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요양병원 간호사의 직무배태성과 이직의도와의 관계: 간호근무환경 매개효과
하선미(Ha, Sun, Mi),고영주(Ko,Yeong Ju) 한국간호행정학회 2020 간호행정학회지 Vol.26 No.5
Purpose: The purpose of this study was to identify the mediating effect of the nursing work environment in the relationship between job embeddedness and turnover intention of nurses working in long term care hospital. Methods: The study was conducted with 183 nurses working in long term care hospitals. Results: There were significant negative relationships between job embeddedness and turnover intentions. There were significant positive relationships between job embeddedness and nursing work environment. Nursing work environment had a partial mediation effect in job embeddedness and turnover intentions. Conclusion: In this study, the nursing work environment had a partial mediated effect in the relationship between job embeddedness and turnover. In order to reduce turnover intention of nurses working in long term care hospital, it is necessary to improve job embeddedness and the nursing work environment.
요양병원 간호사의 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인
하선미(Sun-Mi Ha) 한국산학기술학회 2019 한국산학기술학회논문지 Vol.20 No.3
환자에게 사용되는 신체적 억제대가 신체적, 정신적 윤리적으로 많은 문제점을 일으키지만, 여전히 임상에서는 무분별하게 사용되고 있다. 따라서 본 연구에서는 요양병원 간호사의 신체적 억제대 사용과 관련된 간호실무에 대한 관련 요인을 확인하기 위한 서술적 상관관계 조사연구를 시행하였다. 자료 수집은 2017년 1월 2일부터 6월 30일까지 11개의 요양병원 간호사 128명을 대상으로 자가 보고식 설문지를 통해 시행되었다. 자료 분석은 기술적 통계, t-test, one-way ANOVA, Welch’s test, Pearson correlation coefficients 및 다중 회귀분석을 사용하였다. 연구결과 요양병원 간호사들의 신체적 억제대에 대한 지식, 태도, 인식 및 간호실무 정도는 보통 정도로 나타났으며, 간호실무와 지식 사이에는 유의한 양의 상관관계가 있었다. 다중 회귀분석을 통해 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인으로는 지식(β=.27, p=.002), 태도(β=-.17, p=.044)순으로, 이들 전체 변수의 설명력은 9%였다. 본 연구에서 신체적 억제대 사용에 대한 간호실무에 가장 중요한 예측 인자는 신체적 억제대 사용에 대한 지식임을 확인하였다. 따라서 요양병원에서 신체적 억제대 사용을 줄이기 위한 근거기반의 교육 프로그램의 개발과 적용이 필요하겠다. This study was undertaken to identify knowledge, attitude, perception and nursing practice toward use of physical restraints, among nurses in long-term care hospitals. We further explored the impact of factors associated with nursing practice toward use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 128 nurses working at 11 long-term care hospitals. Descriptive statistics, including t-test, one-way ANOVA, Welch"s test, Pearson correlation coefficients and multiple regression, were applied to analyze the data collected. Our results reveal that the participants possess moderate levels of knowledge, attitude, perception and nursing practice toward use of physical restraints. Significant positive correlations were observed between nursing practice and knowledge. Multiple regression analysis showed that the factors significantly related to nursing practice and use of physical restraint were knowledge (β=0.27, p=0.002) and attitude (β=-0.17, p=0.044), having a total explained variance of 9.0%. The findings from this study suggest that knowledge is the strongest predictor on nursing practice toward use of physical restraints. Thus, we propose that developing and applying evidence-based educational intervention programs to reduce the use of physical restraints in long-term care hospitals are required.
간호대학생의 신체적 억제대 사용 관련 간호실무 예측 요인
하선미(Sun-Mi Ha) 한국산학기술학회 2021 한국산학기술학회논문지 Vol.22 No.4
신체적 억제대 사용은 많은 논란이 되고 있음에도 불구하고 여전히 임상실무에서 환자안전사고 예방을 위해 입원 중인 환자에게 흔히 사용되고 있다. 따라서 미래의 간호사가 될 간호대학생이 생각하는 신체적 억제대 사용과 관련된 지식, 태도, 인식 및 간호실무 정도를 확인하고, 신체적 억제대 사용 관련 간호실무 예측 요인을 확인하기 위해 서술적 조사연구를 시행하였다. 자료 수집은 2020년 1월 2일부터 1월 20일까지 2곳의 간호대학생 144명을 대상으로 자가 보고식 설문지를 통해 시행되었다. 자료 분석은 기술적 통계, t-test, one-way ANOVA, Pearson correlation coefficients, multiple regression을 사용하였다. 연구결과 간호대학생의 신체적 억제대 사용에 대한 지식점수는 평균 11.55±2.81점, 태도점수는 평균 60.01±7.24점, 인식점수는 평균 59.97±10.68점, 간호실무 점수는 평균 38.04±4.15점 이었으며, 간호실무와 지식, 태도, 인식 모두 유의한 양의 상관관계가 있었다. 다중 회귀분석을 통한 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인으로는 인식(β=.23, p =.005), 태도(β=.21, p =.009) 순으로, 이들 전체 변수의 설명력은 13%였다. 본 연구에서 신체적 억제대 사용 관련 간호실무에 가장 중요한 예측 요인은 신체적 억제대 사용에 대한 인식으로, 간호대학생이 신체적 억제대를 올바르게 인식하여 추후 간호사가 되었을 때 임상실무에서 올바르게 사용할 수 있도록 하기 위한 근거기반의 교육 중재 프로그램의 개발과 적용이 필요하겠다. Although the use of physical restraints is controversial, it is still commonly used in hospitalized patients to prevent patient accidents in clinical practice. It is, therefore, necessary to evaluate the knowledge, attitude, perception, and nursing practices related to the use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 144 nursing students at two Universities. Descriptive statistics, including t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression, were applied to analyze the data collected. Our results reveal that the mean knowledge score of nursing students regarding the use of physical restraints was 11.55±2.81, the mean attitude score was 60.01±7.24, the mean perception score was 59.97±10.68, and the mean nursing practice score was 38.04±4.15. Significant positive correlations were observed between nursing practice and knowledge, attitude, and perception. Multiple regression analysis showed that the factors significantly related to nursing practice and the use of physical restraints were perception (β=.23, p=.005) and attitude (β=.21, p=.009), having a total explained variance of 13.0%. The findings from this study suggest that perception is the strongest predictor of the use of physical restraints in nursing practice. Thus, it is necessary to develop and apply an evidence-based educational intervention program to ensure that nursing students correctly understand the need for physical restraints and later use them appropriately in clinical practice.
하선미(Ha, Sun Mi) 질적연구학회 2021 질적연구 Vol.22 No.2
Purpose: The purpose of this study was to explore experiences of bedrails use among nurses working in long-term care hospitals. Methods: Colaizzi"s phenomenological method was applied. Participants were 10 nurses working in long-term care hospitals. Data were collected through individual in-depth interviews. Data collection was done until data saturation was reached. Data were collected from December 2018 to January 2019. Results: Results of this study had four categories and 13 clusters of themes. These four categories were: ‘habitual use of bedrails’, ‘evidence of nurse-centered use of bedrails’, ‘recognition of problems caused in the use of bedrails’, and ‘finding an appropriate way to use bedrails’. Conclusion: In Korea, bedrails are commonly used in clinical practice because of their strong perception as an aid in patient safety and fall prevention. However, the use of bedrails not only has benefits, but also can cause serious risks. Thus, it is necessary to use them according to certain standards. Findings of this study will guide suitable use of bedrails in clinical practice in Korea.