• Title/Summary/Keyword: Nurse aides

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Examining the Predictors of Turnover Behavior in Newly Employed Certified Nurse Aides: A Prospective Cohort Study

  • Hsiao-Ching Chen;Jiun-Yi Wang;Ya-Chen Lee ;Shang-Yu Yang
    • Safety and Health at Work
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    • v.14 no.2
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    • pp.185-192
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    • 2023
  • Background: The turnover rate of nurse aides in Taiwan is high. However, the predictors of turnover behavior in the newly employed are still unclear. Objective: To examine the predictors of turnover behavior in newly employed licensed nurse aides. Methods: A longitudinal study design was used and subjects were newly employed certified nurse aides from a nurse aid training association in Taiwan. A total of five questionnaire surveys were conducted. The questionnaire was mainly used to collect information on turnover behavior, personal socioeconomic background, workplace psychosocial hazards, worker health hazards, and musculoskeletal disorders. Results: A total of 300 participants were recruited in the study. Cox regression analysis results showed that short working experience (hazard ratio [HR] = 0.21, p < 0.01), work as non-home nurse aides (HR = 0.58, p = 0.01), low monthly salary (HR = 0.68, p < 0.01), high work mental load (HR = 1.01, p = 0.01), low workplace justice (HR = 0.97, p < 0.01), high workplace violence (HR = 1.60, p < 0.01), high burnout (HR = 1.01, p = 0.04), poor mental health (HR = 1.06, p = 0.04), and high total number of musculoskeletal disorder sites (HR = 1.08, p = 0.01) contribute to a higher risk of turnover. Conclusion: The results indicated that employment period, work as a home nurse aide, monthly salary, work mental load, workplace justice, workplace violence, work-related burnout, mental health, and total number of musculoskeletal disorder sites are predictors of turnover behavior in newly employed certified nurse aides.

A study on simple nursing activities for the registered nurses and nurse aides in the hospital (단순간호활동에 관한 간호사 및 간호조무사의 태도조사연구)

  • Lee Jung-Hee
    • Journal of Korean Public Health Nursing
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    • v.4 no.1
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    • pp.37-55
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    • 1990
  • Every country in the world has been trying to expand the basic health right for the peoples as W.H.O has established the goal 'health for AU' by the year of 2000. Related to this goal, our government authority has establish the policy 'the insurance of health for all' into effect from July 198\). Recently hospitalshave been making a ceaseless effort for the plan for the rationalization of its management the academic World is making it a subject of discussion by doing the secure of manpower at a resonable level and the increase of productivity by the manpower. As a result of the efforts the study was established to secure the numbers of nursing manpower at a resonable level and use the unskilled persons at the utilizing field and seek the possible area of their activity for more efficient service through the investigation of ablity of simple nursing activities of regiestered nurses and nurse aides for rational function according to the educational levels and talents. The method of study was established by the registered nurses and nurse and nurse aides(R.N 229, N.A 226) who are working in 15 hospitals with over 200 beds. This surrey was conducted from Mar 29, 1989 to April 8, 1989. The method to test the degree of importance, difficulties, and the abillity of performance of a simple nursing activities was classified into 35 activities on the basis of references on this field. The degree of importance was composed from point l(Not so important) to 5(Very important). the degree of difficulties. was composed as follows; very easy - Point 1 very difficult and complicated - Point 5. and the ability of performance was composed from point 1 to 5. The materials gathered through the survey were analyzed with frequency, mean standard deviation, percentage. t-test, Anova, pearson's coefficient of correlation, stepwise multiple regression. factor analysis, discriminant analysis. The obtained results are summarized as follows: 1. The recognition values of the simple nursing activities of each group of registered nurse and nurse aides show; The degree of importance; 4.04 and 4.26 The degree of difficulties; 2.72 and 2.94 The ability of performance; 2.07 and 2.38 The brief summary shows there are little differences between who two groups the simple nursing activities turned out to be easy and simple work. 2. Regardless of the degree of importance, and difficulties, the ability of performance the important in fluencing of the degree of the simple nursing activities between the registered nurses and nurse aides was the order of educational level, hospital career, working career in wards and ages of the registered nurses and ages and hospital creer of nurse aides. The result was that the simple nursing activities could easily be familiar through the training of their working environment and period of experience. 3. Among the 35 simple nursing activities the items capable of resonable entrusting to the nurse aides are 5 that is helping bed-bathing, 8itz Bath, using bed pan, care while delivering patient, accompaying patient when visitor's check. There wasn't and differences between RN and nurse aides in performing the above 5 items. In anywhere. so we can say obviosuly that this nursing activities should be performed under the nursing system of which chief of nurse are supposed to supervise nurse aides as a possible function to be entrusted. In view of the above mentioned results, therefore, this partial functional job of the simple nursing activities can able be entrusted to the nurse aides through the regular training course. In case of these functional activities could be entrusted under, the responsibility of registered nurse, we can able suggest to for that there are the following advantages: 1.. In the nursing activities-affairs, the qualified guarantee of the nursing services can be kept and increased or promotoed with accommodation of the required nursing service and roles being expanded presently. 2. In the productivity of the hospital manpower, therefore, we have comt to view and consider in favourly that when an automational administration times would be come in the near future time to hospital affairs as a reality, to utilize the existing nures aides is better rather than investing so as to develop the other source manpowers or seek its for the efficient business management in the operational strategy or its policy.

