• 한국산학기술학회논문지
• /
• 제16권2호
• /
• pp.1264-1272
• /
• 2015

본 연구는 간호사가 지각하는 핵심기본간호술의 중요성과 실제 빈도가 일반병동과 특수병동에서 차이가 있는지를 확인하기 위한 비교 조사연구로 2011년 10월 1일에서 2011년 10월 30일까지 D광역시 소재 Y 대학병원 간호사 182명을 대상으로 하였다. 간호평가원에서 제시한 핵심기본간호술 20개 문항에 대해 자가 보고식으로 작성하였다. 자료 분석은 SPSS 20.0 program으로 분석하였다. 연구결과에서 일반병동과 특수병동의 핵심기본간호술에 대한 중요성 인식은 일반병동이 특수병동에 비해 피내주사(p=.011), 수혈요법(p=.028), 단순도뇨(p=.047), 배출관장(p=<.001), 수술 전 후 간호(p=.035), 입원관리하기(p=.027)와 비강 캐뉼라를 이용한 산소 요법(p=.002)이 유의하게 높았다. 일반병동과 특수병동의 핵심기본간호술에 대한 실제 수행 빈도는 일반병동이 특수병동에 비해 수혈요법(p=.002), 간헐적 위관영양(p=.032), 단순도뇨(p=<.001), 배출관장(p=<.001), 수술 전 간호(p=.001), 수술 후 간호(p=<.001), 입원관리하기(p=.001), 격리실 출입시 보호장구 착용(p=.021)과 비강캐뉼라를 이용한 산소요법(p=<.001)이 유의하게 높았다. 본 연구를 통해, 일반병동에서 중요하고, 실제로 특수병동보다 많이 수행하는 일반병동에서의 핵심기본간호술과 특수병동에서 중요하고, 일반병동에 비해 많이 수행하는 특수병동에서의 핵심기본간호술을 분류할 수 있었다. 이는 핵심기본간호술 학습을 체계화할 수 있는 교과과정을 개발하는데 초석이 되리라 사료된다.

• 대한간호학회지
• /
• 제7권2호
• /
• pp.11-21
• /
• 1977

Many in nursing look back on Nursing Research history and proudly point to the fact that emphasis in nursing research has changed from studying the nurse to studying nursing practice. In recent years, much emphasis has been placed on seeking a method of evaluating the quality of nursing care. In spite of these attempts, however, an instrument for evaluating the quality of nursing care that is actually applicable in the clinical area has not been found. The Purposes of this study are as follows: 1) To develop the instrument to be used in evaluating the quality of nursing care provided in the Neuro - Surgery Constant Care Unit of Severance Hospital 2) To evaluate the quality of nursing care in the clinical area. 3) To provide the necessary information for improvement of quality of nursing care. The instrument for evaluating the quality of nursing care, developed by the investigator, was composed of 7 nursing goals and divided into 65 standards of nursing performance. The 7 nursing goal are as follows : 1) Maintenance of airway 2) Maintenance of fluid at electrolyte balance 3) Maintenance of elimination 4) Personal hygiene 5) Optimum activity 6) Prevention of accidents 7) Emotional care The study population defined was composed of all the case (51) who were admitted in the Neuro- Surgery Constant Care Unit of Severance Hospital from May 7-13, 1976. The observation method was used and the data was subjected to the %, X²-test, T-test, F-test and Correlation. The results of tile study were as follows : 1. Levels of nursing performance regarding nursing goals. Seven different nursing care indices were constructed in terms of nursing goals. The index scores were grouped arbitrarily into ,j categories such as "excellent", "good", "moderate", "incomplete", and "poor"based upon the investigator′s personal judgement. a. The nursing index of maintaining airway showed that 78% of the patients fell within the "excellent" and 22% of the patients, fell within the "good" category. b. The nursing index of maintaining fluid & electrolyte balance showed that 95% of the patients fell within the "excellent" and 5 % of the patients fell within the "good" category. c. The nursing index of maintaining elimination showed that 100% of the patients fell within the "excellent" category. d. The nursing index of personal hygiene revealed that 49% of the patients fell within the "excellent" and 51% of the patients fell within the "good" category. e. The nursing index of optimum activity showed that 63% of the patients fell within the "excellent" and 32% of the patients fell within tile "good" and 5% of patients fell within the "moderate" category. f. The nursing index of prevention of accidents showed that 100% of the patients foil within the "excellent" category. g. The nursing index of emotional cart revealed that 27% of the patients fell within the "excellent", 24 % of the patients fell within tile "good", 29 % of the patients fell within the "incomplete" category. From these findings it is disclosed that the quality of nursing care provided in the Neuro- Surgery Constant Care Unit of Severance Hospital was excellent. h. There were statistically significant differences between the nursing index of physical care and emotional care. (t=8.73, D. F. =100. p<0.01) It is revealed that more physical care then emotional care was carried out by nurses. 2. Levels of nursing performance regarding general characteristics of the patients. No significant differences were observed statistically with the nursing indices of nursing goals according to the sex (t=0.084, D. F. =12, p>0.05). Age (F=0.1251, D. F. : 3.18. p 〉0.05), absence or presence of operating experiences (t=0.6032, D. F. =12, p〉0.05, levels of consciousness (F=0.31, D. F. :3. 18, p >0.05) 3. Relationship between the levels of consciousness and the nursing index of each nursing goal. There was negative correlation between the levels of consciousness and the nursing index of maintaining airway (r=-0. 5449, p<0.01) and personal hygiene (r= -0.4075, p<0.01) There was positive correlation between the levels of consciousness and the nursing index of optimum activity (r=0.3936, p <0.01) and emotional care (r=0.7819, p〈0.01). There was slight correlation between the levels of consciousness and the nursing index of maintaining fluid & electrolyte balance (r=-0.3418, 0.010.05) and preventing accidents (r=0.1441, p>0.05.

