• Title/Summary/Keyword: Supportive nursing

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Relationship networks among nurses in acute nursing care units (종합병원 간호단위의 간호사 관계 네트워크 연구)

  • Park, Seungmi;Park, Eun-Jun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.30 no.2
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    • pp.182-191
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    • 2024
  • Purpose: The purpose of this study was to explore the characteristics of social networks among registered nurses in acute nursing care units. Methods: This study used a survey design. Four nursing units from two acute hospitals were selected using a convenience method, and 83 nurses from those nursing units participated in the study in July 2022. The positive influences among nurses included friendship, collaboration, advice, and referent networks, and the negative influences included avoidance and bullying networks. Using the NetMiner program, the k-means clustering technique was applied to create groups of nodes with similar characteristics. The general characteristics of the participants were analyzed by mean, standard deviation, frequency, and ANOVA or chi-squared test. Results: As a result of dividing the 83 nurse participants into four clusters, positive influencers, silent peers, unwelcome peers, and active bullies were identified. Positive influence group nurses were frequently mentioned in the friendship, collaboration, advice, and referent networks. On the other hand, nurses in the unwelcome group and the active bullying group were frequently mentioned in the avoidance and bullying networks. Conclusion: Social networks that have a positive or negative impact on nursing performance are created through different relationships between nurses. Nurse managers can use the findings to create a more supportive and collaborative environment. Further research is needed to develop intervention programs to improve interactions and relationships between fellow nurses.

The Relationships of Work-Family Conflict, Social Support, Job Satisfaction, and Organizational Commitment in Korean Married Hospital Nurses (기혼 간호사의 직장-가정 갈등, 사회적 지지, 직무만족도 및 조직몰입간의 관계)

  • You, Mi-Ae;Son, Youn-Jung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.4
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    • pp.515-523
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    • 2009
  • Purpose: The purpose of this study was to examine the relationship between work-family conflict, social support, job satisfaction, and organizational commitment which are closely linked to staff turnover from the perspective of married hospital nurses. Method: A survey was conducted using self-report structured questionnaire from 220 married nurses. Data analysis included descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression with SPSS Win 17.0 program. Results: Job satisfaction, social support, work-family conflict and age were strong predictors of organizational commitment. These variables explained 46.5% of the variance of the organizational commitment. Higher levels of organizational commitment were associated with greater job satisfaction and social support. Nurse with lower levels of work-family conflict and older age reported a high level of organizational commitment. Conclusion: These results show that improving job satisfaction has the best effect on enhancing nurses' organizational commitment. Also supportive relationships, reduction of work-family conflict and older age were significantly correlated with organizational commitment. Organizations should design more family-friendly policies and provide opportunities for career development to health professionals to induce organizational commitment.

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Nurses's Experience of Verbal Violence in Hospital Setting (병원 내 간호사의 언어폭력 경험에 관한 연구)

  • Lee, Soon-Hee;Chung, Seung-Eun
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.526-536
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    • 2007
  • Purpose: The purpose of this phenomenological research was to identify nurses's experience of verbal violence from doctor in hospital setting. Methods: The participants of this study were twelve nurses who work at a hospital in Chungbuk. Data was collected through documents, observation, and tape-recorded in-depth interview individually from participants. It was analyzed using the phenomenological methodology by Colaizzi. Results: From significant statements, seven categories were identified as follows: Lowering self-esteem due to authoritative and insulting remarks, Getting angry and being disagreeable due to blunt remarks, Being disgraceful due to broad jokes sexually, Hoping to escape present due to skepticism in their job, Being estranged due to bad feeling, Expressing their anger, and Using various way for improvement of relationship. Conclusion: Nurses's experience of verbal violence was showed nurse-doctor relationship was still vertical, not collaborative and supportive. This vertical relationship would cause conflicts between doctor and nurse. Therefore it is need doctor to be changed the mind that nurse is a professional, and to come up with the plan for enhancing inter-collaborative relationship in order to solve conflict between them.

