• Title/Summary/Keyword: Public Nursing Hospitals

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A Comparison on Stress and Coping of Bereavement Care between Nurses in the Cancer Unit and Nurses in the General Unit (암병동 간호사와 일반병동 간호사의 임종간호에 대한 스트레스와 대처방법 비교 연구)

  • Lee, Hyang-Yeon;Lee, Youn-Ok;Choi, Eun-Young;Park, Young-Mi
    • Asian Oncology Nursing
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    • v.7 no.1
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    • pp.26-35
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    • 2007
  • Purpose: The purpose of this study was to set the strategy that clinical nurses can efficiently cope with the stress from bereavement care, by examining and analyzing stress factors and coping methods of nurses' bereavement care. Methods: A total of 628 nurses were recruited from four university hospitals, two cancer specialized hospitals, and three public hospitals. Stress was measured using the bereavement care stress measurement tool, and coping was done using the cope with stress scale. Results: The stress level about bereavement care of the nurses working in the cancer unit was significantly higher than the level of the nurses working in the general unit. However, there was no difference of coping level between nurses working in cancer unit and general unit. Conclusions: It is important to ensure the methods that contrive to perform bereavement care efficiently by generating hospice nurses and by activating the system for nurses specialist who perform bereavement care.

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A Study on the relationship between Transformational Leadership and Job Involvement according to Nurses' Personal Characteristics (임상간호사의 성격특성에 따른 변혁적 리더쉽과 직무몰입과의 관계)

  • Kim Myoung Sook;Park Young Bae
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.249-261
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    • 2001
  • Today's health care environment is rapidly changing and nurse administrators' leadership styles need to identify in nursing organization to achieve organizational objectives. By Bass(1985), transformational leadership stimulates the subordinates to be creative and achieve organizational objectives and is related to job satisfaction, job involvement, productivity, and organizational commitment. Transformational leadership process consists of charisma, intellectual stimulation, individual consideration. The purpose of this study was to identify the effect of transformational leadership and personal characteries on nurses' job involvement. The subjects for this study consisted of 594 nurses from 8 University Hospitals and General Hospitals. The data were collected by personal characteristics scale, transformational leadership scale, and job involvement scale. The factor analysis, Cronbach's alpha analysis, Pearson correlation analysis, multiple regression analysis and hierarchical multiple regression analysis were used for the statistical method. The results of this study were found that (1) charisma dimension of transformational leadership has positive influence on nurses' job involvement ; but another two dimensions (intellectual stimulation and individualized consideration) did not showed significant effect on job involvement (2) nurses' personal characteristic (internal locus of control) moderated the effect of transformational leadership on job involvement.

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Factors Affecting Job Satisfaction, Emotional Labor and Health Promotion Behavior of Emergency Room Nurses (응급실 간호사의 감정노동, 건강증진행위 및 직무만족도 영향 요인)

  • Jang, Eun Hwa;Shim, Moon Sook
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.249-262
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    • 2018
  • Purpose: This study was attempted to identify the emotional labor, health promotion behavior, and job satisfaction of emergency room nurses in general hospitals. Basic data were provided on the development of interventions to reduce negative consequences of emotional labor, improve nurse health and improve job satisfaction, and provide effective management of nursing staff. Methods: The study conducted a survey on the use of the survey program of D, N and J, and the research objective was understood by more than 6 months of experience at 8 general hospitals. Results: Nurses' emotional labor and health promotion have been shown to have significant effects on job satisfaction. Factors affecting job satisfaction included health promotion behaviors, emotional labor, and gender, among which emotional labor was affected significantly by a wealth, and health promotion was a significant cause of justice. Conclusion: Job satisfaction will increase if nurses lower their emotional labor and raise the level of practice for health promotion. Therefore, a mediation program is needed to reduce the level of emotional labor of nurses, which can provide an opportunity for them to practice health promotion activities and improve the job satisfaction of nurses.

Life-Sustaining Treatment Choices and Related Factors Involving Hospital Nurses (간호사 자신과 간호사 가족의 연명의료 결정과 관련요인)

  • Choi, Yoo Nam;Song, Yeoungsuk
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.167-180
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    • 2018
  • Purpose: The aim of this study was to identify the life-sustaining treatment choices and related factors among general hospital nurses. Data were collected from June 16 to June 29, 2015. The participants were 244 nurses from five general hospitals in D city. Methods: The data were analyzed using the SPSS 18.0 program, descriptive statistics, paired t-test and one-way ANOVA. Results: Significant differences were observed in the level of life-sustaining treatment choices for nurses to themselves and to their families except for pain control. More nurses declined life-sustaining treatment choices, but suggested their families receive it. The related factors of special life-sustaining treatment choices for nurses themselves and their families according to their general characteristics were age, marital status, education and religion. Conclusion: This study suggests that the related factors need to be considered in the education of nurses' or public health providers' Life-sustaining treatment choices.

A. Model for the Elderly Health Care Management (노인보건의료 관리모형)

  • Rhee Seonja
    • Journal of Korean Public Health Nursing
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    • v.8 no.2
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    • pp.71-82
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    • 1994
  • The article reviewed the elderly health care management problems in policy development issue of the nation. Policy of Korean government on elderly health care has still not yet developed. The main stream of policy which is effective on elderly welfare policy is 'Elderly care are responsible by their families'. Now only those aged whose family members are not able to take care of their parents are receive custodial care at the non-profit nursing homes. This article examined the main stream policy in pro and cons aspects in relation to social changes such as: demographic changes. family structure changes. attitude changes. health care delivery system. and political settlement view points in connection with medical insurance program. Finally. a model for the elderly health care management was proposed which will provide chronic care services at the community level. such as nursing homes. day care centers. day hospitals, respite care units, and special care institute for dementia.

