• 대한간호학회지
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• 제30권5호
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• pp.1230-1242
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• 2000

The purpose of this research was to uncover the expertise of ICU nursing in Korea, and to describe nurses' practice based on the degree of skill acquisition. A total of 18 ICU nurses participated in the study. The data was collected through individual in-depth interviews and it was managed using the NUDIST 4.0 software program. The data was analyzed using interpretive phenomenology suggested by Benner. Four properties of expertise of ICU nursing were identified. These are 1) concern and love toward patients; 2) knowledge; 3) skill, and 4) abilities in interpersonal relationships. And the characterisitcs of four levels of skill acquisition, that is advanced beginner, competent, proficient, and expert, were described with exemplars. The results of this study might help nurse researchers clarify and elaborate on the concept of expertise in ICU nursing, and enable them to understand how the process of skill acquisition occurs in the ICU setting. They might also help nurse managers establish educational goals for ICU nursing for student or novice nurses.

• 간호행정학회지
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• 제3권1호
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• pp.37-50
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• 1997

The purpose of this study was to identify the gap between need-level and demonstration-level in nursing managerial competencies. In addition, the study proposes solutions to narrow this gap. The results of this study are as follows : 1) The mean score for need-level of each item was 4.0, and for demonstration-level, 3.5. This indicates that military hospital head nurses demonstrate a higher level of managerial competencies than the moderate level on all items. But items which were related to resource/ cost/ information managament, staff development management and professionalism management got relatively low ratings in the need-level. 2) The mean score for need-level of each category was 4.14, and for demonstration-level, 3.53. Categories on the individual dimension got a higher rating than categories on the group or organization dimension in both need-level and demonstration level. 3) The gap between need-level and demonstration-level appeared in all items(p<.05) and categories(p<.001). Although the gap was relatively low, it indicates that it is essential to plan a developmemt program for all nursing management competencies for military hospital head nurses. 4) There were significant differences in the gap between need-level and demonstration-level according to specific characteristics of the subjects. The gap did not appear in many categories on the individual dimension where the number of nursing staff was more than 10, a major grade, ICU head nurse or for head nurses having a long career. 5) Need-level and demonstration-level showed a difference according to specific characteristics of the subjects, because need-level and demonstration-level were higher where the number of nursing staff was more than 10, a major grade, and for ICU or Medical ward head nurses. The categories which showed need-level difference and demonstration-level differences according to specific characteristics of the subjects existed almostly completely in the group and organization dimension. Gap-level differences according to the number of hospital bed existed in only two categories. 6) The general causes of the gap were indicated to be 'Knowledge/ skill/ experience deficit', 'Limitation of rules and systems/ Inappropriate organizational environment' for most items, categories, and dimensions. The results of this study indicate that extensive competency developing strategies must be developed, because a gap was found in all items and categories. Specially, there is a need to concentrate attention on competencies in the group and organizational dimension which had a wider gap level. And it is important to take an individual approach according to the cause for each gap. In order to produce effective competency developing strategies, top managers must have sinsights into the importance of nursing staff development and nursing officer's efforts to develop themselves must be achieved. Further multi-dimensional(education, personnel-policy, nursing/ organizational environment) solutions to the gap must be developed and utilized.

• 한국융합학회논문지
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• 제8권7호
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• pp.113-122
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• 2017

본 연구의 목적은 임상간호사의 상사신뢰, 고객불량행동, 이직의도가 직무배태성에 미치는 영향을 파악하기 위하여 시도되었다. 연구방법은 임상간호사를 대상으로 2016년 5월 1일에서 2016년 5월 30일까지 자가보고식 설문지를 이용하여 수집된 188명의 자료를 IBM SPSS/WIN 21.0 program을 이용하여 분석하였다. 연구결과 상사신뢰 3.20점(5점 만점), 고객불량행동 2.66점(5점 만점), 직무배태성 3.05점(5점 만점), 이직의도 3.39점(5점 만점)이었다. 직무배태성은 상사신뢰(r=.57, p<.001), 이직의도(r=.19, p=.011)와 유의한 정적상관계가 있었고, 직무배태성의 하위요인인 희생과 고객불량행동(r=-.15, p=.037)은 부적상관관계가 있었다. 직무배태성에 영향을 주는 융합요인은 상사신뢰(${\beta}=.471$, p<.001), 직무만족(${\beta}=.226$, p<.001), 이직의도(${\beta}=-.196$, p<.001), 간호직 만족도(${\beta}=-.169$, p=.005)로 직무배태성을 48.9%를 설명하였다. 따라서 간호관리자는 조직차원에서 간호사의 직무배태성을 높이기 위해 상사신뢰와 직무만족, 간호직 만족도를 높이고 이직의도를 낮추기 위한 전략을 세워야 한다.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.250-258
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• 2019

