• Journal of Korean Academy of Nursing Administration
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• v.9 no.2
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• pp.243-250
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• 2003

Purpose : The purpose of this study was to suggest the number about the projected workforce of Certified Insurance Reviewer Nurses(CIRN) in Korea. Method : The following methods were used for this study: 1) national and international internet data were collected. 2) demand model was used for the prediction of the projected workforce of CIRN. 3) experts in insurance reviewing were contacted to get an opinion and information about the criteria of distribution and scope of CIRNs, 4) we figured out the maximum and minimum number of CIRN Korea needed as followed method, the maximum number was estimated that one CIRN would review 150 cases of Detailed Accounts for Examination and Treatment and the minimum was estimated 200 cases of it. 5) time series regression equation analysis was used for the prediction of number of CIRNs for the year 2003 to 2010. Result: 1) The prediction of CIRNs is as follows, there will be 2,313$\sim$2,827 of CIRN demanded in 2002, 2,500$\sim$3,069 in 2005 and 2,806$\sim$3,466 in 2010. 2) It is really desirable that CIRNs not only work for reviewing the detailed accounts for examination and treatment in hospital but also for inspecting allowance in individual insurance company. Conclusion : It is very desirable that the CIRN advocate the clients' rights because they will work for them satisfactory rather than other hospital experts group. But before settling the system of the CIRN in Korea, there would be its own professional role identity and a code of conduct.

• Journal of Korean Academy of Nursing Administration
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• v.13 no.4
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• pp.537-545
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• 2007

Purpose: The purpose of this study was to compare the role and the certification system for nurses working in HIV/AIDS care among the U.S., the UK, and Japan. Method: The searching for the internet website and literature was used and visiting the institutes and interviewing the key informants were done from August, 2006 to February, 2007. Results: In the U.S., there are two types of nurse specialist in HIV/AIDS care. One is the HIV/AIDS Certified Registered Nurse which is without any academic degree requirement, and the other is the Advanced HIV/AIDS Certified Registered Nurse which requires master level degree and 5 years career. There are three level of nurses' role in HIV/AIDS care in the UK. Also, the National HIV Nurses Association of the UK developed generic competencies and specialist competencies according to this three level of nurse's role. In the case of Japan, the certification system is not formalized yet, but the AIDS coordinator nurses are working as a specialist in the Japan International Medical Center. Conclusion: Based on this result, it is suggested that the comprehensive role of nurses in HIV/AIDS should be developed under the governmental support.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.1
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• pp.104-112
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• 2006

Purpose: The purpose of this study was to identify and compare role conflict and job satisfaction between nurses in ICU and nurses in general ward. Method: The subjects of this study consisted of 141 nurses employed at ICU and 201 nurses employed at general ward, who were recruited from 5 university hospitals with 500 beds located in Seoul and Gyeonggido. The instruments included role conflict scale developed by Kim and Park(1995) and job satisfaction scale translated and modified by Lee(1996). The collected data were analyzed using the SPSS WIN 10.0 program for descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Result: In the two groups, there was a inverse correlation between role conflict and job satisfaction. In ICU, nurses' role conflict levels differed significantly depending on religion(p<.05), total experience(p<.05), scheduled to work as a nurse(p<.05). And nurses' job satisfaction levels differed significantly depending on total experience(p<.05), working period in current post(p<.001), scheduled to work as a nurse(p<.001), motive of choosing the nursing science(p<.01), and job satisfaction(p<.001). In general ward, nurses' job satisfaction levels differed significantly depending on marital status(p<.05), educational level(p<.01), total experience(p<.001), motive of choosing the nursing science(p<.01), and job satisfaction(p<.001). Conclusion: Summing up, the nurses at ICU showed higher level of role conflict than the nurses ay general ward. Therefore, it is needed to decrease the level of nurse's role conflict and improve their job satisfaction in ICU.

• Journal of Korean Academy of Nursing Administration
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• v.2 no.2
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• pp.5-16
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• 1996

