• Title/Summary/Keyword: 간호활동

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Design of Activity Based Costing Management System in Home Care (가정간호사업의 활동기준원가관리시스템 설계)

  • 이수정;임정은
    • Proceedings of the Korean Information Science Society Conference
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    • 2004.10b
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    • pp.427-429
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    • 2004
  • 진료 및 간호서비스는 다른 제조업과는 달리 무형의 서비스에 대한 간접비의 비율이 두드러지는 특성을 지니며, 이러한 특성으로 인해 의료기관의 전략적 계획수립, 수익성 분석, 경제성 분석, 의료서비스 제공의 질 관리 등의 의사결정에 적극 활용되어야 하는 원가 분석에 어려움을 겪어왔다. 전문 간호 분야인 가정간호는 1회 방문 시에 다양한 활동들이 모여서 가정간호서비스가 수행되므로 가정간호의 원가분석에는 각 행위들이 모인 활동에 대한 분석에 근거한 정확한 원가 정보가 요구되고 있다. 활동기준원가의 기본 요소는 자원, 활동, 자원 동인, 활동 동인, 원가 대상이며 이에 따라 가정간호사업에서 활동기준원가의 각 요소를 정의하고 전통적 원가 계산이 아닌 활동을 중심으로 가정간호사업의 업무 알고리즘을 분석하여 활동기준원가관리시스템을 설계한다. 가정간호사업의 활동기준원가관리시스템은 가정간호의 효율적 운영과 의료기관의 경영 개선과 항께 실질적 원가계산을 통해 정부가 건강 보험 수가를 결정하고, 보험 수가의 적절성을 평가하는데 중요한 기초 자료를 제공하게 될 것으로 기대한다.

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Development of Nursing Activity Cost Calculation Program Using Time-Driven Activity-Based Costing (TD-ABC) (병동 간호활동 원가계산 프로그램 개발 :시간동인 활동기준원가계산 기반으로)

  • Lim, Ji Young;Kang, Sung Bae;Lee, Hyun Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.480-494
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    • 2018
  • The purpose of this study is to develop a nursing activity cost calculation program based on Lee's doctoral dissertation using TD-ABC. The developed program has been supplemented with data storage, print out, and graph conversion functions to expand the application possibility. The development of the program consisted of three steps: program requirements analysis, program design and development, and program validation. This program was designed not only to do the cost calculation, but also to compare the cost-effectiveness and cost consumption trends. Consequently, this program is meaningful in that the nursing manager can obtain the cost information necessary for nursing unit management and extend the utilization so that the cost management strategy can be established based on the cost information. Therefore, we propose that the cost-management capacity of clinical nurses should be strengthened and the nursing performance measurement research should be expanded by applying it to various actual clinical nursing management settings. It is suggested that this program should be used as a training medium to strengthen nurse cost management capacity by combining nursing management curriculum at undergraduate level.

A Study on Patient Safety Management Activity for Nursing Students (간호대학생의 환자안전관리활동에 관한 연구)

  • Song, Mi-Ok;Moon, Jeong-Eun
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.379-388
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    • 2018
  • The Purpose of this study was to identify the factors affecting patient safety management activity targeted nursing student and to provide basic data for patient safety in nursing education and to develop education program improving students' patient safety management activity. The participants of this study were 358 nursing students in a region and collected data by self-reported questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, correlation analysis, stepwise multiple regression analysis. As a resutls, Significant positive correlations were found between patient safety competency, performance confidence, coping and patient safety management activity for nursing students. Patient safety competency, performance confidence were significant factors related to patient safety management activity but coping was not found to directly affect patient safety management activity. Thus, we propose to develop a education intervention program that considers patient safety competency, performance confidence in order to improve patient safety management activity of nursing students.

