• 제목/요약/키워드: tertiary education

검색결과 318건 처리시간 0.022초

종양내과병동에서의 간호중재 중요도 및 수행 빈도에 관한 연구 - 일 종합요양 전문기관을 중심으로 - (The Perceived Importance and Performance Frequency of Nursing Interventions in the Oncology Units in a Tertiary Hospital)

  • 권인각;조명숙;신희연
    • 성인간호학회지
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    • 제19권2호
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    • pp.260-273
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    • 2007
  • Purpose: This study was performed to understand the perceived importance and performance frequencies of nursing interventions and identify the core and major interventions in oncology units. Methods: Questionnaires using 151 nursing interventions were given to 45 nurses. The performance frequency was measured through the database of the nursing process recording system for 1 year. Results: The perceived importance of the nursing interventions averaged out to be 3.5 among 4 and on average 36.5 times of nursing interventions were performed on each patient. Fifteen core nursing interventions including 'pain management' were identified and they made up 82.7% of the entire performance frequency rate. And 26 interventions including 'drug administration: Amphotericin-B' were identified as major nursing interventions and occupied 10.6% of the entire performance frequency rate. Conclusion: Since the core and the major nursing interventions were identified and these occupied 93.3% of the all nursing interventions, these results can be utilized as baseline data for establishing the guidelines and standards of nursing interventions and providing systematic education for oncology nurses in Korea.

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A Structure Model of Clinical Nurses' Silence on Patient Safety

  • Han, Jeongwon
    • 기본간호학회지
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    • 제25권1호
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    • pp.68-77
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    • 2018
  • Purpose: The aim of this study was to establish a hypothetical model on silence regarding patient safety and to verify the model's goodness of fit and hypotheses. Methods: The participants in this study were 330 registered nurses working in tertiary hospitals with over 300 beds. Data were collected between July 1, and August 30, 2017, from nurses who agreed to participate. A covariance structure analysis was performed. Results: The model of fit index was $x^2=59.54$, normed $x^2=2.29$, GFI=.97, AGFI=.93, SRMR=.05, NFI=.99, CFI=.95 and RMSEA=.05. The organizational culture had an influence on patient safety motivation (${\beta}=.26$, p=.003) and attitude (${\beta}=.43$, p<.001). RN-MD collaboration had an influence on patient safety motivation (${\beta}=.33$, p<.001), attitude (${\beta}=.35$, p<.001), and patient safety silence (${\beta}=-.17$, p=.026). Supervisory trust had an influence on patient safety motivation (${\beta}=.26$, p<.001), attitude (${\beta}=.12$, p=.036), and patient safety silence (${\beta}=-.23$, p=.002). Patient safety motivation had an influence on patient safety silence (${\beta}=-.33$, p=.006). The model of patient safety silence explained 36.0% of the variances. Conclusion: This study is meaningful in that it provides basic data for nursing education and program development for rejecting patient safety silence.

여성 당뇨병환자의 우울과 자가 혈당측정 회수 (Depressing and Blood Glucose Testing in Women Type2 Diabetic Patients)

  • 김희승;박재순
    • 여성건강간호학회지
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    • 제9권4호
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    • pp.432-438
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    • 2003
  • Purpose: The purpose of this study was to investigate the depression and, the frequency of blood glucose testing in women type2 diabetic patients. Method: 114 Participants were recruited from the endocrinology outpatient department of a tertiary care hospital in an urban city. Depression was measured by visual analogue scale. Blood glucose testing was measured the frequency during past 1 week. Result: Depression was higher in hyperglycemia patient (fasting blood glucose$\geq$110mg/dl) than in normoglycemia patient(fasting blood glucose <110mg/dl). The blood glucose testing frequency as lower in 50-59 years old than in less than 39 years old. And it was lower in middle school graduate than in college graduate. The blood glucose testing was negatively correlated with patient's age. Conclusion: The depression program should be developed for hyperglycemia diabetic patients. And the blood glucose testing education program should be developed for aged and low educational level patients.

