• 제목/요약/키워드: Professional nurse autonomy

검색결과 43건 처리시간 0.024초

간호사와 의사 간의 협력에 관한 이론적 고찰 (Literature Review with Collaboration Between doctors and nurses)

  • 우선혜
    • 가정간호학회지
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    • 제7권1호
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    • pp.73-82
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    • 2000
  • Twenty-first century coming of health care in our country is in a situation of much conflict because the relationship between nurses and doctors is seen in terms of a traditional and vertical structure. Accordingly. it is very difficult to find collaboration amongst individuals of these two professions. Now nursing is trying to find independence and autonomy by carrying out independent professional skills. This study on collaboration and the obstacles hindering its pursuit. The strategies of collaboration to give better health care quality are as follows; First, a program for professionals should be developed to enhance professional knowledge and technology and train nursing professionals so that nursing can be acknowledged as a profession with a power to carry out on independent job. Second, collaboration reduces expenses and results in satisfactory performances of duty, high productivity, low incidence of medical accident, and higher satisfaction of the patient. Therefore the leader in the higher position should take positive stance for collaboration and help create a cooperative situation through the development of practical orders for collaboration. opening cooperative wards, and meeting for collaboration. Third, a collaboration model should be introduced into the courses of the nursing and medical school curriculum, which would influence job atmosphere after graduation. Fourth, nurses should have pride in their jobs as professionals and have confidence in their professional skill, knowledge and ability. Nurses should make an effort to share responsibility and have independence and autonomy. Fifth, common people as well as doctors know little about professional practice and the role of nurses, so a publicity campaign is also required.

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지역사회 보건복지서비스의 통합적 제공을 위한 간호사와 사회복지사간 협력에 영향을 미치는 요인 (Factors affecting the collaboration between nurses in community health department and social workers in welfare services department)

  • 김미주
    • 보건행정학회지
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    • 제18권4호
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    • pp.125-147
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    • 2008
  • The purpose of this study is to propose the factors affecting collaboration between community nurses and social workers in Korea. Data that is used in this study, were collected from 295 provider respondents by questionnaire, additionally from telephone survey and secondary data review. This study focuses on the working relationship between professionals in the field of health and social care. Based on the literature review, this study proposes a conceptual framework for collaboration between nurses and social workers in community health and social care. The dependent variable in this study is collaboration. It reveals whether or not the inter-professional works and shows the level of collaboration. The independent variables are categorized in: the client characteristics (frailty of client, client-provider relationship); the provider characteristics (specialization, perception of interdependence, perception of the other professional); the organization characteristics (closeness of the other professional, autonomy, on-the-job training, evaluation-reward); and the community characteristics (urbanization, capacity of resources). Major findings are as follows: First, the factors that appear to have the strongest impact on whether or not inter-professional working of respondent sampled are: the perception of other professional; the perception of interdependence; closeness of, the, other professional; and the frailty of client. Secondly, the factors that found to have the most significant effect on level of cooperation are: the perception of, the other professional; on-the-job training; evaluation-reward; and the closeness of the other professional.

Health Care Communications with Diverse Ethnic Groups

  • Savitri, Singh-Carlson
    • 여성건강간호학회지
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    • 제16권4호
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    • pp.419-423
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    • 2010
  • Purpose: The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client s perspectives of respect as an ethical principle of care, especially within Canada s diverse population is non-existent. There is limited research from the client s perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.

일대학 부속병원 간호사의 직무만족도에 관한 연구 (A Study of Job Satisfaction of the Nurses in a University Hospital)

  • 김귀분;석소현
    • 동서간호학연구지
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    • 제12권1호
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    • pp.14-24
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    • 2006
  • Purpose: This study was conducted to describe and analyze about the degree of job satisfaction of nurses in a university hospital for basic data to develop the professionals and improve productivities, effectiveness in nursing practice. Methods: Design was the descriptive survey study. Sample were 97 nurses in K university hospital, and convenient sampling was used. Measures were job satisfaction of nurse for job satisfaction tool modified by Kim, S.N.(1998) and developed by Slavitt(1978). Data were collected from April 2005 to June 2005, and analyzed using SPSS PC+12 program. Descriptive statistics was used for general characteristics and characteristics related to job. F-test, t-test, and $X^2$ test were used for verification of differences. Results: 1. Scores in categories of job satisfaction were ranked for professional position(3.25), interpersonal relationship(3.19), autonomy(3.08), necessary job(2.88), payment and promotion(2.79), and administration(2.50) in order. 2. There were significant differences in age(F=3.343, p=.040) and satisfaction for current job(F=10.331, p=.000) in differences of job satisfaction by general characteristics and characteristics related to job. Conclusions: On the findings, authors suggest that more opportunities for direct nursing practice, appropriate time for the practice, and the intervention improving satisfaction for current job are needed to improve job satisfaction.

