• 제목/요약/키워드: nursing ethics

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병원간호사의 직무 스트레스, 윤리적 딜레마 및 소진이 이직의도에 미치는 영향 (Influences of Occupational Stress, Ethical Dilemma, and Burnout on Turnover Intention in Hospital Nurses)

  • 최명이;소향숙;고은
    • 기본간호학회지
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    • 제26권1호
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    • pp.42-51
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    • 2019
  • Purpose: The aim of this research was to identify the relationships between occupational stress, ethical dilemma, burnout and turnover intention and the factors influencing turnover intention in hospital nurses. Methods: The participants, 215 nurses, were recruited from two university hospitals located in two provinces of Korea. Data were collected through self-report questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression with SPSS/WIN 22.0. Results: Participants' scores for occupational stress, ethical dilemma, burnout and turnover intention were $3.96{\pm}0.45$, $2.60{\pm}0.39$, $3.71{\pm}0.70$, and $3.50{\pm}0.90$ respectively. The results show that the higher the score for occupational stress, ethical dilemma, and burnout the higher the score for turnover intention. The most important factor influencing turnover intention was burnout (${\beta}=.42$, p<.001), followed by position (${\beta}=.21$, p=.001), educational level (${\beta}=.21$, p=.007), ethical dilemma (${\beta}=.13$, p=.020) in that order. These factors explained 43.5% of total variance in turnover intention (F=19.34, p<.001). Conclusion: Changes in hospital structural management systems and support strategies should be developed and operated, taking into account burnout, ethical dilemma, and personal characteristics of clinical nurses in order to reduce turnover.

재활 전문간호사 교육과정안 개발연구 (Development of a Curriculum for Rehabilitation Nurse Specialist Program)

  • 강현숙;서연옥;이명화;김정화;임난영;서문자;이정자;박인주;조복희;김인자;소희영;송충숙;이성숙;황옥남;박상연;유양숙
    • 재활간호학회지
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    • 제4권2호
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    • pp.179-186
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    • 2001
  • The purpose of this study is to develop a systematic and efficient curriculum for the rehabilitation nurse specialist program. This research was carried out as a group work of 15 experts in order to share various opinions about the curriculum, and also through literature review. Articles, curriculums of other Clinical Nurse Specialist Programs, medical laws guidelines, as well as Clinical Nurse Specialist Program from the Korean Nurses Association were reviewed, and the issue was discussed throughly via group meetings. The developed curriculum is as follows: 1. Educational philosophy lies in the fact that the rehabilitation nurses support the patients to maximize their potential and functional level, so that they could maintain healthy state and re-adapt to changed environment. Furthermore the rehabilitation nurses are disposed of arbitrary decision power under their own responsibility, thus they take charge of welfare and healthy environment of the local society through the patients(subjects) and local resources. 2. Educational goals are to train rehabilitation nurse specialist, who correspond to the social needs, so to say, those who have the knowledge and skills for nursing practice, education and research. 3. The curriculum consists of 37 credits, of which 24 credits are based on lectures and 13 credits based on clinical practice. General courses are 3 subjects (5 credits) ; nursing theory, nursing research, and laws/ethics. Mandatry courses are 8 subjects with 19 credits; advanced physical assessment, pharmacology, pathophysiology, issues in rehabilitation nursing, advanced rehabilitation nursing intervention I, advanced rehabilitation nursing intervention II, sports physiology, special rehabilitation nursing intervention. As for the clinical practice courses, assessment and evaluation for rehabilitation(64 hours), community and home based rehabilitation nursing(128 hours), hospital based rehabilitation nursing(128 hours), institution based rehabilitation nursing(96 hours) would be treated. 4. Contents of the curses were developed to correspond with the courses' objectives and specific items. 5. Evaluation would be carried out both in the lecture and in the clinical practice. The knowledge and skills of the students would be measured to ensure full validity and credibility. However this developed curriculum should be continuously modified and updated in more desirable direction.

