• 한국보건간호학회지
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• 제35권3호
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• pp.356-367
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• 2021

Purpose: This study aimed to identify the confidence and educational needs of clinical nurses in care for the family of dying patients. Methods: The subjects of this study were 218 clinical nurses working at two tertiary general hospitals located in D city, Korea, and the data were collected through online questionnaires. The collected data were analyzed using descriptive statistics, t-test, analysis of variance (ANOVA), Scheffe test and 𝝌² test using the SPSS WIN 20.0 program. Results: 97.6% of clinical nurses recognized the need for family care for dying patients, but 76.7% had never received any education on family care for dying patients. The average score of dying patients' confidence in family care was 3.09. About 90% of clinical nurses were willing to participate in family nursing education for dying patients. The group with more than 5 years of clinical experience was significantly higher than the group with less than 5 years of clinical experience. Conclusion: This study recognized the necessity of family nursing for dying patients highly. It is necessary to develop and apply an educational program based on the education topic that recognizes the need highly.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3635-3647
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• 2014

본 연구는 간호대학생의 자기주도성, 간호활동경험 및 임상실습만족도의 관계를 파악하기 위한 서술적 조사연구이다. 연구대상은 K시에 소재한 3년제 간호학과, 4년제 간호학과 재학생 223명을 대상으로 2013년 12월 5일부터 2013년 12월 20일까지 설문조사를 실시하였으며, 수집된 자료는 SPSS 20.0을 이용하여 서술적 통계, t-test, ANOVA, Pearson's correlation coefficient와 다중회귀분석으로 분석하였다. 간호대학생의 자기주도성과 간호활동경험(r=.243, p<.01), 자기주도성과 임상실습만족도(r=.495, p<.001), 간호활동경험과 임상실습만족도(r=.339, p<.001) 모두는 유의한 양의 상관관계를 나타냈고, 자기주도성과 간호활동경험은 임상실습만족도에 영향을 미치는 요인으로 회귀모형의 28.7%를 설명하였다. 본 연구를 바탕으로 간호대학생의 자기주도성 함양 및 간호활동경험을 증진시키기 위한 임상실습프로그램 개발의 기초를 제공할 수 있을 것으로 생각된다.

• 한국임상보건과학회지
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• 제5권4호
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• pp.1009-1014
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• 2017

Purpose. This study compared the awareness of the evidence-based practice(EBP) in 100 physical and occupational therapists. Methods. A questionnaire on awareness was conducted to examine the attitude toward EBP, the educational experience of EBP, and the performance ability of EBP. A questionnaire consisted of items on the general characteristics, the attitude toward EBP, the educational experience of EBP, and the performance ability of EBP of the subjects. Data analysis was made by IBM SPSS Statistics Ver. 20. The EBP awareness was examined by the independent t-test. Results. For the attitude toward EBP, there was a statistically significant difference in the item of 'Therapists should judge whether they apply study results to individual patient. For the educational experience of EBP, there was no statistically significant difference in all items. For the performance ability of EBP, there was a statistically significant difference in the item about the ability to understand patient's desire for treatment and treatment preference and the item about the ability to determine appropriate treatment process in cooperation with patients. Conclusions. Both two groups showed very low results in the attitude toward EBP, the educational experience of EBP, and the performance ability of EBP. Therefore, it is necessary to enhance EBP education in undergraduate programs and the clinical field.

• 기본간호학회지
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• 제5권2호
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• pp.324-340
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• 1998

