• 중환자간호학회지
• /
• 제14권2호
• /
• pp.1-11
• /
• 2021

Purpose : The aim of this study was to propose appropriate nurse staffing of adult intensive care units considering patients' nursing care needs according to the Workload Management System for Critical Care Nurses (WMSCN). Methods : In a cross-sectional survey conducted in September 2017, 1,786 patients' WMSCN scores, surveys from 2,145 nurses, and administrative data from 118 units in 41 hospitals were analyzed. The means (standard deviations) of the aforementioned scores and nursing hours per patient day were presented. Nurse-to-patient ratios and nurse-to bed ratios for staffing to meet patients' nursing care needs were calculated. Results : The mean WMSCN scores were 109.50±17.17 in tertiary hospitals and 96.38±19.26 in general hospitals. Nursing hours per patient day were 12.47±2.80 in tertiary hospitals and 11.01±2.45 in general hospitals. Nursing hours per patient day correlated with WMSCN scores. Nurse-to-bed ratios required for the provision of ICU nursing care ranged from 1: 0.36 to 1: 0.48. Conclusion : Our findings provide evidence that current ICU nurse staffing is insufficient for meeting patients' nursing care needs. We suggest adjusting the legal standards for adequate nurse staffing considering these needs.

• 한국보건간호학회지
• /
• 제27권1호
• /
• pp.142-152
• /
• 2013

Purpose: This study was aimed to identify the relationships among job stress, nursing performance, and retention intention of clinical nurse. Methods: Data was collected at a hospitals located in Seoul, from October 19 to October 26 in 2010. Total subjects were 270. Data was analyzed by PASW 18.0 program. Results: Job stress of the subjects was 3.69(0.43). Nursing performance of the subjects was 3.69(0.45). Retention intention of the subjects was 3.21(0.78). Job stress and nursing performance were correlated positively (r=0.276, p<0.001). Nursing performance and retention intension were correlated positively (r=0.151, p=0.05). But job stress were correlated with nursing performance negatively (r=-0.127, p=0.05). Conclusion: According to increasing the nursing performance and decreasing the job stress, retention intension of clinical nurse is increased. We suggest a new study on mediation effect by nursing performance on retention intention and to predict factors on retention intension.

• 한국간호교육학회지
• /
• 제23권3호
• /
• pp.252-267
• /
• 2017

Purpose: This study aimed to investigate clinical nurses' perception on nursing managerial competencies. Methods: This was a descriptive study. The data were collected from 198 nurse managers who had worked in six general hospitals using a self-reporting questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Importance-Performance Analysis. Results: Only 32% of the participants had experienced nursing managerial competency training. The mean score for perceived performance of nursing managerial competency was lower than that for perceived importance. There were significant differences in perceived importance, performance, and importance-performance gaps among head, charge, and staff nurses. Importance-performance analysis showed that three of the 30 nursing managerial competencies require further development: staffing, human resources development and education, and nursing standard development competency. There were significant differences in importance-performance gaps according to age, career years in current hospital, work shift, position, nursing delivery system, and nursing managerial competency-education experience. Conclusion: A training program for developing and improving nursing managerial competencies which is focused on the gaps in importance and performance level is needed for clinical nurses. In addition, it should be considered to improve nursing work conditions such as nursing delivery system and formal appointment in order to increase the performance of nursing managerial competencies.

• 가정간호학회지
• /
• 제17권2호
• /
• pp.135-143
• /
• 2010

Purpose: The study analyzed continuing educational needs with the aim of developing continuing education program for home healthcare nurse specialists. Methods: A convenience sample of 101 home healthcare nurse specialists affiliated with 89 home health care agencies in Seoul, Busan, Dae-gu, Inchon, Jeonnam, Keongnam was used. Data was collected with a self-report questionnaire from May 10-31, 2010, and analyzed with descriptive statistics using SAS 9.13 program. Results: Of the participants, 88.1% reported that continuing education was necessary and 58.2% reported that the education was needed for peak job performance. The participants also reported that it would be proper if continuing education is given on a Saturday(56.4%) by home healthcare institute(49.5%) or homecare nurses association (38.6%) for 1-3 months(56.4%). The participants scored more than 3.0 in the current performance at six of the seven home healthcare nurse specialist roles, and scored more than 3.5 in the necessity of continuing education for seven roles in 47 jobs. Conclusion: Various programs for continuing education have to be developed and need to focused on the jobs needed for home healthcare nurse specialist and the most frequent disease. For this purpose, every home healthcare organization has to select their unique area and develop their own educational program. Furthemore, home healthcare nurses association has to build an education operating system that incorporates all program aspects.

