• Title/Summary/Keyword: Nurse Manager

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Effects of Perceived Patient Safety Culture on Safety Nursing Activities in the General Hospital Nurse's (일 지역 종합병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hwa-Young;Kim, Hye-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.413-422
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    • 2011
  • Purpose: This descriptive correlation study was done to identify how perception of patient safety culture of general hospital nurses affects safety during nursing activities. Data from this study should provide information on management of patient safety as well as improvement in patient safety. Method: Participants in this study were 357 clinical nurses working in a general hospital in M city which had two medical evaluations. A survey was conducted to gather the data. Results: The score for perception of patient safety culture of the general hospital nurses was 3.42, out of a possible 5 points, and the score for safety care activities was 3.90. There was a statistically significant positive relationship between the nurses' perception of patient safety culture and their safety care activities, Perception of patient safety culture, Supervisor/manager, communication and procedures, and frequency of accident reporting were factors that impacted significantly on safety nursing activity. Conclusion: The results of the study indicate that patient safety cultural perception significantly affects the safety of nursing activities and thus systematic educational strategies to increase perception should be provided to increase the level of patient safety culture. Also, other specific methods that increase the level of patient safety culture should be considered.

A Review of Research on Hospital Nurses' Turnover Intention (병원간호사 이직의도에 관한 문헌 분석)

  • Kim, Jong-Kyung;Kim, Myung-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.4
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    • pp.538-550
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    • 2011
  • Purpose: The purpose of this study was to review articles, thesis and dissertation on turnover intention of hospital nurses in order to identify overall trends in turnover intention of nurses and suggest strategies for reducing turnover intention. Method: Thirty research papers on turnover intention of nurses were reviewed. Result: These papers were journal articles and thesis regarding nurses who worked in general wards, intensive nursing units, and emergency rooms in hospital. The tools used to measure turnover intention were Lawler (1983), Mobley (1982), and Lee (1995), and others. Most of tools were composed of 1-11 items, with 4-7 point Likert scales. Reported reliability was .55 to .91. The mean score for turnover intention was between 2.40 and 3.85. The important results revealed that job satisfaction, organizational commitment, and stress affected turnover intention of hospital nurses. Conclusion: The findings from this review indicate that to reduce turnover intention for hospital nurses, a nurse manager should increase job satisfaction, organizational commitment, and reduce stress by developing a good culture and work climate. Moreover it is necessary to assess stress and job satisfaction of nurses, and to manage nurses' welfare, including night duty policy, salary, and career ladder.

Influence of Interpersonal relation and Job Stress on Nursing Performance of Male Nurses (남자간호사의 대인관계능력과 직무 스트레스가 간호업무성과에 미치는 영향)

  • Cho, Mi-Kyoung;Kim, Chul-Gyu;Mo, Hyeong-Jung
    • Journal of muscle and joint health
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    • v.22 no.3
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    • pp.195-204
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    • 2015
  • Purpose: The purpose of this study was to identify the effect of interpersonal relation and job stress on nursing performance among male nurses. Methods: This study was cross-sectional descriptive one. The data were collected from self-administered questionnaires by 110 male nurses members affiliated with the Korean Man Nurses Association. The data were analyzed using descriptive statistics, independent t-test, one way ANOVA with Duncan test, Pearson correlation, and stepwise multiple regression with the SPSS/WIN 21.0. Results: The average scores of interpersonal relation, job stress, and nursing performance were respectively 3.64, 3.10, 3.63. Nursing performance was high in married, good health condition, manager, and high salary among male nurses. Nursing performance showed significant positive correlation with interpersonal relation (p<.001), and a significant negative correlation with job stress (p=.010). Influencing factors of nursing performance among male nurses were interpersonal relation, health status, total duration of career, position, and the adjusted $R^2$ of the regression model was 42%. Conclusion: The results suggest that we need to develop a training program to improve the nursing performance of the male nurses.

