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Effect of Nursing Work Environment Perception of Nurses in Hospitals Dedicated to Infectious Diseases on Patient Safety Management Activities and Nursing Performance 传染病专科医院护士护理工作环境感知对患者安全管理活动及护理绩效的影响
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.1
Se Ra Son, Hanyi Lee
Purpose : This study was conducted to verify the effect of nurses’ perceptions on the nursing work environment in hospitals dedicated to infectious diseases on the patient safety management activities and the nursing performance and to provide basic data for improving the nursing work environment in such hospitals. Methods : This study examined 161 nurses who have experienced to take care of patients for more than six months in the hospitals dedicated to infectious diseases. It analyzed the data collected by using the Pearson’s correlation coefficient and a hierarchical multiple regression. Results : Their perceptions on the nursing work environment have positive correlations with the patient safety management activities(r=.49, p<.001), and the nursing performance(r=.48, p<.001). The patient safety management activities also have positive correlation with the nursing performance(r=.59, p<.001). Conclusion : This study found that nurse’ perceptions on the nursing work environment hospitals dedicated to infectious diseases are the factor influencing both the patient safety management activities and the nursing performance, suggesting that administrative and institutional efforts for improving the nursing work environment are required to enhance more effective patient safety management activities and nursing performance than those in the COVID-19.
目的:本研究旨在验证感染性医院护士对护理工作环境的认知对患者安全管理活动和护理绩效的影响,为感染性医院护理工作环境的改善提供基础数据。方法:对161名在传染病专科医院有护理病人6个月以上经验的护士进行调查。采用Pearson相关系数和分层多元回归对收集的数据进行分析。结果:护士对护理工作环境的认知与患者安全管理活动呈正相关(r=。49, p<.001),护理表现差异有统计学意义(r=。48岁的p <措施)。患者安全管理活动也与护理绩效呈正相关(r=)。59岁的p <措施)。结论:本研究发现,护士对感染性医院护理工作环境的认知是影响患者安全管理活动和护理绩效的因素,表明需要从行政和制度上努力改善护理工作环境,以提高患者安全管理活动的有效性,提高护理绩效。
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引用次数: 0
The Effect of New Nurse’s Reality Shock, Workplace Bullying, and Positive Psychological Capital on Turnover Intention 新护士现实冲击、职场欺凌、积极心理资本对离职倾向的影响
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.55
S. Kim, S. Kim
Purpose : The purpose of this study was to examine the levels of reality shock, workplace bullying, positive psychological capital, and turnover intention for new nurses, and to find out the effects of these factors on turnover intention. Methods : The study included 159 new nurses working at five general or high-level general hospitals in three locations. The survey was conducted from January 13 to February 7, 2021. The collected data were analyzed using the SPSS/WIN25.0 program. Results : The mean score for turnover intention was 3.42±0.75. The turnover intention was correlated with reality shock (r=0.28, p<.001) and workplace bullying (r=0.45, p <.001). The variables affecting turnover intention were the general ward (β=0.25, p=.049), nurse career spanning ≥ 6 months (β=0.16, p=.031), lack of experience in clinical practice at workplace institutions (β= 0.16, p=.026), and high workplace bullying (β=0.36, p<.001). The total amount of explanation for turnover intention was 25%. Conclusion : In order to reduce the turnover intention of newly graduated nurses, hospitals should implement systematic personnel management programs and actively participate in student internships. Additionally, at the government level, effective policies should be introduced to decrease excessive workload among nurses as a measure to reduce workplace bullying among new nurses.
目的:本研究旨在考察新护士的现实冲击、职场欺凌、积极心理资本和离职倾向的水平,并探讨这些因素对离职倾向的影响。方法:对3个地区5家综合医院或高水平综合医院的159名新护士进行调查。该调查于2021年1月13日至2月7日进行。采用SPSS/WIN25.0软件对收集的数据进行分析。结果:离职意向平均得分为3.42±0.75分。离职意向与现实冲击(r=0.28, p<.001)和职场欺凌(r=0.45, p<.001)相关。影响离职意向的变量为普通病房(β=0.25, p= 0.049)、护士职业生涯≥6个月(β=0.16, p= 0.031)、缺乏职场机构临床实践经验(β=0.16, p= 0.026)和职场欺凌(β=0.36, p< 0.001)。离职意向的总解释量为25%。结论:为降低新毕业护士的离职意向,医院应实施系统的人事管理方案,积极参与学生实习。此外,在政府层面,应该出台有效的政策来减少护士的过度工作量,作为减少新护士工作场所欺凌的一项措施。
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引用次数: 0
Operational Plan for Maternity Nursing Practice of Nursing Students 护生产科护理实习作业计划
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.31
H. Wang
Purpose : The purpose of this study was to identify students’ nursing activities and core skills, and to compare clinical competency and clinical practice satisfaction with the clinical nursing practice in women’s health nursing. Methods : The data were collected using Naver Online-questionnaire from 96 nursing students. The data were analyzed using the IBM SPSS 21.0 program, descriptive statistics, independent t-test, and the Pearson’s correlation coefficient. Result : The contents of nursing activities in delivery room and obstetric gynecologic ward differed by the hospital type. Clinical competency was the lowest nursing process, nursing skills. Clinical practice satisfaction was the lowest practice contents, and field leaders’ practical guidance was higher in general hospital than in women’s hospital. Clinical competency and clinical practice satisfaction showed significant positive correlation. Conclusion : To improve the quality of clinical nursing activities, active guidance from practical guidance professors and practical hospital is required, and the personnel dedicated to education should be used for the practical training.
