• 임상간호연구
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• 제18권1호
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• pp.86-98
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• 2012

Purpose: The present study was conducted with the aim of developing a training manual for operation room nurses through an examination of nursing actions in terms of the frequency of performance, importance, and the levels of difficulty. The participants were recruited from the five university-affiliated hospitals according to one's career ladders, resulting in getting 181 OR nurses enrolled. Methods: Researchers developed a questionnaire using a 5-point Likert scale which measuring OR nurses' actions, importance, and the levels of difficulty. The frequencies of performance, importance and the levels of difficulty of nursing action were compared according to their career ladders using one-way ANOVA. Results: The frequencies of performance showed significant differences in 26 items according to the participants' career ladders; the importance in 6 items; and the levels of difficulty in 19 items among the OR nurses' actions. Conclusion: Given the fact that the significant differences were shown in the frequencies of performance, importance, and the levels of difficulty in nursing action across differing work experience, continuous development and application of job training based on one's work experience seem crucial in practice.

• 한국간호교육학회지
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• 제6권2호
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• pp.287-302
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• 2000

The purpose of the study are to examine the perception of the importance and performance of patient education of the clinical nurse and find out the interfering factors in practicing patient education. The data were collected from convenient sample of 256 clinical nurses working in the nursing units of adult patients except the psychiatric unit, obstetric unit, dental surgical unit and intensive care unit of one University Hospital in Seoul from September 29 to October 2, 1998. Three measurement tools of self-report- questionnaires developed by researcher used. For the content validity of the questionnaires, two sessions of panel discussion and a pilot test were done and finally factor analysis was done with Varimax method. Analysis of data was done with SAS program using frequency, percentage, means, standard deviation, Pearson's Correlation Coefficients, t-test and ANOVA. The obtained results were as follows : 1. The surveyed nurses perceived the importance of patient education at higher level with mean score of 4.08 among 5 point than their perception of practice( mean score : 3.42). 2. There was positive significant correlation(r=.29, p=0.0001)between nurses' perception of the importance of patient education and it's practice 3. Among the teaching contents for patients, 'information of diagnostic procedure and operation' and 'orientation of hospitalization' were perceived most important. And 'preparation for discharge' and 'understanding of disease and health promotion' were perceived least important 4. Among the teaching contents for patients, 'orientation of hospitalization' and 'information of diagnostic procedure and operation' were perceived highly performable. And 'understanding of disease and health promotion' and 'preparation for discharge' were perceived least performable. 5. Three types of interfering factors were identified as patient-factor, situational factor, nurse-factor. The mean degree of impediment with the interfering factors was at average level(3.09 among 5). The patient and situational factors of impediments were more interfering than nurse- factor for teaching patients. 6. In older age(p<.05), married state (p<.05), higher educational status (p<.01), higher clinical experience (p<.01) and higher position(p<.01), the score of perceived importance of patients education was more high. 7. In older age(p<.01), higher clinical experience(p<.001) and surgical unit (p<.01), the score of perceived performance of patients education was more high. In conclusion, in order to activate patient education practice in the clinical setting, the continuing education for patients education should be more emphasized and the effective teaching methods and materials should be developed to help patient teaching. And an organizational support such as budgeting for patient education and reimbursement system should be administrated.

• 기본간호학회지
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• 제16권4호
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• pp.412-420
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• 2009

Purpose: The purpose of this study was to identify the relationship between empowerment and performance of infection control by emergency department nurses. Method: Participants were 190 nurses working in emergency departments in 14 hospitals located in Busan. Descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficients with SPSS PC+ WIN 12.0 were used to analyze the data. Results: There were significant differences in empowerment by years in ED (emergency departments) and position. There was a significant differences in performance of infection control by position. There were significant differences in empowerment by infection control-related characteristics and by regular conference for infection control. There was a significant and positive relationship between empowerment and performance of infection control in ED nurses. Conclusion: The results of this study indicate that improvement in the level of ED nurse's empowerment would lead to an increase in the performances of infection control.

• 한국간호교육학회지
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• 제19권4호
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• pp.656-662
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• 2013

Purpose: This study was to investigate the effects of a family nursing practicum using role play on emotional intelligence, communication ability, and family nursing performance of nursing students. Methods: Role play training was provided to nursing students who took a community health nursing practicum (family nursing practicum). During the course for 2 weeks, participants were given role play practice for four times and a final test using role play at the end of the course. Data were collected from 52 nursing students before and after the family nurse practicum who agreed to participate in this study. Results: The scores of emotional intelligence, communication ability, and family nursing performance at post test were enhanced significantly compared to the scores at pre test. Conclusion: Nursing educators in family nursing can consider role play to improve emotional intelligence and communication ability as well as family nursing performance.

• 간호행정학회지
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• 제14권1호
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• pp.63-71
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• 2008

Purpose: This study was conducted to identify nurses' self-leadership, organizational commitment and their nursing performance, and examine the relationship among them. Method: A total of 330 clinical nurses with more than one year nursing experiences were recruited from 10 hospitals in G city and J province in Korea. Data were collected using questionnaires from March, 12 to April 21, 2007. For data analyzed using SPSS 12.0 for windows program, Results: There were significant positive correlations between self-leadership, organizational commitment, and independent, dependent, and interpersonal nursing performances. In addition, the organizational commitment had significant positive correlations with independent, dependent, and interpersonal nursing performances. Conclusion: These findings suggest that nurses' organizational commitment and nursing performance ability will be enhanced by hospitals' active supports such as empowering individual nurses' self-leadership through enlarging their autonomy and strengthening their ability to control themselves.

