본 연구는 임상간호사의 간호전문직관과 임상의사결정능력 간의 관계에서 비판적 사고성향과 핵심간호술 수행자신감의 이중매개효과를 검증하여 임상의사결정능력 향상을 위한 기초자료로 활용하기 위해 실시한 서술적 조사연구이다. 연구대상자는 일 지역의 종합병원 임상간호사 173명이며, 2023년 9월 15일～10월 13일까지 자료수집을 하였다. 자료분석은 SPSS/AMOS 23.0 프로그램을 이용하여 연구변인들 간의 인과적 관계 분석과 부트스트래핑 추정방식으로 매개효과를 검증하였으며, t-test, ANOVA, Scheffe’s test, Pearson's correlation coefficient, hierarchical regression을 실시하였다. 연구결과, 첫째, 임 상간호사의 간호전문직관, 임상의사결정능력, 비판적 사고성향과 핵심간호술 수행자신감 간의 인과모형의 적합성은 타당하게 성립하였다. 둘째, 간호전문직관에서 임상의사결정능력에 대한 영향관계에서 비판적 사 고성향은 부분매개효과를 나타냈다. 셋째, 이중매개효과를 검증한 결과, 비판적 사고성향의 간접효과가 비 판적 사고성향과 핵심간호술 수행자신감의 간접효과보다 크게 나타나 이중매개효과보다는 단일매개 효과 가 큰 것으로 나타났다. 따라서 임상간호사들의 높은 간호전문직관의 함양은 임상의사결정능력을 향상시킬 수 있으며, 특히, 비판적 사고성향을 강화시키는 것이 더 효율적임을 검증하였다.

The rapid spread of novel infectious diseases, driven by globalization and transportation, has caused significant global damage. This study aimed to deeply explore the meaning of nursing experiences from nurses who performed holistic care for COVID-19 patients. Methods: Nurses from a tertiary hospital's COVID-19 isolation ward from January 1 to March 31, 2021, were included. Data were collected through 1:1 in-depth interviews with 17 nurses who understood the research purpose and agreed to participate. The transcribed interview data were analyzed using thematic analysis. Results: Five themes and 13 sub-themes were derived from 47 codes. The five themes included 'The beginning of new nursing,' 'New nursing while wearing personal protective equipment,' 'End-of-life care for patients,' 'Fruitfulness of nursing for COVID-19 patients,' and 'Demands for better nursing.' Conclusion: Nurses provided holistic and high-complexity nursing care to COVID-19 patients, experienced personal growth, and recognized the importance of colleagues. The unique context of 'isolation' for COVID-19 patients has resulted in profound end-of-life care experiences for nurses, highlighting the demand for support programs to address this issue. Furthermore, it shows the necessity for staffing support tailored to patient care.

This study was attempted to investigate effects of ethical climate and workplace bullying on nurses’ turnover intention of nurses working in medium to large sized general hospitals in Korea. This study was conducted on 187 full-time nurses working in the general hospitals with more than 400 beds. Data were collected from the online communities of nurses using Google Foam from April 22 to April 24, 2024. The average values were 3.64±0.64 (out of 5 points) for ethical climate, 2.43±0.75 (out of 4 points) for workplace bullying, and 3.33±0.95 (out of 5 points) for nurses’ turnover intention. While ethical climate had a non-significant relationship with nurses' turnover intention, workplace bullying had a significant relationship with nurses' turnover intention. Nurses’ turnover intention was influenced by verbal attack, inappropriate task, working department, and educational level. These four variables can explain 53.0% of nurses' turnover intention. To prevent the turnover of nurses working at medium to large sized general hospitals, nursing managers need to pay more attention to nurses with low educational level and working at comprehensive wards and special wards. In addition, nursing managers should provide communication training to nurses and assign nursing tasks and working departments according to the nurses' abilities and wishes.

Purpose: This study aimed to explore and describe the experiences of helper nurses deployed in COVID-19 dedicated wards, seeking a deeper understanding of the significance inherent in their experiences. Methods: Sixteen nurses with over one month of experience working as helper nurses in dedicated COVID-19 wards were selected as participants. Individual interviews were conducted between July and August 2023 using a semistructured questionnaire. Data were analyzed using the methods described by Elo and Kyngäs (2007). Results: The analysis revealed two categories comprising six themes derived from helper nurses’ experiences. These categories include “Confronting Professional Challenges” and “Growing as a More Professional Nurse”. Conclusion: Further studies are necessary to explore helper nurses’ experiences of infectious disease disaster situations. Nurses experience role conflicts, knowledge gaps, and burnout. Therefore, developing protocols for tasks and education is essential in highly uncertain situations and when new responsibilities arise. Establishing systematic support systems for stress reduction and enhancing social support among nurses is crucial. Therefore, additional research is required to understand the growth and impact of helper nurses.

