• Title/Summary/Keyword: 간호행정 연구

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Study on Patient Outcomes through the Construction of Korean Nursing Minimum Data Set (NMDS) (한국형 Nursing Minimum Data Set(NMDS)구축을 통한 환자결과에 대한 연구)

  • Lee, Eun-Joo
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.1
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    • pp.14-22
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    • 2006
  • Purpose: The purpose of this study is developing the nursing information system which contains the core elements of nursing practice, the Nursing Minimum Data Set (NMDS) that should be collected and documented all the settings in which nursing care is provided. Method: The program was developed under the hospital information system by TCP/IP protocol and used NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) to fill out the elements of NMDS. The Oracle was used as DBMS under the Windows 98 environment and Power Builder 5.0 was used as a program language. Results: This study developed linkage among the NANDA-NOC-NIC to facilitate choosing correct nursing diagnosis, interventions, and outcomes and stimulate nurses' critical thinking. Also the system developed includes nursing care sensitive patient outcomes, so nurses can actively involve in nursing effectiveness research by analyzing the data stored in the database or by making relational databases with other health care related databases. Conclusion: The program developed in this study ultimately can be used for the nursing research, policy development, reimbursement of nursing care, and calculating staffing and nursing skill mix by providing tool to describe and organize nursing practice and measure the nursing care effectiveness.

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Nursing Service R&D Strategy based on Policy Direction of Korean Government Supported Research and Development (국가보건의료 R&D 정책 방향에 따른 간호서비스 R&D 전략 연구)

  • Lee, Seonheui;Bae, Byoungjun
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.1
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    • pp.67-79
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    • 2016
  • Purpose: To develop strategies for research and development (R&D) in nursing service based on the policy direction of government supported R&D in Korea. Methods: This was a descriptive study to develop strategies for promoting R&D in nursing by analyzing investment trends and status quo, policy directions, and implementation of the details of government supported R&D through government reports, websites of relevant agencies and literature reviews. Results: Few nursing experts participated in clinical research on overcoming major diseases and in R&D for well-being and care. Development of nursing topics that meet the direction of government supported R&D were lacking. Insufficient implementation of nursing service R&D in a timely manner equipped with a performance-based system. Few research studies in R&D projects that included research using big data or contributing to developing medical instruments. Finally, an insufficient number of nursing specialists participated on government R&D advisory committees. Conclusion: For nursing service R&D development efforts should be toward quantitative expansion and qualitative improvements by sensitively recognizing policy direction of government supported R&D. The promotional capacity of nursing service R&D must be reinforced through a multidisciplinary approach and collaborative association with other professionals and the inclusion of nurse specialists on government R&D advisory committees.

Development of Agenda Priority for Nursing Service Research and Development (간호서비스 연구개발 분야에서의 우선순위과제 도출)

  • Oh, Eui Geum;Jang, Yeon Su;Gong, Sae Lom;Lee, Yoon Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.99-110
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    • 2015
  • Purpose: The purpose of this study was to suggest agenda priorities for nursing service R&D (Research and Development) related policies development. Methods: Two steps in developing the agendas and priorities were performed in this descriptive study. First, nursing service R&D agendas were extracted through needs assessment of nursing researchers and practitioners. Then, the priority of agendas was set by Analytic Hierarchy Process by ten experts who were representatives of nursing and other healthcare professionals. Results: Six core areas and forty-six nursing service R&D agendas were developed. The priority of agendas was different according to the evaluation criteria depending on weight value of nursing services. Conclusion: In order to select and promote nursing service R&D projects within national healthcare policy, nursing service R&D policy should be proposed with consideration to the importance of the criteria in reflecting characteristics of nursing care. By strengthening R&D capabilities for quality improvement and sensitive awareness of national directions for healthcare R&D policies, nursing service R&D can be appropriately promoted.

Women Nurses' Independence Movement during the Japanese Occupation: A Historical Research Study (일제 강점기 여성 간호인의 독립운동에 관한 역사연구)

  • Jin, Li Hua;Kim, Miyoung
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.4
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    • pp.455-467
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    • 2014
  • Purpose: The purpose of this study was to elucidate the role of Korean women nurses in the independence movement and to examine their activities during the Japanese occupation from 1910 to 1945. Methods: Nurses studied were women nurses referred to as Ganhowon, Ganhobu, Gyeonseupganhobu, Sanpa, and Josanbu at that time. Five participants such as descendents or relatives of nurses who participated in independence movements, were selected for interview to provide oral historical materials. An historical research approach was used and all of the data were analyzed according to period, region, and pattern of the independence movement. Results: Throughout the historical literature and oral historical materials, it was found that from 1914 to 1945, thirty-eight women nurses actively participated in various types of independence activities such as mass hurrah demonstrations, raise the spirit of war, red cross activities, enlightenment movement and armed struggle to encourage the public to stand up against Japanese imperialism locally and abroad. Conclusion: The findings indicate that women nurses, as enlightened women, endeavored to solve social issues with their autonomous volition, and these action can serve as meaningful evidence for enhancing the social status of nurses.

Organizational Culture and Organizational Support as Factors Affecting the Innovative Behaviors of General Hospital Nurses (종합병원간호사의 혁신행동 영향요인에 관한 연구: 간호조직문화와 조직지원을 중심으로)

  • Ko, Yu Kyung;Yu, Soyoung;Kang, Kyeong Hwa
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.2
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    • pp.223-231
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    • 2015
  • Purpose: The aim of this study was to identify the effects of organizational culture and organizational support on the innovative behavior of general hospital nurses. Methods: The participants in this study were 356 nurses, working in hospitals in Seoul, Gyeonggi and Gangwon Provinces, and Daejeon City. Data were collected from June to August, 2012. A structured questionnaire was used for data collection and data was analyzed using the SPSS/WIN program. Results: The organizational culture positively correlated with innovative behavior. The most significant predictors of innovative behavior were age, organizational support and hierarchy-oriented culture. Conclusion: These findings suggest that nurses' organizational culture and organizational support were linked to innovative behavior. Management-level workers in these hospitals should have the skills and strategies to develop nurses' innovative behavior and increases nurses' recognition of organizational support to achieve high performance through innovation.