Nursing Activities Identified through Pediatric Nursing Simulation (간호활동을 중심으로 한 아동간호시뮬레이션 실습 분석)

  • Shin, Hyun-Sook;Shim, Ka-Ka;Lee, Yu-Na
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.111-119
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    • 2013
  • Purpose: This research was a descriptive study of nursing activities observed in nursing simulation during a senior nursing student practicum. Content and frequencies of nursing activities during the simulation practice were identified. Methods: Thirty-six episodes of pediatric nursing simulation were videotaped. Both verbalizations and descriptions of nonverbal behaviors were recorded from the videotapes. The data were coded and analyzed. The coded nursing activities were evaluated for frequency and purpose of interaction. Results: Average time per simulation episodes was 27 minutes and ranged from 3.30 to 32.54 minutes. Nursing activities in these simulation episodes included nursing assessments such as vital sign measurement, associated symptom assessment, and check of patient condition, nursing interventions such as medication, tepid water massage, fluid therapy, provision of oxygen, suctioning, hyperglycemia and hypoglycemia management, communication such as parent education, procedure guidance, and communication among providers. Activities in assessment were most frequent, and among them, vital sign measurement and check of patient condition were more frequent than others. Conclusion: Students showed enhanced nursing activities such as more frequent nursing assessment, communication and interventions in their simulation experience. Therefore simulation experience can be considered as one strategies to provide nursing students with better and more intense practicum experience.

Changes of Nursing Activities on Patients with DNR Orders (DNR 결정 환자에 대한 간호사의 간호활동 변화)

  • Lee, Ji Yun;Jang, Jae In
    • Journal of Hospice and Palliative Care
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    • v.20 no.1
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    • pp.46-57
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    • 2017
  • Purpose: The purpose of this study is to identify the changes to nursing activities of nurses on patients with DNR (Do-Not-Resuscitate) order and factors associated to the changes. Methods: Data were collected using a structured questionnaire for 173 nurses at general hospitals. Logistic regression analysis was performed on the data using SAS 9.4. Results: With 39 nursing activities, an average of 60.4 (34.9%) nurses reported an increase in the activities, 102.4 (59.2%) no change and 10.1 (5.9%) a drop. The activity increase was the greatest in the social area, and the physical area was where the activities decreased the most. The activity increase was associated knowledge competency (9 items), attitudes (2 items), practical competency (4 items) and work load (14 items were). Conclusion: To offer systematical care for DNR patients, it is necessary to expand nurses' knowledge through end-of-life education and adjust their workload and provide a support system at the department level.

Factors Associated with Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals (중소병원 간호사의 환자안전 간호활동 영향 요인)

  • Bea, Han-Ju;Kim, Ji-Eun;Bea, Young-Hee;Kim, Hye-Jin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.118-127
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    • 2019
  • This study was conducted to provide data for the development of health program to promote patient safety nursing activities by analyzing the effect of perception of importance of patient safety management, perceptions of patient safety culture and organizational communication on patient safety nursing activities in small & medium hospital nurses. Data collection was conducted from February 8 to 15, 2019. A total of 202 questionnaires were administered to nurses who have worked for more than six months in three small and medium hospitals. The perception of importance of patient safety management of the subjects was $3.60{\pm}.49$, perception of patient safety culture was $3.39{\pm}.41$, organizational communication was $3.29{\pm}.45$ and patient safety nursing activities was $4.08{\pm}.50$. The patient safety nursing activities was related to perception of importance of patient safety management(r=.597, p<.001), perception of patient safety culture(r=.626, p<.001), organizational communication(r=.559, p<.001), there was a significant positive correlation. Perception of importance of patient safety management(${\beta}=.258$, p=.001), perception of patient safety culture(${\beta}=.323$, p<.001) and organizational communication(${\beta}=.160$, p=.044) had a significant effect on patient safety nursing activities(F=53.067, p<.001). The explanatory power of these variables was 43.7%.