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임상간호사의 전문성 측정도구 개발 (Development of a Professionalism Measurement Scale for Clinical Nurses)

  • 김정현;이혜순;방양희
    • 임상간호연구
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    • 제29권2호
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    • pp.186-197
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    • 2023
  • Purpose: The purpose of this study was to develop a scale to measure professionalism of clinical nurses and evaluate the reliability and validity of the scale. Methods: DeVellis's scale-development eight steps were applied. The initial items were developed through a literature review and discussion with investigators, and the content validity was verified by seven experts. The data were collected from 250 hospital nurses for exploratory factor analysis and 217 hospital nurses for confirmatory factor analysis. Exploratory and confirmatory factor analyses were utilized to assess the construct validity. Cronbach's ⍺ was used to test the internal consistency reliability. Results: The results of the exploratory and confirmatory factor analyses showed that the scale comprised four factors: professional skill(eight items), sense of ethics (five items), knowledge-seeking activities (four items), and autonomy(three items). The four-factor structure was validated (x 2 =600.85 p<.001, GFI=.88, CFI=.84, RMSEA=.07), and Cronbach's ⍺ for the total scale was .84. Conclusion: The study results showed satisfactory reliability and validity of the professionalism measurement scale for clinical nurses. This scale has potential as an appropriate instrument for measuring clinical nurse professionalism.

정신간호사의 전문직업성이 간호업무수행 및 재직의도에 미치는 영향 (The Impact of Nursing Professionalism on the Nursing Performance and Retention Intention among Psychiatric Mental Health Nurses)

  • 권경자;고경희;김경원;김정아
    • 간호행정학회지
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    • 제16권3호
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    • pp.229-239
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    • 2010
  • Purpose: This study aimed to investigate the impact of nursing professionalism on the nursing performance and retention intention among psychiatric mental health nurses. Methods: As a descriptive correlational study, this study sampled 206 psychiatric mental health nurses in six hospitals in Seoul and Gyeonggi area through convenience sampling. Data were collected from March 2 to 31, 2009 using a self-report questionnaire. The collected data were analyzed using SPSS WIN 16.0. Results: In the subscales of professionalism, the 'Sense of calling' had the highest mean score while the 'Professional organization' had the lowest mean score. A significant positive correlation was observed in nursing professionalism, nursing performance and retention intention. According to an analysis on the impact of each subscale of nursing professionalism on nursing performance and retention intention, the 'Sense of calling' and 'Autonomy' were the most significant predictor variable. Conclusion: The results confirmed that the improvement of psychiatric mental health nurses' professionalism increases their nursing performance and retention intention and the 'Sense of calling' and 'Autonomy' are critical prediction factors. It is necessary to come up with a strategy which strengthens nursing professionalism in order to improve psychiatric mental health nurses' performance and retention intention.

간호사의 전문성에 대한 개념분석 (Professionalism of the Nurse: A Concept Analysis)

  • 이경미;김수현
    • 융합정보논문지
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    • 제9권9호
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    • pp.94-107
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    • 2019
  • 본 연구는 간호사가 갖추어야 할 전문성이 구체적 속성에 대해 파악하기 위해 Walker와 Avant의 개념분석 방법에 따라 간호사의 전문성의 개념을 분석하였다. 연구결과, 간호사의 전문성의 속성은 고도의 간호지식 탁월한 간호기술, 인간 중심 간호 수행, 윤리성, 책임감, 동료 간 협력, 자율성, 탁월한 상황판단 및 문제해결력으로 파악되었다. 선행요인으로는 충분한 기간에 걸친 간호교육과 경험, 연구 활동, 개인적 자질, 자기주도적 훈련이었으며, 간호사의 전문성의 결과는 전문직 정체성 향상, 이직의도 감소, 간호만족도 향상, 건강회복과 안녕의 증진, 간호의 질 향상, 병원의 평판과 수익 증대, 사회적 인정 획득, 간호전문직 발전, 국가 건강 재정적 이익 확보로 확인되었다. 본 연구는 간호사의 전문성 개념의 속성을 밝혀 규명함으로써 사회적 요구에 따른 전문직 간호의 발전을 위한 기초적이고 필수적인 작업으로서, 양질의 간호 제공을 위한 간호사의 전문성 수립의 토대를 마련함에 기여하였다는 점에서 의의가 있다.

