• 제목/요약/키워드: Team Nursing

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종합병원 간호관리자의 간호관리역량 요구도 분석 (Need analysis for managerial competencies of nurse managers in general hospitals)

  • 정희경;문성미
    • 한국간호교육학회지
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    • 제30권1호
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    • pp.82-95
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    • 2024
  • Purpose: This study aimed to identify the needs for the managerial competencies of nurse managers in general hospitals. Methods: A cross-sectional design was used. The participants were 203 nurse managers, 141 head nurses or unit managers, and 62 directors or team managers from 17 general hospitals. Data were collected by a self-administered questionnaire with 42 nursing management competencies and 181 behavioral indicators. Participants rated the importance and performance of each indicator. Data were analyzed using a paired t-test, independent t-test, importance-performance analysis, Borich's needs assessment model, and locus for focus model. Results: In all 42 competencies, importance was rated significantly higher than performance. The head nurses or unit managers had high demands for "human resource development," "performance management," and "information management," while the directors or team managers had high demands for "change management." Competencies in high demand in both groups were "development of nursing standards" and "self-management." Conclusion: Based on the results, it is necessary to select priorities and prepare educational content when developing educational programs to strengthen the nursing management competencies of general hospitals' nurse managers.

팀 기반 학습이 간호학생의 학습태도, 학습동기, 문제해결능력, 수업참여도에 미치는 효과 (Effects of Team-based Learning on Learning Attitude, Learning Motivation, Problem Solving Ability, Participation in Lessons of Nursing Students)

  • 김순옥
    • 디지털융복합연구
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    • 제15권4호
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    • pp.351-363
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    • 2017
  • 본 연구는 팀 기반 학습을 기본간호학 수업에 적용한 후 간호학생들의 학습태도 및 학습동기, 문제해결능력, 수업참여도에 미치는 효과를 평가하고자 실시하였다. 연구대상은 G지역 일개대학 간호학과 2학년 중 연구에 참여하기를 희망하는 학생 103명을 대상으로 하였다. 자료수집기간은 2016년 9월1일부터 12월 5일까지였다. 자료는 SPSS 21.0 Program을 이용하여 independence t-test와 one-way ANOVA, 실험처치 후 변수에 대한 효과는 paired t-test, 각 변수들 간의 상관관계는 Pearson's correlation coefficient로 분석하였다. 연구결과 팀 기반 학습을 적용한 후 문제해결능력은 상승하였고, 통계학적으로 유의한 차이를 나타냈다. 학습태도, 학습동기는 수업 후 상승하였으나 통계학적으로 유의한 차이는 없었다. 수업참여도는 변화가 없었을 뿐 아니라 통계학적으로도 유의한 차이가 없었다. 또 팀 기반 학습 후 학습태도는 학습동기, 문제해결능력, 수업참여도와 학습동기는 수업참여도, 문제해결능력은 수업참여도와 유의한 정적 상관관계를 보였다. 본 연구결과를 근거로 다양한 간호상황에 따른 문제해결능력을 함양시키기 위해 기본, 성인교과목 뿐만 아니라 다른 전공교과목에도 팀 기반 학습과 같은 자기주도적이고 능동적인 학습법 적용을 활성화할 필요가 있겠다.

팀 기반 학습을 수강한 간호대학생의 경험 (Nursing Students' Experiences on Team-Based Learning)

  • 김현아
    • 한국산학기술학회논문지
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    • 제19권9호
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    • pp.30-41
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    • 2018
  • 본 연구는 TBL(Team-Based Learning) 수업을 경험한 간호 대학생의 체험 의미를 밝히고자 하는 현상학적 연구이다. 본 연구의 목적은 TBL 수업을 적용하여 학습성과를 향상시킴으로써 임상현장에서 요구하는 전문 간호 인력 양성에 기여하고자 한다. 본 연구의 참가자들은 성인간호학 TBL 수업을 수강한 간호학과 7명의 학생들이다. 자료는 참여관찰과 심층면담을 통해 수집되었으며, Colaizzi의 현상학적 분석 방법을 이용해 분석하였다. 유의한 연구 결과로 9개의 개념기술과 5개의 주제군이 도출되었다. 학생들이 경험한 주요 주제군은 '최상의 결과를 위해 매진함', '자기주도적인 학습태도가 형성됨', '공동의 지식창조자가 됨', '활동적인 수업시간', '무의미한 동료평가'였다. 주요 개념기술은 '자신의 역할을 다 하기 위해 최선을 다함', '사전학습으로 수업을 준비함', '사전학습을 통해 자신감이 형성됨', '친구들과의 상호작용을 통한 문제해결', '서로의 멘토가 되어줌', '함께 협력하여 문제해결을 함', '친밀감이 형성됨', '활기찬 수업시간', '친분에 얽매인 동료평가'였다. 본 연구는 학습자 중심의 수업과 자기 주도적 학습을 가능하게 하여 간호학생들의 학습성과 향상에 기여함으로써 임상현장에서 요구하는 전문 간호인력 양성에 기여하게 될 것이다.