目的:本研究旨在了解女性健康护理专业学生的护理活动和核心技能,并比较其临床胜任力和临床实践满意度。方法:采用Naver在线问卷对96名护生进行问卷调查。采用IBM SPSS 21.0程序、描述性统计、独立t检验和Pearson相关系数对数据进行分析。结果:不同类型医院产房和妇产科病房护理活动内容不同。临床胜任力是护理过程中最低的护理技能。临床实践满意度是最低的实践内容,综合医院现场领导的实践指导高于妇女医院。临床胜任力与临床实践满意度呈显著正相关。结论:要提高临床护理活动的质量,需要实践指导教授和实践医院的积极指导,并利用专门的教育人员进行实践培训。
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引用次数: 0
The Ethical Disposition, Professional Self-Concept, and CPR Attitude of Nursing Students Effects on Bio-medical Ethics 护生伦理倾向、专业自我概念及CPR态度对生物医学伦理学的影响
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.43
Byung-Jun Park, J. Kim, S. Hwang
Purpose : The purpose of this study is a descriptive study to identify the factors that influence nursing students’ ethical disposition, professional self-concept, and cardiopulmonary resuscitation attitude on bio-medical ethics. Method : This study identifies the factors that affect bio-medical ethics by convenience sampling. Data were collected using a questionnaire from 257 students participating in bio-medical ethics education from December 15, 2019 to January 15, 2020. Results : The subjects’ ethical disposition were 42.21±5.18 for idealism and 38.91±5.96 for relativism. The average professional self-concept was 3.72±0.43, and the CPR attitude was 3.83±0.47. The overall average of bio-medical ethics was 3.17±0.44. The relationship between idealism (r=.54), relativism (r=.28), professional self-concept (r=.39), CPR attitude (r=.26), and bio-medical ethics of nursing students showed a statistically significant positive correlation. The significant predictors of bio-medical ethics were idealism (β=.04) and professional self-concept (β=.18). Conclusion : Based on the research results, the development of various types of educational programs that can improve bio-medical ethics capabilities should be developed. First, comprehensive education on ethical principles and concepts should be provided in ethical decision-making situations. Second, educational content that can foster professional self-concept and idealistic ethical disposition should be included to understand ethical beliefs. It is necessary to apply educational programs, such as simulation, discussion, and problem-solving teaching and learning methods, so nursing students can actively participate in and judge bio-medical ethics situations.
