• 제목/요약/키워드: Nursing Work

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방송대 간호학생의 교육요구 및 만족에 관한 연구 (A Study on Education Need and Satisfaction of the KNOU Nursing Students)

  • 이선옥;김영임;이상미
    • 한국간호교육학회지
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    • 제2권
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    • pp.75-94
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    • 1996
  • This survey study was aimed at identifying the degree of educational need of the KNOU(Korea National Open University) nursing students defined as admission purposes, satisfaction of distance learning education, learning methods, and courses after graduation. Among randomly assigned 1000 students, 320 KNOU nursing students who allowed to participate in the study completed the questionnaires. The data were analyzed using descriptive statistics, chi-square test, and t-test, Results of this study were as follows : 1. The admission purposes of the KNOU nursing students were 'in order to get a bachelor's degree(83.8%)', 'to acquire knowledge for task(61.3%)', or 'to be admitted for the graduate school (53.1%)' etc. Comparing the admission purposes by age, tow items- 'to explore new possibilities for myself' and 'excellent curriculum' showed statistically significant differences. These two items were also found to show significant differences by marital status. 2. For the media maintenance, the results showed that students use their own cassett radios(96.3%), VTR(49.4%), TV only for the study (44.1%), personal computer (3.31%), or joining Hitel (6.3%). 3. Listening rates of the radio lecture were 'over 80%(9.1%)', '50-80%(9.1%)', '20-50%(18.1%)', 'below 20%(30%)' and 'never(33.1%)', And record lecture showed listening rates as follows : 'over80%(17.2%)', '50-80%(15.9%)', '20-50%(24.4%)', 'below 20%(27,2%)' and 'never(14.4%)'. 4. The difficulties with KNOU life were 'listening radio lectures(38.8%)', studying by following teaching schedules (37.8%)', 'isolated self-study(10.3%)', and 'appearance in the attending classes(8.1%)'. 5. As for satisfaction with teaching methods, the data showed that 81.2% of the respondents were satisfied (or very satisfied) with 'attending classes' and 75%, with 'paper lectures'. On the other hand some of respondents were very dissatisfied with 'recorded lecture(12.8%)' and 'radio lecture(10.9%)' 6. The results also showed that the students want to have 'video conferencing lecture(77.2%)', 'cable TV(64.1%)' and 'CD ROM program' to improve learning effects. 7. Concerning learning attitudes, 48.8% of the students reported 'study mainly for examnination', and only 4.1% answered 'study every day with plan'. The learning attitude showed significant differences by marital status and age. The students also evaluated themelves as 'study very hard(5.9%)', 'study hard in general(41.6%)', 'study a little(40.3%)' and 'study little(11.9%)'. 8. The students responded the most effective learning material was the 'textbook (92.2%)'. 9. For the purposes of using the local center, the results showed 'for the attending classes(76.3%)', 'for the use of references(14.7%)', and 'for the study group(66.7%)'. 10. The results revealed that 20.3% of the respondents had ever experienced unregistration or temporary withdrawal, and 53.4% among them did not register more than one time. The most common reason for the unregistration was 'due to family affairs or their job (70.8%)'. 11. 88.1% of the respondents answered 'they will graduate without fail'. 12. Regarding the benefits from the KNOU graduation, respondents indicated 'graduate school admission(38.1%)', 'self-confidence in social life(17.5%)', and understanding social problems (10.9%)'. 13. 64.4% of the students showed that they have intention to enter the graduate school. The item 'changing work place' showed statistically significant differences by marital status and age.

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한 농촌지역 학교보건의 현황과 개선방안에 관한 연구 (A Study on the Present Condition and Reform Plan of School Health in a Rural Area)

