긍정적 고객접점에서 간호서비스에 대한 환자의 인식유형

장옥점,김경선 병원간호사회 2001 임상간호연구 Vol.7 No.2

In present Korean medical world, hospitals are facing a time of competition as to the opening of medical industry, an attempt to find a new way of payment, evaluation of medical service. And the improvement of the standard of living has brought not only higher expectation of medical service but also the diversification of desires. And mass communication gives familiar contact with medical treatment and medicine widened the knowledge of medical treatment. Consequently patients come to have the option of the use of medical services, and medical market has been changed from supplier-centered to consumer-centered. Taking these changes into account medical institutions should acknowledge the internal and external changes to establish a policy to give better services to consumers and also for the maintenance and development of medical institutions. This research investigates the positive MOT through the experience of nursing service and analyze the pattern of perception of the consumers as to the positive MOT for the purpose of heighten the satisfaction of the consumers and improve the image of the hospital as well as higher degree of efficiency in the management of the hospital. This research was conducted between July 1, November 13, 2000. The research process using Q-methodology was as follows : First, to collect the Q-population we gathered 147 positive MOT statements which were composed of alleged case of satisfaction in a university hospital with patients admitted in a same hospital. Second, considering the overlapping of contents and clarity of expression, we modified same statements. After categorlzing the Q-samples according to the meaning and subject, we exracted 37 items that were presentative and good in discrimination of meaning at each categories. Third, after getting the agreement of participation in this research process, 17 patients who had a experience of admission to hospital, were gathered in p-samples. Fourth, using the 6×10cm sized card containing 37 items, we did Q-sorting based on the 9 point scale that the subjects of study had to comply with. The data of Q-sorting was scored and Q-factor analysis was done with QUANL pc-program. According to this research the patterns of perception the patients can be divided into three types as follow: The first type(information-pursuit type) : giving exact and detailed information has close relation to the satisfactory nursing service. The second type(professional-feature-oriented type) : use the expert know-how as an expert and have a strong sense of responsibility for the patients. The third type(thoughtful-consideration-oriented type) : put importance to warm hearted services. Typical statement of each type to device the nursing services. According to the above conclusion we are going to propose the following suggestion : First : researches are necessary for the development of the practically applicable nursing services in each type on the basis of this research. Second researches are necessary for the way of evaluation of nursing services with typical statement of each type to devide the nursing service.

집단미술치료가 암병동 간호사의 직무스트레스와 소진에 미치는 효과

장옥점,류의정,손현정 병원간호사회 2015 임상간호연구 Vol.21 No.3

Purpose: The purpose of this study was to evaluate the effects of a group art therapy on decreasing job stress and burnout of clinical oncology nurses. Methods: The study was conducted using a non-equivalent control group, non-synchronized design with repeated measures. A total of 29 clinical oncology nurses participated in the study; 15 were assigned in the experimental group, and 14 in the control group. Data were collected from May to July, 2014. The study questionnaires were administered in three different time points (pretest, 8th week, and 12th week). Data were analyzed using x2-test, Fisher’s exact test, t-test, paired t-test, and repeated measures ANOVA. Results: The first hypothesis “the experimental group with group art therapy will have lower job stress than that of the control group” was support (F=7.88, p=.003). The second hypothesis, “the experimental group will have lower burnout than that of the control group” was not statistically supported (F=1.80, p=.188). Conclusion: The findings of the study indicated that the group art therapy for oncology nurses may positively influence in decreasing job stress, which open a venue for developing a nursing intervention with group art therapy for clinical nurses in future. 목적: 본 연구는 집단미술치료가 암병동 간호사의 직무스트레스와 소진에 미치는 효과를 알아보기 위해 실시되었다. 방법: 본 연구는 유사 실험연구로서 비동등성 대조군 반복측정설계이다. 암병동 간호사 29명이 본 연구에 참여하였고, 14명의 간호사를 실험군으로 15명의 간호사를 대조군으로 선정하였다. 자료수집은 2014년 5월부터 7월까지 실시되었다, 실험 중재 전 사전조사를 시행하고 8주간의 실험중재가 진행되었다. 사후조사 1은 실험 중재 직후에, 사후조사 2는 실험 중재 4주후에 실시되었다. 수집된 자료는 χ2-test, Fisher’s exact test, t-test, paired t-test, repeated measures ANOVA로 분석하였다. 결과: 가설 1 “집단미술치료를 시행한 실험군은 집단미술치료를 시행하지 않은 대조군보다 직무스트레스 점수가 낮을 것이다”는 지지되었다. 직무스트레스는 집단과 시기간의 교호작용이 통계적으로 유의한 차이를 보였다(F=7.88, p=.003). “집단미술치료를 시행한 실험군은 집단미술치료를 시행하지 않은 대조군보다 소진 점수가 낮을 것이다.”는 기각되었다. 실험군은 대조군에 비해 소진이 감소하였으나 통계적으로 유의하지는 않았다(F=1.80, p=.188). 결론: 집단미술치료는 암병동 간호사의 직무스트레스를 감소시킬 수 있는 중재로 확인되었다.

