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근효근,박은옥 한국지역사회간호학회 2019 지역사회간호학회지 Vol.30 No.2
Purpose: Improving productivity in nursing practice is an important issue. This study investigated factors affecting nursing productivity of Korean clinical nurses. Methods: A structured survey tool was used in a cross-sectional design with a convenience sample of 239 nurses working in university hospitals. Stepwise multiple regressions were done to identify influential factors. Results: The level of nursing productivity was at a moderate level (3.3 out of 5). Those nurses who were over 36, married, over master-graduated, regularly employed, on day duty, and with experiences as a charge or head nurse reported better achievements in nursing productivity than the other groups of nurses. All three independent variables, age, and employment status explained 55.4% of the variance in nursing productivity. Conclusion: The leaders and managers of nursing organizations should develop educational programs aimed at increasing nurses’ competencies in relation to emotion controls and communication skills, which consequently should improve nursing productivity.
의료기관 가정전문간호사의 개인대처자원과 조직지원인식이 직무스트레스에 미치는 영향
김영임,근효근,조홍자,Kim, Young Im,Geun, Hyo Geun,Cho, Hong Ja 한국가정간호학회 2016 가정간호학회지 Vol.23 No.2
Purpose: The aims of this study were to describe the levels of personal coping resources, perceived organizational supports, and job stress, and to examine factors that affect job stress in hospital-based home care nurse practitioners. Methods: A cross-sectional survey was conducted. Data were collected from 170 subjects with a structured questionnaire from April to July, 2016 and analyzed using descriptive statistics, t-tests, One-way ANOVA, Pearson's correlation, and multiple regressions. Results: The means for personal coping resources, perceived organizational supports, and job stress were $3.7{\pm}0.43$, $3.4{\pm}0.55$, and $3.4{\pm}0.55$ out of 5, respectively. Personal coping resources and perceived organizational supports were significantly correlated. However, both had no associations with job stress. In the multiple regression analysis, the experiences of home care nursing and hospital location were found to be predictors of job stress. Both personal coping resources and perceived organizational supports were not statistically significant predictors of job stress. Conclusions: It is necessary to carry out organization-based educational programs and support systems aimed at enhancing personal abilities to cope with stress at work. Additionally, further studies are needed to identify other hospital-related characteristics that can lead to job stress in home care nurse practitioners.
고등학생의 학업 스트레스, 신체화 증상, 사회적 지지가 대처유형에 미치는 영향
이은희,김영임,근효근,이영실 한국학교보건학회 2015 韓國學校保健學會誌 Vol.28 No.2
Purpose: The purpose of this study was to investigate factors associated with coping responses in Korean public high school students. Methods: This study employed a descriptive survey research design. The sample included 263 high school students who responded to a self-report questionnaire. Variables included socio-demographic characteristics, health-related characteristics, academic stress, somatization symptoms, social support, and coping responses. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson’s correlations, and multiple regressions. Results: Participants, regarding their school life, reported moderate levels of academic stress (M±SD=2.3±0.52) and somatization symptoms (M±SD=2.3±0.71), and a relatively high level of social support (M±SD=4.2±0.67). All the variables were associated with the use of multiple coping responses. Active-cognitive coping (M±SD=2.9±0.68) was most frequently used, followed by active-behavioral coping (M±SD=2.8±0.56) and avoidant coping (M±SD=2.3±0.75). Significant relationships were found among the measured variables: positive relation between academic stress and somatization symptoms, but, negative between academic stress and both somatization symptoms and social support. Students who had higher stress and more somatization symptoms were more likely to use avoidant coping than the others. In multiple regression analysis, while factors associated with each coping response differed, gender appeared to be a significant factor in all methods. Variables included in the final model explained 27% of the variance in avoidant coping (F=11.40, p<.001). Conclusion: Based on the study results, schools should provide tailored educational programs to help high school students reduce multisource stress and somatization symptoms at school and cope with them in more active and effective ways.
이진범,김영임,근효근 한국지역사회간호학회 2014 지역사회간호학회지 Vol.25 No.2
Purpose: The purpose of this study was to investigate factors associated with perceived job satisfaction of TBcontrol nurses in Korea. Methods: This study employed a descriptive survey research design using data for 189TB control nurses. Variables included in this study were demographic, social, and work-related characteristics(including job stress), and job satisfaction. ANOVA, t-test,and multiple regression analyses were performed usingSPSS/WIN 19.0 program. Results: The mean value of perceived job satisfaction was lower in the subjects(2.9±0.41) than in general nurses working in other departments. In multiple regression analysis, factors associatedwith TB control nurses’ job satisfaction were job stress (β=-.281, p<.001), marital status (β=-.229, p<.001), andthe number of TB control nurses employed (β=.200, p<.001). Conclusion: The results of this study showed thatjob satisfaction was associated more significantly with job-related characteristics than with non-job-related variablesin workplace. Along with increased TB control nurse staffing, efforts should be made to reduce negative workplaceissues such as job stress and inappropriate pay to improve the subject’s job satisfaction.
119구급대원의 외상사건 경험, 외상후 스트레스와 건강증진 프로그램 요구도와의 관계
강미숙,김영임,근효근 한국지역사회간호학회 2017 지역사회간호학회지 Vol.28 No.4
Purpose: This study aims to examine the relationships among experiences of traumatic events, post-traumatic stress (PTS), and the needs for health promotion programs of 119 paramedics. Methods: Experiences of traumatic events, PTS, and needs for health promotion programs were measured using a structured questionnaire. The subjects were 193 paramedics in Jeju Island. Data were analyzed using descriptive statistics, t-test and x2 test. Results: The most experienced event out of the 16 different traumatic events was ‘retrieve a suicide’s body.’ A high-risk classification of PTS was observed in 36.2% of the subjects. The rates of experiences were higher than those of the actual needs for all 26 health promotion programs. The programs reported as highly needed by respondents were stress management (75.5%) followed by exercise (74.6%) and PTS management (72.5%). Subjects with longer career periods, a fire sergeant, perceived obesity, numerous experiences of traumatic events, and in the PTS risk group had a higher need for a stress management program. Conclusion: These findings indicate that a significant number of 119 paramedics experienced PTS. They also show that onsite strategic management is strongly required. In addition, implementation of health promotion programs based on the needs of 119 paramedics is highly needed.
Nursing Outcomes Classification(간호결과 분류체계)의 한글 명명화에 대한 타당성 연구
박현애,조인숙,황지인,근효근 성인간호학회 2000 성인간호학회지 Vol.12 No.2
The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson & Maas at the University of Iowa. The four phases of the study were : (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate ; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included' adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance(3.57)', 'caregiving endurance potential(3.57)'.