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근관절건강학회지 게재 논문 분석: 2008년부터 2020년까지 (Analysis of Published Research in the Journal of Muscle and Joint Health from 2008 to 2020)

  • 박미성;이경숙;신계영;우수희;임경춘;최희정;진수지;박연환
    • 근관절건강학회지
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    • 제29권1호
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    • pp.69-80
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    • 2022
  • Purpose: To identify research trends in the Journal of Muscle and Joint Health. Methods: In total, 315 studies published between 2008 and 2020 in the Journal of Muscle and Joint Health were reviewed using analysis criteria developed by the authors Results: Most participants were adults or older adults, they mostly had arthritis. The types of research design were descriptive research (46.4%), quasi-experimental design (21.9%), randomized controlled trial (1.9%), and qualitative research (4.1%). The occupation of most authors was professor in universities (61.0%). Data were collected mostly in hospitals (41.6%) or communities (24.4%) using a questionnaire (52.4%). Written consent was obtained at 75.6% and 47.9% of studies were approved by the Institutional Review Board (IRB). The instruments measuring physical concepts such as pain, flexibility, sense of balance and fatigue were mostly used. The most common interventions in experimental studies were physical interventions, with the main being exercise. Key words were categorized into four nursing meta-paradigms: human, health, environment and nursing. The most frequently reported key words were included in the health domain. The most frequently used key words were physical intervention, older patient, osteoarthritis, pain and depression. Conclusion: The results suggest that more research studies targeting various age groups related to muscle and joint health are required. Additionally there is a need to increase the number of qualitative studies, randomized experimental studies, and systematic review studies. It is necessary to pay attention to compliance with research ethics publication regulations.

병원간호사의 정보활용능력과 개인정보보호에 대한 인식이 윤리적 가치관에 미치는 영향 (Influence of Information Literacy and Perception of Patient Data Privacy on Ethical Values among Hospital Clinical Nurses)

  • 서형은;두은영;최수진;김미영
    • 간호행정학회지
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    • 제23권1호
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    • pp.52-62
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    • 2017
  • Purpose: The aim of this study was to elucidate clinical nurses' ethics germane to information literacy and perception of patient data privacy and thus help nurses to develop more positive and consolidated ethical values. Methods: For this study a descriptive survey design was used. Participants were 142 nurses who worked in a hospital and completed self-report questionnaires. Data were collected from August 1 to 5, 2016 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficients, and stepwise multiple regression with SPSS 22.0. Results: Ethical value had a positive correlation with information needs (r=.25, p=.002) in information literacy as well as in direct patient care (r=.27, p=.001), shift work (r=.20, p=.016), patient information management (r=.39, p<.001), and communication (r=.24, p=.004) in perception of patient data privacy. Patient information management, educational background, and age were significant variables predicting the level of ethical values and accounted for 21% of the variance. Conclusion: Ethical values education with particular emphasize on managing patient information should be encouraged for nurses who are younger and have a lower education level. Findings indicate a need for education programs to guide clinical nurses to utilize appropriate information when solving ethical challenges in every day nursing practice.

Responsibilities and Difficulties of Caregivers of Cancer Patients in Home Care

  • Ugur, Ozlem;Elcigil, Ayfer;Arslan, Deniz;Sonmez, Ayfer
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.725-729
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    • 2014
  • Background: Having been known as a virulent disease in 1970s, cancer is now onsidered a chronic disease and 64% of cancer patients live for five years after diagnosis. Home care has gradually gained more importance and it is a great burden on the shoulders of caregivers. Caregivers have to undertake the responsibility of the cancer patient's home management, and organize care and arrange health care services according to the ever-changing condition of patients. Caregivers should be prepared for home care so they can provide accurate and complete care to patients. This descriptive study aims to investigate challenges that caregivers encounter in the home care of patients and the reasons for these challenges. Materials and Methods: The research group consisted of caregivers of outpatients in a daily treatment center in a university hospital. The research sampling consisted of 137 voluntary caregivers of patients who attended the Daily Treatment Center for control, chemotherapy or other supportive cares services between January-June, 2011. Data were collected with face-to-face interviews in the Daily Treatment Center. Ethics Committee approval was taken university hospital; caregivers and their patients were informed about the research and their approval was taken as well. Results: It was found that 54.01% of caregivers help patient's nutrition, 50.36% help medicine use, 26.28% help oral hygiene, 26.28% help to meet urinary needs and 51.82% help to change clothes, 69.34% of caregivers help to change bed sheets, 38.69% help the patient to communicate with their environment and 71.53% help to bring the patient to hospital or outside. Conclusions: This study, it was found that caregivers experience challenges due to following factors: patient nutrition, medicine use, oral and body hygiene, colostomy maintenance and stomach tube feeding, concern of dropping the patient, feeling incompetency in body temperature and fever control, fatigue, and lack of personal time.