• Child Health Nursing Research
• /
• 제10권1호
• /
• pp.29-36
• /
• 2004

Purpose: This study was attempted to find out the actual conditions of drug education among the elementary school teachers. Method: 468 teachers consists of nurse-teachers 175, class-room teachers 240 and athletics teachers 53 of the elementary schools in Pusan city were subjected for this study. The period was December 23th through December 28th, 2002 and collected data was analyzed by SPSSWIN program using frequency, percentage, mean, standard deviation and ANOVA. Result: The results of this study were as follows: 1. The average point of nurse-teachers performance(2.11) was higher than that of class-room teachers(1.37) and athletic teachers(1.56). 2. Practical difficulties of drug education was no system in the curriculum for nurse-teachers(22.9％), insufficient expert knowledge for class-room teachers(26.3％) and a lack of education materials for athletics teachers(37.7％). For more effective drug education, 25.7％ of nurse-teachers hope to have more organized curriculum presentations, class-room teachers(24％) and athletics teachers(22.7％) hope that more various education materials will be developed. Conclusion: Based on this results, drug education contents is needed to supplement a drug use prevention program.

• 디지털융복합연구
• /
• 제12권12호
• /
• pp.381-393
• /
• 2014

본 연구는 방문간호사의 방문건강관리 서비스 수행도와 방문간호사의 일반적인 특성에 따른 수행도의 차이를 분석하기 위해 시도되었다. 연구대상자는 대구시와 경상북도의 방문간호사 총 204명을 대상으로 실시되었고, 연구기간은 2011년 7월 1일부터 8월 30일까지이었다. 방문건강관리 서비스 수행업무 중 당뇨병 환자관리와 고혈압 환자관리를 가장 많이 수행하였고, 반면에 임산부 관리와 영유아 건강관리 업무에 대한 수행 빈도가 가장 낮았다. 방문간호사의 일반적인 특성 중에서 연령, 기혼, 교육수준, 종교, 보건소 근무경력, 방문간호 업무경력, 근무지역에 따라 방문건강관리 서비스 수행도의 차이가 있었다. 따라서 맞춤형 방문건강관리의 안정적인 정착과 활성화를 위해서는 방문간호사의 일반적인 특성을 충분히 고려한 업무 배정과 고용 보장 등을 포함한 방문간호사의 관리방안이 강구되어야 할 것이다.

• 중환자간호학회지
• /
• 제11권1호
• /
• pp.15-27
• /
• 2018

Purpose : This study was intended to investigate the frequency of job performance of the Korean professional medical support staffs (PMSS). Method : The data of 1,666 PMSS from 36 hospitals and over 500 beds were analyzed. The participants were divided into 5 groups: advanced practice nurses (APN), clinical nurse experts, physician assistants (PA), coordinators, and others. Results : Among the 5 main domains of job performance, advanced clinical practice has the highest frequency (111.36 d/y), followed by consultation/collaboration (75.66 d/y), education/counseling (53.54 d/y), leadership (23.90 d/y), and research (19.14 d/y). There was a significant difference in the frequency of job performance between the 5 groups of participants. The invasive activities were more frequent in the PA group. In the education and counseling domain, APNs had a higher level of job frequency than others (p < .001). In the research and leadership domains, APNs and coordinators had more prominent performance frequency than other groups (p < .01). However, there are some ambiguities in the job performance of the 5 groups depending on institutional characteristics. Conclusion : To establish the scope of work of PMSS, organizational and individual efforts are needed to promote and expand the leadership and research domains. To resolve the ambiguities of PMSS' roles, it is necessary to reorganize their titles.

