• Title/Summary/Keyword: 간호업무 전산화

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A Design of Nursing Diagnosis System using Case-Based Reasoning (사례기반 추론 방식을 이용한 간호진단시스템 설계)

  • 이혜자;정병수
    • Proceedings of the Korean Information Science Society Conference
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    • 2001.04b
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    • pp.337-339
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    • 2001
  • 간호진단, 중재, 결과로 이어지는 간호 프로세스에서 가장 전문적인 지식을 요구하는 간호진단 업무를 지원하는 전산시스템에 대해 우리나라에서도 많은 연구와 시도가 있었다. 그러나 기록만 전산화되었거나 부분적으로 표준화된 데이터를 이용함에 따라 간호진단업무에 능숙하지 않은 간호사의 경우 전산화를 통한 진단업무효율 향상을 기대하기 어렵다. 이에 우리는 간호진단의 적중률을 높이기 위해서 간호 프로세스의 표준데이터와 사례를 기반으로 추론하는 간호진단시스템을 제안한다. 표준 데이터를 이용하여 예상되는 간호진단을 1차적으로 검색한 후, 다시 사례데이터베이스를 기반으로 하여 1차 검색의 결과를 보완하는 방법을 이용하고 있다.

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Design of Roving Nightingales Supporting System based on PDA for Mobile Computing (무선 이동 환경을 위한 PDA 기반의 방문형 간호정보 시스템 설계)

  • Kim, Hyo-Ju;Joo, Kyung-Soo
    • Proceedings of the KAIS Fall Conference
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    • 2003.06a
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    • pp.185-188
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    • 2003
  • 오늘날 많은 병원이 전산화를 통해 병원 경영을 개선하고자 병원정보시스템을 구축하고 있다. 병원정보시스템의 한 부분으로 간호사들의 업무수행을 지원하는 도구인 간호정보시스템은 환자 간호에서 효율성의 증가와 환자의 안전과 만족도가 증가하는 데 한 몫을 한다. 그러나 기존의 의료정보시스템에서는 전산 시스템과 실제 간호업무가 분리되어, 업무가 이중적으로 이뤄지고 있다. 이런 비효율적인 사례의 개선방법으로 PDA로의 업무 전환을 연구 하고자 한다. 본 논문에서는 무선 Online 시스템과, 데이터 동기화 기반의 Offline 시스템을 선택적으로 사용이 가능하도록 하여 모든 업무처리를 방문한 간호 현장에서 실시함으로써 시간 및 비용을 절감하고, 신속한 의사전달 체계를 확립함으로써 간호 업무의 효율을 향상시킬 수 있으며, 업무의 중복과 오류의 가능성을 줄일 수 있도록 할 것이다.

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Development of a Home Care Nursing Management System for Computerization of Home Care Nursing Practice (가정간호업무 전산화를 위한 가정간호관리 시스템 개발)

  • Yoo, Ji-Soo;Kim, Cho-Ja;Shin, Hye-Sun;Choi, Hee-Jai
    • Journal of Home Health Care Nursing
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    • v.8 no.1
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    • pp.62-73
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    • 2001
  • This study was conducted to develop a home care nursing management system based on the validated and useful data base found through literature review. The contents and structure according to a development procedure for a computer system were as follows. 1. A data base on home care nursing patients was accumulated by putting data respectively in both steps and fields - from selection criteria. basic information. prescription. plan of home visits. to application of nursing process. 2. Accumulated data was classified and designed to search by basic information. drug/injection prescription. examination prescription, treatment prescription. supply. and a record of the nursing process. 3. Various forms of retrieval including graphs were elaborated in terms of diagnosis and intervention aspects.

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Evaluation of Nursing Information Systems in a General Hospital (병원 간호업무 전산화에 대한 평가)

