• 제목/요약/키워드: staff nurse

검색결과 310건 처리시간 0.026초

대학병원 종사자의 감염성 폐기물에 대한 지식, 태도 및 실천 (A University Hospital Employee's Knowledge, Attitude Toward, and Practice of Hospital Infectious Wastes)

  • 유혜숙;양인화;소향숙
    • 성인간호학회지
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    • 제21권1호
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    • pp.53-61
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    • 2009
  • Purpose: This study was to provide baseline data to arrange systematic management for the infectious waste. Methods: This data was collected by self-reported questionnaires from a total of 419 subjects, ie nurses, nurse's aides and laboratory technicians working at a university hospital located in G city. The collected data were analyzed by t-test or ANOVA, Tukey test, Pearson's correlation, and multiple regression analysis using SPSS/WIN 12.0. Results: The knowledge of the infectious waste was statistically significant in type of staff and level of education. Attitude was statistically significant in type of staff, age group, level of education, working period, and marital status. And also the practice of the subject was statistically significant in type of staff, age group, education level, the working periods, and marital status. There was positive association between attitude and practice(r=.63, ${\rho}$< 001). By means of multiple stepwise regression analysis, total variance explained by the attitude towards infectious wastes, single employee, and the working periods less than ten years was 44% of the practice of infectious wastes. Conclusion: An educational program focusing on strategy to change employee's attitude can be effective for building a well-organized management system.

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장기요양시설 노인에 대한 간호서비스 제공시간 분석 (Care Time of Elderly in Long-Term Care Facilities)

  • 김은경
    • 간호행정학회지
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    • 제9권3호
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    • pp.353-366
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    • 2003
  • Purpose: This study was to define the care time of elderly in long-term care facilities and to compare and analysis the care time by staff and facility types. Method: The data were collected from 530 elderly over sixty, residing in two long-term care hospitals for dementia, three long-term care hospitals for the elderly and two skilled nursing facilities. Care time for individual residents was measured the total time spent by nurses, aides. Result: The average care time measured by nursing staff was 158.6 minutes a day. The average care time for one resident by nurse was 40.4 minutes, and by aides, 118.2 minutes. The difference of the care time showed statistical significance between long-term care facility types(p<0.001) : average care time for dementia hospital(199.1min) was twice as long as that of skilled nursing facility(94.1min). Conclusion: The results of the study showed that the care time differentiates care time provided to elderly in long-term care facilities in Korea. The study suggests the need to emphasize the importance of standardization of level of staff and service programs by the long-term facilities.

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진료지원인력의 확대된 업무 수행을 위한 합법적이고 합리적인 해결 방안 (Legal and Practical Solutions for the Expanding the Roles of Medical Support Staff Nurses)

  • 최수정;김민영
    • 대한간호학회지
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    • 제54권3호
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    • pp.300-310
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    • 2024
  • Purpose: Medical support staff nurses have traditionally performed various supportive tasks for physicians, often extending beyond standard nursing roles. Despite these long-standing practices, there is a notable lack of official recognition and legal protection for these expanded responsibilities, leading to increasing legal concerns. Therefore, there is a need for proposing a rational solution to address these issues. Methods: The number of medical support staff nurses is rising, particularly as they fill gaps left by the 2024 resident physician strike. The study focuses on identifying potential challenges arising from this shift and developing strategic improvements to address these challenges effectively. Results: This study proposed legally expanding the scope of nursing duties and creating a robust system for training and certifying nurses to handle these responsibilities effectively, by integrating these roles within the advanced practice nurse (APN) framework. Conclusion: Integrating these roles within the framework of APN can offer a sustainable and legally sound solution to the ongoing healthcare crisis, ensuring patient safety and safeguarding healthcare workers' legal rights.

옹호개념에 관한 신생아실 간호사의 인지 내용 분석 (A Content Analysis of the Advocacy Concept Perceived by Nurses at Nursery Room)

  • 조갑출
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.13-26
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    • 1996
  • This descriptive study was done to detect the possibilities of the development of the advocacy concept in nursing. The subjects consisted of 3 nurses who had agreed to participate to the study, working at nursery room in a general hospital. Data was collected from May 22 to June 13 in 1995 through tape recorded intensive-interview, and written down, then content analyzed qualitatively related to the infant advocacy. 1. Derivation fo the meaning about advocacy concept 1) The situations in need of infant advocacy were 12 categories : malpractice, overcharing, negligence, unnecessary services, and services without consent, and so on. 2) Fourteen categories of advocacy activities percived by nurses were derived from participants' statements. Protesting infant or his /her families against their counterpart, providing informations to families, cooperating with medical staffs for her patient, then calling medical staff not so as to be maleficient to her patient in its rank. 3) The expected result of advocacy activities perceived by nurses was respectively positive to her patient or families, but negative to nurse. 4) The feelings of nurses in the sitution of advocacy were expressed in to concern, comprehension, regret, powerlessness, charity, desire, and so on. 5) Nurses perceived that advocacy activities could be influenced positively by factors related to nurses' qualification and negatively by factors related to doctor's overdo and nurse's underdo. 2. Categorization of the meaning and their relationships In case of antecedental situation in need of infant advocacy, nurse perceives her patients need the advocacy to get a benefit through nurse's information, intervention speaking, building cooperations. The expected factors to influence advocacy activities perceived by nurses, are the power imbalance between medical staffs, the nurse's qualification, and the nurse's feeling from the situation. The above results suggest that the infant care situation will be recommendable field work place for concept development of advocacy with hybride model when it involves infant's families.