Effects of Perceived Patient Safety Culture on Safety Care Activities among Nurses in General Hospitals (지방 중소병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hye Young;Lee, Eun Sook
    • Journal of East-West Nursing Research
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    • v.19 no.1
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    • pp.46-54
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    • 2013
  • Purpose: An objective of this study was to investigate nurses' perceptions toward patient safety culture and to examine the factors affecting safety care activities. Methods: The participants were 429 nurses, at 6 hospitals located in regions, which have 150 to 300 beds, and HSOPSC (AHRQ, 2009) and questionnaire on safety care activities were used as measurement tools. Descriptive statistics, independent t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN version12.0 were used to analyze the data. Results: Supervisor manager expectations and actions promoting patients safety and frequency of events reported were the highest as positive responses, whereas staffing and nonpunitive response to errors showed the lowest scores as positive responses. Scores of medication surveillance is the highest while firefighting surveillance is the lowest in terms of safety care activities. Significant predictors influencing safety care activities were frequency of events report, handoffs and transitions, work unit a patient safety grade, organizational learning-continuous improvement, and teamwork across units. These predictors account for 23% of the variance. Conclusion: These results suggest that hospital policies and systems should be built to settle patient safety culture effectively. Development of standard manuals for safety care activities is another critical element for promoting patient safety.

The Relationship between the Personal and Job Characteristics on Organizational Citizenship Behaviors in Clinical Nurses (임상 간호사의 조직시민행동과 개인특성, 직무특성 간의 관계)

  • Lee, Seon-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.295-304
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    • 2006
  • Purpose: The purpose of this study was to investigate the organizational citizenship behaviors(OCB) of nurses through identifying the relationship between the personal characteristics, occupational characteristics and OCB in nursing organization. Method: The subjects of this study were 223 clinical nurses. The structured questionnaires were used to collect the data. The data were analyzed using descriptive analysis, t-test, one-way ANOVA, Scheffe' test, Pearson correlation and stepwise multiple regression analysis by SPSS version 10. Results: The mean of OCB was $5.21{\pm}.59$. The OCB had statistically significant differences according to age(F=1.706, p=.007), tenure duration (F=3.450, p=.009), choice of nursing department(t=1.651, p=.000), marriage(t=2.341, p=.020) and religion(F=2.578, p=.038). The OCB was positively correlated with high-level need(r=.303, p=.000), neuroticism(r=.155, p=.020), task interdependence(r=.433, p=.000), age(r=.172, p=.010) and tenure duration(r=.190, p=.004); negatively with cynicism (r=-.310, p=.000). The task interdependence(18.7%), cynicism(7.7%) and tenure duration(1.9%) explained 28.3% of the variance for OCB in nursing organization. Conclusion: It is necessary to enhance the task interdependence, increase tenure and understand the characteristics of nurses to increase the OCB in clinical nurses. Nurse manager should be understand the positive influence of OCB on the task outputs in the hospital.

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The Development Job Standards for Advanced Health Insurance Review Nurses (보험심사 전문 간호사의 직무표준 개발)

  • Hwang, Hye-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.264-274
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    • 2009
  • Purpose: This study is to develop job standards in order to propose proper job level of the advanced nurse practitioners and apply the results to the work and enhance the expertism. Method: This study is a methodical study. The validity was examined by using the content validity index(CVI). Result: The pre-items of job standards for advanced health insurance review nurses were established and the final job standards comprising of 12 standards, 46 criteria, 92 indicators, 418 activities were determined after the examination by the advisory group. The validity of the job standards were examined for two times by the seven professionals. The relevance of the modified job standards was examined by the working level employees above the assistant manager position working in the general hospitals and the result was 93.14% relevance. The job standards comprising of 12 standards, 46 criteria, 89 indicator and 409 activities were developed. Conclusions: By the development of the job standards, it is expected to prove that advanced health insurance review nurses are the most suitable professionals for dealing with medical affairs such as management and propriety evaluation of medical expenses while defining the roles of advanced health insurance review nurses.

