The Influence of Positive Psychological Capital, Perceived Value of Work, and Practice Environment on Retention Intention in Small-Medium Sized Hospital Nurses

Suhye Kwon,Young-Kyung Kim,Miseon Bang 한국성인간호학회 2022 성인간호학회 학술대회 Vol.2022 No.11

시설입소 치매부모를 돌보는 자녀들의 경험

권수혜(Kwon, Suhye),태영숙(Tae, Young-Sook) 한국간호과학회 2014 Journal of Korean Academy of Nursing Vol.44 No.1

Purpose: The purpose of the study was to explore and describe the experience of adult Korean children who are caregivers for parents institutionalized with dementia. Methods: Participants were fourteen adult children caregivers of elders institutionalized with dementia. Data were collected through in-depth unstructured interviews with individual participants from August to November, 2012. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Strauss and Corbin’s Grounded Theory Method. Results: From open coding, 67 concepts, 29 sub-categories, and 14 categories were identified. Analysis revealed that the core category of the experience of adult children caring for their parents institutionalized with dementia was ‘enduring the role of a prop’ consisting of four phases: initial turmoil, exploration, role adjustment, and acclimation. To manage the role of a prop, participants utilized various action/interactional strategies such as overcoming the unfamiliarity, overseeing the nursing home care, and counterbalancing the caring roles. As a result, participants experienced ambivalence towards the existence of parents with dementia, changes in family relationships, altered viewpoint towards nursing homes, and restructuring of life. Conclusion: In-depth understanding of the experience will guide nurses to promote effective interventions in order to better support the Korean family caregivers of parents institutionalized with dementia.

Critical Thinking and Reflective Journal Writing in Nursing Education

Lee-Kwon, Suhye 연세대학교 간호정책연구소 2001 간호학탐구 Vol.10 No.1

급속도로 변화하는 현대의료체계는, 임상에서 벌어지는 복잡하고 다양한 문제들을 효율적으로 처리하는데 비평적으로 사고하고 반성할 수 있는 직업인을 필요로 한다. 이러한 사회의 요구를 충족시키기 위하여, 간호 교육자들에게는 비평적 사고라는 개념을 정확히 규명하고, 학생들의 비평적 사고 능력을 함양 시키기 위한 효율적인 교육전략을 모색하여 적극적으로 활용해야 할 책임이 있다. 본 소고의 목적은 비평적 사고(critical thinking)의 개념을 규명하고, 이 비평적 사고능력을 함양 시키기 위한 전략 중 하나로서 '반성(reflection)'과 '반성적 학습(reflective learning)'를 소개하는데 있다. 비평적 사고의 보편적 정의에 대하여 아직까지 뚜렷하게 일치된 바는 없다. 그러나 수많은 학자들이 각각 자신들의 학문 안에서 이를 개념화 하여 왔고, 간호학자들 역시 간호학적 관점에서 비평적 사고를 정의하고 개념화 하기 위해 노력해 왔다. 일반적 문헌에 가장 처음으로 언급된 비평적 사고의 정의는 왓슨과 글래이저(Watson & Glaser)의 정의하고 할 수 있다. 이들은 태도(atitude), 지식(knowledge), 그리고 이것들을 실제 상황에 적용할 수 있는 기술(skill), 이 세 가지의 복합체로서 비평적 사고를 정의한다. 이 개념은 간호학 내에서 간호과정이나 문제해결과정을 포함한 과학적 추론으로서 한정적으로 개념화 되었다. 그러나, 비평적 사고는 간호학의 인식론을 반영하는 가운데 보다 넓게 정의되는 것이 바람직하다고 생각된다. 예를 들면, 넓은 의미에서 베너(Benner)의 본능(intuition)이나 가퍼(Carper)의 간호지식의 네가지 유형과 같은 개념들이 비평적 사고의 개념화에 포함될 수 있다. 한편, 카타오카 야히로와 세일로(Kataoka-Yahiro & Saylor)는 간호학적 견지에서 비평적 사고를 다음과 같이 정의한다: '(비평적 사고란) 한 가지 답 뿐만이 아니라 여러 가지 답을 동시에 가질 수 있는 복잡한 간호 문제에 대한 반성적이고 분별 있는 사고이다.' 이 정의는 간호사로서 무엇을 믿고 무엇을 할 것인가에 초점을 맞추고 있다. 비편적 사고가 간호교육의 성과를 측정하는 하나의 척도로서 인식되면서, 그 결과의 산물에 Today's rapidly changing health care system necessitates professionals who can think and reflect critically in order to deal with complex health problems or issues in clinical situation. To prepare students to meet the need of society, nurse educations need to clarify conceptualization of critical thinking and to identify and utilize effective teaching strategies to ptomote critical thinking in nursing students. In the article, an attempt is made to clarify the concept of critical thinking in nursing and as a teaching strategy to foster critical thinking, journal writing is examined in the light of reflection and reflec-tive learing. A model of reflective journal writing is also proposed. Suggestions are made for further recommendation and discussion related to critical thinking.