目的:本研究旨在探讨护生伦理倾向、专业自我概念及心肺复苏生物医学伦理态度的影响因素。方法:采用方便抽样的方法,识别影响生物医学伦理学的因素。对2019年12月15日至2020年1月15日参加生物医学伦理教育的257名学生进行问卷调查。结果:被试的道德倾向理想主义为42.21±5.18,相对主义为38.91±5.96。专业自我概念平均值为3.72±0.43,CPR态度平均值为3.83±0.47。生物医学伦理学总体平均值为3.17±0.44。护生理想主义(r= 0.54)、相对主义(r= 0.28)、职业自我概念(r= 0.39)、心肺复苏术态度(r= 0.26)与生物医学伦理学的关系呈统计学显著正相关。生物医学伦理学的显著预测因子为理想主义(β= 0.04)和职业自我概念(β= 0.18)。结论:在研究成果的基础上,应开展各类提高生物医学伦理学能力的教育项目。首先,应在伦理决策情境中提供全面的伦理原则和观念教育。其次,应纳入培养职业自我概念和理想主义伦理倾向的教育内容,以理解伦理信仰。需要运用模拟、讨论、问题解决等教学方法,使护生能够积极参与和判断生物医学伦理情境。
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引用次数: 0
Mediating Effects of Nursing Professionalism on the Relationship between Nursing Students’ Critical Thinking Disposition and Patient Safety Competency 护理专业精神在护生批判性思维倾向与患者安全能力关系中的中介作用
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.91
Jakstat Ha, Yeong-Ja Seo, Seon Gyeong Lee
Purpose : This study aimed to investigate the mediating effect of nursing professionalism in the relationship between nursing students’ critical thinking disposition and patient safety competency. Methods : The subjects of the study were 140 third- and fourth-grade nursing students who had experience in clinical practice among two universities located in S city and J city. The study was conducted from January 3, 2022 through February 15, 2022 using a self-report questionnaire. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression following the Baron and Kenny method and Sobel test for mediation. Results : A positive correlation was found between nursing students’ patient safety competency and critical thinking disposition (r=.58, p<.001) and nursing professionalism (r=.43, p<.001); moreover, nursing professionalism was correlated with critical thinking (r=.46, p<.001). Nursing professionalism appeared to have a partial mediating effect in the relationship between critical thinking disposition and patient safety competency, and the explanatory power of critical thinking disposition and patient safety competency increased by 35.4% (F=39.06, p<.001). Conclusion : Nursing professionalism was found to be important for fostering nursing students’ patient safety competency, and it is considered necessary to develop curricula or programs and operate extracurricular programs that can improve nursing professionalism.
目的:探讨护理专业精神在护生批判性思维倾向与患者安全能力之间的中介作用。方法:以S市和J市两所大学140名有临床实践经验的三、四年级护生为研究对象。该研究于2022年1月3日至2022年2月15日进行,采用自我报告问卷。数据分析采用描述性统计、t检验、单因素方差分析、Pearson相关系数和多元回归,采用Baron和Kenny法和Sobel检验进行中介。结果:护生患者安全能力与批判性思维倾向呈显著正相关(r=。58, p<.001)和护理专业程度(r=。43岁的p <措施);护理专业度与批判性思维相关(r=。46岁的p <措施)。护理专业在批判性思维倾向与患者安全能力的关系中表现出部分中介作用,批判性思维倾向与患者安全能力的解释力提高了35.4% (F=39.06, p< 0.001)。结论:护理专业精神对护生患者安全能力的培养具有重要意义,有必要制定提高护理专业精神的课程或项目,并开展课外活动。
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引用次数: 0
Development of the Evidence-based Pain Management, Pressure Ulcer Care, Fall Prevention Care, and Drainage Tube Management Protocol for Nursing Students 基于证据的护理学生疼痛管理、压疮护理、预防跌倒护理和引流管管理方案的发展
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.71
Sun Jung Park, Young-sook Lim, G. Ko, Yeun Mi Kim, Byung-Jun Park, Sun Young Park, H. Shin, Hyo Yoel Jang
Purpose : The purpose of this study is to develop an evidence-based nursing protocol to systematically educate nursing students on pain management, pressure ulcer care and fall prevention, and drainage tube management, which are the core nursing skills newly established during the 4th cycle. Methods : This is a methodological study intended to develop a protocols for pain management, pressure ulcer care, fall prevention care, and drainage tube management of nursing students by preparing a preliminary protocol to develop systematic pain management, pressure ulcer care and fall prevention care, and drainage tube management protocol for the core nursing skills education of nursing students, and by verifying content validity and user validity to investigate clinical applicability. Result : This study developed a protocol consisted of 18 questions for pain management, 17 questions for pressure ulcer care and fall prevention care, and 25 questions for the drainage tube management protocol of newly established core nursing skills. Conclusion : In the court of developing the protocol, an expert group was included to evaluate the appropriateness and applicability of the protocol use, and hence, it is expected that it will be used effectively for the evaluation of core nursing skills.
