• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.2
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• pp.195-203
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• 2012

Purpose: This study is conducted to investigate the stress level, stress source and stress coping of nursing students in college. Methods: This study was a cross sectional survey and the data was collected from 341 nursing students by means of self-reported questionnaires from April 2 to May 31, 2012. Collected data were analyzed on SPSS win 18.0. Results: The nursing students experienced moderate levels of stress. The source of stress for students came from 'one's own self'. The most common stress coping used by students was 'make a wish'. There were significant differences in the source of stress and the stress coping according to the nursing students' year of school and other general characteristics, such as motivation of entrance and satisfaction in school life. Conclusion: These results suggest that it is important to develop stress management program and strategies based on nursing students' individual characteristics and sources of stress.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.19 no.1
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• pp.11-18
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• 2012

Purpose: The aim of this study is to evaluate the efficiency of the outpatient clinics in a hospital, using DEA. Methods: Data were collected using an activity-based costing system, medical information system, and annual reports of customer satisfaction management team of a general hospital in a city. The input variables were the number of doctors, the number of nurses, and the number of staffs. The output variables were the number of treatment times, the number of outpatient clinic patients, the total profits from outpatient clinic, the patient's satisfaction score, and the number of re-visit appointments. EMS Window version 3.1 was used to measure the efficiency score and benchmarking analysis. Results: The average efficiency score of 24 outpatient clinics was about 82.01%. Thirteen outpatient clinics had 100% efficiency score among them. The lowest efficiency score was 57.56%. Conclusion: According to these results, we found that, generally, outpatient clinics were operated very efficiently. However, some outpatient clinics had low efficiency and they needed specialized outcome improvement strategies. To increase the efficiency of inefficient outpatient clinics, we will recommend using results of DEA, as a benchmark point of the most efficient outpatient clinics.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.20 no.2
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• pp.124-132
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• 2013

Purpose: The purpose of the present study was to identify correlations between resilience, job stress, and burnout in new nurses. Methods: The participants were recruited from a university hospital. All participants (N=87) were new nurses whose clinical experience was 12 month and less. We gathered data regarding demographics, resilience, job stress, and the incidence of burnout among the nurses using structured questionnaires. We analyzed the data using t-test, one-way ANOVA, Pearson correlation, coefficien and multiple regression analyses. Results: Resilience of the nurses was negatively correlated with job stress (r=-.377, p<.001) and burnout (r=-.568, p<.001), while job stress was positively correlated with burnout (r=.511, p<.001). Resilience and job stress explained 42.5% of the variance in nurses' burnout ($R^2$=.425, F=37.071, p<.001). Conclusion: These results of the present study indicate that the management programs to address job stress and resilience for new nurses should be needed to reduce the burnout among them.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.16 no.2
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• pp.145-152
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• 2009

Purpose: To identify the relationship of job stress with job satisfaction and organizational commitment of nurses. Method: The subjects were 288 nurses working in two hospitals in Kyong Ki Island. The study was conducted from August to October 2007. The data was collected by questionnaires and were analyzed using descriptive statistics and Pearson correlation coefficients. Results: The mean score of job stress was $2.86{\pm}.75$ (total of 4 points), mean score job satisfaction score was $2.98{\pm}.33$ (total of 5 points), and mean organizational commitment score was $3.14{\pm}.34$ (total of 5 points). Concerning sub factors, limited medical care was highest and conflicts with the doctors was lowest. The level of job stress was significantly different according to age, marital status, religion, educational status, and type of employment. The level of job satisfaction was significantly different according to type of employment and working style. Job stress and job satisfaction were significantly correlated. Conclusion: It may be necessary further to develop job stress management programs to productively address job stress of nurses.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.24 no.3
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• pp.284-291
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• 2017

Purpose: The purpose of this study was to examine the impact of ego-resilience, career planning on turnover intention of career-focused nurses working in general hospitals. Methods: The subjects were 673 nurses with clinical experience with more than 1 year working in general hospitals in Seoul and Gyeonggi-do, from February1 to June 30, 2016. The collected data were analyzed with t-test, ANOVA, Pearson's correlation and multiple regression anaby using SAS (9.4ver). Results: The factors affecting the turnover intention of career nurses were identified by age, current hopes of moving to the workimg department, and career planning. These variables accounted for 18% of career nurses' turnover intentions. Conclusions: The results of this study suggest that the higher the degree of career planning of career nurses, the lower the turnover intention. However, ego-resilience did not show the influence of turnover intention. There is a need to develop a career management program that enhances ego-resilience and systematic career planning to reduce turnover intentions.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.20 no.1
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• pp.16-23
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• 2013

