Structural Equation Modeling of Retention Intention in Nurses 간호사의 재직의도 구조모형
조헌하 Cho¸ Hun Ha , 강정미 Kang¸ Jung-mi , 이경은 Lee¸ Kyoung-eun
DOI:10.14370/jewnr.2021.27.2.95
Abstract
Purpose: This study was conducted to investigate the structural equation modeling of retention intention in nurses. Methods: A total of 210 nurses from three hospitals in B city, South Korea participated in this study. A structural equation model was constructed to verify the fitness of this model. Data were analyzed using SPSS 20.0 and AMOS 21.0 programs. Results: The hypothetical model appeared to fit the data. Three of the selected six hypotheses for the hypothetical model were statistically significant. The retention intention model showed significant direct effects for job crafting and job demands and indirect effects for relation oriented culture, which explained 28% of the variation in nurses' retention intention. Conclusion: We found that nurses' job crafting behavior and job demands had significant influences on retention intention and relation oriented culture which affected by the factors job crafting.
The Emotional Labor Status and Improvement Plans of Nurses Working in the Integrated Nursing Service Ward: Applying Focus Group Interviews 간호·간병통합서비스 병동 간호사의 감정노동 파악 및 개선방안: 초점집단인터뷰 적용
The Emotional Labor Status and Improvement Plans of Nurses Working in the Integrated Nursing Service Ward: Applying Focus Group Interviews 간호·간병통합서비스 병동 간호사의 감정노동 파악 및 개선방안: 초점집단인터뷰 적용
김찬희 Kim¸ Chan Hee , 이선희 Lee¸ Seon Heui
DOI:10.14370/jewnr.2021.27.2.104
Abstract
Purpose: The purpose of this study was to investigate the status of emotional labor of nursing personnel working in comprehensive nursing service ward and to suggest the way service improvement can be achieved. Methods: A total of 28 nurses working in comprehensive nursing service ward were divided into four groups to conduct focus group interview. All interviews were recorded and transcribed after the interview to perform data analysis in the order of data classification, topic categorization, and keyword derivation. Results: The five categories of subjects and relating keywords drawn from the focus group interviews are as follows: 1) Emotional labor experience: suppressing emotions, expressing emotions or actions that are different from reality, 2) Situations of emotional labor: verbal abuse and assault, sexual harassment, personal needs and errands, 3) Responses to emotional labor: responding directly, responding directly, receiving senior’s help, using the organizational system, persevering, 4) Problems caused by emotional labor: work exhaustion, job change intention, job stress, 5) Protection plan against emotional labor: manual or education for nurses, education for patients and carers, compensation, tough sanctions though system strengthening. Conclusion: This study shows that although nurses working in comprehensive nursing service ward generally experience high levels of emotional labor, the problem solving of them relies mainly on personal response. Therefore, it is necessary to develop various measures to protect nurses in an organizational level response, thus to improve the comprehensive nursing service system.
Key Words
Integrated delivery of health care, Emotional distress, Qualitative research, 간호·간병통합서비스, 감정노동, 질적연구
1)The Influence of Nurses’ Organizational Communication and Self-Leadership on Patient Safety Competence in Comprehensive Nursing Service Units: Focusing on Small and Medium-sized Hospitals 간호·간병통합서비스병동 간호사의 조직 내 의사소통과 셀프리더십이 환자안전역량에 미치는 영향: 중소병원을 중심으로
1)The Influence of Nurses’ Organizational Communication and Self-Leadership on Patient Safety Competence in Comprehensive Nursing Service Units: Focusing on Small and Medium-sized Hospitals 간호·간병통합서비스병동 간호사의 조직 내 의사소통과 셀프리더십이 환자안전역량에 미치는 영향: 중소병원을 중심으로
이규민 Lee¸ Gyu Min , 지은선 Ji¸ Eun Sun
DOI:10.14370/jewnr.2021.27.2.114
Abstract
Purpose: This study investigated the influence of nurses’ organizational communication and self-leadership on patient safety competence in comprehensive nursing care units of small and medium-sized hospitals. Methods: A descriptive design was used and self-reported questionnaires were used to collect data from 165 nurses in Seoul from February to March, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression with SPSS/WIN 22.0 program. Results: A mean score of organizational communication was 3.20±0.49, self-leadership 3.58±0.50, and patient safety competency 4.01±0.49 out of 5. A significant positive correlation was found between patient safety competence, organizational communication and self-leadership. Self-leadership and combined ward explained 32% of the variance of patient safety competence (Adjusted R2=.32, p<.001). Conclusion: Patient safety competence in comprehensive nursing care units are associated with self-leadership and organizational communication. Systemic education to improve patient safety competence in small and medium sized hospitals should be implemented to promote organizational communication as well as self-leadership.
