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KCI등재

1휴머니튜드 돌봄을 실천한 치매요양병원 간호사의 인식

저자 : 송인실 ( Song In-sil ) , 송인애 ( Song In-ae )

발행기관 : 한국사회복지정책학회 간행물 : 사회복지정책 49권 1호 발행 연도 : 2022 페이지 : pp. 61-85 (25 pages)

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치매노인의 증가와 더불어 간호사의 과업인 치매돌봄의 질적 향상을 위해, 휴머니튜드 돌봄을 실천한 간호사의 인식을 파악하고, 휴머니튜드 돌봄에 대한 기초자료를 제공하고자 하였다. 본 연구의 대상은 휴머니튜드가 시범적으로 실천된 I 광역시의 노인치매요양병원 간호사 3명이며, 질적 사례연구로 일대일 심층 면담을 수행하였다. 연구 결과 휴머니튜드 돌봄을 실천한 간호사들이 인식한 것은 휴머니튜드에서 제시하는 ‘자유, 평등, 우애’로 인간이 지녀야 할 기본적인 인권으로 나타났다. 본 연구는 간호사의 인식에 따른 치매돌봄 효과의 상호작용을 알 수 있었으며, 인권을 기반으로 하는 휴머니튜드 돌봄을 제시하고, 휴머니튜드 돌봄 방법을 구체적으로 제시했다는 데 의의가 있다. 사회복지정책 차원에서 휴머니튜드 돌봄의 도입과 전문인력 양성, 관련 종사자의 의무교육이 필요하며, 이는 신체적, 정신적 돌봄이 필요한 대상으로 확대되어야 한다.


In order to improve the quality of dementia care, which is a task of nurses, along with the increase of the elderly with dementia, it was intended to identify the perception of nurses who practiced Humanitude care and provide basic data. The subjects of this study were three nurses at the Elderly Dementia Nursing Hospital in I Metropolitan City, where Humanitude was demonstrated, and in-depth one-on-one interviews were conducted as a qualitative case study. As a result of the study, what nurses who practiced Humanitude care recognized was the “liberty, equality, and fraternity” presented by Humanitude, indicating basic human rights that humans should have. This study shows the interaction of dementia care effects according to the perception of nurses and is meaningful in that it presents Humanitude care based on human rights and specifically presents Humanitude care methods. In terms of social welfare policy, the introduction of Humanitude care, training of professionals, and compulsory education of related workers are required, which should be expanded to those requiring physical and mental care.

KCI등재

2방문간호사로 살아가기: 서울시 동주민센터 간호사의 업무 경험

저자 : 강지원 ( Kang Ji-won ) , 장숙랑 ( Jang Soong-nang ) , 이자경 ( Lee Jakyung )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 48권 4호 발행 연도 : 2022 페이지 : pp. 51-65 (15 pages)

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연구목적 : 이 연구는 지역사회 보건복지 정책이 변화하는 현 시점에서 서울시 동주민센터에서 일하는 보건소 소속 방문간호사의 업무 경험을 이해하기 위하여 시행되었다. 연구방법 : 서울시 방문간호사 6명을 대상으로 2021년 2월에서 5월 사이 심층면담 및 포커스그룹인터뷰를 시행하였다. 수집한 연구자료는 Colaizzi의 현상학적 연구 방법을 바탕으로 분석하였다. 연구결과 : 연구결과 총 15개의 주제와 6개의 주제모음, 3개의 범주를 도출하였다. 방문간호사의 주요 업무 경험은 ‘간호사로서 의무와 직무현실 사이 중심잡기’, ‘불안한 업무 환경에서 근무하기’, ‘지역주민의 돌봄제공자 되기’로 나타났다. 결론 : 연구결과를 바탕으로 방문간호사가 업무를 효율적으로 수행할 수 있도록 고용 지위 및 보호 체계 개선, 업무 지침 및 교육체계 개선을 통하여 업무 환경을 향상할 필요가 있음을 제언하였다. 또한 간호사에 의한 가정 방문 서비스의 가치와 의미에 대한 사회적 인식 개선이 필요할 것이다. 본 연구결과는 향후 방문건강관리 서비스 개선방안을 마련하는 데에 기초자료로 활용될 수 있을 것이다.


