• Title/Summary/Keyword: care labor

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Effects of Delivery Nursing Care using Essential Oils on Delivery Stress Response, Anxiety during Labor, and Postpartum Status Anxiety (에센셜 오일을 적용한 분만간호가 초산부의 분만 스트레스 반응, 분만 중 불안 및 산후 상태불안에 미치는 영향)

  • Hur Myung-Haeng;Cheong NamYoun;Yun HyeSung;Lee MiKyoung;Song Youngshin
    • Journal of Korean Academy of Nursing
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    • v.35 no.7
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    • pp.1277-1284
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    • 2005
  • Objectives: This study was designed to investigate the effect of delivery nursing care using essential oils on labor stress response, labor anxiety and postpartum status anxiety for primipara. Methods: This study used nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primipara with single gestation, full term, & uncomplicated pregnancies. Twenty four primipra were in the experimental and control group each. Their mean age was 27.9 years old, their mean gestation period 279.9 days. As a treatment, delivery nursing care using essential oils was applied by nurses. Data collected epinephrine, norepinephrine, anxiety during labor. In the 24 hours after birth, the data for the postpartum mother's status anxiety was collected. Data was analyzed by t-test, repeated measures ANOVA, Mann-Whitney U test, & Wilcoxon signed ranks test with SPSS Program. Results : Plasma epinephrine, norepinephrine were significantly low in the experimental group (P=0.001, P=0.033, respectively). There was no significant difference between the two groups in anxiety during labor and postpartum mother's status anxiety. Conclusion : These findings indicate that delivery nursing care using essential oils could be effective in decreasing plasma epinephrine, norepinephrine. But, that could not be verified in decreasing mother's anxiety.

A Study on the Mediating Effect of Emotional Labor and Filial Piety on the Relationship between the Working Environment and Service Quality of Elderly Care Workers (노인 돌봄 수행인력의 근무환경과 서비스 질 관계에서 감정노동과 효인식의 매개효과에 관한 연구)

  • Il-Hyun Yun
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.269-276
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    • 2022
  • This study was conducted with the purpose of verifying the effect of the working environment of elderly care workers on service quality and the mediating effect of emotional labor and recognition of filial piety. The subjects of the study were 460 elderly care workers. For the collected data, SPSS Process macro was used. As a result, First, it was found that all variables had a significant positive (+) relationship. Second, the parallel mediating effect of emotional labor and recognition of filial piety was confirmed. Third, the mediating effect of recognition of filial piety and the moderating effect of emotional labor were verified. Based on this study, it was found that filial piety awareness education and emotional labor management are necessary. A follow-up study with a more expanded concept should be conducted.

A Study on Public Ethics of Care: Care, Justice and Economics of Social Service

  • Kim, Eun-Jeong
    • Journal of Distribution Science
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    • v.14 no.10
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    • pp.39-45
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    • 2016
  • Purpose - This paper explores a new possibility of care ethics for social service. As the needs for care have been growing rapidly in various social fields, 'care' became an important concept in envisioning a welfare state. However, due to the lack of proper ethics and political stance applied to the newly arisen needs and challenges, there exist lots of confusions and difficulties. Research design, data, and methodology - Introducing the feminist ethics of care, this paper examines the relationship of care and justice in social service. As a main research perspective, this study has focused on Kittay's public ethics of care and Tronto's political ethics of care. Results - Drawing on the main research perspective, this study discusses on the necessity of a political conceptualization for an integrative care ethics. In the process, The specialty and professionality of care work as a relational labor was reconsidered. Kittay's care ethics provides a persuasive justification for social support for care workers as well as care receivers, and Tronto's ethics shows us the role of care politics for democratic citizenship. Conclusions - Tronto's ethics of care with Kittay's gives us valuable insights to envision a new public ethics for social service that takes into account both care and justice properly.

Study on the Aseptic Care during Labor and Delivery, and their Effects to Peripheral Morbidity (분만시 무균처치와 산후감염의 이환율과의 관계에 대한 연구)