  • 신영전;노학재;최보율;박항배;김현주
    • 한국학교보건학회지
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    • 제9권1호
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    • pp.55-67
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    • 1996
  • This research has incorporated a postal survey from the principals, nurse-charging teachers and nurse-teachers of the fiftyfive elementary, middle and high school in Yang-pyeong county area where its supplementary rate of nurse-teachers is less than adequate. It is to analyse the current status of the school health service in the area and to come out with a plan to improve the school health program through the participations of the health related experts of the local community. The survey was done in the two months of period of April to May of 1994. The result of the survey follows. The student population in the Yang-pyeong county area is 13,998 and the school employee population is 904 which counts for about 19.2% of the whole population of the area. However, the supplementary rate of nurse-teachers is only 10.8% (4 in 55 schools) which is very low in terms of relativity. School health committee only exist in 17% of the whole number of schools in the area and 50 of school health committee answered that their activity do not meet the adequate level. Only 54. 3% of the whole school numbers has included the school health finance in their financial plans and the amount set for the school health finance is about 500,000 wons (100,000-1,600,000 wons). 64.9% of the schools in the Yang-pyeong county area have the permanent nursing room established in the school. But, often than the equipment for a simple physical examinations, their supply of the health related equipments are less than adequate. Particitations of school doctor in the school health service is at only 67.6% which pretty much include only the physical examinations. Nurse-charging teachers consider their utmost important role is to teach health education but, they answered that they spent most of their times and efforts on physical examinations & immunizations. The average number of students visition to the nursing room is 2.5 persons and complains for basic discomfort as headache, concussion, stomachache and indigestion problems and usual pills used are the analgesics and digestives. Physical examination is done in the most schools every year but, 51.4% of nurse-charging teachers answered the physical examination does not really help. About the emergency treatment ability, 75.7% reports that both manpower & equipment are short. The school food services are present in only 8 schools (21.6%) but, 89.2% of nurse-charging teachers answer that there is a definite need of the food service. The survey says that the utmost important environmental health and safety factors are the traffic accidents followed by improper heat system, lighting, the stools and desks that do not consider the student physical status The overall evaluation of school health program reports that there are adequate physical examination, immunization, environmental hygiene, and management of safety but, on the other hand, health education, health councelling & management of nursing room are not managed properly. The principals of the survey pool report shortage of public agency support, lack of understanding of school health, shortage of nursing equipments and school health finance as the barrier factors of school health. The nurse-charging teachers report on the same questions as their less than qualitifying expertise, extraload of work upon the nursing affairs, shortage of nursing equipments & school health finance. The head masters & nurse-charging teachers answered that they are desperate for the meetings of nurse-charging teachers, construction of school health councelling system & training education in order to improve school health and if these are available, they will actively participate in them. After the careful analysis of the survey result, it is apparent that through the relations of the manpowers, establishment of community-oriented school health is definitely in need in rural area where there is low supplementary rate of nurse-teachers and poor school health environment.

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입원환자의 비공식적 의료비용 부담에 관한 연구 (A Study on the Informal Cost Burden of the Patients Admitted to the Hospital)

  • 한미현
    • 간호행정학회지
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    • 제7권1호
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    • pp.5-14
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    • 2001
  • To estimate total burden of hospital admission over patient of gamily, we need to know the unofficial private expenses in addition to explicit hospital admission fees. This study was conducted from June 29, 2,000 to August 10, 2,000. Subjects were 104 patient at university hospital located at chungnam province. After thorough explanation of purpose and procedures, notebooks are given to each patient or guardian. They are requested to recorded all relevant expenditures occurred during hospital stay. Incomplete records were filled-up by direct personal contact or phones. Datas were summarized and analyzed using SAS statistical package. P-value less than 0.05 was considered significant. The results of the study are as follows: 1. In 96.1% of the patient, guardians stayed at hospital to take care of patients. In 38,8% one of the family members get work-leave or temporary resting from job. Average date of leave was 7.5days. 2. Average informal cost burden per patient was 204,467 won (14,330 won${\sim}$1,594,870 won). Average hospital cost paid by the patient was 1,061,807 won. The ratio of informal cost burden to hospital cost paid by the patient was 0.327. 3. According to the regression analysis, the relevant factors affection informal cost burdens were distance from home to hospital(p=0.018), and duration of hospitalization(p=0.0001). 4. Informal cost burden was composed of expenses for personal expense of care giver (126, 720 won/patient), meal (86,924 won/patient), transportation (77,648 won/patient), necessaries of life (18,789 won/patient), tests and treatments not covered by insurance (17,289 won/patient), medical supplies not covered by insurance (15,280 won/patient), treat for visitors (14,757 won/patient), TV coin (8,247 won/patient), and others (7,582 won/patient). In addition to the hospital cost paid by the patient for hospital admission, the informal cost burdens should be recognised explicitly because it is not small. Significant proportion of informal cost burden is composed of care-giver's personal expense, transportation, meal. It is suggested that some polices are to be devised and implemented enabling that this portion of informal expenses be directed to formal professional nursing care. Thus we can improve the quality of care and decrease discomfort of patient's relatives.

