• Title/Summary/Keyword: general hospital nurse

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Convergence Influences of Nurses' Professional Autonomy and Empathy on Patient Safety Culture (간호사의 전문직 자율성과 공감능력이 환자안전문화에 미치는 융복합적 영향)

  • Lee, Seong-Su;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.231-241
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    • 2019
  • This study was a descriptive survey to identify influences of nurses' professional autonomy and empathy on patient safety culture. The participants were 191 nurses working at a general hospital in Seoul. The data were collected using structured questionnaires and analyzed using the SPSS/WIN 24.0 program. Patient safety culture had a significant correlation with nurses' professional autonomy (r=.26, p<.001) and the subscales of empathy, which were perspective-taking (r=.30, p<.001) and empathic concern (r=.27, p<.001). Factors influencing patient safety culture were perspective-taking (${\beta}=.27$, p<.001), professional autonomy (${\beta}=.20$, p=.004), and a total clinical career of over ten years (${\beta}=.17$, p=.012). The results of this study could be the basic data for the development of programs that enhance the professional autonomy and empathy of nurses. In addition, it is necessary to study repeatedly in various groups in the future.

An Empirical Study on the Effects of Organizational Politics and Conflicts on Workplace Bullying among Nurses (간호조직 내 정치와 갈등이 태움에 미치는 영향에 관한 실증연구)

  • Hong, Ah Ram;Lee, Sun Young;Cheong, Jong One
    • Journal of Digital Convergence
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    • v.17 no.8
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    • pp.321-327
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    • 2019
  • The purpose of this research is to identify the level of perception of conflict with politics within nursing organizations in large general hospitals, and to empirically analyze how politics and conflicts in the organization affect workplace bullying(taeoom) within nursing organizations. The research method conducted multiple regression analysis on 273 nurses working at A University Hospital in Seoul. The analysis shows that political and relationship conflicts within the organization are amplifying the workplace bullying within the nursing system. It was confirmed that taeoom was also increasing as conflicts between factions or subgroups within the nursing system, alienation, and emotional conflicts among members grew. We hope that the future research regarding taeoom will seek serious theoretical insights and practical implications for its management.

The Effects of Operating Room Nurses' Perceptions of Organizational Health, Safety Climate, and the Nursing Working Environment on Engagement in Patient Safety Management Activities (수술실 간호사가 인지하는 조직건강, 안전분위기, 간호근무환경이 환자안전관리활동에 미치는 영향)

  • Kim, Mi Ra;Kwon, Myung Soon
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.4
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    • pp.197-207
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    • 2019
  • Purpose: This study aimed to examine the relationship between organizational health (OH), safety climate (SC), the nursing working environment (NWE), and engagement in patient safety management activities (PSMA) among operating room nurses and identify the factors that predict engagement in PSMA. Methods: From August 10th to 25th, 2018, 176 operating room nurses who were working in tertiary and general hospitals responded to a structured questionnaire. Using SPSS/WIN 25.0, the collected data were subjected to independent-samples t-test, one-way analysis of variance, Scheffe?test, and Pearson's correlational and multiple stepwise regression analyses. Results: OH and SC were significantly correlated with engagement in PSMA. The factors that predicted engagement in PSMA were OH, NWE, participation in accreditation, years of work experience, and hospital size; together, they explained 17% of the variance in engagement in PSMA. Conclusion: This study revealed that OH has a significant influence on engagement in PSMA among operating room nurses. Therefore, hospitals should aim to create healthy working environments to promote engagement in PSMA among operating room nurses, actively delegate responsibilities to increase their level of participation in accreditation, and implement strategies that maintain high levels of nurse retention.

Analysis of the Status of Nursing Shifts and Nurses' Perceptions of Work Schedules in General Wards Based on the Government Guidelines for Night Shift Work (보건복지부 야간근무 가이드라인에 따른 일반병동 간호사의 교대근무 현황과 근무표에 대한 인식)