Key Words
Comprehensive nursing service units, Intraorganizational communication, Nurses, Patient safety, Self-leadership, 간호·간병통합서비스, 조직 내 의사소통, 간호사, 환자안전역량, 셀프리더십
Effects of Perception of Death, Terminal Care Stress, and Resilience on the Terminal Care Performance of Clinical Nurses 임상간호사의 죽음인식, 임종간호스트레스와 회복탄력성이 임종간호수행에 미치는 영향
Effects of Perception of Death, Terminal Care Stress, and Resilience on the Terminal Care Performance of Clinical Nurses 임상간호사의 죽음인식, 임종간호스트레스와 회복탄력성이 임종간호수행에 미치는 영향
손유정 Son¸ Yu-jung , 박정숙 Park¸ Jung Suk
DOI:10.14370/jewnr.2021.27.2.124
Abstract
Purpose: This study examined the effects of death perception, terminal care stress, and resilience on the terminal care performance of clinical nurses. Methods: As a correlational study, this study conducted a survey total of 189 nurses working at K university hospital and a P university hospital in B metropolitan city for six months or more. The data was collected from August 20th, 2020 to September 15th, 2020. Data were analyzed using the SPSS, Windows version 25.0, according to the purpose of the analysis by descriptive statistics, t-test, ANOVA, Scheffe test, Pearson’s correlation coefficient, and hierarchical multiple linear regression. Results: The factors having effects on the terminal care performance of subjects were resilience, perception of death, and the experience of terminal care education. The total explanatory power of those variables on the terminal care performance was 21.0%. Conclusion: For the improvement of terminal care performance, it would be necessary to develop a systematic and professional terminal care education program that could increase the positive perception of death and resilience, and also include knowledge and skills necessary for terminal care. Also, the efficiency of terminal care performance should be increased through periodic terminal care-related nursing education.
The Influence of Communication Competence and Self-Efficacy of Nurses at Children’s Hospitals on Partnership with Parents 아동병원 간호사의 의사소통능력, 자기효능감이 간호사-환아부모 파트너십에 미치는 영향
The Influence of Communication Competence and Self-Efficacy of Nurses at Children’s Hospitals on Partnership with Parents 아동병원 간호사의 의사소통능력, 자기효능감이 간호사-환아부모 파트너십에 미치는 영향
김진희 Kim¸ Jinhee , 이한나 Lee¸ Hanna
DOI:10.14370/jewnr.2021.27.2.134
Abstract
Purpose: This study aimed to identify the influence of communication competence and self-efficacy of nurses at children’s hospitals on the nurse-parent partnership. Methods: Data were collected by surveying (from July 4th to August 4th, 2019) 162 nurses who had 6 or more months of experience across 15 children’s hospitals in G City and B Metropolitan City. Using SPSS 23.0 for Windows for data analysis, t-tests, analysis of variance, Bonferroni tests, Pearson’s correlation coefficient, and multiple regression analysis were performed. Results: The nurse-parent partnership showed significantly positive correlations with nurses’ communication competence and with self-efficacy. There was a significantly positive correlation between nurses’ communication competence and self-efficacy. The factors influencing the nurse-parent partnership were nurses’ communication competence, job satisfaction, and self-efficacy; the total explanatory power of these variables was 47.0%. Conclusion: Since the communication competence of nurses at children's hospitals was identified as a major factor influencing the nurse-parent partnership, it may be meaningful to conduct basic research aimed at developing strategies to improve this partnership at children’s hospitals.
