• Title/Summary/Keyword: Nurse's Role

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A Study on Role Conflict and Job Satisfaction in Nurses in Oriental Medicine Hospitals (한방병원 간호사의 역할갈등과 직무만족도에 관한 연구)

  • Song Mi-Ryeong;Lee Jeong-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.316-325
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    • 2003
  • Purpose: This study was done to identify role conflict and job satisfaction in nurses in oriental medicine hospitals. Method: Study participants were 128 nurses employed in oriental medicine hospitals. The data were collected using a survey questionnaire. The instruments included a 37-item role conflict scale and 20-item job satisfaction scale. The data were analyzed using frequencies, means, percentages, t-test, ANOVA, and Pearson correlation coefficient with the Window's SPSS program. Result: There were significant differences in job satisfaction according to marital status, motivative for being a nurse and length of work time. The mean score for role conflict was 3.69 and for job satisfaction, 2.96. Job satisfaction had a significant inverse correlation with role conflict in these nurses. Conclusion: It is suggested that further studies are needed to identify factors affecting role conflict and job satisfaction in oriental medicine nurses, which will help to identify strategies to decrease the role conflict and increase job satisfaction in nurses employed in oriental medicine hospitals.

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아동간호학 임상실습 교육의 방향

  • Park, Mun-Hui
    • The Korean Nurse
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    • v.35 no.4
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    • pp.51-56
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    • 1996
  • This research was an attempt to restructure the curriculum of pediatric clinical education on the base of the analysis of the pediatric clnical experience of nursing students acquired according to the traditional hospital-based pediatric clinical education and the evaluation of its results. As the focus of health care changes, pediatric clinical education the future necessitates changes in the traditional clinical experince at all levels. The traditional concentration of clinical experience within an acute care setting must be restructured to include the expanding future roles of the nurse and the changes in the health care structure. In order to meet the need for restructuring, it is inevitably necessary to adopt an organizational design for pediatric clinical experience that is not all traditional. The additional experiences and variety of settings will enhance the quality of pediatric clinical experience. And as a matter of course this organizational change will enhance the student learning experience by giving them the opportunity to observe normal growth and development, preventive health care measures, and the role of the nurse outside the acute care setting. As the nursing's focus changes to meet the challenges of the future the faculty must apply themselves to these changes to prepare students for the future. Students must be ready to fill the many roles that nurses will hold in the future.

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The Paradigm Model of VIP Ward Nurses' Decision Making (특실병동 간호사의 의사결정 경험에 관한 패러다임 모형)

  • Park, Hyun-Jeoung;Kim, Duck-Hee;Kim, Chun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.18 no.2
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    • pp.141-152
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    • 2009
  • Purpose: The purpose of this research was to describe the decision making of nurses in a VIP ward. Method: The methodology of collecting and analyzing the data was based on the grounded theory of Strauss and Corbin (1998). The data were collected through an in-depth interview, which were audio-taped and transcribed. The data were collected from 10 nurses from July to November 2007. Results: The core category on VIP ward nurses' decision making was named as "adjusting with flexibility and deepened insight". The causal condition was established by 'the patients who wanted to be treated specially'. The contextual conditions included 'caring patients from various departments', 'differences depending on the nurses' clinical experience', and 'client-centered atmosphere in the VIP ward'. The intervening conditions included 'problem solving styles of nurses', 'attitudes of patients and family members', 'nurse-doctor relationships', and 'accessibility to information'. It was confirmed that nurses changed their action-interaction strategies depending on the intervening conditions, thus resulted in the nurses' role conflict and the need to expand their consciousness. Conclusion: The result of this study indicates that nurse's decision making depends on their experiences and the nature of social context in which nursing occurs.

