• Title/Summary/Keyword: 간호 인력

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Policy Implications of Nurse Staffing Legislation (간호사 배치기준에 대한 정책적 함의)

  • You, Sun-Ju
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.380-389
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    • 2013
  • The nurse staffing level in the acute care hospitals affects patient safety and performance, and the nurse staffing legislation can be an important tool to guarantee the minimum nurse staffing. In Korea, although the medical law suggests the nurse staffing standards, it is necessary to revise the medical law for quality of nursing care and patient safety. Firstly, the nurse staffing standards in the current medical law enacted in 1962 needs to be revised to reflect changes in health care environment. Secondly, legal nurse staffing standards in the medical law are the minimum nurse staffing that medical institutions should comply with and thus must be managed so that all medical institutions should abide by them. Thirdly, the nurse staffing standards should apply on the basis of RN-to-patient ratios per shift in order to help patients understanding and ensure the easy management. Fourthly, the information of nursing staff level by the nursing unit and nursing shift in hospitals shall be released.

Effects of Hospital Nurse Staffing on in-hospital Mortality, Pneumonia, Sepsis, and Urinary Tract Infection in Surgical Patients (의료기관 간호사 확보수준이 수술환자의 사망, 폐렴, 패혈증, 요로감염에 미치는 영향)

  • Kim, Yunmi;Cho, Sung-Hyun;June, Kyung Ja;Shin, Soon Ae;Kim, Jiyun
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.719-729
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    • 2012
  • Purpose: This study was done to examine relationships between nurse staffing level and postsurgical patient outcomes using inpatient database from the National Health Insurance. Methods: Records of 111,491 patients who received one of 12 types of surgery between January and December, 2009 were identified and analyzed in this study. Nurse staffing level was measured using adjusted nurse staffing grades from 0 to 7. Patient outcomes were defined as in-hospital mortality, or pneumonia, sepsis, or urinary tract infection after surgery. Logistic regression analyses estimated by Generalized Estimation Model, were used to analyze the association between nurse staffing level and patient outcomes. Results: An inverse relationship was found between nurse staffing and patient mortality. Compared with patients who were cared for in hospitals with the highest nurse staffing (Grades 0-1), increases in the odds of dying were found in those with Grades 6-7 [OR (odds ratio)=2.99, 95% CI (confidence interval)=1.94-4.60], those with Grades 4-5 (OR=1.78, 95% CI=1.24-2.57) and those with Grades 2-3 (OR=1.57, 95% CI=1.25-1.98). Lower nurse staffing level was also associated with higher number of cases in pneumonia and sepsis. Conclusion: Policies for providing adequate nurse staffing is required to enhance quality of care and lead to better perioperative patient outcomes.

A Study on a Retirement Trend of Nursing Personnel in a General Hospital (간호인력의 퇴직추이에 관한 연구 - 일 사립종합병원을 중심으로 -)

  • Ahn Jung-Soon
    • Journal of Korean Public Health Nursing
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    • v.8 no.2
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    • pp.83-100
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    • 1994
  • This study was conducted to investigate a shift in retirement of nursing personnel periodically. The periods surveyed in this study were 1977-78. 1982-83. 1987-88 and 1992-93. The data were obtained from personal records of nurses and aid nurses who had retired from a general hospital in Seoul during the above periods. The number of the data analyzed in this study was 429 in all 284 nurses and 145 aid nurses. The obained results were as follows: 1. The average age of the retirements of the nurses was raised to 27. 1 during the period of 1987-88 and fell to 26. 1 during the period of 1992-93. The average tenure of office of the nurses has become longer recently; It lengthened from 2.1 years in the year of 1977-78. to 3.8 years in the year of 1992-93. The average number of the previous employment before entering the hospital was 0.3 during the period of 1977-78. and 0.0 during the period of 1992-93. As for the aid nurses the average age of retirement. the average tenure of office' and the average number of the previous employoment were 25.0, 3.6 years and 0.5 respectively in the order above-mentioned. 2. As for the evaluation items in the final nurse evaluation sheet. such items as good appearance. health. job ability. trust and calmness were highly estimated throughout the periods. The items of the highest score were 'professional knowledge' and 'professional skil' in the year of 1982-83. and 'professional skill' and 'interpersonal relationship' in the year of 1987­88. 3. Private and public environments related to working variables decisive to the retirement of nursing personnel.

