DOI QR코드

DOI QR Code

A integrated study on the current status and improvement direction of physician assistant

전담간호사 제도 개선방안에 대한 통합적 연구

  • Received : 2020.06.28
  • Accepted : 2020.08.14
  • Published : 2020.08.31

Abstract

This study was attempted to identify the status of the work of the PA and provide the direction and evidence of policy making on the PA scheme. A convergence study was conducted to analyze a total of 23 articles of papers and Internet news through systematic review methodology. A literature search was performed using KISS, NDSL, RISS, National assembly library, and 11 major domestic daily newspapers and Youth Medical Newspaper. The analysis of eight papers showed that the PA's work-related exhaustion, job stress, unclear scope of work and lack of regulations reduced job satisfaction. Through 15 press articles, it was understood that it was urgent to establish a legal system and education system for qualifications and work as professional medical personnel amid a conflict of positive and negative opinions of related agencies. In order to increase the utilization of PA in the future, it is necessary to secure institutional devices suitable for Korean affairs and prepare educational programs.

본 연구는 PA(전담간호사)의 업무 실태를 파악하여 PA제도에 대한 정책 수립의 방향 및 근거 자료를 제공하기 위해 시도되었다. 체계적 문헌 고찰적 방법론을 통해 'PA(전담간호사, 의사보조인력)' 검색어로 KISS, 국회도서관, NDSL, RISS 등의 데이터베이스를 이용하여 국내에 출판된 논문을 검색하였고 국내 주요 일간지 11개와 의료계 전문지인 청년의사신문 등 총 12개 신문에 보도된 전담간호사 관련 주요 사건 관련 기사 15편 등 총 23편을 분석하는 연구 방법론적 융복합적 연구를 시행하였다. 8편의 논문 분석 결과, PA의 업무와 관련된 소진, 직무스트레스 및 불명확한 업무범위 및 규정 부재는 직무 만족도를 감소시킨 것으로 나타났다. 15편의 보도기사를 통해 관련 기관들의 긍정적, 부정적 의견 대립 속에 전문의료인으로서의 자격과 업무에 대한 법제화 및 교육제도 확립이 시급함을 파악하였다. 향후 PA의 활용도를 높이기 위해서는 한국 실정에 적합한 제도적 장치를 확보하고 교육프로그램을 마련하는 것이 필요하다.

Keywords

References

  1. Buchan, J., O'May, F., and Ball, J. (2007). New Role, New Country: introducing US physician assistants to Scotlnd. Human Resources for Health, 5(13), 1-8. http://dx.doi.org/10.1186/1478-4491-5-13
  2. American Academy of Physician Assistants. Retrieved August 12, 2012, http://www.aapa.org
  3. Y.D. Kwon, Y.H. Sung, I.G. Kwon, and M.S. Hwang. (2008). A Study on the Present Status of Clinical Nurses with Expanded Role. Journal of Korean Clinical Nursing Research, 14(3), 99-115.
  4. G.C. Lim, G.O. Park, and B.J. Kim. (1997). A investigative study of role expectation on the clinical nurse specialist. The Journal of Korean Academy of Nursing Administration, 3(1), 65-82.
  5. S.S. Kim, W.H. Kwak, S.M. Moon, and Y.H. Sung. (2006). Development of a Role Model for Physician Assistant in Korea. Journal of Korean Clinical Nursing Research, 12(1), 67-80.
  6. Y.M. Kim, K.J. Jeon, and J.Y. Kim. (2011). Business report: Analysis of Hospital Nursing Manpower Arrangements and Tendency for Working Conditions. Seoul: Hospital Nurses Association.
  7. Hospital nurses association. (2018). A Survey of Hospital Nursing Personnel. https://khna.or.kr.
  8. S.C. Song. (2018.11.02.). https://www.doctorsnews.co.kr/news/articleView.html?idxno=126141
  9. C.Y. Kwak, and J.A. Park. (2014). Current roles and administrative facts of the Korean physician assistant. Digital Contents Society, 14(10), 583-595. http://dx.doi.org/10.5392/JKCA.2014.14.10.583
  10. S.H. Kim. (2019.04.06.). http://www.medifonews.com/news/article.html?no=145255
  11. S.Y. Song. (2019.04.06.). http://www.docdocdoc.co.kr/news/articleView.html?idxno=1067016
  12. G.N. Lee, and K.S. Jang. (2018). The Effect of Role Conflict and Job Stress on Job Satisfaction of Physician Assistant Nurses in University Hospitals. Nursing & Health Issues, 23(1), 46-55.
  13. KS. Lee, and E. Park. (2017). Influencing Effects of Role Conflict, Resilience on Burnout in Physician Assistants. Journal of Fisheries and Marine Sciences Education, 29(5), 1424-1434. http://dx.doi.org/10.13000/JFMSE.2017.29.5.1424
  14. H.G. Kim, H.S. Kang. (2019). Effects of Visual Media Programs on Job Stress and Burnout in Emergency Room Nurses. International Journal of Advanced Culture Technology, 7(4), 32-39. https://doi.org/10.17703/IJACT.2019.7.4.32
  15. T.U. Jang, and E.J. Choi. (2016). Relationships between Occupational Stress, Burnout and Job Satisfaction of Physician Assistants. Journal of Korean Public Health Nursing, 30(1), 122-135. https://doi.org/10.5932/JKPHN.2016.30.1.122
  16. S.K.Kwak, and S.Hyun. (2019). Exploring Job Stress, Job Satisfaction, and Turnover Intention of Nurses in the Comprehensive Nursing Service. The Journal of the Convergence on Culture Technology, 5(2). 22-30. https://doi.org/10.5392/JKCA.2014.14.10.583
  17. J.H. Lee. (2000). Mass media and Society. Seoul : Yangji Publishing.
  18. H.J. Kim, and J.Y. Jang. (2011). Discovering News Keyword Associations Using Association Rule Mining. The journal of the Institute of Internet Broadcasting and Communication, 11(6), 63-71. https://doi.org/10.7236/JIWIT.2011.11.6.063
  19. Cochrane Collaboration. 2011. Available from www.cochrane-handbook.org.
  20. S.Y. Kim, J.E. Park, H.J. Seo, H.S. Seo, H.J. Son, C.M. Shin, Y.J. Lee, B.H. Jang, and D.S. Heo. (2011). NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. National Evidence-based Healthcare Collaborating Agency, 8, 1-287.
  21. Braun, V. and Clarke,V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3, 77-101. https://doi.org/10.1191/1478088706qp063oa
  22. J.J. Kim. (2011). Planning a physician assistant system for Korea. Journal of the Korean Medical Association, 54(12), 1240-1244. https://doi.org/10.5124/jkma.2011.54.12.1240
  23. L. Hall, J. Angus, E. Peter, and L. O'Brin-Pallas. (2003). Media portrayal of nurses' perspectives and concerns in the SARS crisis in Toronto. Journal of Nursing Scholarship, 35(3), 211-216. https://doi.org/10.1111/j.1547-5069.2003.00211.x|
  24. S. Park, S. Park, C. Lee, M. Yun, and K. Hwang. (2017). Image of Nurses Portrayed in Internet Newspapers. Culture and Convergence, 39(6), 677-700. https://doi.org/10.33645/cnc.2017.12.39.6.677
  25. E.Y. Choi. (2018). Ethical Dilemma and Professionalism of Long-term Care Hospital Nurses. The Journal of the Convergence on Culture Technology, 4(1), 153-163. https://doi.org/10.17703/JCCT.2018.4.1.153