• Title/Summary/Keyword: Nurse assistant

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Nurse Staffing Level Relating Factors of the General Nursing Units, ICU, ER and OR in Acute General Hospitals (종합병원의 일반병동, 중환자실, 응급실, 수술장간호사 확보수준 관련 요인)

  • Kim, Yun-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.4
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    • pp.404-412
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    • 2008
  • Purpose: To analyse hospital nurse staffing level of the general nursing unit, ICU, ER and OR in general hospitals. Method: The study sample was 105 acute general hospitals which had reported the bed size and number of nurses by the nursing units. Number of bed per nurse was analysed by the hospital characteristics and the staffing levels of the doctors and the nursing assistant personnels using t-test or ANOVA and Pearson's correlation. Results: Number of bed per nurse was 3.86 in general nursing units and 0.95 in ICU. Tertiary hospitals employed more nurses in general nursing units and ICU than general hospitals. Hospitals located in Seoul and public hospitals employed more ICU nurses. OR nurse staffing level was higher in academic hospitals. Hospital size was positively correlated with nurse staffing level of the general nursing unit, ICU, ER and OR respectively. Total nurse staffing level of the hospital was positively correlated with doctor and nursing assistant personnels staffing levels. Conclusion : Differentiated nursing fee schedule was needed to implement in ER or OR. Regulation policy should be needed for the hospitals which violated hospital nurse staffing level of the law.

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Path Analysis of the Effects of Nurse Staffing on Patient Outcomes in Long-Term Care Hospitals (요양병원 간호인력 배치수준이 환자결과에 미치는 영향에 관한 경로분석)

  • Seong, Jiyeong;Cho, Sung-Hyun
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.249-260
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    • 2023
  • Purpose: The study aimed to examine the effects of nurse staffing levels on patient outcomes in long-term care hospitals in South Korea using path analysis. Methods: We conducted a secondary analysis of national data, which included the 2021 hospital assessment results of long-term care hospitals from the Health Insurance Review and Assessment Service. Data collection was performed between June 19 and June 27, 2023. The study sample consisted of 1,215 hospitals, and we analyzed the data using SAS 9.4 and Mplus 8 software. Results: The average numbers of patients per registered nurse, certified nursing assistant, and nursing staff, including both registered nurses and certified nursing assistant, was 10.00, 7.43, and 4.00, respectively. Path analysis revealed that the number of patients per registered nurse had direct effects on improvements in activities of daily living and indirect effects on indwelling catheterization, pressure ulcer improvement, and weight loss. The number of patients per certified nursing assistant had direct effects on new pressure ulcer development and pressure ulcer improvement, with no indirect effects. The number of patients per nursing staff had direct effects on pressure ulcer improvement and no indirect effects on other patient outcomes. Conclusion: The findings suggest that establishing policies to evaluate staffing levels of registered nurse and certified nursing assistants separately is necessary in order to improve registered nurse staffing levels and patient outcomes in long-term care hospitals.

A Study on Role Conflict in Physician Assistant Nurses (진료협력간호사의 역할갈등에 관한 연구)

  • Kim, Se Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.3
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    • pp.176-187
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    • 2019
  • Purpose: This study was a qualitative study done to investigate the experience of role conflict by physician assistant nurses. Methods: The basis for this study was qualitative research using the phenomenological method. Research participants were 10 physician assistant nurses. Data collection methodology was in-depth interviews. The interviews were conducted 1 to 2 times and each interview lasted within the range of 45 minutes to 2 hours. The data collection and analysis were carried out simultaneously and the Colaizzi (1978) methodology was adopted for data analysis. Results: The results showed 46 significant statements, 13 meaningful statements, 7 themes, and 3 clusters of themes. The 3 clusters of themes were: 'Identity conflict', 'Relationship role conflict' and 'Institutional role conflict'. Conclusion: The findings from this study suggest that legal status guarantees have to be prepared in order to resolve the role conflict of physician assistant nurses.

A Study on Nurses' Perception for Nutrition Education Working in Kyungnam Area (경남지역 간호사의 영양교육에 대한 인식조사)

