• 한국산학기술학회논문지
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• 제18권4호
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• pp.317-324
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• 2017

본 연구는 신규간호사의 간호근무환경과 현실충격과의 관계에서 사회적 지지 및 자기효능감의 효과를 규명하여 신규간호사가 경험하는 현실충격을 감소시키기 위한 대안을 마련하고자 시행되었다. 연구기간은 2015년 6월 15일부터 2015년 8월 31일까지였으며, 연구대상은 일 지역 소재 3개의 종합병원과 2개의 대학병원에서 근무하는 1년 미만의 신규간호사를 대상으로 편의추출 방식으로 수집하였으며 260명을 표본으로 하였다. 자료는 기술적 통계, 단순회귀분석, 조절 회귀분석으로 분석하였다. 연구결과는 대상자의 간호근무환경은 평균 $3.06{\pm}.313$점, 현실충격은 평균 $2.73{\pm}.401$점, 사회적 지지는 평균 $3.90{\pm}.623$점 그리고 자기효능감은 평균 $3.73{\pm}.519$점이었다. 현실충격에 대해 사회적 지지(F=16.744, p<.001) 및 자기효능감(F=40.616, p<.001)은 직접효과가 있는 것으로 검증되었다. 또한, 간호근무환경과 현실충격과의 관계에서 사회적 지지(F=7.743, p<.001) 및 자기효능감(F=14.676, p<.001)이 현실충격에 대해 조절효과가 있는 것으로 검증되었다. 따라서 신규간호사가 간호근무환경에서 경험하는 현실충격을 감소시켜 줄 것으로 기대되는 사회적 지지 및 자기효능감을 향상시키기 위한 프리셉터 교육의 표준화 및 맞춤형 멘토 프로그램 등의 프로그램 개발과 자기효능감을 높일 수 있는 프로그램 운영을 제언하는 바이다.

• 산업융합연구
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• 제22권3호
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• pp.67-78
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• 2024

본 연구는 임상간호사의 긍정심리자본, 잡 크래프팅과 간호근무환경이 직무만족에 미치는 요인을 확인하여 직무만족을 높이는 방안을 마련하는 데 필요한 기초자료를 제공하는데 목적이 있다. 자료 수집은 J도에 소재한 3개 종합병원 임상간호사 208명을 대상으로 2023년 3월 15일부터 3월 30일까지 온라인으로 실시하였다. 자료 분석은 SPSS/WIN 26.0 프로그램을 사용하여 위계적 회귀분석을 실시하였다. 연구결과 대상자의 직무만족에 미치는 영향 요인으로 결혼상태, 교육 수준, 보수 만족도, 업무량, 임상 경력, 긍정심리자본, 잡 크래프팅, 간호근무환경이 확인되었다. 위계적 회귀분석 결과 간호근무환경(𝛽=.37, p<.001), 잡 크래프팅(𝛽=.35, p<.001), 긍정심리자본(𝛽=.33, p<.001), 교육수준(𝛽=.09, p=.014)과 보수 만족도(𝛽=.09, p=.015) 순으로 직무만족 영향요인으로 확인되었으며, 최종 모형에 대한 설명력은 78%이었다. 본 연구결과를 바탕으로 임상간호사의 직무만족을 높이기 위해 긍정심리자본, 잡 크래프팅, 간호근무환경을 향상하기 위한 다양한 중재 및 관리 프로그램이 필요할 것으로 보인다.

• 보건의료산업학회지
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• 제12권2호
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• pp.27-38
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• 2018

Objectives : This study was conducted to examine the differences in the association of intellectual capital with organizational effectiveness of nursing organizations between public and private hospitals. Methods : A total of 166 nurses (82 of public hospital and 84 of private hospital) were recruited for the survey. Nurses' job satisfaction, organizational commitment, intellectual capital, sociodemographics, work-related factors, and health status were measured. Results : Nurses of public hospitals reported significantly higher scores in human capital, customer capital, job satisfaction, emotional engagement, and transactional commitments than did those of the private hospital. Human capital private and structural capital were significantly associated with nurses' job satisfaction in both public and private hospitals. Customer capital was positively associated with the emotional and transactional commitment in the public hospital, while, structural capital was associated with transactional and normative commitment in the private hospital. Conclusions : We could confirm that the nurses' intellectual capital is important the effectiveness of nursing organizations in both public and private hospitals.