Purpose : This study aimed to understand the meaning of working experiences of home visiting nurses at Reaching Out Community Centers in Seoul in the changing stream of community care policy. Methods : Participants of the study consisted of 6 visiting nurses. Data were collected through in-depth interviews and a focus group interview from February to May 2021. The data were analyzed using the phenomenological analysis method suggested by Colaizzi. Results : Overall, 15 themes, 6 theme clusters, and 3 categories were identified. The results showed that visiting nurses’ experiences were 'balance between work responsibilities and reality,' 'working in an unstable work environment,' and 'being a caregiver for local people.' Conclusion : This study provided a deeper understanding of the public home visiting nurse’s working experience. The results showed the need to improve the working environment of the nurses by enhancing employment status, worker protection systems, and education systems. In addition, it is necessary to re-recognize the value and meaning of home visits by public health nurses. These findings are expected to be utilized as basic information for improving public home visiting services.

KCI등재

3일개 지방의료원 간호사의 법적 지식과 환자안전관리 활동의 관계에서 환자안전관리 중요성 인식의 매개효과

저자 : 송민희 ( Song Min-hee ) , 임수진 ( Lim Su-jin )

발행기관 : 대한보건협회 간행물 : 대한보건연구(구 대한보건협회학술지) 48권 4호 발행 연도 : 2022 페이지 : pp. 189-203 (15 pages)

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목적 : 이 연구의 목적은 일개 지방의료원 간호사의 법적 지식과 환자안전관리 활동의 관계에서 환자안전관리 중요성 인식의 매개효과를 파악하기 위한 것이다. 방법 : 자료 수집은 2021년 8월 24부터 9월 7일까지 이루어졌으며, 인천광역시 소재하고 있는 I 의료원에 근무하는 간호사 150명을 대상으로 하였다. 구조화된 설문지를 사용하여 수집된 자료는 SPSS/WIN 26.0 을 이용하여 기술통계, Independent t-test, One-way ANOVA, Scheffé test, Pearson’s correlation coefficients, 다중회귀분석을 시행하였다. 매개효과를 확인하기 위해 Hayes가 제안한 Process macro ver. 4.0을 이용하여 회귀분석을 바탕으로 하는 매개분석을 시행하였고 매개효과의 유의성 검정을 위해 부트스트래핑(boostraping)을 통해 분석하였으며 안정적인 분포를 얻기 위해 표본 추출 횟수를 5,000회로 설정하였다. 결과 : 대상자의 환자안전관리 활동에 영향을 미치는 요인은 환자안전관리 중요성 인식(β=.45, p <.001)으로 확인되었다. 회귀모형은 통계적으로 유의하게 적합한 것으로 나타났으며(F=15.15, p<.001), 모형의 설명력은 39.9%이었다. 간호사의 법적지식이 환자안전관리 활동에 직접 영향을 미치지 않지만 환자안전관리 중요성 인식을 통해 환자안전관리 활동에 간접적으로 영향을 미치는 것으로 나타났다. 결론 : 이상의 연구결과에서 일개 지방의료원 간호사의 법적지식은 환자안전관리 중요성 인식을 통해 환자안전관리 활동에 영향을 미치므로 법에 대한 간호사 지식을 증진시킬 수 있는 방안과 환자안전관리 중요성 인식을 향상시킬 수 있는 교육프로그램의 마련이 필요하다.