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Role Adaptation Process of Elementary School Health Teachers: Establishing Their Own Positions (초등학교 보건교사의 역할적응 과정: 자기자리 만들어 가기)

  • Lee, Jeong Hee;Lee, Byoung Sook
    • Journal of Korean Academy of Nursing
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    • v.44 no.3
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    • pp.305-316
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    • 2014
  • Purpose: The purpose of this study was to explore and identify patterns from the phenomenon of the role adaptation process in elementary school health teachers and finally, suggest a model to describe the process. Methods: Grounded theory methodology and focus group interviews were used. Data were collected from 24 participants of four focus groups. The questions used were about their experience of role adaptation including situational contexts and interactional coping strategies. Transcribed data and field notes were analyzed with continuous comparative analysis. Results: The core category was 'establishing their own positions', an interactional coping strategy. The phenomenon identified by participants was confusion and wandering in their role performance. Influencing contexts were unclear beliefs for their role as health teachers and non-supportive job environments. The result of the adaptation process was consolidation of their positions. Pride as health teachers and social recognition and supports intervened to produce that result. The process had three stages; entry, growth, and maturity. Conclusion: The role adaptation process of elementary school health teachers can be explained as establishing, strengthening and consolidating their own positions. Results of this study can be used as fundamental information for developing programs to support the role adaptation of health teachers.

Effect of Sexual Maturation, Parenting Attitude and Maturity Fear on Emotional and Behavioral Problems in Elementary School Girls (성적 성숙도, 부모양육태도, 성적 성숙 불안이 초등학교 여아의 정서행동문제에 미치는 영향)

  • Cho, Hun Ha;Moon, So Hyun
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.329-339
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    • 2017
  • Purpose: This study was conducted to identify the sexual maturation, parenting attitude, maturity fear and emotional and behavioral problems of girls in elementary school, and to examine the relation between these variables and factors that influence emotional and behavioral problems. Methods: Participants were 128 second, third and fourth year students from 3 elementary schools. Data were analyzed using t-test, ANOVA and $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS/WIN 21.0. Results: Emotional and behavioral problems were related to eating rate, eating breakfast, frequency of late-night snacks and main communicator on pubertal development. Emotional and behavioral problems showed a positive correlation with maturity fear and father's parenting attitude (strictness) and a negative correlation with parenting attitude and father's parenting attitude (intimacy). Maturity fear, father's parenting attitude, eating breakfast, and main communicator on pubertal development had significant influence on emotional and behavioral problems of girls in elementary school. Conclusion: Findings show that for effective management of emotional and behavioral problems in elementary school girls, programs including coping with maturity fear, supportive parenting of father, diet education, and functional communication with mother on pubertal development should be developed.

The Study on the Pregnancy Experiences of Unmarried Mothers (미혼모의 임신경험에 관한 탐색적 연구)

  • Han Young-Ran;Yang Soon-Ok
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.194-208
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    • 1997
  • The pregnancy experiences of unmarried mother threatens womens' health by social prejudices. This study was motivated by the fact that nurses do not have much understanding of the pregnancy experiences of unmarried mother and cannot provided fully supportive care of them. This study was done to understand the subjective expriences of pregnancy by unmarried mother. To do this, the grounded theory methodology was used. The research participants were selected from unmarried mothers admitted to the social welfare center in Korea. All interviewee were six and between 17 to 24 years old women. Their confidential information was insured. The data were analyzed in the framework of Grounded Theory methodology as mapped out by Strauss(l991). 21 concepts, 11 sub-category and 6 category were confirmed in the analysis. In the process of data analysis, 'sufferd pregnancy process' was founded to be the core phenomenon. In Conclusion, through their suffered pregnancy experiences, unmarried mothers had been a process to grow up, planned for the future and became a mature woman. This study supports the need to develop a role model for nurses in providing appropriate support to the unmarried mother, which will lead to an improvement in the physical and mental health of the unmarried mothers.

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Social Support Mediated by Cognitive and Behavioral Determinants as Predictors of Body Mass Index among Korean Adolescents: A Structural Equation Model

  • Kim, Dong-Hee;Kim, Young-Ae;Kang, In-Soon
    • Child Health Nursing Research
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    • v.13 no.1
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    • pp.13-20
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    • 2007
  • Purpose: This investigation examined a model to predict body mass index in order to prevent later development of obesity among adolescents. The hypothesized model was developed based on the principle of Social Cognitive Theory that social influences predict perceptions of cognition as well as behavior. Method: The 5,770 adolescents, aged 14-18 who participated in this study came from 11 separate school districts in Busan and Kyungnam province of South Korea. The adolescent surveys were administered in a group setting at the participating school. Of the 5770 surveys, adolescents with more than 10 percent missing data in the entire survey were excluded. The final sample contained 4,527 cases. The adolescents were included 2,250 (49.7%) males and 2,277 (50.3%) females. Data was analyzed Pearson correlation coefficients using SPSS 12 program and structural equation model (SEM) using Maximum Likelihood estimation was employed using Amos 5.0. Results: Social support directly affects cognitive determinants. Cognitive determinants directly affect behavior determinants which directly affect BMI. Cognitive and behavioral factors mediated the relationship between social support and BMI (GFI= 0.984, CFI= 0.974, RMSEA=0.031). Conclusion: Social levels should be supportive to help adolescents have healthier behaviors. This support can be accomplished by providing frequent support to establish positive cognitive factors as the foundation of the solution to prevent overweight and obesity.

