• 한국직업건강간호학회지
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• 제31권4호
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• pp.157-166
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• 2022

Purpose: The purpose of this study was to identify factors influencing fall-prevention behaviors of nurses working in long-term care hospitals. Methods: Participants included 147 nurses working in 10 long-term care hospitals in B city. Data were collected from September 20-October 12, 2016. SPSS/WIN 21.0 was used for analysis with t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression. Results: It was found that attitude toward fall (r=.29, p<.001) and patient safety culture (r=.25, p=.002) had a significant positive correlation with fall-prevention behaviors of nurses working in long-term care hospitals. The factors influencing fall-prevention behaviors in participants were clinical career and patient safety culture (β=.21, p=.012), contributing to 19% of the total variance in fall- prevention behaviors. Conclusion: The findings showed that systematic delivery of differentiated fall prevention education is preferred to nurse's clinical career as a private factor to improve fall-prevention behaviors of nurses in long term care hospital. Particularly, it is imperative to conduct periodical and practical fall-prevention education for nurses to prevent career discontinuity. An independent report system and open communication system as well as a scheme that can disseminate patient safety culture in individual departments to implement patient direct nursing are required to encourage patient safety culture in organizations.

• 한국보건간호학회지
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• 제23권2호
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• pp.232-250
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• 2009

Purpose: This study was designed to define the roles, tasks, and activities of home visiting nurses aimed at enhancing the quality of nursing care under the long-term care insurance regulation for the elderly introduced on July 1, 2008 in Korea. Methods: A review of domestic and foreign literature was used to formulate the proposed roles, tasks, and activities of visiting nurses, which were subsequently modified and complemented by the agreement of home visiting nurse experts and acceptance of 127 nurses. Data was collected from 04 June - 17 September 2008 and analyzed concerning frequency and percentile using SPSS ver. 15.0. Results: The established functions of home visiting nurses were direct nursing service provider, case manager, patient educator, decision maker, care coordinator, and research worker. These functions involved 27 different tasks and 167 activities. Conclusion: The roles, tasks, and activities of visiting nurses, established based upon the guidelines of the Long-term Care Insurance Act for the elderly, were verified for their applicability by nurses involved in home care delivery. These parameters will provide a useful tool in developing an assessment to enhance the quality of home-based care for the elderly in Korea.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.250-258
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• 2019

본 연구의 목적은 일 지역에 위치한 요양병원 간호사들의 근무환경과 관련된 실태를 알아보는 것으로 본 연구의 결과를 통해 요양병원 간호사의 근무환경 개선에 도움이 되고자 한다. 이를 위해 서술적 조사연구가 시행되었다. 현재 광주지역에 위치한 요양병원에서 근무하는 일반 간호사와 수간호사 이상의 간호관리자 포함 179명의 대상자가 임의 표출되었다. 자료수집은 2015년 7월부터 12월까지였다. 구조화된 설문지가 연구 도구로 사용되었고, 이 설문지에는 대상자의 일반적 특성과 병원관련 특성 및 근무환경 특성이 포함되었다. 모든 자료분석은 SPSS 22.0 version을 이용하여 수행되었다. 본 연구결과, 대상자의 73.2%가 개인에 의해 설립된 요양병원에서 근무하고 있었다. 대다수의 대상자들이 요양병원 인증평가를 받았다고 응답하였다. 대상자들이 근무하는 병동 내 간호사 대 간호조무사의 비율은 1:2인 경우가 많았다. 요양병원 간호사들이 한달 동안 받는 평균 휴가 수는 8일이 가장 많았고, 간호사의 평균 연봉은 2,500~3.000만 원이었다. 본 연구의 결과를 근거로 볼 때, 요양병원 간호사에 대한 근무환경은 좋다고 할 수 없는 상황이었다. 따라서 이러한 요양병원의 근무환경에 대해 간호사들이 어떻게 인지하고 있는지를 좀 더 심층적으로 살펴보는 질적연구를 제안한다.

• 근관절건강학회지
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• 제26권3호
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• pp.270-280
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• 2019

Purpose: The purpose of this study was to identify the levels of knowledge and performance confidence of, and educational needs on ostomy care among nurses in long-term care hospitals. Methods: The participants were 97 nurses from D and C cities. Data were collected from September 6~26, 2019, with self-reported questionnaires including general characteristics, knowledge and performance confidence of, and educational needs on ostomy care. Data were analyzed by using descriptive statistics, t-tests, ANOVAs, Pearson correlation coefficients, and multiple regression analysis. Results: The correct rate of knowledge of ostomy care was 60.1%. In addition, performance confidence of ostomy care was low, while educational needs on ostomy care were high. The knowledge of ostomy care was identified as a factor influencing in educational needs on ostomy care (β=-0.69, p<.001). It explained 42.0% of the variation in educational needs on ostomy care. Conclusion: There are nursing needs about ostomy care for older cancer patients in long-term care hospitals. Thus educational programs of ostomy care that are suitable to apply to the long-term care hospitals are necessary to develop for enhancing nursing capacity.

• 문화기술의 융합
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• 제4권1호
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• pp.153-163
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• 2018

본 연구는 요양병원에 근무하는 간호사들을 대상으로 윤리적 딜레마와 전문직업성 정도를 파악하여 윤리적 딜레마를 해결하기 위한 방안과 전문직으로서의 성장을 통한 질적인 간호를 제공하기 위한 자료를 마련하고자 시도하였다. 연구대상자는 14곳의 요양병원에 재직 중인 간호사 210명을 대상으로 하였고, 자료분석은 SPSS/WIN 24.0 프로그램을 이용하여 통계처리 하였다. 본 연구결과 요양병원 간호사의 윤리적 딜레마는 중간정도로 나타났고, 하위 영역 중 간호사와 대상자 영역이 가장 높았으며, 생명존중 및 건강의 권리 존중 영역이 낮게 나타났다. 대상자의 전문직업성은 중간정도로 나타났고, 소명의식 영역의 점수가 가장 낮은 것으로 나타났다. 요양병원 간호사들의 윤리적 딜레마 상황을 반영한 간호윤리 지침서를 개발하여 간호사들이 실무현장에서 겪게 되는 윤리적 딜레마상황에 대한 올바른 가치관을 심어주기를 제언한다. 또한 요양병원 간호사들의 전문직업성 교육을 계획할 때 간호직에 대한 신념과 가치관을 강조하여 소명의식을 높일 수 있는 전략이 필요하다.

