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KMID : 0614819970030010119
Journal of Korean Academy of Nursing Administration
1997 Volume.3 No. 1 p.119 ~ p.133
A Study of Health Condition and Shift Service of the Nurse in


Abstract
Continuing shift service of clinical nurses can he not only the cause of occupational dissatisfaction by being connected with the change of circadian rhythm and the burden of duties to be applicable to such changes. But also of inviting the lowering of nursing quality by being affected to the resignation of the nurses as the threat to the health of the nurses.
This study has selected 500 nurses at random under non-probability sampling who have been serving by shift in 7 general hospitals which have over 400 sickbeds for the purpose of cross-section al survey design from Sep. 7 through 20, 1996.
Standardized modification of the CIVII has been used which was designed for Koreans with Cornell Medical Index developed by Broadman and his fellow workers as the study device.
The structure of the device was composed of 35 questions on physical appeal(Chronbach¢¥s a =850 7) and 22 questions of mental appeal(Cronbach¢¥s a =.8166) totalling 57 questions.
The collected data has been computerrized by using ~PSS. General character. present symptom, perceived symptom and others are sought by practical number and percentage. and the health condition comparison followed by general characters was conducted by t-test and ANOVA. The post test ways by Duncan¢¥s test by the level of p(.05.
1)l The items of the answer that they have the physicaP~, symptom presently by 50% or over of the nurses were as "Do you often have spells of severe dizziness. "Are your eyes often red or inflamed~~, ~~Does press or pain in the head often make like miserable¢¥. ~~Are your ankles often badly swollen~~, ~~Do pains in the back make it hard for you to keep up with your work.
2) The items of the answer by over 50 % of the nurses as the mental symptom at present were "do you fell bad when criticized?¢¥~. "Do you get angry when everything .is against your will?". ¢¥~do you get angry when ordered to do this and that?~~, "do you feel uneasy by such a trifle thing?~~. ~~do you tremble or are you freightened by sudden sound?".
The mental and physical symptoms which have appeared presently in connection with the shift service have been agreed with each other.
But the physical condition has been worse than the mental one.
3) In the physical health conditions followed by demosociological character, there were the significant differences by sex, religion and place of residence(p(.05), and in the mental health conditions, there were the significant differences by age, marital status, residence place and the required time for attending hospital(p(.05).
4) There was significant difference by the degree of satisfaction about the duty in both the physical and mental health conditions. In short, the higher the degree of duty satisfaction. the better the health conditions.
5) There were the significant difference according to the times of night duty and whether they take the drug or- not or the kinds of the drugs in the physical health conditions related with the characters of night shift. Mental health conditions inthe night shift case showed significant differences according to their taking drug or not or the kinds of the drugs(p(.05).
I can confirm that the nurses have been affected continuously by the shift service mentally and physically. The maintenance of the physical and mental health of the nurses and its promotion are very important problem to guarantee the quality nursing in the performance of the nursing service continuously and effectively, so the hospital should mz,ke every effort to improve the duty conditions by finding out the causes affecting to their health.
In the nursing management viewpoint. I think that elevating the satisfaction degree about the duty would be a great help to the promotion of physical and mental health conditions. But what is most important is that the nurses themselves should take care of themselves in maintaining the good conditions in their service in the hospital.
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