• 한국간호교육학회지
• /
• 제22권2호
• /
• pp.171-181
• /
• 2016

Purpose: This study examined the effects of nursing professionalism, academic failure tolerance and social self-efficacy on college life satisfaction among nursing students. Methods: Data were collected between September 1 and October 16, 2015 via a self-reported questionnaire from 170 nursing students using convenient sampling methods. The survey included questions about nursing professionalism, academic failure tolerance, social self-efficacy, and college life satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and hierarchical multiple regression with IBM SPSS/WIN 20.0. Results: Establishment vision about nursing science (${\beta}=.27$, p=.006), academic failure tolerance (${\beta}=.17$, p=.031) and social self-efficacy (${\beta}=.19$, p=.012) of nursing students were identified as significant predictors of college life satisfaction, after adjusting for establishment vision about nursing science and satisfaction in nursing science. This model explained 21.0% of the college life satisfaction in nursing students (F=6.38, p<.001). Conclusion: These results suggest that academic failure tolerance and social self-efficacy were significant factors influencing the college life satisfaction of nursing students. Also, as a strategy for improving the college life satisfaction of nursing students, it is necessary to develop programs that can help to establish apparent vision and to improve satisfaction in nursing science.

• 한국간호교육학회지
• /
• 제26권4호
• /
• pp.366-373
• /
• 2020

Purpose: The study aimed to investigate the relationship between moral distress and the quality of nursing care. Methods: This cross-sectional correlation study included nurses working at oncology nursing units of two secondary general hospitals in Seoul and Gyeonggi-do, Korea. A total of 207 nurses participated. Moral distress was measured by the Moral Distress Scale-Revised Nurse Questionnaire and quality of nursing care was evaluated by the Quality of Oncology Nursing Care Scale. Data were collected from October 5 to 31, 2018. Data analysis included descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient and multiple regression analysis. Results: The quality of oncology nursing care showed a negative correlation with moral distress (r=-.19, p=.007). The factors affecting the quality of oncology nursing care were religion (β=-.22, p=.001), clinical experience in oncology units (β=.27, p=.007), and moral distress (β=-.16, p=.018). Moral distress showed a statistically significant predictive power of 13% in the regression model (F=8.70, p=<.001). Conclusion: The findings of this study suggest that management of moral distress is important to increase the quality of oncology nursing care.

