• 한국의료질향상학회지
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• 제26권1호
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• pp.46-54
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• 2020

Purpose: The purpose of this study was to, present basic data on the necessity of introducing assistant staff to support administrative tasks related to patient safety. Methods: This was a cross-sectional study. The participants (n=103) of this study were nurses, working at general and long-term care hospitals in Korea. Data were collected using structured questionnaires on August 29, 2019 and analyzed with SPSS 25.0. Specifically, data analysis was conducted using frequencies, mean and standard deviation, independent t-test, and X²-test. Results: Assistant staff was needed to support patient safety tasks, but this required nurses who could fully perform patient safety tasks by supplementing their work experience rather than employees who only support administrative tasks. This is because the hospital's patient safety management activities are difficult to distinguish between administrative tasks and patient safety tasks, and even nurses with five years of work experience, must be aware of the basic concepts and should have knowledge of patient safety and have gained experience in managing the patient safety activities. Conclusion: Hospitals are calling for an improvement in the system that increases the number of workers in charge of patient safety affairs and lowers their work experience, rather than the introduction of assistant staff who help with patient safety work.

• 한국병원경영학회지
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• 제28권4호
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• pp.23-32
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• 2023

Purposes: Caregivers are placed in a poor working environment because there is no special legal basis or definition in the current medical system, and they have difficulty in supplying manpower due to frequent job change and retirement. Therefore, this study aimed to find out the effect on job consciousness, job stress, job satisfaction, and turnover intention of caregivers in nursing hospitals for the elderly. Methodology: In this study, a survey was conducted from May 2nd to 16th, 2022, targeting caregivers with more than 6 months of work experience working at 10 nursing hospitals in D City. Data were collected through convenience sampling, and a self-administered questionnaire method was used, in which subjects filled out a questionnaire. A total of 240 questionnaires were distributed, and 220 copies were considered for the final analysis after excluding non-response or inappropriate questionnaires for data use. Data analysis used t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis, and the main results are as follows. Findings: Job stress and job satisfaction showed a significant correlation with the level of turnover intention, and were also found to be major determinants. On the other hand, among the occupational characteristics of the study subjects, employment type, job motivation, service period, number of patients, injury experience, and license status showed a significant difference from turnover intention. Conclusion: As a result of the above research, in order to prevent job turnover and retirement by improving job stress and job satisfaction of caregivers engaged in nursing hospitals, it is necessary not only to legalize caregivers, but also to secure an appropriate level of caregivers for nursing hospitals and improve specific treatment for caregivers. Ultimately, a policy alternative that can provide quality nursing service is required.

• 디지털융복합연구
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• 제16권12호
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• pp.449-457
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• 2018

본 연구의 목적은 요양병원 간호사의 의사소통능력, 직무스트레스가 이직의도에 미치는 영향을 알아보고, 의사소통능력, 직무스트레스 이직의도의 관계에 감성지능의 조절 효과를 검증하는 서술적 조사연구이다. 요양병원 간호사 240명을 대상으로 2018년 2월 1일부터 28일까지 이루어졌다. 자료분석방법은 IBM SPSS Win 20.0 프로그램을 이용하여 기술통계, t-test, ANOVA. 상관관계, 단계적 다중 회귀분석과 조절효과는 위계적 다중 회귀분석으로 분석하였다. 연구결과 이직의도는 의사소통능력과 직무스트레스에 따라 높게 나타났다. 이직의도는 직무스트레스와 양의 상관관계가 있는 것으로 나타났으며 이직의도에 가장 큰 영향을 미치는 요인은 급여만족도, 직무스트레스, 연령으로 나타났다. 본 연구 결과를 토대로 요양병원 간호사의 이직의도를 줄이기 위해서는 임상특성을 반영한 체계적인 프로그램 개발과 교육이 필요하다.

• 한국병원경영학회지
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• 제20권2호
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• pp.28-38
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• 2015

This study was conducted by extending Ajzen's Theory of Planned Behavior(TPB) model in analyzing physician's observance behavior of National Health Insurance review standards. An extended TPB model was proposed by including 'background knowledge'and 'dorganizational commitment'in original model to predict physician's review standards observance behavior. Surveys for data collection were carried out on the physicians who were working in a general hospital, clinics, specialized hospitals, local medical centers and long term care hospitals located in Daegu and Kyoung-Buk province in Korea. Two hundreds twenty copies of questionnaires were distributed and 166 physicians responded. Data were analyzed using a structural equation model. The results show that an affirmative attitude and subjective norms have significant positive effects on physicians' behavior of observing review standards. However, the effect of perceived behavioral control on intention to behavior is not significant. The organizational commitment and background knowledge have a positive effect on the intention of observance of review standards. In conclusion, because physician's observance behaviors are affected by background knowledge and organizational commitment as well as attitudes, subjective norms, hospital managements should establish a communication system to share information on the review standards among physicians and provide appropriate measures to increase physician's organizational commitment.

