• 간호행정학회지
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• 제15권1호
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• pp.16-25
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• 2009

Purpose: This study was to identify the factors influencing turnover intention of nurses in small and medium-sized hospitals. Method: The participants in this descriptive survey on causal relations were 192 nurses who were working at small and medium-sized hospitals in Daegu city. The data were collected by self-reporting questionnaires and analysed by the SPSS Win 14.0 program using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Result: The mean for job characteristics scores were 2.90, the job satisfaction scores were 3.00, the organizational commitment scores were 3.00, job stress scores were 2.42, the turnover intentions scores were 3.08. Turnover intention according to general features were shown as following; age, marital status, clinical career, work schedule type, frequency of night duty. The relationship between turnover intention and job stress had positive correlation. But the relationship between turnover and other factors that job satisfaction, organizational commitment had negative correlation. The causal factors of turnover intention were organizational commitment, job satisfaction, job stress, and job characteristics, frequency of night duty. $R^=.39$. The organizational commitment were the highest significant predictors of turnover intention. Conclusions: The findings of study suggest that broad intention program should be provided to prevent problems of turnover.

• 근관절건강학회지
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• 제23권3호
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• pp.197-205
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• 2016

Purpose: The purpose of this study was to conduct a comparison analysis on requirements of online continuing education requirements according to practical experience of nurses at small and medium-sized hospitals. Methods: Data had been collected with 236 nurses from May to June, 2015. The data were analyzed with the use of SPSS. Results: Among them, 45.8% participated in online continuing education. Nurses in beginning level required musculoskeletal diseases (20.9%), care for injuries and stomas (5.8%), and surgical disease and operation care (4.7%). Competent nurses required musculoskeletal diseases (19.7%), cerebrovascular diseases (9.9%), emergency care and CPR (8.5%), and medical nursing (8.5%). Skillful nurses required cerebrovascular diseases (13.9%), care for internal diseases (8.9%), and rehabilitation care (8.9%). Among the educational contents of diseases, the items that were significantly different according to practical experience were operation management ($x^2$=23.92, p<.001) and drug care ($x^2$=7.85, p=.020). Among continuing education methods, the items that were significantly different were video ($x^2$=16.81, p<.001), webtoon ($x^2$=8.96, p=.011), and test ($x^2$=10.56, p=.005). Among continuing education evaluation methods, the items that were significantly different were multiple-choices ($x^2$=9.43, p=.009) and OX ($x^2$=6.47, p=.039) based quizzes. Conclusion: Based on the study results, it is necessary to develop a differentiated continuing education program according to practical experience of nurses.

• 임상간호연구
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• 제21권2호
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• pp.252-265
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• 2015

Purpose: This study examined the circumstances, risk factors, and the predictors of fall incidents among patients in the small and medium-sized hospitals. Methods: Fifty patients with any fall experiences were matched by gender, age, and medical departments with 100 patients without fall incident at the same hospital. Data were collected from 5 small and medium-sized hospitals. Data were analyzed using descriptive statistics, a Chi-square test, a Fisher's exact test, and a logistic regression with the SPSS/WIN 21.0 program. Results: In the patients with falls, the largest number of falls occurred during the day shift, in the patients' rooms, and while they were walking. Further 74.0% of the patients had physical injuries, and 34.0% had to take further medical diagnostic tests. Significant differences were found between the patients with falls and the others on 14 variables (cardiovascular disease, anemia, sedative-hypnotics, vasodilators, narcotic analgesics, dizziness, general weakness, unstable gait, walking aids, anger, anxiety, depression, orientation, and fear of fall). Narcotic analgesic use, dizziness, walking aids, and cardiovascular disease were identified as the predictors of fall incidents. Conclusion: These findings are hoped to be used in developing a fall risk assessment tool and fall prevention nursing programs for small and medium-sized hospitals.

