• 제목/요약/키워드: professional care

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중환자실 간호사의 전문직자율성, 의사소통만족도, 회복탄력성이 직무만족도에 미치는 영향 (Effect of Professional Autonomy, Communication Satisfaction, and Resilience on the Job Satisfaction of Intensive Care Unit Nurses)

  • 박은진;이윤미
    • 중환자간호학회지
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    • 제11권2호
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    • pp.63-74
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    • 2018
  • Purpose : This study aimed to identify the factors influencing job satisfaction in intensive care unit (ICU) nurses. Method : Using a cross-sectional design, data collected from 145 ICU nurses working at two university hospitals with more than 1,200 beds located in B and Y city were analyzed. The instruments used for this study assessed autonomy, communication satisfaction, resilience, and job satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis. Results : Job satisfaction was significantly correlated with communication satisfaction (r=.60, p < .001) and resilience (r=.34, p < .001). Further, job satisfaction was influenced by communication satisfaction (${\beta}=.48$, p < .001), working at a surgery ICU (${\beta}=.21$, p =.008), and dissatisfaction with nursing (${\beta}=-.24$, p =.005). The explanatory power of this model was 44.7%. Conclusion : These results suggest the need for programs to improve communication satisfaction and nursing satisfaction.

제주도 지역 간호인력 현황 분석 (A Study on the Current Status of Nursing Personnel in Cheju Island)

  • 함은옥
    • 한국농촌간호학회지
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    • 제5권1호
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    • pp.25-32
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    • 2010
  • Purpose: The purpose of this study was to provide a fundamental data for improving nurses' working environment and securing quality of nursing care. Method: It was consisted of analyzing education system and employment status of nursing personnel, and focus group interviews in Cheju Island. Results: Total graduates were 4,139 by 2006 from two nursing schools in Cheju. Difficulties in working conditions from focal group interviews were classified into four categories; Lack of anonymity of nurses, the burden from performing nontraditional nursing roles due to shortage of physicians, irregularity of working schedule and too many night shifts for taking care of female colleague's condition related with pregnancy, and poor support for implementing and developing professional nursing. Conclusion: A survey revealing working condition of nursing personnel of all health care institutions in Cheju Island will provide the comparison between Cheju Island and other areas. It needs to cultivate the public opinion about the importance of quality of nursing care proceeded by the broad support for improving nurses' working environment. It is essential to support continuing education to bring professional nurses and establishing the system to utilize them to overcome the shortage of physicians in Cheju Island.

폭력을 경험한 중소병원 간호사의 전문직 삶의 질 구조모형 (A Structural Equation Model of Professional Quality of Life for Nurses Working in Small and Medium Hospitals Who Have Experienced Violence)

  • 강애정;전미양
    • 가정∙방문간호학회지
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    • 제27권1호
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    • pp.29-41
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    • 2020
  • Purpose: This study aimed to investigate the influence of post-traumatic stress on professional quality of life as mediated by cognitive emotion regulation among nurses working in small and medium hospitals who have experienced violence and to develop and test a structural equation model of that professional quality of life. Methods: Participants were 215 nurses who had experienced violence working in medium and small hospitals. They were surveyed using a structured questionnaire. Results: The final model was shown to have good fit with χ2 (2.83), GFI (.90), TLI (.90), and CIF (.90). Therefore, the model was selected as the final model, supporting 7 of the 11 hypotheses. Post-traumatic stress, adaptive emotional regulation, and maladaptive emotional regulation had significant impacts on empathy satisfaction (professional quality of life subscale) and empathy fatigue (subscale of professional life quality) among nurses who had experienced violence, and the explanatory power of these variables was 28.7% and 38.6%, respectively. Conclusion: In the development of nursing intervention programs to improve the professional quality of life of nurses who have experienced violence, factors such as post-traumatic stress and cognitive emotion regulation (adaptive and maladaptive) should be considered as they were identified in this study as influencing the professional quality of life of such nurses in medium and small hospitals.

