• 근관절건강학회지
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• 제25권2호
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• pp.84-91
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• 2018

Purpose: The purpose of this study was to identify the types of violence experienced by small and medium sized hospital nurses. Methods: Data were collected from March 1 to 30, 2017, using self-report questionnaires. Responses from 87 nurses were analyzed using descriptive statistics, $x^2$ test, Fisher's exact test, t-test. Results: The majority of the respondents experienced violence from patients (60.2%), visitors (25.5%), doctors (12.2%), and other staffs (2.0%). Verbal violence (80.5%) and physical threats (74.7%) were more frequent than physical violence (25.3%). Violence occurred throughout the hospital. However, verbal violence ($x^2=20.85$, p=.005) and physical threat ($x^2=20.80$, p=.006) were statistically significant according to the department. Violence occurred most frequently in surgical ward, followed by artificial kidney room, emergency room, and outpatient department. Conclusion: Most nurses are exposed to frequent violence. These results suggest that hospital should improve the respective organizational cultures and develop promotional programs and administrative policies to prevent violence. Also, hospitals should develop of violence intervention policies and education programs and counseling programs for nurses.

• 임상간호연구
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• 제24권3호
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• pp.336-346
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• 2018

Purpose: This study was conducted to identify nurses'critical thinking disposition, self-leadership and clinical competency in small to medium sized hospitals less than 300beds. Methods: Data were collected using the questionnaire from 227 nurses in Incheon city and Gyeonggi province from March to April, 2017. The data were analyzed using t-test, ANOVA and $Scheff{\acute{e}}^{\prime}s$ test to identify differences in critical thinking disposition, self-leadership and clinical competency. Pearson correlation coefficients were used to identify the correlation among the study variables, and multiple regression was used to identify factors contributing to clinical competency. Results: There were significant differences in critical thinking disposition according to age, marital status, clinical career, career in currently working department and education about leadership. Significant differences in self-leadership were identified according to marital status, work position, working department, work type, education about leadership, and turnover intention. Clinical competency was significantly different depending on age, education, monthly income, work position, career in currently working department, work type, education about critical thinking disposition and education about leadership. Clinical competency was positively correlated critical thinking disposition and self-leadership. Critical thinking deposition, monthly income and self-leadership explained 30.1% of clinical competency of nurses working in small to medium sized hospitals. Conclusion: The results of this study suggest that we need to improve nurses'critical thinking disposition, self-leadership, and the clinical competency.

• 기본간호학회지
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• 제22권1호
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• pp.7-15
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• 2015

Purpose: This study was done to investigate the correlation among emotional labor, nursing professional values, and job satisfaction and identify factors that affect job satisfaction of nurses working in small and medium-sized hospitals. Methods: Data were collected from 214 nurses in S city. The following measurement tools were used: Emotional labor by Morris et al. (1996), Nursing Professional Values Scale by Yeun et al. (2005), and Index of Work Satisfaction by Stamps et al. (1978). Collected data were analyzed with SPSS/WIN 18.0 using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Results: Participants' scores for emotional labor, nursing professional values and job satisfaction were $3.11{\pm}0.48$, $3.46{\pm}0.39$, and $3.02{\pm}0.29$ respectively. Emotional labor showed a negative correlation with job satisfaction (r=-.33, p<.001), while nursing professional values showed a positive correlation with job satisfaction (r=.58, p<.001). Emotional labor and nursing professional values were identified as factors influencing job satisfaction. The model explained about 39% of the variance in job satisfaction (F=67.40, p<.001). Conclusion: The results of this study suggest that it is important to manage emotional labor as well as to improve professional values and job satisfaction of nurses working in small and medium-sized hospital.

• 간호행정학회지
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• 제19권4호
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• pp.470-479
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• 2013

Purpose: This study was conducted to investigate and compare the characteristics and relations of nursing practice environment, professionalism and job satisfaction among nurses in general hospitals according to hospital size. Methods: The participants included 314 staff and charge nurses who were working in the general medical/surgical nursing units in one large hospital, three medium sized hospitals, and four small hospitals. Data collected through using self-report questionnaire were analyzed using the SPSS and SAS statistical programs. Results: Nursing practice environment and job satisfaction had significant differences according to hospital size. Both of these scales were highest for medium hospitals and lowest for small hospitals. For all hospital sizes there were positive correlations between each of the variables. Multiple regression analysis showed that both nursing practice environment and job satisfaction were affected by hospital size, but professionalism was not. Conclusion: The results of this study indicate that nursing practice environment and job satisfaction vary with the size of the hospital. Therefore, further study is necessary to identify the work environment variables of nurses for performance management and to implement appropriate policies.