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병원 간호조직의 성과평가지표에 관한 조사 연구 (A Survey for Performance Measurement Indicators of Nursing Organizations in Hospitals)

  • 이해종;강경화;장수정;김인숙
    • 간호행정학회지
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    • 제11권4호
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    • pp.385-399
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    • 2005
  • Objective: The objective was to extract a preliminary performance measurement indicators of nursing organizations in hospitals using the BSC(Balanced Score Card) developed by Kaplan and Norton, and to analyze the content validity and evaluation methods of the performance measurement indicators with actual nurses in the nursing organization as participants in the study. Methods: The preliminary performance measurement indicators was created through a literature review and had the content validity by a professional. This survey was sent via post to 316 nurse managers and nurses with more than 5 years of experience in seven secondary and tertiary hospitals in the Seoul Gyonggi district. The completed questionnaires were returned by mail. Results: Fourteen indicators for finances, 16 for customer services, 27 for internal business processes, and 13 for learning and growth were selected. Conclusion: Amidst a rapidly changing medical environment, a first step was taken towards developing a performance measurement from various perspectives for nursing organizations in hospitals from various perspectives, rather than just one or a past-oriented perspective. However, as the most important thing is to actually use these indicators, continuous interest in publicity and education must be developed.

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플로팅 간호사와 일반 간호사의 간호역량, 자아존중감, 직무 스트레스 비교 연구 (Nursing Competency, Self-Esteem, and Job Stress between Floating Nurses and Clinical Nurses)

  • 주원진;김미영
    • 임상간호연구
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    • 제23권2호
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    • pp.248-257
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    • 2017
  • Purpose: This study was aimed to compare nursing competency, self-esteem, and job stress between floating nurses and clinical nurses. Methods: The data were collected between October $1^{st}$ and December $31^{st}$, 2015, from 43 floating nurses and 57 clinical nurses working at a tertiary care hospital in Seoul. The collected data were analyzed with SPSS/WIN 23.0, using descriptive statistics and the t-test, $x^2$ test, ANCOVA, ANOVA, $Scheffe{\acute{e}}$ test, Pearson correlation coefficients, and Stepwise multiple regression. Results: The nursing competency of clinical nurses was significantly higher than that of floating nurses (F=4.370, p=.039). For both floating and clinical nurses, nursing competency was positively correlated with self-esteem (floating nurses, r=.47, p=.002; clinical nurses, r=.62, p<.001). Also, For both floating and clinical nurses, the most significant predictor of nursi ng competency was self-esteem(floating nurses, ${\beta}=0.45$, p=.001; clinical nurses, ${\beta}=0.60$, p<.001). Conclusi on: Efforts are needed to increase the nursing competency of the floating nurse through the improvement of the floating system, the nursing work environment, and continuous education. Also, as self- esteem is the most effective predictor of nursing competence, nursing intervention is needed to improve self-esteem of the floating nurse.

A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs

  • Choe, Myoung-Ae;Kwon, Smi Choi;Song, Kyung Ja
    • 대한간호학회지
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    • 제33권4호
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    • pp.464-470
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    • 2003
  • Purpose. Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing. Methods. The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea. Results. The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working. Conclusion. Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

기초간호자연과학 교육과 연구에 대한 임상 간호사와 간호학 교수의 상호지향성 인식 (A Coorientation Analysis of Perception on Bionursing between Clinical Nurses and Nursing Professors)

  • 최명애;안경주;정재심
    • Journal of Korean Biological Nursing Science
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    • 제14권3호
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    • pp.212-220
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    • 2012
  • Purpose: The purpose of this study was to compare perception on bionursing and satisfaction and importance about bionursing subjects of clinical nurses with that of professors using a coorientation model. Methods: Subjects for this study consisted of 135 clinical nurses at a tertiary hospital and 114 nursing professors. Questionnaire for perception on bionursing consisted of competency of professor, linkage with clinical practice and research of bionursing. Perceptions on bionursing education and research, satisfaction and importance about subjects of bionursing were measured. The data were analyzed by t-test. Results: Perception of clinical nurses on research of bionursing was more positive than professors. Perception of professors on research of bionursing was significantly less than that of professors estimated by clinical nurses. Perception of clinical nurses on linkage with clinical practice and research of bionursing estimated by nursing professor was significantly less than that of clinical nurses. Satisfaction of clinical nurses with the subjects of bionursing was significantly less than that of professors. Clinical nurses perceived anatomy the most important while professors perceived physiology the most important. Conclusion: Perceptions of clinical nurses on bionursing as well as satisfaction and importance about subjects of bionursing were identified to be different from those of professors.

