• 제목/요약/키워드: Secondary Hospitals

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응급실 간호사의 대처방식과 공감피로, 공감만족 (Coping Strategies, Compassion Fatigue and Compassion Satisfaction among Nurses in Emergency Room)

  • 장양민;김숙영
    • 임상간호연구
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    • 제20권3호
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    • pp.348-358
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    • 2014
  • Purpose: This was a descriptive correlation study to identify emergency room (ER) nurses' coping types and factors affecting compassion satisfaction (CS) and compassion fatigue. Methods: During March and April 2013, 170 questionnaires were distributed to ER nurses working in general hospitals in D and C regions. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. Results: Compassion fatigue was most strongly affected by emotional expression for burnout and by practical support pursuit for secondary traumatic stress. Positive coping, emotional expression, position, positive reinterpretation, and self-blame explained 42% of CS. Conclusion: Results indicate that nurses with moderate levels of career had high compassion fatigue and low compassion satisfaction. Thus these nurses need to be given an opportunity to achieve self-development and improve their ability as nurses; interventions that can reinforce positive coping strategies should be provided as personal coping strategies affect compassion fatigue and compassion satisfaction.

다수준 생존분석을 이용한 신규 간호사 이직 영향요인 (Predictors of Turnover among New Nurses using Multilevel Survival Analysis)

  • 김수희;이경은
    • 대한간호학회지
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    • 제46권5호
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    • pp.733-743
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    • 2016
  • Purpose: The purpose of this study was to examine factors influencing new graduate nurse turnover. Methods: This study was carried out as a secondary analysis of data from the 2010 Graduates Occupational Mobility Survey (GOMS). A total of 323 nurses were selected for analysis concerning reasons for turnover. Data were analyzed using descriptive statistics and multilevel survival analysis. Results: About 24.5% of new nurses left their first job within 1 year of starting their jobs. Significant predictors of turnover among new nurse were job status, monthly income, job satisfaction, the number of hospitals in region, and the number of nurses per 100 beds. Conclusion: New graduate nurses are vulnerable to turnover. In order to achieve the best health of the nation, policy approaches and further studies regarding reducing new graduate nurse turnover are needed.

임상 간호사의 비용절감수행 영향 요인 (Factors Affecting the Cost-Reduction Practice of Clinical Nurses)

  • 박금자;임경민
    • 보건의료산업학회지
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    • 제10권2호
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    • pp.49-58
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    • 2016
  • Objectives : The purpose of this study was to find factors affecting the cost-reduction practice of clinical nurses. Methods : The Data were collected from Feb. 25, to Mar. 15, 2015.the Total subjects were 201 nurses working in secondary-care hospitals located in Busan Results : The Meaningful variables that explain the cost-reduction practice in clinical nurses were psychological ownership, religion, and marital status in that order. Total explanation power was 22.1.% and psychological ownership has most explanation power. Conclusions : Psychological ownership and economic consciousness need to improve to develop cost-reduction practices. Additionally, nurses with and low concern about finances need to receive financial-related education.

간호사의 임금수준 결정요인에 관한 연구 (An Analysis of the Factors Determining Salary Level of Hospital)

  • 박희옥
    • 간호행정학회지
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    • 제14권4호
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    • pp.467-476
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    • 2008
  • Purpose: The purpose of this study was to examine the factors determining salary level of hospital. Methods: This study performed secondary analysis on the existing data. Data were collected from May 1, 2005 to September 30, 2005. Analysis of the results was carried out using SPSS win 12.0 program for t-test, ANOVA and multiple regression. Results: For the determinant factors on the level of nurse's salary, the R2 for this whole regression model was .72, indicating that approximately 72% of the variance in salary level of the nurses was accounted for by the linear combination of these three independent variables, the size of hospitals, the characteristics of a fund, and nursing delivery system. Conclusion: Salary is a major part of human resource management and is compensation for the labor of nurses and is a motive to nurses. Each hospital's salary needs to be more affordable to nurses.