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노인이 경험한 대체요법의 양상에 관한 연구 1 (A Study on the Patterns of Alternative Therapy Experienced by the Aged)

  • 이강이;김순이
    • 대한간호학회지
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    • 제29권2호
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    • pp.336-345
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    • 1999
  • This study looks at the various alternative therapy methods used in day to day life by elderly, over 60 years of age. The elderly have come to know and practice these methods for the following reasons it is good for the health ; it is the method used in the of fen days when there wesn't modern medicine ; it has been passed down from generations ; it can be done at home without having the need to go to the hospital ; acupuncture or poulticing can be used ; it can be done at home, which was an important factor in rural areas where hospitals are few and far between ; and 〔herbal〕 medicine could be prepared at home at no cost ; it derives from experience ; it is impossible to ignore tradition passed down through the generations. Diet control and plants (herbs) are methods most often used. as they are easy to find and can be readily used in critical situations. Other methods include oriental medicine practices of moxibustion with moxa cone, negative therapy, hand and finger acupunture, finger press method. ordinary acupunture, manual healing methods of massage. diaphoretic therapy and meditation to reach a state of calm, and qigong dirigation. The reasons for its use are as follows ; it has been used before ; it is effective ; there is some improvement after the treatment ; it is not harmful to the body ; medicine cannot be obtained and it is the only thing available ; it is not good for an old person to go to the hospital everyday. the symptoms are not serious enough to go to a hospital : and acupuncture is for these things. The means that the elderly have come to practice these methods are : it has been used since the past ; it has been told by the elders ; they have been told by friends ; it was part of their knowledge ; and they have come to know by watching their mother. Further, to regain vitality lost through old age, the elderly have relied on hot soup. a hearty meal. brewed honey water, pumpkin, or ginseng. Humans, by instinct. would rub or massage the areas that caused pain. These actions, combined with a breathing technique have been recognized in Tong-Eui-Bo-Gam(the essential of eastern medicine), the complete work of early modern medicine, are a useful means to revive chi(기). This knowledge is thought to have greatly affected our heathy lifestyle. Furthermore, though the demand for medical services would increase with age, the elderly have not always been able to tend to their needs at the hospital for reasons economic or other. Hence, these alternative therapy methods seem to have been practiced as a temporary means of relief. The excellence of our traditional therapeutic custom has not received full recognition due to the argument relating to its scientific merits. As a result, it has become vital to prove their effectiveness through scientific and other experimental means. The potency of moxibustion with moxa cone and hand and finger acupunture have been proven scientifically. but diet and herbal methods appear to be practiced as a result of customs passed down from generations. In addition, it is submitted that the effectiveness of the traditional methods of disease control and our heathy lifestyle that are easily found in the nursing field must be verified.

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서비스디자인 기반의 고려인 이주민을 위한 간호대학생 봉사활동 개발 (Development of Nursing Students' Volunteer Activity for Goryeo-in Immigrants Based on Service Design)

  • 김희영
    • 한국콘텐츠학회논문지
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    • 제20권6호
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    • pp.177-186
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    • 2020
  • 최근 증가하는 고려인 이주민이 한국인이라는 정체성을 가지고 정착하기 위해서는 국민적 관심과 적극적인 교류가 필요하다. 본 연구는 고려인 이주민을 위한 간호대학생의 봉사활동을 서비스디자인 기반으로 개발하기 위함이다. 2019년 10월부터 11월까지 G 광역시에서 수행되었으며 참여자는 고려인 이주민 33명과 이해관계자 3명이었다. 자료수집은 고려인 이주민 대상으로 설문조사와 면담, 이해관계자 면담을 실시하였다. 조사결과 고려인 이주민이 직면하는 주요문제로 발견된 것은 의사소통의 어려움, 부적응, 고용 불안정, 흡연이었다. 핵심이슈를 '어떻게 하면 고려인 이주여성이 한국어 소통능력을 향상시킬 수 있을까'로 정의하였고 문제해결을 위해 간호대학생의 봉사활동 '고려인 한글 쑥쑥' 프로그램을 개발하였으며, 스토리보드와 역할극을 통해 전달하였다. 서비스디자인 프로세스를 활용하여 고려인 이주민과 간호대학생의 상황을 다각도로 고려한 의미 있는 봉사활동을 설계할 수 있었다. 본 연구를 통해 서비스디자인 방법론은 봉사활동을 개발함에 있어 수요자와 봉사자의 요구를 반영할 수 있는 유용한 전략임을 알 수 있다.