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A Study of the Analysis and Forecasting of Nursing Manpower Needs in Korea-Using methods based on the biological basis of demand for medical care- (한국간호인력필요의 분석 및 추계에 관한 일 연구 -기본적 의료필요계측법을 중심으로-)

  • 김유겸
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.15-30
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    • 1973
  • Nursing education in Korea has made rapid progress recently. There is .: great deal of support with approval and encouragement of this progress. However, much disapproval of its validity has asserted some restraints on it. The aims of nursing education should be based on the principle that education is planned according to tile need much research has been made with such a viewpoint but much still remains unclear. The present study is aimed at establishing the needs for nursing manpower based on the biological demand for medical care. The needs for nursing manpower have been emphasized by many researchers and authorities on nursing education, and the prevailing medical trends also demand it. In this study, through the study of various hooks and records concerned, and the compiling of data analysis and questionnaires, I came to the following figures for the proposed needs of nursing manpower: There figures are greater than those calculated by another method by the government research program but it shows approximately the same final figure as that of the government report for the end of the target year. With these findings, I concluded that: 1) As the final purpose of the government medical project is to fulfill the needs of the national health (that is, to support the national needs for medical care), the plan of this project should follow the theory of biological demand for medical care, recognizing that the numbers will increase gradually. 2) Qualitative growth, based on the advanced and specialized nursing profession. should be promoted to meet the rapid growth of the medical needs of the nation in addition to promoting of investments for the facilities. and of the preparatory investments for education needs. 3) For efficient and economic utilization of nursing manpower, the improvement of wages, and the offering of free education is necessary. 4) Amendments to the low promising innovation and advancement of medical treatment; preparation of a national fund for medical care; and, changing of national attitudes to bring about greater concern are desirable.

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Effect of nurse's self-leadership, job involvement and empowerment on turnover intention (간호사의 셀프리더십, 직무몰입 및 임파워먼트가 이직의도에 미치는 영향)

  • Kwon, Sang Min;Kwon, Mal-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.1
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    • pp.152-161
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    • 2019
  • This study analyzed the relationship of turnover intention of clinical nurses with self-leadership, job involvement, and empowerment. The participants were 173 clinical nurses working in D city and K province in Korea. Data analysis consisted of independent t-tests, ANOVA, Scheffe's tests, Pearson's correlations, and stepwise multiple regression conducted using SPSS WIN 21.0. There was a significant correlation between self-leadership, job involvement, empowerment and turnover intention. Factors affecting turnover intention were total clinical career, position, salary, marital status and job involvement. Total clinical career was the most influential factor, with an explanatory power of 28.7%. Based on the results, it is necessary to reduce turnover intention of nurses through the development of educational programs to increase job involvement and reorganization of the hospital organization system to manage nursing manpower resources efficiently.

Strategies and Experts in Other Countries for Patient Safety and Quality Improvement (환자안전과 질 향상을 위한 다른 나라의 개선 전략과 전담인력)

  • Kwak, Mi-Jeong;Park, Seong-Hi;Kim, Chul-Gyu;Park, TaeZoon;Lee, Sang-Il;Lee, Sun-Gyo;Choi, Yun-Kyoung;Hwang, Jeong-Hae
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.104-112
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    • 2020
  • This study was done to investigate the independent organizations established for patient safety, related policies, and the duties of experts in other countries. Australia established an organization called the Commission in 2006, the United Kingdom established the National Patients Safety Agency in 2001, and the United States assigned its work to the Agency for Healthcare Research and Quality in 2005. This was done by law in all three countries. The experts for patient safety were mainly called the "patent safety and quality coordinator", and although there was no qualification system for carrying out patient safety work, all three countries had licenses in the health care field or required more than 4-5 years of practical experience. The main duties were planning on patient safety and quality of healthcare service, data collection and analysis, and education, etc. and for this, competencies such as communication, leadership, and teamwork were required.

The Impact of Professional Self-Concept on the Organizational Socialization of Hospital Nurses (전문직 자아개념이 병원간호사의 조직사회화에 미치는 영향)

  • Su-Hee Oh;Youngshin Song
    • Journal of Industrial Convergence
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    • v.22 no.7
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    • pp.93-102
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    • 2024
  • The purpose of this study wa to analyze the impact of nurses' perceptions of care and professional self-concept on their organizational socialization. The participants were 193 nurses working in university hospitals and general hospitals in regions C and D. Data collection took place from July to August 2016, and the data were analyzed using descriptive statistics and multiple regression analysis with IBM SPSS 22 software. The results indicated that educational level and professional self-concept are determining factors influencing organizational socialization. Nurses with an associate degree showed higher levels of organizational socialization compared to those with a bachelor's degree or higher, and higher levels of professional self-concept were associated with higher organizational socialization. Therefore, it is necessary for hospitals to implement effective human resource management that enables nurses of each educational level to quickly socialize within the organization, providing differentiated support and programs based on educational level. Additionally, continuous research is required to enhance nurses' professional self-concept and establish their work identity.