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Factors Affecting the Mental Health of Nurse's Aides (간호조무사의 정신건강에 영향을 미치는 요인)

  • Kim, Mi-Jin;Choe, Myeong-Hui
    • Journal of the Korea Convergence Society
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    • v.11 no.4
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    • pp.359-367
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    • 2020
  • This study is a descriptive research to identify the factors affecting the mental health of nursing aides. The subjects were 227 nursing aides working in the metropolitan area of South Korea, and the survey was conducted in October 2019 using the structured questionnaires. The results showed that the factors affecting mental health of nursing aides were emotion stability, emotional intelligence, occupational stress, and subjective perception of physical health, and their explanatory power for mental health was 64.6%. As a result, it is necessary to develop an intervention program to improve emotion stability, emotional intelligence, occupational stress, and subjective perception of physical health in order to improve mental health of nursing aides.

The Determinants of Propensity To Stay Among Hospital Nurses (병원간호직 근무자의 근속성향 결정요인)

  • Seo, Young-Joon;Ko, Jong-Wook
    • Korea Journal of Hospital Management
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    • v.2 no.1
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    • pp.137-161
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    • 1997
  • This study purports to investigate the determinants of propensity to stay among nursing staff working at Korean hospitals. The independent variables contains three groups of determinants: environmental variables(job opportunity, spouse support, and parent support), psychological variables(met expectations, work involvement, positive affectivity, and negative affectivity), and structural variables(job autonomy, work unit control. routinization, supervisor support, coworker support, role ambiguity, role conflict, workload, resource inadequacy, distributive justice, promotional chances. job security, job hazards, and pay). The sample used in this study consisted of 329 nurses and 175 nurse aides from two university hospitals in Seoul and its surburbs. Data were collected with self-administered questionnaires and analyzed using path analysis. The results of this study indicate that: (1) the following variables, listed in order of size, have significant positive effects on propensity to stay among hospital nursing staff: job satisfaction, met expectations, supervisor support, job security, and positive affectivity, (2) the following variables, listed in order of size, have significant negative total effects on propensity to stay among hospital nursing staff: job opportunity, negative affectivity, and rutinization, (3) the model explains 44.2 percent of the variance in propensity to stay among nursing staff working at two university hospitals, and (4) managerial support for improving the job autonomy, distributive justice, and promotional opportunity for nurse aides are needed.