Mediating Effect of Nursing Professionalism in the Relationship between Nurse’s Character and Nursing Intention Caring for High Risk Pathogen Infected Patients in the Tertiary Hospital Nurses 병원간호사의 간호인성과 고위험 병원체 감염환자 간호의도와의 관계: 간호전문직관의 매개효과
Mediating Effect of Nursing Professionalism in the Relationship between Nurse’s Character and Nursing Intention Caring for High Risk Pathogen Infected Patients in the Tertiary Hospital Nurses 병원간호사의 간호인성과 고위험 병원체 감염환자 간호의도와의 관계: 간호전문직관의 매개효과
Purpose: This study aims to explore the mediating effect of the nursing professionalism in the relationship between nurse’s character and nursing intention caring for high risk pathogen infected patients in the tertiary hospital nurses. Methods: This study used a cross-sectional descriptive design. The participants were 129 nurses from two tertiary hospitals. The questionnaire consisted of tools measuring clinical nursing personality, nursing professionalism and nursing intention caring for high risk pathogen infected patients in the tertiary hospital nurses. The data were analyzed using independent sample t-test, one-way ANOVA, Pearson correlation coefficient, and hierarchical multiple linear regression. Results: There were significant relationships between nurse’s character and nursing professionalism (r=.59, p<.001), nurse’s character and nursing intention caring for high risk pathogen infected patients (r=.54, p<.001), and nursing professionalism and nursing intention caring for high risk pathogen infected patients (r=.54, p<.001). In the relationship between nurse’s character and nursing intention caring for high risk pathogen infected patients, nursing professionalism had a partial mediating effect. Conclusion: This current study suggests that strategies for improving nursing professionalism in nurses should be considered when developing an educational program for enhancing their nursing intention caring for high risk pathogen infected patients.
The Competency in Disaster Nursing of Korean Nurses: Scoping Review 국내 간호사의 재난간호 역량: 주제범위 문헌고찰
이은자 Lee¸ Eunja , 양정은 Yang¸ Jungeun
DOI:10.14370/jewnr.2021.27.2.153
Abstract
Purpose: The aim of study was to identify ranges of Korean nurses’ competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were ‘disaster’, ‘nurs*’, ‘competenc*’, ‘ability’ and ‘preparedness’. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses’ common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.
Factors Associated with Chronic Disease Occurrence in One-person Household Depending on Gender 성별에 따른 1인 가구 성인의 만성질환 유병 관련 요인
이은숙 Lee¸ Eun Sook
DOI:10.14370/jewnr.2021.27.2.166
Abstract
Purpose: This study was conducted to assess the effect of household types on the occurrence of chronic diseases depending on gender and to identify the factors associated with chronic disease occurrence in one-person households. Methods: Multivariate logistic regression analysis was conducted using the data of 15,949 adults with the age of 19 years or older from the sixth Korea National Health and Nutrition Examination Survey (2013~2015). Results: For male, the risk of chronic disease occurrence was higher in one-person households than in multi-person households, and the same held true after adjusting for the confounding factors. For female, no significant relationship was found between household types and chronic disease occurrence. Factors associated with chronic disease occurrence were age, employment state, marital state, smoking, perceived stress, and depression in male, and age, employment state, physical activity, and obesity in female. Conclusion: It is necessary to monitor the disparity in health depending on household types in male. Additionally, providing a gender specific chronic disease prevention and health enhancement program is required.
Key Words
Households, One-person household, Chronic disease, Health behavior, 가구유형, 1인 가구, 만성질환, 건강행위
An Analysis of Car Seat Use from 2015 to 2019 among Children Ages under 6: Using Korea National Health and Nutrition Examination 최근 5년간 6세 미만 아동 카시트 사용 분석: 국민건강영양조사 자료(2015~2019년)를 바탕으로
An Analysis of Car Seat Use from 2015 to 2019 among Children Ages under 6: Using Korea National Health and Nutrition Examination 최근 5년간 6세 미만 아동 카시트 사용 분석: 국민건강영양조사 자료(2015~2019년)를 바탕으로
한수연 Han¸ Soo-yeon , 조수정 Jo¸ Soojung
DOI:10.14370/jewnr.2021.27.2.177
Abstract
Purpose: Traffic accidents are the major cause of death in children. Car seat usage in children is important to reduce the risk of death or injury caused by traffic accidents. This study aims to analyze the trends of car seat use among children ages under 6. Methods: This study adopted a cross-sectional study utilizing the Korea National Health and Nutrition Examination Survey from 2015 to 2019. In total, 1,999 responses were included for the analysis. Factors associated with car seat use were age, sex, body weight, height, family type, household income, and monthly household income. Regression analysis was used to compare the car seat use before and after the revision of the Road Traffic Act (2015∼2018 vs. 2019). Results: We found that car seat use was increasing by year, age, region, and household income. Car seat use was higher after fines increased in 2019. Age and body weight had negative association with car seat use, while height and household income had positive association with car seat use. Conclusion: Car seat use increased from 2015 to 2019 and is associated with different ages among children and household income. Further education and promotion that describes the safety benefits to children from car seat use are needed.
