• Title/Summary/Keyword: Nurse-Doctor Relationship

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A Correlational Study on Professional Self-concept and Job Satisfaction of Clinical Nurses (임상간호사의 전문직 자아개념과 직무만족도)

  • Hwang, Mi-Hye;Jean, Sung-Ju;Chung, Bak-Yae
    • Research in Community and Public Health Nursing
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    • v.9 no.2
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    • pp.518-532
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    • 1998
  • The purpose of this study is to investigate the professional self-concept and job satisfaction of clinical nurses. The subjects consisted of 569 nurses who work at a university hospital and 6 general hospitals in Daegu, Kyungpook and Kyungnam. The findings are as follows : The average item score of professional self concept was 2.68. The mean item scores of professional self-concept in each dimension were as follows: 2.77 for professional practice: 2.33 for satisfaction: 2.91 for communication. The average item score of job satisfaction was 2.79. The mean item scores of job satisfaction in each dimension were as follows: 3.39 for interaction : 3.27 for professional status; 3.19 for autonomy : 2.90 for doctor-nurse relationship: 2.57 for administration: 2.41 for task requirements: 2.16 for pay. The stronger a subject's professional self-concept, the stronger the job satisfaction. The relationship between general characteristics and professional self-concept shows a significant difference with regard to age, religion, marital status, period of nursing career, and position. The relationship between general characteristics and job satisfaction shows a significant difference with regard to age, religion, educational level, work setting, period of nursing career, position, and region. In conclusion, this study suggests that we need to develop a program for improving professional self-concept of clinical nurses through nursing education.

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The Development of the Stress Measurement Tool for Staff Nurses working in the Hospital (간호원이 근무중에 경험하는 스트레스 측정을 위한 도구개발 연구)

  • 김매자;구미옥
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.28-37
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    • 1984
  • The purpose of this study is to propose the baseline data for developing the stress measurement tool for staff nurses working in the hospital. Two hundred and fifteen stan nurses in Seoul National University Hospital were participated during the period from Feb. 28 to Mar. 10, 1984. Though the pretest and literature review a questionnaire was constructed with 63 stressors which were experienced by the nurses in the hospital. Subjects were given instruction to rate 1∼6 likert type scale according to the level of stress experienced by each stressor described. Reliability of the tool was tested by Cronbach's Alpha, and the result was α=0.94871. Factor analysis was applied to organize 63 items together. As the result, 15 factors were obtained and these factors explained 66.3% of variance. The 15 factors were: 1) Work overload 2) Role conflict as a profession 3) Lack of professional knowledge and skill 4) Interpersonal problem 5) Conflict in nurse doctor relationship 6) Work conflict with doctors 7) Emotional burden due to the limitation of medicine 8) Poor treatment 9) Unsatisfactory relationship with supervisor 10) Low reward 11) Unsatisfactory relationship with subordinate 12) Poor physical environment of unit 13)Responsibility for extra affairs 14)Unfamiliar situation 15)Night duty.

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Influence of Professionalism, Role Conflict and Work Environment in Clinical Nurses with Expanded Role on Job Enbeddedness (종합병원 진료협력간호사의 전문직업성, 역할갈등, 근무환경이 직무배태성에 미치는 영향)

  • Kang, Kyeong Hwa;Lim, Yeon Jae
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.5
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    • pp.424-436
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    • 2016
  • Purpose: The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness. Methods: The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province. Results: Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory. Conclusion: Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.

Survey on the Orientation for New Nurses in a Hospital (일부병원의 신규간호사 오리엔테이션에 관한 조사연구)

  • Lee, Jung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.3 no.1
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    • pp.83-92
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    • 1997
  • This study was designed to evaluate the current orientation and further to develop an effective orientation curriculum of new nurses by analyzing questionraire taken from 45 numbers of all nurses who have worked for 18 months below at one hospital located in C city on July, 1995. The results obtained are summarized as follows. 1. The subjects showed the high necessity of "emergency nursing", "cardiopulmunary resuscitation", "disinfection and infection" and "interpersonal relationship" in order, but relatively low necessity of "doctor supports" and "medical insurance affair" for the practical orientation. Therefore, the orientation should provide prepondently an education Which they really need, on the basis of their education experiences and/or requirements. 2. Practical training, individual teaching and performance will be an effective orientation more than theorical education. The educator should be selected from unit based persons being capable of providing technical education to trainee. Also, in order to develop the teaching method and to improve the corresponding ability, a special program is required for educators. 3. It will be desirable that task training is given at least one month before working at their unit. In addition, orientation schedule should be made to concentrate trainee on their task training fully. 4. The subjects showed that half of them had spent four to six months for work adaptation. A meeting of new nurses may be helpful not only to acclimate themselves to new circumstances. but also to provide an exchange of views and an emotional relationship. Furthermore, unit based staffs should exerts efforts to maintain the educational circumstances and warm concern for new nurse's adaptation.