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A Study on the Performance and the Importance of Ambulatory Nursing Activities (외래 간호인력 업무활동 수행도와 중요도 분석;종합병원${\cdot}$종합전문요양기관 중심으로)

  • Hwang, Hye-Young;Park, Jeong-Hye;Kim, Ji-Soo;Chen, In-Sug;Bae, Kyung-Ok;Seo, Mi-Sook;Yang, Woo-Jeong;Jung, Moon-Young;Chae, Ji-Sun;Hong, Ji-Yeon;Kim, Moon-Sil
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.1
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    • pp.109-117
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    • 2007
  • Purpose: This study focused on analysing the performance and the perception of importance about workload of ambulatory nurses and nurse-aides for quality of nursing. Method: The subjects of this study were 126 ambulatory nurses and 117 nurse-aides in 6 secondary and 4 tertiary hospitals. The method of data collection was used the questionnaire. Result: As a result, First, nurses' activities that the performance score is above 3.0 are reception, guidance, reservation, confirm, checking medical record, operating report, explanation of disease, explanation of examination discuss with medical part, discuss with supporting part, solving patient problem environment management, and paper work. And the other side, those of nurse-aides are reception, guidance, reservation, preparation for clinic, assistant for clinic, preparation for examination, material transfer & receipt, confirm, checking medical record, and arrangement. Second, nurses-aids perceive above 3.0 performance score activities to be important for themselves. Finally, nurses perceive three categories of patient education/counselling, patient advocacy and quality improvement to be more important and higher performance when compared with nurse-aides. Conclusions: Ambulatory nurse's important nursing activities are therapeutic care, patient education/counselling, patient advocacy, communication, personal management, quality improvement.

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Manpower Acquisition Strategies of Long-term Care: Focused on Nurses and Nurse Aides (노인장기요양인력 확보 방안: 간호사와 간호조무사 중심으로)

  • Lim, Ji Young;Kim, Juhang;Lim, Jung Mi;Park, Young Sook
    • Journal of Home Health Care Nursing
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    • v.27 no.1
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    • pp.64-81
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    • 2020
  • Purpose: The purpose of this study was to identify manpower acquisition strategies of nurse and nurse aide in long-term care Method: The study was proceed using following three stages: to explore workforce status and labor environment with database analysis, literature reviews, to explore the best practices, practical experiences with expert interviews, with focus group interview, to identify problems and present acquisition strategies Results: Acquisition strategies were increasing of pay, improvement of working condition, development of practical educational program, diversification of entry paths, establishing clear roles for nursing staffs, diversification of training program. Conclusion: We found that the acquisition strategies of nurse and nurse aide can be as an useful methods to increase manpower in long-term care for higher quality of services and care.

Low Back Pain of Hospital Nursing Personnel (병원 간호인력의 요통발생실태와 관련요인)

  • Kim, Hyo Seon
    • Korean Journal of Occupational Health Nursing
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    • v.3
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    • pp.21-30
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    • 1993
  • For the purpose of disclosing the magnitude of low back pain problems of hospital nursing personnel and its possible causes, a questionaire survey was carried out on 418 nurses and nurse aides if a university hospital in Seoul. The results were as follows : 1. Of 418 nurse and nurse aides, 268 persons(64.1%) have experienced 1,145 spells of low back pain during 6-month period. 2. The pain and/or discomfort was mostly limited to the back, although 19% of the episodes accompanied radiating pain to the low extremities. 3. Of those with low back pain, 23 persons(8.6%) were medically diagnosed and 17 persons(6.3%)-underwent medical treatment. Those who sick leave amounted to 8 persons(3.0%). 4. The occurrence of low back pain showed significant association with assignment of duties(wards) and work shifts, while the association was not significant in terms of ranks, careers and overtimes. 5. The occurrence of low back pain was closely associated with lifting and carrying of loads, standing and twisting postures as well as the amount of work. 6. Among the nonoccupational factors, drinking showed statistically significant association with the occurrence of low back pain.

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