  • Seo, Nam-Rye;Lee, Myung-Ha
    • Journal of Korean Academy of Nursing Administration
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    • v.7 no.1
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    • pp.111-126
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    • 2001
  • The purpose of this study is to provide a basic data by evaluation the problems about nursing information system and identifying the need of improvement of it. Data were collected from April 6 to 15, 2000 through questionnaires taken by 218 nurses working in a general hospital using nursing information systems. The two structured questionnaires were used for the collecting the data. The data obtained were analyzed by using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Pearson's correlation coefficients, and Cronbach's alpha coeffcients. The results are as follows: 1. In the problem of nursing information system, ${\lceil}$There are no appropriate programs for independent nursing information systems because there are no nurse informatists in the information department${\rfloor}$ scored highest. Also, ${\lceil}$There is a lack of manual for operation of the nursing information system${\rfloor}$, ${\lceil}$There is difficulty getting help when the system is in trouble${\rfloor}$, ${\lceil}$General information about using computers and managing problems are lacking${\rfloor}$, ${\lceil}$Unsatisfactory matters about the nursing information systems are not improved quickly.${\rfloor}$ received high scores. 2. In the need for improvement of the nursing information system, ${\lceil}$Nursing education and research${\rfloor}$ was the highest area of the system. 3. The problems of the nursing information system showed high positive correlation with the need for improvement of the system(p=.00).

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A Survey on Nurses' Utilization of Computerization in Nursing Practice (일개 종합병원 간호사의 간호업무 전산화 활용에 대한 연구)

  • Park, Kyung-Sook;Choi, In-Soon;Kang, Hyun-Wook;Kim, Na-Young;Kim, Mi-Jin;Kim, So-Hee;Son, Jin-Ha;Yun, In-Ja;Ju, Ae-Ra;Hong, Mi-Na
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.3
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    • pp.367-378
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    • 2003
  • Purpose: The research studied to survey the degree of utilization, satisfactions and problems of the computerization in nursing practice. Method: The subjects were 176 nurses who are working at university hospital in Seoul. The research was operated by 75 questionaries which were developed and modified from precedence study of Kim(1998), No(1996) and Pang(1996). The data was processed by SPSS for window 11.0 and the results analyzed with number, percentile, average, t-test and ANOVA. Results: As the way of using computer system in nursing, the most nurses used that to Dr's order check, treatment activity, laboratory, barcode sticker, medication in order that were connected with order system mutually to other parts. The average degree of contentment from the computerization in nursing practice was presented as 3.855 in the full mark 5. The facility of stock management got the highest points(4.98). The problem was marked 3.12 and the biggest problem is interruption of work from the computer system error(4.03). The contentment of computerization in nursing practice by duty year was reflected a significant difference(F=5,457 P=0.005) and was not related with computerization and computer education(F=0.028 P=0.867, F=2.178 P=0.142).

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Database Design in Ward Nursing Information System (병동간호업무 전산화를 위한 데이터베이스구축;간호업무기록지를 중심으로)

  • Nah, Ji-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.2 no.1
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    • pp.73-96
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    • 1996
  • In the complexity and diversity of modern society, there is an urgent need for an information system which can systematically collect, manage and analyze data. Especially in the discipline of nursing, a nursing informarion system is necessary to maximize nursing resources and improve nursing care in the present system which is faced with increases in client needs and multiple changes in hospital environments. This research was done to provide a basis for the development of an integrative nursing information system for the future, by designing dababases items which were extracted from an analysis of the ward nursing information system on general wards excluding the OPD, ICU, OR and CSR with functions using a different system from the wards, and the design of output screen used the database items. The ward nursing information system was analysed through analysis of nursing practice related to recordings, such as the worksheet, kardex, and other nursing practice recordings, on 25 wards. The development of the database was the part of the construction of hospital information system and used the database development life cycle which is related to the system development life cycle. The database development steps included selection of database management system and design of a physical database following the principles of the order communication system which is been developing at Y University Hospital. Conceptual database and Logical database were designed using the base of 25 data items and fields derived from analysing the worksheet, the data items and fields derived from the kardex and other nursing practice recording, from these 19 data base tables were framed through transforming the relational database. Through this process, four types of output material for nursing practice recording which nurses can carry and use during their nursing practice were produced.

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A Survey on Nurses' Utilization of Computerization in Nursing Practice (간호사의 간호업무 전산화 활용에 대한 조사연구)