Objectives : The aim of this study was to understand the mediating effect of recognizing the importance of patient safety management in the relationship between nurse’s knowledge of law and patient safety management activities of nurses at one local medical center. Methods : The data collection of this study was conducted from August 24 to September 7, 2021, and 150 nurses working at I Medical Center in Incheon Metropolitan City were targeted. Structured questionnaires were used, collected data were analyzed using descriptive statistics independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficient, multiple regression analysis with SPSS statistics 26.0 program. The mediating effect was analyzed using PROCESS macro(ver. 4.0) with a 95.0% bias-corrected bootstrap confidence interval(5,000 bootstraps sampling). Results : The main factor influencing the subject’s patient safety management activities was confirmed by the recognition of the importance of patient safety management(β=.45, p<.001). These variables explained 39.9% of patient safety management activities(F=15.15, p<.001). The legal knowledge of nurses did not have a direct effect on patient safety management activities but it was found that there was an indirect effect on patient safety management activities through recognition of the importance of patient safety management. Conclusions : Based on these results, the legal knowledge of nurses affects patient safety management activities through recognition of the importance of patient safety management, interventions to improve nurse knowledge of the law and educational programs to enhance precognition of the importance of patient safety management to promote patient safety management activities are needed.

KCI등재

4상급종합병원 간호사의 폭력경험과 감정노동이 소진에 미치는 영향

저자 : 김수향 ( Su Hyang Kim ) , 노윤구 ( Yoon Goo Noh )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 4호 발행 연도 : 2022 페이지 : pp. 290-296 (7 pages)

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Objectives: The purpose of this study is to identify the effect of violence experience and emotional labor on burnout among tertiary hospital nurses. This study is a correlation study that tests the relationship between variables. Methods: Subjects were 127 nurses working at a Pusan National University Yangsan Hospital, Gyeong-Nam Province and data were collected from August 27 to 31, 2018. The questionnaire included violence experience, emotional labor, and burnout. Data were analyzed by descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation, multiple regression analysis using SPSS Win 21.0. Results: The mean score of verbal violence was 2.21±0.67, that of physical threat was 1.49±0.51, that of physical violence was 1.21±0.21, that of emotional labor was 3.62±0.67, and that of burnout was 3.21±0.60. Burnout has the positive relationship with the emotional labor (r=0.59, p<0.001), verbal violence(r=0.50, p<0.001), physical threat (r=0.44, p<0.001); emotional labor has the positive relationship with verbal violence (r=0.40, p<0.001) and physical threat(r=0.44, p<0.001). Factors affecting burnout included emotional labor (β=0.44, p<0.001), verbal violence (β=0.26, p=0.001), and unmarried (β=0.22, p=0.001), with 47.2% explanatory power (F=38.17, p<0.001). Conclusions: This study shows that emotional labor and experience of verbal violence are factors that exacerbate burnout in nurses. Therefore, a strategy is needed to reduce emotional labor and exposure to verbal violence.

KCI등재

5요부안정화 운동프로그램이 중환자실 간호사의 요통, 요통장애지수, 신체역학이용 및 배근력에 미치는 효과

저자 : 장해미 ( Hae Mi Jang ) , 박혜자 ( Hye-ja Park )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 3호 발행 연도 : 2022 페이지 : pp. 209-216 (8 pages)

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Objectives: This study examined the effects of a lumbar stabilization exercise program on low back pain, the Oswestry Disability Index, use of body mechanics, and lumbar strength among intensive care unit nurses. Methods: Thirty-five nurses were assigned to an exercise group (n=18) or a control group (n=17) from a university hospital-affiliated intensive care unit. The 8-week lumbar stabilization exercise program comprised 30 minutes of stretching, lumbar stabilization exercise, and Mckenzie extension exercise (3 times/week) and a single education session on body mechanics. Outcomes were assessed using questionnaires on low back pain (visual analogue scale), the Oswestry Disability Index (%), use of body mechanics, and back strength (kg). Data were analyzed by χ²-test, independent t-test, and analysis of covariance. Results: The lumbar stabilization exercise program provided improvements in low back pain, the Oswestry Disability Index, use of body mechanics, and back strength Conclusions: Lumbar stabilization exercise program might be a useful strategy for enhancing usage of work-related body mechanics and back muscle strength, and ameliorating low back pain and disability index for nurses working at the intensive care units.