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뇌수술환자에서 두부상승체위가 중심정맥압과 두개강내압에 미치는 영향 (Effects of Backrest Position on Central Venous Pressure and Intracranial Pressure in Brain Surgery Patients)

  • 김현주;송경애
    • 대한간호학회지
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    • 제36권2호
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    • pp.353-360
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    • 2006
  • Purpose: This study was done to investigate the effects of backrest elevation of 0 degree and 30 degrees that minimize the risk of increasing ICP when CVP is measured. Methods: Subjects were sixty-four patients who stayed in the neurosurgical intensive care unit after brain surgery at two university-based hospitals. CVP, blood pressure, heart rate and ICP were measured along with position changes in order of backrest position with primary 30 degrees backrest position, 0 degree backrest position and secondary 30 degrees backrest position. For data analysis, one-group, repeated-measures analysis of variance design was used in SAS program. Results: Backrest elevations from 0 degree to 30 degrees did not alter the CVP without increasing the ICP. Therefore, 30 degrees backrest position is a preventive position without increasing ICP. Conclusion: 30 degrees backrest position might be appropriate for brain injury patients when CVP is measured.

아토피피부염 환아의 중증도에 따른 가족관리방식의 비교 (A Comparative Study of Family Management Style According to Severity of Childhood Atopic Dermatitis)

  • 손해경;김희순
    • Child Health Nursing Research
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    • 제22권4호
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    • pp.309-316
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    • 2016
  • Purpose: This study of secondary analysis aims to compare family management style according to severity in children with atopic dermatitis. Methods: A convenience sample of 109 Korean mothers caring for a child with atopic dermatitis, were recruited from the pediatric departments of two general hospitals in Seoul. Data were collected from November 1, 2015 to February 28, 2016. A structured self-report questionnaire was used. Data were analyzed using descriptive statistics, correlation analysis, and one-way ANOVA with IBM SPSS Version 22.0. Results: For family management style, condition management effort, family life difficulty, and view of condition impact were significantly different according to the severity of the atopic dermatitis in these children. Conclusion: The findings indicate that family management strategies to enhance care of children with atopic dermatitis as well as members of the family should include these significant variables in a family-centered approach.

임상간호사의 인문학적 소양과 직무 스트레스가 전문직 삶의 질에 미치는 영향 (Influence of Humanistic Knowledge and Occupational Stress on Professional Quailty of Life of Clinical Nurses)

  • 박선자;김지원
    • 한국산학기술학회논문지
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    • 제20권11호
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    • pp.348-360
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    • 2019
  • 본 연구는 임상간호사의 전문직 삶의 질에 영향을 미치는 요인을 확인하여 전문직 삶의 질을 높이기 위한 기초자료 제공을 위해 수행되었다. 연구대상자는 일 광역시 3개 종합병원에 근무하는 간호사 217명으로, 2019년 6월 3일부터 6월 14일까지 구조화된 설문지를 사용하였고, 수집된 자료는 SPSS Statistics 23.0 program을 이용하여 기술통계, t-test, ANOVA, Scheffé test, Pearson's Correlation Coefficient, Stepwise multiple regression으로 분석하였다. 연구결과, 공감만족은 인문학적 소양과는 양의 상관관계, 소진과는 음의 상관관계가 있었고, 소진은 인문학적 소양과는 음의 상관관계, 직무 스트레스와 이차 외상성 스트레스와는 양의 상관관계가 있었으며, 이차 외상성 스트레스는 직무스트레스와 양의 상관관계가 있었다. 공감만족에 영향을 미치는 요인으로는 소진, 간호만족, 임상경력으로 나타났으며 48.5%의 설명력을 보였고, 소진에 영향을 미치는 요인에는 공감만족, 이차 외상성 스트레스, 간호만족, 기혼, 직무 스트레스로 나타났고 68.8% 설명력을 보였으며, 이차 외상성 스트레스에 영향을 미치는 요인은 소진과 급여로 나타났으며 21.9%의 설명력을 보였다. 이상의 연구 결과 소진은 공감만족과 이차 외상성 스트레스 모두에 영향을 미치므로 소진을 예방하는 노력이 요구된다.