• 보건의료산업학회지
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• 제8권4호
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• pp.95-107
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• 2014

This study is a descriptive research to investigate the actual conditions under which nurses working in long-term care hospitals are sexually harassed and situations in which sexual harassment occurs and to determine victims' coping methods after being sexually harassed. The period of data collection was from May 13, 2013 to June 14 and the research subjects were 113 nurses working in 10 long-term care hospitals in Busan assigned by convenience sampling. The results showed that sexual harassment of nurses mostly occurred as follows: visual harassment, which involved the perpetrators looking inappropriately at nurses; physical harassment, which involved intentional touching or leaning into the body; and verbal harassment, which involved making sexual jokes and remarks. The development of a prevention program for sexual harassment targeting patients and nurses in long-term care hospitals should be required to enable victims to perceive and efficiently cope with sexual harassment.

• 한국보건간호학회지
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• 제33권3호
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• pp.379-389
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• 2019

Purpose: The study investigated the factors associated with compassion satisfaction of nurses in long-term care hospitals with a focus on the culture of patient safety. Methods: This study was conducted using a descriptive survey. The participants were nurses in 1 metropolitan city and 2 other cities (N=164). The data was collected in October, 2018 and analyzed using the SPSS Win 25.0 program. Results: The factors associated with compassion satisfaction were job satisfaction, work attitude, management practice, leadership of the managers of patient safety culture, and clinical career (F=21.66, p<.001). These variables explained 49.3% of the variance in compassion satisfaction of long-term care hospital nurses. Conclusion: These results highlight the importance of long-term care hospital nurses' compassion satisfaction and can be used as meaningful data for intervention to promote a culture of patient safety, and nurses' job satisfaction.

• 지역사회간호학회지
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• 제31권1호
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• pp.34-42
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• 2020

Purpose: The objective of this study was to identify whether spirituality mediates the relationship between empathy and elderly care performance among Long Term Care (LTC) hospitals nurses in Korea. Methods: The data collection was performed July 1st to August 31th, 2018. Participants were 119 nurses from three long-term care hospitals in Korea. Self-reported questionnaires were administered to assess general characteristics, empathy, spirituality and elderly care performance. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and three-stage simple and multiple regression analysis as proposed by Baron and Kenny. Results: The level of elderly care performance of participants was significantly different based on age (F=3.92, p=.010) and nurse's position (t=-2.18, p=.031). Spirituality had a significant mediating effect on the relationship between empathy and elderly care performance (Z=3.64, p<.001). Conclusion: As spirituality completely mediates the relationship between empathy and elderly care performance, it is necessary to develop a nursing education program that applies spirituality and empathy and supports religious activities at an institutional level.

• 대한간호학회지
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• 제40권3호
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• pp.349-358
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• 2010

Purpose: The purpose of this study was to estimate nursing costs and to establish appropriate nursing fees for long-term care services for community elders. Methods: Seven nurses participated in data collection related to visiting time by nurses for 1,100 elders. Data on material costs and management costs were collected from 5 visiting nursing agencies. The nursing costs were classified into 3 groups based on the nurse's visit time under the current reimbursement system of long-term care insurance. Results: The average nursing cost per minute was 246 won. The material costs were 3,214 won, management costs, 10,707 won, transportation costs, 7,605 won, and capital costs, 5,635 won per visit. As a result, the average cost of nursing services per visit by classification of nursing time were 41,036 won (care time <30 min), 46,005 won (care time 30-59 min), and 57,321 won (care time over 60 min). Conclusion: The results of the study indicate that the fees for nurse visits currently being charged for long-term care insurance should be increased. Also these results will contribute to baseline data for establishing appropriate nursing fees for long-term care services to maintain quality nursing and management in visiting nursing agencies.

• 성인간호학회지
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• 제24권4호
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• pp.390-397
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• 2012

Background: Few nurses are trained in palliative care for long-term care in Korea. The End-of-Life Nursing Education Consortium (ELNEC)-Geriatric training program improves nurses' ability to promote palliative care for the elderly. Purpose: The aim of this study was to evaluate nurses' satisfaction and knowledge following the attendance at the ELNEC-Geriatric curriculum on nurses' knowledge of palliative care. Methods: Nine ELNEC-Geriatric modules were presented to 203 interdisciplinary professionals on July 1 and 3, 2010, in Seoul, South Korea. The Palliative care quiz for nursing (PCQN) was used to evaluate nurses' knowledge. Of all the participants, 128 nurses were completed the questionnaire. Of these nurses, 45.2% were staff nurses and 73.4% were hospital nurses. Results: Approximately eight nine percent of the nurses reported previous experience in caring for dying patients and attending various hospice palliative care training programs. Overall program satisfaction of the participants was 4.03 on a 5-point scale, and their mean of the total PCQN score was 12.75 out of 20 after participating in ELNEC-Geriatric course, which was a significant improvement (p=.022) from the pretest. Conclusion: The results of this study demonstrate that ELNEC-Geriatric curriculum was successfully implemented and significantly contributed to increasing the nurses' knowledge for palliative care in long-term care in Korea.