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Shin and Kim: Factors Affecting Emergency Room Nurse Job in Small and Medium Sized Hospitals
Original Article

Journal of Korean Academy of Nursing Administration 2015; 21(4): 386-392.

Published online: 30 September 2015

DOI: https://doi.org/10.11111/jkana.2015.21.4.386

Factors Affecting Emergency Room Nurse Job in Small and Medium Sized Hospitals

Hyun-Sik Shin1, Jisoo Kim2

1Seosan Jungang General Hospital, Korea.

2College of Nursing, Gachon University, Korea.

Corresponding author: Kim, Jisoo. College of Nursing, Gachon University, 191 Hambakmoe-ro, Yeonsu-gu, Incheon 406-799, Korea. Tel: +82-32-820-4206, Fax: +82-32-820-4201, kimjisoo@gachon.ac.kr

Received 17 June 2015       Revised 21 July 2015       Accepted 3 August 2015

Copyright © 2015 Korean Academy of Nursing Administration

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to identify the job of emergency room (ER) nurses working in small and medium sized hospitals and to explore factors affecting their job.

Methods

The survey data were collected between January 2014 and May 2014 and participants were 159 nurses working in Seoul, Kyunggi, Incheon, and Chungnam in hospitals of less than 500 beds.

Results

The score for nurses job was 2.12/4.0, and emergency treatment (1.87/4.0) followed basic nursing (3.51/4.0) and counseling (2.32/4.0). The nursing job was significantly different depending on the age, education level, position, resident doctor(emergency medicine specialty or other) and grade of ER (regional ER or local ER). In the multiple regression, education level (β=.18), position (β=.24), hospital size (β=.20), and grade of ER (β=.21) explained 17.0% of variance in ER nurses' job in small and medium sized hospitals.

Conclusion

The findings indicate that ER nurses in vulnerable areas do more nursing practice including emergency treatment as well as the usual independent nursing practice. Accordingly, a systematic assignment of nursing professionals is needed to reduce loading of ER nurses in small and medium sized hospitals.

Keywords: Nurses, Emergency service, Hospital

Figures and Tables

Table 1

General Characteristics of the Participants (N=159)

jkana-21-386-i001

GD=General or other department doctor; ED=Emergency medicine doctor; REMC=Regional emergency medical center; LEMF=Local emergency medical facilities.

Table 2

Job of Emergency Room Nurses in Small and Medium Sized Hospitals (N=159)

jkana-21-386-i002
Table 3

Job of Emergency Room Nurses in Small and Medium Sized Hospitals by General Characteristics (N=159)

jkana-21-386-i003

*p<.05, **p<.01, ***p<.001; GD=General or other department doctor; ED=Emergency medicine doctor; REMC=Regional emergency medical center; LEMF=Local emergency medical facilities.

Table 4

Affecting Factors Emergency Room Nurses' Job in Small and Medium Sized Hospitals (N=159)

jkana-21-386-i004

*p<.05, ***p<.001; †Dummy variables (Gender 1=male, 0=female, Total career (1) 1=5~9 years, 0=1~4 &≥10 years, Total career (2) 1=≥10 years, 0=1~9 years, Marital status 1=married, 0=single, Education level 1=baccalaureate, 0=diploma, Position 1=≥charge nurse, 0=staff nurse, Annual income 1=≥3,000, 0=<3,000, Resident doctor 1=general or other department doctor, 0=emergency medicine doctor, hospital size 1=300~<500 beds, 0=<300 beds, Grade of emergency room 1=Local emergency medical facilities, 0=Regional emergency medical center).

Notes

This article is a revision of the first author's master's thesis from Gachon University.

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