제2형 당뇨병 환자의 자가간호행위, 임파워먼트 및 사회적 지지가 당화혈색소에 미치는 영향 (The Influence of Self-care Behaviors, Empowerment and Social Support on Glycosylated Hemoglobin in Patients with Type 2 Diabetes)

  • 오화경;이은주
    • 지역사회간호학회지
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    • 제28권2호
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    • pp.216-225
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    • 2017
  • Purpose: The purpose of the study was to analyze the effects of self-care behavior, empowerment, and social support on glycosylated hemoglobin in patients with type 2 diabetes. Methods: The data were collected during the period of July 1 to July 31, 2016. In total, 172 participants were recruited from outpatients who had been diagnosed with type 2 diabetes at a health care center, a health promotion center at National Health Insurance Corporation, and a tertiary hospital. Statistical data were analyzed with SPSS 20.0 using frequency analysis, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical regression analysis. Results: The study results showed that self-care behavior (${\beta}=-.34$, p<.001), empowerment (${\beta}=-.34$, p<.001), and social support (${\beta}=-.20$, p=.018) were found to be influential factors affecting glycosylated hemoglobin, with an overall descriptive power of 69%. Conclusion: Self-care behavior, empowerment, and social support are considered to be important factors in blood glucose management for the patients with type 2 diabetes. Therefore, self-caring blood glucose programs and internal synchronizing education through social support and empowerment need to be improved.

원격의료정보 시스템의 활성화 방안에 관한 연구 (A Study on Active plan of Remote Medical Information Service System)

  • 이귀원
    • 대한방사선기술학회지:방사선기술과학
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    • 제26권4호
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    • pp.53-61
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    • 2003
  • 최근 의료시설이 취약한 1, 2차 진료기관에서 인터넷을 이용하여 원격의료정보시스템이 갖추어진 3차 진료기관에 환자의 진료예약 신청을 하고 환자가 3차 진료기관에 도착 즉시 바로 진료를 받을 수 있는 광역의료정보 시스템의 도입을 추진하고자 하는 병원들이 많아지고 있다. 본 연구에서는 원격의료정보 시스템에 대한 이론적 고찰을 하였고, 특히 신기술 분야에 대한 연구를 통하여 원격의료정보 공유시스템의 활성화 방안을 제시하고자 하였다. 원격의료정보 공유시스템의 확산을 위해서는 의료정보의 Bottom-up 방식의 도입과 종합적인 추진체계의 확립, 적극적인 인센티브제의 도입이 필요하고 관련 법*제도의 정비 및 중앙정부와의 긴밀한 협조와 연계, 기술변화에 대한 신축적 대응이 선결과제이며 적극적인 홍보와 교육이 절실히 요구된다.

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중환자실 간호사의 죽음 인식, 임종간호 태도, 정신건강이 임종간호 스트레스에 미치는 영향 (Influence of Death Perception, Attitude Toward Terminal Care, Mental Health on the Terminal Care Stress of Intensive Care Unit Nurses)

  • 황정옥;김상희
    • 임상간호연구
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    • 제25권3호
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    • pp.323-332
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    • 2019
  • Purpose: This study aimed to identify the factors affecting the terminal care stress of nurses in intensive care units in terms of their death perception, attitude toward terminal care, and mental health. Methods: This descriptive study collected data from 118 nurses in intensive care units in one tertiary referral hospital and three general hospitals. The instruments used in the study were the Terminal Care Stress Assessment Tool, the View of Life and Death Scale, the Frommelt Attitudes toward Nursing Care of the Dying Scale (FATCOD), and the Mental Health Assessment Tool. The data were analyzed by t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Results: There was a significant positive correlation between terminal care stress and death perception (r=.31, p<.001). The factors significantly influencing the terminal care stress of the participants included gender (β=.33, p<.001), religion (β=.24, p=.004), and death perception (β=.35, p<.001), and the overall explanatory power was 23.1% (F=12.73, p<.001). Conclusion: To decrease terminal care stress among nurses, establishing the death perception of nurses based on value clarification about death may be necessary. Furthermore, this study suggests an intervention study examining the effect of an education program on terminal care stress among ICU nurses.