• 대한간호학회지
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• 제27권2호
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• pp.275-288
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• 1997

The purpose of the study is to explore and describe the lived experience of family members with gastric cancer patients using the grounded theory methodology. The participants were ten spouses of gastric cancer patients who had some kind of treatment at the hospital. They were asked open-ended and descriptive questions in order for them to talk about their experiences in their own terms. As the interveiw progressed the questions became more specific to discuss themes and working hypotheses that emerged from the analysis of previous interviews. All interviews were tape-recorded and transcribed for the analysis. Constant the core category that was emerged from the comparative analysis is “magmaggam” which can be described as a psychological distress due to a high level of uncertainty regarding the health of the patient and the future of the caregivers. Psychological distress includes several emotional feelings such as frustration. anxiety, fear, guilty, and self depreciation. Subcategories or strategies related to the core category are 1) managing illness, 2) using folk medicine, 3) giving the patient a reason to live, 4) being patient, 5) losing reality, 6) anticipatory experience on the patient's death and parting, and 7) changing interpersonal relationships. The results of this study would help clinical nurses to develop nursing intervention to help spouses of gastric cancer patients establish efficient coping strategies in dealing with the problems they face.

• 융합정보논문지
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• 제9권2호
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• pp.139-147
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• 2019

본 연구의 목적은 병원에서 환자의 안전사고에 대한 간호사의 경험을 확인하고 이해하기 위함이다. 질적연구 방법을 활용하여 병원에서 직접 또는 간접적으로 안전사고를 경험한 7명의 간호사가 일상생활에서 겪는 경험을 분석하였다. 그 결과 환자안전사고의 경험은 7가지 필수 주제와 24가지 속성으로 도출되었다. 7가지 필수 주제는 "예상하지 못한 경험을 하게 됨", "소홀하게 생각해 놓침", "당면하는 불안감", "홀로 감당해야 하는 어려움", "직장을 떠나게 됨", "분쟁에 휘말리게 됨", "성숙한 간호사가 되어감"이었다. 본 연구의 결과는 병원에서 환자의 안전사고에 대한 정책 수립에 기여할 것이며 실제 임상 현장에서 환자안전사고 예방에 실질적 개선 방안을 마련하는데 도움을 줄 것이다.

• 한국응용과학기술학회지
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• 제37권5호
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• pp.1430-1440
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• 2020

본 연구는 간호대학생을 대상으로 임종간호 관찰경험 여부에 따른 웰다잉에 대한 인식, 사전연명의료의향서 지식 및 태도와의 차이를 파악하기 위해 시도되었다. 연구대상은 경기도, 충청도, 전라도 소재의 4년제 간호학과 대학생 321명을 대상으로 구조화된 설문지를 이용하여 자료수집을 하였다. 수집된 자료는 SPSS 25.0 program을 이용하여 기술통계, t-test, ANOVA, Scheffe' test, Pearson's correlation coefficient로 분석하였다. 연구결과 임상실습 중 임종간호 관찰경험이 있는 간호대학생이 관찰경험이 없는 학생보다 사전연명의료의향서에 대한 태도가 긍정적으로 나타났고 유의한 차이를 보였다(t=3.011, p<.003). 임종간호 관찰경험이 있는 간호대학생의 웰다잉에 대한 인식(r=.194, p=.008)과 사전연명의료의 향서 지식(r=.201, p=.006)은 사전연명의료의향서 태도와 정적 상관관계가 나타난 반면, 임종간호 관찰경험이 없는 간호대학생은 사전연명의료의향서 태도와 웰다잉에 대한 인식(r=.189, p=.029)에서만 정적 상관관계를 보였다. 따라서 간호대학생의 좋은 죽음과 사전연명의료의향서에 대한 올바른 인식과 긍정적인 태도를 함양시키기 위한 체계적인 교육이 이루질 수 있도록 표준화된 교육프로그램 개발이 필요하다.

• 한국의료질향상학회지
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• 제26권2호
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• pp.56-65
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• 2020

Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

• 한국의료질향상학회지
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• 제27권1호
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• pp.26-42
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• 2021

Purpose: This study aimed to explore frontline nurses' experience of patient-centered care and understand the factors affecting its implementation in hospitals. Methods: Four focus group interviews were conducted with 30 nurses in two university hospitals. The following theoretical framework of patient-centered care was used: 1) Respect for patients' values, preferences, and expressed needs, 2) Care coordination and integration, 3) Information, communication, and education, 4) Physical comfort, 5) Emotional support and alleviation of fear and anxiety, 6) Involvement of family and friends, 7) Care transition and continuity, and 8) System issues. We performed a directed content analysis. Results: The most frequent patient-centered nursing practices of the hospital nurses were "promoting physical comfort" in inpatient settings and "providing information and communicating" in outpatient settings. The factors influencing patient-centered nursing included the health professionals' mindfulness, work overload and staff shortage, and unreasonable social demands and regulations. Conclusion: A more comprehensive patient-centered nursing practice should be implemented by improving "care transition and continuity," "family/caregiver involvement," and "system building." Health professionals' mindfulness is significant, and organizational supports addressing work overload and staff shortage are needed alongside change in social awareness.

