암 병동 간호사의 간호업무성과에 미치는 영향요인

양희모 사단법인 한국안전문화학회 2023 안전문화연구 Vol.- No.21

This study is a descriptive research study to understand the relationship between professional autonomy, moral distress, and nursing performance of nurses working in cancer wards, and to identify factors affecting nursing performance of nurses in cancer wards. The subjects of the study were conveniently extracted from 180 nurses with more than 6 months of experience in nursing cancer patients receiving chemotherapy treatment at a university hospital in Gyeonggi-do. The data collection period was from July 11, 2022 to July 29, 2022, when the clinical research review committee of the medical institution where the study was conducted, and a self-fill survey was conducted by distributing structured questionnaires. The collected data were analyzed using the SPSS window 21.0 statistical program. The reliability of the measurement tool was analyzed using Cronbach's alpha. The general characteristics of the subject, the subject's professional autonomy, moral distress, and nursing performance were analyzed by technical statistics. Professional autonomy, moral distress, and nursing performance according to the general characteristics of the subject were analyzed by t-test and ANOVA, and post-test was analyzed by Scheffé test. The factors influencing professional autonomy and moral distress on nursing performance were analyzed using regression analysis. As a result of the study, the subject's professional autonomy was 2.65 points out of 5, moral distress was 2.83 points, and nursing performance was 3.75 points. As a result of analyzing professional autonomy, moral distress, and nursing performance according to general characteristics such as gender, marital status, religious status, position, and total clinical experience, there was no statistically significant difference in professional autonomy. Nurses over the 3rd year were found to have higher moral distress than nurses under 1~3 years, and nursing performance was higher when married, responsible nurse or more, and when total clinical experience was more than 5 years. As a result of verifying the regression model to confirm the factors affecting the subject's nursing performance, it was statistically significant, and the total explanatory power was 23.8%. Clinical experience and professional autonomy were significant influencing factors on nursing performance. Based on the results of this study, a strategy is needed to develop and support individual nurses' nursing capabilities through the development of a career development system within the nursing organization to improve the nursing performance of cancer ward nurses. These efforts will have a positive effect on the management of human resources of nursing organizations as well as on the improvement of nursing performance of nurses in cancer wards.

간호사의 잡크레프팅과 직무착근도가 간호업무성과에 미치는 영향

류은진 대한통합의학회 2024 대한통합의학회지 Vol.12 No.4

Purpose : Although hospital nurses work in the same environment and care for the same patients, there are variations in terms of nursing performance. Determining nursing performance is an important way of providing quality care in clinical settings. This can aid in identifying the influence of job crafting and job embeddedness on the nursing performance of nurses in medium-sized hospitals as well as in providing basic data to enable increased nursing performance. Methods : This descriptive correlational study examined the degree of job crafting, job embeddedness, and nursing performance among hospital nurses to ascertain the relationships between these variables and their effects on nursing performance. The study participants were 170 nurses from small and medium-sized hospitals in G city. The data were collected from April 11 to 31, 2024, using structured self-reported questionnaires. The SPSS/WIN 25.0 program was used to analyze the data. Results : Depending on the overall amount of clinical experience, the nursing performance score varied, albeit above the median level (F = 2.337, p< .041). Nursing performance had a significant positive correlation with job crafting (r = 0.424, p< .001) and job embeddedness (r = 0.557, p< .001). The regression analysis confirmed that job crafting (ß = 0.267, p< .001) and job embeddedness (ß = 0.613, p< .001) were influential factors in the hospital nurses’ nursing performance. This model explained 31%. Conclusion : Job crafting and job embeddedness were found to be important factors affecting the nursing performance of hospital nurses. Hospital nurses are encouraged to bolster nursing performance in terms of satisfaction with job crafting and job embeddedness, and nursing managers should prioritize the strengthening of job crafting and job embeddedness among hospital nurses. Furthermore, it will be necessary to develop educational programs aimed at enhancing nursing performance.

A study for development of a job performance questionnaire for veterinary nursing

Sei-Myoung Han,Hyoung-Joon Park,Jae-Hyeon Cho,Chung-Hui Kim 한국예방수의학회 2024 예방수의학회지 Vol.48 No.2

Nursing research in veterinary hospitals is critical to the work of veterinary nursing and is necessary for continued advancements that promote optimal nursing care. Since the work of veterinary nursing involves animals with whom communication is difficult, the level of work performance can vary greatly depending on the experience, knowledge, and abilities of each animal nurse. In addition, veterinary nursing might establish a successful work environment through collaboration with veterinarians, and smooth work cooperation and communication among hospital members are direct factors in improving the work performance of animal hospitals. Because the work of nursing shows significant differences in performance depending on the individual, much research is being conducted to develop tools to measure work performance in the veterinary nursing field of medical assistants. In the present study, we attempted to develop a work performance measurement tool that is useful and suitable for veterinary nursing using the Delphi method. As a result of this study, an 18-item questionnaire was developed to measure the work performance of veterinary nursing, and these evaluation items were found to have excellent suitability in terms of content and construct validity. The evaluation scale of work performance of animal nurses developed through this study is believed to be useful in evaluating work performance in terms of work performance ability, attitude, and work performance relationship. Additionally, it is considered that the results of this study can be actively used to understand and develop the work relationships of veterinary nursing.