한국 표준 간호행위 분류 (The Classification of Standard Nursing Activities in Korea)

  • 박정호;성영희;송미숙;조정숙;심원희
    • 대한간호학회지
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    • 제30권6호
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    • pp.1411-1426
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    • 2000
  • A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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온라인 콘텐츠 협동학습과 개별학습의 Lab실-임상실습 혼합실습교육 연계가 학습성취에 미치는 효과비교 (Comparison of Blended Practicum Combined E-learning between Cooperative and Individual Learning on Learning Outcomes)

  • 최순희;소향숙;최자윤;유성희;윤소영;김명희;송미옥
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.341-349
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    • 2014
  • Purpose: This study was conducted to compare blended practicum with clinical and lab combined e-learning between cooperative and individual group on learning outcomes. Method: A total of 63 junior Nursing students were recruited from C University in G city from May, 2012 to June, 2012. Ten hours lab practicum for two weeks was provided for both two groups during the period of adult nursing practicum. Prior to blended practicum, e-learning was conducted. For cooperative group, two hours off line team learning with a tutor for eight weeks was provided, in other hands, for individual group, any off line team learning was not provided and self study on line was not evaluated by the tutor. Results: The result of ANCOVA showed that critical thinking and self directed learning were significantly improved in the individual group compared to the cooperative group (F=-18.15, p<.001; F=28.12, p<.001). In other hands, clinical competence was significantly higher in the cooperative group than in the individual group (F=16.61, p<.001). Conclusion: Through development of self-leaning facilitating online contents, the blended practicum combined e-learning could be effective in critical thinking, self-directed learning and clinical competence. Further studies about e-learning strategies of off-line learning are still needed.

일 종합병원 간호부서의 조직구조 재설계 전후 조직성과 비교 (A Study on the Nursing Organizational Change and Outcome in a General Hospital)

  • 김복자
    • 간호행정학회지
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    • 제11권2호
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    • pp.195-207
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    • 2005
  • Purpose: The purpose of this study was to confirm the change of nursing organizational characteristics and to define the difference of organizational outcome by measuring the organizational commitment and job satisfaction perceived by nursing staffs and patient satisfaction before and after organizational redesign. Method: The structured questionnaires of which contained organizational characteristics, organizational commitment and job satisfaction were developed from previous published studies after modification by researcher. The questionnaires were distributed to 1,200 and 679 nurses before and after nursing organizational change. patient satisfaction were measured before and after organizational change by direct interview with structured questionnaire from 1,566 and 1,291 patients. Results: 1. The organizational characteristics were significantly increased and the leadership of team leader and head nurse was significantly increased among the factors of organizational characteristics. 2. Organizational commitment was showed decreased tendency, but the difference was not significant. Job satisfaction was increased significantly and administration, autonomy, and job tasks were increased significantly in the factors of job satisfaction. Patient satisfaction was also increased significantly. 3. There was significant positive correlation between organizational commitment and job satisfaction and also job satisfaction and nursing organizational characteristics. All factors of organizational characteristics and satisfaction in present working unit were major factors to influence organizational commitment and explained 43.8% in a significant level by multiple regression analysis. The major factor which affect job satisfaction were the factors of nursing organizational characteristic except 'interaction with team leader' and satisfaction in present working unit among general characteristics and these factors explained 58.8% of job satisfaction. Conclusion: In conclusion, the nursing organizational change was very effective to bring about desirable change in nursing organizational characteristics and also to improve job satisfaction and patient satisfaction. Therefore the nursing productivity and comparability would be increased when the nursing organizational change is accomplished by the way of improving the factors of organizational characteristics and it would be followed by the promotion of job satisfaction and organizational commitment.

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국내 기초간호학 교육과정 운영 현황 및 교수자의 기초간호학 교과목에 대한 인식 (Current Biological Nursing Curriculum and Faculty Perceptions on Biological Nursing Subjects in South Korea)

  • 서경산;김진일;안경주
    • Journal of Korean Biological Nursing Science
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    • 제23권2호
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    • pp.127-137
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    • 2021
  • Purpose: This study was conducted to investigate the current status of the biological nursing curriculum and faculties' perceptions on biological nursing subjects in South Korea. Methods: Biological nursing subjects' titles and credits were searched through the nursing schools' website. Perceived adequacy of subjects' title and credit in each biological nursing subject and the degree of perceived importance and satisfaction of learning contents by subjects were collected from 30 professors of biological nursing subjects. Results: Many schools still use the titles of medical subjects for those of biological nursing subjects. The perceived importance and satisfaction of genetics-related learning contents, "nursing case study" or "project team presentation," were lower than other learning contents. Conclusion: Standardization of biological nursing subjects' titles and learning contents is needed.