  • 이경혜
    • Journal of Korean Academy of Nursing
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    • v.2 no.1
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    • pp.141-157
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    • 1971
  • The peripheral infection is one of the major causes of maternal death, and although it is preventable through an effective prenatal as well as postnatal care its morbidity is increasing due to bacterial resistant to an effective antibiotics. The primary purpose of this study was to investigate the peripheral morbidity of 949 parturients who were admitted to the Obstetrics and Gynecologic department of Ewha Woman's University Hospital from January 1971 to September 1971. Among the 949 parturients, especially 40 normal parturients were selected (20, control soup was given complete aseptic care during labor and delivery and post delivery: 20, compare group was given the ordinary care practiced during labor and delivery and maternal ward of Ewha Woman's University Hospital) for bacteriologic test on vaginal flora twice, on admission and on complete cervical dilatation of each parturient. The results obtained from this study were as follows; 1. Majority of parturients age were 21 to 35 years old(90.83%), and educational level of 949 parturients was above high school. A large number of parturients socioeconomic level (according to their husbands' job) were moderate. 2, Among the 949 parturients, multipara (55.9%) were a little more than primipara (44. 1%) and 38.84% of parturients had experienced aborition. 3. In deliverty types, normal deliveries (804 cases) were more than cesarean section deliveries (145 cases) The peripheral morbidity after normal deliveries was 0.5%, and cesarean section deliveries, 23.45%. 4. Among 949 parturients incidence of hemorrhage eases (500cc or more bleeding) showed the higher peripheral morbidity (24.86%) than other cases (bleeding less than 500cc, 7.83%). 5. The majority of parturients (81.03%) had teen taking antenatal care, but most of them were taken irregular antenatal care. On the other hand, on admission, the parturients with complication were 30.32%, and their peripheral morbidity showed much higher (7.02%) than those with no complication (2.71%). 6. The incidence of peripheral morbidity in premature ruptured membrane was higher (10.91%) than normal parturienta (1.73%). 7. In the result of aseptic care during labor and delivery and post delivery, the number of cultured bacteria was legs in control group than Compare group (in control group, on admission 17, on complete cervical dilatation 12: in compare group, on admission 21 on complete cervical dilatation 21) . The most common bacteria were Staphylococcus (control group 14 on admission, compare group 16 on admission), and next Streptococcus, E- Coil, Bacillus Subtilis, in order. Also in control group the number. of colony were reduced (43%) more than in Compare group. Transient temperature elevation from 37℃ to 37.4℃ were noted in compare group (50%) than in control group (30%), and there was no one indicated above 38℃. In conclusion, the aseptic care is the test way of preventing peripheral infection as well as decreasing the puerperal morbidity. Therefore the most important nursing care is the aseptic care for each parturient during labor and delivery and peat delivery and also all the instruments must be cleaned and sterilized.

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Effects of Aromatherapy on Labor Pain & Perception of Childbirth Experience (아로마테라피가 분만동통 및 분만경험지각에 미치는 효과)

  • Hur, Myung-Haeng;Oh, Hee-Young;Park, Young-Sook
    • Women's Health Nursing
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    • v.11 no.2
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    • pp.135-141
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    • 2005
  • Purpose: The purposes of this study were to verify the effects of aromatherapy on labor pain and perception of the childbirth experience. Methods: This study was a nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primiparas without problems during the gestation period. Twenty four primiparas in the experimental group were given general obstetric nursing care with aromatherapy every two hours. Twenty four primiparas in the control group were given general obstetric nursing care only. Data was collected for labor pain measured by a labor pain expression scale, uterine contraction activity measured by Montevideo units in the latent phase, active phase, and transition phase and the perception of childbirth experience 24hours after birth. Data was analyzed by t-test, and repeated measures of ANOVA with an SPSS program. Results: No significant group effects were found, but significant time effects were found for labor pain, and uterine contraction activity. There was no significant difference in postpartum mothers' perception about childbirth. Conclusion: In this study, effects of aromtherapy decreasing labor pain expression, and increasing the perception of childbirth was not found.

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Mediating Effects of Burnout between Emotional labor and Resilience for Nurses in Long-term care Hospitals (요양병원 간호사의 감정노동, 회복 탄력성이 소진에 미치는 영향)

  • Hyeon, Il-Seon;Lee, So-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.353-359
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    • 2020
  • This study investigated the effects of emotional labor and resilience on burnout of long-term care hospital nurses. The study was conducted in D, B, and G cities, from May 23 2019 to June 5, 2019, enrolling 195 long-term care hospital nurses who had been on duty since 6 months. Means, standard deviations, Pearson correlation coefficients, t-tests, ANOVA, and multiple regression analysis of the SPSS 21.0 statistical program were applied for analyzing the data. Emotional labor (r= 0.476, p<0.005) and resilience (r= -0.416, p<0.005) showed significant differences associated with burnout in the long-term care hospital nurses, with all variables showing significant correlation. Regression analysis revealed that emotional labor (β= 0.37, p<0.001) and resilience (β= 0.17, p<0.048) were significant variables affecting the burnout of long-term care hospital nurses, and these variables explained 25.5% of adaptation to their burnout (F=23.51, p<0.001). Based on the results of this study, we propose the necessity to develop and utilize a program to manage emotional labor and resilience as a way to improve adaption for long-term care hospital nurses.