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Effect of Discharge Education Program for Mothers of Premature Infants on Maternal Role Confidence and Parenting Stress (퇴원교육 프로그램이 미숙아 어머니의 모성역할 자신감, 양육스트레스에 미치는 효과)

  • Kwon, Hee-Kyung;Kwon, Mi-Kyung
    • Child Health Nursing Research
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    • v.13 no.1
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    • pp.58-65
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of a discharge education program on maternal role confidence and parenting stress of mothers who delivered premature infants. The program provided them with information on childrearing and supportive educational nursing care. Method: This study was based on pretest-posttest nonequivalent nonsynchronized quasi-experimental design. The participants in this study were 30 mothers who delivered premature infants at a general hospital in G city. The instruments used in this study were Maternity Confidence Inventory, Parenting Stress Index(PSI). Results: The first hypothesis that the mothers in the experimental group would undergo changes in maternal role confidence after the intervention was accepted, as there was a statistically significant gap between the two groups(F=9.386, P=.000). The second hypothesis that mothers in the experimental group would undergo change in parenting stress after the intervention was accepted, as there was a statistically significant gap between the two groups(F=4.425, P=.380). Conclusion: The findings suggest that the Discharge Education Program was an efficient intervention method to boost the maternal confidence of mothers with premature infants and to decrease their parenting stress.

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Personal Resource and Parenting Stress of Mothers of Children with Congenital Heart Disease (선천성 심장병을 가진 아동의 어머니의 개인적 자원과 양육스트레스)

  • Lee, Sun-Hee;Yoo, Il-Young
    • Child Health Nursing Research
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    • v.13 no.1
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    • pp.73-80
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    • 2007
  • Purpose: As a result of dramatic advances in the medical and surgical management of congenital heart disease (CHD), many babies born with cardiac anomalies today can expect to reach adulthood. The main purpose of this study was to examine the relationship between parenting stress and personal resources of mothers of children with CHD. Method: Fifty-one mothers of children with CHD were recruited at the pediatric cardiac outpatient clinic from July 14th to September 25th 2006. Abidin's parenting stress index/short form (PSI/SF) and Brandt and Weinert's personal resource questionnaire (PRQ) were used. PSI has 3 sub-concepts; parental role distress, dysfunctional parent-child interaction, and difficult child. PRQ has 4 sub-concepts; intimacy, social integration, worth, and assistance. Data were analyzed using SPSS 13.0 version. Results: Correlation analysis showed that parenting stress was significantly related to 'intimacy', 'social integration', and 'worth' of mothers. Multiple regression analysis showed that parenting stress was significantly related to personal resource of mother and information by internet. Conclusion: Mothers who felt they had supportive friends and family, high self esteem, and social integration reported lower parenting stress. Also, internet may be an effective method to provide information and share experience for mothers of children with CHD.

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Adaptation Process of Nurses Who Return to Work after Parental Leave (육아휴직 후 직장에 복귀한 간호사의 적응과정)

  • Jung, Hyo Ju;Cho Chung, Hyang-In
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.33-45
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    • 2016
  • Purpose: This study was conducted to generate a grounded substantive theory of the adaptation process of nurses who return to work after taking parental leave. Methods: Individual in-depth interviews with 13 participants were conducted between June and September 2014. Participants were interviewed 1~3 times; interviews were continued until the data became saturated. Data were analyzed using Strauss and Corbin's grounded theory method. Results: The core category of experience of the process of adaptation as a nurse who returned to work after parental leave was 'trying to regain one's previous position'. Participants used five interactional strategies: 'preparing in advance', 'initiating relationships with colleagues', 'keeping a positive attitude', 'understanding parenting helpers', 'Taking burden off one's mind'. Conclusion: The results of this study provide a theoretical basis for the adaptation process of nurses returning to work after taking parental leave. The importance of improving nurses' attitudes to their co-workers who take parental leave is highlighted along with the necessity of providing a family-friendly work environment. These results can be used to develop supportive policies and programs for nurses who return to their work after parental leave.