• 가정∙방문간호학회지
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• 제28권2호
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• pp.135-143
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• 2021

Purpose: This study aimed to provide basic data for the development of education programs which improve the nurses' infection control performance by investigating the knowledge, performance, and educational needs of infection control among nurses in long-term care hospitals, and analyzing the relationship between these parameters. Methods: This was a descriptive study. A self-reported questionnaire was provided to 153 nurses in 210 long-term care hospitals on Jeju Island. Their knowledge, performance, and educational needs of infection control, data were analyzed using SAS Window(ver. 9.4), t-test, Wilcoxon rank-sum test, one-way ANOVA, Scheffe test, and Pearson's correlation coefficient. Results: Both knowledge (r=0.16, p=.042) and performance (r=0.52, p<.001) of infection control had positive correlations with the educational needs of the infection control. Conclusion: The higher the knowledge of infection control was, the higher the educational needs of the nurses were. However, knowledge of infection control did not correlate with performance of infection control. Therefore to increase the knowledge and performance of infection control, infection control education programs should suit the educational needs and the actual conditions of long-term care hospitals.

• 한국컴퓨터정보학회논문지
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• 제24권5호
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• pp.121-130
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• 2019

The purpose of this study was to explore the level of the moral distress for nurses working in long-term care hospitals or nursing homes, and identify factors that influence the moral distress. Data were collected through self-reported questionnaires including the Korean version of Moral Distress Scale-Revised (KMDS-R), Jefferson Empathy Scale for Health professionals (K-JSE-HP), Moral Sensitivity Questionnaire (K-MSQ), and the Hospital Ethical Climate Survey (HECS). A total of 194 nurses from 11 long-term care hospitals or 27 nursing homes completed the structured questionnaires. Data were analyzed using IBM SPSS Statistics version 25. As results, the mean score for moral distress was $73.81{\pm}51.29$ in this study. The moral distress of nurses working at nursing homes was higher than that of nurses working in long-term care hospitals. Among the sub-factors of moral distress, the 'futile care' was the highest score and the 'limit to claim the ethical issue' was the lowest. The main factor affecting moral distress among nurses in this study was the ethical climate of organization. In this paper, we propose that in order to effectively reduce the moral distress of nurses working in a long-term care hospital or a nursing home, it is more impactful to address structural issues related to the caregiver workplace than to adjust individual factors.

• 한국병원경영학회지
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• 제6권1호
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• pp.107-119
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• 2001

There has been pointed out that a great portion of hospitalized patients stay in hospitals longer than necessary, often even after the completion of necessary care. This causes that hospital resources are not used efficiently. In order to identify underlying forces in postponing inpatients' discharge, this study aimed to investigate reasons for long-term stay of patients admitted in general hospitals. A total of 135 patients, who were staying at 7 general hospitals in Inchon and Kyonggi-Do for more than 60 days, were surveyed with a self-administered questionnaire between April 3 and April 10, 2000. Medical reasons including incompleteness of necessary care, difficulty in receiving outpatient-based care, and being under physical therapy were the most significant factors associated with long-term stay, followed by the lack of familial resources to take care of patients after discharge. Financial problems such as inability to pay for hospital bills were not significant factors influencing long-term stay. Regression analyses were conducted for medical reasons, familial resources, and financial problems, respectively. It was shown that receiving physical therapy and the number of admission in the past were significant predictors for medical reasons. The lack of familial resources as a reason for long-term stay had a positive relationship with the degree of need for aid in daily living. It may be recommended for the hospitals to cope with administrative problems due to the patients' long-term stay, considering the reasons of it, and their characteristics. And also, institutional efforts like vitalizing the home care service systems by hospitals as the continuing care after discharge should be needed.

