• Title/Summary/Keyword: Nurses' Experience

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Qualitative Study on Clinical Nurses' Intention to Stay in Hospital (병원 간호사의 조직 잔류의도에 대한 질적 연구)

  • Park, Kwang-Ok;Kim, Jong Kyung;Kim, Se Young
    • Korean Journal of Adult Nursing
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    • v.26 no.6
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    • pp.681-692
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    • 2014
  • Purpose: The purpose of this study was to evaluate the experience of hospital nurses regarding their intention to stay at hospital. Methods: Experiential data were collected from 10 experienced nurses through in-depth interviews. The main question was "Could you describe your experience and your work during your years at the hospital?" Qualitative data from the field and transcribed notes were analyzed using Strauss and Corbin's grounded theory methodology. Results: The core category of experience regarding hospital nurses' intention to stay was 'following a stable rather than a challenging path'. Participants used three interactional strategies: 'being encouraged via rapport with peers', 'accept reality', and 'find vitality in academic pursuits'. Conclusion: The retention of experienced nurses is critical to human resource management in nursing departments. This study found that experienced nurses have a vague uncertainty about their future in the hospital. Therefore, nursing managers should support experienced nurses by providing them with the opportunities needed to develop their careers, by managing conflicts in nursing units, and by implementing new programs to increase confidence.

The Relationship between Experience of Verbal Abuse, Compassion Fatigue, and Work Engagement in Emergency Nurses (응급실 간호사의 언어폭력경험과 공감피로 및 직무열의의 관계)

  • Kim, Hee Jun;Lee, Youngjin;Yoo, Moon Sook
    • Journal of Home Health Care Nursing
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    • v.26 no.3
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    • pp.300-308
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    • 2019
  • Purpose: This study is a descriptive research study to identify the relationship between the experience of verbal abuse, compassion fatigue, and work engagement among nurses in the emergency unit. Methods: Study subjects were 107 nurses working in a university hospital in Gyeonggi-Do. The instruments used were a verbal abuse checklist, a subscale of the Professional Quality of Life Scale used to measure compassion fatigue, and the Utrecht Work Engagement Scale. The data were analyzed using the IBM SPSS version 22.0 program for independent t-test, one-way ANOVA, and Pearson's correlation coefficients. Results: Emergency nurses experienced more verbal abuse and compassion fatigue than nurses in other departments, and the level of work engagement was low. There was a positive correlation between experience of verbal abuse and compassion fatigue and a negative correlation between both of these variables and work engagement. Particularly, verbal abuse appeared in the order of nurses, patients & caregivers, and doctors. This means there were serious problems with communication with nurses. Conclusion: In order to reduce verbal abuse, it is necessary to establish a communication culture of mutual respect between nurses, medical staff, patients & caregivers. Moreover, a compassion fatigue management program is needed to reduce emotional fatigue.

Korean Nurses' Attitude towards Advance Directives and End of Life Decision Making (생의 말기치료 결정과 사전의사결정에 대한 간호사의 태도조사)

  • Kim, Mi-Young;Kim, Keum-Soon
    • Journal of Korean Critical Care Nursing
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    • v.3 no.2
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    • pp.77-90
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    • 2010
  • Purpose: The aim of this study is to carry out research on nurses regarding end of life decision and advance directives (ADs) and their attitude, experience and confidence towards them in order to define the role of nurses. Methods: In this research, questionnaire was distributed and data were collected and analyzed after receiving a written consent from 332 nurses. The survey was conducted from the $14^{th}$ to $30^{th}$ of September, 2009. The instrument used for conducting the study was revised version of KAESAD (The Knowledge, Attitudinal, Experiential Survey on Advance Directives). Results: We have come to a conclusion that nurses have positive attitude towards ADs. However, they hardly had any experience regarding them which leads to low confidence in assisting preparing ADs. Also, attitude towards ADs had no correlation with experience and confidence. Conclusion: In order to bring about the confidence level from positive attitude that nurses have, there needs to be a systematic change in nursing education. For that, it requires an education system that emphasizes the role of nurses which incorporates Korean culture and characteristics regarding death issue.

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Effects of Nurse's Second Victim Experiences on Third Victim Experiences: Multiple Mediation Effects of Second Victim Supports (간호사가 인식한 이차 피해 경험이 삼차 피해 경험에 미치는 영향과 이차 피해 지지의 다중 매개효과)

  • Kim, Eun-Mi;Kim, Sun-Aee;Kim, Ji-In;Lee, Ju-Ry;Na, Sun-Gyoung
    • Quality Improvement in Health Care
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    • v.23 no.2
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    • pp.23-34
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    • 2017
  • Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.

A Practical Instructional Experience of Public Health (보건소 간호사의 실습지도 경험에 대한 연구)

  • You Soo-Ok
    • Journal of Korean Public Health Nursing
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    • v.11 no.1
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    • pp.103-117
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    • 1997
  • A phenomenologic study on the experiences of public health nurses who performed practical instruction for nursing students. The purpose of this research was to understand the structure of the lived experience of public health nurses who performed practical instruction for nursing students. The research question was 'What is the structure of the experience of public health nurses who performed practical instruction? The sample consisted of 6 nurses working at health center in M&S city. The unstructed interview were carried out from December 20, 1996 through January 20, 1997. They were audio-recorded and analyzed using Van Kaam's method. These nurses experienced lack of role, expectation of nursing students., duty achievement, dissatisfaction about environment for practical instruction, practice-theory gaps performing practical instruction for nurse students.