• 한국직업건강간호학회지
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• 제27권1호
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• pp.36-47
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• 2018

Purpose: This study aimed to examine the effects of interpersonal relationship ability, job stress, and stress coping type on the turnover intention of nurses in the early stage of their careers. Methods: Data were collected from 136 early stage nurses from two general hospitals and one tertiary hospital in Chungbuk province. An early stage nurse was defined as the nurse with a work experience of 3 to 36 months. The collected data were analyzed using independent t-test, one-way ANOVA, Mann-Whitney U test, Person's correlation coefficient, and stepwise multiple regression. Results: It was seen that turnover intention had a negative correlation with interpersonal competency (r=-.20, p=.020) and a positive correlation with job stress (r=.56, p<.001). Job stress due to work over load, inadequate compensation and working environment, interpersonal relationship ability, and length of clinical career were significant factors influencing turnover intention (p<.05). These variables explained for 50.4% of the variance in turnover intention. Conclusion: It is necessary to develop an interpersonal relationship ability improvement program to decrease turnover intention among early stage nurses by helping them to successfully adapt to their job. Moreover, it is important to bring about continuous improvements in terms of provision of adequate workload and appropriate rewards, and creation of a suitable work environment to reduce the job stress of early stage nurses.

• 대한간호학회지
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• 제49권6호
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• pp.736-747
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• 2019

Purpose: This study aimed to explore public opinion on workplace bullying in the nursing field, by analyzing the keywords and topics of online news comments. Methods: This was a text-mining study that collected, processed, and analyzed text data. A total of 89,951 comments on 650 online news articles, reported between January 1, 2013 and July 31, 2018, were collected via web crawling. The collected unstructured text data were preprocessed and keyword analysis and topic modeling were performed using R programming. Results: The 10 most important keywords were "work" (37121.7), "hospital" (25286.0), "patients" (24600.8), "woman" (24015.6), "physician" (20840.6), "trouble" (18539.4), "time" (17896.3), "money" (16379.9), "new nurses" (14056.8), and "salary" (13084.1). The 22,572 preprocessed key words were categorized into four topics: "poor working environment", "culture among women", "unfair oppression", and "society-level solutions". Conclusion: Public interest in workplace bullying among nurses has continued to increase. The public agreed that negative work environment and nursing shortage could cause workplace bullying. They also considered nurse bullying as a problem that should be resolved at a societal level. It is necessary to conduct further research through gender discrimination perspectives on nurse workplace bullying and the social value of nursing work.

• 임상간호연구
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• 제28권1호
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• pp.34-44
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• 2022

Purpose: The purpose of this study was to examine the level of Person-centered Critical Care Nursing (PCCN) and the factors influencing PCCN for nurses in Intensive Care Units (ICU). Methods: This study was designed by cross-sectional descriptive correlational study. The participants included 147 ICU nurses in two general hospitals in Seoul, Korea. Demographic characteristics, PCCN, communication skills, professionalism, and work environment were measured. The collected data were analyzed using descriptive statistical analysis, independent t-test, One-way ANOVA, Pearson's correlation coefficient, and stepwise multiple linear regression with the SPSS/Win 25.0 program. Results: The average age of the participants was 29.6±4.7 years and the mean work experience in the ICU was 4.67±3.52 years. The level of PCCN was 3.70±0.41, which was moderate to high, and it significantly showed a positive correlation with therapeutic communication skills (r=.66, p<.001), global interpersonal communication competence (r=.42, p<.001), professionalism (r=.38, p<.001), and work environment (r=.16, p=.048). The factors influencing PCCN were identified as therapeutic communication skill and global interpersonal communication competence (Adj R²=.45, p<.001). Conclusion: The findings of this study were confirmed that the strategies to promote PCCN are necessary to enhance therapeutic communication skill and global interpersonal communication competence. In addition, they may be particularly meaningful in providing basic data for nursing education and future intervention development research to promote PCCN for the ICU nurses. For improving PCCN for healthcare providers in ICU, further studies should be conducted to develop education and intervention programs.

• 한국산업보건학회지
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• 제32권4호
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• pp.302-324
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• 2022

Objectives: The objective of this study is to investigate exposure to occupational carcinogens in the nationwide electronics industries and to establish a strategy for control of occupational carcinogens in South Korea. Methods: We evaluated occupational carcinogens as defined by International Agency for Research on Cancer (IARC) using a nationwide work environment measurement database on the electronics industry in South Korea measured between 2013 and 2017 in accordance with the Occupational Safety and Health Act. Results: The number of occupational carcinogens found in the electronics industry in South Korea were: 20 for IARC Group 1, 14 for Group 2A, and 30 for Group 2B. The occupational carcinogens (Group 1) most frequently exposed were strong-inorganic-acid mists containing sulfuric acid (sulfuric acid), welding fumes, mineral oils (untreated or mildly treated), nickel compounds, silica dust, crystalline substances in the form of quartz or cristobalite, formaldehyde, arsenic and inorganic arsenic compounds, chromium (VI) compounds, trichloroethylene, cadmium and cadmium compounds, vinyl chloride, ethylene oxide, wood dust, beryllium and beryllium compounds, 1,3 butadiene, benzene, and others. Among them, the carcinogens (Group 1) exceeding the acceptable standard were trichloroethylene, formaldehyde, and ethylene oxide. The working environment measurement system as regulated by Occupational Safety and Health Act is not properly assessed and managed for occupational carcinogens in South Korea. A component analysis for all materials used should be set up to practically reduce occupational carcinogens. A ban on the use of occupational carcinogens and the development of alternative materials are needed. The occupational carcinogens below the acceptable standards should be carefully examined and a new standard for exposure needs to be established. Conclusions: The Occupational Safety and Health Act should be improved to identify and monitor occupational carcinogens at work sites. A strategy for occupational safety and health systems should be provided to give direction to workers' needs and right to know.