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경영수지분석을 통한 종합병원의 간호관리료 차등지급제 개선방안 (A Proposal to Improve Nursing Fee Differentiation Policy for General Hospitals Using Profitability-Analysis in the National Health Insurance)

  • 김성재;김진현
    • 대한간호학회지
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    • 제42권3호
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    • pp.351-360
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    • 2012
  • Purpose: The purpose of this study was to propose optimal hospitalization fees for nurse staffing levels and to improve the current nursing fee policy. Methods: A break-even analysis was used to evaluate the impact of a nursing fee policy on hospital's financial performance. Variables considered included the number of beds, bed occupancy rate, annual total patient days, hospitalization fees for nurse staffing levels, the initial annual nurses' salary, and the ratio of overhead costs to nursing labor costs. Data were collected as secondary data from annual reports of the Hospital Nursing Association and national health insurance. Results: The hospitalization fees according to nurse staffing levels in general hospitals are required to sustain or decrease in grades 1, 2, 3, 4, and 7, and increase in grades 5 and 6. It is suggested that the range between grade 2 and 3 be sustained at the current level, the range between grade 4 and 5 be widen or merged into one, and the range between grade 6 and 7 be divided into several grades. Conclusion: Readjusting hospitalization fees for nurse staffing level will improve nurse-patient ratio and enhance the quality of nursing care in hospitals. Follow-up studies including tertiary hospitals and small hospitals are recommended.

시계열 자료를 이용한 병원 간호 인력의 변화 추이 및 병원 간호사 확보를 위한 정책의 효과 평가 (Trend analysis of the number of nurses and evaluation of nursing staffs expansion policy in Korean hospitals)

  • 박보현;이태진;박형근;김철웅;정백근;이상이
    • 보건행정학회지
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    • 제22권3호
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    • pp.297-314
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    • 2012
  • Purpose : The purpose of this study was to analyze the trend of the number of nursing staffs and skill mix and to assess the effectiveness of hospital nurse expansion policies in Korea. Methods : The trend of the number of nursing staffs and skill mix were analyzed using time series data, which composed of yearly series data from 1975 to 2009. The impact of hospital nurse expansion policies was estimated by autoregressive integrated moving average(ARIMA) intervention model. Results : The number of general hospital and hospital nurses per 100 beds was decreased in late 1980s and late 1990s due to rapid growth of beds. As a result of the number of nurse aids per 100 beds decreased, skill mix became high in general hospital but nurse ratio among hospital nursing staffs was about 50%. Expansion of new nurse and revised differentiated inpatient fee were only effective in expansion of hospital nursing staffs. But they had no effect in general hospitals. Conclusion : In Korea, a few policies related to expansion of hospital nurses have an effect on increasing the number of hospital nurse. Nevertheless, level of hospital nursing staffs is inferior to that of general hospital.

간호관리료차등제 등급별 입원 환자의 건강 결과 (Inpatient Outcomes by Nurse Staffing Grade in Korea)

  • 조수진;이한주;오주연;김진현
    • 보건행정학회지
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    • 제21권2호
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    • pp.195-212
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    • 2011
  • Objectives: This study investigates the relationship between nurse staffing levels and differences in patient outcomes in terms of average length of stay, in-hospital mortality rate and 30-day death rate in order to evaluate the effectiveness of a policy that differentiates fees for inpatients on the basis of nurse-to-bed ratios. Methods: We obtained information on inpatients from health insurance claims data published by the Health Insurance Review and Assessment Service(HIRA) in 2008, organizational factors(type of hospital, ownership) from the records of the hospital report system in 2008, and nurse staffing levels, which were graded on a scale of 1 to 7, from data compiled between December 15, 2007, and September 20, 2008. The data were segregated according to type of hospital and quarter and finally 3,517 records of 1,182 hospitals were analyzed using multi-level analysis. Results: The average length of stay in grade 1~6 hospitals was lower than that in grade 7 ones, but the difference was much below one day. No significant difference was found among different grades in tertiary hospitals. Further, variations in staffing levels did not result in any significant difference in the in-hospital mortality rate and 30-day death rate. Conclusions: High nurse staffing levels did not result in better patient outcomes compared with low staffing levels. We therefore recommend modifying the above nurse staffing policy so as to make it more effective in improving patient outcomes.

