• 제목/요약/키워드: Nurses' work environment

검색결과 391건 처리시간 0.026초

재활전문병원 간호사의 환자안전문화에 대한 인식과 안전간호활동 수행의 관계 (Relationship between Perception of Patient Safety Culture and Performance for Safety Care Activity in Rehabilitation Hospital Nurse)

  • 강정미;박정숙
    • 재활간호학회지
    • /
    • 제19권1호
    • /
    • pp.12-19
    • /
    • 2016
  • Purpose: This study was to examine the relationships between nurse's perception of patient safety culture and performance for safety nursing activities at rehabilitation hospitals. Methods: This study applied a descriptive research design. Participants were 194 nurses who have provided nursing services for more than 6 months at 4 rehabilitation hospitals located in B metropolitan city. Data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients and multiple regression. Results: There was a positive correlation between the awareness of patient safety culture and safety nursing activity. Multivariate analysis showed that hospital work environment, experience of education, hospital climate, frequency of reported events, and marital status were significantly associated with the safety nursing activity. Overall, approximately 23.1% of total variability in the safety nursing activity could be explained by the 5 variables ($R^2=0.231$, p<.005). Conclusion: Nurses at rehabilitation hospitals are relatively positive about patient safety culture. Therefore, we need to develop safety education programs at the level of organization in order to improve patient safety through performing effective safety nursing activities in addition to increase awareness of patient safety culture among nurses. Furthermore, we need hospital's strategies at the system level for open communication and outcome reports regarding patient safety.

임상실습 경험 내러티브에 나타난 간호학생의 자리매김 (Analysis of Positioning in the Nursing Students' Narrative of the Experiences of Clinical Practice)

  • 손행미
    • 한국간호교육학회지
    • /
    • 제20권1호
    • /
    • pp.129-137
    • /
    • 2014
  • Purpose: The purpose of this study was to understand the positioning which was perceived by nursing students from their clinical practice experiences. Methods: The data were 80 narratives of practice experience written by 20 nursing students. Using qualitative contents analysis, nursing students' reflective narratives were analyzed in the aspects of the positioning which including personal characteristics, designated social role, and ethical order. Results: In personal characteristics, nursing students positioned themselves as they had vague fear and cold feet about the physical and personal environment of the clinical setting. In the aspects of the designated social role, they positioned themselves to learn more knowledge and skills of the nursing, to put effort in maintaining good relationship with their patients and other nurses, and to evaluate the nurses on their job performances and professional attitudes. In ethical order, nursing students positioned themselves as a person who worries about their work as a future professional nurse. Conclusion: The result of this study can be used to better understand nursing students and application of the nursing students' narratives in the clinical practice education, and to facilitate positive outcomes and transitions from nursing students to nurses.

중소병원 간호사의 직장 내 약자 괴롭힘과 자아존중감 및 이직의도와의 관계 (Relationships of Workplace Bullying to Self-esteem and Turnover Intention among Clinical Nurses at Small and Medium-sized Hospitals)

  • 최소은;이삼순;김상돌
    • 한국직업건강간호학회지
    • /
    • 제22권4호
    • /
    • pp.267-274
    • /
    • 2013
  • Purpose: This study was to assess the prevalence of workplace bullying and the relationship workplace bullying to self-esteem and turnover intention among clinical nurses. Methods: The subjects were 223 clinical nurses at 3 small and medium-sized hospitals in K and B cities. The data were collected from February 1st throughout 28th, 2013. The collected data were analyzed using the SAS program through the frequency, percentage, mean, and Pearson's correlation coefficients. Results: The rate of self-reported bullying in the nursing workplace was 24.6% of respondents. There was a negative correlation between workplace bullying and self-esteem (r=-.39, p<.001). Also there was a positive correlation between workplace bullying and turnover intention (r=.14, p=.031). Conclusion: Prevalence of self-reported bullying is high among small and medium-sized hospitals and is clearly associated with lower levels of self-esteem and higher levels of turnover intention. Therefore, an organizational nursing management program as a monitoring regularly the psychosocial work environment and policies and procedures to prevent and manage workplace bullying is strongly recommended for the promotion of self-esteem and reducing the nurse's intention to leave the organization.