  • Hong, Kyung Jin;Cho, Sung-Hyun;Jung, Eun Hee
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.2
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    • pp.165-178
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    • 2021
  • Purpose: To analyze nurses' shift work according to the government guidelines for night work and their perceptions of their work schedules. Methods: The study sample included 487 nurses who provided information on their schedules, including the normal working hours of each shift, and overtime per shift during September 2020. Nurses' perceptions were measured in terms of satisfaction, appropriateness for work-life balance, and fairness to their work schedule. Results: One-third of the respondents worked more than 40 hours per week. The average overtime hour was 1.14 hours per shift. Unsocial hours (8 pm to 6 am on weekdays, midnight to midnight on weekends and public holidays) accounted for 56.4% of all working hours. During their last night shift, on average, nurses worked 9.62 hours and had a break of 39 minutes, although 20.5% reported no break. Sixty-eight percent of nurses had at least one between-shift break shorter than 48 hours after a consecutive night shifts. Fifty-seven percent were satisfied with their schedule. One-third perceived their schedule as appropriate for work-life balance, and two-thirds perceived that days off on weekends and nights were fairly distributed within the unit. Working and overtime hours had an inverse relationship with all three aspects of nurses' perceptions. A higher proportion of unsocial hours and having no breaks during the night shift were associated with lower perceptions of fairness. Conclusion: Reducing working hours, ensuring breaks during night shifts, and increasing rewards for unsocial hours are required to improve nurses' perceptions and reduce turnover due to shift work.

The Effect of Preceptor Nurses' Conflict Management Type on Preceptor Role Recognition and Core Competency (프리셉터 간호사의 갈등관리 유형이 프리셉터 역할인식 및 핵심역량에 미치는 영향)

  • Kim, Eun Jeong;Park, Bohyun
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.337-347
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    • 2023
  • Purpose: The objectives of this study were to categorize the conflict management types of preceptor nurses and determine the effects of these types on preceptors' role perception and core competencies. Methods: Data was collected from 192 preceptor nurses with at least two years experiences in general hospitals, from July 1 to July 31, 2022. Conflict management type, preceptor role perception, and core competency were investigated using structured instruments. The data was analyzed using K-means cluster analysis, Independent samples t-test, One-way ANOVA with Scheffé's test, and multiple regression analysis. Results: The conflict management types were categorized into four types; comprehensive type (cluster 1), integrating, obliging, compromising type (cluster 2), undifferentiated type (cluster 3) and obliging, avoiding type (cluster 4). The effect of conflict management types on preceptors' role recognition occurred in the following order of cluster 2 (integrating/obliging/compromising type), cluster 1 (comprehensive type), and cluster 4 (obliging/avoiding type). Next, cluster 1 (comprehensive type), cluster 2 (integrating/obliging/compromising type), and cluster 4 (obliging/avoiding type) were shown in the order of the impact on the core competencies of the preceptor. Conclusion: When preceptor nurses use a mixture of various attributes of conflict management evenly, they have been shown to demonstrate effective preceptor role recognition and core competencies. Therefore, it is proposed that future development of conflict management training programs for preceptor nurses should begin with identifying their conflict management type, followed by creating a program that addresses any deficiencies.

A Study on Clinical Nurses' Coping to Workplace Bullying: Q Methodological Approach (임상간호사의 직장 내 괴롭힘에 대한 대처 경험: Q 방법론적 접근)

  • Lee, Hye Jin;Sim, Won Hee;Lee, Dain
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.283-295
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    • 2023
  • Purpose: The purpose of this study was to provide basic data to understand the organizational culture of nurses by categorizing nurses' experience of coping with bullying in the workplace through Q methodology and analyzing the characteristics of each type, and to induce correct policy measures and interventions to create an atmosphere created in the nursing clinical field to be more advanced and positive. Methods: To form the Q population, focus group interviews were conducted with nurses working for more than six months at two general hospitals in Seoul and Gyeonggi. Interviews were conducted by 12 nurses introduced to participants who can provide researchers with a wealth of information on workplace bullying experiences without filtration. In addition, the Q population was extracted by reviewing the results. Based on the results derived from this, 38 Q statements in total were extracted. Forty clinical nurses were required to classify Q sample statements, and the data collected through this were analyzed using the pc-QUANAL program. Results: As a result of the analysis, a total of five types of clinical nurses' experiences of coping with bullying in the workplace were identified: 'tense emotion-based tolerance response,' 'positive thinking-based self-effort response', 'individualistic thinking-based passive response', 'support system-based emotional expression response' and 'active response centered on problem-solving'. Conclusion: The derived response types are expected to be guidelines for suggesting strategies to eradicate bullying in the workplace at the organizational level, individual level, prevention level, and organizational culture level.