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A Study on the Health Professional's Perception of Postpartal care (건강전문가의 산후관리 인식에 대한 연구)

  • Jang, Moon-Hee;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.5 no.3
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    • pp.313-326
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    • 1999
  • This study sought to find out the level of perception of postpartal care and the meaning and opinion of traditional postpartal care (Sanhujori) from health professional. The subjects were 188 health professionals who work at University hospital, clinics, Oriented clinics, and midwifery clinics in Seoul and Chung-Buk, Korea. Data were collected from 8th April, 1999 to 6th May, 1999. The data were analyzed through the SPSS program by use of frequency, percentage, t-test, ANOVA and Scheffe test as a post hoc contrast, $x^2$-test, and stepwise multiple regression. The results of the study were as follows: mean age of the subject was 33.0 years and female was 58.0%. Occupation of the subject was nurse 28.7%, doctor 22.3%, midwife 21.3 Korean Oriental doctor 27.0%. Mean period of career was 7.6 years and the subject who experienced Sanhujori was 54.3%. The subject who did not know 6 principles of Sanhujori was 73.9%. In the opinion on traditional Sanhujori method 68.1% of respondents expressed that Sanhujori is scientific postpartal care which fits Korean people's physical constitution and culture. On the opinion of effective postpartal care in 97.9% of respondents expressed that it is to in hospital postpartal care and traditional Sanhujori perform it according to Korean culture constitution. On the opinion of Sanhujori, 96.6% of respondents expressed that it is necessary to understand Sanhujori with consideration which was adapted to Oriental culture and to verify it through continual study. On the opinion of the effect of the level of performance of Sanhujori upon women's health life, 43.2% of respondents expressed that the level of performance of Sanhujori has great effect on women's general health, including postpartal recovery, Sanhujori prevention, and so on. On the opinion of Sanhujori of women who undergo Caesarean operation, 57.7% of respondents expressed that women who undergo Caesarean operation perform Sanhujori with more attention. On the opinion of Sanhujori center (sanhujorwon), 56.3% of respondents expressed that the center is necessary for women's health and health professional are required to manage the center scientifically. On considering the level of importance of post care according to occupation, midwife showed highest level of importance of traditional Sanhujori doctor the lowest level. Midwife showed the hi level of importance of postpartal care and K Oriental doctor showed the lowest level of importance of women's postpartal care. On considering the relationship between the level of importance of postpartal care and general characteristics, sex, career, clinical department and whether they know 6 principles of Sanhujori or not were statistically significant at the level of 5%. In the stepwise multiple regression analysis, the main influencing variables on the level of importance of postpartal care were occupation, sex, and clinical department. In conclusion, this finding confirmed that professionals were considering the traditional Sa importantly for women's health. Above all things necessary for health professional to integrate concept of traditional Sanhujori into practical nu intervention program, to apply it to profes practices in order to reestablish effective integrative postpartal caring system, and to Sanhujori scientific through performing continual research.

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A Study of Service Design for the General Hospital through analyzing the User Journey Map and the User Context

  • Kim, Jong-Hyun;Yi, Won-Je
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.1
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    • pp.109-116
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    • 2012
  • Objective: The aim of this study is to present a solution to problems in the services provided by the general hospitals by creating a user-centric environment through analyzing the User Journey Map and the User Context. Background: The rapid growth in aging population and the monopolization of superior medical staffs by the general hospitals increased demand for the general hospitals in Korea. But, often services provided by the general hospitals are provider-centric and low quality. Method: This study examines problems in the services provided by the general hospitals by analyzing the User Journey Map through stakeholder interviews(contextual interviews) and on-site observation. Based on the contextual analysis of the user(i.e. the patient), this study proposes new and improved user-centric services to be provided by the general hospitals. Results: Ten new user-centric services proposed by this study are: (1) "Booklet on Success Story", (2) "FAQs by Doctor", (3) "Designated Nurse", (4) "Patient Interview Record Card", (5) "Close relationship between doctor & patient", (6) "Thank You Notice Board", (7) "Step by Step", (8) "Green Cap", (9) "Patient Kit", (10) "RFID Direction Display System". Conclusion: The service design for the general hospitals proposed by this study is an important case-study on improving the environment of the general hospitals from provider(medical staffs)-centric to user(patents and its family)-centric. Application: This study is expected to be used in various areas to improve existing system(products and/or services) to be more user-centric.

Nurse의s Perception in the Homecare Needs of Cancer Patient (간호사가 지각한 암환자의 퇴원후 가정간호요구)