전문병원간호사가 지각한 내부 마케팅과 고객지향성이 조직몰입에 미치는 영향 (The Effect of Perceived Internal Marketing and Customer Orientation on the Organizational Commitment of Nurses in Specialized Hospital)

  • 임경민;조은주;권정옥
    • 한국산학기술학회논문지
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    • 제17권3호
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    • pp.489-498
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    • 2016
  • 본 연구는 전문병원 간호사가 지각한 내부마케팅과 고객지향성이 조직몰입에 미치는 영향을 규명하기 위한 서술적 조사연구이다. 대상자는 B광역시 소재 5개 전문병원에서 6개월 이상 근무한 간호사 149명이며, 자료수집기간은 2015년 5월 01일에서 2015년 5월 30일까지였다. 수집된 자료는 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients와 multiple regression으로 분석하였다. 연구결과 대상자의 조직몰입 정도는 연령, 결혼유무, 교육정도, 임상경력, 직위, 근무형태, 근무부서, 병상 수, 내부고객만족조사 유무에 따라 통계적으로 유의한 차이가 있었다. 조직몰입은 내부마케팅과 높은 상관관계가, 고객지향성과는 낮은 상관관계가 있는 것으로 나타났고 통계적으로 유의하였다. 조직몰입을 설명하는 유의한 변수는 내부마케팅, 근무부서, 교육정도, 직위 순이었고, 전체 설명력은 58.5%이었다. 따라서 전문병원 간호사의 조직몰입을 높이기 위해서는 간호사의 전문성을 높이기 위한 교육의 기회를 제공하고, 근무환경을 개선하며, 정기적인 만족도 조사를 실시하는 등의 내부마케팅 전략의 개발이 필요하다.

병원간호사의 감정노동과 자원동원성이 이직 의도에 미치는 영향 (The Influence of the Clinical Nurses' Emotional Labor and Resourcefulness on the Turnover Intention)

  • 강소라;김윤정;서형은;방윤이;이건정
    • 한국산학기술학회논문지
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    • 제18권6호
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    • pp.302-311
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    • 2017
  • 본 연구는 병원 간호사의 감정 노동과 자원동원성이 이직 의도에 미치는 영향을 파악하기 위한 예측적 상관관계 조사 연구이다. 연구 대상자는 종합병원에서 근무한지 6개월 이상의 간호사 138명이고, 자료 수집은 2016년 4월 10일부터 17일까지 온라인상에서 자가보고식 설문지를 이용하여 진행하였다. 자료 분석은 SPSS statistics 21 프로그램을 이용하여 기술통계, t-test, One-way ANOVA, Scheffe's test와 multiple linear regression으로 분석하였다. 연구 결과, 감정노동은 연령, 결혼 유무, 직위, 임상 경력, 교대근무에 따라, 자원동원성은 성별과 임상 경력에 따라 유의한 차이가 나타났으며, 이직 의도는 연령에 따라 유의한 차이를 보였다. 회귀 분석 결과에서 이직 의도에 영향을 미치는 관련 변수로는 감정노동(${\beta}=.19$, p=.048), 자원동원성(${\beta}=-.18$, p=.038)이 유의한 영향을 미치는 것으로 나타났으며, 이들 요인이 이직 의도를 설명하는 정도는 3.7%였다. 연구결과를 바탕으로 병원 간호사의 이직 의도를 낮추기 위해 간호사의 감정노동과 자원동원성을 감소시키기 위한 구체적인 방안을 마련할 필요성을 제시한다. 이를 바탕으로 병원 조직 관리차원에서 이를 활용하여 전략적인 프로그램을 개발하고 적용한다면 병원간호사의 이직 의도를 감소시킬 수 있을 것으로 기대한다.

