• 중환자간호학회지
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• 제14권3호
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• pp.87-98
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• 2021

Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.

• 지역사회간호학회지
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• 제22권2호
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• pp.184-191
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• 2011

Purpose: The purpose of this study was to compare health management and leisure activities of the Korean and Japanese elderly. Methods: This study used a cross-sectional descriptive research design. A total of 149 Korean and 140 Japanese older adults living in two urban-rural composite areas participated in this research project. Data were collected using interviews with the participants. t-test and $x^2$ test were used to analyze the data. Results: Eighty eight point two percent of the Japanese perceived that their health status was good whereas 27.3% of the Koreans responded that their health status was poor. There were significant differences in types of leisure activities in art, intellectual, events, and volunteer activities between the two groups. A majority of the Japanese elderly replied that they spent some time and money for leisure activities; however, 20.2% and 27.2% of the Koreans reported that they did not spend time or money at all for leisure activities. Conclusion: The number of the Korean elderly participating leisure activities was significantly lower than Japanese participants. Developing nursing strategies using leisure programs would improve the quality of life of older adults and the quality of nursing care.

• 성인간호학회지
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• 제18권5호
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• pp.819-827
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• 2006

Purposes: The purpose of this study was to evaluate the extent of performance on activities in critical pathway (CP) according to eight domains and six admission days on nursing records of patients who received total hip replacement surgery. Methods: We reviewed 90 nursing records of patients who received total hip replacement surgery from June, 2004 to July, 2005 at C University Hospital. Data were collected using Hong's CP (2002) and were analyzed using ANOVA. Results: The domain of diet was valued the highest in CP performance scoring, followed by the domains of assessment, activities, and test. There were differences in the performance scores according to the period of admission in all of the domains. Among 132 activities in the CP, 18 activities were completely performed, of which most included activities belonging to the domain of assessment on the admission day. Twelve activities were never performed, of which most included activities belonging to the domain of treatment on the day of operation and the first day after operation. Conclusions: Therefore, further studies on the development of a new system to increase CP utilization and on updating the contents of CP from the best practice based on evidence is recommended.

• 대한간호학회지
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• 제34권8호
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• pp.1443-1450
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• 2004

The involvement of health-care professionals in tobacco-control activities is essential to prevent smoking-related morbidity and mortality. The purposes of this predictive correlational study were to examine tobacco-control activities and to identify the predictors of such activities of community health practitioners (CHPs). Of the 1,813 members of the Korean Association of CHP, 1,247 participated in this study. A mailed survey was conducted to collect data. The majority of CHPs supported tobacco-control policies and recognized tobacco-control activities as an important role for them. Only $44.3\%$ of CHPs were confident in their knowledge and skills regarding tobacco-control activities, and only $30.8\%$ had received professional tobacco-control education. While the majority of the CHPs 'asked, advised, and assessed' their clients, only a small number 'assisted or arranged'. The tobacco-control activities of CHPs were predicted by their attitude toward it, age, experience of tobacco-control education, educational level, and general perception of the risk of smoking; these variables accounted $13.5\%$ of variance in the tobacco-control activities of CHPs. These findings provide the basis for developing a continuing education program for CHPs. CHPs should be encouraged to integrate tobacco-control activities into their routine practice, and CHP education programs should be adjusted to increase the time spent on the tobacco-control intervention techniques.

• 대한간호학회지
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• 제17권1호
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• pp.9-23
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• 1987