• 산업융합연구
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• 제22권3호
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• pp.101-110
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• 2024

본 연구는 중소병원 간호사의 환자안전문화 인식, 비판적 사고성향과 표준주의지침 수행도와의 관계를 확인하고자 수행하였다. 연구대상자는 S시, C시 소재 3개 중소병원의 간호사로 연구목적을 이해하고 함여 의사를 표시한 대상자는 158명이었다. 자료수집 기간은 2020년 1월 5일부터 2020년 3월 31일까지이었고, 수집된 자료의 기술통계, t-test, one-way ANOVA, 상관관계, 회귀분석, Sobel test는 SPSS/WIN26.0 Program을 이용하여 실시하였다. 연구결과 간호사의 표준주의 지침 수행도는 환자안전문화인식(r=.524, p<.001) 및 비판적 사고성향(r=.471, p<.001)과 유의한 양의 상관관계를 보였다. 비판적 사고성향은 환자안전문화 인식과 표준주의지침 수행도의 관계에서 부분매개효과가 있는 것으로 나타났다. 향후 본 연구결과를 토대로 반복연구가 이루어지고 간호사의 표준주의지침 수행도를 증진시킬 수 있는 교육프로그램의 개발 및 적용에 활용될 수 있을 것이다.

• 한국산학기술학회논문지
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• 제20권11호
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• pp.425-435
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• 2019

본 연구의 목적은 중소병원에 근무하는 간호사의 표준주의에 대한 지식, 인지도, 안전환경 및 수행도를 조사하고 의료관련 감염관리 표준주의에 대한 수행도에 미치는 영향요인을 확인하여 중소병원의 표준주의 수행도를 증진시킬 수 있는 방안을 모색하기 위함이다. 본 연구의 대상자는 경기도와 충남에 소재하는 300병상 미만의 6개 중소종합병원에 1년 이상 근무한 간호사 총 151명을 대상으로 하였다. 자료수집은 2018년 1월 15일부터 2월 15일까지 연구의 목적을 이해하고 참여에 서면 동의한 간호사에 한해 자가 보고식 설문지를 사용하여 자료를 수집하였다. 연구결과 안전환경과 표준주의 수행도는 근무부서에 따라 유의한 차이를 보였으며 표준주의 수행도는 표준주의 지식(r=.19, p=.025), 표준주의 인지도(r=.27, p=.001), 표준주의 안전환경(r=.48, p=.000)과 유의한 양의 상관관계를 보였다. 표준주의 수행도에 영향을 미치는 주요 요인은 안전환경과 표준주의 인지도로 나타났으며 안전환경의 설명력은 21.6%였고 이 두 변수의 수행도에 대한 설명력은 23.3%였다. 이상의 연구결과로 볼 때 중소병원에서 간호사의 의료관련 감염관리를 위한 표준주의 수행도를 증진시키기 위해서는 안전환경의 개선 외에도 지속적인 교육프로그램과 행정적지지가 제공되어야 할 것이다.

• 간호행정학회지
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• 제17권4호
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• pp.462-473
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• 2011

Purpose: This study was done to identify the factors affecting the perception of patient-safety-culture and the level of safety-care-activity among nurses in small-medium sized general hospitals. Method: Data were collected during April and May 2011, from 241 nurses of five hospitals. A hospital survey questionnaire on patient-safety-culture and safety-care-activity was used. Collected data were analyzed using descriptive statistics, Pearson correlation, t-test, ANOVA, Scheffe test and multiple-regression. Results: There were significant differences in the level of perception of patient-safety-culture according to the nurses' age, type of hospital, position, work department, and knowing whether there was a Patient-Safety committee in their hospitals. Nurses with higher perceived level of the patient-safety-culture performed more safety-care-activities. Factors influencing on the safety-care-activities were general patient safety, having had safety-education, patient-to-nurse ratio, employment status, and the level of reporting medical errors. These factors explained 22.9% of the safety-care-activity. Conclusions: The study findings suggest that in order to improve the nurses' perceived level of patient-safety-culture and safety-care-activity, the hospitals need to establish patient-safety committees and communication systems, and openness to reporting medical errors are needed. Better work conditions to ensure appropriate work time, regulate patient-to-nurse ratio, and nursing education standards and criteria, are also required.

