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      • KCI등재

        임상간호사의 간호조직문화, 스트레스 대처, 직장 내 괴롭힘이 이직의도에 미치는 영향

        송효숙,임소희 한국직업건강간호학회 2023 한국직업건강간호학회지 Vol.32 No.1

        Purpose: This study aimed to the investigate the relationship between nursing organizational culture, stress coping, bullying, and turnover intention among Korean hospital nurses; and to identify factors influencing turnover intention. Methods: The participants were 264 nurses working at three general hospitals in a metropolitan area in; South Korea. Data were collected using structured questionnaires from March 20 to June 21, 2021; and analyzed using the SPSS/WIN program. Results: Nurses' turnover intention was positively correlated with hierarchical -oriention (r=.28, p<.001), work -oriention (r=.14, p=.012), and bullying (r=.48, p<.001), whereas turnover intention was negatively correlated with relationship -oriention (r=-.41, p<.001), innovation -oriention (r=-.39, p<.001), and stress coping (r=-.09, p=.009). The factors influencing turnover intention were nursing organizational culture, bullying, age, position, and total working period; these had 44.0% explanatory power for turnover intention (F=14.00, p<.001). Conclusion: According to this study, addressing bullying and strengthening nursing organizational culture is essential to lower turnover intention among clinical nurses.

      • KCI등재

        간호대학생과 비간호대학생의 생명의료윤리의식과 안락사에 대한 태도

        송효숙,임소희 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.1

        Purpose: The purpose of this study is to investigate the awareness of biomedical ethics of nursing college students and non-nursing college students and to examine their attitudes toward euthanasia. Methods: The study design was a descriptive research study and analyzed 247 university students attending a university in G city. Data were analyzed using SPSS 23.0 program. The general characteristics of the major were determined by number, percentage, and χ²-test. The difference between the awareness of biomedical ethics and attitude of euthanasia was analyzed by t-test. Results: As a result of this study, there was no statistically significant difference in the awareness of biomedical ethics according to the subjects of the study(t=1.55, p=.124), but Statistical significance was found only in the sub-domain artificial abortion(t=2.33, p=.021). In addition, there was no statistically significant difference in attitude toward euthanasia according to subjects' major(t=-1.37, p=.171). Conclusions: In order to establish a desirable ethical structure as a society member of the future, university students should provide systematic education and various programs on euthanasia in addition to the biomedical ethics awareness. 연구목적: 본 연구는 간호대학생과 비간호대학생의 생명의료윤리의식 정도를 파악하고, 이에 따른 안락사에 대한 태도를 조사하기 위한 것이다. 연구방법: 연구설계는 서술적 조사연구이며, G시에 소재한 대학교에 재학 중인 대학생 247명을 대상으로 분석하였다. 자료분석은 SPSS 23.0 프로그램을 이용하여 분석하였다. 전공에 따른 일반적 특성은 실수와 백분율, χ²-test로 구하였다. 전공에 따른 생명의료윤리의식정도와 안락사의 태도 정도의 차이는 t-test로 분석하였다. 연구결과: 대상자의 전공에 따라 생명의료윤리의식의 정도는 유의한 차이가 나타나지 않았으나(t=1.55, p=.124), 하위영역인 인공임신중절에서만 통계적으로 유의한 결과가 나타났다(t=2.33, p=.021). 또한, 대상자의 전공에 따른 안락사에 대한 태도는 통계적으로 유의한 차이가 나타나지 않았다(t=-1.37, p=.171). 결론: 대학생은 미래의 사회주역으로 바람직한 윤리관 확립을 위하여 생명의료윤리의식과 더불어 안락사에 대한 체계적인 교육 및 다양한 프로그램이 제공되어야 할 것이다.