본 연구는 수도권 지역 혈액원에서 근무하는 간호사들의 재직의도와 직무스트레스 관계에서 긍 정심리자본의 매개 효과를 파악하기 위한 서술적 조사연구이다. 167명의 간호사를 대상으로, 2021년 5월 부터 2022년 4월까지 구조화된 설문지를 사용하여 자료수집하였다. 자료는 SPSS ver.25를 이용하였다. 일 반적 특성은 빈도와 백분율, 평균과 표준편차를 사용하였으며, 직무스트레스와 재직의도의 관련성은 독립 표본 t-test, ANOVA, Pearson’s 상관관계로 분석하였다. 가설분석은 위계적 다중회귀분석, PROCESS macro model 4를 사용하였다. 연구결과, 재직의도와 긍정심리자본이 직무스트레스에 음의 영향력을 가진 다는 가설1이 지지되었다. 가설2는 재직의도와 직무스트레스 간에 긍정심리자본의 영향성은 부분 간접매 개효과가 존재하여 유의미한 매개효과를 제공하고 있는 것으로 증명되었다. 따라서, 혈액원 간호사의 재 직의도를 높이기 위하여 직무스트레스 수준을 낮추고 긍정심리자본은 높일 수 있는 인력관리제도가 필요 하며, 특히 혈액원에서의 긍정심리자본 수준을 향상시켜야 함을 파악할 수 있었다. 본 연구는 혈액원 간호 사의 직무스트레스 수준을 감소시키기 위한 효율적인 인력관리 및 역량강화교육에 필요한 실증적 근거를 마련함으로써 혈액원 간호조직의 성과 및 간호의 질 향상에 기여할 수 있을 것으로 기대한다. 또한, 혈액원 간호사의 재직의도를 높이고 직무스트레스를 줄이기 위해 긍정심리자본 중재 프로그램을 개발할 것을 제 언한다.

Purpose: This study aimed to analyze the overall trends and characteristics of emergency response training programs for newly graduated nurses, with a focus on identifying the educational directions necessary to enhance their capabilities in managing emergencies. Methods: We conducted a scoping review using Arksey and O’Malley’s 5-step framework, with a total of six databases searched from April 1—10, 2024. Results: This study identified nine articles published from 2010–2023. The articles’ educational content focuses on various emergencies, prominently featuring cardiopulmonary resuscitation and responses to patients’ conditions. Simulations served as the primary instructional method. The outcomes indicated notable improvements in participants’ performance capabilities and knowledge levels. Conclusion: Emergency response training programs for newly graduated nurses can be designed to provide staged interventions suitable for various patient conditions, with an emphasis on effectively utilizing simulation education. Furthermore, it is essential to diversify program evaluation metrics beyond knowledge and performance skills to include behavioral and outcome evaluations.

본 연구는 임상간호사의 사회적 지지, 자기효능감, 직무스트레스가 건강증진행위에 미치는 영향 을 확인하기 위해 시행되었다. 연구 대상자는 G시에 소재한 3개의 종합병원에 근무 중인 6개월 이상의 임 상간호사 345명으로, 수집된 자료는 SPSS 26.0 program을 이용하여 기술통계, t-test, ANOVA, Pearson 상관관계 및 다중회귀분석을 시행하였다. 연구결과, 사회적 지지(β=.36, p<.001)와 자기효능감(β=.35, p<.001)이 높고, 직무스트레스가(β=-.09, p=.018) 낮은 경우, 주 4회 이상 아침식사(β=.20, p<.001)를 하는 경우, 주관적 건강상태가 건강(β=.20, p=.001)하거나 보통인 경우(β=.20, p<.001) 건강증진행위 수 준이 높은 것으로 나타났고, 건강증진행위에 대한 이들 변수의 설명력은 49%로 나타났다(F=26.57, p<.001). 따라서 임상간호사의 건강증진행위 향상을 위한 프로그램 및 정책반영이 필요하다.

