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백혜자 中央醫學社 1990 中央醫學 Vol.55 No.1
The study is aimed at exploring recognized nursing concept through nursing business in the spot of nursing care. The data were collected from 118 nurses conveniently selected from the population of nurses working in Kang Won proving, from July 20 to August 20,1989. for one month. The main result of this study can be summarized as follows; 1. In general characteristic the age distribution of examined respondents is the largest in number from 20 year old to 34 year old (79.7 %). The ratio of educational level was 91.5 % in nursing college graduation. The job sites were 32.2 % of respondents in hospital, 43.2 % of them in public health center and medical office, nurse teacher (18.6 %), industrial sites (5.9 %) respectively. Nurses with over five-year career were 53 %. Religion showed 37.3 % of Protestant, 14.4 of Catholic and 13.6 % of Buddhism. Marital status showed 48.3 % in marriage and 50.9 in single. 2. Nurse teachers (59.1 %) and nurses working in public health center and medical office (45.1 %) relatively highly recognized nursing service as technical profession with originality. Nurses working in hospital (39.5 %) and industrial sites (14.2 %) recognized at a low degree. In general most respondents (44.1 %) regarded nursing job as automomous technical profession. A difference of view in each nursing field didn't pay attention (p < 0.05). 3. Nursing laid an emphasis on the sot of nursing care was carried out at hospital (100 %), public health center and medical office (90.2 %), nurse teacher (86.47o), and all mentioned were executed in physical side. In every domain nursing execution on social (48.3 %) and spiritual side (33.9 %) was neglected. 4. According to responded survey deficient quality as nurse was technical knowledge -77-in hospital (57.9 %), industrial sites (57.1 %), and was sincerity and responsibility.(35.2 %) in public health center and medical office, and was satisfaction (27.2%) and technical knowledge (27.2 %) concerning nurse teacher. Besides, response about deficient quality were different in each field (p < 0.05). 5. On clients of nursing care, respondents answered that in hospital nursing care was carried out at the lowest degree for family (39.5,7o), group (23.7 %). Nursing care to nurses themselves (54.9 %), group (75.6 %) was executed at a relatively low degree in public health center and medical office. In school nursing care was performed at a lower degree for guardian (40.9 %) group or nurses themselves (14.2 %), too. 6. As regards nursing activity with important aim in the spot of nursing care, the high degree of nursing activities consisted of cooperation of curing disease (89 %), health education (83.0 %) and decreasing of pain of clients. On the other hand low degree of nursing activities were disease prevention (69.5%), maintaining health (63.617o) and health promotion (62.7 %) 7. Among Maslow's human needs, the order showing the lowest interests during the nursing care can be summarized as follows; self-realization (72.0 %), esteem need (44.9 %), need for love (42.7 %); that is to say, nursing care for satisfying the high rank need has the lowest interest. 8. In the spot of nursing care, in order to satisfy nursing care needs of Virginia Henderson's basic needs this study was done to investigate the degree of nursing care execution. In every items the ratio of nursing care execution was low; in particular in execution of nursing care for satisfying the high rank needs such as Preparation for recreation time (2.29 ± 1.065), Through work that is suitable for health, help was given with a view to feeling achievement (2.364 ± 1.091) Help is given to clients for recreational activities (2.525 ± 1.167), Psychological knowledge for clothing is put into use in nursing care (2.661 ± 1.094). Besides, Nursing care for normal excretion (2.574 ± 1.408), and Airpollution Prevention(2.873 ± 2.561) were low, too.
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