Nursing service, as the largest user of labor resources, has become concerned about appropriate allocation of staffing resources. Therefore, this project was designed to measure quantitatively the direct nursing care provided to patients and to develop a new patient classification system based on the direct nursing care activities. The initial step in the development of the classification instrument was to identify the content of direct nursing activities. The frequency with which these activities were carried out, the total time spent in carrying them out and the average time for one performance of each of the nursing activities was calculated. The next step was to select the items for the classification instrument taking into account these direct nursing activities. A list of 40 items was prepared. These items were then classified into 8 major categories: personal hygiene, moving ＆ exercise, nutrition & elimination, observation, medication, treatment, collecting specimens and other care activities for severity ill patients. Each item was assigned a value unit based on the average time required by the nursing staff to complete the specific item. The third step was to determine the practicality of the items and value units, so an attempt was made to establish content validity for these items and units by obtaing a consensus from 8 head nurses, representing eight different departments. The 4th step was to conducted a pilot study to establish the score range for the classification boundaries. For this purpose an instrument was designed using the list of items and value units and a prepared classification criteria as a guideline to validate the patient classification. A judgment group consisting of 52 supervisory nurses and head nurses were asked to select the proper patient to fit each classification criteria and to fill out the instrument for each patient. The total value unit and the frequency for each classification group was calculated. According to the frequency distribution, the score range for the classification group was determined as follows : 0~15 for groupI, 16~30 for group II, 31~50 for group III, and above 51 for group IV. Finally a patient classification form was developed.

• 간호행정학회지
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• 제6권3호
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• pp.421-429
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• 2000

Two nurses' assications were organized in Korea during Japanese colonial period One was Choseon Ganhoboohoi(朝餘看護續會, the Korean Nurses' Association)started in 1923 and the other was Choseon Ganhoboohoiphoi started in 1924. Two nursing associations were very different in their members and activities. Choseon Ganhoboohoi was organized and lead by Western missionary nurses in Korea and their Korean pupil nurses. The aim of Choseon Ganhoboohoi was to become a member of ICN. Choseon Ganhoboohoi united with the Western Graduate nurses' Association in Korea, tried to raise the standard of nursing education, and became a branch of Japan Imperial Nurses' Association. All was to become a member of ICN. It continued 15 years and was quite active. But after the half of 1930s Japan's ruling policy became more and more suppressive and western missionaries were expelled from Korea so it could not but discontinue it's activities. Choseon Ganhoboohoiphoi(朝鮮觸護續協會) was organized and lead by Korean nurses. The aim of it was to do the role of nurses by social activities. So it tried health education for the public, It continued only about 2 years, But the leaders of Choseon Ganhoboohoiphoi moved to women's liberation movement and Korean liberation movement and tried to solve the problems of colonized women. The organizations and activities of Choseon Ganhoboohoi and Choseon Ganhoboohoi were two trends to develop Korean nursing during Japaneses Colonial period. The former asked for international cognizance by the raise of nursing standard, and the latter asked for national cognizance by social activities. Although two nurses' associations were different in their ways but quite same in the aspect that both tried for the development of nursing in Korea. But the colonial situation prevented them from continuing their activities. This means that the colonial situation of national level influenced deeply on the development of nursing profession.

• 간호행정학회지
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• 제8권1호
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• pp.17-29
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• 2002

The purpose of this study was to examine the application of the Activity-based Costing(ABC) system to analyze the cost of nursing services in the delivery room in a major medical center.The results of this study are as follows;1. In order to calculate the cost of nursing activities, 67 activities of staff nurses on a delivery room were identified and classified as direct nursing activities(45.2%), the indirect activities(32.1%), general management activities(13.9%) and others(8.8%).2. Nursing cost in the delivery room was classified into activity cost(29.9%) and common cost(70.1%). Activity cost involved direct activity cost of staff nurses. The common costs were categorized into indirect activity & general management cost of staff nurses, management cost of the head nurse and activity cost of assistants.3. The final cost objects of nursing services in the delivery room were nursing service for women who had normal vaginal deliveries and nursing service for women who had preterm labor.The total cost of nursing service for a woman who had a normal vaginal delivery was 165,710 won (100.0%). The cost incurred through direct activity cost of staff nurses(58,242 won, 35.1%), indirect activity & general management cost of staff nurses (55,643 won, 33.6%), management cost of head nurse (16,211 won, 9.8%), activity cost of assistants (35,614 won, 21.5%).If the number of days of hospitalization was presumed to be 14 days, the total cost of nursing service for woman who had preterm labor would be 1,845,901 won (100.0%). The cost incurred by direct activity cost of staff nurses in the activity cost (341,349 won, 18.5%), indirect activity & general management cost of staff nurses in the common cost(779,002 won, 42.2%), management cost of head nurse(226,954won, 12.3%), activity cost of assistants in the common cost(498,596 won, 27.0%).In this study, the cost of the nursing services in the delivery room was calculated based on the ABC system. The results of this study showed that resources are assigned to the nursing activities in the delivery room and the mechanisms for assigning the cost of activities for nursing services.