혈액투석환자의 피로에 대한 개념분석 : 혼종모형 (Concept Analysis of Fatigue in Hemodialysis Patients Based on Hybrid Model)

  • 서남숙;강승자;김재희
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.688-698
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    • 2017
  • 본 연구는 개념분석의 혼종모형을 기반으로 혈액투석환자의 피로에 대한 개념적 정의와 특성을 확인하기 위해 수행되었다. 연구방법은 혼종모형의 3가지 단계를 적용하여 문헌고찰을 통한 이론적 단계, 개념의 주 속성과 지표를 조사하는데 사용되는데 현장 작업 단계에서 데이터는 질적 조사를 포함한 관찰 및 인터뷰를 통해 수집한 현장작업 단계, 자료들을 종합적으로 분석하는 최종분석 단계를 적용하여 개념의 주 속성과 지표를 조사하였다. 연구대상은 광주 2개 병원의 혈액투석 센터에서 혈액투석을 받고 있는 환자 10명이었다. 연구결과, 혈액투석환자의 피로 개념은 신체 활동, 정서적 기분, 사회적 역할, 인지적 반영의 네 가지 차원으로 구분되었다. 혈액투석환자의 피로에 대한 정의는 '말기신부전으로 인한 요독증과 반복적인 혈액투석으로 야기되는 에너지 수준의 감소와 제한된 기능에 대해 신체적 활동, 정서적 기분, 사회적 역할, 인지적 반영 차원에서 인식하고 대처하는 과정 중에 일상적으로 경험하는 주관적인 느낌'으로 나타났다. 본 연구에서 혈액투석환자의 피로의 속성 및 정의를 규명함으로서 도출된 혈액투석환자의 피로개념의 네 가지 차원과 특성을 고려하여 효율적인 간호중재 프로그램을 개발하는데 기초자료로 사용되리라 사료된다.

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

  • 장문희;유은광
    • 여성건강간호학회지
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    • 제5권3호
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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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중소병원 간호사의 환자안전태도, 안전통제감이 안전간호활동에 미치는 영향 (Factors affecting the Patient Safety Attitude and Safety Control on Safety Care Activities among Nurses in Small and Medium-sized Hospitals)

  • 김은정
    • 한국산학기술학회논문지
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    • 제17권7호
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    • pp.564-572
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    • 2016
  • 본 연구는 중소병원 간호사의 안전간호활동에 영향을 미치는 요인을 파악하기 위한 서술적 조사연구이다. 연구대상은 G광역시에 소재하는 7개 중소병원 간호사 227명을 대상으로 하였다. 자료수집은 2016년 5월 16일부터 5월 23일까지 이루어졌으며, 수집된 자료는 SPSS 18.0 program을 이용하여, 기술통계, t-test, one way ANOVA, Pearson's correlation, multiple regression으로 분석하였다. 분석 결과 환자안전태도 4.11점, 안전통제감 3.74점, 안전간호활동 4.33점이었다. 일반적 특성에 따른, 대상자의 환자안전태도는 학력과 직무만족도에서 통계적으로 유의한 차이를 보였으며, 대상자의 안전통제감은 연령, 학력, 근무경력, 직위, 안전교육경험, 안전사고경험, 직무만족도에서 유의한 차이를 보였고, 대상자의 안전간호활동은 학력, 근무부서, 환자안전교육, 직무만족도에 따라 통계적으로 유의한 차이를 보였다. 환자안전태도, 안전통제감, 안전간호활동 간에 유의한 양의 상관관계가 있었다. 대상자의 안전간호활동에 환자안전태도, 안전통제감, 환자안전교육이 긍정적인 영향을 미치는 것으로 나타났다. 본 연구를 기초로 중소병원 간호사들의 안전간호활동에 대한 강화를 위해서 환자안전태도와 안전통제감을 향상시킬 수 있는 인식전환이 필요하다. 또한, 지속적인 환자안전교육을 위한 다양한 안전 간호사례 제공과 체계적인 지원이 필요하다.