      • KCI등재

        인공심장판막치환환자의 응급센터 내원시 warfarin에 의한 합병증에 관한 연구

        송효숙,장병철,곽혜선 한국임상약학회 2007 한국임상약학회지 Vol.17 No.2

        Purpose: This study was to evaluate the factors on bleeding complications and thromboembolism in patients on warfarin with mechanical heart valves visiting emergency center. Methods: Among 560 patients who were operated at Y Cardiovascular Hospital between November 2001 and October 2006, we reviewed the records of 83 patients who had mechanical heart valve and visited emergency center. Results: There were 6 major thromboembolic events, 18 major bleeding events and 25 minor bleeding events from 83 patients who visited emergency center. The mean international normalized ratio (INR) was 4.30±13.29 in patients visiting emergency center, 6.07±3.86 in patients with major bleeding, and 5.89±2.80 in patients with minor bleeding complication. There was statistically significant difference in INR between bleeding complication groups and no bleeding groups (p = 0.001 in patients with major bleeding, p<0.0001 in patients with minor bleeding). However, there was no difference in time in therapeutic range (TTR) when the therapeutic target range of INR was 1.8~3.0 (p = 0.730). With risk analysis, serum albumin level was significantly low and weekly warfarin dose was significantly high in patients with bleeding complication (p≤0.05). Conclusions: There were differences in the values of INR, albumin and weekly warfarin dose among major bleeding, minor bleeding and no complication groups even though TTR was not significantly different among the groups. To reduce anticoagulation related complications, close monitoring and systemic anticoagulation education should be offered by experienced and knowledgeable pharmacists.

      • KCI등재

        간호사의 성격유형에 따른 직무만족도, 간호전문직관과 이직의도

        송효숙,임소희,민정숙 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.2

        Purpose: The purpose of this study is to compare the effects of job satisfaction, nursing professionalism, and turnover intention on nurses' D type personality. Methods: The study design was a descriptive research study and analyzed 197 nurses working in general hospitals over 300 beds located in S city. Data were analyzed using mean, standard deviation, χ2-test, t-test and logistic regression analysis using SPSS 23.0 program. Results: The results of this study showed that there was a significant difference in job satisfaction(t=2.39, p=.018) and nursing professionalism(t=2.16, p=.032) according to personality type. The most influential factor in the turnover intention of the nurse with D personality type was motivation factor(B=1.96). D personality type, the motivation factor of nurses who had no turnover intention was 7.06 times higher than that of nurses who turnover intention. Conclusions: Therefore, a program should be provided to promote job satisfaction and nursing professionalism according to personality type, and a plan should be established to promote motivation to lower the turnover intention of type D personality nurse. 연구목적: 본 연구는 간호사의 D 성격유형 여부에 따른 직무만족도와 간호전문직관의 차이, 이직의도에 미치는 영향을 비교하기 위한 연구이다. 연구방법: 연구설계는 서술적 조사연구이며, S시에 위치한 300병상 이상의 종합병원에 근무하는 간호사 197명을 대상으로 분석하였다. 자료분석은 SPSS 23.0 프로그램을 이용하여 평균, 표준편차와 χ²-test, t-test, 로지스틱 회귀분석을 이용하여 분석하였다. 연구결과: 본 연구결과, 성격유형에 따라 직무만족도(t=2.39, p=.018)와 간호전문직관(t=2.16, p=.032)이 유의한 차이가 있었다. D 성격유형을 가진 간호사의 이직의도에 가장 큰 영향을 미치는 요인은 직무만족도의 하위영역인 동기요인(B=1.96)으로 나타났으며, D 성격유형을 가진 간호사 중 이직의도가 있는 간호사에 비해 이직의도가 없는 간호사의 동기요인이 7.06배 높은 것으로 나타났다. 결론: 이에 성격유형에 따른 직무만족도와 간호전문직관을 증진시키는 프로그램과 교육이 제공이 이루어져야 할 것이며, D 성격유형의 간호사의 이직의도를 낮추기 위하여 동기요인을 증진시키는 방안이 마련되어야 한다.