간호관리자의 갈등관리유형이 간호사의 리더신뢰와 조직몰입에 미치는 영향 (Effects of Nurse Managers' Conflict Management Styles on Nurses' Leader Trust and Organizational Commitment)

  • 최영애;임지영;이은혜
    • 가정∙방문간호학회지
    • /
    • 제25권3호
    • /
    • pp.215-223
    • /
    • 2018
  • Purpose: The purpose of this study was to investigate effects of nurse managers' conflict management styles on nurses' levels of leader trust and organizational commitment. Methods: For this study, a descriptive survey design was used. The participants were 165 nurses who had worked more than 1 year in a university hospital. Data were collected from September 1 to September 10, 2016, using a self-report questionnaire. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Scheffe's tests, Pearson's correlation coefficients, and multiple regression analysis. Results: Among the nurse managers' conflict management styles, the problem-solving style was positively correlated with both leader trust and organizational commitment. Concession-avoiding and control-leading styles were negatively correlated with both variables. Furthermore, the problem-solving style was found to have significant influence on both leader trust and organizational commitment. Conclusion: In order to more actively cope with conflict situations occurring in the nursing work environment, nursing managers need to exhibit more effective attitudes of conflict management. This study suggests that the problem-solving style is a desirable conflict management style in terms of increasing leader trust and organizational commitment.

Nurses' Colleague Solidarity and Job Performance: Mediating Effect of Positive Emotion and Turnover Intention

  • Jizhe Wang;Shao Liu;Xiaoyan Qu;Xingrong He;Laixiang Zhang;Kun Guo;Xiuli Zhu
    • Safety and Health at Work
    • /
    • 제14권3호
    • /
    • pp.309-316
    • /
    • 2023
  • Background: Job performance is known as an essential reflection of nursing quality. Colleague solidarity, positive emotion, and turnover intention play effective roles in a clinical working environment, but their impacts on job performance are unclear. Investigating the association between nurses' colleague solidarity and job performance may be valuable, both directly and through the mediating roles of positive emotion and turnover intention. Methods: In this cross-sectional study, a total of 324 Chinese nurses were recruited by convenience sampling method from July 2016 to January 2017. Descriptive analysis, Spearman's correlation analysis, and the structural equation model were applied for analysis by SPSS 26.0 and AMOS 24.0. Results: A total of 49.69% of participants were under 30 years old, and 90.12% of participants were female. Colleague solidarity and positive emotion were positively connected with job performance. The results indicated the mediating effects of positive emotion and turnover intention in this relationship, respectively, as well as the chain mediating effect of positive emotion and turnover intention. Conclusions: In conclusion, dynamic and multiple supportive strategies are needed for nurse managers to ameliorate nursing job performance by improving colleague solidarity and positive emotion and decreasing turnover intention based on the job demand-resource model.

간호사가 인식한 조직의 특성과 투약오류보고장애요인간의 정준상관관계 (Canonical correlation between organizational characteristics and barrier to medication error reporting of nurses)

  • 김민정;김명수
    • 한국산학기술학회논문지
    • /
    • 제15권2호
    • /
    • pp.979-988
    • /
    • 2014
  • 본 연구는 간호사들이 인식한 안전 분위기와 업무환경을 포함한 조직의 특성과 투약오류보고장애요인간의 관련성을 검증하기 위한 연구이다. 수정된 안전 분위기, 업무환경, 투약오류보고장애 문항을 활용하여 7개 병원의 334명의 간호사들을 대상으로 하여 조사하였다. 자료수집기간은 2012년 9월 한달 간이었고, 서술적 통계, Pearson correlation coefficient, canonical correlation을 적용하였다. 조직의 특성은 투약오류보고장애와 세 가지 유의한 상관이 있었다. 첫 번째 정준상관계수는 .50(Wilks' ${\lambda}$=0.61, df=32, p<.001)이었고, 두 번째는 .35(Wilks' ${\lambda}$=0.81, df=21, p<.001), 세 번째는 .22(Wilks' ${\lambda}$=0.93, df=12, p=.018)이었다. 첫 번째 정준상관은 높은 안전 분위기와 업무환경이 오류보고에의 두려움을 제외한 투약오류보고와 관련이 있었다. 두 번째 식은 '의료인간의 안전 분위기'의 높은 지각과 높은 '병원에의 간호사 참여'와 '인적 자원의 적절성'은 낮은 '불안감'과 '행정자들의 반응'과 관련이 있었다. 투약오류보고장애를 위한 전략과 안전 분위기와 업무환경과 같은 조직의 특성의 진보가 적용되어야 한다.