한국 조산원 개원실태 및 조산직무지침 개발 (Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline)

  • 송지영;박영주
    • 대한간호학회지
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    • 제50권4호
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    • pp.583-598
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    • 2020
  • Purpose: This study was to investigate the operational status of the midwifery birthing centers (MBCs) and midwives' job status (Phase 1) and to develop midwifery practice guidelines (MPG) (Phase 2) in Korea. Methods: In the first phase, the subjects were 15 midwives who operated 11 of 14 MBCs that were opened as of August 2018. The questionnaire consisted of items to measure the operational status of the MBC and midwives' job status. In the second phase, the MPG was developed from literature review, interviews with five midwives opening their MBCs, surveys with 74 midwives, and a validity evaluation conducted by seven experts. Results: The distribution of operating MBCs was five in Gyunggi-do, two each in Seoul and Incheon, one each in Busan, Chungcheongbuk-do, Gyeongsangbuk-do, Gyeongsangnam-do and Jeju-do. The mean age of midwives was 54.3 and all were female. In 2017, a total of 762 births including 81 homebirths were performed by midwives. The job performance was highest in the order of neonatal care 3.81, childbirth care 3.56, and postpartal care 3.53, respectively. The MPG included seven areas of prenatal care, childbirth care, postpartal care, neonatal care, primary health care, law/ethics, and administration, with 56 tasks and 166 task elements. Conclusion: This study provides the valid basic data for the operational status of the MBC and the midwives' job status. The MPG describes the midwife's job and may be used as basic data for preparing policies for the development of midwifery practice in Korea.

요양병원 간호사의 윤리적 딜레마와 전문직업성 (Ethical Dilemma and Professionalism of Long-term Care Hospital Nurses)

  • 최은영
    • 문화기술의 융합
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    • 제4권1호
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    • pp.153-163
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    • 2018
  • 본 연구는 요양병원에 근무하는 간호사들을 대상으로 윤리적 딜레마와 전문직업성 정도를 파악하여 윤리적 딜레마를 해결하기 위한 방안과 전문직으로서의 성장을 통한 질적인 간호를 제공하기 위한 자료를 마련하고자 시도하였다. 연구대상자는 14곳의 요양병원에 재직 중인 간호사 210명을 대상으로 하였고, 자료분석은 SPSS/WIN 24.0 프로그램을 이용하여 통계처리 하였다. 본 연구결과 요양병원 간호사의 윤리적 딜레마는 중간정도로 나타났고, 하위 영역 중 간호사와 대상자 영역이 가장 높았으며, 생명존중 및 건강의 권리 존중 영역이 낮게 나타났다. 대상자의 전문직업성은 중간정도로 나타났고, 소명의식 영역의 점수가 가장 낮은 것으로 나타났다. 요양병원 간호사들의 윤리적 딜레마 상황을 반영한 간호윤리 지침서를 개발하여 간호사들이 실무현장에서 겪게 되는 윤리적 딜레마상황에 대한 올바른 가치관을 심어주기를 제언한다. 또한 요양병원 간호사들의 전문직업성 교육을 계획할 때 간호직에 대한 신념과 가치관을 강조하여 소명의식을 높일 수 있는 전략이 필요하다.

환자 개인정보 보호에 대한 학생간호사의 지식과 인식의 연구 (A Study of Student Nurses' Knowledge and Awareness about Patients' Personal Information Protection)

  • 배윤조;이소영
    • 한국산학기술학회논문지
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    • 제17권1호
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    • pp.36-44
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    • 2016
  • 본 연구의 목적은 학생간호사의 환자 개인정보 보호에 대한 지식과 인식을 조사하여 일반적 특성 중 교육관련 부분에 따른 환자 개인정보 보호행위의 인식 차이를 파악하는 것이다. 연구대상은 경북의 2개 대학의 간호학과에 재학 중인 3, 4학년 187명이며, 2015년 5월 18일부터 6월 12일까지 설문조사하였다. 수집된 자료는 기술통계와 t-test, one-way ANOVA 분석과정을 거쳤다. 연구결과, 학생간호사의 환자 개인정보 보호에 대한 지식은 평균 3.85점(10점 만점)이고, 보호행위에 대한 인식은 3.15점(4점 척도)이었다. 연구결과, 개인정보보호법을 들어본 경험이 있는 학생간호사가 없는 자보다 환자 개인정보 보호행위에 대한 인식점수가 높았으며, 이 차이는 통계적으로 유의하였다. 또한 정보관련 교육 경험자가 받은 경험이 없는 자보다 통계적으로 유의하지는 않았으나, 환자 개인정보 보호행위에 대한 인식의 평균점수가 더 높았다. 이는 인식을 향상시키기 위해 교육경험이 효과적임을 나타낸다. 현재의 분석 결과처럼, 학생간호사들에게 환자 개인정보보호에 대한 윤리의식 강화를 포함한 정보보호 교육이 체계적으로 제공되어야 함을 시사한다.

