• 제목/요약/키워드: Nursing management

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의료기관 가정전문간호사의 직무분석 (Job Descriptions of Hospital Based Home Care Nurse Practitioners in Korea by DACUM Technique)

  • 황문숙;이승자;임난영;이미경
    • 가정∙방문간호학회지
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    • 제18권1호
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    • pp.48-57
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    • 2011
  • Purpose: The aim of this study was to develop and to analyze the task of hospital based home care nurse practitioners in Korea. Method: The definition of home care nurse practitioners and job description was developed based on developing a curriculum(DACUM) by 7 panels who have experienced in home care nursing. One hundred fifty four nurses who were working at hospital based on home care were participated. Result: Fourteen kinds of duties were identified : the selection of home care patients; basic home care nursing; advanced home care nursing; patient/family education and counseling; medical decision making and coordination of patient service; management of home care supplies and drugs for patients; management of medical records; management of home care the agency; management of home care personnel; management of the home care supplies for agency; home care public relations; improvement of home care quality; management of long-term care service; and self-improvement. Ninety-six tasks were classified. Conclusion: The abilities for quality improvement and the advanced nursing practice of home care nurses should be empowered.

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스마트폰을 활용한 간호관리학 교육용 애플리케이션의 적용이 학업크래프팅에 미치는 효과 (The Effect of Application for Nursing Management Education Using Smartphone on Study Crafting)

  • 박정하;김윤정
    • 문화기술의 융합
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    • 제7권1호
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    • pp.24-30
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    • 2021
  • 본 연구는 스마트폰을 활용한 간호관리학 교육용 애플리케이션이 간호대학생의 학업크래프팅에 미치는 효과를 알아보고자 시도되었다. 자료수집기간은 2019년 9월 1일부터 6주간이었으며, 실험군과 대조군 각각 38명을 선정하였다. 연구의 결과 간호관리학 교육용 애플리케이션을 활용하여 간호관리학 학습을 진행한 실험군은 그렇지 않은 대조군보다 학업크래프팅 정도가 유의하게 높은 결과를 보였다. 결과를 토대로 간호관리학 교육용 애플리케이션은 간호대학생이 학습에 대한 의미를 찾고 주도적으로 학습을 하는 데 유용한 매체임이 확인되었다.

간호대학생의 환자안전관리활동: 계획된 행위이론을 중심으로 (Patient Safety Management Activities of Nursing University Students: Focus on the Theory of Planned Behavior)

  • 김남이
    • 한국보건간호학회지
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    • 제36권1호
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    • pp.47-58
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    • 2022
  • Purpose: This study was undertaken to present an effective plan for the development of an educational program and a strategy to promote patient safety management activities for nursing students by identifying factors that affect these activities based on the theory of planned behavior. Methods: A self-report questionnaire was distributed to 300 nursing students who had clinical practice experience at three nursing colleges in Daejeon, Gyeongbuk, and Jeonbuk. The significance of the model fit, and the path effect was confirmed by confirmatory factor analysis. Results: The hypothetical model for patient safety management activities was appropriate. Among the 5 pathways, 4 were significant. It was found that behavioral intention had a direct influence on patient safety management activities, and perceived behavioral control and attitude had an influence on behavioral intention. Conclusion: To strengthen the perceived behavioral control of nursing students' patient safety management activities, it is necessary to analyze and remove obstacles and provide education that reflects the characteristics of the subject's health problems. In addition, through self-directed learning involving simulation practice, nursing students should be exposed to patient safety accidents, so that they can recognize the risks early and solve problems through critical thinking while bringing about the necessary changes in their attitude.

신경과 병동에 입원한 노졸중환자의 간호일지에 나타난 급성기와 아급성기의 간호중재 비교 (A Comparison of Interventions Recorded in Nursing Notes between Actue and Subacute Stage after a Cerebrovascular Accident)