  • Choe, Yun-Yeong;Yun, Hyeon-Suk
    • Journal of the Korean Dietetic Association
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    • v.9 no.4
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    • pp.278-287
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    • 2003
  • This study was performed to investigate nurses’ perception for nutrition education. The subjects of this study were 197 nurses and 94 nursing assistants working at hospitals in the Kyung-nam area. The survey was conducted by using a self-administered questionnaire in November, 2001. The results were as follows : Sixty-seven point seven percent of the subjects were nurse, 32.3% were nursing assistant. Average age of subjects was 26.9 years old, average nursing experience was 5.7 years, and 70.7% of the subjects graduated from a junior college. The average nutrition knowledge score was 14.3$\pm$2.5 out of possible 20 points. Seventy-four point two percent of the subject responded that nutrition education is very necessary for patient, and positive responses in the nurse were higher than that nursing assistant(p<0.001). Only 8.6% of the subjects had nutrition education training. The perceptions about a suitable person for nutrition counseling and nutrition education indicated dietitian(69.3%) and nurse(21.3%). Fifty-two point eight percent of the subjects responded that they would not participate in nutrition education themselves and the main reason for this was that they believed lack of expert knowledge(43.4%), and that such courses should be taught by specialist(40.5%). Forty-eight point eight percent of subjects had nutrition counseling experience for patient, and nurses, married nurses and those over 2 years of nursing careers had significantly higher nutrition counseling experience for patient than nursing assistant, unmarried nurses and those under 2 years of nursing careers(p<0.05-p<0.001)

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Effects of Emotional Intelligence and Self-Leadership on Job Satisfaction among Physician Assistant Nurses (전담간호사의 감성지능과 셀프리더십이 직무만족에 미치는 영향)

  • Jeong, Bo Mi;Noh, Yoon Goo
    • Korean Journal of Occupational Health Nursing
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    • v.31 no.3
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    • pp.105-113
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    • 2022
  • Purpose: This study aimed to identify the effects of emotional intelligence and self-leadership on job satisfaction among physician assistant nurses. Methods: The participants were 146 physician assistant nurses working at two university hospitals. Data were collected from August 1-September 31, 2020 and analyzed through t-test, ANOVA, Scheffé test, Pearson correlation, and hierarchical regression analysis using SPSS/WIN version 26.0. Results: Factors affecting job satisfaction were self-leadership (β=.30, p=.003), "less than 1 year of experience as a physician assistant nurse" (β=.27, p=.025), and emotional intelligence (β=.25, p=.007), and the explanatory power was 34.4% (F=6.03, p<.001). Conclusion: Our study shows that self-leadership and emotional intelligence play a significant role in the job satisfaction of physician assistant nurses; thus, strengthening these two factors is crucial to improve the nurses' job satisfaction. The results of this study may serve as basic data for the development of strategies to enhance job satisfaction among physician assistant nurses.

Work reality of dental assistant (치과에 근무하는 치과보조인력의 업무실태)

  • Lee, Sook-Jeong;Cho, Hye-Yeon
    • Journal of the Korea Convergence Society
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    • v.6 no.4
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    • pp.153-159
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    • 2015
  • Dental assistant in South Korea, The work is overlapped considerably between dental hygienist and dental practical nurse. Moreover, dental technician, hospital coordinator work in dentistry consultation deeply. It cause friction among work scope of occupation's type. Accordingly It is purpose to get basic data which is necessary to deduce division of work training and utilization of human resources in oral health distinguish clearly between business occupations. Also compared and analyzed via analysis of frequency and ANOVA above 10 works around something legal work of dental hygienist regarding work reality of dental assistant in dental clinic and hospital. Compare with scaling, representative item about 10 works center on legal work of dental hygienist, is implementing dental technician 9(75%), practical nurse 64(87.67%), etc. 11(64.71%). Dental assistant except dental hygienist is implementing indigenous legal work of dental hygienist. Dental institution secure enough man power, It is suggested necessity for policy means regarding role and work scope of dental assistant.

Perceptions of Adequacy and Job Performance of Nurse Assistant Nursing Jobs according to Registered Nurses and Nurse Assistants in Geriatric Hospitals, and Caregivers (요양병원 간호조무사의 간호업무 적절성과 수행여부에 대한 간호사, 간호조무사, 환자보호자의 인식 비교)

  • Cho, Myung Hee;Kim, Kye Ha
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.4
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    • pp.384-395
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    • 2016
  • Purpose: The purpose of this study was to investigate perceptions of adequacy and job performance of the nurse assistants' nursing job as evaluated by registered nurses and nurse assistants in geriatric hospitals, and by caregivers from the same hospitals. Methods: Participants included 62 registered nurses, 57 nurse assistants, and 64 patient caregivers who completed a measurement scale on the job of nurse assistants. Data collection was conducted from October to December, 2015. Data were analyzed using descriptive statistics and one-way ANOVA by IBM SPSS/WIN program version 21.0. Results: There were significant differences by items in perception of adequacy of nurse assistants' nursing job of among the three groups. There was also a significant difference in perception of the nurse assistants' job performance among the three groups. Conclusion: For nurse assistants in geriatric hospitals, the Ministry of Health and Welfare needs to develop an appropriate job practice guideline. In addition, there should be periodic courses of retraining and continuing education for nurse assistants.