      • KCI등재
      • KCI등재

        중신정맥관 카테터 감염요인 분석

        송효숙,김은경,김동옥 병원간호사회 1999 임상간호연구 Vol.5 No.1

        Central venous catheter is used to measure CVP to provide medications and blood products. Infection is most complications of central venous catheter insertion. Therefore, it is imperative that nurses be able to accurately assess for signs and factors for infections related to central venous catheters. Preservation of central venous catheters demands the development of adequate guidelines for maintenance. The purpose of this study was to review infection rates of central venous catheter analysis of infectious factors related to 173 central venous catheters in 160 patients. The results showed that there was 10.4% of infection rates of central venous catheters. Infectious factors related to central venous catheters were age, dressing methods and frequencies, hospital admission days before catheter insertion, patients diseases. It implies that infection rate could be lowered with less frequent manipulations of central venous catheter.

      • KCI등재

        만성 심부전 환자의 국내 연구 동향 분석 : 연구 주제 및 관련 측정도구를 중심으로

        송효숙,임소희 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.12

        Purpose: This study attempted to analyze the direction of the heart failure related nursing research by analyzing the main research topics and relevant measurement in the domestic nursing research conducted in patients with heart failure. Methods: It analyzed the research papers were analyzed from the beginning until November 2017, and the final 22 papers were analyzed. The keywords of the papers were 'heart failure', 'nursing', and 'patient'. Results: Of the total 22 out of the total 22 subjects, 15 studies were conducted. The most common type of research design was descriptive research 13(59.1%), as the data collection method of the study, 15(68.2%) questionnaires were used .The characteristics of the study subjects were 18 outpatients (81.8%) and the average age was 61~65 years old and 11(50%). The main research concept was physiological related disease 29(42.1%), and it was gradually increasing. Also, in the psychological domain, self-care activities 24(34.8%) were found. The main measurement tools were self-care, functional status, quality of life and knowledge, depression and support. Conclusions: This study suggests the development and study of nursing intervention program according to symptom and stage of heart failure in patients. In addition, we propose a research method applying various concepts, rather than the existing concept, and development of a tool suited to the characteristics of domestic patients. 연구목적: 본 연구는 심부전 환자를 대상으로 실시된 국내 간호학분야 논문의 주요 연구주제 및관련 측정도구를 시기별로 분석하여 심부전 관련 간호연구의 방향을 제시 및 분석하고자 시도되었다. 연구방법: 분석 대상 논문은 연구초기부터 2017년 11월까지 분석하였으며, 최종 22편의 학회논문이 분석되었다. 논문 중심 키워드는 ‘심부전’, ‘간호’, ‘환자’로 검색하였다. 연구결과: 총 22편 중 2011년 이후에는 15편의 연구가 수행되었고, 연구 설계 유형은 서술적 조사연구가 13편(59.1%), 연구의 자료 수집방법으로는 설문지 방법이 15편(68.2%)으로 가장 많았다. 연구대상자의 특성은 외래환자가 18편 (81.8%), 대상자의 평균연령은 61세~65세가 11편(50%)로 가장 많았다. 주요 연구개념은 생리학적 영역인 질병과 관련 개념이 29편(42.1%)으로 가장 많았으며, 점차 증가하는 추이를 나타냈다. 또한 심리학적 영역에서는 자가간호행위가 24편(34.8%)으로 나타났다. 주요 측정도구는 자가간호, 기능적 상태, 삶의 질과 지식, 우울과 지지 순으로 나타났다. 결론: 본 연구의 결과를 바탕으로 향후 국내 환자 특성과 의료 환경을 반영하고, 환자에 심부전의 증상과 단계에 따른 간호중재 프로그램의 개발 및 연구가 필요하다. 또한, 기존에 진행하였던 개념이 아닌 다양한 개념을 적용한 연구방법 및 국내 환자의 특성에 맞는 도구개발을 제언한다.

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