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Nurses' Experience of Practice in Nursing Homes (노인요양시설 간호사의 실무 경험)

  • Chung, Seung-Eun;Lee, Soon-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.116-127
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    • 2009
  • Purpose: This article aimed to identify nurses' experience of practice in nursing homes. Method: Using phenomenological approach for qualitative research, the participants were 8 nurses who were working at nursing homse in C city. The data was analyzed by using phenomenological methodology by Colaizzi. Results: Five theme clusters were derived from the data. They were: burden (independent decision making in clinical situations, tension of as a multifunctional member); lowered self-esteem (exhaustion, relative self-evaluation is low, comparing with others); conflict (negative image of elderly, communication break with elderly family, monitoring of nursing home staff); worth (slight improvement of elderly health state, trust and recognition, intimacy); and self-reflection (need for knowledge extension, effort towards enhancing virtue, perception of importance in their health management). Conclusion: The results showed that nursing home nurses experienced negative aspects of various nursing practice, suggesting the ways to solve their negative experience.

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Nurses' Work-Life Balance and Parenting Experience (간호사의 일-가정 양립 및 양육경험)

  • Kim, Ji Hyun;Tak, Young Ran
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.1
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    • pp.53-63
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    • 2019
  • Purpose: The purpose of this study is to explore the balance of work-life and parenting experience of nurses. Methods: This qualitative study used the phenomenological methodology proposed by Giorgi. In-depth interviews were conducted on a total of 10 participants working at hospitals in Seoul and Gyeongnam province in 2017 to collect data. Results: Four main issues were deduced: "complex situation between work and parenting," "conflict situation of being in a double bind between work and parenting," "the power to endure both work and parenting," and "finding hope between work and parenting. Conclusion: The findings in this study provide an in-depth understanding on the work-life balance and parenting experience of nurses. These findings should help in the development of solutions to the conflict between work and family for nurses and enable them to develop effective strategies.

The Impact of Psychosocial Health and Self-nurturance on Graduate Nurse Experience (신규간호사의 사회심리적 건강과 자기 돌봄이 실무 적응 어려움에 미치는 영향)

  • Lee, Ji Yun;Lee, Mi Ja;Pak, So Young
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.5
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    • pp.459-468
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    • 2015
  • Purpose: The purpose of this study was to identify the effect of Psychosocial health and Self-nurturance on the experience of new graduate nurses. Methods: A cross-sectional survey design was used. The participants in this study were 149 nurses who had less than 12 months of nursing experience and were working at one of 4 general hospitals. The data were collected by a self-administered questionnaire from Nov. 2012 to Oct. 2014. Results: The total mean score for Psychosocial health was $3.07{\pm}0.60$, Self-nurturance, $3.38{\pm}0.44$, and graduate nurse experience, $2.59{\pm}0.27$. The effect of Psychosocial health and Self-nurturance predicted 23% of variance in graduate nurse experience. Conclusion: These results indicate that Psychosocial health and Self-nurturance have a positive relationship to graduate nurse experience. Therefore, further studies including approaches that support Psychosocial health and Self-nurturance are recommended to help in the adaptation of newly graduated nurses to clinical settings.

Effects of Violence Experience, Emotional Labor, and Job Stress on Clinical Nurses' Depression (병원간호사의 폭력경험, 감정노동, 직무 스트레스가 우울에 미치는 영향)

  • Noh, Jin Hee;Na, Yeon Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.3
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    • pp.153-161
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    • 2015
  • Purpose: The purpose of this study was to identify the effects of violence experience, emotional labor and job stress on clinical nurses' depression and to provide suggestions for improving the quality of patient care. Methods: This research involved 257 clinical nurses who were working at an acute care hospital with at least 200 beds in S city and K province. Data were collected from May 23 to June 7 in 2014 and were analyzed using IBM SPSS version 21.0. Results: The results show that 98.1% of subjects had violence experience in the past year and the violence experience included 44.4% physical threat, 37.5% verbal violence and 18.1% physical violence. The average scores were emotional labor 3.57, job stress 3.54 and depression 21.16. There were positive correlations among violence experience, emotional labor, job stress and depression (p<.01). There were also significant co-relationships between depression and violence experience (r=.21, p=.001), between depression and emotional labor (r=.48, p<.001) and between depression and job stress (r=.31, p<.001). Conclusion: The results suggest that it is necessary to set up guidelines for clinical nurses to manage violence, emotional labor and job stress in order to create better working environment and to improve quality of patient care.

Perception and Experience of Medication Errors in Nurses with tess than One Year Job Experience (신규 간호사의 투약오류 인지 및 경험에 대한 조사 연구)

  • Oh, Choon-Ae;Yoon, Hae-Sang
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.14 no.1
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    • pp.6-17
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    • 2007
  • Purpose: This study was carried out to investigate perception and experience of medication errors by nurses. Method: Data collection through a survey was performed using structured questionnaires over the period of September 1 to October 15, 2004. Questionnaire were delivered to 222 nurses from 15 hospitals; thereafter, 205 questionnaires were responded (i.e., 92% response rate). The subject in the study was a nurse who had been working in the hospital for less than one year. Results: The average perception rate was 87.5%. The perception rates of subjects in medication errors from four areas are 62% in wrong dosage form for drug administration, 61.5% in air into an IV set, 63% in crystals in an IV lines, and 83.5% in wrong time. The experience rates of subjects in medication errors from four areas are 85.5% in wrong time, 39.5% in wrong injection site, 34.5% in omission error, and 28% in wrong patient. Conclusion: The average perception rate and experience rates of medication errors were 87.5% and 23.5%, respectively. Education about the Five right in medication and knowledges about drugs would improve the perception of medication errors of nurses whose work experience is less than one year, and prevent them from medication errors.

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