Nurse's Image Perceived by Elementary, Middle and High School Students (초·중·고등학생들이 지각하는 간호사 이미지에 관한 연구)

  • Kim, Yu Mi;Kang, Young Sil
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.3
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    • pp.384-395
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    • 2013
  • Purpose: This study aimed to investigate the nurse's image and role projected in media and perceived by elementary, middle and high school students. Methods: Data were collected from 544 students in J city, Korea during December 2010 to February 2011. The nurse's image was measured by the instrument developed by Yang (1998). Nursing experiences and nurse's role in media was measured by self-administered questionnaires with 8 questions. Statistical analysis was made with t-test and ANOVA using SPSS win 18.0. Result: The score on personal image was the highest, while the score on social image was the lowest. Elementary school students reported a positive image compared with middle and high school students. Male students had a more positive image than female students. Of various media, students had more experiences related to nurses from TV rather than internet sites, books and newspaper/magazines. Especially, the nurse's role on TV 'seemed to be an assistant of a doctor' was rated the highest by the students. Conclusion: It is necessary to develop a strategy to improve the social image of the nurse through TV by providing correct information on the nurse's role. For this purpose, it is required to consistently monitor and analyze the nurse's role shown in media.

Factors Related to Nurse Staffing Levels in Tertiary and General Hospitals

  • Kim Yun Mi;June Kyung Ja;Cho Sung-Hyun
    • Journal of Korean Academy of Nursing
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    • v.35 no.8
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    • pp.1493-1499
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    • 2005
  • Background. Adequate staffing is necessary to meet patient care needs and provide safe, quality nursing care. In November 1999, the Korean government implemented a new staffing policy that differentiates nursing fees for inpatients based on nurse-to-bed ratios. The purpose was to prevent hospitals from delegating nursing care to family members of patients or paid caregivers, and ultimately deteriorating the quality of nursing care services. Purpose. To examine nurse staffing levels and related factors including hospital, nursing and medical staff, and financial characteristics. Methods. A cross-sectional design was employed using two administrative databases, Medical Care Institution Database and Medical Claims Data for May 1-31, 2002. Nurse staffing was graded from 1 to 6, based on grading criteria of nurse-to-bed ratios provided by the policy. The study sample consisted of 42 tertiary and 186 general acute care hospitals. Results. None of tertiary or general hospitals gained the highest nurse staffing of Grade 1 (i.e., less than 2 beds per nurse in tertiary hospitals; less than 2.5 beds per nurse in general hospitals). Two thirds of the general hospitals had the lowest staffing of Grade 6 (i.e., 4 or more beds per nurse in tertiary hospitals; 4.5 or more beds per nurse in general hospitals). Tertiary hospitals were better staffed than general hospitals, and private hospitals had higher staffing levels compared to public hospitals. Large-sized general hospitals located in metropolitan areas had higher staffing than other general hospitals. Occupancy rate was positively related to nurse staffing. A negative relationship between nursing assistant and nurse staffing was found in general hospitals. A greater number of physician specialists were associated with better nurse staffing. Conclusions. The staffing policy needs to be evaluated and modified to make it more effective in leading hospitals to increase nurse staffing.

Study on Needed Professional Knowledge and Understanding of Family Planning Workers in Kyonggi-Do, Korea (경기도 가족계획 요원의 가족계획사업 수행에 필요한 지식이해에 관한 조사연구)

  • 이광옥
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.159-174
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    • 1971
  • The Family Planning Program has teen intensively implemented in Korea by the national policy since 1962. However, the desired effective results were not fully obtained by many reasons such as the shortage of qualified workers, lack of eligible women's cooperation and understanding of the importance of family planning etc., The field family planning workers is classified into two categories along the governmental personnel order; the senior field worker and the assistant field worker. The former is qualified licensed nurse and the latter same as the former of a certified nurses-aid. These family planning worker's roles are somewhat in change not only in field education, distribution of contraceptions, administrating mother's class of assistant field workers but also responsible for the senior field workers such as recording, reporting and keeping statistics. Therefor, the desired success of family planning programming in Korea depends on family planning worker's professional abilities and activities in the field. In aiming to study on professional knowledge of the above two kinds of family planning workers, the following results were obtained through a field survey with question airs done as of October, 1970 in Kyonggi-Do. 1. Working term of the family planning workers in average were less than two years. The younger the assistant Field workers were, the earlier they left job. 2. The assistant field workers selected their job in order to the superficial rather than implementing job itself. 3. Most of the workers either in the health center or in the Up-Myun had a better understanding concerning with their job ; contraceptive methods, maintenance of equipment and drug keeping, and other administrative procedures, etc., 4. They had relatively better understanding and sufficient knowledge about contraception itself and application of it's methods and side effects in detail too, but less knowledges for the care after. 5. It was hard to Find out any differences in administrative knowledge and demographic understanding. 5. It is fully agreed upon that the longer the worker have experienced with the program, the more skilful she applied. 7. The worker who had training whether pre-service or insertive are working more effectively than the untrained. 8. The fundamental demographic knowledge is recommended to obtain for the workers in Kyonggi-Do.

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