• 중환자간호학회지
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• 제12권2호
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• pp.85-96
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• 2019

Purpose : The purpose of this study was to examine the mediating effect of perceptions regarding the importance of patient safety management in the relationship between incident reporting attitudes and patient safety care activities for nurses in small-and medium-sized general hospitals. The objective was to provide a basis for planning tailored training programs aimed at improving patient safety care activities. Methods : This study was conducted with 187 participants in small- and medium-sized general hospitals in K city in South Korea from March 15 to March 31, 2019. The data collected from participants were analyzed using descriptive statistics, a t-test, ANOVA, Pearson's correlation coefficients, and a multiple regression using IBM SPSS/WIN 21.0 software. Results : Patient safety care activities were found to be correlated with incident reporting attitudes (r=.27, p < .001) and perceptions of the importance of patient safety management (r=.59, p < .001). Further, perceptions of the importance of patient safety management had a complete mediating effect (${\beta}=.409$, p < .001) on the relationship between incident reporting attitudes and patient safety care activities. Conclusion : Based on the findings of this study, tailored training programs regarding patient safety care activities focused on boosting perceptions of the importance of patient safety management are highly recommended to improve nurses' patient safety care activities in small- and medium-sized general hospitals.

• 임상간호연구
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• 제17권2호
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• pp.251-261
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• 2011

Purpose: The purpose of this study was to investigate the relationship between clinical knowledge and provision of pressure ulcer care and to identify factors associated with performance of care. Methods: Participants were 202 nurses working in one of 6 small to medium hospitals. Self-report questionnaire were used and data were collected from December 11 to 18, 2009. Results: Mean score for knowledge about pressure ulcer care was 0.81. In subcategories, knowledge of risk factors inducing pressure ulcers was 0.93, knowledge of assessment of pressure ulcers was 0.90, and knowledge of treatment methods for pressure ulcers was 0.61. Mean score for performance of care activities for patients with pressure ulcers was 3.63/5. There was a significant positive correlation between knowledge and performance (r=.319, p<.001). According to multiple regression analysis, general perception (${\beta}=.306$, p<.001), knowledge (${\beta}=.247$, p<.001), and hospital size (${\beta}=.156$, p= .015) had an impact on the extent of nurses' performance of pressure ulcer care. Conclusion: Study results indicate that further education on pressure ulcer care is necessary to enhance nurses' knowledge about pressure ulcers and to increase rate of performance of pressure ulcer care.

• 한국간호교육학회지
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• 제18권3호
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• pp.446-455
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• 2012

Purpose: This study was performed to investigate the level of knowledge, self-confidence, and intention of basic life support (BLS) and identify the reason why clinical nurses lack confidence to initiate BLS at the cardiac arrest scene. Method: A cross-sectional survey was used with questionnaires which authors developed; a BLS knowledge questionnaire and a tool for measuring the level of self-confidence and intention of performing BLS. The subjects consisted of 396 nurses by convenient sampling from ten small to medium sized hospitals in Korea. Data were collected from March to August, 2008. Data were analyzed by the SPSS/WIN 14.0 program with t-test, ANOVA, and Pearson correlation coefficients. Results: The percentile score of BLS knowledge was 40.6%, self-confidence 62.1%, and intention 73.0%. Clinical career rather than BLS knowledge has a significant effect on increasing the self-confidence and intention of performing BLS. A major reason for not performing BLS was lack of confidence in operating an AED (automatic external defibrillator). Conclusion: An effective and continuous training program especially including AED for CPR should be provided with clinical nurses to increase self-confidence and intention of performing BLS and to improve the survival of cardiac arrest patients in the hospital.

