• 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.

• 산업융합연구
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• 제20권6호
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• pp.55-63
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• 2022

본 연구의 목적은 인지기능저하 대상자를 돌보는 요양병원 간호사의 공감역량이 의사소통행위에 미치는 영향을 파악하고 그 과정에서 회복탄력성의 매개효과를 검정하는데 있다. 자료수집 기간은 2021년 9월27일부터 10월 22일까지이며, P시에 재직 중인 요양병원 간호사 131명을 대상으로 하였다. 수집된 자료는 SPSS WIN 25.0을 이용하여 기술통계, 상관관계, 단계별회귀분석으로 분석하였다. 연구결과 첫째, 공감역량과 의사소통(r=.625, p<.001), 회복탄력성과 의사소통행위(r=.535, p<.001)간 에는 유의한 정(+)적 상관관계가 있음을 확인하였다. 둘째, 공감역량은 의사소통행위(𝛽=.725, p<.001)에 유의한 영향을 주며, 그 과정에서 회복탄력성이 부분매개효과(Z=2.012, p=.042)가 있는 것으로 나타났다. 따라서 인지기능저하 대상자를 돌보는 요양병원 간호사의 의사소통행위를 향상시키기 위해서는 공감역량과 회복탄력성를 증진시킬 수 있는 프로그램을 개발하고 적용할 것을 제안한다.

• 한국콘텐츠학회논문지
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• 제21권11호
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• pp.646-656
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• 2021

본 연구의 목적은 장기요양시설 요양보호사의 노인에 대한 태도, 공감, 직무 스트레스가 서비스 질에 미치는 영향을 파악하기 위함이다. 자료수집은 C도 소재 장기요양시설에 근무 중인 요양보호사 133명을 대상으로, 2019년 5월 1일부터 8월 31일까지 자가 보고식 설문조사로 시행되었다. 수집된 자료는 기술통계, t-test, ANOVA, Pearson correlation coefficient, stepwise regression으로 분석하였다. 연구 결과, 요양보호사의 공감은 직무 스트레스와 음의 상관관계, 서비스 질과 양의 상관관계를 보였으며, 노인에 대한 태도, 직무 스트레스는 서비스 질과 음의 상관관계가 나타났다. 대상자의 직무 스트레스, 공감, 노인에 대한 태도가 서비스 질에 영향을 주는 요인으로 확인되었으며, 요양보호사의 서비스 질에 대해 약 31.6%의 설명력을 나타냈다. 본 연구결과는 요양보호사의 직무 스트레스, 공감, 노인에 대한 태도가 서비스 질 향상을 위해 고려해야 할 주요한 요인임을 제시하였다.

• 대한치과교정학회지
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• 제54권1호
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• pp.59-68
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• 2024

Objective: To investigate the long-term effects of maxillary skeletal expander (MSE) treatment on functional breathing. Methods: Objective measures of breathing, the peak nasal inspiratory flow (PNIF), and peak oral inspiratory flow (POIF), and subjective measures of breathing, the visual analog scale (VAS) and nasal obstruction symptom evaluation (NOSE) survey, were used to investigate the long-term effects of MSE in functional breathing. Seventeen patients, mean age 19.4 ± 3.9 years treated at the UCLA Orthodontics Clinic were assessed on their functional breathing at 3 timepoints: pre-expansion (T0), post-expansion (T1), and post-orthodontic treatment (T2). Results: Immediately after expansion (T1), all the objective functional breathing values were significantly increased in comparison to T0 (P < 0.05). The VAS total, VAS right and VAS left were significantly lower at T1 in comparison to T0 (P < 0.05). At 26.8 ± 3.9 months after MSE expansion (T2), PNIF total, PNIF right, PNIF left, and POIF were significantly higher when compared to T0 (P < 0.05). Also, VAS total, VAS right and VAS left were significantly lower at T2 when compared to T0 (P < 0.05). Additionally, there was a positive correlation between PNIF and the magnitude of expansion at anterior nasal spine and zygomaticomaxillary point (ZMA). There was a positive correlation between total VAS and the magnitude of expansion at the ZMA. There were no significant changes for the NOSE subjective breathing measurement at all time comparisons. Conclusions: Overall, MSE treatment produces an increased objective and subjective airway improvement that continues to remain stable in the long-term post expansion.

• 한국농공학회지
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• 제26권4호
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• pp.52-65
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• 1984

In general precise estimation of hourly of daily distribution of the long-term run-off should be very important in a design of source of irrigation. However, there have not been a satisfying method for forecasting of stationar'y long-term run-off in Korea. Solving this problem, this study introduces unit-hydrograph method frequently used in short-term run-off analysis into the long-term run-off analysis, of which model basin was selected to be Sumgin-river catchment area. In the estimation of effective rainfall, conventional method neglects the Soil moisture condition of catchment area, but in this study, the initial discharge (qb) occurred just before rising phase of the hydrograph was selected as the index of a basin soil moisture condition and then introduced as 3rd variable in the analysis of the reationship between cumulative rainfall and cumulative loss of rainfall, which built a new type of separation method of effective rainfall. In next step, in order to normalize significant potential error included in hydrological data, especially in vast catchment area, Snyder's correlation method was applied. A key to solution in this study is multiple correlation method or multiple regressional analysis, which is primarily based on the method of least squres and which is solved by the form of systems of linear equations. And for verification of the change of characteristics of unit hydrograph according to the variation of a various kind of hydrological charateristics (for example, precipitation, tree cover, soil condition, etc),seasonal unit hydrograph models of dry season(autumn, winter), semi-dry season (spring), rainy season (summer) were made respectively. The results obtained in this study were summarized as follows; 1.During the test period of 1966-1971, effective rainfall was estimated for the total 114 run-off hydrograph. From this estimation results, relative error of estimation to the ovservation value was 6%, -which is mush smaller than 12% of the error of conventional method. 2.During the test period, daily distribution of long-term run-off discharge was estimated by the unit hydrograph model. From this estimation results, relative error of estimation by the application of standard unit hydrograph model was 12%. When estimating by each seasonal unit bydrograph model, the relative error was 14% during dry season 10% during semi-dry season and 7% during rainy season, which is much smaller than 37% of conventional method. Summing up the analysis results obtained above, it is convinced that qb-index method of this study for the estimation of effective rainfall be preciser than any other method developed before. Because even recently no method has been developed for the estimation of daily distribution of long-term run-off dicharge, therefore estimation value by unit hydrograph model was only compared with that due to kaziyama method which estimates monthly run-off discharge. However this method due to this study turns out to have high accuracy. If specially mentioned from the results of this study, there is no need to use each seasonal unit hydrograph model separately except the case of semi-dry season. The author hopes to analyze the latter case in future sudies.