일 종합전문요양기관 간호사의 핵심역량 도출 및 근무지 특성별 중요도 인식 비교 (Defining the Core Competencies of the Nurses in A Tertiary Hospital and Comparing Different Units based on Their Respective Characteristics)

  • 성영희;정정희
    • 간호행정학회지
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    • 제12권1호
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    • pp.76-93
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    • 2006
  • Purpose: The purpose of this study was to define the core components required of nurses to provide quality nursing care to patients and analyze the significance of these components in the hospital's various units to maintain a high level of competence among nurses. Method: The study evaluated 3 categories included 35 subcategories with 148 core components that were derived from literature review and interviews of nursing professionals. The nursing professional category included 18 subcategories with 98 components, the organizational culture category included 4 subcategories with 16 components, and the temperament-attitude category included 13 subcategories with 34 components. The study included 335 nurses with more than one year of hospital experience and measured disparities among different hospital units. The data was analyzed with SPSS-Win 10.0, differing perceptions of the importance of general traits among the participants were measured using standard deviation, and differing perceptions of the importance of professional traits among the participants were assessed using ANOVA and subsequently with the Bonferroni Test. The reliability of the aforementioned research tools were evaluated using the Cronbach's ${\alpha}$. Result: The results of the study were as follows: 1. Among the three categories, temperament-attitude category was perceived to be the most important, followed by nursing professional category and organizational culture category. Among the ten most important subcategories within the three categories, safety and infection prevention as well as responsibility were perceived to be the most important, followed by promotion of physiologic adaptation, document management and presentation, self-control, ethics, observance law, coping with emergency, humanity, and medication. 2. The relative importance of category associated with the core competencies within the hospital unit were as follows : 1) The units that rated nursing professional category as being the most significant were: internal medicine, surgical unit, mother-child unit, emergency room, intensive care unit, and operating room, in that order. 2) The units that rated the organizational culture competencies as being the most significant were: mother-child unit, internal medicine, surgical unit, emergency room, operating room, and intensive care unit, in that order. 3) The units that rated temperament-attitude category as being the most significant were: internal medicine, surgical unit, emergency room, mother-child unit, operating room, and intensive care unit, in that order.

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Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients

  • Na-Ri, Seo;Hyun-E, Yeom
    • Journal of Hospice and Palliative Care
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    • 제25권4호
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    • pp.159-168
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    • 2022
  • Purpose: This study aimed to investigate the impacts of end-of-life care competency and ethical dilemmas on psychological burnout in nurses who care for terminal cancer patients. Methods: A cross-sectional study of 160 nurses who cared for terminal cancer patients was conducted. The participants were recruited from the hospice-palliative care wards, hematology or oncology wards, or intensive care units of three general hospitals in a single metropolitan area. Data were collected using a self-administered survey to assess end-oflife care competency, ethical dilemmas, psychological burnout, and general sociodemographic characteristics. Data were analyzed using descriptive statistics, the independent ttest, analysis of variance, Pearson correlation coefficients, and hierarchical linear regression analysis using SPSS for Windows (version 26.0). Results: Psychological burnout was significantly correlated with end-of-life care competency (r=-0.23, P=0.003) but not with ethical dilemmas. The results of the hierarchical linear regression analysis indicated that endof-life care competency (β=-0.280, P=0.010) and ethical dilemmas (β=0.275, P=0.037) were significant predictors of psychological burnout, after adjusting for age, religious status, clinical experience, and unit type. Conclusion: The current study's findings demonstrate that end-of-life care competency and ethical dilemmas are crucial factors that affect psychological burnout in nurses who care for terminal cancer patients. Substantive education programs must be developed to improve nurses' competencies in end-of-life care and ethical dilemmas to decrease psychological burnout.