KCI등재

6일개 대학병원 일반간호사의 구조적 임파워먼트와 간호사 직장생활의 질의 관계에서 심리적 임파워먼트의 매개효과

저자 : 백은비 ( Eun Bee Baek ) , 배선형 ( Sun Hyoung Bae )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 2호 발행 연도 : 2022 페이지 : pp. 159-166 (8 pages)

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Objectives: This study aims to verify the mediating effect of psychological empowerment on the relationship between structural empowerment and quality of nursing work life. Methods: This study was a cross-sectional descriptive study. 134 clinical nurses were participated and completed a structured questionnaire. Data were collected from December 28, 2020, to January 6, 2021 at a university hospital in Gyeonggi-do, South Korea. Data were analyzed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval (5,000 bootstrap resampling). Results: Quality of nursing work life showed statistically significant differences by gender, perceived health condition, satisfaction of income, and current work unit. Quality of nursing work life had statistically significant positive correlation with structural empowerment, and psychological empowerment. After controlling general characteristics, psychological empowerment partially mediated the relationship between structural empowerment and quality of nursing work life. Conclusions: In this study, psychological empowerment was shown to partially mediate between structural empowerment and quality of nursing work life. Therefore, further research is needed to develop and apply programs that can improve structural and psychological empowerment. It also requires organizational and institutional efforts to increase psychological empowerment by increasing access to structural empowerment.

KCI등재

7임상간호사의 COVID-19 백신 접종 의도에 대한 영향요인

저자 : 최연희 ( Yeonhui Choe ) , 차지은 ( Jieun Cha )

발행기관 : 한국보건정보통계학회 간행물 : 보건정보통계학회지 47권 1호 발행 연도 : 2022 페이지 : pp. 48-56 (9 pages)

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Objectives: This study investigated psychosocial factors that influence nurse’s intention to receive a COVID-19 vaccine. We focused on factors including COVID-19 knowledge, attitudes and beliefs related to COVID-19 vaccines, social contexts, and demographics. Methods: Data were collected from 200 nurses at five hospitals in Daegu between 12 April and 19 June 2021. We assessed COVID-19 knowledge, perceived susceptibility, severity, benefits, barriers, safety concerns, COVID-19 exposure, demographics, and the intention to get COVID-19 vaccines. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson correlation, and hierarchial multiple regression. Results: Of 200 participants, 180 (90.0%) reported an intention to obtain a vaccination against COVID-19. Among four health beliefs towards COVID-19 vaccines, perceived severity was the highest. Perceived benefits (r=0.42, p<0.001) were positively associated with vaccination intention, while perceived barriers (r=-0.32, p<0.001) and safety concerns (r=-0.20, p<0.001) negatively influenced vaccination intention. There were differences in the scores for vaccination intention according to hospital grade and work department. According to the regression analysis, perceived benefits and barriers were discovered to account for 21% of the variance in vaccination intention. Conclusions: This study offers a timely overview of psychosocial factors that are related to nurses’ intention to get vaccinated for COVID-19. The vaccines’ benefits need to be highlighted in campaigns and educations, and it is imperative to remain transparent and truthful in communications about the vaccine safety.

KCI등재

8국군간호사관학교 생도의 간호역량과 군인정신이 재난대비역량에 미치는 영향

저자 : 서혜주 ( Seo Hyeju ) , 권다혜 ( Kwon Dahye ) , 남윤주 ( Nam Yunju ) , 박선진 ( Park Sunjin ) , 송부경 ( Song Bukyung ) , 유희주 ( You Heejoo ) , 황신우 ( Hwang Sinwoo )

발행기관 : 국군간호사관학교 군건강정책연구소 간행물 : 군진간호연구 40권 1호 발행 연도 : 2022 페이지 : pp. 70-80 (11 pages)