임상간호사의 조직공정성이 조직시민행동에 미치는 영향 : 2차 의료기관을 대상으로 (The Effect Organizational Justice on Organizational Citizenship Behavior focus on Nurses in Secondary Hospitals)

  • 장경화
    • 한국산학기술학회논문지
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    • 제16권11호
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    • pp.7648-7655
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    • 2015
  • 간호서비스 질에 대한 대상자들의 요구가 점점 높아지고 있는 현실에서 간호서비스 질은 간호사의 직무태도와 행동에 따라 달라질 수 있다 하였다. 그 것은 자발적이고 능동적인 조직시민행동으로 설명할 수 있다. 임상실무에서는 간호사들의 업무성과에 영향을 미치는 조직시민행동이 매우 중요하며 조직공정성은 조직시민행동의 중요한 영향요인이다. 본 연구는 조직공정성이 간호사의 조직시민행동에 미치는 영향관계를 파악하고자 시도된 서술적 조사연구이다. 연구대상은 K지역 소재 500병상 미만의 2차 의료기관 3곳에서 근무하는 간호사 230명을 대상으로 하였다. 데이터 분석은 SPSS Win18.0을 사용하여 기술통계, t-test, ANOVA, Perason's correlation coefficient, Multiple Regression을 하였다. 연구결과에서 총 조직공정성과 그 하위요인 인 분배, 절차, 상호작용공정성은 조직시민행동에 유의한 정(+)의 상관관계를 나타내었다(r=.172~.540, p=.000). 또한 총 조직공정성은 29.1%의 설명력을 가지고 총 조직시민행동에 유의한 영향(${\beta}$=.540)을 미쳤다(F=93.777, p=.000). 하위요인을 살펴보면, 절차공정성을 제외한 분배공정성(${\beta}$=.283)과 상호작용공정성(${\beta}$=.249)은 조직시민행동에 유의한 영향을 미치는 것으로 나타났다. 따라서 간호사의 조직시민행동을 유도하기 위해서는 성과, 보상에 대한 분배공정성과 사회적 관계인 상호작용공정성에 초점을 맞춘 간호관리 전략이 필요하다.

한국 보건의료 환경의 변천 : 제도적 로직, 행위자, 거버넌스를 중심으로 (An Institutional and Ecological Analysis of the Healthcare Environment in Korea: Focus on Institutional Logics, Actors, and Governance structures)

  • 김수진;권순만;유명순
    • 보건행정학회지
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    • 제21권3호
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    • pp.457-492
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    • 2011
  • The primary goal of our study was to investigate the vast transformations of the healthcare sector in Korea during the past half century. Official data reported in the Korean statistical yearbooks and secondary data suggested by previous studies were used for institutional analysis of healthcare environment. Information on hospital released by the Korean Hospital Association was also used for ecological analysis. Institutional analysis: We identified three distinctive eras based primarily on changes in institutional logics, institutional actors, and governance structures : 'professional dominance (1952-1976)', 'government involvement (1977-1999)', and 'coexistence of competing institutional logics (2000-present)'. During the first era, physician association supported by Korean government comprised the primary governance regime. During the second era, the government became a major actor as a regulator and purchaser in health care sector, introducing of the 'mandatory national health insurance'. During the third era, making healthcare system sustainable and providing health care efficiently was overarching goals although it was hard to find a single central logic dominating this period. Ecological analysis: Evidence from the analysis of hospital population suggested that the expansion of the bed capacity was made from different processes, shifting from the ecological process in 1980s to the adaptive process in 1990s. And Korean hospitals had changed following both 'directional process' and 'stabilizing process' over time. Based on our results, we concluded that more studies to compare more organizational populations other than hospitals and to empirically test the effects of institutional changes on organizational changes and vice-versa, need to be conducted.

종합병원의 수술복 이너웨어 디자인 개발에 관한 연구 (Development of the Designs of Surgical Scrubs at General Hospitals)

  • 정삼호;이선화;문선정
    • 복식
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    • 제61권5호
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    • pp.139-146
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    • 2011
  • In South Korea, hospital clothes for medical staff, which require high performance and functionality, are still regarded just as uniforms. Few researches have been made into the underwear for operating room staff, which is intended to protect medical staff against possible risks happening during an operation and allow them to do their job in an easy and comfortable manner. In order to present a new design of underwear for operating room staff at general hospitals in South Korea, an investigation was made into medical staff's preference for overseas brand samples, and it was found that they preferred to wear such clothes as are blue-colored, of a V-neck line, of a box style and has good absorptiveness and breathability. After developing the primary prototype and the conventional underwear for operating room staff at Hospital A, their appearances were evaluated, and it was found that the primary prototype was more favorably evaluated. After developing the secondary prototype, their preference for the colors and shapes was surveyed, and it was found that they preferred to wear No.6 blue colors and T/C materials. In conclusion, it is considered that a systematic research need be conducted into the designs of various hospital clothes, whose roles and functions are subdivided, including the underwear for operating room staff developed in this research.