본 연구의 목적은 환자경험평가와 관련하여 그동안 주로 연구되었던 평가자 (입원경험 환자) 관점에서 벗어나 환자경험평가의 주서비스제공자인 간호사 관 점에서 시사점을 고찰하고, 코칭계가 환자경험평가 시행 이후 의료기관에서 강 화해야 할 코칭적 접근 방법에 대한 기초자료를 제시하여 의료기관 내 코칭문화 확산과 동시에 환자경험평가의 향상에 기여하려는 것이다. 목적을 달성하기 위 해 환자경험평가의 설문항목과 평가 결과를 분석하고 간호사 대상 코칭 관련 연 구를 분석하였다. 도출된 문제점은 간호사의 역할 비중이 과다하여 심리적 부담 감이 가중되고, 간호서비스 수준이 상향평준화 되어 있어 획기적인 점수 향상을 기대하기 어려우며, 대인적 측면에서 위로와 공감, 의사소통 부분 개선이 필요 하고, 제도와 시스템 등 구성원이 해결할 수 없는 장벽들로 인해 동기부여가 제 한적이라는 점 등이다. 이를 기반으로 간호사 코칭역량 강화, 경영진 및 관리자 코칭리더십 강화, 위로와 공감, 소통 등 대인관계 역량 강화 등의 코칭적 접근 방법을 제시하였다.

Purpose: This study aimed to identify and analyze the experience of passing and repealing the Nurses Act in Parliament. Methods: This qualitative study used content analysis. The data were collected through in-depth interviews October 16 to November 23, 2023. Results: The qualitative content analysis revealed five themes and 16 subthemes. The themes included: “Learning the Nurses Act through different channels”, “The Nurses Act’s passage, which strengthens the professionalism and legitimacy of the nursing profession”, “Looking back and feeling the joy and frustration of the process of getting it through the Congress and getting it repealed”, “An abandoned nursing practice due to bullying”, “Nevertheless, moving toward the re-enactment of the Nurses Act with hope”. Conclusion: Nurses expected the Nurses Act to recognize their expertise and clarify legal nursing practices; however, they were outraged and perplexed when the president vetoed the Nurses Act, and they felt sorry for the Nurses Act, which was turned into a political tool in the conflict between medical professions. Nevertheless, they hoped that the Nurses Act would be re-promoted through opinions and discussions with various professions and public awareness activities by developing nurses’ political capabilities and preparing a basis for the Nurses Act.

Purpose: The study aim was to understand the experiences of intensive care unit (ICU) nurses in labor union activities. Methods: A descriptive qualitative study and content analysis were conducted. The participants included nine ICU nurses who shared their experiences with labor union activities. The data were collected through in-depth interviews. Results: The experiences of ICU nurses with labor union activities encompassed five themes: “The Initial Step in Union Activities”, “Benefits Derived from Union Participation”, “Concerns Regarding Union Activities”, “The Non-Omnipotence of Unions”, and “Achieving Mutual Benefits through Union Activities”. Conclusion: The study findings revealed that ICU nurses strive to improve their work and the nursing environment through labor unions, despite facing negative perceptions of union involvement.

Purpose: This study aimed to identify and describe the experiences of new nurses trained by clinical nursing educators. Methods: Data were collected through focus groups and in-depth interviews conducted between July 27 and August 12, 2021. The collected data was qualitatively analyzed through content analysis. Results: Six themes and 19 subthemes emerged. The themes included: “Worried about not adjusting to work”, “Not feeling at ease with the preceptor”, “Experiencing the benefits of working with the clinical nurse educator”, “Getting practical support from the clinical nurse educator”, “Receiving mental and emotional support from the clinical nurse educator”, and “Appreciating successful adjustment”. Conclusion: This study confirmed the importance of the educator’s role in helping new nurses adjust to the workplace and develop competence.

본 연구의 목적은 종합병원 간호사의 임파워먼트와 직무소진이 감염관리 수행에 미치는 영향요 인을 확인하기 위한 서술적 조사연구이다. 대상자는 D시에 소재한 종합병원에서 근무하고 있는 간호사 총 210명을 대상으로 2023년 9월 15일부터 10월 31일까지 자료를 수집하였다. 수집된 자료는 SPSS/WIN 25.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Sheffe, Pearson’s correlation, multiple regression을 이용하여 분석하였다. 연구결과, 임파워먼트와 감염관리 수행은 양의 상관관계를 보였으며, 임파워먼트가 감염관리 수행에 가장 영향을 미치는 요인으로 분석되었으며, 14.8%의 설명력을 보였다. 따라서 간호사의 임파워먼트를 향상시킬 수 있는 효율적인 감염관리 수행을 위한 프로그램 및 정책반영이 필요하다.