The purpose of this study is to identify the handwashing knowledge and attitudes of resistered nurses on general wards. Subjects for this study include 182 nurses working in general wards of a hospital in Seoul area. Data were collected by a questionnaire from July 30 to August 10,1996. Statistical analyses were done by the SPSS/PC program. The techniques used in this sudy included frequencies, chi-square test. The results of this study are summarized as follows. 1. 34.6% of the respondents reported that they washed their hand an average of 5 to 7 times during the work day. 2. 38.5% of the respondents reported always washing after each patient contact. Only 9.9% always washed before contact with a patient. 3. 56.6% of the respondents reported a washing time of 10 to 20 seconds, whereas 29.1% washed 21 to 30 seconds. Chi-square tests were employed to determine any differences in handwashing frequency and duration by age, working years, work position. There were no satistically significant differences among the variables. 4. 95.6% of the subjects used water and plain soap during the washing process. The respondents washed the palms of the hands, the backs of their hands and between their fingers(33%). Only 17.6% removed rings before handwashing. Similarly, 11% removed their wristwatch. The majority(96.2%) reported that they used communal textile towel to dry their hands. When asked what method they used to turn off the water faucet after washing, 98.4% reported using direct hand-to-faucet contact. 5. Nursing activities that showed the highest handwashing rates was after wound dressing(22.9%), followed by suctioning(21.4%), injection(21.2%), inserting catheter(18%). 6. Reasons cited for reduced handwashing frequency included being too busy to wash more often(74.7%), no need to wash more often(11.0%) and dry skin caused by frequent handwashing(3.3%). 7. When asked where they obtained their current knowledge of handwashing techniques, they reported professors(73.6%), resisted nurses(14.8%) and supervisor(6.6%). 8. Nursing staff thought that proper handwashing was important factor in decreasing nosocomical infections(72.4%).

• Journal of Korean Academy of Nursing Administration
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• v.9 no.1
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• pp.103-112
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• 2003

Purpose : This study was designed to describe the economic awareness, economic knowledge, and attitude toward cost-effectiveness in nursing of hospital nurses. Method : The sample included 272 nurses conveniently selected from 5 tertiary care hospitals. Data were collected on general characteristics of nurses, the economic awareness level, the knowledge level of economics, and the attitude toward cost-effectiveness. Data were analyzed using SPSS PC version 10.0. Result : 1) The mean of economic awareness level of hospital nurses was 44.87 (SD=3.53) with a possible range of 5${\sim}$50. The mean of the knowledge level of economics was 58.3 (SD=11.9) with a possible range of 0${\sim}$100. 2) The mean of attitude toward cost-effectiveness in nursing was 39.95 (SD=5.01) with a possible range of 5${\sim}$50, which means moderately positive. 3) Analyzing the relationships between economic awareness level and knowledge level of economics, and attitude toward cost-effectiveness, the knowledge level of economics was positively related with the economic awareness level (r=.192, p=.002) and the attitude (r=.133, p=.029). The economic awareness level was positively related with the attitude (r=.470, p=.000). 4) Backward multiple regression revealed that the linear combination of economic awareness, job position, place of employment, and the presence of CQI committee accounted for 26.1% of the variance in the attitudes toward cost-effectiveness nursing care. Conclusion : Findings reveal that RNs lack basic knowledge of economics and its link to nursing practice, yet, they want a voice in economic decision making. In an effort to fill the void of economic knowledge and respond to nurses' call for greater input, in-service programs and curricula for generic programs must be developed.

• Journal of Korean Academy of Nursing Administration
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• v.21 no.3
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• pp.243-253
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• 2015

Purpose: The purpose of this study was to identify the impact of practical communication strategies (PCS) on the reduction of AEs (Adverse Events) in pediatric cardiac ICU (PCICU). Methods: Intra-operative findings and care plans were documented and shared between staff members on a daily basis from the day of operation to the day of general ward transfer. Incidence of AEs was investigated in all patients who were admitted to the PCICU and was compared with incidence of AEs one year after establishment of PCS. Results: The study population consisted of 216 patients in pre-PCS group and 156 patients in post-PCS group. Incidence of readmission decreased from 6.0% (13/216) in pre-PCS group to 0.6% (1/156) in post-PCS group (${\chi}^2=7.23$, p=.010). Incidence of other major complications decreased from 4.2% (9/216) to 0.6% (${\chi}^2=6.66$, p=.012). Minor AEs such as intervention omission, order error, and protocol misunderstanding were reduced from 23.3 cases per 100 patient-days to 7.5 cases per 100 patient-days (${\chi}^2=20.31$, p<.001). Conclusion: Handover protocol is an effective strategy to reduce AEs for critically ill patients after pediatric cardiac surgery. Efforts to develop effective communication strategies should be continued and outcome research about communication strategies for patient safety should be further studied.

• Journal of Korean Academy of Nursing Administration
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• v.5 no.1
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• pp.137-148
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• 1999

The study was attempted to survey the pay and job satisfaction of clinical nurses in some hospitals. The period was Jan 6th through Jan 27th. 1997 and the subjects were 277 nurses working in 5 hospitals in Pusan city. This study was based on questionnaires which focused on the pay and job satis faction of the nurses. The following instruments were used for collecting the data: PSQ. JDI and MSQ on the scale of 1 being lowest to 5 being highest satisfaction. The analysis of collected data was executed by using SPSS/PC+. The results were as follows: 1. The main age level was 26-30 and the portion was 44.4%. The Mean of the monyhly pay was 930 ${\pm}$130 thousand won. 2. The average point of pay satisfaction was 2.17${\pm}$.61. 3. The average point of job satisfaction was 2.87 ${\pm}$.66. 4. The factors which affect the pay satisfaction were 'the size of hospital'. 'the joining of labor unions' and 'the amount of pay' . 5. The factors which affect the job satisfaction were 'the size of hospital'. 'the job rank' and 'the amount of In conclusion, nurses are not satisfied with their job and pay levels because of the size of the hospital and the amount of pay, In order to solve the problem of turnover. medium-sized hospitals need to standardize and modify the levels of pay, the structure and the system according to standards well established by large-sized hospitals.