임상간호 실습교육의 교수효율성에 관한 연구 (A Study of Teaching Effectiveness on Clinical Nursing Education)

  • 김미애
    • 대한간호학회지
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    • 제26권4호
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    • pp.946-962
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    • 1996
  • The purpose of this study was to contribute to the development of clinical instruction by students' ratings of teaching effectiveness in clinical nursing education. The subjects were comprised of graduating class 618 students from 24 nursing colleges in the nation. The instruments used in this study were "general characteristics & status of clinical nursing education" developed by the researcher and "Instrument to Measure Effectiveness of Clinical Instructors" by Reeve(1994). The 50 questions used in the questionaire were categorized into 13 components subject to factor analysis. The 13 components were interpersonal relationships, communication skills, role model, resource for students, favorable to students, encouraging to think for selves, teaching methods, evaluation, finding assignments for objectives, organization of subject matter, professional competence, knowledge of subject matter & working with agency personnel. The results of this study are as follows 1. Status of clinical nursing educaion : 1) Clinical nursing education were led by nursing professors(44.9%), a team of both nuring professor & head nurse(6.8%), instructors from specific hospital(15.1%), instuctos for a specific subject(14.6%), & head nurse(6.8%). For 3-year program students, 34.6% of the clinical nursing education were led by instructors from specific hospital & 51.4% of the education by nursing professors for Bachelor's program. 2) The contents for clinical education comprised of Conference being the most frequent of 34.5% ; a combination of Nursing skills, Orientation, Conference etc.22.0% : Nursing process 21.7% : Orientation 13.5% : Inspection(making rounds ) 6.4%, & Nursing skills of 2% being the least frequent. 3) Students' preference of clinical teachers from the highest to the lowest were instructors for a specific subject being the most desired (44.9%) followed by nursing professor, head nurse, a team of both nursing professor & head nurse, & instructors from specific hospital being the least desired. 4) Students felt that the qualification for clinical teachers should be at least a master's degree holder and 5 or more years of clinical experience. The reason they felt was because knowledge & experience are imperative for professional education. 2. Clinical teaching effectiveness : The total points for teaching effectiveness was 147.97(mean of 2.95±0.98) where the total score is considered to be an average rating. 3. Teaching effectiveness as status of clinical nursing education : 1) The score ratings for the clinical instructors from the highest to the lowest were as follows : instructors for a specific subject, instructors from specific hospitals, a team of both nursing professors & head nurses, nursing professors, head nurses, which resulted in significunt difference(F=4.53, P<0.001). 2) The rating scores based on the teaching program from the highest to the lowest were as follws ; nursing skills, nursing process, a combination of nursing skills, orientation, conference etc. , conferences, orientation, inspection, which resulted in significunt difference(F=10.97, P<0.001). 4. Based on 13 categorized components from the questionaires, questions related to communication skills scored the highest points of 3.20 where inquiries regarding resource for students scored the lowest points of 2.38. 5. Among the 13 categorial components from the questionaire, Interpersonal relationship, Communication skills, Resource for students, Encouraging to think for selves, Evaluation, Teaching method, Finding assignment for objectives, Organization of subject matter, Professional competence, & Working with agency personnel, instructors for a specific subject scored the highest points and head nurse scored the lowest, which resulted in significant difference. Favorable for students, instructors for a specific subject scored highest points and nursing professor scored the lowest, which resulted in significant deference (F=5.39, P<0.001). Role model & Professional competence, instructors for a specific subject scored the highest points and head nurse scored the lowest, with minimum variation(F=1.29, P>0.05 : F=1.64, P>0.05) 6. Based on 13 categorial components as a whole, the highest points scored among the 5 groups of clinical teachers was instructors for a specific subject and the lowest, by head nurse(F=1.94, P<0. 001). A team of both nursing professor & head nurse attained higher score in clinical education than their independent education.

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Experience of Disaster Response Team in Jecheon Sports Center Fire

  • Ha, Jeongmin;Kim, Hyun-Jung;Kim, Jin-Hwa;Park, Dahye
    • 대한통합의학회지
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    • 제10권1호
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    • pp.39-48
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    • 2022
  • Purpose : This study aimed to determine the experiences of the disaster response team 9 participants who participated in the disaster after the fire incident occurred in Jecheon Sports Center and their meaning and essence. Methods : Nine disaster response teams were the subjects of the study, and Individual in-depth interviews were conducted. Data were collected online between January 6 and April 30, 2021, from the software ZoomTM. This study was conducted as a qualitative study by applying Giorgi's phenomenological experiential research method, which has an advantage in revealing the essential structure and meaning of experience. Results : Three major themes were derived from the study results: the stimulus through unfamiliar experiences, the grievances due to work environment and regional characteristics, and dullness resulting from hiding and enduring. The following 17 sub-themes were identified: learning through unfamiliar experiences, frustration due to unexpected circumstances, shock from unfamiliar experiences, doing my best in the present, confidence due to increased experience, disunified system, intervention of various interests, the atmosphere that puts responsibility on others, inactive help, unforgettable regional characteristics, working without time to settle, tolerating it in my own way, memories left in the unconsciousness, sudden suffering from memories that come to mind, movement in anxiety and tension, dullness, work with colleagues in the same situation. Conclusion : This study is meaningful in that it attempted to provide basic data in preparing a long-term strategy for effective policy direction and institutional protection based on the systematic mental health management of the disaster response team. Additionally, this study's results can be used as primary data for future research among Disaster Response Team.