서울시 보건소 간호사의 사회적 지지도와 직무만족도 (The Social Support and the Job Satisfaction of the Public Health Nurse in Health Centers in Seoul)

  • 이상희;김순례
    • 한국직업건강간호학회지
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    • 제9권1호
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    • pp.62-71
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    • 2000
  • In order to investigate the social support and the job satisfaction of the public health nurse, questionnaire survey was carried out on 297 nurses who were working in 25 public health centers in Seoul. The results of the study were as follows; 1. Mean score of job satisfaction was the highest in interaction(3.55) followed by-professional position(3.46), relationship between nurses and doctors(3.23), autonomy(2.85), administration(2.60), requirements(2.43) and pay(2.30) in descending order, and total mean score was 2.92. 2. The level of the job satisfaction was significantly higher in group with longer than 20 years' career and 15 years' in Public Health Center, 5th job rank and income more than two million won a month. 3. The mean score of social support was 3.57 out of 5. The social support tended to be higher in direct social support(3.61) than in indirect social support(3.54). 4. Job satisfaction was significantly correlated with social support(r=0.407). 5. The primary factor which influenced the job satisfaction was the social support which had the 25.5% explaining efficacy. The total explaining efficacy which included pay(6.4%) was 31.0%. In conclusion, it was found out that there existed Pearson's correlation between the job satisfaction and the social support of nurses of Public Health Centers in Seoul. Therefore, what is needed to increase the job satisfaction of nurses of public Health Centers is the politic support for the systems of the social support such as nurse's family, the system of Public Health Center, and the working environment. Finally it is important to increase the job satisfaction of nurses of Public Health Centers through the politic support.

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Prospects for Future Multi-disciplinary Collaboration

  • Lai, Claudia K.Y.
    • Perspectives in Nursing Science
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    • 제4권1호
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    • pp.9-18
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    • 2007
  • Background: Intersectoral and multidisciplinary collaboration is becoming more prominent in all facets of government, health, social services, and scientific endeavors. An interplay of a multitude of driving forces moves multiple disciplines forward to achieve quality outcomes in health and social sciences services and research. Aim: This paper aims at discussing the prospects for future multidisciplinary collaboration. If inter organizational integration and multidisciplinary collaboration are the ways of the future in academia and the scientific world, it then becomes crucial to examine what lies ahead for the nursing profession, Discussion: This paper argues that in order for multidisciplinary endeavors to succeed, the leaders in multidisciplinary teams shoulder the largest share of the responsibilities involved. In developing a lasting team constituting professionals from different disciplines, the leader needs to include the right individuals in the team, identify a common goal, build trusting relationships through open communication and interprofessional education, and empower members through creating room for autonomy and at the same time allowing space for personal development. The leader will need to utilize information technologies to manage communication issues in a large multi-site multidisciplinary project. Lastly, he or she must be able to demonstrate team productivity through process and outcome evaluation. It needs to be emphasized that it falls to each individual nurse to speak up and act upon what nursing believes and represents in our quest for success in multidisciplinary endeavors. Conclusion: The significance of the role of the leader is paramount for a team to succeed. Yet there is no prospect if only a handful of exceptional nurse leaders are moving ahead in multidisciplinary endeavors. Without the actualization of professional roles by each individual nurse, the profession will have no prospect in collaborations across disciplines.

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임상간호사의 역할지각 및 직무만족에 관한 연구 (A Study on Role Conception and Job Satisfaction of Clinical Nurses)

  • 한창복;문희자
    • 간호행정학회지
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    • 제2권1호
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    • pp.115-124
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    • 1996
  • This study was to analyze role conception and job satisfaction of clinical nurses by using questionnaire as designed by Corwin and Paula. For this study questionnaires from 422 nurses working at three university hospitals in Seoul were collected during September 11 to 24, 1995. Statistical analyses were done by the SPSS. The techniques used in this study inclued Chi-square test, Pearson correlation coefficients, t-test, ANOVA. For the reliability of the questionnaire, the Cronbach's alpha coefficient was calculated. The results of this study are as follows: 1. Role conception of the subjects Five Likert scale variables were used to measure role conception including professional aspect, task aspect, and bureaucratic aspect. The variables measured and their means are as follows; Total mean score for role conception was 4.2. Role conception from professional aspect(4.29); task aspect(4.18): bureaucratic aspect(4.09). 2. Job satisfaction of the subjects Five Likert scale variables were used to measure job satisfaction. The variables measured and their means are as follows; Total mean score for job satisfaction was 2.98. Job satisfaction from interaction (3.49): professinal status(3.19): autonomy(3.17): nurse-doctor relationship(2.90): task requirement(2.82): administration(2.32): salary (2.12). 3. The relationship between general characteristics and role conception. There were statistically significant differences in age(F=5.465, p<.000). merrital status(t=-2.70, p<.007), education(F=3.252, p<.022), work department(F=4.186, p<.003), work experience(F=4.457, p<.001), job position(F=8.141, p<.000). 4. The relationship between general characteristics and job satisfaction There were statistically significant difference In education(F=4.043, p<.003), work department(F=4.218, p<.002). job position(F=8.141, p<.000). 5. The correlation between role conception and job satisfaction It showed positive correlation that there was increased role conception, there was increased job satisfaction(r=.3092, p<.001). There were positive correlation in bureaucratic aspect, task aspect, and professional aspect in order.

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