  • 최자윤;박순주
    • 대한간호학회지
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    • 제36권2호
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    • pp.227-235
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    • 2006
  • Purpose: This study aimed to: 1) determine the core nursing interventions, and 2) compare acute interventions with subacute interventions recorded in the nursing notes of patients with cerebrovascular accidents (CVA). Methods: The nursing records covering the first 10 days of 30 patients with a CVA who were admitted from January to December 2004 at C University Hospital in Korea were examined. Data was collected using the nursing interventions classification (NIC) from January to April 2005. Finally, data analysis was carried out using mean, SD, and paired t-test according to domains, classes, and interventions. Results: The most frequent nursing intervention at both stage was 'Neurologic monitoring'. There were differences in interventions belonging to the 'Physiological: complex,' 'Behavioral,' 'Safety,' and 'Health system' domains between the acute and subacute stages. The frequency of interventions belonging to the 'Immobility management,' 'Neurological management,' 'Tissue perfusion management,' 'Patient education,' 'Risk management,' 'Health system mediation,' and 'Information management' classes at the acute stage was higher compared to the subacute stage. Conclusions: This study found out that nurses relatively recorded more nursing interventions during the acute stage hence the unsuccessful documentation of the subacute stage particularly in describing the specific nursing interventions at this stage.

국내 간호사의 재난간호 역량: 주제범위 문헌고찰 (The Competency in Disaster Nursing of Korean Nurses: Scoping Review)

  • 이은자;양정은
    • 동서간호학연구지
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    • 제27권2호
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    • pp.153-165
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    • 2021
  • Purpose: The aim of study was to identify ranges of Korean nurses' competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were 'disaster', 'nurs*', 'competenc*', 'ability' and 'preparedness'. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses' common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.

간호대학생이 인식한 간호관리학 실습 중요도와 실습경험도 비교 (A Comparison between Importance of Nursing Management Clinical Practicum and Practical Experience recognized by Nursing Students)

  • 황성우;구옥희
    • 한국융합학회논문지
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    • 제10권9호
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    • pp.351-361
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    • 2019
  • 3개 대학 간호학과 4학년 간호관리 임상실습을 경험한 학생 289명을 대상으로 간호관리학 실습교육내용에 대한 중요도 인식 및 실제 실습경험에 대하여 비교 조사하였다. 연구결과 평가 항목에서 책임감, 대인관계, 신뢰, 의사소통, 도덕성 순으로 중요하게 인식하였다. 간호관리 실습교육내용의 중요도에서는 간호단위관리를 4.37(최대 5점)로 가장 중요하게 인식하였다. 실제로 임상에서 직접 경험할 수 있었던 항목은 간호단위관리(22.0%), 간호관리의 이해(20.7%), 인적자원관리(19.8%)가 빈도순으로 가장 높았으며 실제 경험을 전혀 못 한 항목으로는 마케팅(52.4%), 재무관리(44.0%)였다. 학생들이 인식한 실습내용의 중요도와 실제 실습경험을 한 항목 간에는 여전히 불일치가 나타나 표준화된 간호관리학 임상실습 프로토콜의 완성과 관리실습 전담 프리셉터 제도의 시행을 제언하고자 한다.

간호학생을 위한 응급상황관리 시뮬레이션 실습 교과목 개발 및 적합성 평가 (Development and Applicability Evaluation of an Emergent Care Management Simulation Practicum for Nursing Students)

  • 허혜경;박소미;신윤희;임영미;김기연;김기경;최향옥;최지혜
    • 한국간호교육학회지
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    • 제19권2호
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    • pp.228-240
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    • 2013
  • Purpose: This study was to evaluate the applicability of an emergent care management simulation practicum which is for enhancing nursing students' emergent care management competency based on the Nursing Education Simulation Model. Methods: One group pre-post experimental design was conducted for evaluation of the applicability of the simulation practicum. A convenient sample of 60 senior nursing students was participated. The simulation practicum was provided for 26 hours per student at the end of the first semester of senior year. Educational practices in simulation scale, simulation design scale and learning outcomes were measured. Higher positive correlations between variables represent applicability. Descriptive analysis, paired t-test and Pearson correlation coefficient were used for data analyses. Results: Among contractual components of nursing education simulation model, educational practices in simulation and simulation design (r=.80, p<.010), learning outcomes (r=.71-.28, p<.050), simulation design and learning outcomes (r=.72-.30, p<.050) were significantly correlated. Critical thinking (t=-3.63, p<.050) and problem solving competence (t=-2.55, p<.050) were significantly increased by this simulation practicum. It represents the applicability of an emergent care management simulation practicum. Conclusion: This emergent care management simulation practicum was appropriate to enhance the nursing students' emergent care management coping competency.