• 한국임상보건과학회지
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• 제3권4호
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• pp.476-489
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• 2015

Purpose. The purpose of this study was to investigate the evidence-based pain management knowledge, performance and Evidence-Based Practice(EBP) attitude of nurses at small-medium sized hospitals. Methods. The sample of this study were 214 nurses. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression using SPSS/Win 21.0 Results. Evidence-based pain management knowledge score averaged $3.95{\pm}0.43$, with significant differences depending on clinical experiences. Performance score averaged $3.77{\pm}0.51$. EBP attitude score averaged $3.21{\pm}0.57$, and significant differences were evident depending on hospital division and clinical setting. Evidence-based pain management knowledge and EBP attitude were significant predictors of evidence-based pain management performance. Conclusions. This result indicates that education and training programs to facilitate evidence-based pain management knowledge, performance, and EBP attitude are needed among nurses.

• 융합정보논문지
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• 제9권8호
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• pp.63-73
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• 2019

본 연구의 목적은 중소병원 간호사의 간호근무환경과 호혜성이 직무배태성에 미치는 영향을 확인하는 것이다. 자료수집은 G시에 소재한 4개의 중소병원에서 근무하는 206명의 간호사를 대상으로 2019년 3월 4일부터 22일까지 수행하였다. 간호사들이 지각한 직무배태성 점수는 5점 만점에 평균 3.06점으로 중간 이상이었으며, 간호근무환경의 하위변인 중 간호사 지원체계와 안전관리체계가 높을수록, 그리고 호혜성 하위변인 중 협력자간 상호균형과 환자나 보호자에 대한 애정과 호의가 높을수록 직무배태성에 정적인 영향을 미치는 것으로 나타났다. 다중회귀 분석결과 연구모델은 직무배태성의 66.0%를 설명하였고, 이 중 직무배태성에 영향을 미치는 가장 강력한 변인은 간호사 지원체계임이 확인되었다. 따라서, 중소병원의 간호관리자들은 간호사 인력관리를 위한 직무배태성 향상방안으로 급여향상, 전문성 계발 및 승진기회 제공 등 간호사를 지원하는 간호근무환경 조성과 함께, 간호 팀 내 또는 타 보건의료 전문인과의 협력관계 유지를 위해 병원과 간호조직 차원의 제도 개선이 필요함을 시사한다.

• 한국융합학회논문지
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• 제13권2호
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• pp.331-340
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• 2022

본 연구는 중소병원 간호사의 간호전문직관, 간호조직문화 및 의사소통능력이 간호서비스 질에 미치는 영향요인을 확인하기 위한 서술적 조사연구이다. 연구대상은 G 광역시 300병상 미만 중소병원 간호사 166명이었으며, 자료수집은 2019년 8월 22일부터 8월 30일까지 진행하였다. 자료분석은 빈도와 백분율, ANOVA, t-test, Pearson correlation coefficient, Scheffe test, Stepwise multiple regression으로 분석하였다. 연구결과, 간호서비스 질에 영향요인은 간호전문직관(𝛽=.485, p<.001), 의사소통능력(𝛽=.354, p<.001), 위계지향조직문화(𝛽=.154, p<.01) 순이었다. 추정된 회귀모형의 적합도는 64.75(p<.001)의 F 통계량으로 유의하였으며, 54.6%의 설명력을 보였다. 본 연구결과를 토대로 간호서비스 질을 향상을 위한 방안을 모색하고 이를 위한 간호중재 프로그램을 개발하는데 기초자료로 유용하게 활용될 것으로 기대한다.

• 한국직업건강간호학회지
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• 제26권1호
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• pp.47-54
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• 2017

Purpose: The purpose of the study is to examine the impact of job stress on the patient safety nursing activities among nurses. Methods: The subjects of the study are 258 nurses working at 15 small-medium sized hospitals in D city. Data analysis was done using frequency, percentage, average and standard deviation, t-test, one-way ANOVA, $Scheff{\acute{e}}test$, Pearson's correlation coefficient, stepwise multiple regression. Results: The job stress scored average 3.67 and patient safety nursing activity scored average 4.35. Job stress was positively associated with patient safety nursing activity. It explains 9.49% of the variance. Conclusion: Universal and inevitable job stress among nurses should not exceed optimum level to assure patient safety. So, personal and organizational efforts to manage job stress are needed.