Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
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An Action Convergence Research to Improve Evaluation Index of Pneumonia Adequacy in Regional Public Hospital

지역거점 공공병원의 폐렴 적정성 평가 지표 개선을 위한 융복합 실행연구

  • Eun Young Choi (Jeollabuk-do Namwon Medical Center) ;
  • Yoen-Im Park (Jeollabuk-do Namwon Medical Center) ;
  • Seung-Ju, Kang (Department of Nursing, Chunnam Techno University) ;
  • Ja-Ok Kim (Department of Nursing, Wonkwang Health Science University)
  • 최은영 (전라북도 남원의료원 ) ;
  • 박연임 (전라북도 남원의료원 ) ;
  • 강승주 (전남과학대학교 간호학과 ) ;
  • 김자옥 (원광보건대학교 간호학과 )
  • Received : 2023.05.17
  • Accepted : 2023.07.20
  • Published : 2023.07.28
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Abstract

This is an implementation study towards the development of a strategy to improve the pneumonia adequacy evaluation index of regional public hospital and to confirm its effectiveness. One physician, eight nurses, one computer room staff, and one nursing professor working at a regional base public hospital located in N city participated in this study from March to October 2021. An implementation study was conducted based on the conceptual model of Zuber-Skerritt & Fletcher. The stages of planning, implementation, evaluation, and reflection were operated in two cycles, and the effectiveness was evaluated in the second and third quarters. Compared to the pneumonia adequacy evaluation index in 2019, all indicators reached 100% of the standard target in 2021. The results of this study therefore infer that to provide higher quality medical services in the future, it is necessary to apply medical quality improvement activities through practical research under multidisciplinary participation and cooperation and to review the applicability of clinical sites.

본 연구는 지역거점 공공병원의 폐렴 적정성 평가 지표를 개선하기 위한 전략을 개발하고 그 효과를 확인하기 위한 실행연구이다. 이 연구는 N시에 소재한 지역거점 공공병원에 근무하는 내과의사 1명, 간호사 8명, 전산실 직원 1명, 간호학 교수 1명이 참여하였으며 2021년 3월부터 10월까지 이루어졌다. Zuber-Skerritt & Fletcher의 개념모형을 바탕으로 실행연구를 수행하였다. 계획, 실행, 평가, 성찰의 단계를 2 cycle 로 운영하면서 2분기와 3분기에 효과평가를 하였으며 폐렴 적정성 평가지표를 효과평가의 도구로 사용하였다. 2019년 폐렴 적정성 평가지표와 비교하여 2021년에는 모든 지표가 기준목표에 100% 도달하였다. 따라서 본 연구결과를 바탕으로 향후 보다 질높은 의료서비스를 제공하기 위해 다학제간 참여와 협조 아래 실행연구를 통한 의료 질 개선 활동을 적용하고 임상현장의 적용가능성을 검토해볼 필요가 있다.

Keywords

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