Analysis of nursing activities in ambulatory units of secondary and tertiary hospitals (종합병원${\cdot}$종합전문요양기관의 외래 간호활동 분석 연구)

  • Sung, Young-Hee;Park, Jeong-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.1
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    • pp.5-18
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    • 2003
  • Purpose : For improvement of nursing services in ambulatory unit, ambulatory nursing activity was identified and the required time by nursing activity was measured. Method : The data were collected from 4 tertiary hospitals and 2 secondary hospitals. The method of data collection was used the self-reporting method. The 123 nurse-work days and 137 nurse-aid-work days in 6 hospitals were analyzed. Results : As a result, 11 ambulatory nursing domains and 79 ambulatory nursing activities were confirmed. Above 50% of subjects performed the general outpatient affair domain. The percentage of total time spent in each domain were as follows : general outpatient affair domain, 58.3%, patient education ${\cdot}$ counseling domain, 10.8%, therapeutic care domain, 8.6% and so on. And the average hours were measured by activity and domain. Conclusion : For the improvement of ambulatory nursing care, the strategies that keep the legal standard of number of ambulatory nurse and exchange the nursing-aid for the nurse is needed. And it is also needed to standardize the ambulatory nursing services.

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Experience of Nurses Participating in Comprehensive Nursing Care (간호·간병통합서비스를 적용한 병동 간호사의 환자간호 경험)

  • Park, Kwang-Ok;Yu, Mi;Kim, Jong-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.76-89
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    • 2017
  • Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.

The Perceptions of Nurses and Nursing Students on Nursing Law Legislation in Korea (간호(사)법 제정정에 대한 인식 조사 연구)

  • Kang, Hee-Sun;Lee, Han-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.3
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    • pp.355-364
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    • 2006
  • Purpose: This study was conducted to examine the perceptions of nurses and nursing students on nursing law legislation in Korea. Method: This was a descriptive study. The data were collected by questionnaires from 1914 nurses and 408 nursing students and analyzed using descriptive statistics and t-test. Results: Most of respondents (73.5%) had received the information on nursing law legislation mainly through the nursing news letter, nursing magazine(Taehan Kanhoo), and Korean Nurses Association internet homepage. However, they expressed they did not know sufficiently about the nursing law legislation and wanted know more about it. They strongly supported the nursing law legislation. There were significant differences in perceptions between the people who had a chance to know about the nursing law legislation and who did not. Conclusion: Education should be offered not only to the people who wanted to know more about on nursing law legislation and but also to the people who are not concerned or never had a chance to know about this. It is important to empower nurses and nursing students to be proactive on the issues of nursing law legislation.

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Study on Non-Value-Added Nursing Activities in a Tertiary Hospital (일 병원의 비부가가치 간호활동에 관한 연구)

  • Kim, Mi-Young;Park, Sung-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.3
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    • pp.315-326
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    • 2011
  • Purpose: Purposes of this study were to identify non-value-added nursing activities (NVANAs) and to estimate the amount of time spent on NVANAs among total nursing activities. Methods: Non-value-added nursing activities were identified though the use of a focus group. The nurses in the focus group were nurses working in a tertiary hospital. They discussed possible activities that could be NVANAs. Based on the focus group discussion, a pilot study was done to examine the actual occurrence of NVANAs in clinical settings. Results: The focus group discussion showed that NVANAs occurred in ten categories of nursing performances including communication with physicians, communication with other departments, medications, equipment/supplies, nursing records, tests, admission, discharge, and transfer. Direct nursing activities accounted for 35.5% of total nursing activities while indirect nursing activities accounted for 64.5%. Of indirect nursing activities, 16% were NVANAs. Most NVANAs were related to communication and equipment/supplies. Conclusions: To improve the quality and efficiency of nursing activities, it is necessary to identify NVANAs and their causes. Results of this study suggest that improvement in the work process and nursing unit structure, support for equipment/supplies, and effective communication are needed to reduce NVANAs in tertiary hospitals in Korea.

A Study on the Critical Thinking Disposition of Nursing Students - Focusing on a School Applying Integrated Nursing Curriculum - (간호대학생의 비판적 사고 성향에 관한 연구 - 통합 간호교육과정을 실시하는 일 대학을 중심으로 -)

  • Yoon, Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.159-166
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    • 2008
  • Purpose: The purpose of this study was to identify the degree of critical thinking disposition of nursing students and the factors influencing critical thinking disposition. Method: The subjects were 406 nursing students attending at one university who have been taught by the integrated nursing curriculum. Data was collected by a self-administered questionnaire from Nov. 11, 2007 to Nov. 30, 2007. The survey tool developed by Yoon(2004) was used. Data was analyzed by t-test, one way ANOVA and Scheffe test using SPSS Win 12.0. Result: The mean score of critical thinking disposition was 3.57. The sub scales of critical thinking disposition were statistically significant in regard to grade, age and character of subjects. Overall mean score of critical thinking disposition and its sub scales were statistically significant according to the degree of satisfactory of majoring nursing, reason of choosing nursing as a major and satisfaction on integrated nursing curriculum. Conclusion: Critical thinking ability is very important in various nursing situations. Integrated nursing curriculum was developed to improve critical thinking ability of nursing students. It is recommended that evaluation on the goal attainment of the integrated nursing curriculum needs to be monitored continuously.

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