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Case Management Process identified from Experience of Nurse Case Managers (의료급여 관리사의 실무 경험을 통해서 본 사례관리 과정)

  • Park, Eun-Jun;Kim, Chun-Mi
    • Journal of Korean Academy of Nursing
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    • v.38 no.6
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    • pp.789-801
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    • 2008
  • Purpose: The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea. Methods: A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory. Results: Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources. Conclusion: This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

The effectiveness of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients: A systematic review and meta-analysis (간호사 주도의 중재가 신장이식 수혜자의 삶의 질, 약물 순응도, 불안 및 우울에 미치는 효과: 체계적 문헌고찰 및 메타분석)

  • Park, Seung Yeon;Kwak, Lee Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.30 no.3
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    • pp.263-279
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    • 2024
  • Purpose: This study was conducted to evaluate the effects of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients. Methods: A systematic literature review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Two researchers independently selected the final literature, and the quality assessment was performed using Cochrane's Risk of Bias tool. Additionally, a meta-analysis was conducted using the statistical software RevMan 5.4 to estimate effect sizes. Results: Among the reviewed 2,264 papers, 8 final papers, including 6 from the literature search and 2 from manual searches, were included in the analysis. The total number of participants included in the analysis was 477. Nurse-led interventions were found to be effective in improving quality of life (d=1.05) and reducing anxiety (d=-0.98) and depression (d=-1.25). Due to the heterogeneity of the measurement tools, the effect size for medication adherence could not be calculated. Despite this, nurse-led interventions were shown to improve medication adherence. In the cases of anxiety and depression, longer intervention periods showed a more significant reduction trend. Conclusion: The results of this study suggest that nurse-led interventions positively impact quality of life, medication adherence, anxiety, and depression in kidney transplant recipients. Therefore, it is important to recognize the crucial role of nurses and explore ways to provide continuous nursing interventions for kidney transplant recipients.

The Development fo Occupational Stress Measurement Tool for Psychiatric Nurses (정신과 간호사의 업무 스트레스 측정을 위한 도구 개발 연구)

  • Bai, Jeong-Yee
    • The Korean Nurse
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    • v.28 no.1
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    • pp.77-88
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    • 1989
  • The purpose of this study is to propose the baseline data for -developing the occupational stress measurement tool for Psychiatric nurses Working in the hospital. 135 staff nurses in psychiatric unit of 11. hospital were participated during the period from August 1 to August 20, 1988. Though the pretest and literature review a questionnaire was coristructed with 88 stressors which were experienced by the psychiatric nurses in the hospital. Subjects were given instruction to rate 1~6 likert type scale according to the level of stress experienced by each stressor described. Reliability of the tool was tested by Cronbach's Alpha and the reasult was ${\alpha}=0.94871$. Factor analysis was applied to organize 88 items together: As the result, 14 factors were obtained. The factors were; 1) Administration problem 2) Work overload 3) Role conflict as a profession 4) Lack of professional knowledge and skill 5) Conflict with nurses 6) Conflict with other health teams 7) Conflict in nurse-clint relationship 8) Conflict with supervisor 9) Conflict with suborinate 10) Low reward 11) Scheduling probrem 12) Inappropriate physical environment 13) Staff inadequate 14) Inadequate of equipment.

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Intergeneration Occupational Mobility Experience of Nurses: Focus on Mother's Experience (간호직을 선택한 자녀를 둔 간호사 어머니의 경험)

  • Kim, Joo Hyun;Nam, Eun Sook;Kil, Myung Sook;Yoon, Sung Ja;Soun, Eun Jin;Park, Eun Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.523-533
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    • 2014
  • Purpose: The purpose of this study is to analyze how the experiences of nurses influence their role model function when they are mothers of children who in turn have become nurses or nursing students. Method: The subjects of this study were 12 nurses, 8 of their children who became nurses and another 4 children then in training to become one. Data were collected through in-depth personal interviews and subsequently analyzed through a phenomenological approach. Results: Four main themes were identified as follows; 'Persuasion and dissuasion,' 'Proud but still pathetic,' 'As mom and senior nurse' and 'Great to pass it down.' Conclusion: The results of this study show that the nurse as mother could be a positive professional role model for her children. However, they tended to stress the arduous clinical routines and poor work conditions nurses currently experience. Should such routines and conditions improve, mothers who are nurses would be more willing to recommend the nursing profession to their children. Improving the professional environment is thus important because intergeneration nursing mobility provides a reliable resource to recruit qualified and dedicated nursing personnel.