간호대학생의 혐오민감성, 임상실습스트레스, 회복력이 전문직 자아개념에 미치는 영향 (Factors Influencing Disgust Sensitivity, Clinical Practice Stress, and Resilience in Professional Self-Concept among Nursing Students)

  • 조정희;조옥희
    • 가정∙방문간호학회지
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    • 제29권3호
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    • pp.301-309
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    • 2022
  • Purpose: This study aimed to identify factors affecting nursing students' professional self-concept. Methods: A survey was conducted from August to October 2022, targeting 110 students in the 3rd and 4th grades at three universities. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation, and multiple linear regression. Results: There were significant differences in professional self-concept according to application motivation (F=5.43, p=.006), school record (F=3.24, p=.043), major satisfaction (t=-6.38, p<.001), desired occupation (F=9.30, p<.001), participant health status (F=4.31, p=.016), character (F=25.29, p<.001), clinical practice satisfaction (t=-5.36, p<.001), and change of thinking about career path after clinical practice (t=2.78, p=.006). Professional self-concept showed significant correlations with clinical practice stress (r=-0.37, p<.001) and resilience (r=0.66, p<.001). The variables affecting nursing students' professional self-concept were resilience (β=.38, p<.001), character (β=.32, p<.001), major satisfaction (β=.28, p<.001), and clinical practice stress (β=-.18, p=.007); the explanatory power was 65%. Conclusion: A professional self-concept enhancement program should be developed to promote the establishment of a positive professional self-concept in nursing students. As a strategy, it should reflect individual personality tendencies, improve major satisfaction and resilience, and reduce clinical practice stress.

Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine

  • Chiasson, Mike;Kumar, Nanda
    • 한국IT서비스학회지
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    • 제15권1호
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    • pp.39-66
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    • 2016
  • There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.

전문가구강관리가 요양병원 장기입원환자들의 구강 내 Streptococcus mutans 수에 미치는 영향 (Effects of Professional Oral Care for Long-term Patients in Nursing Facilities on the Streptococcus mutans Population in the Intraoral Region)

  • 최성미;김기욱;사공준
    • 한국산학기술학회논문지
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    • 제15권8호
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    • pp.5062-5069
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    • 2014
  • 본 연구는 전문가구강관리가 요양병원 장기입원환자들의 구강내 Streptococcus mutans 수에 미치는 영향을 파악하기 위하여 D광역시에 소재한 일개 노인 요양병원 장기입원환자를 대상으로 2011년 7월 24일 부터 10월 25일 까지 3개월간 연구대상자 43명을 대상으로 주 2일, 1일 3회 치과위생사가 전문가구강관리를 제공하고 1개월 간격으로 3회에 걸쳐 타액분비량과 타액 내 mutans streptococci 집락 수를 세어 구강건강상태를 비교하였다. 연구결과 타액분비량은 관리 전 5.8 ml에서 1개월 후 6.4 ml, 2개월 후 7.5 ml로 증가하였고, 세균 수는 약 $6{\times}10^8CFU/ml$에서 2개월 후 약 $3{\times}105CFU/ml$로 20배 이상 감소하였다. 전신질환에 따른 구강관리 전후의 세균 수의 변화는 고혈압과 당뇨병이 있는 환자의 세균 수가 유의하게 감소하였다. 충전치아의 수와 고정성보철물의 수가 많을수록 세균 수는 유의하게 감소하였다. 전문가구강관리는 요양병원 장기입원 환자들의 구강내 Streptococcus mutans 수와 밀접한 관련이 있는 것으로 나타났다. 따라서 향후 요양병원 장기입원환자의 특성을 고려한 실질적이고 지속적인 구강관리가 이루어지도록 구강보건프로그램을 개발하는데 필요한 다양한 연구가 실시되어야 한다.

중환자실 간호사의 관계유대와 전문직 자율성이 조직몰입에 미치는 영향 (Effects of Relational Bonds and Professional Authority in the Organizational Commitment of Intensive Care Unit Nurses)

  • 이내영;김영순
    • 간호행정학회지
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    • 제23권2호
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    • pp.151-160
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    • 2017
  • Purpose: The aim of this study was to define the effects of relational bonds and professional authority in organizational commitment of Intensive Care Unit (ICU) nurses. Methods: A questionnaire was distributed to 200 ICU nurses working in 3 tertiary hospitals. The survey content included the Organizational Commitment Questionnaire (OCQ), Relational Bond Questionnaire (RBQ) and Schutzenhofer Professional Nurse Autonomy Scale (SPNA). Results: The score for OCQ was 2.59, for RBQ, 3.23, and for SPNA, 2.93. Organizational commitment was related to relational bonds (${\beta}=0.45$; p<.001; SE=0.08). These factors accounted for 21.6% of the variability in organizational commitment. Conclusion: Results indicate that ICU nurses' organizational commitment could be improved through increasing relational bonds and retaining experienced nurses which suggests a need to develop work systems designed to increase and maintain high relational bonds in ICU nurses.