• 디지털융복합연구
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• 제19권4호
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• pp.159-166
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• 2021

본 연구는 중소병원 간호사를 대상으로 다제내성균 감염관리 시뮬레이션 프로그램을 개발하고 개발된 다제내성균 감염관리 시뮬레이션 교육 프로그램의 효과를 평가하기 위해 시도되었다. 본 연구는 중소병원에 근무하는 간호사 33명을 대상으로 시행한 단일군 전·후 실험설계연구이다. 수집된 자료는 IBM SPSS 21.0 프로그램을 이용하여 분석하였으며 대상자의 일반적 특성, 다제내성균 감염관리 지식과 수행도는 기술통계 분석하였고 프로그램 적용 전후 지식과 수행도의 차이는 paired t-test로 분석하였다. 연구결과 시뮬레이션 프로그램 적용 후 간호사의 다제내성균 감염관리 지식(t=-10.764, p<.001)과 감염관리 수행도(t=-4.215, p<.001)가 통계적으로 유의하게 높아졌다. 의료기관 내 다제내성균 전파 차단 및 유행발생을 예방하기 위해 간호사의 감염관리 지식과 수행도 향상이 중요하므로 향후 다양한 시뮬레이션 프로그램 개발이 필요하다.

• 대한방사선기술학회지:방사선기술과학
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• 제45권3호
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• pp.263-272
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• 2022

This study investigated small and medium-sized hospital workers' knowledge of COVID-19, the infection-control-related fatigue and stress levels, and the factors that impacted their performance during the COVID-19 pandemic. Using a cross-sectional design, data were collected from 137 hospital workers from four small and medium-sized hospitals in S and C cities. Data were analyzed using descriptive statistics, a t-test, analysis of variance(ANOVA), Pearson's correlation coefficient, and multiple linear regression analysis. Small and medium-sized hospital workers' knowledge of COVID-19 revealed a correct answer rate of 66%. An average of 3.00 points out of 4 for infection control performance and 3.32 and 3.17 points out of 5 for infection-control-related fatigue and stress, respectively, were found. The level of knowledge regarding COVID-19 significantly differed by age and marriage (p<0.05), while infection control performance significantly differed by age, marriage, and infection control education experience (p<0.05). Infection-control-related fatigue and stress differed depending on the COVID-19 control education experience, economic and social prejudice, and fear of discrimination. There were positive correlations between knowledge and infection control performance, and infection control performance and infection-control-related fatigue and stress (p<0.001). This study showed that the factors that affected small and medium-sized hospital workers' performance included knowledge of "environmental management," "difficulties due to new role requirements," "presence or absence of infection education experience," "job type," and "age." These results suggest that practical and detailed education programs should be systematically developed and implemented for effective infection control.

• 한국융합학회논문지
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• 제11권10호
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• pp.307-315
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• 2020

본 연구는 중소병원간호사의 환자안전관리활동에 영향을 미치는 요인을 파악함으로써 중소병원 내 환자안전에 대한 기초자료를 제시하고 환자안전관리활동 강화 프로그램 개발에 필요한 자료를 제공하고자 수행되었다. 연구대상자는 100-300명 미만 중소병원 5곳에 근무하는 총 191명의 간호사이며 자가보고식 설문지를 이용하여 자료를 수집하였다. 자료분석은 기술통계, t-test, ANOVA, 상관분석과 다중회귀분석을 시행하였다. 본 연구 결과, 환자안전문화인식, 환자안전태도 및 자기효능감은 중소병원간호사의 환자안전관리활동과 유의한 양적 상관관계를 나타내었다. 회귀분석결과, 중소병원간호사의 환자안전관리활동에 영향을 미치는 요인은 환자안전태도(β=.39, p<.001), 자기효능감(β=.25, p<.001), 및 환자안전문화인식(β=.17, p=.006)으로 나타났으며, 이 변수들의 설명력은 41.8%였다. 따라서, 중소병원간호사의 환자안전관리활동 증진을 위해 환자안전태도, 자기효능감 및 환자안전문화인식을 향상시킬 수 있는 교육프로그램 개발할 것을 제안한다.