간호사의 상대적 권력과 대인갈등 (A Study on the Relationship between Nurses Relative Power and Interpersonal Conflicts)

  • 이명옥
    • 대한간호학회지
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    • 제27권1호
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    • pp.169-177
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    • 1997
  • This study aims at empirically clarifying the relationship between power and the interpersonal conflict, including nurses' understanding of their relative power, the causes of interpersonal conflicts with the nurses, and strategies to resolve conflicts, in order to understand how nurses' relative power affect their conflicts. For the empirical survey, the population was defined as all the nurses working at a medical organization in Seoul, Korea. 1083 nurses were selected as the sample for the questionnaire survey and statistical analyses. For the sampling, 32 medical organizations were selected by a stratified random method and sub-samples were arbitrarily drawn from each organization to obtain the final sample of 1083 nurses who responded to the questionnaire designed by the reseacher. According to the result of the study, most nurses experience conflict more than once a month, and 70.4% of the respondents answered that interpersonal conflicts were directly or indirectly caused by power relations. which indicates that they perceive power relations as the main cause of interpersonal conflicts. Nurses experienced the most conflicts with interns and residents(29.7%), then patients and their families(24.3%), higher-positioned nurses(12.3%), nurse colleagues(7.7%), lower-positioned nurses(6.5%), and staff doctors(5.1%). If we classify these into three groups. the frequency of the conflicts, from most frequent to least. is in the order of doctors. nurses, and patients. In terms of relative power, nurses perceive that they have greater power than patients and their families, lower-positioned nurses, and nurse colleagues. In contrast, nurses perceive that they have less power than interns and residents, higher-positioned nurses. and staff doctors. Among these groups. nurses perceive that they have the most power over patients and the least over staff doctors. These results indicate that nurses tend to experience more conflicts with members of groups that are stronger than themselves in terms of relative power, Nurses use positive strategies such as the compromise strategy(32.3%) or the collaboration strategy (20.3%) to manage conflicts, more than other strategies. However, they use avoidance or competition strategy more at the earlier stage, compromise strategy more in the mid stage, and collaboration strategy more at the later stage of the interpersonal conflict. In relation to power, nurses use the collaboration strategy or the compromise strategy more when their perceived power is greater than or equal to their counterpart's, and they use the avoidance strategy or the accommodation strategy if their power is less. In terms of source of power, nurses' perceived relative power is greater in the order of referent power. expert power, reward power, legitimate power. and coercive power. where referent power is perceived as having the greatest power and coercive power is least. Most nurses(69.3%) used their power to resolve a conflict. with positive outcomes. Expert power was used most frequently. Overall. this study strongly indicates that the enhancement of power of nurses to have equal power relations with doctors would heighten the success of conflict resolution, since power is the main cause of conflicts. Specifcally. nurses experience most conflicts with doctors against whom they perceive the greatest gap in power. and the choice of a conflict management strategy depend upon their power relations.

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최근 10년간 간호사의 스트레스에 관한 국외연구 동향분석 (Trend Analysis of Nurses' Stress Based on the Last 10 Years of International Research)

  • 이복임
    • 한국직업건강간호학회지
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    • 제21권1호
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    • pp.27-36
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    • 2012
  • Purpose: The purpose of this study was to identify the trends of nurses' stress based on the last 10 years of international research and to suggest directions for future research. Methods: Fifty three articles between 2002 and 2011 were selected using key words such as 'nurse' and 'stress' from the PubMed and CINAHL. Results: The number of experimental studies increased. The nurses from the various fields were studied. Most studies used a reliable and valid tool for measuring stress of specific nursing staff. The Internet survey was recently used for a data collection method. Significant variables correlated with nurses' stress were categorized into 8 domains: Individual susceptibility, quantitative workload, qualitative workload, physical environment, organizational factors, and interpersonal conflict. Conclusion: In Korea, the next phase of research on nurses' stress needs to consider the experimental study design to find more specific causal relationships. Also, it is necessary to develop the nurses' stress tool for reliable and valid measurement.

임상경력에 따른 간호사의 의사결정 참여 영향요인 (Factors on Decision-Making Participation related to Clinical Experience Difference)

  • 임난영;이여진
    • 대한간호학회지
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    • 제34권2호
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    • pp.270-277
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    • 2004
  • Purpose: The purpose of this study was to investigate the relationship between decision-making factors(theoretical knowledge, expertise, empowerment, intuition) and participation in proportion to nurses's clinical experience. Method: Data was collected by quota sampling from July 10, 2001 to August 22, 2001 from 132 clinical nurses who work for 3 General hospitals. Data was analyzed using SPSSWIN 10.0 with crosstab, ANOVA, and stepwise multiple regression. Result: Expertise(F=34.347, p=.000), empowerment(F=29.316, p=.000), and participation(F=3.276, p=.041) were significantly different among 3 clinical experience groups. Clinical experience correlated with expertise(r=.551, p=.000) and empowerment(r=.492, p=.000), and Decision-making participation also correlated with expertise(r=.351, p=.000) and empowerment(r=.265, p=.002). Decision-making participation is effected by theoretical knowledge(under 3.00yr clinical experience), expertise(3.01-5.00yr), and empowerment(above 5.01yr). Conclusion: These findings indicate that factors(theoretical knowledge, expertise, or empowerment) on decision-making participation varies as nurses's clinical experience differs. Therefore, decision-making needs bilateral agreement between staff nurses and nurse managers rather than the responsibility of one.