• 성인간호학회지
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• 제19권5호
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• pp.56-69
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• 2007

Purpose: This study aimed to explore the discourses and the patterns of problem solving behaviors among the nurse managers. The focus of the study was the difficult situations in caring with patients and their families. Methods: Field study was performed at a for-profit hospital from March, 2004 to March, 2007. The participants of the study were 5 head nurses and 2 nurses in charge. The data were collected with iterative interviews and participant-observations. For the analysis of the data, taxonomy and critical discourse analyzing were applied. Results: The nurse mangers who showed wholistic patterns of behavior took the role of a broker among the client system, professional nursing system, medical system, and other allied health system. The nurse managers whose approach was profession-centered took the role of protector of nursing system. The nurse manager who practiced nurse-oriented pattern of behavior tried not to have harm against other members of health system. The experiences of nurse managers were effected from the discourses of patriarchal and market mechanism. Conclusion: The situation that provoke conflict between clients and nurses become more common with the changes to the health care system and to society. Nurse managers take the role of these conflict problems. The successful solving of conflict in a nursing care setting promotes the quality of care and satisfaction of clients. Programs for enhancing nurse's problem solving competency should anchored be in their practices.

• 임상간호연구
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• 제19권1호
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• pp.20-32
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• 2013

Purpose: To present necessary data for improvement in communications between health professionals in as characterized by nurses' communications. Methods: This study was a descriptive survey research design with a survey of 1,510 registered nurses working in general hospitals (of at least 1,900 beds) in Seoul. A questionnaire on communication in the ICU, nurse-physician and nurse-nurse, was used. Data were collected from January 9 to 20, 2012, and the response rate was 85.0%. Results: Cronbach ${\alpha}$ values ranged from .75 to .89, except for .59 for accuracy (nurse-physician), with .89 overall. The highest mean score was for perception for timeliness [$3.83{\pm}.57$], followed by shift communication (nurse-nurse) [$3.64{\pm}.66$], openness (nurse-nurse) [$3.64{\pm}.65$], accuracy (nurse-nurse) [$3.14{\pm}.61$], openness (nurse-physician) [$2.90{\pm}.75$], understanding (nurse-physician) [$2.82{\pm}.65$], and accuracy (nurse-physician) [$2.70{\pm}.59$]. Subscales of openness, understanding, and shift communication were strongly associated with communication satisfaction. The general characteristics of nurses with different perceptions of communications included age, clinical experience, work pattern, and department. Conclusion: Proactive activities to improve accuracy, openness and mutual understanding between physicians and nurses are required for patient safety. Further studies are also needed to reassess communications and evaluate the relationship between patient outcomes and nurses' job satisfaction after application of strategies to improve communications.

• 임상간호연구
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• 제21권2호
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• pp.169-179
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• 2015

Purpose: The purpose of this study was to investigate nurse images and likability that were perceived by various groups in the general population. Methods: Using cross-sectional descriptive design, six groups of people were invited to participate in the survey. The participants included nurses, physicians, nurse aids/technicians, patients/caregivers, college students, and the general public. A total of 1,530 individuals were drawn from 42 hospitals nationwide. Bhargava's likability questionnaires and the Ward Nurse Image tool were used. Results: Compared with other groups, patients and caregivers had higher scores for likability and better nurse image than other groups. Most respondents perceived nurses are clean and caring, but many individuals still had the image that nurses are submissive. Conclusion: To improve nurse image, perceptions from various groups of people need to be considered and programs develop to show the positive aspects of nursing and nurses.

• 중환자간호학회지
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• 제12권1호
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• pp.71-81
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• 2019

Purpose : The purpose of this study was to assess hospital nurses' knowledge, importance and performance in keeping nursing records. Methods: The research design was a descriptive study. The sample for this study was 186 nurses with at least one year of work experience at a hospital with more than 800 beds in Seoul. Knowledge was self-reported using the Nurse Charting Knowledge Scale. Importance and performance were rated on a 4-point scale of 26 items. Data were analyzed by SPSS 21.0 program and IPA. Results: This study showed significant results that knowledge, importance and performance for keeping record are related to each other. The importance and performance of nurse's records were relatively higher than the mean. In the IPA Matrix, there were 2 items requiring improvement, 13 items requiring maintenance, and 11 items with low priority. Conclusion: Therefore, awareness of the importance of record keeping and continuous education on nursing record knowledge should be provided so that nurses can improve their record keeping skills.

• 가정∙방문간호학회지
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• 제29권3호
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• pp.278-287
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• 2022

Purpose: To analyze Korean nurse-related channels and video titles on YouTube, the world's largest online video sharing and social media platform, to clarify public opinion and image of nurses. We seek utilization strategies and measures through current status analysis. Methods: Data is collected by crawling video information related to Korean nurses, and correlation is analyzed with frequent word analysis and keyword network analysis. Results: Through the YouTube algorithm, 2,273 videos of 'Nurse' were analyzed in order of recent views, relevance, and rating, and 2,912 videos searched for with the keyword 'Nurse + Hospital, COVID-19, Awareness, University, National Examination' were analyzed. Numerous videos were uploaded, and nursing work that was uploaded in the form of a vlog recorded a high number of views. Conclusion: We could see if the YouTube video shows images of nurses. It has been confirmed that various information is being exchanged rather than information just for promotional purposes.

