• 부모자녀건강학회지
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• 제15권1호
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• pp.20-32
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• 2012

Purpose: The purpose of this study was to identify clinical decision making pattern of pediatric nurses and analyze how it shows the differences in types of decision making pattern by nurses characters. Methods: A self-administered questionnaire was used to pediatric nurses of 4 general hospitals in Seoul from February 2004 to April 2004. The data of 251 nurses was analyzed by varimax rotation factor analysis, t-test, and ANOVA. Results: 6 decision making patterns were identified: Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, Nursing Model-oriented, Medical Knowledge-oriented, and Patient-Family-Nurse Collaborative. Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, and Nursing Model-oriented decision making pattern got meaningful differences in age, marital status, total number of years in nursing practice, and number of years in pediatric nursing practice. Conclusion: We expect the result of this study can be applied for promotion of understanding the decision making of nurses that occurs in pediatric nursing practice and also can be used as foundation data for development and expansion of pediatric nursing practice.

• 기본간호학회지
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• 제9권3호
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• pp.447-461
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• 2002

Purpose: The purpose of this study was to identify and understand the self-directed learning patterns of nurses. Q methodology was used to collect the data. Method: For the research method, 43 Q-statements were collected through individual interviews and a review of related literature. The 43 Q-statements were classified by the 34 participants in the study and the data was analyzed by the PC-QUANL program with principal component analysis. Result: There were 4 different patterns of self-directed learning classified as follows : Nurses in Type I the Future Provision Type, studied to promote their own professional development and leadership qualities for the future. Nurses in Type II, the Learning Passion Type, enjoyed learning something new and had a strong learning desire. Nurses in Type III, the Self-reflective Type, continuously evaluated self and their own practice by introspection. Nurses in Type IV, the Accompanying Companion Type, studies with companion support and maintained a collaborative relationship rather than competing with each other. Conclusion: This study explains and allows us to understand self-directed learning in nurses. Thus this study will contribute to building a theoretical base for the development of a self-directed learning model in nursing practice.

• 임상간호연구
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• 제23권2호
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• pp.211-221
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• 2017

Purpose: A National survey was conducted to assess neonatal intensive care nurses' practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). Methods: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. Results: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. Conclusion: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.

• 지역사회간호학회지
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• 제5권1호
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• pp.53-63
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• 1994

Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

• 간호행정학회지
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• 제19권1호
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• pp.28-38
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• 2013

Purpose: Human factor is one of the major causes of medication errors. The purpose of this study was to identify nurses' perception and experience of medication errors, examine the relationship of Dominance, Influence, Steadiness, Conscientiousness (DISC) behavior patterns and medication errors by nurses. Methods: A descriptive survey design with a convenience sampling was used. Data collection was done using self-report questionnaires answered by 308 nurses from one university hospital and two general hospitals. Results: The most frequent DISC behavioral style of nurses was influence style (41.9%), followed by steadiness style (23.7%), conscientiousness style (20.4%), and dominance style (14.0%). Differences in the perception and experience level of medication errors by nurses' behavioral pattern were not statistically significant. However, nurses with conscientiousness style had the lowest scores for in experience of medication errors and the highest scores for perception of medication errors. Conclusion: The results of this study show that identification of the behavior pattern of nurses and application of this education program can prevent medication errors by nurses in hospitals.

• Journal of Hospice and Palliative Care
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• 제19권4호
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• pp.322-330
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• 2016

목적: 본 연구는 요양병원 간호사의 통증관리 지식, 태도, 수행정도를 파악하여 추후 요양병원 통증관리 교육을 설계하는데 기초자료로 활용하고자 실시되었다. 방법: 본 연구는 4개 요양병원에서 근무하는 간호사 120명을 대상으로 한 횡단적 조사연구이다. 통증관리 지식과 통증관리 태도는 원래 연구도구는 Watt-Watson이 개발한 도구를 사용하였고, 통증관리 수행정도는 요양병원에서의 통증관리 가이드라인들을 근거로 연구자가 개발하여 사용하였다. 결과: 본 연구의 결과 통증관리 지식은 40점 만점 평균 26.2점이었다. 가장 많이 틀린 문항은 통증의 주관성에 대한 항목으로 '통증에 따르는 환자의 생리적, 행동적 반응을 보고 통증의 유무와 강도를 파악할 수 있다(89.2%)'였고, 56.7%는 내성의 증가는 마약성 진통제 중독을 의미한다고 생각하였다. 통증관리 태도와 실무에 관해서는, 80.2%가 통증을 자주 호소하는 환자에게 위약을 사용한다고 하였고, 위약사용은 간호사가 두 번째로 자주 사용하는 통증관리 방법이었다. 결론: 본 연구는 요양병원 간호사의 통증관리 지식이 낮고 태도가 부적절한 것으로 나타났고, 이는 통증관리 실무에 부정적 영향을 미칠 수 있다. 요양병원 간호사들에게 통증관리 교육, 특히 통증의 속성과 위약남용에 대한 교육이 시급하다.