긍정심리자본, 대인관계 유능성, 인성이 간호대학생의 돌봄효능감에 미치는 영향

권수혜(Kwon, Suhye),홍민주(Hong, Minjoo),류민(Ryu, Min),신해윤(Shin, Haeyun) 한국간호교육학회 2022 한국간호교육학회지 Vol.28 No.4

호스피스 완화병동 간호사의 말기암환자 돌봄 경험

권수혜(Kwon, Suhye),태영숙(Tae, Young Sook),홍민주(Hong, Minjoo),최금희(Choi, Gum Hee) 대한종양간호학회 2015 Asian Oncology Nursing Vol.15 No.4

Purpose: The purpose of the study was to explore and describe hospice palliative nurses’ experience of caring for terminal cancer patients. Methods: Eleven hospice palliative nurses participated in the study. Data were collected through individual in-depth unstructured interviews with participants from November, 2012 to October, 2013. Theoretical sampling was used to the point of theoretical saturation. Data were analyzed using Corbin and Strauss’ ‘Grounded Theory Method.’ Results: From open coding, 25 sub-categories and 12 categories were identified. Analysis revealed that the core category was ‘becoming stepping-stones between life and death enduring burdens’, consisting of three phases: the phase of withdrawal, the phase of exertion, and the phase of maturity. Through this process, participants utilized various action/interactional strategies such as ‘maintaining a distance’, ‘sharing intimate daily life’, ‘being a mediator for a peaceful death’, ‘grieving and remembering’. The consequences of these strategies were a transcendental perspective towards life and ambivalent feelings toward hospice nursing. Conclusion: In-depth understanding of the hospice palliative nurses’ experience of caring for terminal cancer patients will guide nurse managers and policy makers to promote effective nursing strategies to better support hospice palliative nurses.

COVID-19 감염병 시대, 간호대학생의 임상실습 적응 경험

권수혜(Kwon, Suhye),김영경(Kim, Youngkyoung),방미선(Bang, Miseon),류민(Ryu, Min) 한국간호교육학회 2022 한국간호교육학회지 Vol.28 No.1

Purpose: This study was performed to explore and describe the overall clinical practice adaptation experiences among nursing students during the COVID-19 pandemic. Methods: This qualitative study applied the grounded theory method by Corbin and Strauss. Data were collected from May to August 2021 through individual in-depth interviews with 14 nursing students from three universities in B metropolitan city. Results: From open coding, 20 sub-categories and 10 categories were identified. Analysis revealed that the core category was the process of “keeping the place of learning while adhering to the restrictions of the era of pandemic” and that it consisted of four phases: confusion, withdrawal, adjustment, and growth. Through this process, participants utilized various action/interactional strategies such as “shifting to positive thinking,” “building a shield to protect oneself,” and “focusing on learning.” The consequences of these strategies were “adapting to the reality of the infectious disease situation” and “strengthening a foothold to grow as a future nurse.” Conclusion: An in-depth understanding of nursing students’ experiences of adapting to clinical practice during the COVID-19 pandemic will guide nursing educators to promote effective teaching strategies to better support nursing students in a time of infectious disease crisis.

기독교 간호대학 학생의 영적간호실습 경험

권수혜(Kwon, Suhye),태영숙(Tae, Young-Sook) 질적연구학회 2013 질적연구 Vol.14 No.2

Purpose: This study was conducted to explore, describe and understand the experience of spiritual nursing practice among christian nursing students. Methods: Data were collected through reflective journals written by 75 nursing students during their spiritual nursing practice, from March to April, 2012. Data were analyzed by thematic analysis method suggested by Braun and Clarke. Results: The experience of spiritual nursing practice among christian nursing students consisted of four themes: Departure with anxiety and anticipation, spiritual frustration and dispiritedness, spiritual touch and fulfillment, and spiritual reflection and maturity. Although students commenced the practice uneasy in mind, they managed to learn to connect with their patients spiritually sharing inner intimacy through empathy. Students recognized the importance of spiritual care for their patients, acquiring a holistic perspective for nursing. Through spiritual reflection, students felt rewarded and grew to spiritual maturity. Conclusion: The results suggest that spiritual nursing practice is a valuable way to learn and actualize the holistic nursing practice in students. Since nursing students experienced various spiritual challenges during the practice, more proactive educational interventions need to be developed and implemented to reinforce students’ spirituality.