성과중심 교육과정 개발을 위한 간호관리실습 사례시뮬레이션 적용 및 내용 분석 (Analysis and Application of Nursing Management Practicum Case Simulation for Developing Performance-Centered Education)

  • 임지영;고국진
    • 한국콘텐츠학회논문지
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    • 제17권9호
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    • pp.235-254
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    • 2017
  • 본 연구는 간호관리과정의 5요소에 기반을 둔 간호관리실습 사례시뮬레이션 구성틀을 개발하고, 이를 실제 간호 대학생의 간호관리실습에 적용한 후 내용 분석을 실시함으로써, 향후 간호관리실습 교육에서의 성과중심 교육과정 개발에 필요한 기초 자료를 마련하고자 한 것이다. 본 연구의 대상은 일 대학의 간호학과 4학년 105명 학생이 간호관리실습 과제로 제출한 간호관리실습 사례시뮬레이션 보고서이다. 연구도구는 간호관리실습 사례시뮬레이션 구성틀로 본 연구자가 간호관리과정의 기획, 조직, 인적자원관리, 지휘, 통제의 5요소에 기반하여 기존 시뮬레이션 실습에서 활용된 브레인스토밍과 디브리핑 과정을 반영하여 개발하였다. 연구 결과 32개의 임상 간호 사례에 대해 간호 대학생은 간호관리과정 5요소별 간호관리 문제해결에 있어 1차 브레인스토밍과 디브리핑 과정에서는 79.6%의 적절률과 11.6%의 개념 오류율, 5.6%의 분류 오류율을 보인 반면, 재추론 과정인 2차 브레인스토밍과 디브리핑 과정에서는 94.6%의 적절률 상승과 0.0 % 의 개념 오류율, 4.4%의 분류 오류율 감소를 보였다. 이는 본 연구의 간호관리실습 사례시뮬레이션 구성틀이 간호 대학생의 간호관리과정 적용에 필요한 사고력과 논리적 추론 역량을 증진하는 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 간호 대학생의 간호관리실습과 간호관리 이론 교과목에 활용할 수 있을 뿐 아니라, 향후 임상간호사의 간호관리 역량 강화를 위한 시뮬레이션 기반 직무교육 또는 보수교육으로도 활용할 수 있을 것이다. 아울러 향후 다양한 간호관리 임상 현장에서의 후속 연구와 간호 대학생의 졸업 후 간호관리 직무 능력에 미치는 영향을 파악하기 위한 종단적 코호트 연구도 필요함을 제안한다.

Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV

  • Kim, Gwang Suk;Chu, Sang Hui;Park, Yunhee;Choi, Jun Yong;Lee, Jeong In;Park, Chang Gi;McCreary, Linda L.
    • 대한간호학회지
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    • 제45권3호
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    • pp.439-448
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    • 2015
  • Purpose: The purpose of this study was to examine validity and reliability of Webel and colleagues'HIV Self-Management Scale when used with a Korean sample. Methods: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients'self-rating as a "mart patient"measured using a visual analogue scale. Internal consistency was tested by Cronbach' alpha coefficients. Results: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (${\chi}^2/df_{(164)}=1.66$, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients'self-rated smart patient (r=.41). The subscale Cronbach' alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. Conclusion: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.

${\cdot}$ 중 비교연구를 통한 한방간호 관리체계 모형개발 (A Model Development of Oriental Nursing Management System Through a Comparative Study of Korea & China)

  • 박신애;김광주;김일원;문희자
    • 간호행정학회지
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    • 제10권1호
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    • pp.121-140
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    • 2004
  • Purpose: This study is to analyse and observe the college of oriental medicine related with nursing investment contents, its conversion process and output to get good qualified oriental nursing result, thus developing a matrix of oriental nursing management system on the basis of that project. Method: This study was nursing management system of matrix developmental study for Korea was performed to the objectives of 11 college of oriental medicine nursing directors and 328 nurses with more than three-year experiences in Korea. Result: We found difficulties to utilize knowledge obtained through the regular curriculum to the practice of oriental nursing because only me or two subjects were running or even no syllabus. Therefore, we recommend that oriental nursing in-service education program as well as oriental nursing practice preceptorship should be administered en site. The evaluation of oriental nursing and its feedback, duty related multiple evaluation, aggressive QI activity and feedback of the performance evaluation oriental nurse's role and duty manual also should be essentially organized. Conclusion: We urgently request that the consensus of nursing school and nurse association to be made about oriental nursing activity as a basic curriculum of compulsive subject.

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