• 성인간호학회지
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• 제14권2호
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• pp.296-305
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• 2002

Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.

• 여성건강간호학회지
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• 제8권1호
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• pp.116-123
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• 2002

The purpose of this study was to investigate the relationship between knowledge of breast feeding and practice of feeding pattern. A sample of 117 mothers who have the babies between age from 1 month to 12 months were selected from one university hospital and one public heath care center in J city. The data were collected with the questionnaire during the period from the January. 5, 2002 through January. 30, 2002. Analysis was done by using frequency, percentage, t-test, analysis of variance, and scheffe test. The results of this study can be summarized as follows. Comparision of the method of feeding by general characters. Income state, rearing (p=.019), rearing supporters(p=.026), infant age(p=.03) have shown significant difference as the variables affecting Breast practice rate. Breastfeeding rate were 24.8%, mixedfeeding type, 14.5%, milkfeeding type, 60.7%. The mean of knowledge on breastfeeding by feeding patterns were the highest in the group of breastfeeding. There was statistical significance between the group of breast feeding and milkfeeding(p=.000). In the conclusion, this study revealed that knowledge of breastfeeding promoted practice of breastfeeding. Therefore, to promote practice of breastfeeding, it is necessary that nurses provide adequate information about knowledge of breastfeeding.

• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.291-301
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• 2014

본 연구는 신입간호사의 정서지능, 자아탄력성, 핵심자기평가가 간호업무수행에 미치는 영향을 파악하는 서술적 조사연구이다. 대상자는 경기도에 소재한 800병상 이상의 종합병원 2곳에서 근무하는 12개월 미만의 신입간호사 114명이었다. 자료 수집은 2013년 7월부터 11월까지 간호업무수행, 정서지능, 자아탄력성, 핵심자기평가에 대해 구조화된 설문지를 이용하여 측정하였다. 연구의 결과, 신입간호사의 교육 정도, 직무만족도, 근무부서 업무만족도에 따라 간호업무수행 정도의 차이가 있었으며, 정서지능, 자아탄력성, 핵심자기평가가 높을수록 간호업무수행 정도는 높았다. 정서지능, 교육수준, 핵심자기평가와 직무만족도는 간호업무수행 정도를 잘 예측하는 변수로 확인되었고, 간호업무수행 정도를 33% 설명하는 것으로 나타났다. 따라서 신입간호사의 교육 정도와 직무만족도를 고려하여 신입간호사 오리엔테이션부터 간호업무수행 외에 정서지능과 핵심자기평가를 포함한 실제적인 실무적응 훈련교육이 필요하다.

• Journal of the Korean Data and Information Science Society
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• 제27권3호
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• pp.791-801
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• 2016

본 연구는 유휴간호사의 재취업 의향에 영향을 미치는 요인을 규명하고자 실시하였다. 2013년 대한간호협회와 한국보건사회연구원에서 실시한 '병원간호사 이직(사직)에 대한 조사' 연구를 위한 설문조사 자료 중 최종 381명의 자료를 활용한 이차자료 분석 연구이다. 재취업 의향이 있는 경우는 70.9%로 나타났고, 이들 중 선호하는 근무형태로는 시간선택제 47.8%, 낮번전담제 43.3%, 3교대제 6.3% 이었다. 대상자의 사직의 주된 이유는 '노동 강도가 높아서' (18.8%), '밤근무가 힘들어서' (16.7%), '임금 수준이 낮아서' (15.9%), '출산 및 육아 보육' (15.9%), '직장내 인간관계의 어려움' (11.1%)이었다. 재취업 의향에 유의한 영향을 미치는 요인은 기혼, 최종 근무직장이 종합병원 또는 요양병원인 경우, 선호하는 근무형태가 3교대제인 경우가 각 기준집단에 비해 높은 것으로 나타났다. 또한 '간호직무 자체에 대한 불만족'의 사직이유인 경우로 나타났다. 이에 재취업을 활성화하기 위해 다양한 형태의 근무방식 적용과 노동강도를 고려한 인력 배치와 간호전문직 사명감을 높일 수 있는 교육 프로그램을 제안한다.