• 한국산학기술학회논문지
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• 제21권6호
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• pp.144-153
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• 2020

본 연구의 목적은 요양병원 간호사의 도덕적 민감성, 자기주장성, 윤리적 의사결정 자신감의 정도, 상관관계, 윤리적 의사결정 자신감에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 G도에 소재한 6개의 요양병원에 근무하는 간호사 149명으로, 자료수집은 2019년 11월 30일부터 12월 18일까지 시행하였으며 SPSS win 21.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation 및 Multiple regression으로 분석하였다. 대상자의 도덕적 민감성 정도는 평균 4.94점, 자기주장성 정도는 평균 3.17점, 윤리적 의사결정 자신감 정도는 평균 3.49점이었다. 일반적 특성에 따른 자기주장성 정도는 도덕적 고뇌 경험 유무에서 유의한 차이를 보였고, 윤리적 의사결정 자신감 정도에서는 직위와 윤리적 교육 경험 유무에서 유의한 차이를 보였다. 윤리적 의사결정 자신감은 도덕적 민감성(r=.382, p<.001)과 자기주장성(r=.224, p<.01)과 유의한 정적 상관이 있었다. 요양병원 간호사의 윤리적 의사 결정 자신감에 영향을 주는 변인은 도덕적 민감성과 윤리적 교육 경험 여부, 자기주장성임을 확인하였고, 윤리적 의사결정 자신감에 대한 이들 변인의 설명력은 25.0%였다. 따라서 요양병원 간호사의 윤리적 의사결정 자신감을 향상하기 위해서는 윤리적 교육을 통한 도덕적 민감성과 자기주장성을 함께 향상할 수 있는 프로그램 개발이 필요하다.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.253-264
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• 2016

본 연구는 요양병원 간호사의 치매환자 통증관리수행에 영향을 미치는 요인을 규명하기 위한 서술적 조사연구이다. 대상자는 B시 소재 30개 요양병원의 간호사 168명이며, 자료 수집기간은 2016년 6월 25일에서 7월 15일까지였다. 수집된 자료는 SPSS/WIN 22.0 통계 프로그램을 이용하여, 빈도와 백분율, t-test, ANOVA, Scheff's test, Pearson 상관계수, 다중회귀분석을 시행하였다. 연구 결과 대상자의 치매환자 통증에 대한 지식은 18점 만점에 10.73점으로 낮았으며, 통증관리태도는 평균 $2.98{\pm}0.27$점, 자기효능감은 평균 $3.34{\pm}0.61$점으로 중간보다 높았다, 장애요인은 평균 $2.90{\pm}0.51$점으로 중간 정도였으며, 통증관리수행은 평균 $4.09{\pm}0.52$점으로 높은 수준이었다. 대상자의 특성에 따른 통증관리수행 정도는 연령(p=.046), 요양병원경력(p=.009), 통증교육(p=.004)에 따라 유의한 차이가 있었다. 대상자의 통증지식, 태도, 자기효능감, 장애요인과 통증관리수행의 상관관계를 분석한 결과 태도(r=.21, p=.006), 자기효능감(r=.51, p<.001)과는 양의 상관, 장애요인(r=-.16, p=.035)과는 음의 상관관계를 보였다. 통증관리수행에 영향을 미치는 요인은 자기효능감, 요양병원경력, 통증교육 순이었고 전체 설명력은 30.1%이었다. 따라서 요양병원 간호사의 치매환자 통증관리수행을 높이기 위해서 정확한 통증지식과 자기효능감을 높일 수 있는 프로그램을 개발할 필요가 있다.

• 한국응용과학기술학회지
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• 제38권3호
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• pp.813-823
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• 2021

본 연구는 요양병원에서 근무하는 간호사를 대상으로 표준주의지침 수행도에 미치는 영향요인을 파악하기 위해 실시되었다. 분석결과 표준주의지침 인식 8.50, 건강신념 3.76점(하위영역- 지각된 민감성 4.03점, 지각된 심각성 4.04점, 지각된 유익성 3.91점, 지각된 장애성 3.54점, 행동계기 2.92점), 표준주의지침 수행도 37.90점이었다. 표준주의지침 수행도는 표준주의지침 인식(r=0.419, p<.001), 건강신념(r=0.443, p<.001), 건강신념 하위영역인 지각된 민감성(r=0.169, p=.044), 지각된 유익성(r=0.207, p=.013), 지각된 장애성(r=0.486, p<.001), 행동계기(r=0.204, p=.014)와 양의 상관관계가 있었다. 표준주의지침 수행도에 미치는 영향요인은 지각된 장애성(β=0.373, p<.001), 행동계기(β=0.271, p<.001), 표준주의지침 인식(β=0.245, p=.004) 이었고 설명력은 32.5%이었다.