• 한국직업건강간호학회지
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• 제3권호
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• pp.21-30
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• 1993

For the purpose of disclosing the magnitude of low back pain problems of hospital nursing personnel and its possible causes, a questionaire survey was carried out on 418 nurses and nurse aides if a university hospital in Seoul. The results were as follows : 1. Of 418 nurse and nurse aides, 268 persons(64.1%) have experienced 1,145 spells of low back pain during 6-month period. 2. The pain and/or discomfort was mostly limited to the back, although 19% of the episodes accompanied radiating pain to the low extremities. 3. Of those with low back pain, 23 persons(8.6%) were medically diagnosed and 17 persons(6.3%)-underwent medical treatment. Those who sick leave amounted to 8 persons(3.0%). 4. The occurrence of low back pain showed significant association with assignment of duties(wards) and work shifts, while the association was not significant in terms of ranks, careers and overtimes. 5. The occurrence of low back pain was closely associated with lifting and carrying of loads, standing and twisting postures as well as the amount of work. 6. Among the nonoccupational factors, drinking showed statistically significant association with the occurrence of low back pain.

• 가정∙방문간호학회지
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• 제18권1호
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• pp.13-19
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• 2011

Purpose: The aim of this study was to evaluate patient satisfaction and indirect marketing effects (recommendation, hospital re-visit intention) and additionally to calculate the expected incomes by clinical nurse specialists (CNS). Methods: Sixty-six patients who had lower varicose vein removal surgery performed at two general hospitals from August 1 to November 30, 2008, were recruited. The effects were evaluated by degree of patient satisfaction, the number of personal recommendations given, rate of hospital re-visit intention, and indirect marketing effects. Indirect marketing effects were calculated as the total cost of surgery multiplied by the score of other variables. Results: The patient satisfaction score was 0.82 for CNS and 0.43 for general nurses (GN). The number of personal recommendations given was 2.5 for CNS and 1.1 for GN. The rate of hospital re-visit intention was 0.31 for CNS and 0.21 fot GN. The ratio of expected incomes between CNS and GN is 2.07 to 1. Conclusion: We found that when a CNS serves a patient, satisfaction, number of personal recommendations, hospital re-visit intention, and indirect marketing effects were higher than those of GN. These results show that CNS have dominant roles and functions and that the effects of CNS employment can be measured using economics parameters.

• 성인간호학회지
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• 제18권2호
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• pp.304-313
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• 2006

Purpose: The purpose of this study was to describe role conflict and job satisfaction of Neurosurgery Clinical Nurse Specialist(NCNS) and to identify associated factors. Method: The target populations was 77 NCNSs from 30 general hospitals. Data were collected with self-administered questionnaires and analyzed using t-test and ANOVA. Results: The overall mean scores of role conflict and job satisfaction were $3.60({\pm}0.54)$ and $3.04({\pm}0.46)$ respectively. Significant variables affecting role conflict were the working period as NCNS, the number of colleague NCNSs in working hospital, and assignment of prescription rights. The significant variable affecting job satisfaction was assignment of prescription rights. There was no statistically significant correlation between job and role conflict. Conclusion: The variable effecting both role conflict and job satisfaction was the extent of prescription rights. In order to improve the quality of patient care and to protect Neurosurgery Nurse Clinical Specialist, the enactment of law on prescription practice is needed.

• 한국보건간호학회지
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• 제36권2호
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• pp.196-211
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• 2022

Purpose: This is a phenomenological study to improve the quality of nursing and understand its essence by comprehensively analyzing job experience of nursing managers in small and medium. Methods: This study focused on deriving the common empirical attributes of all the study participants, rather than their individual attributes. Data on the job experiences of nine nurse managers in small and medium-sized hospitals were collected and analyzed using Colaizzi's phenomenological method. Result: The job experiences of nurse managers in small and medium hospitals were classified after analysis into 14 theme cluster sets and 34 themes in five categories. The categories derived were 'A feeling of pressure as if taking responsibility for the entire hospital', 'Taking on the difficulties of hiring a nurse alone.' 'Difficulty in mediating conflicts within the organization', 'Struggling to endure', 'To take root in the field with a sense of ownership'. Conclusion: This study is meaningful in helping nursing managers in small and medium hospitals perform their duties more efficiently and stably by understanding their job experience.

• 한국병원경영학회지
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• 제21권2호
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• pp.13-23
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• 2016

Purpose: The purpose of this study is to compare the user satisfaction between 4-bedrooms and 5/6-bedrooms in a single general hospital. Methodology: To measure and compare multiple-bed ward user satisfaction between 4-bedrooms and 5/6-bedrooms, questionnaires were collected from 916 inpatients and 129 nurses in a single general hospital. The patient satisfaction questionnaire categories included environmental conditions, protection of privacy, and medical services. The nurse satisfaction questionnaire categories included space, infection control, patient safety, work load and psychologic view point. Findings: Satisfaction of patient who admitted in 4-bedroom to the environmental conditions and protection of privacy was higher than that of 5/6-bedroom group (3.91 vs. 3.25, p<0.001). Satisfaction of nurse who worked in 4-bedroom was higher than that of 5/6-bedroom (3.05 vs. 1.92, p<0.001). By the multiple linear regression analysis, patient satisfaction to the environmental conditions and protection of privacy was related with multi-bedroom type and location of beds; 4-bedrooms were higher than 5/6-bedrooms(p<0.001), window side bed were higher than hallway side bed(p=0.001). There was no satisfaction difference in comparing medical services between the two groups. By the multiple linear mixed regression analysis, nurse satisfaction who were assigned for 4-bedrooms were higher than that of 5/6-bedrooms in all categories(p<0.001). Practical Implications: Even though no difference has shown in medical services satisfaction between the two patient groups, multi-bedroom type may affect patient satisfaction in environmental condition, protection of privacy and may also affect overall nurse satisfaction. This result suggests that to improve multi-bedroom user satisfaction, 4-bedroom is recommended over 5/6-bedroom.