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Purpose: The purpose of this study was to investigate the influence of nursing competencies and military spirit on disaster preparedness among Korea Armed Forces Nursing Academy (KAFNA) cadets. Methods: This descriptive study was conducted from the 3rd and 4th grade KAFNA cadets. The data were collected from August 17 to 20, 2021. The structured questionnaire consisted of 106 questions about nursing competencies, military spirit, disaster preparedness, and general characteristics of participants. Results: The average score of nursing competencies, military spirit, and disaster preparedness were 3.92±0.48, 3.71±0.61 and 3.35±0.60 out of 5. Disaster preparedness was positively correlated with nursing competencies (r=.62, p<.001) and military spirit (r=.38, p<.001). There was significantly positive correlation between nursing competencies and military spirit. (r=.51, p<.001). The significant influencing factors on disaster preparedness were ‘nursing competencies’ (β=0.51, p<.001) and ‘4th grade’ (β=0.59, p<.001). Conclusion: To enhance the disaster preparedness of cadets in response to disasters, an education program for KAFNA cadets should be focused to improve the nursing competencies based on disaster nursing education.

KCI등재

9래피드 프로토타입 방법에 근거한 국군간호사관학교 훈육 프로그램 개발

저자 : 김혜원 ( Kim Hyewon ) , 유정아 ( Yu Jeong A ) , 최선영 ( Choi Seon Young ) , 정은영 ( Jung Eunyoung )

발행기관 : 국군간호사관학교 군건강정책연구소 간행물 : 군진간호연구 40권 1호 발행 연도 : 2022 페이지 : pp. 23-42 (20 pages)

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Purpose: The purpose of this study was to develop the discipline program for Korea Armed Forces Nursing Academy cadets. Methods: Based on Rapid Prototyping Method, this study was conducted in the steps of analysis, design, and development. In the analysis step, literature review and focus group interviews with 5 participants groups (34 people in total) were conducted from November 2020 to February 2021. In the design step, a prototype of the discipline program was drawn up, and the validity of the prototype was reviewed by 10 experts. The final version of the discipline program was made in the development step. Results: The goal of the discipline program is to cultivate values and personality as a nursing officer. The discipline program was consisted of 10 core competencies including 'loyalty', 'responsibility', 'initiative', 'leadership', 'honor', 'respect and consideration', 'devotion', 'cooperation and communication', 'broad-mindedness', 'physical strength', and 17 related discipline tasks. Conclusion: The study proposed to prepare a detailed curriculum and portfolio for each discipline task in order to differentiate the level of education by grade. It also pointed out that research on the competency and job analysis of discipline educators should be conducted.

KCI후보

10간호사의 비판적 사고성향과 간호근무환경이 투약안전 역량에 미치는 영향

저자 : 홍지혜 ( Ji-hye Hong )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 34권 2호 발행 연도 : 2022 페이지 : pp. 11-21 (11 pages)

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Purpose: The purpose of this study was to examine the impact of nurses’ critical thinking disposition and nursing practice environment on medication safety competency. Methods: A total of 189 nurses who directly performed medication administration at a tertiary referral hospital in Seoul volunteered to participate in this study. Data collection was conducted using online surveys and was analyzed through technical statistics, t-test, one-way ANOVA, Scheffē test, Pearson’s correlation coefficient, and multiple linear regression. Results: The results revealed that both critical thinking disposition (β=0.498, p<.001) and nursing practice environment (β=0.212, p=.001) were significant predictive factors of medication safety competency. Conclusion: Critical thinking disposition and nursing practice environment were important factors affecting medication safety competency. Therefore, in order to increase critical thinking disposition, it is necessary to develop various teaching methods and apply them in nurse education programs as a way to indirectly improve medication safety competency. In addition, in terms of nursing practice environment, hospitals will need to improve working conditions and provide sufficient material support to maintain nursing workforce. Likewise, it is necessary to prepare and implement a nursing policy to increase the nursing workforce.

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