This study aimed to develop the Traumatic Event Experience Scale in Perioperative Nurses (TEE-PON) and assess its validity and reliability. The TEE-PON underwent two distinct phases: scale development and scale evaluation. In the scale development phase, an initial set of 26 preliminary items was formulated through a comprehensive literature review and a focus group interview. Content validity was assessed by six experts, resulting in a refined total of 16 items after eliminating 10 items and modifying six others. In the scale evaluation phase, a survey was administered to 109 perioperative nurses. Following item analysis and exploratory factor analysis, the final scale emerged with four distinct factors encompassing 15 items. These factors were identified as ‘Conflict and violence in interpersonal relationships,’ ‘The death of a patient,’ ‘Witnessing the patient’s damaged body,’ and ‘Limitations of the work environment’. Correlation analysis between these sub-factors and post-traumatic stress, compassion fatigue, and job satisfaction confirmed the concurrent validity of the scale. The Cronbach’s α for the internal consistency of the finalized scale was 0.89, with sub-scales exhibiting values ranging from 0.69 to 0.87. The TEE-PON can be used as a valuable tool for assessing traumatic events experienced by perioperative nurses. Additionally, it can contribute to the development of intervention programs aimed at preventing post-traumatic stress disorder and compassion fatigue while concurrently enhancing job satisfaction.

본 연구는 COVID-19 팬데믹 상황에서 보건소 간호사로 근무한 경험을 심층적으로 이해하고, 본질을 규명하고자 시도되었다. C도의 3개 군 보건소에서 COVID-19 팬데믹 기간 동안 1년 이상 근무한 경험이 있는 대상자를 연구참여자로 선정하여 Colaizzi가 제안한 현상학적 방법에 따라 분석하였다. 연구결 과 ‘COVID-19에 대한 부정적 감정’, ‘직업적 소명의식 고취’, ‘신종 감염병 대응 체계 구축에 앞장’의 3가 지 주제모음이 도출되었다. 이를 바탕으로 간호사들을 위한 심리적 문제 지원 강화, 편중된 업무의 개선, 전문 인력 지원, 체계적 교육 지원, 적정 수준의 보상체계 마련 등의 필요성을 확인하였다. 따라서 본 연구 결과를 토대로 보건의료 체계 내 주요 인력인 간호사의 지지체계를 마련하고, 효율적인 감염병 대응 전략 을 마련하기 위해 다각도의 관심을 가지고 활발한 논의가 이루어져야 할 것이다.

The purpose of this study was to determine the effect of simulation-based Korea advanced life support training on new nurses' knowledge, clinical performance ability, performer confidence, and learning satisfaction. Methods: This is a non-equivalent controlled pre-post quasi-experimental study. A simulation-based CPR training program was applied to 37 new nurses. Results: The experimental group scored lower on emergency management knowledge (83.65±7.61) than the control group (84.55±9.22), which was not significant (t=-4.46, p=.657). However, the clinical performance ability score was significantly higher in the experimental group (109.59±9.98) than in the control group (100.24±11.87) (t=3.581, p <.001). Performer confidence was significantly higher in the experimental group (23.43±3.29) than in the control group (19.90±3.85) (t=3.69, p〈.001). In addition, the learning satisfaction score of the experimental group (96.16±5.64) was significantly higher than the control group (88.42±11.13) (t=3.72, p< .001). Conclusion: This study confirmed that simulation training is an efficient way to improve new nurses' clinical performance ability, and performer confidence. Therefore, applying simulation training in scenarios can improve new nurses' work competence and contribute to improving the quality of patient care.

Purpose: This study describes and seeks to understand the experiences of Korean nurses at a specialty hospital in the United Arab Emirates. Methods: Data were collected from September 12 to October 12, 2023, through in-depth interviews with 10 Korean nurses who had worked at a specialty hospital in the Middle East for more than five years. Recorded interviews were transcribed verbatim. The data were analyzed using the qualitative thematic analysis method suggested by Braun and Clarke. Results: The analysis identified four themes and 10 sub-themes. The themes are as follows: “Job insecurity and a rapid change of employment conditions”, “Stress of a dual organizational culture”, “Confusion due to cultural differences”, and “Advantages and rewards of working abroad”. Conclusion: Korean hospitals expanding into the Middle East through international medical projects can utilize the information gleaned from Korean nurses' experiences at the United Arab Emirates Specialty Hospital.