• 간호행정학회지
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• 제8권4호
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• pp.535-549
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• 2002

Purpose : The purpose of this study was to develop a core competency evaluation tool of the preceptors training new graduate nurses and to determine the validity of the developed instrument. Method : This study was conducted in 2 phases. In phase I, preceptor's core competency list was developed through literature review, focus group interview, and review by nursing directors and nurse managers. In phase II, 60 preceptors were evaluated with the developed instrument and categorized into excellent, good & poor core competency groups. For validation of the instrument, new graduates' clinical performance improvement and satisfaction with preceptor were compared between excellent and poor group. Result : The data were analyzed by SPSS P.C and the results were as follows. 1) Preceptor's core competencies were classified into three domains; Role model(10 items), Socialization facilitator(8 items), and Educator(16 items), and each item had four point system of "strongly agree" to "strongly disagree". Cronbach'${\alpha}$ of the instrument was.9416. 2) Comparison of clinical performance improvement and satisfaction with preceptor of the new graduates trained by excellent and poor preceptors revealed that new graduates' clinical performance improvement(p=.015) and satisfaction with the preceptor(p=.005) were significantly higher in the excellent core competency preceptor group than the poor core competency preceptor group. Conclusion : The validity of the preceptor's core competency evaluation tool developed in this study was confirmed. Therefore, this tool can be effectively utilized for education and evaluation of new graduates' preceptors in clinical settings.

• 중환자간호학회지
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• 제8권1호
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• pp.25-40
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• 2015

Purpose: The purpose of the study was to identify the frequency and importance of task performance and the perceived competence to perform of the emergency nurse practitioners (ENPs) certified in Korea. Method: This cross-sectional study was conducted with 41 ENPs certified by March 2012. The questionnaire to identify frequency, importance, autonomy, and perceived competence to perform 131 typical ENP task elements was developed on the basis of the standardized role of an ENP defined by the Korean Accreditation Board of Nursing Education. The data were analyzed using descriptive statistics. Results: The professional nursing practice showed the highest scores for performance frequency, task importance, autonomy, and perceived competence to perform as compared to other job categories. Clinical decision making was the most frequently performed duty. Data collection was the duty with highest levels of importance, autonomy, and perceived competence for the ENPs. However, the ENPs reported that research was the duty with the lowest levels of frequency, importance, autonomy, and perceived competence Conclusion: ENPs in Korea perform various tasks. In order to improve their position in the field, it is necessary to clarify their job description and enhance their competence to perform evidencebased professional nursing practices.

• 한국병원경영학회지
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• 제15권3호
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• pp.1-16
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• 2010

As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses' awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses' performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses' awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses' job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.112-120
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• 2020

본 연구는 1년 이상의 임상경력을 가진 간호사의 행복감, 임파워먼트와 간호업무성과와의 관계를 파악하고, 간호업무성과에 영향을 미치는 요인을 파악하고자 실시되었다. 연구 대상자는 인천과 충청도 소재 2개 종합병원의 간호사 164명을 대상으로 2018년 10월부터 11월까지 설문조사를 하였다. 수집된 자료는 SPSS/WIN 21.0 빈도와 기술통계, Independent t-test, Pearson's correlation coefficients, One-way ANOVA와 사후분석으로 Scheffé test, 그리고 다중 회기분석을 실시하였다. 간호사의 행복감은 평균 3.07±0.36점, 임파워먼트는 평균 3.37±0.43점, 간호업무성과는 평균 3.40±0.44점으로 나타났다. 행복감은 임파워먼트(r=.58, p<.01), 간호업무성과(r=.58, p<.01)와 임파워먼트는 간호업무성과(r=.77, p<.01)와 정적상관관계를 나타냈다. 간호업무성과에 영향을 미치는 변수는 임파워먼트(β=.65, p<.001), 임상경력(β=.19, p<.001), 교육 수준(β=.12, p<.05), 행복감(β=.12, p=.05)이었으며, 전체 변인의 간호업무성과에 대한 총 설명력은 64%이었다. 본 연구결과를 토대로 간호업무성과를 향상하기 위해 충분한 인적, 물적 자원 제공과 더불어 간호사의 행복감 및 임파워먼트를 향상할 수 있는 조직 차원의 관리가 필요하다. 이를 위해 간호사의 업무성과 향상을 위해 임상경력 및 교육 수준에 맞춘 임파워먼트 향상 프로그램 개발과 더불어 간호사의 행복감을 높일 수 있는 업무환경 개선을 제언한다.

• 한국간호교육학회지
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• 제11권2호
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• pp.135-141
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• 2005

Purpose: This study was to investigate the factors influencing performance of preceptors and preceptees. Method: The selectees were composed of 27 preceptors and 27 preceptees. The preceptors were given twenty six hours of education and training concerned with theory and practice and then the preceptors mentioned above gave the preceptees vis-a-vis education and training for four weeks. The data were collected through a questionnaire survey of general characteristics, performance, autonomy, empowerment, organizational commitment. The data were analyzed using t-test, ANOVA, Pearson's correlation coefficient, and the Stepwise multiple Regression. Results: The differences of performance, autonomy, organizational commitment and empowerment were found to have a significance between preceptors and preceptees in preceptorship. The performance was significantly correlated between autonomy, organizational commitment and empowerment of the preceptors and preceptees. Stepwise multiple Regression analysis for performance revealed that the most powerful predictor was empowerment. These variables accounted for 37.7%(preceptors) and 54.6%(preceptees) of variance of the performance. Conclusion: The findings above indicated that the preceptorship was significant as nursing management intervention to increase nurses' performance. Therefore it may be necessary further to develop and apply, such as performance, autonomy, empowerment, organizational commitment in preceptorship.