전화추후관리가 항암요법을 받는 암환자의 자가간호수행 및 가족원 역할스트레스에 미치는 효과

장옥점(Jang Ok Jeom),우선혜(Woo Seon Hye),박영숙(Park Yeong Sook) 기본간호학회 2006 기본간호학회지 Vol.13 No.1

Purpose: This study was conducted from January to March, 2004 to examine the effect of telephone follow-up on the performance of self-care in cancer patients undergoing chemotherapy and on role stress of family caregivers. Method: Research design was a nonequivalent control group non-synchronized design. Seventy-two participants were assigned to either the experimental group (18 cancer patients, 18 family caregivers) or the control group (18 cancer patients, 18 family caregivers). Data were collected before and after the intervention and were analyzed with paired t-test, t-test, Mann-Whitney U Test & Wilcoxon Signed Ranks Test. Results: Performance of self-care in the experimental group undergoing telephone follow-up was significantly higher than that of the control group (t=8.016, p=0.000). Role stress of family members in the experimental group was also significantly higher than that of the control group (t=2.133, p=0.042). Conclusion: This results suggest that the telephone follow-up is effective for cancer patients undergoing chemotherapy and their family caregivers. Telephone follow-up can be recommended as an effective nursing intervention for self-care performance in cancer patients undergoing chemotherapy and to reduce role stress of family caregivers.

이압요법이 병원여성근로자의 월경곤란증에 미치는 효과

오은주,장옥점,정현자,이혜진,김은정 병원간호사회 2008 임상간호연구 Vol.14 No.1

Purpose: This study was done to provide support material to traditional nursing interventions through investigation of the effect of Auricular acupressure therapy for female staff in the hospital who have dysmenorrhea but cannot be absent from work even with severe symptoms affecting their work and therefore cannot get proper pain management. Method: The participants in this study were 62 women were working in the G-university hospital in Jin-ju, assigned to experimental (30) and 32 control groups (32). The study method was a quasi-experimental, nonequivalent control group non-synchronized design. The experimental group received acupressure treatment (a pin was attached to tape) on the special stimulation points in the inside of the ear, 5 times for 5 seconds, morning, afternoon, and night. Tape without the pressure pin was applied to the same points for women in the control group to evaluate placebo effect. Data were collected from May to November 2007 and were analyzed using SPSS PC+ 12 version. Descriptive statistics, t-test, x2 -test, Fisher's exact test, paired t-test, were used to analyze the data. Results: The experimental group showed a significant decrease in dysmenorrhea compared to the control group (t=-2.743, p<.01). In the sub-part, the experimental group showed menstruation related pain (t=-3.726, p<.01), menstruation related to behavioral change (t=-2.421, p<.05) and symptoms however, there was no significant difference related to attention deficit, water retention, and negative image. Conclusion: Application of auricular acupressure therapy was approved for this study and although auricular acupressure therapy was not effective for all of the symptoms, it was effective for dysmenorrhea.