• 한국간호교육학회지
• /
• 제24권3호
• /
• pp.214-224
• /
• 2018

Purpose: This study examines the effectiveness of an educational program of nursing biomedical ethics for nursing students to increase awareness of the Code of Ethics for Nurses, moral sensitivity, and application of the Code of Ethics for Nurses. Methods: A quasi-experimental research design and t-test were used. The experimental group (n=31) and control group (n=32) were second-year university nursing students in two major cities. The experimental group received 15 hours of nursing ethics education during the 15-week semester. The training was not provided to the control group. Results: The application of the Code of Ethics for Nurses increased significantly in the experimental group (t=-1.06, p=.017), nurses and patient (t=-2.23, p=.029), obligation of nurse as an expert (t=-2.08, p=.042), nurse and cooperator (t=-2.54, p=.014). The consciousness of biomedical ethics increased significantly in the experimental group (t=4.28, p=.021), newborn's right to live (t=-2.61, p=.011), euthanasia (t=-2.36, p=.021). Conclusion: The results of the study show that providing a nursing biomedical ethics program to nursing students is an effective method to enhance the application of the Code of Ethics for Nurses and Consciousness of Biomedical Ethics. Implementing an intervention program of the Code of Ethics for Nurses in the regular nursing curriculum may reduce conflicts involving ethical decision making by nurses.

• 한국산학기술학회논문지
• /
• 제17권3호
• /
• pp.144-152
• /
• 2016

본 연구는 간호대학생의 핵심역량과 간호전문직관 및 취업전략과의 관계를 파악하기 위한 서술적 상관관계 조사연구이다. 자료수집은 2014년 11월 1일부터 11월 28일까지 B시와 G시 소재 4년 간호대학생 107명 대상으로 구조화된 설문지로 수집하였다. 수집된 자료는 SPSS 22.0 프로그램을 사용하여 분석하였다. 연구의 평균값은 핵심역량은 3.57점, 간호전문직관 4.22점, 취업전략 3.69점이었다. 핵심역량과 간호전문직관(r=.401, p<.001), 핵심역량과 취업전략(r=.559, p<.001), 간호전문직관과 취업전략(r=.465, p<.001)는 양의(+) 상관관계이었다. 취업전략에 영향을 미치는 요인은 핵심역량(${\beta}=.43$, p<.001)와 간호전문직관(${\beta}=.28$, p=.001), 학교성적(${\beta}=-.19$, p=.011)이었으며 취업전략의 약 42%를 설명하였다(F=24,82, p<.001). 결론적으로, 간호대학생의 핵심역량은 간호전문직관과 취업전략과의 양의(+) 상관관계가 있었다. 따라서 간호대학생의 핵심역량, 간호전문직관과 취업전략을 향상시키기 위해 반복연구, 프로그램개발과 교육과정개선이 필요하다.

• 문화기술의 융합
• /
• 제9권1호
• /
• pp.257-266
• /
• 2023

본 연구는 임상간호사의 간호일터영성, 감사성향, 희망 및 간호업무성과에 대하여 조사하고 관련요인을 파악하기 위한 서술적 조사연구이다. 연구대상자는 K시, P시 및 S시의 종합병원에 근무하는 간호사로 총 323명이며, 구조화된 설문지를 이용하여 2022년 7월부터 2022년 8월까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램을 이용해 서술통계, t-test, ANOVA, Pearson correlation, Hierarchical regression analysis로 분석하였다. 연구결과는 간호업무성과는 4점 만점에 평균이 3.01점, 간호일터영성은 7점 만점에 4.48점, 감사성향은 7점 만점에 4.23점, 희망은 4점 만점에 2.77점으로 나타났다. 간호업무성과는 간호일터영성(r=.58, p<.001), 감사성향(r=.41, p<.001), 희망(r=.47, p<.001)과 유의한 정적 상관관계가 보였다. 간호업무성과에 감사성향(β=.417 p<.001), 희망(β=.357 p<.001), 간호일터영성(β=.235 p<.001)은 유의한 영향을 주었으며, 설명력은 30.1%이었다. 따라서 간호업무성과 향상을 위해서 간호사의 간호일터영성, 감사성향, 희망을 높일 수 있는 다양한 교육프로그램과 인력관리 제도가 요구된다.