Nurses experience role conflict between nursing theory that they learned in school and clinical nursing practice. This conflict lead to lower self-image, self-esteem, job dissatisfaction. Also, the professionalism of nurses is estimatable by the grade of autonomy. The professional autonomy requires individual and professional obligation about her decision and performance. A lack of professional autonomy results in the Job dissatisfaction. Job dissatisfaction leads to absenteeism, increased proneness to mental and physical illness and higher turnover rates. The purpose of this study was to investigate professional autonomy and self-concept of clinical nurses. Data were collected from 262 clinical nurses in P city from June 1 to June 30, 1996. The instruments used for this study were made by Arthur(1990) and Schutzenhofer(1983). The data were analyzed for frequency and percetage, mean, SD, t-test, ANOVA, Pearson's correlation coefficient, stepwise mutiple regression, using SAS $PC^+$ Program. The findings were as it follows : 1. The mean of professional autonomy and self-concept were $152{\pm}18.48,\;70.65{\pm}8.20$(2.62), respectively. These showed mid level of professional autonomy and self-concept. 2. Professional autonomy of clinical nurses was found to vary significantly according to total years of clinical experience(F=4.49 p<0.01), position(F=3.49 p<0.05), and state under study for the degree(F=3.83 p<0.05). Professional self-concept was found to vary significantly according to age(F=3.52 p<0.05), marital status(F=7.39 p<0.001), total years of clinical experience(F=3.59 p<0.05), position(F= 5.22 p<0.01), the expectant period being on the duty as clinical nurse(F=8.34 p<0.001), and motivation of choosing nursing(F=5.17 p<0.001). 3. The statistical relationship between clinical nurses' professional autonomy and self-concept was found as positive correlation(r=0.42246 p<0.001). 4. Professional autonomy was the highest factor predicting professional self-concept(17.85%). Professional autonomy and marital status accounted for 20.60% in professional self-concept of clinical nurses. In conclusion, Professional autonomy and self-concept of clinical nurses showed significantly positive relationship. Therefore, nursing education needs to develop programs and policies to increase professional autonomy and self-concept of clinical nurses.

• 임상간호연구
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• 제14권2호
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• pp.83-92
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• 2008

Purpose: This study was done to identify the relationship between experiences of violence, and burnout and job satisfaction of emergency department (ED) nurses and to provide basic information to improve quality of life for nurses and quality of nursing care by increasing the ability of nurses to deal with violent situations and thus, improve job satisfaction. Method: Participants (n=153) were recruited in S and B cities from October 16 to December 22, 2007. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient were used to analyze the data. Results: Level for ED nurse burnout was 2.54 out of a possible 4, and for ED nurse job satisfaction, 2.81 out of a possible 5. There were significant differences according to sex (t=-3.217, p=.002), total clinical career (F=5.805, p<.05), and clinical career in the ED (F=1.640, p<.01). There was a significant positive correlation between violence experience and burnout (r=.500, p<.001), and significant negative correlations between violence experience and job satisfaction (r=-.300, p<.001), and between burnout and job satisfaction (r=-.492, p<.001). Conclusion: The findings from this study indicate that experiences of violence in the ED decrease work efficiency of the nurses and increase burnout. So, it is important to reduce occurrences of violence in ED and to prepare programs for dealing with violence and providing emotional support in cases of violence directed at nurses.

• 간호행정학회지
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• 제10권1호
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• pp.37-48
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• 2004

Purpose: This study was investigated to identify the relationship among hospital nursing organizational structure(decentralization, communication, bed/nurse ratio), process(nurses' job satisfaction, nurses' clinical experiences, nurses' unit experiences), and nursing outcome(patient satisfaction, physiologic adaptation, length of stay, number of complication). Method: The subjects consisted of 86 hysterectomy patients and 23 nurses in gynecology unit. Data were collected from May 16, 2002 to August 15. 2003 by the structured questionnaires and chart review. Data analysis was done with ANOVA, Pearson's correlation coefficient, path analysis. Result: Relationship between organizational structure and process ; Bed/nurse ratio was negatively related to nurses' job satisfaction(r=- .37, p<.05), and nurses' clinical experience(r=- .69, p<.00). Decentralization(r=.42, p<.05) and comunication(r=.61, p<.00) were positively related to nurses' clinical experiences. Relationship between process and nursing outcome ; There was a significant relationship between nurses' unit experiences and patient satisfaction(r=.63, p<.00), nurses' job satisfaction and physiologic adaptation(r= .44, p<.05), nurses' unit experiences and physiologic adaptation(r=.64, p<.00), Relationship between organizational structure and nursing outcome ; Decentralization and communication were positively related to patient satisfaction(r=.86, p<.00 ; r=.88, p<.00) and physiologic adaptation(r=,51, p<.01, r=.64, p<.00). Conclusion: Nurses' unit experience, communication, decentralization were significant variables for patient satisfaction. Nurses' unit experience, nurses' job satisfaction, communication were significant variables for patient physiologic adaptation.