• 임상간호연구
• /
• 제19권3호
• /
• pp.369-382
• /
• 2013

Purpose: This study aimed to develop an educational program on nursing records especially focused on legal issues, and to test the effects of the educational program on nurses' knowledge, performance, and behavior. Methods: A textbook on legal issue-focused nursing records and an instrument with 36 items rated on a 5-point scale (1-5) for measuring the nurses' charting-related performance and behavior were developed from November 2007 through March 2008. A nonequivalent control group pretest-posttest design was employed to test the effects of the education program. Knowledge was self-reported by the Nurse Charting Knowledge Scale, while performance and behavior were measured by their nurse managers. The pretest and posttest were conducted from March through May in 2008. A total of 226 Korean nurses participated in this study. Data were analyzed with descriptive statistics, t-test, Chi-square, paired t-test, Spearman's coefficient, and multiple regression. Results: Nurses who received the intervention showed greater levels of knowledge (t=10.28, p<.001), performance (t=2.53, p=.013), and behavior scores (t=3.07, p=.002) than those of the control group. The factors influencing the improvement of knowledge were 'job attitude' (t=-3.32, p=.001) and 'career in present unit' (t=2.95, p=.004). The factor influencing the improvement of performance was 'career in present unit' (t=-3.39, p=.001). The factor influencing the improvement of behavior was 'job attitude' (t=-3.46, p=.001). Conclusion: The educational program on legal issue-focused nursing records was effective in improving nurse charting-related knowledge, performance, and behavior.

• 대한통합의학회지
• /
• 제7권4호
• /
• pp.105-117
• /
• 2019

Purpose : Using qualitative research and a phenomenological approach, the present study aimed to explore men's experiences of becoming a nurse. We posed the question "What has been your experience of becoming a nurse?" Methods : Eleven male nurses from three regions in Korea were selected through convenience sampling. The protocol suggested by Colaizzi was used for data analysis. Results : The principal themes were "Challenging to the stochastic stereotype of gender mechanics," "Floating outside the enclosure of multiple groups," "The male nurse's conceptualization of nursing organizations," "To stand with self-doubt, thinking of it as a stopover," and "Situations encountered by a male nurse." Conclusion : Men experience gender discrimination based on the social roles that are imposed on males and females both at school and in the workplace. They prefer to work where they have more diverse tasks that require quick responses. However, most male nurses adapt to this work by outlasting the difficulties. These nurses become accustomed to their tasks, and satisfied with their mature work performance. They often feel they are not adequately compensated for their work. They may judge the future as uncertain, and have lingering doubts about maintaining their positions, ultimately gravitating toward specialized fields that promise a brighter future and are more consistent with traditional gender expectations.

• 한국간호교육학회지
• /
• 제20권4호
• /
• pp.548-557
• /
• 2014

Purpose: This study investigates the level of nursing professionalism and factors that affect nurse perceptions. Method: This study is a descriptive study involving 443 nursing students from two universities. Data were collected in September 2012 via a structured self-report questionnaire and subsequently analyzed using descriptive statistics, t-tests, one-way ANOVA, Pearson correlation coefficients, and multiple regression. Results: The mean scores for nurse image, core elements of nursing professionalism and nursing professionalism were $3.65{\pm}.46$, $4.17{\pm}.39$ and $3.59{\pm}.45$, respectively. Nursing Professionalism had a significant positive correlation with nurse image (r=.749, p<.001) and core elements of nursing professionalism (r=.365, p<.001). In multiple linear regression, factors that influenced nursing professionalism were: temperament as nurses, professionalism, vision of career, role performance of nurses' image, and fundamental nursing practical experience. These variables explained about 58.8% of the total variance in nursing professionalism. Conclusion: For more positive nursing professionalism among students, more attention should be paid to enhancing the positive image of nurses. Doing so can serve as a fundamental resource for the development of appropriate strategies for nursing professionalism.