• 중환자간호학회지
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• 제15권3호
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• pp.23-36
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• 2022

Purpose : This study aimed to identify the factors influencing the professional quality of life of intensive care unit (ICU) nurses working in university hospitals. Methods : A survey was conducted on 171 ICU nurses in university hospitals in B City, South Korea. This study used the Professional Quality of Life instrument, which consists of three subscales, namely, compassion satisfaction, burnout, and secondary traumatic stress. Data were analyzed using stepwise multiple regression analysis. Results : Compassion satisfaction was influenced by resilience, ICU job satisfaction, and innovation-oriented culture, and these variables explained 37.1% of the variance in compassion satisfaction. Burnout was influenced by resilience, a hierarchy-oriented culture, and ICU job satisfaction, and these variables explained 42.9% of the variance in burnout. Secondary traumatic stress was influenced by a task-oriented culture and resilience, and these variables explained 12.5% of the variance in secondary traumatic stress. Conclusion : These findings suggest the importance of improving resilience and job satisfaction to enhance the professional quality of life in ICU nurses. Moreover, creating an innovation-oriented culture rather than a hierarchical and task-oriented culture can effectively improve the professional quality of life of ICU nurses.

• 중환자간호학회지
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• 제7권2호
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• pp.24-33
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• 2014

Purpose: The purpose of this study was to identify the relationship between organizational culture and workplace bullying of intensive care unit (ICU) nurses. Methods: A secondary analysis was conducted using three different data sets on workplace bullying of hospital nurses. This analysis focused on the relationship between organizational culture and workplace bullying of 240 ICU nurses. The original data were collected using self-reporting questionnaires and were analyzed using hierarchical multiple regression. Results: ICU nurses were aware of their organizational culture as being rank-oriented, relationship-oriented, innovation-oriented, and task-oriented in that order. The results showed that 15.0% of the ICU nurses reported being victims of workplace bullying, mostly work-related bullying. The perception of a relationshiporiented culture explained a variance of 29% in the workplace bullying of ICU nurses. Conclusion: The findings suggest that ICU nurses who are strongly aware of a relationship-oriented culture would experience less workplace bullying. Further research is needed to develop interventions that can foster a relationship-oriented culture in ICUs.

• 한국보육지원학회지
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• 제8권5호
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• pp.111-127
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• 2012

본 연구에서는 어린이집 교사효능감을 종속변인으로 하여 민간 어린이집 교사의 셀프리더십과 원장 리더십의 영향을 살펴보고자 하였다. 이를 위해 임의 선정한 민간 어린이집 36개소 보육교사 217명을 대상으로 조사하였다. 연구결과 첫째, 교사들은 원장 리더십에 대해 과업중심, 인화중심 리더십을 모두 높은 수준으로 지각하고 있는 것으로 나타났고 둘째, 원장리더십을 군집분석한 결과 인화형이 가장 많았고, 다음으로 과업형, 리더형, 부족형 순이었다. 교사의 셀프리더십 유형은 리더형이 가장 많았고 다음으로 제한형, 보상형, 과업형 순이었다. 셋째, 교사의 효능감에 교사 셀프리더십 그리고 원장 리더십이 미치는 영향을 알아본 결과 교사효능감중 일반적 효능감에는 원장 과업중심 리더십, 원장 인화중심 리더십이, 교사 셀프리더십은 자기비판, 자기설정목표, 자기관찰, 그리고 자기존중이 유의미하게 영향을 주었고, 개인적 효능감과 관련해서는 원장 인화중심 리더십, 교사셀프리더십 중 자기비판, 자기설정목표가 유의미하게 영향을 주었다.

• 한국응급구조학회지
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• 제9권1호
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• pp.43-53
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• 2005

The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.