• 간호행정학회지
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• 제18권2호
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• pp.176-188
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• 2012

Purpose: The purpose of this study was to examine nurses' cognition of the diagnosis related group (DRG) in long-term care hospitals and changes in nursing care after application of the DRG system. Method: This study was a descriptive survey involving 161 nurses working in 12 long-term care hospitals located in Gwangju city and Chonnam area. Data were analyzed using the SPSS 18.0 version program. Data analyses utilized descriptive test, chi-square test, Fisher's exact probability test, t-test, and one-way ANOVA. Result: There was no change in cognition of DRG in 55.3% of the nurses, and 26.1% takes to 'change positively'. More than half of the respondents (57.8%) agreed to the application of DRG. After application of DRG, the nurses responded 'there were changes in nursing care' in 23 of the 25 care items. Two items had an increase in nursing care. Conclusions: No distinct changes in nursing care were evident after DRG application. Therefore, there is need to provide education programs related to DRG for nurse in long-term care hospitals.

• 한국직업건강간호학회지
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• 제24권4호
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• pp.290-301
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• 2015

Purpose: The purpose of this study was to identify the influencing factors on turnover intention of nurses in long-term care hospitals. Methods: Data were collected from 210 nurses in 11 long-term care hospitals in B city. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and Stepwise multiple regression. Results: Turnover intention was significantly correlated with emotional labor(r=.35, p<.001) and job involvement (r=-.38, p<.001). In a multiple regression, emotional labor (${\beta}=.31$, p<.001), age (${\beta}=-.27$, p<.001), job satisfaction (${\beta}=.24$, p<.001), job involvement (${\beta}=-.23$, p<.001), and number of patients assigned(${\beta}=.14$, p=.009) were associated with turnover intention. These factors attributed to 41.2% of the total variance in turnover intention. Conclusion: Considering the results of this study, proactive educational and/or human resource management interventions need to be developed especially for those younger nurses in order to reduce emotional labor as well as to promote job satisfaction and job involvement of nurses in long-term care hospitals.

• 디지털융복합연구
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• 제20권5호
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• pp.661-669
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• 2022

본 연구는 종합병원, 요양병원, 한방병원 이용자의 선택요인과 고객만족, 재이용의도에 미치는 영향을 비교 분석하였다. 본 연구는 2019년 11월 1일부터 2020년 4월 30일까지 4개 종합병원, 6개 요양병원, 3개 한방병원을 대상으로 설문조사를 실시하였다. 종합병원, 요양병원, 한방병원은 인적 요인, 효율성 요인이 고객만족에 양(+)의 영향력이 있었다. 요양병원은 소득이 높을수록 고객만족도가 높았으며, 효율적 요인이 재이용의도에 양(+)의 영향력이 있었다. 한방병원은 대외이미지 요인이 고객만족과 재이용의도에 중요한 요인이었다. 이러한 연구결과를 바탕으로 경쟁 시대에 접어든 병원들이 고객만족도와 재이용의도를 높이고 효율적 경영을 위한 유용한 자료가 될 것을 기대된다.

• 한국산학기술학회논문지
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• 제20권2호
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• pp.250-258
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• 2019

본 연구의 목적은 일 지역에 위치한 요양병원 간호사들의 근무환경과 관련된 실태를 알아보는 것으로 본 연구의 결과를 통해 요양병원 간호사의 근무환경 개선에 도움이 되고자 한다. 이를 위해 서술적 조사연구가 시행되었다. 현재 광주지역에 위치한 요양병원에서 근무하는 일반 간호사와 수간호사 이상의 간호관리자 포함 179명의 대상자가 임의 표출되었다. 자료수집은 2015년 7월부터 12월까지였다. 구조화된 설문지가 연구 도구로 사용되었고, 이 설문지에는 대상자의 일반적 특성과 병원관련 특성 및 근무환경 특성이 포함되었다. 모든 자료분석은 SPSS 22.0 version을 이용하여 수행되었다. 본 연구결과, 대상자의 73.2%가 개인에 의해 설립된 요양병원에서 근무하고 있었다. 대다수의 대상자들이 요양병원 인증평가를 받았다고 응답하였다. 대상자들이 근무하는 병동 내 간호사 대 간호조무사의 비율은 1:2인 경우가 많았다. 요양병원 간호사들이 한달 동안 받는 평균 휴가 수는 8일이 가장 많았고, 간호사의 평균 연봉은 2,500~3.000만 원이었다. 본 연구의 결과를 근거로 볼 때, 요양병원 간호사에 대한 근무환경은 좋다고 할 수 없는 상황이었다. 따라서 이러한 요양병원의 근무환경에 대해 간호사들이 어떻게 인지하고 있는지를 좀 더 심층적으로 살펴보는 질적연구를 제안한다.

