Nurses In Long-term Care Hospitals Research Articles

요양병원 간호사의 병원감염관리에 대한 인지도와 수행도

The purpose of this study was to investigate the long-term care hospital nurse's recognition and performance level of hospital infection control. The subjects of the study were 147 long-term care hospital nurses. The period of data collection was from April 1 to 30, 2013. The data were analyzed by SPSS 19.0 program. The result are as followed; First, the total average scores of the recognition and performance by long-term care hospital nurses of hospital infection control were <TEX>$4.64{\pm}0.32$</TEX> and <TEX>$4.21{\pm}0.23$</TEX>. Second, recognition of hospital infection control was significantly different according to position and hospital infection control education experience. Performance of hospital infection control was significantly different according to education level and hospital infection control education experience. Third, there was a positive correlation between the degree of recognition and performance of hospital infection control. Therefore, it is suggested to apply the concrete education program to enhance the recognition in order to improve the performance of hospital infection control of the Long-term hospital nurses.

노인요양병원 간호사의 임파워먼트와 간호업무성과, 직무만족 및 이직의도와의 관련성

본 연구의 목적은 노인요양병원 간호사의 임파워먼트와 간호업무성과, 직무만족 및 이직의도와의 관련성을 파악하기 위함으로 시도된 서술적 조사연구이다. B시와 U시에 소재한 노인요양병원 간호사 258명에 대한 자료를 2012년 11월23일부터 2013년 1월 21일까지 수집하여 SPSS win 20.0 프로그램을 이용하여 분석하였다. 연구 결과 임 파워먼트는 평균 3.22점, 간호업무성과는 3.78점, 직무만족 3.25점, 이직의도는 2.87점으로 나타났고, 임파워먼트가 직 무만족에 대해서는 50.3%, 간호업무성과에 대해서는 13.4%, 이직의도에 대해서는 21.9%의 설명력을 보였다. 임파워먼 트와 직무만족, 간호업무성과와의 관계는 정적 상관관계를 나타냈으며, 이직의도와는 부적 상관관계를 나타냈다. 임파 워먼트는 노인요양병원 간호사의 직무만족에 긍정적으로 영향을 미치며, 임파워먼트 부여가 간호업무성과에 높은 영 향력을 미치게 되어 업무성과를 향상시키게 되고, 이직의도를 낮추게 되는 중요한 요인이 된다. 따라서 본 연구에서 도출된 결과로 노인요양병원 간호사에게 임파워먼트를 증진하는 프로그램을 제공하여 간호의 질적인 향상을 도모할 수 있을 것이다.

Physical symptoms, Hope and Family Support of Cancer Patients in the General Hospitals and Long-term Care Hospitals

Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.

Use of Outsourced Nurses in Long-term Acute Care Hospitals

When staffing effectiveness is not maintained over time, the likelihood of negative outcomes increases. This challenge is particularly problematic in long-term acute care hospitals (LTACHs) where use of outsourced temporary nurses is common when providing safe, sufficient care to medically complex patients who require longer hospital stays than normally would occur. To assess this issue, the authors discuss the outcomes of their survey of LTACH chief nursing officers that demonstrated LTACH quality indicators and overall patient satisfaction were within nationally accepted benchmarks even with higher levels of outsourced nurses used in this post-acute care setting.