The Safety and Health Activities and Nursing Performance in Clinical Nurses

최선하,안명숙 한국생활환경학회 2018 한국생활환경학회지 Vol.25 No.4

This study was conducted to identify the relationship between safety and health activities and nursing performance and the influencing factors to nursing performance in clinical nurses. The participants was 145 clinical nurses working at the general wards and ICU (Intensive Care Unit) of an advanced general hospital. Safety and health activities and nursing performance were measured using a WICN (Work Improvement in Clinical Nursing) and Nursing performance measurement tool, consisting 16 items and 17 items separately in a 5-likert scale. Data was collected using a structured survey from Aug. 1st to Aug. 20th, 2017 and analyzed using SPSS 21.0. The mean score of nurses’ safety and health activities was 3.27±0.47 and nursing performance was 3.94±0.45. Positive relationship was identified between safety and health activities and nursing performance (r=.381, p<.001). Nursing performance was influenced to safety and health activities and work experience. Nursing performance could be explained 31% with those factors (F=29.64, p<.001). In order to increase the nursing performance of clinical nurses, it is necessary to raise the level of safety and health activities. Therefore, it is recommend to apply a WICN tool kit action checklist in the educational training of clinical nurses.

간호 퍼포먼스에 관한 국내 연구의 통합적 고찰

조수미,이은주 한국데이터정보과학회 2015 한국데이터정보과학회지 Vol.26 No.2

최근 의료 서비스의 질 향상과 환자 안전에 대한 관심이 대두되면서 간호 업무수행에 대한 중요성이 증가하고 있다. 본 연구의 목적은 현재까지 수행된 간호사의 업무수행과 관련된 국내 연구들을 분석함으로써 이들 연구들의 현황 및 문제점을 조사하고 추후 연구의 발전방향을 제시하고자 시도되었다. 간호 퍼포먼스 관련 연구 33편 중 25편은 서술적 상관관계 연구였다. 간호 퍼포먼스를 측정한 도구에 있어서는 15편에서 Park (1989)의 도구 및 이를 기반으로 수정한 도구가 사용되었다. 간호 퍼포먼스에 대한 용어 사용과 정의에 있어서는 일치된 합의가 없었다. 대부분의 연구에서 간호 퍼포먼스를 리더십이나, 임파워먼트 등의 요소들에 의해 영향을 받는 결과값으로 설계하였다. 따라서 추후연구에서는 국내 간호사의 퍼포먼스에 대한 개념적 기틀을 구축할 것을 제언하며, 간호 퍼포먼스가 의료 환경의 구조적, 과정적, 결과적 변수와는 어떠한 상호관련성을 가지는 지를 총체적으로 확인해보는연구가 필요할 것으로 사료된다. This paper review nursing performance in Korea to suggest the direction of futureresearch. A literature review of research nursing performance journal articles wasperformed. Thirty-three articles were analyzed research design, measurement tools,definition, and variables which with nursing performance. Most of the on nursing performancein Korea descriptive correlation study. There considerable confusion aboutKorean term and definitions nursing performance. used the instrument developed by Park (1989) to measure nursing performance. The variables with nursing performanceleadership and empowerment. No agreement on definitions or concepts of nursing performanceevident in Korea. Research on nursing performance that addresses all domainsof nursing is needed to analyze the impact of nursing performance on patientand healthcare outcomes.

The Safety and Health Activities and Nursing Performance in Clinical Nurses

Sun-Ha Choi,Myeong-Sook An 한국생활환경학회 2018 한국생활환경학회지 Vol.25 No.4

This study was conducted to identify the relationship between safety and health activities and nursing performance and the influencing factors to nursing performance in clinical nurses. The participants was 145 clinical nurses working at the general wards and ICU (Intensive Care Unit) of an advanced general hospital. Safety and health activities and nursing performance were measured using a WICN (Work Improvement in Clinical Nursing) and Nursing performance measurement tool, consisting 16 items and 17 items separately in a 5-likert scale. Data was collected using a structured survey from Aug. 1st to Aug. 20th, 2017 and analyzed using SPSS 21.0. The mean score of nurses’ safety and health activities was 3.27±0.47 and nursing performance was 3.94±0.45. Positive relationship was identified between safety and health activities and nursing performance (r=.381, p<.001). Nursing performance was influenced to safety and health activities and work experience. Nursing performance could be explained 31% with those factors (F=29.64, p<.001). In order to increase the nursing performance of clinical nurses, it is necessary to raise the level of safety and health activities. Therefore, it is recommend to apply a WICN tool kit action checklist in the educational training of clinical nurses.

