• 한국산학기술학회논문지
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• 제19권6호
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• pp.240-251
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• 2018

본 연구는 요양병원 간호사의 도덕적 고뇌와 도덕적 민감성의 정도, 상관관계, 도덕적 고뇌에 영향을 미치는 요인 및 도덕적 고뇌의 경험상황을 파악하기 위해 시행되었다. 연구대상자는 G도에 소재한 6개의 요양병원에 근무하는 간호사 180명으로, 자료수집은 2016년 3월 21일부터 4월 8일까지 시행하였으며 SPSS win 23.0 프로그램을 이용하여 분석하였다. 대상자의 도덕적 고뇌정도는 평균 3.57점, 도덕적 민감성정도는 평균 4.82점이었으며, 도덕적 고뇌와 도덕적 민감성 간에는 유의한 정적 상관(r=.494, p<.001)이 있었다. 요양병원 간호사의 도덕적 고뇌에 영향을 주는 변인은 도덕적 민감성과 윤리적 딜레마 경험여부로 나타났다. 대상자의 도덕적 고뇌 상황 경험은 간호의 질이 보장되지 않은 부적절한 간호행위와 관련된 상황, 비윤리적인 인권문제와 관련된 상황, 부족한 간호 인력과 관련된 상황, 조직 및 국가 차원의 지원 부족과 관련된 상황 등에서 경험한 것으로 나타났다. 따라서 요양병원 간호사의 도덕적 고뇌를 감소시키기 위해서는 도덕적 민감성과 윤리적 문제해결능력을 함께 향상시킬 수 있는 중재방안이 마련될 필요가 있다.

• 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.

• 보건의료산업학회지
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• 제9권3호
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• pp.95-106
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• 2015

Objectives : The purpose of this study was to identify levels of turnover intention of nurses in long-term care hospitals, and to explore influential factors on turnover intention. Methods : Data were collected with a structured questionnaires from 165 nurses. The data were analyzed with SPSS/WIN 21.0. Results : First, the average score for the practice environment cognition, job satisfaction, reward importance, and turnover intention were $3.14{\pm}0.21$, $3.18{\pm}0.32$, $4.02{\pm}0.53$, and $3.29{\pm}0.67$, respectively. Second, there were significant differences in the turnover intention according to the average monthly wage, total clinical career, present clinical career, work form, average monthly night shift and turnover experience. Third, the significant predictors of turnover intention were monthly salary, practice environment cognition, reward importance, monthly night shift and type of work explaining 67.0%. of the variance. Conclusions : It is necessary to conduct continuous and systematic research and to find ways that can prevent the resignation of nurses and improve cognition in the practice environment in long-term hospitals nurses.

• 한국융합학회논문지
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• 제13권4호
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• pp.593-601
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• 2022

본 연구는 요양병원 간호사의 재난 인식, 재난에 대한 태도, 재난간호역량 간의 관계를 파악하기 위한 서술적 상관관계 연구이다. 연구 대상자는 G 광역시와 J도 소재 200병상 이상 요양병원 간호사 123명이었고, 자료수집기간은 2021년 2월 15일부터 2021년 4월 30일까지였다. 연구 결과 수간호사 이상(F=3.89, p=.023), 총 경력 20년 이상(F=5.34, p=.002), 재난간호 교육 경험이 있는 경우가 재난간호역량이 통계적으로 유의하게 높았다(t=3.87, p<.001). 또한 재난간호역량은 재난 인식과 유의한 상관관계가 없었으나, 재난에 대한 태도와는 통계적으로 유의한 음의 상관관계를 나타냈다. 본 연구결과를 토대로 요양병원 간호사의 재난간호역량를 강화하기 위해 기관의 특성에 맞는 실무중심 재난간호교육 프로그램 중재가 필요하다는 것을 파악할 수 있었다. 따라서 본 연구는 요양병원 간호사의 재난간호역량 증진을 위한 기초자료로 활용될 것으로 기대된다.

