• 가정간호학회지
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• 제28권2호
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• pp.111-123
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• 2021

Purpose: This study aimed to present the management strategies necessary to improve the operational efficiency of visiting nurse centers and evaluate their effectiveness. Methods: The subjects of this study were visiting nurse centers registered as long-term care centers. Based on value chain analysis, cost information analysis, and data envelope analysis, the study was carried out according to the Magerison's management consulting procedure, for six months. This procedure comprised eight sub-steps of approach and application. Results: The following management strategies were agreed upon: establishment of a cooperative network with other visiting care centers, creation of high satisfaction of external customers by providing practical training to care workers, and making rehabilitation and exercise services as the core nursing activities to be focused on. Conclusion: The management consulting process and analysis method applied in this study can referred to as a useful methodological framework for revitalizing visiting nursing centers in the future.

• 가정간호학회지
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• 제29권3호
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• pp.339-352
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• 2022

Purpose: This study explored the attitudes and characteristics of nurse turnover using Q-method. Method: The Q-population was organized through in-depth interviews with nine nurses. A total of 43 Q-samples were selected from the 126 Q-population, and 30 nurses sorted the 43 statements using the principle of forced normal distribution. The PC-QUNAL program was used for Q-factor analysis. Result: Eight turnover attitude types of nurses were found: Professional pride-oriented, Seeking recognition within the organization, Perseverance, Egocentric calculation, Reality complacency, Seeking Work-life-balance, Interpersonal dependence, and Seeking justification. Conclusion: The findings of this study can serve as the basis to understand nurses' turnover attitudes and can aid in developing nursing management strategies to increase nurse retention.

• 한국보건간호학회지
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• 제37권2호
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• pp.275-289
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• 2023

Purpose: This study developed a structural model for explaining and predicting terminal care performance in long-term care hospital nurses. The model was based on the stress integration model of Ivancevich and Matteson(1980) and the results of previous studies. Method: Data was obtained from August to September 2022 from 267 nurses in 13 long-term care hospitals in G-do. Results: Results of model verification for this study, revealed that factors directly affecting the terminal care performance of long-term care hospital nurses were nursing work environment(β=0.43, p<0.001), death anxiety(β=-0.29, p<0.001), and terminal care stress(β=0.22, p=0.003). However, the attitude toward nursing care of dying(β=0.07, p=0.287) had no effect on the terminal care performance. Conclusion: The results of this study, confirmed the necessity of improving an individual's perceived nursing work environment, continuous education related to terminal care to reduce death anxiety, and an interventional approach for enhancing terminal care performance.

• 한국직업건강간호학회지
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• 제25권4호
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• pp.362-372
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• 2016

Purpose: This study intended to grasp real context of Cardiovascular disease (CVD)-related factors of Korean blue-collar workers, especially CVD-related knowledge, perception, beliefs, benefits and barriers of behaviors according to the health belief model. Methods: We interviewed twenty two workers working in two small-sized companies and performed two series of focus group interviews. Data were analyzed by deductive content analysis approach based on Elo & $Kyng{\ddot{a}}s$. Results: Excepting participants who have CVD risk factors, most participants had lower level of CVD risk perception. The level of CVD knowledge was low but there was difference by gender. CVD-related beliefs were 'fatal disease', 'caused by lifestyle' and 'difficult to prevent by themselves'. The risk reduction behaviors were motivated by current or family history of hypertension. But there were barriers to interfere practice of preventive behaviors such as poor quality of food provided by cafeteria in the workplace, frequent overtime, victim mentality as one of vulnerable social group, housework and financial burden, lack of facilities for rest and physical activity in the workplace. Conclusion: To develop intervention for reducing CVD risks in Korean blue-collar workers, we need to focus on improving CVD knowledge and perception and modifying work-related environments such as low quality of food and lack of facilities for rest and physical activity in the workplace.

• 여성건강간호학회지
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• 제7권4호
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• pp.596-609
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• 2001

This research is intended to study the dietary experiences by college women to promote women's health through the proper diet. The approach method was used grounded theory. The participants were selected 3 colleges in Seoul, Inchon, and Cheongju. The selected 15 women were college students who had a history of dietary experiences or who were on the way of diet at the time of the start of this research. The data were collected from August 2001 to October 2001. Data collecting method was a Focus Group Interview. The data were analysed by the Strauss and Corbin's method(1966). The results were showed that the 236 concepts in the dietary experiences were gathered into 48 sub-categories, eventually being integrated into 17 higher categories. 'Esthetic self-pursuit' is the core phenomenon of the dietary experiences. Such phenomenon is due to subjects physical problems, sense of comparison and desire of weight-loss. In the circumstantial context, the esthetic self-pursuit phenomenon is enhanced by social opinions, aesthetic senses, and the recognition of self-control. The interaction strategy of the esthetic self-pursuit can be intensified and sustained by will power, supporting systems, and accessibility. Through the dietary experiences, the body changes positive or negative figures. Following the sense of success or failure, the diet are sustained or abandoned accordingly. Therefore for the application of promoting health, an intervention strategy should be created a collect organized diet program in a social level not a private level.