Level of physical activity and influencing factors of the first and second year nursing students (간호대학 저학년생의 신체활동정도와 영향요인)

  • Lee, Mi-Suk;Gu, Mee-Ock
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.53-67
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    • 2017
  • This study was conducted to investigate the level of physical activity and identify factors influencing physical activity of first and second year nursing students. The participants were 234 female first and second year nursing students at one nursing college located in U city. Data were collected from September 5 to 15 in 2016 and analyzed by descriptive statistics, t-test, ANOVA, $Scheff{\breve{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression using SPSS/WIN 22.0. The average level of physical activity measured by the Korean version of the Godin-Shephard Liesure-Time Exercise Questionnaire was 9.09(range 0-80). According to the physical activity group classified by leisure score index, there were 25 students(10.7%) in the active group, 31 students (13.2%) in the moderately active group, and 178 students(76.1%) in the insufficiently active group. Factors influencing the level of physical activity were intention to participate in physical activity and habit to physical activity, which together explained 21.2% of the total variance in physical activity. Therefore, this study suggests that it is necessary to develop and apply a physical activity program enhancing intention and habit to physical activity for first and second year nursing students.

Breastfeeding Knowledge, Attitude, and Nursing Practice of Nurses in Neonatal Intensive Care Units (신생아집중치료실 간호사의 모유수유에 대한 지식, 태도, 간호활동)

  • Ra, Jin-Suk;Chae, Sun-Mi
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.76-84
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    • 2013
  • Purpose: The purpose of this study was to describe breastfeeding knowledge, attitude and nursing practice of neonatal intensive care unit (NICU) nurses. Methods: Survey methodology using a self administered questionnaire was employed as the research design. A total of 153 questionnaires from 7 university hospital NICUs in Seoul, Daejeon, and Daegu were used for data analysis. Results: The percentage of correct answers on the breastfeeding knowledge questions for the NICU nurses was 59.3%. The nurses in NICU reported a somewhat positive attitude to breastfeeding, mean per item $3.70{\pm}0.41$ on a scale of 5 points. Their breastfeeding nursing practice was at a moderate level, mean per item, $3.26{\pm}0.74$. Breastfeeding knowledge had significant correlations with breastfeeding attitude (r=.554, p<.001) and nursing practice (r=.203, p=.002). Also, There was a significant correlation between breastfeeding attitude and nursing practice (r=.243, p=.002). Conclusion: These results suggest that breastfeeding educational programs and strategies for NICU nurses should be developed to increase their breastfeeding knowledge, attitude, and nursing practice.

The Relationship of Self-Directedness, Clinical Practice Experiences and Clinical Practice Satisfaction (간호대학생의 자기주도성, 간호활동경험 및 임상실습만족도간의 관계)

  • Cho, In-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.6
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    • pp.3635-3647
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    • 2014
  • This study was conducted to describe the relationship of Self-Directedness, Clinical Practice Experience and Clinical Practice Satisfaction of Nursing students. The participants were 223 nursing Students in K City who were surveyed using self report questionnaires from December 5 to December 20 and the data was analyzed using SPSS 20.0. There was a significant positive correlation among Self-Directedness, Clinical Practice Experiences and Clinical Practice Satisfaction. The predictors influencing Clinical Practice Satisfaction for Nursing students were Self-Directedness, Clinical Practice Experience and the factors explained 27.8% of Clinical Practice Satisfaction. The results of this study provided a foundation to develop efficient Clinical Practice program to improve Clinical Practice Satisfaction of Nursing students.

The Convergent Development of Nursing Activity Index for postoperative patient using Patient Controlled Analgesia (자가통증조절기를 사용하는 수술 후 환자를 위한 간호 활동 목록의 융합적 개발)

  • Lee, Yoon-Young
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.43-49
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    • 2016
  • The purpose of this study was done to develop a nursing activity index for postoperative patient using Patient-controlled Analgesia(PCA). The study was developed in two steps: $1^{st}$ step) nursing activity index was developed through literature review and focus-group interview. $2^{nd}$ step) the nursing activity was ratified and Intervention Content Validity(ICV) was tested. Subjects were consisted of 5anesthesiologists, 6adult/fundamental nursing professors and 1acute pain management Clinical Nurse Specialist. We identified 12 items of nursing activity for postoperative patient using PCA. The Intervention Content Validity(ICV) score for each item ranged from 0.92 to 1.0. The nursing activity index for postoperative patient using PCA would be very useful in facilitating the nursing practice.