• Title/Summary/Keyword: 간호활동시간

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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.

The Influences of the Awareness of Patient Safety Culture on Safety Care Activities among Nurse in small-medium Sized General Hospitals (중소병원 간호사의 환자안전인식이 안전간호활동에 미치는 영향)

  • Nam, Mun-Hee;Lim, Ji-Hye
    • Journal of Digital Convergence
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    • v.11 no.1
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    • pp.349-359
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    • 2013
  • The study was conducted to identify the perception of patient-safety and the level of safety care activity among nurses in small-medium sized general hospitals. Data were collected at three hospitals among 344 nurses on April 2012 and administered questionnaire regarding the perception of patient-safety and safety-care-activity. Data analyzed by using descriptive statistics, inferential statistics was used to determine comparison, correlation and association (Pearson correlation, t-test, ANOVA, Scheffe test, multiple regression). The results revealed that there were significant differences in the level of perception of patient-safety according to the nurses' career, time of work, and work department in their hospitals. And also there were significant differences in the level of safety-care-activity according to the nurses' age, position, marriage, the nurses' career, time of work in their hospitals. Nurses with higher perceived level of patient-safety performed more safety-care-activities. The findings of the study suggests that in order to improve the nurse's perceived level of patient-safety and safety-careactivities, the hospitals need to establish the policies that support patient-safety, improvement the environmental system, proper working atmosphere to ensure appropriate work time, regulation nurse-patient ratio are also required.

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.

산업간호사의 근무조건 - 서울 경인지역을 중심으로 -

  • Yun, Sun-Nyeong;Go, Bong-Ryeon
    • Korean Journal of Occupational Health Nursing
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    • v.1
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    • pp.17-29
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    • 1991
  • 본연구는 보건관리자로서의 산업간호사의 역할을 뒷받침 할 수 있는 근무조건을 파악하기 위한 기초조사연구이며 산업간호사의 근무조건 개선에 기여코저 한다. 연구방법은 1991년 3월부터 4월까지 서울, 인천, 경기 지역에 위치한 산업장의 건강관리실에 근무하는 산업간호사 131명을 대상으로 설문지를 이용하여 전화 또는 산업간호사회를 통해 자료를 수집하였다. 조사 결과는 다음과 같다. 1) 조사대상의 일반적 특성 서울, 경기, 인천지역에 상시근로자수가 300인 이상에 근무하는 산업간호사 배치율은 49.3%로 나타났다. 조사대상의 지역별 분포는 서울이 61개사업장이었고 인천 경기의 순이었다. 또한 산업간호사의 교육수준은 전문대졸이 84.0%이었고, 연령별 분포는 20대가 65.7%이었으며, 규모는 500~999사이가 42.7%였고, 노조가 있는 사업장은 73.3%인 것으로 나타났으며 산업간호사 1인이 근무하는 곳이 90.7%였고 보건관리자가 간호사뿐인 곳이 63.3%이며 1000명이상 근로자를 가진 산업체중 31.9%가 전임산업의나 산업위생사 없이 간호사 혼자서 근무하는 것으로 나타났다. 2) 근로조건 산업간호사는 주당근무시간이 44시간이하인 경우가 59.6%였고, 1부제 근무만하는 경우가 93.1%였으며, 월차휴가는 94.7%가 사용할 수 있었으며, 보수는 기본급이 25~40만원 사이가 69.5%였고 면허수당은 43.8%만 받는 것으로 나타났으며 상여금은 년 600%를 받는 산업장이 42%였고 총급여액이 35~55만원을 받는 경우는 전체의 67.3%를 차지하였다. 또한 연장근로인정여부는 일부만 인정하거나 인정하지 않는 경우가 61.8%였고, 과거경력 은 34.4%가 인정하지 않았고 승진은 66.4%가 불가능한 것으로 나타났다. 산업간호사가 별정직이나 촉탁으로 취업한 경우가 35.1%였고 일반 고졸이나 전문대졸 대우를 받고 있는 경우가 68.9%였다. 또한 전문단체활동 지원정도는 대한간호협회나 산업간호사회지원이 95 %를 넘었으며 산업간호사가 원하는 것 모두 지원하는 경우가 68.7%였으며 회비와 참석 모두를 지원하는 경우가 83.7%였다. 3) 모성보호 산업간호사중 81.7%가 결혼 후 근무가 가능했으며, 94.7%가 생리휴가를 사용할 수 있는 것으로 나타났다. 그리고 산전산후휴가는 76.3%가 사용할 수 있었다. 그러나 결혼후 근무나 산전산후휴가는 명문화되어 있었으나 실제로 이용한 경우는 없는 것으로 나타났다. 본 연구결과는 산업간호사의 근무시간, 전문단체활동지원은 비교적 좋은 조건이나 보수를 비롯 승진이나 대우, 모성보호에 대한 개선여지가 있음을 보여주었다. 따라서 결혼후 지속근무, 산전산후 휴가제 등이 보장되어야 전문직으로서의 산업간호사 인력확보, 활용이 용이할 것으로 기대된다. 더불어 전문단체의 조직적 활동과 연구, 행동적인 지원이 계속되어져야 할 것을 제언하는 바이다.

