• 간호행정학회지
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• 제5권2호
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• pp.389-400
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• 1999

The purpose of this study is to examine a possibility of applying the ABC system to analyze the cost of nursing service on one obstetrics and gynecology (OB/GYN) unit in a major medical center. The activities of nurses on an OB/GYN unit were analyzed for 4 days for 96 hours. 2 week days and 2 days on weekend. Total cases included in the study were activities of 12 charge nurses and 12 staff nurses. Activities were categorized into direct and indirect activities in order to calculate the cost of activities. Nursing activities were defined multidimesionally in order to utilize the ABC system. The 60 nursing activities were classified into the direct nursing activities and the indirect nursing activities based on a literature review, interview, and survey results. The direct activities were further categorized into the single nursing activities and the multiple nursing activities. The indirect activities were classified into the indirect nursing service activities and the general management activities. The major findings of this study were as follows : 1. There were differences in activities according to the positions and duties of the nurses. The charge nurses mostly performed the indirect nursing service activities and the general management activities. Almost all of their indirect nursing activities spent on each patient were similar. The staff nurses performed the single nursing activities and the multiple nursing activities. 2. The activities of staff nurses included medication, patient assessment, rounding and organizing the unit. patient education, nursing treatment, admission and discharging of patients. There was no differences in types and amount of time spent between the nurses on day-time duty and evening-time duty, but the patient assessment activity increased during the night-time. 3. The cost of post partum nursing services for women who had a normal vaginal delivery using the ABC system included the cost incurred by direct nursing activities provided by the staff nurses (85.9%), indirect nursing activities incurred by the staff nurses(19.0%) and the nursing activities by the charge nurses and the head nurse(14.1%). The ABC system is a relatively new method of cost analysis. The results of this study can provide the nursing and hospital managers with useful information on cost control. It is suggested that more studies should be done using the ABC system and extend the scope of studies to include value analysis to aid the Activity-Based Management(ABM) and/or the reengineering of hospital process.

• 대한간호학회지
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• 제30권5호
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• pp.1099-1110
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• 2000

This paper aims to examine what nursing discipline has accomplishd to date and projects what could be its preferred future from global perspective. Major contextual factors that influence nursing are examined in light of their significance on the progress of nursing discipline. These include evolution of society, and trends in higher education and health care market. The perspective of world health is gained from WHO, an organization recognized for its mission for the health of people worldwide. As the future builds on the present that, in turn, builds on the past, major milestones of nursing discipline, particularly that of education system from the inception of nursing to present is highlighted. The importance of research to advance science and improve peoples health are presented along with a call for nursing research to be responsive to societal needs. The preferred future for nursing discipline is presented integrating the trends of society, higher education, and health care environment. Doctoral education that is the hallmark of nursing scholarship is further elaborated in terms of its mission, needs, and quality attainment. Data from the International Network of Doctoral Education in Nursing are presented along with information about current attempts in developing quality criteria and indicators for doctoral education in nursing worldwide. Majority of information in this paper comes from the United States, unless specified otherwise.

• 기본간호학회지
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• 제18권4호
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• pp.497-505
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• 2011

Purpose: This study was conducted to develop a comprehensive web-based nursing process program to assist nursing students and to evaluate the effects of the program. Methods: The system provides nursing students with guidelines based on NNN (NANDA, NOC, NIC) when the nursing students conduct a series of nursing procedures on diagnosis-outcome-intervention for a specific symptom. It also maintains and manages nursing processes actually conducted by students for clinical practices, and provides an environment where the patient information and nursing process can be converted into a formatted document for printing. This web-based program was used to surgical patients from April to June 2011. Results: The overall satisfaction rate was 3.64. The item with the highest score was, 'Do you think a web-based nursing process program is necessary?' (3.87), followed by 'Do you want to use this program when you become a nurse and implement the nursing process?' (3.33). Conclusion: These results indicate that implementation of web-based programs needs to be continued as an effective tool, but more research is needed on the best way to implement web-based programs in various clinical setting.

• 한국간호교육학회지
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• 제6권2호
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• pp.303-326
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• 2000

Only one hundred years of history in nursing education in Korea is not enough to develop the subject fully as a science. However, the development of Korean nursing education is a great historical event, because Korean nursing education has been accepted by a male-oriented Korean society and has led to a new paradigm in the new millenium. These results are largely due to the Korean people's high enthusiasm for education, as well as Korean women's diligence. I think these 100 years of history can be divided into five periods: (1) the Sunlight period (1900-1911) (2) the New born period (1912-1945) (3) the Settle-down period (1946-1960) (4) the Marked Growth period (1961-1980) (5) the Jumping Period (1981-2000) These classifications are characterized by changes in the educational system, a changed nursing curriculum, educational goals, educational outcomes, and implications. The characteristics of historical development of Korean nursing education was evaluated in three dimensions: structures, contents, and outcome. The structure of Korean nursing education consists of a 3-year program and a 4-year program. Most nursing leaders in Korea hope that these two programs will converge into one system. Secondly, the contents of nursing education in Korea underwent very active changes, according to historical development. These changes in the nursing curriculum have been developed to provide a professional education and develop nursing education as a modern science. Lastly, as to the results of nursing education in Korea, the education was needed to turn out advanced specialists in nursing. In the new millenium, knowledge and information will be the driving forces behind social development. A nation's level of development and creativity in nursing education is the most potent determinant of the future of Korean nursing. The best way to prepare for future challenges will be to create the backbone of a nursing education system. Hence, well-educated nurses in graduate programs should be turned into advanced specialists in nursing. These groups will upgrade the image of Korean nurses, and will have strong influence to improve patient care and the health situation in Korea.