A Study on the Efficiency of Clinical Practice for Nursing Education in the Junior College of Nursing in Korea (전문대학 간호과의 임상 실험 효율화를 위한 연구)

  • Lee, Kun-Ja;Kim, Myung-Soon;Yang, Young Hee
    • Journal of Korean Public Health Nursing
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    • v.3 no.2
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    • pp.77-108
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    • 1989
  • The purpose of this study was to find out the present condition of clinical practice and to develop a scheme on the efficiency of clinical practice for nursing education in junior college of nursing in korea. This study was conducted by 2 sections. Ist section was to find out the present condition of clinical practice to 42 directors of nursing collegd and data were collected July 8 to September 30, 1988. 2nd section wat to develop a scheme on the efficiency of clinical practice for nursing education and subjects were nursing professors 258: and clinical nurses 223 in 42 junior nursing colleges their clinical settings in korea. So total subjects were 481. Data were collected july 8, 1988 to June 30, 1988 and were analysed to get the mean, standand deviation, frequency, percentage, t-test, x-test used by SPSS - pc. Major findings were as follows: 1. The present condition of clinical education in junior college of nursing in Korea. 1) 32 colleges (76.2%) were managed by a-yeas system. 2) 25 colleges (59.5%) were performed by individual practice for each subject. 3) 4 weeks interval between class education and clinical education was a major type among total colleges(36.6%, J5 colleges) 4) 30 colleges (71.4%) provided clinical education for all subjects that should be practiced. Nursing administration wes not practiced in 5 colleges (41.9%) among the remainder(12 colleges). The main cause that all practice subjects were not practiced was the lack or absence of suitable clinical settings(8 colleges. 66.7%) 5) 18 colleges (42.9%) responded that a clinical educator was, subject-charged professor. 6) 12 colleges (29.3%) responded that a clinical instructor was in charge of 6~10 students. 7) The evaluation ration ratio(professor to head nurse) by each evaluator was mostly 50% to 50 % and 60% to 40%, respectively 11 colleges(27.5%) The most common evaluation methods were evaluation by head nures, report, presence, conference (11 colleges, 27.5%) 8) The field carrier of professor was mostly 2 years (79 persons, 20.7%) and mean was 3.2 years. The education carrier of a professor was mostly over than 6 years (261 persons, 66.4%) and mean was 9.2 years. The charge hours per-week of a professor were mostly 16-18 hours (16 persons, 131.8%) 9) 34 colleges (82.9%) approved that clinical practice hour was class hour and 18 colleges (43.9 %) counted that 2 hours of clinical education equaled 1 hour of class education. 2. A study 'on the efficiency of clinical practice for nursing education. L) general characteristics of subjects were as follows: kung-sang province (145 persons, 30.5%), 30-34 years (190 persons, 39.8%), graduated degree (245 persons, 51.5%), 6-10 years of carrier (199 persons, 41.4%) were the majority. 2) suitable clinical setting was responded the systematic ward with responsible clinical educator by 210 persons(43.8%) The response by working field of subjects showed a significant difference (p< 0.01) 3) 259 subjects (54.0%) responded that the desirable qualfication of clinical instructor was 3-5 years of clinical experience with master degree or higher. 4) The mean score of desirable quality degree of clinical instructor was 3.43 professors, score (3.54) was significantly higher than clinical nurses' (3.28) (p<0.01) 412 subjects (86.0%) responded that the insufficient guality of instructor was improved by continuing to seek more new information in reference. 5) 196 subjects (41.4%) responded that desirable qualification of head nurse was more than 2 years of head position among 5 years of clinical experience. The response by working' field of subjects showed a significant difference (p<0.05) 6) The mean score of desirable quality degree of head nurse was 3.18 Clinical nurses' score(3.38) was significantly higher than professors' (3.01) (p<0.01) 419 subjects (87.8%) responded that the insufficient of head nurse was improved by continuing relationship with instructor and being responsible from planing of clinical education. 7) The mean score of performance level of the desirable clinical education guide incollege was 2.91 Professors' score (2.96) was significantly higher than clinical nurses' (2.84) (p<0.01) 340 subjects (71.1%) responded that the possible resolution for poor performance was the more specified syllabus of clinical education and the satisfiable orientation for students. 8) The mean score of performance level of the desirable clinical education guide in hospital was 3.03 9) 141 subjects (29.6%) responded that the desirable clinical evaluator was the group of professor, head nurse, staff nurse. Response by working field of subjects was a significant difference (p< 0.05) 10) The mean score of performance level of the evaluation content needed in clinical education was 3.50 Clinical nurses' score (3.56) was significantly higher than professors' (3.45) (p<0.01) 11) 433 subjects (90.2%) responded that6 desirable evaluation method for clinical education was the presence. 12) The mean score of performance level about how personal difference among clinical educators was minimized was 2.89 and response by working field of subjects was not significant. The cause of poor performance was too much workload at clinical settings and too many students st colleges by 386 subjects (81.1%).