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The Development and Evaluation of an e-Learning Program for Novice Nurses before Beginning to Work in a Hospital Using KMS(Knowledge Management System) (지식경영 시스템을 활용한 신규간호사 e-Learning 프로그램 개발 및 평가)

  • Song, Young-Shin
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.82-89
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate an e-Learning Program designed to enhance novice nurses's performance ability Method: The e-Learning program was designed for novice nurses before beginning to work in a hospital using a KMS(Knowledge Management System). This study was carried out from February 2006 to April 2007. The program had progressive steps including design, pilot test & modification, contents development, program application and evaluation. After the program design and pilot testing, the learner's satisfaction was analyzed. Result: The program site is http://kms.emc.ac.kr titled, 'Cyber Education Center'. The sixteen part course has been developed as follows: blood sugar test, skin test, insulin test 1, insulin test 2, blood culture, blood sampling, heat therapy, cold therapy, glycerin enema, preparation of operation, oxygen therapy, suction technique, transfusion, foley catheterization and aseptic technique. The overall learner's satisfaction score was 4.08 out of 5 points. Conclusion: E-Learning could be useful for education and nursing work. This method may be effective for clinical nurses.

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Comparative Study on the Job Satisfaction of Part-time Nurses and Internship Nurses (시간제 간호사 및 인턴간호사의 직무만족도에 관한 비교연구)

  • Choi, Sook-Ja
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.93-105
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    • 1999
  • Recently, Korean health care industry managers are paying more attention to customer oriented service, the rationalization of business administration, and quality control of service to adjust their business to outer environment since IMF bailout program. They are focusing on the cost reduction through remodeling the size and structure of man power, viz. labor flexibility. Nurses are not free from this juncture and contingent nurses are increasing fast. This article intends to verify the actual condition of two types of contingent nurses -part-time nurses and internship nurses-and to compare their job satisfaction to provide basic resource for efficient management of nurse man power. The concrete goals of this article are; Firstly, to verify the actual condition of their employment. Secondly, to compare their job satisfaction. And Thirdly, to the relation between employment condition and job satisfaction. To accomplish these research goals, a statistical survey was executed, in which 384 questionnaires - 66 for manager nurses, 318 for contingent nurses-were given to nurses working at 66 general hospitals-which have at least 100 beds-in Seoul. Among them, 121 questionnaires-of 28 general hospitals-were returned. Then, the data coded and submitted to mean, standard deviation, T-test, variance analysis (ANOVA), correlation analysis, multiple regression analysis with SAS program. The research results of the contingent nurses are followings: 1. Two types of contingent nurses shows similar age spans: they are mostly 21 - 30 years old and unmarried. But internship nurses have high level of educational career. Part - time nurses spread at general beds, out -patient part, intensive care part, operation part, etc, but internship nurses work mostly at general beds. 2. Two groups shows difference in actual employment condition: average employment career of part -time nurses is 7.0 months but internship nurses' is 2.0 months: average duty-on days per month of part - time nurses are 23.7 days but internship nurses' are 24.8 days. But there are little difference in average working time per day: 7.7 hours for part -time nurses and 0 hours for internship nurses. 3. The average wage per month for part -time nurses is 836,026 won but for internship nurses is 557,428 won-66.7% of part-time nurses'. Both groups are enjoying little additional pay. 4. Both groups are getting job not so much through advertisement of newspaper or hospitals as through acquainted person or college. 5. Both groups show very high level of job satisfaction: 3.2195 for part -time nurses and 3.2881 for internship nurses. But they show very low satisfaction on payment level compared with other categories and two groups show meaningful difference(P<.0001). 6. The multiple regression test reveals the factors related with job satisfaction: wage level, working part(OR or ICU), age, job career, and motive of contingent job-taking('because I can take care of family duties at the same time') influence positively: motive of contingent job-taking('because I can work regularly without alternation') influences negatively.