A Legal Study on Division of Labor and Collaboration within the Same Medical Institution (동일 의료기관 내에서의 분업과 협진에 대한 법적 고찰)

  • Baek, Kyoung-hee
    • The Korean Society of Law and Medicine
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    • v.24 no.3
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    • pp.27-55
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    • 2023
  • The term "Collaborative medical care" commonly used in South Korea refers to the case where doctors from different medical departments work together to treat a patient within the same medical institution. Therefore, "Collaborative medical care" represents the aspect of a medical team where various medical professionals collaborate based on their expertise to treat patients. Additionally, doctors from different specialties within the medical team engage in horizontal division of labor at an equal status, distributing legal responsibilities according to the principles of division of labor. The Supreme Court also acknowledges cases where multiple doctors collectively provide medical treatment through division of labor or collaboration and states that the doctor who initially attended to the patient must accurately inform the subsequent attending doctor about the patient's condition to enable appropriate measures. In medical institutions with multiple specialties, when doctors from different specialties collaborate to provide medical treatment, the doctor who attended to the patient initially must decide whether collaboration is necessary based on the patient's condition. Subsequently, they must inform the doctor from the relevant specialty about the patient's condition accurately to facilitate appropriate actions. The successor doctor who participates in collaborative medical care must actively communicate relevant treatment information related to the patient's condition with the predecessor doctor who requested collaboration, exchange opinions, and do so until the patient's treatment concludes. However, the determination of the necessity of collaborative medical care should be based on the patient's condition at the time, and it cannot be asserted that collaborative medical care is mandatory in all cases. Whether there is negligence in the decision about the necessity of collaboration will be assessed based on the legal principles of a doctor's duty of medical care.

Factors Influencing Turnover Intention of Nurses in Comprehensive Nursing Care Wards : Focused on Emotional Labor, Role Conflict, and Reciprocity (간호간병통합서비스 병동 간호사의 이직의도에 영향을 미치는 요인 : 감정노동, 역할갈등, 호혜성을 중심으로)

  • Lee, Soo-Jin;Kim, Eun-A
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.467-477
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    • 2020
  • The purpose of this study is to examine the effects of nursing emotional labor, role conflict, and reciprocity on turnover intention in comprehensive nursing care wards nurses. 209 nurses working in comprehensive nursing care wards across 13 hospitals in G and M city participated in this study. Data were analyzed descriptive statistics, t-test, one-way ANOVA, Pearson correlation, and hierarchical multiple regression analysis. As a result, the research model explained 52.9%(F=14.458, p<.001) of intention to turnover. The most significant factor affecting turnover intention was emotional labor(β=.311), followed by reciprocity and role conflict. Therefore, it is necessary to devices and guidelines to protect nurses who encounter various situations in the process of emotional labor, and to implement a human resource management system that can maintain friendly and equal relationships.

Factors Affecting Burnout of Caregivers in Geriatric Hospitals (노인요양병원 간병인의 소진에 대한 영향요인)

  • Han, Jong Soak;Han, Hye Ja
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.79-86
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    • 2017
  • Purpose: This study was conducted to identify the factors affecting burnout of caregivers in geriatric hospitals. Methods: Data were collected from 266 formal caregivers working at Korean geriatric hospitals using self-report questionnaires between May 16 and June 30, 2016. The measured variables were burnout, emotional labor, job stress, job satisfaction, and self-efficacy experienced by caregivers. T-tests, ANOVA, Pearson correlation coefficients, and multiple regression were employed for data analysis. Results: The results indicated that emotional labor and job stress significantly influenced burnout of caregivers in geriatric hospitals; the explanatory power of the model was 27.3%. Conclusion: Based on the study results, we suggest further investigation of factors influencing burnout, and the development of strategies to prevent burnout by reducing emotional labor and job stress experienced by caregivers.

The Effects of Emotional Labor on Burnout: The Moderating and Mediating Effects of Flourishing in Child Care Teachers (어린이집 교사의 정서노동과 소진 간 관계에서 행복플로리시의 조절 및 매개효과)

  • Lee, Ji Yeun;Kim, Hee Yeol
    • Korean Journal of Child Studies
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    • v.37 no.4
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    • pp.169-179
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    • 2016
  • Objective: This study investigated the moderating and mediating effects of flourishing among child-care teacher's emotional labor and burnout. Methods: The participants included 243 child-care teachers in daycare centers in Jeju. To verify moderating effect of flourishing in relation between surface acting and burnout, 2-way ANOVA was used. To verify mediating effect of flourishing in relation between deep acting and burnout, the hierarchical regression and bootstrapping analyses were used. Results: First, the surface acting of emotional labors showed significantly positive effect with burnout and the deep acting of emotional labors shows significantly negative effect with burnout. And the surface acting of emotional labors shows significantly negative effect with flourishing and the deep acting of emotional labors shows significantly positive effect with flourishing. Also the flourishing shows significantly negative effect with burnout. Second, it was revealed that the flourishing plays a role as moderator in relation between surface acting and burnout. Finally, it was revealed that the flourishing plays a role as mediator in relation between deeping acting and burnout. Conclusion: This study illustrates that flourishing acts as differently in relation to emotional labor (surface acting/deep acting) and burnout.