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Factors Affecting of Long Term Care Hospital Patient's Intention of Transfer to a Nursing Home (요양병원 입원환자의 요양시설 이동의사에 영향을 미치는 요인)

  • Lee, Ji-Yun;Park, Eun-Gyung
    • Research in Community and Public Health Nursing
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    • v.19 no.2
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    • pp.196-204
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    • 2008
  • Purpose: To examine factors affecting long-term care hospital patients' intention of transfer to a nursing home. Method: A questionnaire survey was conducted in Aug. 2007 that included 655 patients from 49 long-term care hospitals. The survey aimed to assess the patients' health status, family status, cost and intention of transfer to a nursing home. Institutional characteristics were analyzed from the nationwide database of Health Insurance Review & Assessment Service. The affecting factors were examined by employing chi-square test and logistic regression using SAS 8.2. Result: Of the subjects, 32.4% had intention of transfer to a nursing home. The intention of transfer to a nursing home was affected by moderate or severe pain, living together with the primary carer, high cost uncovered by insurance, and recognition of nursing home. Conclusion; For appropriate service utilization. a higher level of care is needed to satisfy patients at nursing homes and a balanced fee schedule is needed between long term care hospitals and nursing homes. It is desirable to encourage transfer to a nursing home at which nurses support patients and their families by giving information, coordination, and to make efforts to establish a reference system.

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Comparison of Stress Levels Arising in Clinical Settings, Stress Coping Mechanisms and Clinical Competency between Male and Female Nursing Students (남녀 간호대학생의 임상실습 스트레스, 대처방식 및 임상수행능력 비교)

  • Kim, Sung-Mi;Hwang, Tae-Yoon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.606-616
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    • 2014
  • Purpose: This study compares differences between male and female nursing students in terms of the level of stress experienced during clinical practice settings, stress coping mechanisms and clinical competency. Method: The study population was nursing students who had taken a clinical practice course at one of five general hospitals in city D. Data were collected from September 15 to October 15, 2013 through a structured self-administered questionnaire survey given to 319 subjects (156 male students, 163 female students) enrolled in a statistical analysis course. Results: Male nursing students experienced lower stress levels during clinical practice and higher clinical competency than female students. In terms of stress coping mechanisms, male students were significantly more active than female students in deploying coping strategies. Among all students, students with higher clinical practice stress and concomitant stress coping scores exhibited higher clinical competency. Conclusion: Noticeable differences between male and female nursing students in terms of stress levels arising in the course of clinical practice, stress coping strategies, and clinical competency were revealed. However, further identification of specific stressful situations for male and female nursing students and subsequent management of clinical training circumstances are required.

A Review on Home Health Care in Korea - Hospital, Community, and Public Health Center Based Home Health Care Nursing- (한국의 가정건강관리 연구에 관한 고찰 -의료기관 및 지역사회 가정간호와 보건소 방문보건을 중심으로 -)

  • Ryu, Ho-Sihn;Kim, Eun-Young;Park, Chai-Soon
    • Journal of Home Health Care Nursing
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    • v.14 no.2
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    • pp.65-75
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    • 2007
  • Purpose: This study was conducted to provide fundamental information for policy integration of the home health care system. Methods: Focused review was performed from 8 studies out of 48 literature related to home care needs. Results: Females utilized home care based on hospital and public health centers at a higher rate than males. While there had been more rate of the elderly above 60 year-old at hospital and community based home care, on the other hand below 45 year-old at public health center. The most common disease amongst users in all three types was cerebrovascular disease, the second was cancer based at hospitals, hypertension and arthritis at public health centers. There were more needs for those using artificial respiratory equipment, cancer patients, and puerpera. However, the needs for hospital and community based home care were very similar. Conclusions: Due to similar disease characteristics but varied severity at the three home care based settings, they should be managed with flexibility. Home care curriculum should be developed according to common disease type, and home care services should be strengthened for its expertise.

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The Influence of Public Hospital Nurses' Psychological Capital and Nursing Work Environment on Job Embeddedness (공공병원 간호사의 심리적 자본, 간호업무환경이 직무착근도에 미치는 영향)

  • Hwang, Sun Mi;Jang, Mi Heui;Sun, Min Jung
    • Journal of East-West Nursing Research
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    • v.30 no.1
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    • pp.42-50
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    • 2024
  • Purpose: This study aimed to investigate the influence of public hospital nurses' psychological capital and nursing work environment on job embeddedness. Methods: A descriptive cross-sectional survey was conducted from October 21 to 31, 2022. A total of 200 participants working at a public hospital in Gyeonggi-do were recruited. Data collection was conducted using questionnaires. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical regression analysis. Results: The mean scores of psychological capital and nursing work environment were 3.32±0.60 out of 5 and 2.43±0.48 out of 4, respectively. The mean score for Job embeddedness was 3.14±0.72 out of 5. Psychological capital showed a significant positive correlation with nursing work environment and job embeddeness, and nursing work environment also showed a significant positive correlation with job embeddedness. The factors affecting job embeddeness of public hospital nurses were positive psychological capital, nursing work environment, and age. Conclusions: The results of this study suggest that in order to increase job embeddedness, it is necessary to develop education and programs that can strengthen positive psychological capital of public hospital nurses. In addition, the nursing work environment must be improved by providing appropriate manpower and resources.

Current Status of Patient Safety Regulations, Guidelines and Support Mechanisms in Korean Hospitals

  • Lee, Jae Ho;Kim, Jeong Eun;Kim, Suk Wha;Lee, Sang Il;Jung, Yoen Yi;Kim, Moon Sook;Jang, Seon Mi
    • Perspectives in Nursing Science
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    • v.10 no.2
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    • pp.158-166
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    • 2013
  • Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

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