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Statistical Methods to Control Response Bias in Nursing Activity Surveys (간호활동시간 조사 시 응답편이 통제를 위한 통계적 접근 방안)

  • Lim, Ji-Young;Park, Chang-Gi
    • Journal of Korean Academy of Nursing
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    • v.42 no.1
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    • pp.48-55
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    • 2012
  • Purpose: The aim of this study was to compare statistical methods to control response bias in nursing activity surveys. Methods: Data were collected at a medical unit of a general hospital. The number of nursing activities and consumed activity time were measured using self-report questionnaires. Descriptive statistics were used to identify general characteristics of the units. Average, Z-standardization, gamma regression, finite mixture model, and stochastic frontier model were adopted to estimate true activity time controlling for response bias. Results: The nursing activity time data were highly skewed and had non-normal distributions. Among the 4 different methods, only gamma regression and stochastic frontier model controlled response bias effectively and the estimated total nursing activity time did not exceeded total work time. However, in gamma regression, estimated total nursing activity time was too small to use in real clinical settings. Thus stochastic frontier model was the most appropriate method to control response bias when compared with the other methods. Conclusion: According to these results, we recommend the use of a stochastic frontier model to estimate true nursing activity time when using self-report surveys.

Comparison of Nursing Activity Time According to the Change in Grade of Nursing Management Fee in One University Hospital (일개 대학병원의 간호관리료 등급변화에 따른 간호사의 간호활동시간 비교)

  • Park, Jeong Ok;Kim, Heai Yong;Roh, Gyeong Shik;Roh, Young Duck;Park, Myeong Bun;So, Ji Eun;Park, Mi Mi;Bang, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.95-105
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    • 2010
  • Purpose: The purpose of this study was to examine the difference between direct and indirect nursing activity times according to the grade of nursing management fee. Methods: The subjects of this study were 324 working nurses at the time of 3rd grade and 319 working nurses at the 2nd grade of nursing management fee in one university hospital. Nursing activity time was measured in April and May, and in September and October of 2008 for comparison. The data were analyzed by SPSS win using frequency and t-test. Results: Direct nursing care activity time per one patient was significantly higher at 2nd grade than 3rd grade in day shift (t=-2.55, p=.012). Direct nursing care workload per one nurse was significantly lower at 2nd grade than 3rd grade in evening shift (t=2.21, p=.030), whereas indirect nursing care workload was lower at 2nd level in night shift (t=2.43 p=.016). Conclusion: The findings from this study showed that higher nurse-to-patient ratio can provide greater amount of direct nursing care activity for the patient. Also, it decreased workload of nurses. The higher nurse-to-patient ratio will be beneficial for promoting quality of nursing care as well as decreasing nurse's heavy workload.

Relationship between Health Behaviors and Physical Activity for Adolescents' Life Care (청소년의 생활습관관리를 위한 신체활동과 건강행위와의 관련성 연구)

  • Han, Geun-Hye
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.127-138
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    • 2019
  • This study was a secondary data analysis using statistics from the 13th (2017) Korea Youth Risk Behavior Web-based Survey (KYRBS) to investigate the relationship between health behaviors and physical activity among Korean adolescents. A total of 62,276 adolescents in middle and high schools enrolled in this study. Physical activity utilized moderate and vigorous physical activity variables. Health behaviors used smoking, drinking, eating, sedentary behavior, and sleep duration variables. Statistical analyses were performed applying complex sample analysis method. Chi-square tests were used to compare physical activity according to health behaviors. Multivariate multinomial logistic regression analyses were conducted to examine the relationship between health behaviors and physical activity, adjusted for general characteristics. Current smoking and current drinking were associated with high levels of moderate and vigorous physical activity. Consuming fruits≥1 times/day, vegetables≥3 times/day, and sweet drinks≥3 times/week were associated with high levels of moderate and vigorous physical activity. Eating breakfast≥5 times/week was associated with high levels of moderate physical activity, but not with vigorous physical activity. Sedentary behavior≥2 hour/day was associated with low levels of moderate and vigorous physical activity. Sleep duration<7 hour/day was associated with high levels of moderate physical activity and low levels of vigorous physical activity. These findings suggest that since there is an interrelationship between health behaviors and physical activity among adolescents, intervention programs aiming at promoting physical activity and healthy lifestyles should consider a multiple behavior approach rather than an individual behavior approach.