• 대한간호학회지
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• 제45권5호
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• pp.742-751
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• 2015

Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

• Journal of the Korean Data and Information Science Society
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• 제26권3호
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• pp.715-727
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• 2015

본 연구는 우리나라 요양병원의 간호인력 확보수준과 간호결과의 관련성을 파악하고 간호에 민감한 환자 결과를 알아봄으로써 요양병원의 적정 간호인력 확보에 대한 근거를 제공하기 위해 시행되었다. 자료는 건강보험심사평가원의 2012년 '요양병원 병원평가정보'를 바탕으로 분석하였다. 연구결과, 간호사 1인당 환자 수가 평균보다 많은 그룹에서 유치도뇨관 비율 (고위험군/저위험군)이 통계적으로 유의하게 높았다. 간호인력 1인당 환자 수가 평균보다 많은 그룹에서 일상생활수행능력이 감퇴한 환자비율 (치매환자군/비치매환자군), 요실금, 욕창이 새로 발생한 환자 (고위험군)비율이 통계적으로 유의하게 더 높았다. 그리고 요양병원의 등급이 향상될수록 입원환자의 간호결과가 더 좋아지는 것으로 나타났다. 이는 간호인력 확보수준이 높을수록 그리고 요양등급이 높을수록 환자의 간호결과에 긍정적인 영향이 나타난다는 결과이다. 따라서 요양병원에서 간호인력 수를 적정화시킬 수 있는 보다 강력한 정책적 접근이 필요하다는 것을 제안하는 바이다.

• 성인간호학회지
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• 제19권3호
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• pp.495-507
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• 2007

Purpose: This critical ethnography was performed to explore the experiences of nurses who are working with patients in an industrial disaster hospital. During the research process, I focused on the experiences of conflict in caring patients. Methods: Data for the study came from 13 informants with their corresponding patients through interview and observation from March 2002 to February 2004. The data was examined line by line; then compared and contrasted based on a critical discourse analysis. Results: Nurses' conflicts came from discrepancies of the world views from that of the patients. Such conflicts arose because of various issues as follows: Worker as an individual vs patients, nurse as young women vs the medical profession, hospital as an extended home vs health care setting, and hospitalization as a means to enhance work capacity vs a means of treatment. Conclusion: We need more study on the development of adaptive strategy for the nurses to overcome conflicts during their nursing career. Developing a nurses' and patient role intervention program is needed.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.55-65
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• 2009

The Korean government introduced Home Care Services System to cut medical cost and make efficient use of limited medical resources because of increasing chronic diseases and the growing population of the elderly. The Korean government established measures to control the use of insurance services by restricting the number of nurse's visits to patient's home and by asking the patients to shoulder the transportation fee of nurses during the visit. Factors such as oversupply of hospital facilities, low price of home care services, high insurance coverage for hospital services and increased nuclear family set up resulted in the limited use of home care nursing services. The introduction of long-term care insurance in 2007 brought the decrease in the number of home care agencies and these agencies are facing a crisis today. The increase in chronic diseases and growing population of the elderly recently resulted in the need to control the high medical cost. Home care services for early discharge patients and chronic-severe disease patients will contribute in the reduction of medical cost at the same time improves the quality of patient's life. To catch up with the demands of the nation, accessibility to home care services should be improved and policies such as the expansion of home care services insurance coverage and promotion of establishing home care agencies should be considered.

• 디지털융복합연구
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• 제20권4호
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• pp.769-777
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• 2022

본 연구의 목적은 요양병원 간호사의 임상의사결정능력에 미치는 영향요인을 규명하기 위함이다. 2021년 10월 11일부터 12월 10일까지 G도 소재 요양병원 간호사 174명을 대상으로 조사하였다. 수집된 자료의 분석은 SPSS 23.0을 이용하여 서술통계, t-test, ANOVA, Pearson's correlation, stepwise multiple regression으로 분석하였다. 연구결과 연구대상자의 임상의사결정능력은 비판적 사고성향(r=.494, p<.001), 간호근무환경(r=.451, p<.001)과 양의 상관관계를 나타내었으며, 비판적 사고성향과 간호근무환경이 임상의사결정능력을 33.1% 설명하였다. 간호사의 핵심능력인 임상의사결정능력의 향상을 위해서는 비판적 사고성향을 높이는 교육과 바람직한 간호근무환경 조성이 필요하다. 추후연구에서는 요양병원 간호사의 임상의사결정능력에 영향을 미치는 다양한 변수를 확인하는 연구와 임상의사결정능력 향상을 위한 프로그램 개발 및 효과를 위한 연구를 제언한다.

• Journal of Hospice and Palliative Care
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• 제25권4호
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• pp.139-149
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• 2022

Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.