• 한국콘텐츠학회논문지
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• 제19권7호
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• pp.444-455
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• 2019

본 연구는 간호 간병 통합서비스 병동에 근무하는 간호사의 직무 스트레스, 안전통제감과 환자안전관리 활동의 관련성을 파악하고, 직무 스트레스가 안전통제감과 환자안전관리 활동에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 2019년 3월 11일부터 4월 17일까지 4개 종합병원의 간호 간병 통합서비스 병동에 1년 이상 근무한 간호사 137명을 연구대상으로 하였다. 연구결과 직무 스트레스는 안전통제감, 환자안전관리 활동과 유의한 부적 상관관계가 있는 것으로 나타났으며, 직무 스트레스는 안전통제감과 환자안전관리 활동에 부정적인 영향을 미치는 것으로 나타났다. 본 연구결과를 토대로 간호 간병 통합서비스 병동 간호사의 안전통제감과 환자안전관리 활동을 증진시키기 위해 직무 스트레스를 감소시키기 위한 근무환경 개선이 요구되며, 간호 간병 통합서비스 병동 간호사의 직무 스트레스 관리를 위한 다양한 프로그램 개발이 필요할 것으로 생각된다.

• 간호행정학회지
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• 제7권1호
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• pp.15-23
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• 2001

This study was a methodological research to develop computerized patient classification system. The subjects of this investigation were 435 inpatients except redundant data and outliers in P University Hospital from January 18, 2000 to January 24, 2000. The data was analyzed by discrimination analysis and adopted discriminant variables were 1) sum of frequency for the nursing activities, 2) the number of nursing activities that do not need to consider intensity of the activities, and 3) total hours of nursing activities that need to consider their intensities. Discriminant function developed by this study classified the patients into 4 groups; class I, 251 ; class II, 125 ; class III, 39 ; class IV, 20. The Hit ratio was 89.23. Based on this study, following suggestions can be made for the future research 1. Inclusive patient classification system, which includes more expanded direct nursing care factors, need to be developed and examined. 2. This developed classification system can be utilized to evaluate patient distribution and to estimate adequate numbers of nursing staffs in each nursing unit.

• 대한간호학회지
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• 제23권2호
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• pp.284-298
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• 1993

This study was carried out to compare perceptions about nursing activities in oriental medical hospital settings. Data were collected from 47 patients hospitalized in an oriental medical hospital, and 41 nurses and 47 oriental medical doctors working in four oriental medical hospitals from July 10th to Sept.20th, 1991. The findings of this study are as follows. 1. There were significant differences in the perceptions about physical nursing activities between patients ( M=44.07) and nurses (M=48.44) (t=-3.09. p=0.003) , and between nurses and oriental medical doctors (M=41.47) (t=-5,20. p=0.000). 2. There were no differences in perceptions about psychological and emotional nursing activities between patients ( M=27.64) and nurses (M=28.52) (t=-1.02, p=0.310), but there were differences between nurses and oriental medical doctors ( M=24. 31) (t=-5.31, p=0.000). 3. There were differences in perceptions about observation, recording and implemention of medical care activities between patients (M=53.65) and nurses (M=57.08) (t=-2.15, p=0.034), but there were no differences between nurses and oriental medical doctors (M=57.28) (t=0.14, p=0.892). 4. There were no differences in perceptions about nursing management activities between patients (M=24.88) and nurses (M=26.42) (t=-1.91, p=0.059), but there were differences between nurses and oriental medical doctors (M=24.25) (t=-3.24, p=0.002).