• Journal of Korean Academy of Nursing Administration
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• v.12 no.3
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• pp.444-453
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• 2006

Purpose: The purpose of the study was to identify critical indicators for the development of efficient patient classification system in a emergency room. Method: This study involved following five steps. Step 1. Selection of the lists direct nursing services in the ER. Step 2. Measurement of the time of direct nursing services from Aug. 31st to Nov. 30th, 2005. Step 3. Classification of the patients according to the nursing care time. Step 4. The determination the critical indicators for different patient classes. Result: Determinate indicators were as follow: 3 items in the first group (vital sign checking, IV route starting, blood sampling), 3 items in the second group (vital sign checking, fluid infusion, blood sampling), 9 items in the third group (I/O checking, $O_{2}$ inhalation, suction, fluid infusion, IV bolus, Central catheter preparation & management, blood sampling, intubation preparation & management, postmortem management), 7 items in the fourth group (EKG monitoring, BP monitoring, $O_{2}$ inhalation, fluid infusion, using the specific drugs, CPR, postmortem management). Conclusion: This study can help future studies which measure nursing services standard time or assigns value to emergency nursing services.

• Journal of Korean Academy of Nursing Administration
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• v.1 no.1
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• pp.35-45
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• 1995

This study was designed and carried out to identify the methodologies of the staff evaluation used by the headnurses and their perception on the purpose of the evaluations, and to measure the degree and type of perceived purpose and the degree of implementation of staff evaluation principles into preactice. A hundred and eleven from four general hospitals with 600 beds and over were conveniently sampled. Data were gathered from August 20, through September 10, 1994 ; demographic data of respondents and 'methodologies used for staff evaluation' by questionaires, level of 'perceived purposes of staff evaluation' and level of implementation of the 'principles of staff evaluation into practice' by Likert-type rating scales developed by the researcher. Raw and percentile scores and means were calculated and data were processed further by t-tests and ANOVA. Results are as follows ; 1. Traditional methodlogies : checklists(90.1%) and ranking methods(45.9%) revealed to be the two mostly prefered and used methods. 2. Of the 20 item-descriptions of the 'purpose of staff evaluation': 10 'control, evaluative' and 10 'non-control, developmental' the first(mean=3.19) to the ninth(mean=2.74) in rank order revealed to be the 'control, evaluative purpose', while the tenth in rank order revealed to be the first among the 'non-control, evaluative' item(mean-1.57). 3. Level of purpose of staff evaluation perceived as 'control ; evaluative'(mean=43.76, S.D.=5.01) revealed to be significantly(t=-3.86, p<.05) highter than 'non-control ; developmental'(mean=40.65, S.D.=3.41). 4. Level of implementation of 'staff evaluation principle into practice' revealed to be moderately high(mean=2.40).

• Journal of Korean Academy of Nursing Administration
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• v.3 no.2
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• pp.81-94
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• 1997

Cardiac catheterization has become a routine diagnostic procedure indicated for evaluation of a wide variety of cardiac conditions. Patients are admitted to the coronary care unit after cardiac catheterization. These conscious patients used to report discomfort in the CCU, but no studies have been done to reduce discomfort induced by bed rest, sand bag on the femoral puncture site and restricted mobility for about 20 hours postprocedure. The main objective of thesis is to provide basic data to nursing on interventions which decrease discomfort perceived by patients in the CCU following cardiac catheterization. The subjects were 79 patients following cardiac catheterization who were admitted to the CCU of a general hospital in Inchon. These patients were divided into a massage-applied group, an exercise-applied group and an contrast group. Questionare was prepared by Lee(1995), and tested for content reliability by item analysis : Cron bach's ${\alpha}$ for the instrument measuring discomfort was. 63. The data were collected from January 25 to May 15, 1996. Analysis of data was done by paired t-test, ANOVA ,SNK test, Chi-square test. The results of the study are summarized as follows : 1. There were no significant differences among a massage-applied group, an exercise-applied group and an contrast group according to general information except religion and admission period. 2. There were found no significant differences among the three groups in the results of pretest (The score of the first : 55.5, the second : 54.3 and the last : 51.6), 3. In the degree of discomfort according to general characteristics were found some significant differences for marital status. But there were no significant differences for sex, age, occupation, number of family, religion, educational status and admission period. 4. There was effect on reduced discomfort with massage or exercise following cardiac catheterization.