• 한국병원경영학회지
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• 제13권2호
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• pp.64-85
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• 2008

This study purports to investigate the determinant of job satisfaction among workers working at Long-term care hospitals. The independent variables contain three groups of determinants: organizational characteristics variables(job autonomy, job variety, distributive justice, role conflict, supervisor support, job suitability, job significance, job security, organizational support, job growth, promotional opportunity), environmental variables(job opportunity), and psychological variables (met expectation, job efficacy, positive affectivity, and negative affectivity). The sample used in this study consisted of 250 workers from 4 Long-term care hospitals nationwide. Data were collected with self-administered questionnaires and analyzed using multiple regression analysis. The results of the study are as follows: 1) the following variables, listed in order of size, have significant effects on job satisfaction: negative affectivity(-), job significance(+), job growth(+), age(+), positive affectivity(+), organizational support(+), job opportunity(-). 2) the variance of job satisfaction explained by the variables used in the study are 53.8%. When demographic variables added to Model I, job satisfaction explained by variables are 55.4%. 3) the results of this study indicate that three variables of negative affectivity, job significance, job growth are especially important for improving the level of job satisfaction among workers at Long-term care hospitals.

• 성인간호학회지
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• 제29권3호
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• pp.290-301
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• 2017

Purpose: This study was aimed to identify the level of emotional labor, job stress and professional quality of life and to identify the factors affecting on professional quality of life among nurses in long-term care hospitals. Methods: 136 nurses working at eight different long-term care hospitals were recruited from May 1 to June 30, 2016. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression using SPSS/WIN 22.0. Results: Professional quality of life is consisted of three subcategories as compassion satisfaction, secondary traumatic stress and burn-out. As for the factors affecting on compassion satisfaction, age, satisfaction on working ward and shift pattern of duties were significant factors. The three variables' explanation power on compassion satisfaction was 25.0%. As for factors affecting on secondary traumatic stress, emotional labor was a significant factor. The emotional labor's explanation power on secondary traumatic stress was 13.0%. Factors affecting on burn-out, emotional labor, age, and health condition were significant factors. The three variables' explanation power on burnout is 31.0%. Conclusion: On the basis of results, program development are required to relieve emotional labor and job stress for nurses at long-term care hospitals and to improve their professional quality of life.

• 보건행정학회지
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• 제32권2호
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• pp.173-179
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• 2022

Background: This study aimed to identify patterns of elderly patients who transferred from long-term care hospitals to emergency rooms and provide the evidence of emergency medical systems to prepare for a super-aged society. Methods: The data source was the National Emergency Department Information System database from January 2014 to December 2019 in Korea. We performed a cross-sectional study among elderly patients (≥65 years) who transferred from a long-term care hospital to an emergency room. Trend analysis was conducted by year. Results: We identified 225,765 elderly patients who were transferred from long-term care hospitals to emergency rooms between January 1, 2014 and December 31, 2019. The proportion of the study population and their mean age were recently increased (p<0.001, respectively). The proportion of elderly patients being re-transferred (p=0.049) and the patients re-transferred to long-term care hospitals is significantly increased (p=0.005). Conclusion: The establishment of efficient emergency medical services for an aging society is important. It is necessary to develop a healthcare network with the government, long-term care hospitals, and medical institutions in the community suitable for preventing disease deterioration.