• Title/Summary/Keyword: practitioner

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The Phenomenological Study on the Meaning of Services based on Practitioner's Experiences: With Practitioners for Out-of-School Youths (학교 밖 청소년 현장전문가의 활동경험에 대한 현상학적 연구)

  • Park, Byung-Kum
    • The Journal of the Korea Contents Association
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    • v.17 no.1
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    • pp.100-112
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    • 2017
  • The purpose of the phenomenological study was to explore the practitioner's experiences according to practitioner's perception and to enrich our understanding about them. In order to accomplish the purpose of research, 7 practitioners with out-of-school youths participated. Data were collected through in-depth interview. In addition, the data were analyzed by a Colaizzi's phenomenological analysis. The findings showed that the meaning of experiences in practitioners with out-of-school youths were identified as 17 themes and 5 categories. The 5 categories consisted of "School is not amused", "Family is unhappy", "They hide behind pain or excuses", "Let's go together, until it can be found", "We hope the world changed". Based on the findings, we discussed the meaning of experiences in practitioners with out-of-school youths. And lastly, this results made suggestions for the social welfare policies and practices for them.

Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner (응급전문간호행위에 대한 건강보험 상대가치 수가개발 및 경제성 평가)

  • Kim, Jin Hyun;Kim, Kyung Sook;Kim, Mi Won;Lee, Kyoung-A
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.275-288
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    • 2013
  • Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.

Strategies to Develop a Korean-Contextualized Oncology Nurse Practitioner Program;Comparative Program Evaluation between Korea and the United States (한국적 종양 전문간호사 교육과정의 발전 전략;미국 교과 과정과의 비교분석)

  • Suh, Eun-Young
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.93-103
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    • 2006
  • Purpose: With accumulated necessity to develop Advanced Practice Nursing (APN) in Korea, various types of Nurse Practitioner (NP) programs have been recently developed. Unlike the origin of the NP programs in the U.S., in which the lack of primary health care provider preceded the creation of NP education, NP programs in Korea are currently in an early stage in which the scope of practice and educational boundaries are still evolving. Just imitating American models may result in culturally inappropriate and practically non-feasible APN programs in Korea. This article was aimed to evaluate the top-ranked Oncology NP (ONP) programs in U.S. with those in Korea. Method: Using the Donabedian paradigm, the educational structure, process, and outcome were compared and contrasted between two countries. Results: The findings of this paper demonstrated that many aspects of structure of the Korean program are similar to those of the Americans with minor differences. Three strategies for future development of ONP program in Korea are suggested. Conclusion: Practical and feasible scope of practice for ONP in Korea should be determined. It needs to embrace every aspects of cancer experience. Also, nursing-oriented and culturally competent practice needs to be identified and incorporated into the ONP practice.

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Organizational Socialization and Intention to Leave in Operating Room Nurses Working at Secondary General University Hospitals (수술실 간호사의 조직사회화와 이직의도)

  • Yoon, Su Jung;Park, Hye-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.88-98
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    • 2015
  • Purpose: To evaluate the relationship between organizational socialization and intention to leave, and to identify factors affecting on intention to leave in operating room nurses. Methods: This study used a descriptive design. Seventy operating room nurses recruited from three hospitals under the same management style, in-service educational system, and working conditions agreed to participate in this study, and completed self-administered questionnaires of the organizational socialization and the intention to leave questionnaire. Respondents were classified by career as advanced beginner, competent practitioner, proficient practitioner and expert practitioner by Benner's stages of nursing proficiency. Data were analyzed with t-test, ANOVA with multiple comparisons, Spearman correlation, and multiple regression analysis. Results: Nurses unsatisfied with the current in-service continuous education had lower organizational socialization and higher intention to leave. In advanced beginners, job performance was lowest and organizational commitment was highest. In expert practitioners, intention to leave was highest. Organizational commitment, interpersonal relationship, identity and burnout were associated with intention to leave. Mutual trust, burnout, and interpersonal relationship were predictors of intention to leave explained 20.8% of variance. Conclusion: The career ladder program to enhance nurses' organizational socialization and intention to stay should be established and expanded for well-experienced operating room nurses.