창립 40주년 기념 좌담회

  • Korea Industrial Health Association
    • 월간산업보건
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    • s.185
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    • pp.2-29
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    • 2003
  • 협회는 8월 27일, "모든 근로자에게 양질의 보건관리를" 주제로 한 좌담회를 개최하였다. 협회 조규상 명예회장의 사회로 진행된 좌담회에는 김종효 과장(노동부 산업보건환경과), 염용태 교수(한국특수건강진단협회장), 박정일 교수(대한산업의학회장), 김광종 원장(산업안전보건연구원), 정문희 교수(한양대 간호학과) 등 5명이 토론자로 참석하였다. 산업보건을 되돌아보며 현재, 미래를 생각하고 급변하고 있는 산업사회 속에서 근로자의 기본권인 건강과 보건이 모든 근로자에게 고루 미치도록 방도를 급변하고 있는 산업사회 속에서 근로자의 기본권인 건강과 보건이 모든 근로자에게 고루 미치도록 방도를 강구하려는 목적으로 법과 행정, 건강과 질병, 보건관리, 노동환경조건, 보건인력과 교육별로 실태와 문제점 해결방안에 대해 중점 논의하였다.

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A Study on the Fallen Patient Detection Model in Indoor Hospital Using YOLOv5 (YOLOv5를 이용한 병원 내부환경에서의 환자 낙상 탐지모델에 관한 연구)

  • Hong, Sang-Hoon;Bae, Hyun-Jae
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.07a
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    • pp.93-94
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    • 2022
  • 최근 고령화 사회가 심각한 사회적 문제로 급부상하고 있으며, 이에 병원을 찾아 입원하는 비중이 이전에 비하여 높아지고 있다. 거동이 불편하거나 근력이 부족한 환자의 경우 스스로 거동할 능력이 다소 떨어지며, 낙상사고가 발생하면 부상 혹은 치명적일 경우 사망으로 이어질 수 있다. 하지만, 이들을 보살피는 간호 인력만으로 병원 내 모든 낙상사고를 파악하기에는 한계가 있다. 또한, 환자들의 낙상 탐지에 관한 연구는 지속해서 수행되어왔지만, 병원 내부환경에서의 낙상 탐지 연구는 부족하다. 이에 본 논문에서는 병원 내부환경에서 낙상을 탐지하기 위해 실제 병실에서 수집한 데이터로 YOLOv5 모델을 학습하여 환자 낙상 탐지모델을 구축 및 평가하였다.

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Relations on Communication Competence, Job-stress and Job-satisfaction of Clinical Nurse (임상간호사의 의사소통능력, 직무스트레스, 직무만족도와의 관계)

  • Lee, Ae-Kyoung;Yeo, Ji-Young;Jung, Sungwon;Byun, Sang Seok
    • The Journal of the Korea Contents Association
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    • v.13 no.12
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    • pp.299-308
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    • 2013
  • Purpose The aim of this study was to identify the differences and relations among the communication competence, job stress and job satisfaction of clinical nurses. Method The participants included 209 nurses who worked at general hospitals in metropolitan Seoul and Gyenggi province. The instruments used for this study were the revised version of the Global Interpersonal Communication Competence Scale(GICC), the Job Stress Scale, and the Job Satisfaction Scale. Data were analyzed using frequencies, t-test, ANOVA, Spearman rank-order correlation coefficient with the SPSS 16.0 program. Result The results of this study were as follows: The mean score for communication competence was 3.30(${\pm}0.43$). For job stress and job satisfaction's mean score were 2.90(${\pm}0.33$) and 3.01(${\pm}0.30$). Significant negative correlation were found between the communication competence and job stress of clinical nurse(r=-.247, p<.001). Significant positive correlation between the communication competence and Job Satisfaction of clinical nurse(r=.248, p<.001) was also found. Conclusion The findings of this study support the importance of the communication competence of clinical nurses for efficient human resource management. Studies for developing programs to facilitate communication competence of clinical nurses are highly recommended.