• 한국직업건강간호학회지
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• 제25권1호
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• pp.19-28
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• 2016

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Services in Korea. Methods: A descriptive cross-sectional design was used. The participants were 191 staffs of long-term care insurance in National Health Insurance Services. Data were collected via mail from the 24 branch offices which were randomly selected among the total of 226 centers of National Health Insurance Corporation. Stamm's professional quality of life (ProQOL) and Communication Skills Test tool were included in questionnaire to detect. SPSS/WIN 20.0 was used to conduct the descriptive statistics, t-test, ANOVA, correlation analysis, and multiple regression. Results: Compassion fatigue had a significant positive effect on burnout, while Compassion satisfaction had a negative effect on burnout. The explained variance for burnout was 69% and compassion fatigue was the most significant factor in burnout among staff of long term care insurance services. Conclusion: The results indicate that the factors influencing staffs' burnout are compassion fatigue, compassion satisfaction, and education level. Therefore, strategies to decrease compassion fatigue and improve compassion satisfaction are needed to decrease burnout for staffs of long-term care insurance in National Health Insurance Services.

• 한국융합학회논문지
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• 제10권6호
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• pp.355-363
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• 2019

본 연구의 목적은 요양병원 간호사를 대상으로 윤리적 딜레마, 임종간호스트레스 및 소진의 관계와 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향을 파악하고자 함이다. 본 연구의 대상자는 경상남도에 위치한 7개 노인요양병원에 근무하고 임종간호 경험이 한 번 이상 있으며 연구의 목적을 이해하고 연구 참여에 동의한 간호사 143명을 대상으로 구조화된 설문지를 이용하여 설문조사하였다. 본 연구결과 연령과 직위, 임종간호교육, 임종간호스트레스가 요양병원 간호사의 소진에 영향을 미치는 요인으로 확인되었다. 따라서 요양병원간호사의 소진을 예방하고 완화시키기 위해 임종간호 관련 교육과 함께 스트레스를 관리하는 체계적인 중재프로그램이 필요할 것이다.

• 한국융합학회논문지
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• 제13권5호
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• pp.413-424
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• 2022

본 연구는 졸업학년 간호대학생을 대상으로 간호전문직관, 셀프리더십이 간호직 장기근무 의도에 미치는 영향을 확인하기 위하여 시도되었다. 연구대상자는 W시에 소재한 졸업학년 간호대학생 217명이며, 자료수집기간은 2021년 11월 29일부터 12월 3일까지로 구조화된 설문지를 이용하였다. 자료분석은 SAS 9.4 program을 이용하여 빈도, t-test, One-way ANOVA, 사후분석은 Scheffe, Pearson's 상관분석 및 다중회귀분석을 실시하였다. 연구결과, 졸업학년 간호대학생의 간호직 장기근무 의도의 가장 큰 영향요인은 간호전문직관과 전공만족도이었으며, 졸업 후 진로계획 순으로 설명력은 34.3%이었다. 본 연구결과를 바탕으로 졸업학년 간호대학생의 간호직 장기근무 의도 향상을 위해 간호교육 현장에서 다양한 프로그램의 개발 및 운영이 필요하다. 다만 본 연구는 졸업학년 간호대학생의 간호직 장기근무 의도 수준파악과 영향요인을 확인한 후 간호직 장기근무 의도를 향상시키기 위한 기초자료를 제공하였다는데 의의가 있다.

• 임상간호연구
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• 제28권2호
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• pp.146-156
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• 2022

Purpose: The purpose of this study was to examine the influence of empowerment, infection control organizational culture, and infection control awareness on infection control performance among nurses in long-term care hospitals. Methods: A descriptive survey study was conducted with 125 nurses as subjects who had been working for at least six months in four long-term care hospitals located in Busan metropolitan city and Gyeongsangnam-do Province. Data were collected from September 30 to October 28, 2021 and analyzed using t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression with SPSS/WIN 26.0. Results: The results showed that infection control performance had significant correlations with empowerment (r=.36, p<.001), infection control organizational culture (r=.51, p<.001), and infection control awareness (r=.75, p<.001). Multiple regression analysis for infection control performance revealed that the most powerful predictor was infection control awareness (β=.70, p<.001). Empowerment, infection control awareness and awareness of infection control guidelines explained approximately 60.0% of the variance in infection control performance. Conclusion: Findings indicated that various factors are related to the infection control performance among nurses in long-term care hospital. Based on the results of this study, further development and application of the programs to enhance empowerment and infection control awareness are needed in order to improve the infection control performance of nurses in long-term care hospitals.

• 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.