• Journal of information and communication convergence engineering
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• 제18권4호
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• pp.260-266
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• 2020

This study presents the categorical structure for ther epresentation of a 3D human body position system in the WD stage after NP approval by the International Organization for Standardization (ISO), analyzes the needs of electronic medical record users and establishes future implementation plans for expanding its use in Korea. Research was conducted on the needs of doctors, nurses, health and medical information managers, and radiology departments, which are the main stakeholders of electronic medical records. The overall requirements for electronic medical records were derived from the results, and the requirements for each stage of use of electronic medical records were analyzed. Based on the results of the study, the study proposes plans to expand the use of the categorical structure for the representation of the 3D human body position system, and also aims to establish a standard system for health and medical terminology in Korea and contribute to the development of health and medical information standards through international standardization.

• 재활간호학회지
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• 제10권1호
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• pp.45-57
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• 2007

Purpose: The study tried to suggest the ways to improve the national disability welfare information projects with evaluating the present condition of the projects. Method: Firstly, the study analyzed the disability information system and disability websites. Secondly, the study found out the problems of the registration of disability and management system through the situation analysis. Finally, the study conducted a survey of the disabled and the information system workers and performance evaluation of the information system. Result: The study offered a proposal of The Disability Unity Management System(DUMS) for the disability registration and management. When the disabled visit the hospital or the public health center, their information is registered automatically in The Disability Unity Management System(DUMS), which helps not to miss out the disability registration. Through this system, they are given the proper service which they need, and the information can be shared with the facilities providing the service for the disabled. Conclusion: The Disability Unity Management System(DUMS) contributes significantly in avoiding the repetition of the support for the disabled and improving the quality of service.

• 지역사회간호학회지
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• 제13권4호
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• pp.795-807
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• 2002

Objectives: The purpose of this study was to develop a community-based nursing center model that can provide health promotion for infants and toddlers as well as a research and practice site for nursing faculty and students. Methods: Review of current health care system and health promotion programs, and workshops with brain-storming were carried out to identify needy areas of services to be provided by the nursing center. Finally, the community nursing center model was developed through expert consultation and filed visits. Results: The services and programs were developed for infants and toddlers residing in Seoul area. These services and programs include growth and developmental screening, environment and health problem assessment, infant stimulation and parent education, and self-help group. Full-time and part-time staff nurses and nurse practitioners will provide those services and offer home visiting if needed. Database system, health information system, and trainers' training programs were developed as well. Conclusion: The nursing center model developed in this study will ensure clients direct access to nursing care and increase of autonomy and accountability of nursing practices. The nursing center model focused on disease prevention and health promotion will enhance the quality of life of the infants, toddlers and their families as well as to decrease national health care expenditure.

• 대한간호학회지
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• 제25권1호
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• pp.80-87
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• 1995

The critical problem of nurse scheduling in the hospital is determining the day-to -day shift assignments for each nurse for the specified period in a way that satisfies the given requirements of the hospital. As nurse scheduling involves many factors and requirements, manual scheduling requires much time and effort to produce an adequate schedule. A PC - based decision support system, developed in Turbo - C/sup ++/, for nurse scheduling was introduced. The system is composed of 4 sub-systems : 1) Entering basic information for each nursing unit : 2) Generation of an appropriate initial schedule and revised schedule for a given period, maximally satisfying each nurse's duty requests : 3) Provision of variety of statistical information, and 4) Help messages for each modular function. Icons and a mouse are used for easier graphic user interface and reducing the need for typing efforts. This system can help nurses develop quick and easy schedule generation and allow more time for the patient care.

• 임상간호연구
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• 제18권2호
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• pp.228-238
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• 2012

Purpose: The purpose of this study was to examine how an Advanced Cardiac Life Support (ACLS) simulation application via smartphone effects nurses' ACLS knowledge and learning satisfaction. Methods: The participants were selected from nurses in medical Intensive Care Unit (ICU), surgical ICU and emergency room. The experimental group consists of fifty nurses who were self-learned with ACLS simulation application via smartphone and the control group of seventy-one nurses who used traditional learning materials. Outcome variables included nurses' knowledge and learning satisfaction which were collected before and after the intervention. Results: The scores of ACLS knowledge were higher in the control group compared to the experimental group (p=.001) while learning satisfaction showed no statistical difference (p=.444). In learning satisfaction, the experimental group showed higher interest than the control group (p=.019) while the control group rated higher on the item, 'the contents of education was reliable' (p=.007). Conclusion: ACLS knowledge score was graded higher in control group that used traditional learning method than the experimental group that used the smartphone application. This study showed that training with the new material significantly increased nurses' interest in ACLS education. Hence, more applications for smartphones should be developed to provide self-learning environment for nurses and improve care quality.

• 동서간호학연구지
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• 제21권1호
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• pp.36-42
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• 2015

Purpose: This study was conducted to identify the level of job stress and to determine factors influencing job stress among nurses currently under Academic Credit Bank (ACB) system. Methods: The participants were 153 nurses who has taken courses of ACB system. Data were collected through self-report questionnaires and then analyzed with t-test, ANOVA, Pearson correlation coefficients, and multiple linear regression with SPSS/WIN 18.0. Results: The score of job stress showed significant differences according to age, marital status, total period of clinical career, and nursing unit. Job stress had significant negative correlation to professional self-concept and organizational commitment. The factors influencing job stress were marital status, professional self-concept, and organizational commitment. Conclusion: The results suggest that various factors should be considered in development and implementation of programs to reduce the job stress of nurses currently under ACB system.