• 한국의료질향상학회지
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• 제23권2호
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• pp.23-34
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• 2017

Purpose: Nurse's second victim experiences could influence organizational negative work-related outcome. The purpose of this study was to investigate the casual relationship between nurses' second victim experience and third victim experience and multiple mediation effects of second victim supports. Methods: A cross-sectional, self-report survey (the Second Victim Experience and Support Tool) was conducted with 305 nurses working in a general hospital. Data were collected from October 20 to November 25, 2016 and analyzed using SPSS Win version 23.0. Results: The nurses' perceived second victim experience was $3.24{\pm}0.61$ and the third victim experience was $3.12{\pm}0.92$. Nurses' second victim experience was found to have a direct effect on increasing third victim experience and indirect effect of colleague support as mediator (p<.05). However, institutional support and supervisor support had not a partial and indirect effect on third victim experience. Conclusion:This study is one of the first to connect second victim experience to third victim experience in South Korea. This study broadens the understanding of the negative effects of a second victim experience influence third victim experience. When involvement in patient safety events, the important role of colleague support in limiting nurse's third victim experience have been acknowledged. This study reinforces the efforts health care leaders are making to develop interventional programs to colleague support their staff as they recover from adverse event involvement.

• 성인간호학회지
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• 제19권2호
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• pp.318-328
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• 2007

Purpose: The purpose of this study was to examine the degree of self-care, symptom experience and disease state among the patients with liver cirrhosis and to identify its correlation. Methods: The subjects were 220 patients with liver cirrhosis who were treated in D-university hospital in Busan. The instruments used for study were the self-care inventory, the symptom experience inventory and modified childpugh classification scale. Results: The average points of the patient's self-care performance, symptom experience, and disease status were 3.67, 29.10 and 6.12 respectively. Their self care was negatively correlated to symptom experience, and symptom experience was positively correlated to disease state. Conclusion: This research findings suggested that active self-care by patients with liver cirrhosis might contribute to reduce various symptoms they can undergo and to prevent aggravation of disease state. Therefore, patients with liver cirrhosis have to carry out self care actively in daily life and discreet nursing intervention should be offered to facilitate their self-care.

• 한국직업건강간호학회지
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• 제24권3호
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• pp.153-161
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• 2015

Purpose: The purpose of this study was to identify the effects of violence experience, emotional labor and job stress on clinical nurses' depression and to provide suggestions for improving the quality of patient care. Methods: This research involved 257 clinical nurses who were working at an acute care hospital with at least 200 beds in S city and K province. Data were collected from May 23 to June 7 in 2014 and were analyzed using IBM SPSS version 21.0. Results: The results show that 98.1% of subjects had violence experience in the past year and the violence experience included 44.4% physical threat, 37.5% verbal violence and 18.1% physical violence. The average scores were emotional labor 3.57, job stress 3.54 and depression 21.16. There were positive correlations among violence experience, emotional labor, job stress and depression (p<.01). There were also significant co-relationships between depression and violence experience (r=.21, p=.001), between depression and emotional labor (r=.48, p<.001) and between depression and job stress (r=.31, p<.001). Conclusion: The results suggest that it is necessary to set up guidelines for clinical nurses to manage violence, emotional labor and job stress in order to create better working environment and to improve quality of patient care.

• 디지털융복합연구
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• 제16권6호
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• pp.259-270
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• 2018

본 연구는 종합병원 간호사의 환자안전관리활동에 환자안전문화인식과 조직몰입이 미치는 영향을 검증하고자 시도되었다. 자료는 2017년 8월 2일부터 8월 16일까지 종합병원 간호사 191명을 대상으로 구조화된 설문지를 이용하여 자료수집하였고, SPSS WIN Version 22.0을 이용하여 분석을 실시하였다. 연구결과, 종합병원 간호사의 환자안전관리활동은 환자안 전문화인식과 조직몰입과는 양의 상관관계가 있는 것으로 나타났고, 환자안전관리활동의 영향요인은 환자안전문화인식, 조직몰입 및 환자안전교육 경험으로 나타났으며, 이들 변수의 설명력은 33.3%였다. 따라서, 종합병원 간호사의 환자안전관리 활동을 증진시키기 위해서는 환자안전문화인식, 조직몰입 및 환자안전교육을 고려하여 중재프로그램을 개발하고 적용하는 것이 필요하다고 사료된다.

• 임상간호연구
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• 제27권2호
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• pp.210-219
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• 2021

Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R²=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.