• Title/Summary/Keyword: 간호업무분석

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Investigation & Study Analysis of Health Affairs for the Old (공공보건기관의 노인보건 업무실태 분석에 관한 조사연구 -제주도내 4개 시.군 중심으로-)

  • Hyun, In-Sook
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.44-52
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    • 1999
  • This investigation & study has been made in oder to revitalilize the health care for the elderly in public health centers. The date subject, including 88 persons in charge health services in public heal centers, were from Chejudo. These were largely female, the average age was 38.4 at the health center. Their responsibilities included home visitation, nutrition management for the early, health education, and physical therapy. The most important problem were personal management and a lack of facilities, especially in home visitation, health education, physical therapy. Systematic networks of various activities are needed to encourage not only the patient but also volunteer who will also take part in these services. The numbers of members in charge of the elderly are not only to be increased and educate with facilities and equipment but also better provided with proper facilities and equipment. This is the best way to conduct health services the elderly.

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A Study on Type of Clinical Experience of Adaptation of New Nursing Staffs in a General Hospital (일 종합병원 신규간호사의 실무적응 경험 유형)

  • Kim, Yun-Jeong
    • Journal of Digital Convergence
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    • v.12 no.4
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    • pp.443-454
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    • 2014
  • This study designed to know subjective structure about clinical experience of adaptation of new nursing staffs in a general hospital and using Q-methodology. Using Q-methodology, 40 new nursing staffs sorted working a general hospital through personal interview. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through to -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL program to determine if any patterns were discernible. The five types extracted all had eigenvalues greater than 1.0 and explained 62.38% of the variation in responses.: (1) New workload type, (2) Interest and responsibility type, (3) Improve the situation type, (4) Lack of knowledge and technology type, and (5) Excessive workload type. The significant differences found in the subjective structure of clinical experience of adaptation of new nursing staffs in ad general hospital. The findings of this study could contribute to the development of an effective programmes of education and personnel clinical practice strategies.

Nursing Activities on Continuous Renal Replacement Therapy in the Intensive Care Units (중환자실 내 지속적 신대체 요법과 관련된 간호업무 분석)

  • Yun, Seonyoung;Lee, Young Ock;Kang, Jiyeon;Yun, Mi-Jeong;Won, Youn-Hui;Lee, Mi-Young
    • Journal of Korean Critical Care Nursing
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    • v.6 no.2
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    • pp.65-77
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    • 2013
  • Purpose: The purpose of the study was to analyze the nursing activities related to continuous renal replacement therapy (CRRT) in the intensive care units (ICU). Methods: We developed a list of 31 CRRT related nursing activities based on literature review and reviewed by expert group. A total of 109 direct time measurement records by 43 ICU nurses were collected and analyzed in terms of total time per shift, frequency, standard time, difficulty and performance levels of each CRRT nursing activity. Results: The mean time for CRRT nursing activity was 85.60 minutes per 8 hour shift. Nurses have spent average $9.46{\pm}6.98$ minutes in a shift for "waste fluid bag change" activity. In addition, "check catheter location" was the most time consuming single activity. The most difficult activity was "counseling-answer" and the most competent one was "dialysis solutions change". Conclusion: The CRRT nursing activities accounted for a significant portion of total nursing workload. Practical allocation of nursing staff for CRRT patient along with development of a new nursing cost system need to be considered. Continuous nursing educational and training programs on CRRT should be developed.

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Real-time Web System Development for Effective Nursing & Care Integration Services (효과적인 간호간병통합서비스를 위한 실시간 웹시스템 개발)

  • Kim, Ye-Lim;Kwon, Chun-Ki;Kong, Yong-Hae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.41-52
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    • 2016
  • Prescription, pickup, and acting information from the ward are stored in a hospital database, and can be accessed and retrieved by the relevant departments. Frequent inquiries from many departments can cause a great load on the hospital information system. When the nursing and care services are integrated, the real-time pickup and acting tasks are also increased, which may lead to an increase in database inquiries, thereby increasing the amount of information being transferred. To effectively solve this inefficiency problem, we aimed to develop a nursing and care integrated information system that excludes database inquiries and incorporate a method that transmits pickup and acting information in real-time. Because the new system increases the workload and responsibility, we developed a ward acting dashboard so that every ward employee can determine all the acting situations of patients in real-time to improve the quality of services. We designed a database by concentrating on the pickup and acting business procedures, and applied real-time web techniques to enable pickup and acting information to be delivered instantly. Through our implementation, we were able to reduce the inquiry time and transmission amount significantly compared with the existing method.

Newly graduated Nurse's Resilience Experience (신규간호사의 극복력 경험)

  • Hwang, Hyenam;Lee, Yoonshin
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.656-667
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    • 2021
  • Purpose: The purpose of this study was to explore the resilience experience and to identify in-depth the meaning of the resilience of newly graduated nurses. Methods: This study was a qualitative study using phenomenological research method and used data obtained from semi-structured in-depth interviews with 9 newly graduated nurses under 12 months of employment in tertiary general hospitals. The data were analyzed using Colaizzi's method. Results: As a result of analyzing the experiences of newly graduated nurses' resilience, there were totally 86 meaningful statements, 13 themes were derived from them, and they were integrated into 4 theme clusters. The four theme clusters were 'Acknowledging shortcomings and developing oneself', 'Enduring and tolerating', 'Support from people around oneself', and 'Freshening and sublimating oneself'. Conclusion: Understanding and enhancing the resilience of new nurses will help them improve nursing professionalism and reduce turnover due to reduced work stress.

Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study (중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법)

  • Kim, Hyun Sook;Choi, Eun Kyoung;Kim, Tae Hee;Yun, Hye Young;Kim, Eun Ji;Hong, Jin Ju;Hong, Jeong A;Kim, Geon Ah;Kim, Sung Ha
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.87-99
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    • 2019
  • Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.

A Convergence Work Experience of Nursing Students under Preceptorship (간호대학생의 프리셉터십 융복합 실습 경험)

  • Nam, Mun-Hee;Kim, Hae-Ok
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.283-300
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    • 2017
  • This study is to understand the work experiences of nursing students under preceptorship in 3+1 year program, and suggests effective practice to prevent stopping nursing profession. Four focus group interviews were made with 23 nursing students in 3+1 year program. Data were analyzed through the grounded theory of Corbin and Strauss' (2008). Through comparative analysis, central phenomenon of was 'looking for lighthouse'. The causal condition was 'opportunity to learning practice'. Contextual conditions were 'mood of being a true nurse', 'getting vivid information about clinical field', and 'lack of students perception about preceptorship'. Intervention conditions were 'work environment', 'proactive learning' and 'attachment to the hospital'. Action/interaction strategies were 'adjustment to diverse demands of patients and guardians', 'feeling as if it were one's own affair', and 'looking as much as knowing'. Consequence were 'pride' and 'itinerary of learning as a new graduate nurse'. This study is meaningful because it gives useful basis to nursing students in the process of 'looking for lighthouse'.

The effect of turnover nurses' social support, emotional labor and subjective health on resilience (이직간호사의 사회적 지지, 감정노동과 주관적 건강이 회복탄력성에 미치는 영향)

  • Kwon, Myoungjin
    • Journal of Industrial Convergence
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    • v.17 no.1
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    • pp.25-31
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    • 2019
  • The frequent turnover of nurses is one of the great difficulties of the medical profession, the purpose of this study was to investigate the effects of social support, emotional labor and subjective health on resilience of turnover nurses. The subjects of this study were 70 turnover nurses and collected data from November 1-10, 2018. The collected data were analyzed using the IBM SPSS 25.0 program. The significance level was .05. The results of this study are as follows. 1) Resilience was significantly different according to job satisfaction and subjective health. 2) Resilience showed a significant correlation with social support and subjective health (p <.05). 3) Factors influencing recovery elasticity were job satisfaction and social support and the explanatory power was 44.1% (F = 9.93, p <.001). It is necessary to improve the resilience of nurses to reduce job turnover and increase the adaptability to the clinic. Therefore, it is necessary to reflect these influential factors in improving the resilience of transition nurses.

Analysis of Work Performance and Related Factors of Construction Site Health Manager (건설현장 보건관리자의 업무수행정도와 관련요인 분석)

  • Jung, Hye-Sun;Choi, Eun-Hi;Beak, Eun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.1
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    • pp.48-58
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    • 2018
  • Purpose: The purpose of this study was to understand the present status of the work performance of the construction industry health managers and the developmental direction for the construction industry health management. Methods: The subjects of this study were 149 health managers working in the construction industry. Data of a total of 130 participants were analyzed by excluding the missing data among field workers. The contents of the survey were the characteristics of the workplace, the difficulties and requirements of health management, and the level of job performance. Results: The factors affecting measuring work environment task were age, number of workers, number of safety managers, and lack of support from the headquarters. The factors affecting managing work environment and physicochemical harmful factors were age, type of contract and conflicting business opinions. The factors affecting implementing health examination were age, type of contract, and number of safety managers. The factors affecting healthcare were age, type of contract, number of safety manager, presence of healthcare room, and conflicting business opinions. Conclusion: It is necessary to provide practical guidance and practical resources, and education for strengthening capacity. The support for business owners and managers support is needed.

Working Patterns and Job Satisfaction in Primary Health Practitioners (보건진료전담공무원의 업무분석과 직무만족도)

  • Kim, Jin Hak;Song, Min Sun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.24 no.1
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    • pp.69-78
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    • 2017
  • Purpose: The purpose of this study was to identify the frequency and duration of primary health practitioners' work, and their job satisfaction, and to confirm differences in work and job satisfaction by type of primary health care post. Methods: Work frequency, duration of work, and job satisfaction were estimated by 371 primary health practitioners. Chi-square test and t-test were used to identify the differences in working patterns and job satisfaction by type of primary health care post. Results: Primary health practitioners were found to spend more time working with the elderly population than with students, pregnant women, children, people with disabilities, and multicultural families. Those in costal areas were more concerned with students than those working inland. In the latter group of practitioners, more time was spent working with patients with chronic diseases, pregnant women, women, children, multicultural families, and mental health clients. Also, the job satisfaction of inland primary health practitioners was significantly higher than that of costal practitioners. Conclusion: It is necessary to identify the characteristics of primary health practitioners' work, focusing on changes in the medical service environment. Furthermore, it is necessary to provide job training according to type of primary health care post, as practitioners' approaches should differ between posts.