의생활 변화에 따른 의류손질의 유형 (The Types of Clothing Care according to Change of Clothing)

  • 이일심;박기윤
    • 복식문화연구
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    • 제7권2호
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    • pp.257-274
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    • 1999
  • Clothing care has been changed with the times condition of clothing to social and economic background. Nowadays, it needs reasonable and saving clothing care for home economy under the IMF structure. Therefore, the purpose of this study is to find out development and proper type of clothing care at the present to change of clothing in the newspaper from 1910 to 1998. The development of clothing care can be divided five steps as clothing care in home, spare clothing care, clothing care in the professional shop, re-used clothing care, economic clothing care. This study classified types of clothing care to typical purpose from these five steps. Results were as follows; The types of clothing care are for long wearing, reduction of clothing expenses and domestic duties, new designed clothes from unused clothes, re-use preserving environment. The practice of reasonable and economic clothing care at the present is desirable for reference clothing care in the past.

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간호대학생의 전문직 자아개념과 간호사에 대한 이미지 (A Study on the Image of Nurses and the Professional Self-Concept Perceived by Nursing Students)

  • 이정애
    • 간호행정학회지
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    • 제10권3호
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    • pp.325-334
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    • 2004
  • Purpose: The purpose of this study was to identify the image of nurses and the professional self-concept perceived by nursing students. Method: The subjects included were 93 students. The research tool was the Professional Self-Concept of Nurses Instrument(PSCNI) by Arthur and Image of Nurses by Yang. Result: 1. The professional self-concept consisted of 4 factors : flexibility, satisfaction, competence, empathy. 2. The image of nurse consisted of 4 factors : official image, maternal image, professional image. unfavorable image. 3. The average item score of PSCNI was $2.94{\pm}30$. 4. The average item score of nurse' image was $3.63{\pm}46$ 5. The Professional self-concept of nurses(p=.0001) and image of nurses(p=.001) was found to significantly according to satisfaction for major. 6. The correlation between professional self-concept and image of nurses revealed correlation of r=.315(p=.004). Conclusion: There was a association between professional self concept of nurses, image of nurses and satisfaction for major. Therefore it is required to develop education program and strategy that helps establish satisfaction for major so that nursing students can experience firm professional self concept and positive image of nursing.

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어린이집 영아반교사(1~2세반)의 신체활동 실행과 지원요구 (Professional Practical of Physical Activities and Support Requests from Child Care Center Teachers of Infants Aged 1 to 2)

  • 이영심
    • 한국보육학회지
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    • 제19권2호
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    • pp.101-116
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    • 2019
  • 본 연구목적은 어린이집 1세와 2세반의 영아반 교사에 따라 나타난 신체활동 운영계획, 내용선정, 평가의 실행과 지원요구 차이를 분석하여 영아 발달수준에 적합한 신체활동 운영방안의 기초자료를 제공하는 것이다. 연구대상은 J도 어린이집 영아반 담임교사 221명이며, 51문항으로 구성된 설문지를 배포하여 수집된 자료는 ${\chi}^2$ 검증, 독립표본 t-검증 하였다. 연구결과 첫째, 신체활동 실행 변인 중에서 학급크기, 수업계획자, 적합한 지도자, 실외운동 주당수업 빈도와 수업시간, 연계교육 계획의 일부 변인, 신체활동 내용선정의 일부 변인, 신체활동 평가의 일부 변인에서 반별에 따라 유의한 차이가 나타났다. 둘째, 신체활동 실행 시 지원요구 변인 중에서 신체활동계획안 작성법, 교수학습방법, 평가방법, 신체표현활동프로그램, 보수교육운영 시 표준보육과정 신체운동영역의 일부 변인에서 반별에 따라 유의한 차이가 나타났다. 본 연구에서 논의된 1세반과 2세반에 적합한 신체활동 운영방안과 교사의 지원 요구를 개선시킬 수 있는 방안의 일환으로 효율적인 영아보수교육 운영에 대해서 제언도 하였다.