  • Kwon, In-Soo;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.28 no.3
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    • pp.602-615
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    • 1998
  • The purpose of this descriptive study was to identify the homecare needs of the discharged patient with cancer as perceived by nurses caring hospitalized cancer patients. At two hospitals in Gyeongnam, 74 nurses responded to an open-ended questionnaire consisting of four need categories : 1) educational & informational need, 2) physical need, 3) emotional need, 4) social need. Respondents were asked to list above ten needs of cancer patient in each category. Two researchers analyzed the data by content analysis method. The findings are summarized as follows : 1) A total of 1,417 need items were generated by nurses. The largest number of needs were in the educational & informational need category(475 items, 36.3%). Physical(414 items, 31.6%), emotional (237 items, 18.1%) need were the second, third largest, and social(184 items, 14.0%) need made up the smallest category. 2) In the educational & informational need category, there were seven subcategories of prognosis, diet & exercise, medication & pain, wound care, folk remedy, personal hygiene, comfort. The need items related to prognosis of cancer accounted for almost a half(48.2%) of the total. 3) In the physical need category, there were ten subcategories of personal hygiene, skin & tissue, nutrition, side effect on treatment, exercise, pain, elimination, equipment, comfort & safety, others. The largest number of needs were in subcategory of the personal hygiene(82 items, 19.8%). 4) In the emotional need category, there were four subcategories of emotional support related to disease, emotional support related to routine life, spiritual support, maintenance of relationship with nurse & doctor. The largest number of needs were in subcatgory of the emotional support related to disease(96 items, 40.5%). 5) In the social need category, there were five subcategories of support for social life, household management, legal support, the use of volunteer service, financial support. The largest number of needs were in support for social life subcategory(58 items, 31.5%).

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A Study on Role Conception and Job Satisfaction of Clinical Nurses (임상간호사의 역할지각 및 직무만족에 관한 연구)

  • Han, Chang-Bok;Mun, Heui-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.1
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    • pp.115-124
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    • 1996
  • This study was to analyze role conception and job satisfaction of clinical nurses by using questionnaire as designed by Corwin and Paula. For this study questionnaires from 422 nurses working at three university hospitals in Seoul were collected during September 11 to 24, 1995. Statistical analyses were done by the SPSS. The techniques used in this study inclued Chi-square test, Pearson correlation coefficients, t-test, ANOVA. For the reliability of the questionnaire, the Cronbach's alpha coefficient was calculated. The results of this study are as follows: 1. Role conception of the subjects Five Likert scale variables were used to measure role conception including professional aspect, task aspect, and bureaucratic aspect. The variables measured and their means are as follows; Total mean score for role conception was 4.2. Role conception from professional aspect(4.29); task aspect(4.18): bureaucratic aspect(4.09). 2. Job satisfaction of the subjects Five Likert scale variables were used to measure job satisfaction. The variables measured and their means are as follows; Total mean score for job satisfaction was 2.98. Job satisfaction from interaction (3.49): professinal status(3.19): autonomy(3.17): nurse-doctor relationship(2.90): task requirement(2.82): administration(2.32): salary (2.12). 3. The relationship between general characteristics and role conception. There were statistically significant differences in age(F=5.465, p<.000). merrital status(t=-2.70, p<.007), education(F=3.252, p<.022), work department(F=4.186, p<.003), work experience(F=4.457, p<.001), job position(F=8.141, p<.000). 4. The relationship between general characteristics and job satisfaction There were statistically significant difference In education(F=4.043, p<.003), work department(F=4.218, p<.002). job position(F=8.141, p<.000). 5. The correlation between role conception and job satisfaction It showed positive correlation that there was increased role conception, there was increased job satisfaction(r=.3092, p<.001). There were positive correlation in bureaucratic aspect, task aspect, and professional aspect in order.

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Literature Review with Collaboration Between doctors and nurses (간호사와 의사 간의 협력에 관한 이론적 고찰)

  • Woo, Seon-Hye
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.73-82
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    • 2000
  • Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.

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A Study on the Personality and Job Satisfaction of Nurses (임상간호사의 인성과 직무만족에 관한 연구)

  • Hong, Sang-Hee;Park, Kyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.489-500
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    • 2002
  • Purpose : The objective of this research is to explore the correlation between personality and degree of job-satisfaction among nursing profession in order to provide effective guide for HR management and nursing care. Method : The research has been conducted on hundred sixty four nurses working in C university hospital in Seoul, from February 23 to March 7 of 2002, through survey. For the experimental tools, I have used Young-Hwan Kim's MMPI(1988) personality test and Slavitt's job-satisfaction test(1978) which were improved by Eun-Seuk Lee(1988). The acquired data are analyzed through SPSS program using descriptive statistical method, t-test, One way ANOVA and Pearson Correlation coefficient analysis. Results : Most survey score were within normal range of personality measurement and Masculinity-Femininity scored high compare with the rest. Overall job-satisfaction score showed fairly high level of 3.01; in the order of high score, 3.43 for reciprocal action, 3.41 for job requirement, 3.20 for autonomy, 3.15 for professional status, 2.96 for doctor-nurse relationship, 2.54 for administration and 2.38 for compensation. Analysis based of social demographics showed that the degree of paranoia depends on the age, marriage, nursing experience, education, professional status and salary. Also, marriage had significant influence on the score of hysteria, psychopathic deviation, paranoia, psychasthenia, schizophrenia and masculinity-femininity. Test score showed that, based on the general characteristic of nursing profession, job-satisfaction depends on the age and professional status. The relationship between personality and job-satisfaction showed that depression score and social introversion score have statistically significant negative correlation with job-satisfaction. Conclusion : this research revealed that depression and social introversion are characteristics identified to have significant influence over job-satisfaction of nurses, among many characteristics.

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