selected variables such as educational background, work station, subject satisfaction of work, career choice motives, turnover experience, job stress contents(job demand, job control, supervisor support and coworker support). especially, job stress contents was significantly increased of explanatory power of job satisfaction. It suggested that the level of job satisfaction got more power by addition of job stress contents.