目的:制定循证护理方案,系统地对护生进行第四周期新建立的核心护理技能——疼痛管理、压疮护理和预防跌倒、引流管管理等方面的教育。方法:通过编制护生核心护理技能教育系统的疼痛管理、压疮护理、预防跌倒护理和引流管管理初步方案,并通过验证内容效度和用户效度来调查临床适用性,旨在制定护生疼痛管理、压疮护理、预防跌倒护理和引流管管理方案。结果:本研究制定了疼痛管理方案18题,压疮护理和预防跌倒护理方案17题,新建立的核心护理技能引流管管理方案25题。结论:在制定协议的过程中,纳入专家组对协议使用的适宜性和适用性进行评估,有望有效地用于核心护理技能的评估。
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引用次数: 0
Factors Influencing on Nursing Profession of Nursing Students in the Post-Corona Era 后冠状病毒时代护生护理专业的影响因素
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.15
A. Jo, N. Je
Purpose : This study aimed to investigate the effects of academic stress, ego-resilience, and grit on the perceptions of the nursing profession among nursing students who have undergone clinical training following the COVID-19 pandemic outbreak. Method : Employing a descriptive research design, data were collected from 177 nursing students across three universities in City C, Gyengsangnam-do between October 11 and October 17, 2022. The gathered data were analyzed using IBM SPSS/WIN 21.0. Results : The factors significantly influencing participants’ perceptions of the nursing profession included ego-resilience (β=.404), being a junior student (β=.206), and the intention to work as a nursing practitioner in a hospital setting upon graduation (β =.192), The combined explanatory power of these variables was 37.2% (F=9.01, p<.001, R2=.418, Adj. R2 =.372). Conclusion : The findings underscore the importance of fostering ego-resilience and enhancing understanding of the nursing profession through a systematic curriculum in the post-COVID-19 era. Establishing an accurate perception of the nursing profession will aid nursing students in improving their professional competency and commitment.
目的:本研究旨在探讨新冠肺炎疫情后,学业压力、自我恢复力和毅力对临床实习护生护理专业认知的影响。方法:采用描述性研究设计,于2022年10月11日至10月17日对庆尚南道C市3所大学177名护生进行调查。采用IBM SPSS/WIN 21.0对收集的数据进行分析。结果:自我弹性(β=.404)、大三学生(β=.206)和毕业后在医院从事护理工作意向(β=. 192)是影响被试对护理职业认知的显著因素,这些变量的综合解释力为37.2% (F=9.01, p<。001年,R2 =。R2 =.372)。结论:研究结果强调了在covid -19后时代,通过系统课程培养自我弹性和增强对护理专业的理解的重要性。建立对护理专业的准确认知将有助于护生提高其专业能力和承诺。
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引用次数: 0
A Study on the Provision of Functional Recovery Training Services in Long-Term Care Facilities 长期照护机构提供功能康复训练服务的研究
Pub Date : 2023-06-30 DOI: 10.34089/jknr.2023.7.2.101
G. Choi, Hyejung Lee, D. Jung, Hannah Bae, Seo Yon Yang, Jong Nyeo Choi
Purpose : This study was conducted to investigate the functions of daily living, physical and cognitive functions, and functional recovery training services of elderly residents in long-term care facilities. Method : We sent surveys to representatives of the facilities and analyzed the data for 73 care facilities that we received via email. Each facility has selected one resident for each of the eight groups. The functions of daily living, cognitive function and physical function, and functional recovery training service providers of 453 selected residents were recorded on a checklist based on the past week. Results : The degree of assistance for activities such as bathing and shampoo increased proportionally from Group 1 to 8 in the eight categorized groups. The proportion of cognitive and physical impairments also increased. The analysis of the average time and frequency of functional recovery training conducted by residents in Group 1 to 8 over a one-week period revealed that the average time of physical activity training was 9.56 minutes with 3.34 sessions, movement and walking training had an average of 6 minutes with 4 sessions, and activities of daily life training had an average of 12.04 minutes with 4 sessions. Conclusion : The average time and frequency of functional recovery training conducted for the residents can be utilized for the development of standardized guidelines for functional recovery training. There is a need for activity-centered functional recovery training in conjunction with the daily activities of the residents.