Experience of Healthcare Providers in the Advanced Practice Nurse System (전문간호사제도에 대한 의료인의 경험)

  • Kim, Min Young;Jeon, Mi-Kyeong;Choi, Su Jung;Kim, Jeong Hye;Kim, Heeyoung;Leem, Cho Sun
    • Journal of Korean Critical Care Nursing
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    • v.14 no.2
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    • pp.42-56
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    • 2021
  • Purpose : The purpose of this study was to understand and describe the experiences of the advanced nurse practitioner (APN) system used by healthcare providers including APNs, doctors who worked with APNs, and APN master's course professors at a graduate school. Methods : Qualitative data were collected via snowball sampling. The participants were nine APNs, six doctors, and three professors. They were divided into three focus groups, each of which consisted of all three types of healthcare providers. Data were collected via interviews with the three focus groups conducted from September to October 2019. All interviews were audiotaped and transcribed verbatim. The transcribed data then underwent qualitative content analysis. Results : Based on the data, we extracted four themes and 14 categories. The themes were "Role and system of APNs started according to healthcare environment changes", "Optimal healthcare provider to ensure quality of care", "Confused role and system of APNs due to incomplete medical law", and "Tasks for the stable operation of the APN system." Conclusion : For quality treatment and safety of patients, a legal basis must be established for the APN system. For its stable operation, social consensus regarding legislation about APNs' scope of practice is required. Finally, a discussion is necessary about the integration of APNs' 13 fields.

The Importance and Satisfaction of Intensive Care Unit Health Care Providers with Intensive Care Unit Clinical Nurse Expert's Role (중환자실 전담간호사 역할에 대한 중환자실 의료인의 중요도와 만족도)

  • Moon, Hyun-Jung;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.379-389
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    • 2022
  • This study was aimed to identify importance and satisfaction of intensive care unit health care providers for Intensive Care Unit Clinical Nurse Expert (ICU CNE) roles. A questionnaire survey was performed with 138 intensive care unit health care providers between May 3 to 29, 2021. Data were analyzed using descriptive statistics. t-test and Importance-Performance Analysis (IPA). There were statistically significant differences in importance(t=2.33, p=.024) and satisfaction(t=5.43, p<.001) between physicians and nurses. The importance and satisfaction of intensive care unit health care providers were ranked in the order of advanced clinical practice, professional activity, coordination and cooperation, education and counseling and research. In the 'concentrate' area, it was found that 'Professional activity' and 'Education' should be improved. A strategy is needed to strengthen the expertise of ICU CNE and to enhance the competency in areas that need improvement.

An Analysis on Nursing Students' Clinical Situation for Development of Oriental Nursing Practice Education (한방간호 실습교육 개발을 위한 간호학생의 임상실습 실태 분석)

  • Yang, Kyung-Hee;Lee, Gyoung-Wan
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.1
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    • pp.5-14
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    • 2009
  • Purpose: The purpose of this study was to develop clinical education of Oriental Nursing. Methods: The subjects were one hundred and ninety-three students who have completed clinical practice. The questionnaires were composed of experience type and Oriental Nursing practices(25 items), level of satisfaction(20 items), difficulty level of practices(6 items), and preparation level of practice instructor(5 items). The reliability were Chronbach's $\alpha$=.84, .86, .74, and .93 respectively. Frequencies, percentage, t-test, and Pearson's Correlation was used in data analysis using SPSS PC+ 11.0. Results: Nursing students recognized that they had difficulties caused by a lack of knowledge of Oriental medicine, of learning the uniqueness of the nurse's role and lack of nurse's enthusiasm in teaching students. However, they were confident in preparing acupuncture and implementing Moxibustion, large Moxibustion, Bu-Hang therapy, aroma therapy and on administration of medicines and control of temperature of the medicines, exercise and rehabilitation. Therefore, instructors should train nursing students by developing a unique Oriental Nursing practice and reinforcement of nurses' independent and cooperative roles through the acquisition of Oriental Medical knowledge and terminology. It is necessary that they develop an educational program based on Oriental Nursing practice, perform consistently within the program and train its teaching faculty and instructors.