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A Study on Relationships among Resilience, Stress, Burnout and Organizational Commitment of Hospital Nurses (간호사의 회복탄력성, 스트레스, 소진, 조직몰입과의 관계)

  • Ryu, Kyung;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.439-450
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    • 2016
  • Clinical nurses have tendency to change their job while providing care to patient, experiencing extreme stress with shift work, increased demands for technique, and heavy workload. At this point, it is time for investigating resilience in nursing part, and resilience affect to increase organizational commitment and decrease stress and exhaustion at organization. This study is a correlation study to investigate effects resilience on stress, exhaustion, and organizational commitment of clinical nurses. The results are as follows; The participants' resilience level is 3.38(${\pm}.38$), at the maximum of 5, stress level is 3.73(${\pm}.50$) at the maximum of 5, burnout level is 2.74(${\pm}.68$) at the maximum of 6 and organizational commitment level is 4.22(${\pm}.68$) at the maximum of 7. Ftom this study, resilience, stress, and burnout showed negative correlation, and resilience and organizational commitment revealed positive correlation. In order to decrease the clinical nurses' stress, burnout and enhance nurses' organizational commitment, nurse managers have to manage nurses' resilience. For increasing resilience of nurses, nurse manager has to develop resilience program, and training for managing nurses' stress and burnout.

Role accomplishment and job satisfaction of hospice nurse (호스피스간호사의 역할수행 정도와 직무만족도)

  • Han, Hyoung-Suk;Choe, Wha-Sook
    • Korean Journal of Hospice Care
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    • v.8 no.1
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    • pp.29-48
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    • 2008
  • Purpose: The purpose of this study was to provide the basic information on the improvement plan by identifying the role accomplishment and job satisfaction of the hospice nurses and analyzing the factors that impact such role accomplishment and job satisfaction. Methods: The data was collected of 189 hospice nurses who have been working more than 6 months in 56 hospice programs registered in Korea Hospice Association and Korean Catholic Hospice Association from October to November, 2007 by structured questionnaire which was developed by Ryu(1979), based on the Riehl's nursing role and the research of Choe(2005) on the role of hospice nurse. Results: The role accomplishment and job satisfaction of the study subject were 3.53 point and 3.39 point, respectively. The roles of hospice nurses were accomplished by the order of advocator, nursing care provider, coordinator (cooperation), educator, quality manager, counsellor, administrator, and researcher. The job satisfaction of the hospice nurses was shown highest in the satisfaction of professional status, followed by the satisfaction of the interaction, satisfaction of the task itself, satisfaction of the administrative aspect, satisfaction of the autonomous, and the lowest in the satisfaction of the pay. The role accomplishment of the subjects according to their socio-demographic and job characteristics was found to have a significant difference by their age, marriage status, academic background, and position. It also has a significant difference by whether they play role of coordinator, whether they took whole responsibility as hospice, working experience as hospice/palliative nurse, and the level of hospice/palliative nursing training(p<.05). In the study of job satisfaction of the subjects according to their socio-demographic and job characteristics, the job satisfaction was found to have a significant difference by the increase of age, the number of duties consisting the hospice team, whether they play role of coordinator, whether they take whole responsibility as hospice, the level of hospice/palliative nursing training, and whether they wish to work for as long as possible(p<.05). The role accomplishment and the job satisfaction of the subjects showed a statistically significant positive correlation. (r=.541, p<.01) Conclusion: Raised saiary will be increased hospice nurse's job satisfaction. And we suggest a repetitive study using the identical tool to the equally extracted subjects with same representativeness of each hospice/palliative institute type. For the expanded role and enhanced professional standard of hospice nurses, we also suggest a study on the improvement plan to enhance the roles of researcher and administrator.

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