졸업학년 간호대학생의 호스피스 인식과 삶의 의미가 임종간호태도에 미치는 영향

최금희(Gumhee Choi),권수혜(Suhye Kwon),홍민주(Minjoo Hong) 한국자료분석학회 2020 Journal of the Korean Data Analysis Society Vol.22 No.2

본 연구는 졸업학년 간호대학생을 대상으로 호스피스 인식, 삶의 의미, 임종간호태도 정도 및 그 관련성을 확인하고 임종간호태도에 영향을 미치는 요인을 규명하고자 시도되었다. 부울경 지역 소재 3개 간호학과에 재학 중인 4학년 262명을 대상으로 자기기입식 설문지를 활용하여 자료를 수집하였고 자료수집 기간은 2019년 9월 23일부터 11월 2일까지이었다. 수집된 자료는 연구목적에 따라 SPSS WIN ver. 25.0 프로그램을 활용해 서술통계, t-검정, 일원분산분석, Scheffé 검정, Pearson 상관계수, 단계적 다중회귀분석을 사용하였다. 대상자의 일반적 특성에 따른 임종간호태도 정도의 차이는 성별(t=-2.22, p=.027), 전공만족도(F=14.42, p<.001), 학업성적(F=3.38, p=.036), 호스피스 교육 유무(t=2.59, p=.010), 호스피스 실습경험 유무(t=2.05, p=.042), 삶의 만족도(F=4.47, p=.004), 임종간호경험 유무(t=-2.83, p=.005)에 따라 유의한 차이를 보였다. 임종간호태도에 영향을 미치는 요인은 호스피스 인식(β=.43, p<.001)과 삶의 의미(β=.42, p<.001)로 확인되었고, 임종간호태도에 대한 이들 변인의 총 설명력은 52.4%로 나타났다. 따라서 졸업학년 간호대학생 임종간호태도의 긍정적 확립을 위해 호스피스 인식을 강화하고 삶의 의미 발견을 증진할 수 있는 호스피스 완화교육프로그램의 개발 및 적용이 필요하며, 간호학부 정규 교육과정의 개선이 요구된다. This study attempted to identify the level of perception on hospice, meaning of life, and attitudes toward nursing care of the dying (ATCOD) among senior nursing students, and to identify factors affecting ATCOD. Data were collected from 262 senior nursing students at three nursing schools in Gyungnam province, using self-written questionnaires, and the data collection period was from September to November, 2019. Descriptive statistics, t-test, one-way ANOVA, Scheffé test, Pearson s correlation coefficient, and stepwise multiple regression were used for data analysis using the SPSS WIN ver.25.0 program. The degree of ATCOD showed significant differences according to gender (t=-2.22, p=.027), major satisfaction (F=14.42, p<.001), academic achievement (F=3.38, p=.036), hospice education experience (t=2.59, p=.010), hospice practice experience (t=2.05, p=.042), life satisfaction (F=4.47, p=.004), and terminal care experience (t=-2.83, p=.005). The factors influencing ATCOD were perception on hospice (β=.43, p<.001) and meaning of life (β=.42, p<.001), and the total explanatory power of these variables was 52.4%. Therefore, active hospice education programs and curriculum are needed to enhance perception on hospice and meaning of life to positively establish the ATCOD of senior nursing students.

The Influence of Foot care knowledge, Self-efficacy, and Stress coping style on Foot self-care behavior among the middle-aged diabetic patients in Korea

JI-Yeoun Lee,Suhye Kwon 한국간호과학회 2019 한국간호과학회 학술대회 Vol.2019 No.10

A Structural Equation Model of Turnover Intention of Long-Term Care Hospital Nurses

( Soon Chul Youn ),( Suhye Kwon ) 한국장기요양학회 2018 한국장기요양학회 추계학술대회자료집 Vol.2018 No.-

Purpose: This study was designed to identify a path model that anticipates the turnover intention of nurses working in long-term care hospitals in Korea by anticipating factors that explain turnover intention and analyzing the effects of these factors. A hypothetical model was formulated based on a literature review of turnover intention and the turnover process model of Michaels & Spector. The pathways were composed and the significance was verified with the assumption that servant leadership, job stress, job satisfaction and organizational commitment, as concepts constituting the model, would directly and indirectly affect turnover intention. Methods: The subjects of this study were 230 nurses in long-term care hospitals, and data were collected through questionnaires from June 23 to August 30, 2017, after the approval from the Institutional Review Board (IRB) of K University. Data were analyzed using SPSS 21.0 and AMOS 20.0 program. Results: The overall fitness was good (χ2=235.100 (df=122, p<.001), CMIN/DF=1.927, TLI=.91, IFI=.93, SRMR=.06, CFI=.93, RMSEA=.06). According to the results of the model verification, job stress and organizational commitment had direct effects on turnover intention, and job stress and servant leadership indirectly effected turnover intention through the mediating effect of organizational commitment. Organizational commitment and job stress explained 63% of the variance in turnover intention of nurses in long-term care hospitals. Conclusions: Based on the results of the study, it is suggested that proactive strategies need to be developed and implemented to strengthen organizational commitment and to reduce job stress in oder to prevent actual turnover decisions of nurses at long-term care hospitals.