응급실 간호사의 근무중 스트레스와 간호업무 수행과의 관계

박춘화,고효정 성인간호학회 1999 성인간호학회지 Vol.11 No.1

The purpose of this study was to assess how job stress affects the nursing performance of emergency room nurses. Data were collected from 210 emergency room nurses at 20 general hospitals, with more than 200 beds, in Pusan, Taegu and Kungbuk province, between October 5 and October 15, 1998. The instruments used for this study were the job stress scale which was developed by Mae Ja, Kim and Mi Ok, Gu(1984), and nursing performance of nurses scale developed by Ki Ae, chung(1989). Data Analysis was done using t-test, ANOVA, Tukey test, and Pearson Correlation. The result were as follows : 1. The highest rank of job stress items emergency room nursing were as follows with lessening order : when physicians delegate their clinical responsibilities to nurses(M=3.12±0.69). The most stressed factor among the nursing works was reported as night duty(M=2.99±0.87). 2. The mean score of nursing performance items, to prevent patient from falling or other injury(M=3.69±0.50). 3. Our study reveals that there was statistically significant negative correlation relationship between stress level and emergency room nursing performance(r=-0.14, p=0.0454), in other words, the more stress the nurses experienced, the weaker their nursing performance became. Two factors, heavy work load(r=0.30, p=0.0001), and poor compensation(r=0.15, p=0.031), were negatively related to nursing performance. 4. The study revealed that the group withy monthly income experienced less stress(F=2.71, p=0.0461). Also, the degree of stress was significantly lower in the group with work experience(F=3.01, p=0.0313). Stress varied according to position : superintendent nurse showed a lower level of stress than lay nurses and change nurses (F=2.93, p=0.0349). 5. There was significant difference in the degree of nursing performance according to religion(F=3.97, p=0.0088). In conclusion, there was statistically significant negative correlations between job stress and nursing performance. so there is need for special consideration in nursing administration in terms of reducing the job stress in emergency nursing. Suggestions based on this study as follows. 1. Further study is necessary to examine variables that influence job stress and nursing performance. 2. The expermental study is needed for an effectiveness of systematic and individual effort in order to reduce or manage nurses' stress in the emergency room.

IPA을 기반한 간호대학생의 핵심기본간호술 중요도인식 및 수행도와 전공만족도 과의 관계연구

장미영,김은재,Jang, Me-Young,Kim, Eun Jae 한국임상보건과학회 2020 한국임상보건과학회지 Vol.8 No.2

Purpose: The purpose of this study is a technical study to understand the relationship between the recognition and performance of core basic nursing skills of nursing college students who are ahead of clinical practice, and satisfaction with their major. Method: The subjects were 208 second-year students enrolled in the four-year nursing department located in J City and C City. General characteristics, characteristics of clinical practice, and recognition of the importance of core basic nursing skills, performance, and satisfaction with majors were investigated. Descriptive statistics, t-test, analysis of variance, multiple regression analysis and IPA are performed for data analysis Results: The results are follows. The results are follows. First, the performance was lower than that of the core basic nursing skills (p<.001). As a result of comparing the importance recognition and performance of the core basic nursing items, the importance recognition was significantly compared to the performance level in all 20 items. It showed high results. Second, it was found that there was a significant positive correlation (r=.40, p<.01) with major satisfaction in core basic nursing performance. Conclusion: These results highlight the need to develop education. It is necessary to establish a learning strategy through various learning guidance methods and self-directed learning that can improve the performance of items with low performance, although recognized as important through the Core Basic Nursing IPA for nursing students who are about to practice clinical practice. It is suggested to do repeated research applied.