Purpose: The purpose of this study was to analyze the relationship between cognitive function, self-esteem, and depression among patients in long-term care hospitals. Methods: The study participants were 159 patients from 2 long-term care hospitals in Kyungki province. Data were collected from January 2 to February 5, 2013, by conducting across-sectional descriptive survey using a structured questionnaire administered by researchers. Results: Cognitive function and depression were significantly different according to age, education level and marriage. Self-esteem was significantly different according to education level and economic status. Self-esteem was significantly positively correlated with cognitive function, which in contrast showed a significant negative correlation with depression. Among our subjects, those older than 80 years showed low cognitive function and those with low educational attainment showed high scores of depression. Conclusion: We conclude that, elderly patients in long-term care hospitals who have low educational attainment should be carefully monitored, especially by nurses, for cognitive function and depression. In addition, nurses should have constant communication with their patients. Moreover, long-term care hospitals should apply early detection of and a management system for cognitive impairment and depression among their patients.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.25 no.3
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• pp.224-231
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• 2018

Purpose: This study was to analyze the factors affecting ventilator-associated pneumonia with severe trauma patients. Methods: This study conducted from May 1, 2018 to May 31, 2018 based on the medical records of the intensive care unit of a university hospital from May 1, 2017 to April 30, 2018 in Gangwon province. The inclusion criteria were 1) Trauma intensive care unit patient, 2) older than 19 years 3) without pneumonia at the time of admission. The collected data were analyzed using descriptive, correlation analysis, ANOVA, t-tests, $x^2$-tests and regression. Results: The severe trauma patients had a total of 2,877 days receiving ventilator, and nine VAP cases. The overall infection rate was 4.0%, and the VAP incidence rate was 3.13 per 1000 ventilator days. VAP in severe trauma patient affected ICU stay(OR=1.03), mechanical ventilator applied day(OR=1.04). Conclusion: Therefore, the development of an individualized VAP prevention bundle and nursing intervention for patients with trauma will be needed and further studies. In addition, there were no findings regarding the relationship between VAP occurrence and the severity of multiple traumatic injuries, so further studies of these factors should be performed.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.26 no.2
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• pp.145-154
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• 2019

Purpose: This study was conducted to identify and analyze organizational commitment, patient safety culture, and patient safety nursing activities on patient safety in public hospitals. Methods: The data were collected from 190 nurses in 6 public hospitals within the Gyeonggi region and were analyzed using SPSS 23.0 for descriptive statistics and multiple regression. Results: Patient safety nursing activity was positively correlated with the number of participants in patient safety training programs, organizational commitment, and patient safety culture awareness. Patient safety culture awareness was positively correlated with the number of participants in patient safety training programs and organizational commitment. Organizational commitment was positively correlated with age and total work experience. Factors affecting patient safety activities, frequency of patient safety training, and patient safety culture awareness were significant influencing factors with an explanatory power of 30.1%. Conclusion: In order to increase patient safety nursing activities in public hospitals, systematic patient safety training policies are required. In addition, diverse interventions are required to increase organizational commitment.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.28 no.2
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• pp.154-163
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• 2021

Purpose: This study aimed to verify the effects of nurses' COVID-19 related stress, hardiness, and organizational citizenship behavior on nursing intention in infectious disease hospitals. Methods: The participants were 182 nurses. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple stepwise regression analysis with the SPSS program. Results: The nursing intention of nurses differed significantly by age (p=.013), marital status (p=.002), clinical career (p=.018), job position (p=.005), and experience of education for infectious disease management (p=.016). A statistically significant positive correlation was observed between nursing intention and COVID-19 related stress(r=.18), and between nursing intention and organizational citizenship behavior(r=.43). COVID-19 related stress, and organizational citizenship behavior explained 21% of the nursing intention. Conclusion: Based on the above results, improve the nursing intention of infectious disease hospital nurses exposed to risk, and it is necessary to manage inadequate stress of infectious diseases and cultivate organizational citizenship behavior.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.29 no.1
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• pp.70-81
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• 2022

Purpose: This study was performed to explore the trend of nursing research in the Korean long-term care system. Methods: Articles published between 2008 and 2021 were searched using the terms "long-term care system" and "nursing." Ninety-one articles were analyzed and classified into five categories according to research methods. Data were extracted through a systematic review process and underwent descriptive statistics and content analyses. Results: The most analyzed variable in the survey studies was job satisfaction. Many variables were classified into input and output factors using Donabedian's model. The content analysis showed that most suggestions were about improving the political regulation system. Conclusion: It is necessary to establish a research foundation to provide research funding and support to cultivate future nursing research in long-term care. Systematic improvement of research in nursing should be continuously pursued to revitalize nursing services, expand nursing service interventions, and improve management competency programs in nursing institutions.