摘要目的:探讨长期照护机构老年人的日常生活功能、身体和认知功能以及功能康复训练服务。方法:对73家护理机构的代表进行问卷调查,并通过电子邮件对数据进行分析。每个设施为八个小组中的每个小组选择了一名住院医生。选取453名住院医师,以过去一周为基准,将其日常生活功能、认知功能、身体功能、功能恢复训练服务提供者等信息填写在核对表中。结果:在8个分类组中,对洗澡和洗头等活动的辅助程度从1组到8组按比例增加。认知和身体障碍的比例也有所增加。对1 ~ 8组住院医师一周时间内进行功能恢复训练的平均时间和频率进行分析,结果显示:体力活动训练的平均时间为9.56分钟,3.34次;运动和步行训练的平均时间为6分钟,4次;日常生活活动训练的平均时间为12.04分钟,4次。结论:住院医师进行功能恢复训练的平均时间和频率可用于制定标准化的功能恢复训练指南。有必要进行以活动为中心的功能恢复训练,并与居民的日常活动相结合。
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引用次数: 0
An Analysis on the Content of Non-Medical Workers’ Perception of the Enactment of the Nursing Act 非医务工作者对《护理法》颁布的认知内容分析
Pub Date : 2023-03-30 DOI: 10.34089/jknr.2023.7.1.49
E. Choi, Sun Jung Park, Sun Woo Lee, Sang Young Park, Hui Yang, Eun Hye Kim, Ye Sol Park, Mi Sung Kim, June Hee Choi, Han Sol Kim, Ji Seon Han, Ji-hee Hyun, In Hae Kang, Jae Sook Park, Bo-Ram Jung
Purpose : This study was conducted to survey the perception of the enactment of the nursing act among the non-health personnel. Methods : This study is a descriptive research study applying the content analysis method with a view to identify the degree of perception of the enactment of the nursing act perceived by non-Health personnel residing in seoul and gyeonggi-do from may 31, 2022 through november 1, 2022. Results : As a result of this study, a total of 36 categories and 95 statements were secured regarding the definition of the nursing act, the importance of the nursing act, the merits of enactment of the nursing act, the disadvantages of the enactment of the nursing act, and the need for education related to the nursing act. Conclusion : According to the results of this study, the advantages of enacting the nursing act are the improved treatment of nurses, expansion of medical services, and an increase in the level of nursing care. whereas, it was perceived that financial problems due to the friction with other occupations, damage to nurses, rigidity of the nursing act, and the increased number of nursing personnel would be disadvantages. There was also the perception that there was a need for education on the precautions of the nursing act, medical theory, nurse and patient benefits, and the scope of nurse work. Accordingly, the nursing act is a universal legislative system common for the world and is a law that articulates and specifies the work of nursing personnel.
目的:本研究旨在了解非卫生人员对护理法制定的认知。方法:本研究为描述性研究,采用内容分析法,探讨2022年5月31日至11月1日期间,居住在首尔和京畿道的非卫生人员对护理法制定的感知程度。结果:本研究就护理法的定义、护理法的重要性、制定护理法的优点、制定护理法的缺点、护理法相关教育的必要性等方面,共获得36类95条陈述。结论:根据本研究的结果,制定护理法案的好处是改善了护士的待遇,扩大了医疗服务,提高了护理水平。然而,由于与其他职业的摩擦、对护士的损害、护理法的僵化以及护理人员数量的增加而导致的财务问题被认为是不利的。还有一种看法认为,有必要对护理法的预防措施、医学理论、护士和病人的福利以及护士工作的范围进行教育。因此,《护理法》是全世界共同的普遍立法制度,是一部阐明和规定护理人员工作的法律。
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引用次数: 0
A Study on the Life Experiences of Marriage Immigrant Middle-aged Women in Korea: Focusing on the Experiences of Climacteric 韩国婚姻移民中年妇女生活经历研究——以更年期经历为中心
Pub Date : 2023-03-30 DOI: 10.34089/jknr.2023.7.1.63
Eun Young Choi, Kye A Jung, M. Byeon
Purpose : This study is intended to understand the life experience of middle-aged women who are marriage immigrants, focusing on their climacteric experiences, by conducting an in-depth exploration of their life experiences and the essential structure of their experiences in overcoming such challenges. Methods : Data were collected through in-depth interviews with a total of six marriage immigrant middle-aged women in their 40s or older, living in Gangwon Province and experiencing climacterium. The collected data were processed through applying Colaizzi’s phenomenological data analysis. Result : As a result of the analysis, eight categories and 19 themes were identified from 113 meaning statements. The eight categories of marriage immigrant middle-aged women’s life experience focusing on climacterium are as follows: a whirlwind of changes, the boundary of the family, unsatisfactory reality, aspects of myself I want to hide, life of isolation, missing my homeland, life of overcoming obstacles, and the desire for social support where gaps exist. Conclsion : It is urged that appropriate social support programs to alleviate climacteric symptoms be developed and efficiently provided to marriage immigrant middle-aged women, to reflect their climacteric experiences.
目的:本研究旨在了解中年婚姻移民女性的生活体验,以更年期体验为重点,深入探索她们的生活体验和克服这些挑战的体验本质结构。方法:采用深度访谈法对6名生活在江原道、经历更年期的40岁以上已婚移民中年女性进行调查。采用Colaizzi的现象学数据分析方法对收集到的数据进行处理。结果:通过分析,从113个意义语句中确定了8个类别和19个主题。以更年期为重点的八类婚姻移民中年女性的人生体验分别是:风云变幻、家庭的边界、不满意的现实、自己想要隐藏的一面、孤独的生活、思念家乡的生活、克服障碍的生活、对存在差距的社会支持的渴望。结论:应制定相应的社会支持方案,有效地为已婚移民中年妇女提供缓解更年期症状的服务,以反映她们的更年期经历。
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引用次数: 0
期刊
Korean Society of Nursing Research
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