• Perspectives in Nursing Science
• /
• 제14권1호
• /
• pp.1-9
• /
• 2017

Purpose: To study the internal psychological conflicts among nursing students during an infection control protocol carried out in the hospital by measuring their observation skills and performance during clinical training. Methods: Investigation of both pre- and post- infection control was conducted using questionnaires for clinical infection practices. We identified and evaluated the students' observation skills, clinical performance, clinical perception, and internal conflict regarding clinical infection control. We also interviewed the students as part of our study. Results: Among parameters such as clinical performance, observation skills, clinical perception, and internal conflict, the average observation skills (t=5.49, p<.001) were significantly lower, while internal conflict among students (t=-7.23, p<.001) was significantly higher than expected prior to clinical training. Generally, there was a negative correlation between observation skills and internal conflict in every aspect of infection control practice (r=-.281, p=.031). Internal conflict was significantly higher than expected in the context of hand hygiene (t=-2.135, p=.037), personal hygiene (t=-3.48, p=.002), and ventilator management (t=-3.69, p<.001). Clinical performance of students in the context of hand hygiene (t=4.69, p<.001), personal hygiene (t=2.06, p=.044), and ventilator management (t=2.68, p<.001) was significantly lower than expected prior to clinical training. Conclusion: Our findings showed that internal psychological conflict is higher when infection control practices are observed or performed to a lesser degree. Therefore, reinforcing education regarding infection control among students, such as developing a systematic program, or consecutive training and monitoring, is suggested.

• 한국간호교육학회지
• /
• 제22권4호
• /
• pp.441-451
• /
• 2016

Purpose: This study aimed to examine the effects of personality characteristics and decision making type on the self-leadership of nursing students. Methods: The participants were 336 nursing students using a self-report questionnaire. Data were analyzed using a t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression. Results: There were significant positive correlations between self-leadership and extraversion (r=.50, p<.001), agreeableness (r=.22, p<.001), conscientiousness (r=.60, p<.001), openness to experience (r=.36, p<.001), and rational style (r=.47, p<.001). However the correlation between self-leadership and dependent style was significantly negative (r=-.11, p=.044). Conscientiousness (${\beta}$=.60, p<.001), extraversion (${\beta}$=.28, p<.001), and rational style (${\beta}$=.21, p<.001), openness to experience (${\beta}$=.18, p<.001), and degree of leadership level (${\beta}$=.10, p=.020) were identified as factors affecting self-leadership. The explanation power of this regression model was 50.0% and it was statistically significant (F=67.52, p<.001). Conclusion: The results of this study indicated that effective self-leadership programs should be developed by including conscientiousness, extraversion, openness to experience, and rational decision making.

• 한국간호교육학회지
• /
• 제26권3호
• /
• pp.290-298
• /
• 2020

Purpose: This study aimed to grasp the correlation between communication ability, empathy, and interpersonal relations among nursing students, and to explore the mediating effect of empathy on the relation between communication and interpersonal relation in nursing students. Methods: Participants were 209 college students in the Department of Nursing at two universities. The data collection period was from October 1, 2019 to November 1, 2019. The questionnaire consisted of measuring tools for general characteristics, communication ability, interpersonal relation and empathy. SPSS/23.0 program was used. The analysis used descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, multiple regression analysis, and Sobel's tests. Results: The communication ability was nursing major satisfaction (t=8.25, p<.001), and last year's average grade (t=7.29, p=.001). Interpersonal relationships showed significant differences in gender (t=2.51, p=.013) and nursing major satisfaction (t=10.99, p<.001). Communication ability and empathy (r=.37, p<.001), communication ability and interpersonal relation (r=.77, p<.001), empathy and interpersonal relation (r=.43, p<.001) showed a significant static correlation. In communication ability and interpersonal relation, empathy had a partial mediating effect (Z=2.97, p<.001), and explanatory power was 62%. Conclusion: To improve the communication ability and interpersonal relation of nursing students, it is necessary to develop a personalized and empathy-enhanced education program for each grade.