본 연구의 목적은 일 지역에 위치한 요양병원 간호사들의 근무환경과 관련된 실태를 알아보는 것으로 본 연구의 결과를 통해 요양병원 간호사의 근무환경 개선에 도움이 되고자 한다. 이를 위해 서술적 조사연구가 시행되었다. 현재 광주지역에 위치한 요양병원에서 근무하는 일반 간호사와 수간호사 이상의 간호관리자 포함 179명의 대상자가 임의 표출되었다. 자료수집은 2015년 7월부터 12월까지였다. 구조화된 설문지가 연구 도구로 사용되었고, 이 설문지에는 대상자의 일반적 특성과 병원관련 특성 및 근무환경 특성이 포함되었다. 모든 자료분석은 SPSS 22.0 version을 이용하여 수행되었다. 본 연구결과, 대상자의 73.2%가 개인에 의해 설립된 요양병원에서 근무하고 있었다. 대다수의 대상자들이 요양병원 인증평가를 받았다고 응답하였다. 대상자들이 근무하는 병동 내 간호사 대 간호조무사의 비율은 1:2인 경우가 많았다. 요양병원 간호사들이 한달 동안 받는 평균 휴가 수는 8일이 가장 많았고, 간호사의 평균 연봉은 2,500~3.000만 원이었다. 본 연구의 결과를 근거로 볼 때, 요양병원 간호사에 대한 근무환경은 좋다고 할 수 없는 상황이었다. 따라서 이러한 요양병원의 근무환경에 대해 간호사들이 어떻게 인지하고 있는지를 좀 더 심층적으로 살펴보는 질적연구를 제안한다.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.93-101
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• 2019

본 연구의 목적은 간호사가 인식한 간호관리자의 팔로워십과 임파워먼트, 직무만족과의 관계를 파악하고, 간호관리자의 팔로워십이 조직구성원인 간호사의 직무만족에 미치는 영향에서 임파워먼트의 조절효과를 확인하기 위함이다. 자료수집은 2019년 3월 2일부터 3월 17일까지 전남 소재 500병상 이상 4개 종합병원에서 근무하는 간호사를 대상으로 하였으며, 자료 분석은 대상자의 일반적인 특성과 측정 변수의 정도는 빈도 분석과 기술통계분석으로 하였다. 일반적 특성에 따른 관련 요인의 차이는 t-test와 ANOVA로 분석하였고, 측정변수들 간의 상관관계 및 다중공선성은 Pearson's correlation coefficient로 분석하였으며, 임파워먼트의 조절효과의 검증을 위해 조절회귀분석을 실시하였다. 연구 결과는 일반적 특성에 따른 대상자가 인식한 간호관리자의 팔로워십과 임파워먼트, 직무만족의 차이에서는 성별에서 임파워먼트와 직무만족은 유의한 차이를 보였고, 교육정도에 따라서는 팔로워십과 임파워먼트, 직무만족에서 모두 유의한 차이를 보였다. 또한 직장 이동 경험에 따른 차이는 직무만족에서 통계적으로 유의한 차이를 보였다. 대상자가 인식한 간호관리자의 팔로워십과 임파워먼트, 직무만족 간에는 모두 정적인 상관관계가 있는 것으로 나타났으며, 팔로워십과 직무만족 간에 임파워먼트가 조절변수로 작용함이 확인되었다. 본 연구의 결론은 최근 대두되고 있는 팔로워십을 간호분야에 적용하여 그 영향력을 검증하였다는 점에서 의의가 있으며, 향후, 조직 구성원들의 리더십 개발 뿐 아니라 팔로워십 증진프로그램 개발과 다양한 변수들을 추가하여 팔로워십에 대한 광범위한 연구가 필요하다.

• 대한간호학회지
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• 제38권1호
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• pp.45-54
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• 2008

Purpose: The purpose of this study was to develop a balanced scorecard (BSC) for performance measurement of a Korean hospital nursing organization and to evaluate the validity and reliability of performance measurement indicators. Method: Two hundred fifty-nine nurses in a Korean hospital participated in a survey questionnaire that included 29-item performance evaluation indicators developed by investigators of this study based on the Kaplan and Norton's BSC (1992). Cronbach's alpha was used to test the reliability of the BSC. Exploratory and confirmatory factor analysis with a structure equation model (SEM) was applied to assess the construct validity of the BSC. Result: Cronbach's alpha of 29 items was .948. Factor analysis of the BSC showed 5 principal components (eigen value>1.0) which explained 62.7% of the total variance, and it included a new one, community service. The SEM analysis results showed that 5 components were significant for the hospital BSC tool. Conclusion: High degree of reliability and validity of this BSC suggests that it may be used for performance measurements of a Korean hospital nursing organization. Future studies may consider including a balanced number of nurse managers and staff nurses in the study. Further data analysis on the relationships among factors is recommended.