간호사의 MBTI 유형에 따른 직무스트레스, 간호문제해결능력이 간호업무성과에 미치는 영향

이경옥,이주원,최소은,김성리,제남주 국제문화기술진흥원 2024 문화기술의 융합 Vol.10 No.4

본 연구는 간호사의 MBTI 유형에 따른 직무스트레스, 간호문제해결능력, 간호업무성과와 직무스트레스, 간호문제해결능력이 간호업무성과에 미치는 영향을 파악하고자 시도되었다. 연구대상자는 G 도 의료기관에 근무 중인 간호사 141명이며, 자료수집은 2024년 3월 01부터 3월 31일까지 진행하였다. 수집된 자료는 상관관계, 다중회귀분석으로 분석하였다. MBTI의 4가지 심리기능유형에서 SF형(동정적이고 우호적인 유형)이 가장 많았고, 심리기질유형에서는 SP형(감각적이면서 개방적인 유형)이 가장 많았다. 간호업무성과는 직무자원스트레스와 음의 상관관계가 있었고, 간호문제해결능력과 정적 상관관계가 있으며, 문제인식, 정보수집, 기획력, 평가와 정적상관관계가 있었다. 간호업무성과에 유의한 영향을 미치는 변인은 직무자원이었고 간호문제해결능력 하위요인인 문제인식이 간호업무성과를 가장 잘 예측하는 요인으로 나타났고, 그 다음은 기획력 순이었다. 설명력은 17.8%이었다. 본 연구결과는 간호사의 성격에 대한 이해를 높일 뿐 아니라 간호사의 업무성과와 관련된 요인을 조사함으로써 효율적인 간호 관리지침을 마련하는 기초자료로 활용될 수 있을 것으로 기대된다. 간호업무성과를 향상시키기 위한 프로그램 개발 및 방안을 통해 숙련된 간호업무로 질 높은 간호를 수행할 수 있도록 프로그램 활성화 및 교육의 기회 제공과 병원조직의 제도적인 지지가 필요하다. This study attempted to determine the effects of job stress, nursing problem-solving ability, nursing work performance, and job stress and nursing problem-solving ability on nursing work performance according to the MBTI type of nurses. The study subjects were 141 nurses working at a medical institution in G Province, and data collection was conducted from March 01 to March 31, 2024. The collected data were analyzed using correlation and multiple regression analysis. Among the psychological function types of MBTI, the SF type (sympathetic and friendly type) was the most common, and among the psychological temperament types, the SP type (sensuous and open type) was the most common. Nursing work performance had a negative correlation with job resource stress, a positive correlation with nursing problem-solving ability, and a positive correlation with problem recognition, information collection, planning ability, and evaluation. The variable that had a significant impact on nursing work performance was job resources, and problem recognition, a subfactor of nursing problem-solving ability, was found to be the best predictor of nursing work performance, followed by planning ability. The explanatory power was 17.8%. The results of this study are expected to be used as basic data to develop efficient nursing management guidelines by not only improving understanding of the personality of nurses but also investigating factors related to nurses' work performance. Through the development of programs and measures to improve nursing performance, it is necessary to revitalize programs, provide educational opportunities, and provide institutional support from hospital organizations to enable high-quality nursing care through skilled nursing work.

간호사고에 대한 임상간호사의 인지도와 예방행위수행도

박종선 ( Jong-seon Park ) 한국고등직업교육학회 2006 한국고등직업교육학회논문집 Vol.7 No.1

Purpose : This study was done to evaluate the degree of possible nursing accidents recognized by clinical nurses while carrying out their duty and the degree of measures they take to prevent these accidents to provide basic data for educating and training nurses on preventing nursing accidents. Methods : Data collection was done from March 21 to April 4, 2004 from 260 nurses working in 4 general hospitals, in more than 200 beds,in Jinju city. The final analysis was done using 239 copies excluding those not correctly responded and difficult to analyze. The tool used for the study was a survey prepared through the literature study and clinical experiences by modifying an existing instrument. To verify the validity of the survey, it was referred to a team of experts. A pre-study was done to modify and supplement the survey to validate the contents. Reliability was very high in which reliability on the level of recognition of nursing accidents was Cronbach's Alpha=.95 and that of preventive performance was Cronbach’s alpha=.98. These data collected were analyzed using SPSS (ver. 10.0). by applying t-test, ANOVA and pearson's correlation. Results : When the types of nursing accidents in 6 different areas were evaluated in a 4-point scale, the average score of the level of recognition on nursing accidents was 2.43 and that of preventive performance was 3.21. According to marital status and the degree of education, there are significant differences on the recognition for nursing accidents on level of preventive performance. When the relationship between recognition on nursing accidents and preventive performance was analyzed, it showed a low static correlation in some nursing job area significantly. And the total level of recognition and that of preventive performance showed low static correlation but no statistical significant(r=.059). Conclusions : In order to prevent nursing accidents, hands-on training should be done along with the development of a systematic training program. Using an instrument integrating the results from previous studies, a survey should be done on nursing accidents in overall nurses.