• 한국직업건강간호학회지
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• 제27권1호
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• pp.59-66
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• 2018

Purpose: This study aimed to identify the effect of role conflict, self-efficacy, and resilience on the nursing task performance of emergency department (ED) nurses. Methods: Data were collected from 140 ED nurses working in 6 general hospitals, using self-reporting questionnaires. Data were analyzed using SPSS 23.0, and the analyses included descriptive statistics, a t-test, an ANOVA, the Pearson's correlation coefficient test, and a stepwise multiple regression. Results: Nursing task performance differed significantly in terms of the following general characteristics of the participants: age, marital status, total clinical experience, clinical experience in the ED, and position at the hospital. Nursing task performance was positively correlated with role conflict, self-efficacy, and resilience. Self-efficacy, role conflict, clinical experience in the ED, and resilience were significant predictors of nursing performance, and they accounted for 36.9% of the variance. Conclusion: Self-efficacy was identified as the most significant factor affecting the nursing task performance of ED nurses. Therefore, it is necessary to develop programs to improve the self-efficacy of ED nurses.

• 대한불안의학회지
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• 제9권2호
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• pp.113-120
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• 2013

Objectives : The aim of this study was to investigate clinical meaning of hallucination among patients with posttraumatic stress disorder (PTSD). Methods : PTSD patients with hallucination (n=50) were selected and matched with the PTSD patients without hallucination (n=50) by age and sex. The patients were evaluated in two different aspects, pathologic aspects which can develop after traumatic event, and positive/adaptive aspects which are concerned in positive psychology. In addition to these, temperament and character features between two groups were also evaluated using the Temperament and Character Inventory (TCI). Results : Except for the total score of DES (Dissociative Experience Scale) and the score of re-experience subscale of CAPS (Clinician Administered PTSD Scale), clinical characteristics did not show any significant difference between the two groups. Among the comparison of seven higher dimensions in TCI profiles, only Self-transcendence showed significant difference between the two groups. Conclusion : The two groups did not show significant differences in pathologic aspects except for factors that may contribute to development of hallucination. Furthermore, authors could not find any differences in positive/adaptive aspects.

• 한국직업건강간호학회지
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• 제21권1호
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• pp.10-17
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• 2012

Purpose: The study was done to identify relations among sense of humor, self-esteem, and performance in nurses. Methods: Data were collected by questionnaires from 198 nurses in Seoul and Gyeonggi province. Measures were sense of humor, self-esteem, and performance. Data were analyzed using Pearson correlation coefficients, t-test, ANOVA, and stepwise multiple regression with SPSS/WIN 13.0 version. Results: This study shows that performance of nurses has significant difference according to age, marriage, education level, income and clinical experience. The performance of nurses has positive correlation with their sense of humor and self-esteem. The higher clinical experience, sense of humor, and self-esteem they have, the better performance they make. The factors that affect performance of nurses are clinical experience, sense of humor and self-esteem. The degree of explanation is 36.5%. Conclusion: Knowing that sense of humor and self-esteem of nurse are significant factors which can cause nurses' better performance, we suggest an education program that can help nurses to develop and manage their sense of humor.

• 한국산학기술학회논문지
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• 제17권1호
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• pp.209-218
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• 2016

본 연구는 일 대학병원 임상간호사의 건강관리 경험의 본질을 이해하기 위해 2015년 10월 4일부터 10월 30일까지 S시에 소재한 일 대학병원 간호사 9명의 참여로 그들의 경험의 의미와 실체를 파악하기 위하여 Colaizzi(1978)가 제시한 현상학적 연구 방법을 적용하여 자료를 분석하였다. 연구 결과로는 참여자의 건강관리 경험이 '신체건강관리에 대한 양가감정', '신체운동에 대한 부담감', '교대근무로 인한 어려움', '스트레스 관리' '자신의 재발견'의 5개의 범주와 이들 범주에 포함된 14개 주제모음 및 42개 주제로 확인할 수 있었다.