• 보건행정학회지
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• 제22권1호
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• pp.85-108
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• 2012

One of the ways to achieve the principle of equal access for equal needs, availability and geographical accessibility of health care resources regardless of resident sites is important. The purpose of this paper is to measure socioeconomic inequities in distribution of health care resources among regions in the Republic of Korea (hereafter Korea). Data were extracted from regional statistics of National Health Insurance, Community Health Survey, Korea Social Science Data Archive, and Korean Statistical Information Services at the same period of 2009. The dependent variables were the number of health workforce and health care facilities in each region. The proxy indicator of regional socioeconomic status was local tax per person. To identify whether inequalities among regions, we examined the concentration index(CI) and indirectly standardized CI by controlling each region's demographics and need factors. Total observations were 232 districts in nationwide, and we analyzed separately Seoul(25 districts) and non-Seoul areas(207 districts). The standardized CI values of health care resources were positive(favoring the rich region) across the nation in almost all kinds of resources. Especially the number of specialist, dentist, dental clinics, clinics, oriental medical clinics, pharmacists, and pharmacies were statistically significantly favoring the rich region. But the CI for the number of long-term care hospitals, public health centers were negative(favoring the poor region). The tendency of CI presenting positive values were increased in Seoul area. But in the case of non-Seoul, the CI indexes were nearly zero. The results suggest that except the Seoul area, little regional socioeconomic-related inequalities were observed in the distribution of health care resources in Korea.

• 대한간호학회지
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• 제7권1호
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• pp.55-62
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• 1977

Varieties of literatures were reviewed in regard to the fundamental concept of day hospital, historical trends, the recipient of its care, facilities and personnel, therapeutic programmes and the follow-up care plans. Through the research the advantages of day hospital were highlighted in order to provide the reference for those who consider planning such health care institution. Since the introduction of the concept of day hospital and its implementation in 1930, many psychiatric patients world over are treated and cared. Patients with specific health problems ; alcoholism, acute or serious psychiatric disease, tendencies of humidor suicidal attempts, and with serious physical problems were excluded from the general recipient. Day hospital were annexed to the psychiatric hospitals in most in instances ; facilities, personnel, except nursing personnel, were shared. All therapeutic care were planned in daley, weekly programmes, and were focussed on socialization. The follow-up care were provided for those participating post- therapy club activities which were planned and introduced ahead. Many advantages of day-hospital care in contrast to the traditional hospitalization care were found: 1. The abrupt discontinuity of his family and other social role is prevented. 2. Therapeutic progress is faster. 3. Lessened economic burden to the family. 4. Behavioral regression is lessened and the lessened fear of hospitalization. 5. Less injury to the patients, self- respect, through lessened anxiety of hospitalization. 6. Incidents of secondary crisis believed to be existing in long term cases are decreased. 7. Therapeutic care implemented in freer atmosphere, better Patient-personnel relationships are created. 8. Varieties of group activities are Induced which enable faster recovery. 9. Patients could engage himself with social activities including getting job on part-time basis. 10. Rehabilitation of patient could be implemented.

• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.366-375
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• 2017

본 연구는 의료급여환자와 가족 3인, 요양병원에 4년 이상 근무한 경험이 있는 종사자 5인에 대한 심층면접조사를 통하여 도덕적해이가 우려되고 있는 의료급여환자의 요양병원 이용과정과 입원, 의료서비스, 퇴원과 전원 등에 대하여 분석하였다. 주요 분석결과와 함의는 다음과 같다. 첫째, 요양병원 입원은 의료급여환자의 선택보다는 의료기관간의 연계와 유치를 위한 경쟁적 홍보에 의해서 이루어지고 있었다. 둘째, 의료급여환자의 요양병원 장기입원의 원인은 본인부담이 적어서 도덕적 해이를 유발할 수도 있었지만 거주지 부재, 간병인 부재 등 퇴원 후 사회적인 보호수단이 없는 것도 주요 원인이었다. 셋째, 대다수 의료급여환자들이 치료가 필요한 상태이지만, 건강보험환자에 비해 필요성이 높지 않음에도 입원을 유지하는 경우가 있었다. 넷째, 요양병원의 의료서비스는 재활서비스가 주를 이루고 있으며, 간호인력과 간병인의 역할이 중요하였다. 다섯째, 의료급여환자들은 요양병원 의료비를 수급비와 가족지원 등으로 부담하고 있지만, 일부 환자들은 병원에서 간병비나 본인부담을 면제 혹은 감면받고 있었다. 여섯째, 공공기관과 사회복지기관은 요양병원에 환자를 의뢰한 이후 지속적인 관리를 하지 않고 있으며, 퇴원 후 지역사회서비스 연계가 필요한 것으로 나타났다.