우리나라 보건의료법령에 명시된 간호에 관한 연구 (A Study on the Nursing Profession as Stipulated by Health & Medical Laws of Korea)

  • 김은영
    • 지역사회간호학회지
    • /
    • 제8권1호
    • /
    • pp.116-132
    • /
    • 1997
  • The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

  • PDF

데이컴 기법을 이용한 중앙공급 간호사의 직무분석 (Job Description of Nurses in Central Supply Department using DACUM Technique)

  • 오은실;송순덕;최이정;전현숙;한화순;류성숙;황문숙;이미경
    • 임상간호연구
    • /
    • 제20권3호
    • /
    • pp.303-312
    • /
    • 2014
  • Purpose: This study aimed to use the DACUM analysis technique and identify the job description among nurses of the Central Supply Department, in order to clarify their duty and task descriptions, identify the characteristics of job. Methods: Through a DACUM workshop, job descriptions, and the job duties and tasks were derived. A total of 150 nurses from the Central Supply Departments of medical Institutions over 100 beds were surveyed using drafting and a job analysis table. Individual jobs' frequency, importance and difficulty were measured using a 3-point scale, and the results were analyzed using SPSS. Results: The nurses' job in the Central Supply Department consisted of 13 duties and 64 tasks. Duties with highest importance and difficulty was 'sterilization assurance system', the second was 'employee safety management' and the duty with highest frequency was 'manage packaging before sterilization'. Conclusion: This study clarified the types of nursing jobs in the Central Supply Departments, as well as identified the job characteristics and status in the given setting. Given the sterilization assurance system for preventing hospital infection, and safety management for ensuring work environment safe were found to be important duties, it is suggested for the department to stress those important jobs for managing hospital safety.

요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로 관계에서 임종간호 수행의 융복합적 영향 (Convergence Effect of Locus of Internal & External Control, Stress and Fatigus on the Geriaic Hospital Nurses' Terminal Care Performance)

  • 임희영;윤미진;권영채
    • 디지털융복합연구
    • /
    • 제17권12호
    • /
    • pp.329-336
    • /
    • 2019
  • 본 연구의 목적은 요양병원 간호사의 내·외적 통제신념과 임종간호 스트레스 및 피로관계에서 임종간호 수행수준을 알아보고 임종간호에 미치는 영향을 규명하는 서술적 조사연구이다. 요양병원 간호사 422명을 대상으로 구조화 된 설문지를 사용였다. 자료분석은 기술통계는 SPSS Win 22.0와 가설적 모형의 적합도와 연구가설 경로분석은 Amos 5.0 통계 프로그램을 이용하였다. 연구결과 요양병원 간호사의 임종간호 수행에는 임종간호 스트레스, 피로, 내적통제신념이 유의한 상관관계가 나타났으며, 내적통제신념이 높을수록 임종간호 스트레스를 덜 받고 또한 임종간호 수행이 높은 것으로 나타났다. 본 연구를 통해 요양병원 간호사의 임종간호 수행을 향상하기 위한 기초자료를 제공하고자 하였으며, 요양병원간호사의 임종간호 스트레스와 피로를 감소시킬수 있는 전략적 프로그램 개발과 임종간호를 수행하는 요양병원 간호사에게 질적인 간호수행을 할 수 있는 교육이나 업무환경 개선의 노력이 필요할 것으로 생각된다.

코로나19 상황 속 간호사의 이미지 : 국내 주요 일간지 분석 (The Image of Nurses in Newspaper Articles during COVID-19 Era)

  • 최한나;오의금;이지예
    • 한국콘텐츠학회논문지
    • /
    • 제21권11호
    • /
    • pp.626-637
    • /
    • 2021
  • 본 연구는 코로나19 상황에서 언론에 드러난 간호사 이미지를 파악하기 위한 목적으로 수행되었다. 국내 주요 일간지 11개의 기사 451건을 바탕으로 월별 보도내용, 간호사 호의도 및 보도비중을 분석하였으며 주제 분석을 통해 5개 주제와 9개 하위주제를 도출하였다. 도출된 주제는 빈도순으로 "열악한 직업환경(47.9%)", "간호, '소명의 직업'(40.4%)", "'전문의료직'으로서의 면모가 부각됨(10.6%)", "엄격한 기준으로 평가됨(1.6%)", "간호의 영역을 확장함(1.1%)"이었다. 전문 의료진으로서의 지식과 술기, 상담·교육·협력 특성보다 노고, 헌신, 이타성과 같은 간호사의 직업윤리가 훨씬 부각되었고, 간호사 처우개선에 대한 국가적 관심이 높아진 것을 확인할 수 있었다. 비대면 원격의료 시대에서의 간호사의 역할과 같은 새로운 면모도 일부 보도되었으나 언론을 통해 대중들에게 각인되는 간호사의 모습은 여전히 제한적임을 확인할 수 있었다. 따라서 간호사의 다양한 역할을 대중들에게 알리고 간호전문직 이미지를 고취시킬 수 있는 간호계의 적극적인 홍보 활동이 필요하다.