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A study of Relationship between Death Perception, Spiritual Well Being and Terminal Care Stress of Geriatric Hospital Nurses (노인요양병원 간호사의 죽음 인식, 영적 안녕과 임종간호 스트레스의 관계 연구)

  • Yang, Jin-Hee;Shin, Sung-Rae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.510-520
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    • 2016
  • The purpose of this study was to understand death perception, spiritual well-being, and terminal care stress in geriatric hospital nurses and analyze related factors affecting terminal care stress. The participants were 181 nurses working in six geriatric hospitals located in Seoul and Gyonggi Province, Korea. Data were gathered from July 16 to August 1, 2015. The data were analyzed using ANOVA, t-test, Duncan test, and logistic regression. Death perception of geriatric hospital nurses had an average score of 4.30, spiritual well-being 3.40, and terminal care stress 3.84. Terminal care stress in relation to general characteristics showed a meaningful difference in religion and total clinical career. The terminal care stress level was divided into two groups using average score as a standard, and the results revealed that spiritual well-being had a significant impact on terminal care stress of geriatric hospital nurses. These factors need to be considered when developing an educational program to reduce terminal care stress of nurses working in a geriatric hospital.

The Effects of Parenting Stress and Role Conflict on Turnover Intention in Hospital Married Nurses (병원 기반 기혼간호사의 양육스트레스, 역할갈등이 이직의도에 미치는 영향)

  • Lee, Mi-Jin;Lee, Hye-Kyung
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.3
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    • pp.582-593
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    • 2020
  • The purpose of this study was to investigate the effect of parenting stress and role conflict on turnover intention in hospital nurses. This study was 142 nurses working in university hospitals and two general hospitals. The analysis of the collected data was analyzed by using SPSS / WIN 23.0. The average score were parenting stress 2.50 out of 4, role conflict 2.48 out of 5, and turnover intention 2.71 out of 5. In order to analyze the factors affecting the turnover intention, multiple regression analysis was conducted using the role conflict, parenting stress, and job satisfaction. Parenting stress (β= .257 p<.001), job satisfaction (β= .242, p<.001) and role conflict(β=.161 p<.001) were resulted. The explanatory power of these factors Was 45.6%. In conclusion, the turnover intention of hospital nurses was found to be an important factor of parenting stress, role conflict, and job satisfaction. In order to lower the parenting stress and role conflicts and reduce the turnover intention of married nurses, it is necessary to reduce the parenting stress and role conflict in the hospital and home. To improving the job satisfaction of the nurses, it is necessary to improve the workplace environment and welfare.

Effects of work-life balance and nursing professional pride on job embeddedness among third-shift hospital nurses (3교대 병원간호사의 일과 삶의 균형과 간호 전문직 자부심이 직무착근도에 미치는 영향)

  • Seung-Eun Lee;Gie-Ok Noh
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.547-555
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    • 2024
  • This descriptive correlational study was conducted to determine the level of work-life balance, nursing professional pride, and job embeddedness among third shift hospital nurses and to determine the impact of work-life balance and nursing professional pride on job embeddedness. The results were analyzed using questionnaire data from 144 third shift nurses working in a general hospital with at least 12 months of work experience. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation, and hierarchical multiple regression analysis using SPSS WIN/PC 24.0 statistical program. The results of the study showed a relationship between work-life balance level, nursing professional pride, and job embeddedness among third-shift hospital nurses, with nursing professional pride (β=.59, p<.001) and perceived economic status as moderate (β=.20, p=.036) as factors affecting job embeddedness, with statistical significance. The explanatory power of these two variables was 41.1%. Therefore, the development and application of educational and intervention programs that can improve nursing professional self-esteem should be implemented in order to increase the job embeddedness of third shift hospital nurses.