• 디지털융복합연구
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• 제18권2호
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• pp.333-342
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• 2020

본 연구의 목적은 직장인을 대상으로 요양시설 노인의 돌봄 부담감을 조사하고 이에 영향을 미치는 특성들을 파악하는 것이다. 연구방법은 서술적 상관관계 연구로 5개 요양시설에 노인을 입소시킨 153명의 직장인 가족이었다. 자료는 2019년 7월부터 10월까지 자가보고형 설문지를 통해 수집하였다. 자료는 SPSS WIN 25.0 프로그램을 이용하여 독립표본 t-test, one-way ANOVA, Pearson's correlation, 그리고 hierarchical multiple regression으로 분석하였다. 연구결과 직장인 가족의 노인 돌봄 부담감에 유의하게 영향을 미치는 요인은 노인과의 관계, 요양비 부담정도, 요양시설 서비스에 대한 만족으로 나타났으며 이들의 설명력은 20.8%였다. 또한 직장인 가족의 노인 돌봄 부담감에 유의하게 영향을 미치는 개인의 특성들을 심리적, 사회적, 경제적 및 신체적 부담영역별로 확인하였으며 이러한 결과는 돌봄 가족의 부담감을 줄이기 위한 중재방안에 활용될 수 있다.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.188-198
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• 2016

결혼이주를 통한 외국여성의 국내이주가 증가하면서 다양한 질병 및 출산으로 인한 의료기관 방문기회가 증가하고 있으며 의료관광 등 외국인 환자의 국내 의료기관 이용이 활발해 지고 있다. 따라서 본 연구는 외국인 환자의 증가에 발맞추어 여성전문병원 간호사를 대상으로 외국인 환자에 대한 인식과 돌봄 현황을 파악해 보고자 하였으며 세부적으로 임상현장에서 외국인 산모에게 돌봄을 제공하는 임상간호사의 경험을 파악해 보고자 하였다. 이를 위해 질적연구방법 중 서사연구 연구방법을 적용하여 다문화 환자 및 자녀를 돌본 경력이 5년 이상인 임상간호사 10명을 대상으로 심층 면담을 통해 자료를 수집하였다. 외국인 환자를 돌본 임상간호사의 경험은 돌봄제공자의 시각에 따라 자민족중심 시각, 수용적 시각, 그리고 문화중심시각으로 나누어 각 시각에 따라 제공되는 간호의 질을 파악해내었다. 특히 타문화에 대한 존중 및 환자 맞춤형 돌봄이 제공되고 있는 경우 돌봄제공자는 스스로를 치료적 돌봄제공자로 인식하고 있는 것으로 나타났다. 따라서 의료현장에서는 타문화에 대한 민감성과 문화중심 돌봄의 필요성에 대한 자각과 교육이 지속적으로 강화되어질 필요가 있다.

• 성인간호학회지
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• 제28권5호
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• pp.572-584
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• 2016

Purpose: The purpose of this study was to explore the subjective experience of job stress among nurses working in long-term care hospitals. Methods: A phenomenological approach was used for the study. Data were collected from May to June, 2016 using open-ended questions during in-depth interviews. Participants were nurses working in long-term care hospitals and had reported experiences of stress. Six nurses participated in this study. Results: Six themes emerged from the analysis using Colaizzi's method: (a) Heavy workload and responsibility due to nurse shortage, (b) Getting exhausted by caring for cognitively impaired patients, (c) Feeling pressure due to conflict with patients' family, (d) compassion for patients who are getting worse, (e) Low value in being a long-term hospital nurse, and (f) Efforts to overcome stress. Conclusion: Sufficient labor supply, environmental improvements, program for improving interpersonal skills, education and counseling on end-of-life care, and recognition improvement about long term hospital are suggested to reduce the job stress of long-term hospital nurses.

• Child Health Nursing Research
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• 제15권1호
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• pp.42-52
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• 2009

Child is a being and provides the genetic continuity of parents and society, and therefore the fitness of these children for survival, growth and development towards reproduction, is of significance to parents and society. The aim of health care for high-risk children is not only to minimize or eliminate health problems, but also to optimize their fitness. Considering that the health care of children is influenced by available resources of parents and society, and sociocultural values and paradigms in a given environment of evolutionary adaptedness (EEA), child health care professionals need to understand factors affecting the optimal fitness of children with risks. This paper introduces a new integrated theory for health care in high-risk children, entitled, Health for Optimal Fitness of High-Risk Children. Five main components were identified with associate concepts or midrange theories affecting heath for optimal fitness of high-risk children; EEA, optimal fitness, health problems, investment resources, and anthropological values. It may provide an integrated perspective on health of high-risk children in both the proximately biomedical approach and ultimately evolutionary approach as optimizing their fitness. Further study is needed to develop substantial statements between components with existential examples.

• Child Health Nursing Research
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• 제26권2호
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• pp.140-153
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• 2020

Purpose: This mixed-methods study was conducted to compare and analyze the perceptions of children and their parents regarding the meaning of the children's life. Methods: First, children's and parents' perceptions of the meaning of life were analyzed using a quantitative approach, and the cognitive differences between children and parents were then confirmed through a qualitative approach. We integrated the collected data comprehensively. Results: Ten significant differences (awareness of strong points, recognizing oneself as a precious being, relationships with friends, happy memories, liking people, experiencing difficulty, dreams and goals, experiencing love, appreciating life, helping people who are poorer than me) were identified between children and parents. The results of the content analysis of the qualitative data were divided into two variables: children's experiences of the meaning of life (78 significant statements, 32 sub-themes, and 10 themes) and parents' perceptions of the meaning of life of their children (89 significant statements, 36 sub-themes, and 10 themes). Conclusion: Based on these results, we propose developing meaning-centered intervention programs for children and parents and applying them for educational purposes. By doing so, we expect that meaning-centered education for elementary school students will become more active.