Key Words
Child, Child health, Child restraint systems, Traffic accidents, Protective devices, 아동, 아동 건강, 아동 보호 시스템, 교통사고, 보호장구
Impacts of Fatigue, Anxiety, Depression, and Cognitive Function on the Quality of Life in Gastrointestinal Cancer Patients Receiving Chemotherapy 항암화학요법을 받는 소화기암 환자의 피로, 불안, 우울, 인지기능이 삶의 질에 미치는 영향
Impacts of Fatigue, Anxiety, Depression, and Cognitive Function on the Quality of Life in Gastrointestinal Cancer Patients Receiving Chemotherapy 항암화학요법을 받는 소화기암 환자의 피로, 불안, 우울, 인지기능이 삶의 질에 미치는 영향
김성아 Kim¸ Seong-a , 한수하 Han¸ Suha
DOI:10.14370/jewnr.2021.27.2.185
Abstract
Purpose: This study aimed to investigate the effects of fatigue, anxiety, depression, and cognitive function on the quality of life of gastrointestinal cancer patients receiving chemotherapy. Methods: Data were collected from a total of 141 participants. The measurements used were Functional Assessment of Chronic Illness Therapy for fatigue (FACIT-F), Hospital Anxiety and Depression Scale (HADS) and Functional Assessment of Cancer Therapy for cognitive function (FACT-Cog). Results: Significant correlations were found among fatigue, anxiety, depression, cognitive function, and quality of life. The mean score of quality of life was 59.60 out of 108, and 68% of the variance in QOL was explained by fatigue, anxiety, depression, and cognitive function. Cognitive function was the most influential factor (β=.30), followed by anxiety (β=-.27), depression (β=-.24), and fatigue (β=-.18). We found that the better the cognitive function, the lower the anxiety and depression, and the lower the degree of fatigue, the higher the quality of life. Conclusion: A nursing program for managing the changes in fatigue, anxiety, depression, and cognitive function should be provided to enhance maintenance and the improvement of the quality of life for gastrointestinal cancer patients who receive chemotherapy.
Key Words
Anxiety, Cognition, Depression, Fatigue, Quality of life, 불안, 인지, 우울, 피로, 삶의 질
Experiences and Problems of Sexual and Reproductive Health among Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Intersex (LGBTQI) People in Korea 한국 성소수자의 성·생식건강의 경험
Experiences and Problems of Sexual and Reproductive Health among Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Intersex (LGBTQI) People in Korea 한국 성소수자의 성·생식건강의 경험
이윤정 Lee¸ Yunjung , 김주희 Kim¸ Ju Hee
DOI:10.14370/jewnr.2021.27.2.195
Abstract
Purpose: The purpose of this study was to understand the experiences and problems of sexual and reproductive health among Korean lesbian, gay, bisexual, transgender, queer or questioning, and intersex (LGBTQI) people. Methods: Phenomenological methodology was employed in this study, which comprised 14 LGBTQ participants. Data were collected using individual in-depth interviews from May to June, 2021, and were analyzed using Colaizzi’s method. Results: Four categories-comprising nine theme clusters-emerged from the data, as follows: 1) hard-to-recognize gender identity, 2) blind spots in the healthcare system, 3) empathy and support in the community, and 4) new challenges to protect my precious self. Conclusion: This study provides valuable and detailed insights into the meaning of sex and reproductive health among Korean LGBTQI people. This finding could be utilized to develop effective questions for understanding not only sexual and reproductive health but also overall health problems of LGBTQI people.
Key Words
Gender identity, LGBTQI, Qualitative research, Reproductive health, Sexual orientation, 성 정체성, 성소수자, 질적연구, 생식건강, 성 오리엔테이션