• 가정∙방문간호학회지
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• 제28권2호
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• pp.124-134
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• 2021

Purpose: The study examined the effects of personality factors and the perceived nursing organizational culture on workplace bullying of nurses. Methods: The participants were 110 allied general hospital with more than 300 beds. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise regression analysis with the SPSS program. Results: Workplace bullying differed significantly by marital status (t=-2.43, p=.017) and clinical career (F=3.82, p=.012). Statistically significant positive relationships was observed between workplace bullying and hierarch-oriented culture (r=.24, p=.031), and task-oriented culture (r=.26, p=.006), negative relationships was observed between workplace bullying and relationship-oriented culture (r=-.37, p<.001), and Innovation-oriented culture (r=-.24, p=012). A total of 23.7% of workplace bullying was explained by clinical career and relation-oriented culture. Conclusion: These results could be used in the development of workplace bullying preventive programs and caring programs for nurses considering clinical career by focusing the organizational efforts on relationship-oriented culture creation.

• 간호행정학회지
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• 제10권1호
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• pp.83-96
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• 2004

Purpose: The purpose of this research is, by investigating organizational characteristics, types of nursing organizational culture and team effectiveness in ICU, to ascertain the type of nursing organizational culture and the organizational characteristic that can improve the team effectiveness. Method: The research targeted 427 nurses from 33 ICUs of 14 general hospitals which have more than 250 beds and the data were gathered by using self-report questionnaires from April 10, 2003 to April 24, 2003. For this research, the following tools were used; the tool for measuring organizational characteristics and organizational cultures and the tool for measuring team effectiveness. Result: The most significant nursing organizational characteristic in ICU is the centralization. The organizational culture in ICU is generally rank-oriented culture. There was a significant difference (p<.01) in four types of organizational cultures; relation-oriented, innovation-oriented, rank-oriented and task-oriented. Verifying influence power of organizational cultures upon team effectiveness of ICU, relation-oriented culture had 49.2% of an influence upon team effectiveness, innovation- oriented and relation-oriented culture had 60.4% of an influence, and rank-oriented, innovation-oriented and relation-oriented culture had 61.2% of an influence. The organizational culture profiles according to the types of nursing organizational cultures in 33 ICUs were found by a cluster analysis. They were classified into five culture profiles; strong balance culture profile, weak balance culture profile, innovation-oriented and task-oriened culture profile, strong relation culture profile and strong rank culture profile(p<0.5). According to me organizational culture profiles, a significant difference of team effectivenesses(coworker satisfaction, team performance perception, team satisfaction and team commitment) was found(p<.01). The strong balance culture profile had the best team effectivenesses. Conclusion: For nursing culture management, a nursing administrator should identify the relevant nursing organizational culture at first by utilizing an innovative team-leader. After identifying the organizational culture, the administrator should make strategic plans and practices that can distinguish good organizational cultures to be expanded from ones to be sublated so that a strong balance culture can be developed.

• 아동학회지
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• 제25권5호
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• pp.179-191
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• 2004

An emotion inference task was used to investigate children's cognitive cuing by age, cue type, and situation-emotion fit. Subjects were 41 of 3-, and 5-year-old children from two different day-care centers in Seoul and Kyonggi province. Each child was individually interviewed with pictorial tasks. 5-year-old children demonstrated more cuing, thinking, and application responses than 3-year-old children. Particularly, they showed more situation and thinking responses in situation-emotion match than in situation-emotion mismatch. 3-year-old children showed more past-oriented responses than 5-year-old children. In the interpersonal cue story, there were more situation, past-oriented and thinking responses than in the interobjective ones. The interpersonal cue story produced more situation responses in situation-emotion match than in situation-emotion mismatch.

• 한국엔터테인먼트산업학회논문지
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• 제13권7호
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• pp.497-503
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• 2019