  • Rhee, In-Soon
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.209-224
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    • 1999
  • I have practiced this reserch for the purpose of proposition of basic data for amendment and addition of computer system after I surveyed the degree of abilities and satisfaction on the computerization in nursing\ practice. Subjects were collected from September 1 to September 30, 1998. Study subjects are 151 clinical nurses who are working at university hospital in Chonbuk area. Study instrument consists of 116 questionnaire which was developed by Kim H. K(1998). The data were analized number, mean ,t-test, ANOVA by using SPSS. The study results are as follows: 1. Most of the nurses who answered the questions were educated computerizing(96%). The abilities of computer program utilities were the most in inputting data(74%). The program nurses wanted computerizing education was wordprocess, dealing internet and statistics. 2. As for applying parts of computer system in nursing, the most nurses were Dr's order check (96%), treatment activity(91.4%), medication(89.4%), lab. test(87 .4%), transfering department(85.4%), transfering room(79.5%), diet(71.8%), discharge (70.2%), Barcord Sticker(70.2%) , reservation(62.2%) in order that were all conected order system mutually to other part. It showed that computer system was not applied for treating the original nursing work such as nursing record (13%), duty scheduling(6.0%) , nursing process(4.6%) , Q.I(1.3%), nursing research(1.3%), education(1.3%), 3. As for the benefit when computer system is applied for, the most respondence was promptness of work and convenience(90.6%) , exactness of work (82.8%), offering information exactily and efficiently(36.3%), offering good quality of nursing (6.0%) in order. 4. The degree of contentment on computerizing in nursing practice showed average 3.24%. The best marking item is that they are eager to participate in the computer education. Next, the automatic output of label and giving the number automatically is to prevent loss and mentioned items of patient registration from being changed(3.95) and to prevent mistakes possibly happening because of doctor's difficult order(3.85). 5. The problems which may happen to in nurses' utilization of computerization for the nursing practice showed average 3.18. The most problem is that the practice may stop because of the problem of computer itself(3.67), and the next, the indication of act can be imperfect(3.66) , manual training may overlap because of incomplete computerization (3.60), practical education for the computerizing is lack(3.41), and the computer literate nurses are lack(3.40) . 6. Study subject's contentment by age was significant difference(F=3.10,P=0.0119). Study subject's contentment by job posision was significant difference(F=6.001P=0.0034) I will propose the following according to the above results. The domain of original nursing practice is urgernt. Manual and indication of act should be made before long in computer obstacle. Nursing department should support the nurses so that they could receive the education needed for the nurses themselves.

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A Survey on Nurses' Attitudes for Computerization in Nursing Practice in Kyung In Province (경인지역 임상간호사의 간호업무 전산화활용에 관한 태도 조사연구)

  • Kang, Ik-Wha;Hwang, Eun-Ah
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.325-337
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    • 1995
  • This study attempted to increase quality of nursing care by assessing the nurses' attitudes for computerization in nursing practice and ensuring right recognition and attitude for computerized system. Study subjects are 311 nurses who are working at 4 general hospitals. Those hospitals are selected according to the degree of computerized in Kyoung In Province. Study instrument consists of 20 items and 12 general questionnaire which was developed by Brodt and Stronge(1985) and modified by Lee(1991). Data collection was done from april 19th in 1995 to april 29th. Data gathered were analized number, t-test, ANOVA by using SPSS. The study results are as follows : 1. Study subject's attitude for computer application showed positive response as mean score of 3.44 especially nurses who had experience using computer showed 100% pro-response. 2. Study subject's attitude by age was significant statistically(F=3.9589, p=.0038), among them age 25-30 revealed the highest positive scores, and age 40 showed the lowest positive scores. 3. Study subject's attitude by education level showed no significant difference(F=1.4182, 2437), and those who are more educated showed more positive response. 4. Study subject's attitude by duty years showed no significant difference(F=2.2648, p=.0622), and those who had 7- 9 duty years had the highest positive attitude however those who have 10 duty years showed lowest positive attitude. 5. Study subject's attitude by position revealed no significant difference(F=2.0017, p=.1369), and the charge nurse groups who were using computer showed the highest scores. 6. Study subject's attitude by computerized type showed significant difference(F=23.9665, p=.0000), and G hospital which had computer system in nursing area obtained the highest positive scores. 7. study subject's attitude by presence of computer education showed no significant differenec(F=.9002, P=.3435), and non computer educated groups showed the highest positive response. 8. Study subject's attitude by computer education place revealed no significant difference(F=4.3723, p=.0020). and the groups who were taught individually or in the institution obtained the highest positive scores. 9. Study subject's attitude by duty year computer use showed no significant response(F=.9591, P=.3282), and groups of computer use showed the high degree of positive response. 10. Study subject's attitude by duty year using computer showed significant difference(F=5.9174, p=.0009),and the groups using computer for 6 years or group of 4-6 years showed the highest degree of positive response and the groups using computer for 1 year showed the lowest degree of positive response.

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