Purpose: This study utilizes a phenomenological research method to understand the nature of role adaptation experience of PA nurses. Methods: This was a qualitative study that applied Colaizzi’s phenomenological research method to understand the nature of role adaptation experience of PA nurses. The study participants were thirteen PA nurses (three men and ten women) with over five years of experience. For data collection, individual in-depth interviews were conducted, each about 50 to 90 minutes long. Individual interviews were conducted once or twice. Colaizzi’s method was used to analyze data. Results: The result of this study had 11 clusters of themes and 4 major themes were derived from the analysis: “parallel lines of conflict,”“anxiety about unclear future,”“disorganization of identity,”and “my own way to learn about myself.”These four major themes are structured chronologically to the extent possible but are not mechanically segmented based on time. Conclusion: This study recognizes the seriousness of PA nurses’problems in the absence of research on PA nurses’role adaptation experience and recommends that appropriate research is necessary. Standardized work guidelines and positive awareness of the role of PA nurses are necessary and are supported by PA nurses to establish their position as professionals.

Purpose: The purposes of this study was to identify the nurses' experiences of prolonged mask wearing in the context of COVID-19. Methods: This study was a qualitative study that used the content analysis method. Data were collected using focus group interviews with 18 nurses at a tertiary general hospital from April 13 to 27, 2023. Results: Five themes and 15 sub-themes emerged through qualitative content analysis. The themes included: “Mandatory or optional experience of wearing a mask unrelated to COVID-19”, “Mandatory KF94 masks during the COVID-19 pandemic”, “Multifaceted changes in life due to mandatory mask wearing”, “Unexpected benefits of wearing a mask”, “Difficulties with wearing masks continue even after the COVID-19 pandemic”. Conclusion: This study confirmed the discomfort and difficulties of prolonged mask wearing among nurses in the context of COVID-19. Our findings suggest that there is a need for organizational and national support for nurses who are required to continue wearing masks after the COVID-19 pandemic.

본 연구는 노인 요양병원 간호사의 환자안전관리 활동 영향요인을 파악하여 노인 요양병원의 환자안전사고를 예방하기 위한 기초자료로 활용하기 위해 실시한 서술적 조사연구이다. 대상자는 노인 요 양병원 간호사 220명이며, 자료수집은 2023년 2.1~2.28일까지 실시 하였으며, 수집된 자료는 SPSS 29.0 프로그램 이용하여 t-test, ANOVA, Scheffe’s test, Person’s correlation coefficients, Multiple linear regression으로 분석하였다. 환자 안전동기는 환자안전도(r=.41, p<.001), 환자안전도는 환자안전관리 활동 (r=.18, p<.01)과 양의 상관관계를 보였으며, 환자안전관리 활동에 가장 유의한 영향요인은 환자안전도(β =.21, p<.001)와 환자안전지침서(β=.16, p<.001)로 나타났고, 설명력은 7.5%였다(Adj R2=.075, p<.001). 따라서 환자안전관리 활동 역량을 증진시키기 위해 안전사고 발생 이전에 사고를 미연에 방지하도록 위험 예지 훈련과 함께 안전사고 후 효과적인 대처를 위한 실습교육을 강화하는 환자안전 교육 프로그램 개발과 적용을 제안한다.

This descriptive correlational study describes the relationship between collaboration among health care professions and nurses’ organizational commitment in the operating room. A cross sectional survey of nurses (N = 142) was conducted in March 2020. The participants were nurses with more than one year work experience in operating rooms at three university hospitals in Seoul and Gyeonggi-do. Collaboration among nurses was measured using the Nurse–Nurse Collaboration Scale, while collaboration between nurses and physicians was measured by the Nurse-Physician Collaboration Scale (NPCS). All analyses were conducted using the IBM SPSS Statistics, version 23.0 with independent t-test, one-way ANOVA, Scheffé test, Pearson's Correlation, and multiple regression. The results were as follows : The collaboration among operating room nurses was scored with an average of 2.87 out of a total of 4. Collaboration between operating room nurses to physician scored 3.47 average out of 5 total. Organizational commitment scored 3.24 average out of 5 total. The factors influencing the organizational commitment of nurses in operating rooms include collaboration among nurses and effective communication, as well as collaboration between nurses and physicians for decision-making regarding treatment and nursing care. The explanatory amount of general characteristic, nurse-physician collaboration, and nurse-nurse collaboration variables was 33%, 15%, 13% respectively. Based on these findings, to enhance collaboration among operating room nurses, there is a significant need for systematic education on communication skills and decision-making competencies, continuous research, and organizational efforts.