• 디지털융복합연구
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• 제13권11호
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• pp.303-311
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• 2015

이 연구는 종합병원에 근무하는 간호사를 대상으로 간호사의 고객지향성을 파악하고 간호사가 인식한 간호조직문화와 고객지향성이 어떤 관계가 있는지를 분석하고자 한다. 2014년 10월 1일에서 15일까지 442부의 설문지를 선택하였고 SPSS 21.0 프로그램을 통해 분석하였다. 연구결과는 간호사가 인식한 각 간호조직문화 유형과 고객지향성은 양의 상관관계가 있는 것으로 나타났다. 책임 간호사, 비교대 근무형태에서 유의한 결과가 나왔다. 또한 관계지향적 문화, 혁신적조직 문화, 위계지향적 문화 순으로 유의하게 나타났다. 따라서 병원 관리자들은 간호 조직 문화내의 내부 고객인 간호사에 대한 관심과 관리가 필요할 것이다.

• 임상간호연구
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• 제23권3호
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• pp.281-292
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• 2017

Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.

• 임상간호연구
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• 제18권3호
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• pp.354-367
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• 2012

Purpose: This study was done to verify validity and reliability of a neonatal patient classification system (NeoPCS-1). Methods: An expert group of 8 nurse managers and 40 nurses from 8 Neonatal Intensive Care Units in Korea, verified content validity of the measurement using item level content validity index (I-CVI). The participants were nurses caring for 469 neonates. Data were collected from November 11 to December 14, 2011 and analyzed using descriptive statistics, ANOVA, intraclass correlation coefficient, and K-cluster analysis with PASW 18.0 program. Results: Nursing domains and activities included 8 items with 91 activities. I-CVI was above .80 in all areas. Interrater reliability was significant between two raters (r=.95, p<.001). Classification scores for participants according to patient types and nurses' intuition were significantly higher for the following patients; gestational age (${\leq}29$ weeks), body weight (<1,000 gm), and transfer from hospital. Six groups were classified using cluster analysis method based on nursing needs. Patient classification scores were significantly different for the groups. Conclusion: These results show adequate validity and reliability for the NeoPCS-1 based on nursing needs. Study is needed to refine the measurement and develop index scores to estimate number of nurses needed for adequate neonatal care.

• 한국직업건강간호학회지
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• 제14권2호
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• pp.164-170
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• 2005

Purpose: The present study attempted to find subjective musculoskeletal symptoms of operating room nurses (OR nurses) and then to use them as basic data for prevention and management of musculoskeletal symptoms of OR nurses. Method: This study was an exploratory research, and data were collected from OR nurses working in 8 polyclinics in Korea from July 26 to August 19, 2004, using a self-report questionnaire. The questionnaire contains items concerned with subjective musculoskeletal symptoms include ones with the presence of symptoms and with the degree of discomfort, in the joints such as neck, shoulder, arm/elbow, hand/wrist/finger and waist. For data collection, the aim of the study was explained to the operating room managers to obtain their help, and these questionnaires were sent to hospitals, and were retrieved by post. 271(90.3%) questionnaires were returned among those sent to 300 nurses. 249 questionnaires excluding 22 insufficient ones such as no response were used for data analysis. Data were analyzed using SPSS WIN 12.0. Subjective musculoskeletal symptoms were analyzed in the number and percentage. Result: 187(75.1%) nurses said they 'had' subjective musculoskeletal symptoms and 62 (24.9%) said they had 'nothing'. 130(52.2%), 125 (50.2%), 113 (45.4%), 86(34.5%), and 42 (16.9%) nurses had subjective musculoskeletal symptoms in waist, shoulder, hand/wrist/finger, neck, and arm/elbow, respectively. 51(27.3%) and 136 (72.7%) nurses complained of the pain in one site, and in two or more sites, respectively. In particular, 51% and 47.4% nurses said that they were 'discomforted' due to the pain in waist and in shoulder, respectively. Conclusion: Subjective musculoskeletal symptoms which OR nurses complained of were significant. This may cause difficulty in nursing tasks in the operating room. So various arrangements have to be made for OR nurse with subjective musculoskeletal symptoms at an early stage.