본 연구는 만성 뇌졸중 환자를 대상으로 과제 지향적 훈련을 기반으로 하는 자조활동 프로그램이 상지 운동기능 및 자기효능감에 미치는 영향을 알아보고자 하였다. 지역사회에 거주하는 만성 뇌졸중 환자 20명을 대상으로 연구를 진행하였다. 자조활동 훈련 프로그램은 상지 과제 지향적 훈련으로 총 6주간, 주 4회 40분의 프로그램으로 구성하였으며, 매주 1회 집단훈련을 통해 훈련 프로그램을 점검하였다. 상지 운동기능의 변화를 알아보기 위해 맨손기능 검사, 악력 검사를 실시하였으며, 자기효능감 변화를 알아보기 위해 자기효능감 척도를 이용하여 설문 조사를 실시하였다. 상지 운동기능 검사 결과, 자조활동 훈련 전에 비해 자조활동 훈련 후 맨손기능과 악력이 모두 증가되었으며, 통계적으로 유의한 차이를 나타내었다(p<.05). 자기효능감 변화를 관찰한 결과, 자조활동 훈련 전에 비해 자조활동 훈련 후 자기효능감이 향상되었으며, 통계적으로 유의한 차이를 나타내었다(p<.05). 이상의 결과를 종합해 볼 때 과제 지향적 훈련을 기반으로 하는 자조활동 훈련 프로그램이 만성 뇌졸중 환자의 상지 운동기능 향상에 효과적이며, 과제 성취감을 경험하게 함으로써 신체의 운동기능 회복뿐만 아니라 자기효능감에도 긍정적인 영향을 미친 것을 알 수 있었다.

• 대한지역사회작업치료학회지
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• 제3권2호
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• pp.33-46
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• 2013

목적 : 가상현실 프로그램과 현실화된 과제 지향 프로그램이 노인의 균형에 어떠한 영향을 미치는지 그 효과를 비교해 보고자 한다. 연구방법 : 12명의 건강한 노인을 대상으로 가상현실 프로그램과 현실화된 과제 지향 프로그램을 각각 6주간 주 2회씩 실시하였다. 균형 능력 변화를 위해 버그 균형 척도(Berg Balance Scale: BBS), 이동 능력검사(Timed Up and Go: TUG), 한 발 서기 검사(One-Legged Stance Test: OLST), 5회 반복 앉았다 일어서기 검사(5-Repetition Sit-To-Stand Test: 5R-STS Test)를 사용하였다. 결과 : 분석결과 프로그램 전 후에서는 통계적으로 유의한 결과를 얻지 못하였다. 하지만 세 집단 간 비교에서는 버그 균형 척도, 한 발 서기 검사 중 눈 뜨고 좌, 우에서 통계적으로 유의한 결과를 얻었으며 사후 검정결과 눈 뜨고 검사 - 좌에서 가상현실 프로그램과 현실화된 과제 지향 프로그램 간에 유의한 결과를 얻었다. 결론 : 현실화된 과제 지향 프로그램은 노인의 균형 능력 향상에 좀 더 긍정적이었으며 임상 및 지역사회에서 좀 더 쉽게 수행할 수 있는 프로그램으로 유용하게 사용될 수 있을 것이라 생각된다.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.746-764
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• 2022

커뮤니케이션 장애는 치매 돌봄 부담의 주된 원인으로 지적되고 있다. 본 연구는 케어자와 치매노인 간의 커뮤니케이션 과정 및 결과를 구조화하여 커뮤니케이션의 촉진요인을 찾는 것을 목적으로 한다. 시설의 치매 케어자 21명을 대상으로 커뮤니케이션 직·간접 경험을 인터뷰해, 수집된 자료를 근거이론에 따라 분석하였다. 연구 결과, 치매인과의 커뮤니케이션 과정은 치매인의 인지·언어기능 저하가 원인으로 작용하지만, 소란스러운 환경이나 커뮤니케이션 기술 부족 등이 맥락적 조건으로 작용하여 커뮤니케이션 실패 현상이 이루어진다. 이때, 최소한의 접촉, 업무중심의 대화로 대응하는 경우, 갈등과 회피로 나아가는 부정적 커뮤니케이션이 이루어지는 반면, '개인에 대한 이해', '경청', '마음으로 이해' 등의 중재를 통해 긍정적 커뮤니케이션이 가능하다는 것을 확인했다. 중재적 조건에 따라 치매노인의 배회, 폭력적 행동이 악화되기도 하지만 반대로 치매인의 인지 능력이 개선되거나 즐거움 회복, 일상생활에의 참여 등 긍정적 결과가 나타났다. 본 연구에서의 핵심범주는 '관계 맺음을 통한 사람중심케어'이며 범주유형은 갈등형, 무시형, 보호형, 파트너형으로 나뉘어진다. 본 연구결과를 토대로 사람중심케어에 입각한 치매 커뮤니케이션 교육 및 훈련을 제언한다