• 여성건강간호학회지
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• 제5권3호
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• pp.265-276
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• 1999

Female nurses in Korea have historically experienced discrimination on the basis of their gender as part of the traditional society views on woman and as a result of the male dominated hospital environments. This discrimination may interfere with the ability of female nurses to promote the health of their patients. To better understand this bias, we collected and analyzed 16 cases of alleged sexual discrimination reported by female nurses with more than 5 years work experience. The cases were classified into 10 subjects and further into 4 categories: personnel administration, daily working environment, female gender bias, and health care delivery. There were 7 cases (11.3%) of unjust personnel changes consisting of demotion(1), termination(4), and reallocation of position(3). Twenty three (37.1%) of cases related to problems in the daily workplace including biases in communication between female nurses and male physicians(12), daily work(8), and responsibility for adverse outcomes(3). We noted 17 cases (27.4%) of female gender bias as reported by female nurses(7), female physicians(7), and female patients(3). Lastly, there were 15 (24.3%) cases of problems with health care delivery due to sexual discrimination, including enrollment in the health care system(4),and decisions regarding medical care(4). These results suggest that sexual discrimination towards women is pervasive in the Korea hospitals, not only towards female nurses but also towards female physicians and patients. More discriminatory practices in a timely fashion such that better nursing care can be provided to patients and their families.

• 한국직업건강간호학회지
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• 제20권3호
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• pp.270-278
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• 2011

Purpose: This study tries to identify experience of verbal abuse, emotional response, and ways to deal with verbal abuse against nurses in hospitals. Methods: This study was a descriptive research and conducted from April to July 2011. One hundred and seventeen nurses with over one-year experience in general wards were selected and evaluated. The data were analyzed using descriptive analysis, independent t-tests, and one-way ANOVA. Results: The nurses' experience rate of verbal abuse during the entire period of work in hospitals was 98.3%. The majority of the nurses were verbally abused by patients (70.9%), followed by patients' relatives (65.8%), physicians (61.5%), and coworkers (58.1%). Overall negative emotional response score of nurses after verbal abuse was $38.82{\pm}8.28$. Ways to deal with verbal abuse were as follows: suppression was 74.4%, complaining of an injustice to close people, 67.5%, and ignoring, 43.6%. Conclusion: Nurses have significantly been exposed to verbal abuse while working in hospitals. Therefore, hospital managers and nurse managers are required to inform other staff and visitors in hospitals the real condition of verbal abuse against nurses and provide a safe work environment by developing the report and disposal system of verbal abuse.

• 경영과정보연구
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• 제23권
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• pp.75-97
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• 2007

In the meantime hospital system of Korea has institutionally performed its errand in stable circumstance, however the system now faces with new environment of change of customer's satisfaction, of regime, deepening of competition, and opening market. Under the rapidly and complicatedly changing circumstance, the hospital system is required to promote getting a dominant position in the competition, enhancing outcome, creating value added, and customer satisfaction in both internally and externally likewise other organizations, as they continuously introduce a knowledge management and originate, accumulate, and put the knowledge to practical use. This organization capacity of knowledge management involves a process of management that requires great change of all organizations and individuals and it is brought up through four steps which are Initiation, Propagation, Integration, and Networking. The main factors of successful knowledge management are intension of the chief executive officer(CEO), organizational culture, appraisal and compensation of work, knowledge controlling system, and organizational structure, and each of these five stage has got different characteristic. To be successful by introducing knowledge management, hospital organization should be based on these premises. Not only CEO or the director of a hospital, but also the constituent members should be fully aware of knowledge, the characteristic of knowledge management, and successful factors of this operation. Should understand step-by-step characteristic of knowledge management, therefore able to analyse a situation of specific hospital and see which step corresponds to that hospital. By analysing, constituents should make up for the weak points and ready to move on to next step. CEO or the director of a hospital should be aware of knowledge management as a strategic factor which is able to get a dominant position in the rapidly changing environment, and also it should be firm in the director's intention to introduce the knowledge management into the hospital. By continuously carrying out education and training constituent members, the director of a hospital should promote their interest and participation in knowledge management, and build an organization culture that ultimately creates, accumulates, shares, and put the knowledge to practical use. The hospital organization needs to systematize an institution of objective compensation that corresponds to objective appraisal of knowledge management outcome. The hospital ought to build knowledge controlling system in stages, in order to take the initiative in rapidly changing environment. By considering the characteristic of hospital system, it is required to change the organizational structure into self-managing team which is a sort of horizontal structure that allows members to make decisions and take the responsibility by themselves. The limitation of this study is experimental study. Positive investigation about successful factors of hospital knowledge management and characteristic of each steps is expected with following study.