Comparison of the Self Confidence for Newborn Baby Care Before and After Clinical Convergence Baby Massage Training Program in Nursing students (임상융합 신생아마사지 프로그램 전·후 간호대학생의 신생아돌보기 활동 자신감 비교)

  • Yim, So-Youn;Park, Min Hee
    • Journal of the Korea Convergence Society
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    • v.8 no.4
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    • pp.59-65
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    • 2017
  • The purpose of this study was conducted to identify differences of the self confidence for newborn baby care before and after clinical convergence baby massage training program. Study subjects were 50 juniors in B nursing college located in Chungnam Province, modified baby massage training programs had been provided 2 hours a day, total 4 times from March 1 to March 25, 2016. Confidence for newborn baby care was measured pre and post program, collected data were analyzed using SPSS 21.0 program, paired t-test. The results of the study showed that the score of self confidence for newborn baby care(t=-7.209, p<.001), feeding(t=-6.025, p<.001), belching(t=-3.870, p<.001), bathing(t=-7.432, p<.001), after bathing hygiene(t=-5.892, p<.001), navel care(t=-3.843, p<.001), assessment of baby condition and baby care(t=-6.113, p<.001) were statistically significant differences before and after baby massage training program. Finally, the findings of this study, clinical convergence baby massage training program based on the necessary knowledge and practice in clinical filed will positively help to develop a confidence for newborn baby care for nursing students in nursing practice and clinical nursing care.

A Study of Convergence Social Voluntary Service Activity and Sense of Profession Values, Self-Esteem, Sociality in Nursing Students (간호대학생의 융·복합 사회봉사활동과 직업가치관, 자아존중감, 사회성에 관한 연구)

  • Yoon, Mi-Sun;Yim, So-youn
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.562-570
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    • 2018
  • This study is a descriptive research to understand the degree and relevance of profession value, self - esteem, and sociality of nursing college students according to voluntary service activities. The results showed that the formation of profession values according to the general characteristics was related to religion (F = 4.79, p = .003) and major (F = 3.75, p = .011) and self esteem was related to grade (F = 4.84, p = .002). The profession values according to the characteristics of voluntary service activities showed a significant difference in volunteer time (F=18.70, p<.001), volunteer duration (F=18.87, p<.001), volunteer organization(F=3.41, p=.001), volunteer motivation(F=8.08, p<.001), participation path(F=3.63, p=.002), participation field(F = 2.13, p = .031). The profession value was positively correlated with self-esteem(r = .327, p <.01) and sociality(r= .248, p <.01). Self-esteem showed a statistically significant positive correlation with sociality(r= .327, p <.01).

A Study on Identifying Nursing Activities and Standard Nursing Practice Time for Developing a Neonatal Patient Classification System in Neonatal Intensive Care Unit (신생아중환자 분류도구 개발을 위한 간호활동 규명 및 표준간호시간 조사연구)

  • Ko, Bum Ja;Yu, Mi;Kang, Jin Sun;Kim, Dong Yeon;Bog, Jeong Hee;Jang, Eun Kyung;Park, Sun Ja;Oh, Sun Ja;Choi, Yun Jin
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.251-263
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    • 2012
  • Purpose: It was necessary for developing a neonatal classification system based on nursing needs and direct care time. This study was, thus, aimed at identifying nursing activities and measuring the standard nursing practice time for developing a neonatal patient classification system in Neonatal Intensive Care Unit (NICU). Methods: The study was taken place in 8 general hospitals located in Seoul and Kyungi province, South Korea from Dec, 2009 to Jan, 2010. By using 'the modified Workload Management System for critical care Nurses' (WMSN), nursing categories, activities, standard time, and task frequencies were measured with direct observation. The data were analyzed by using descriptive statistics. Results: Neonatal nursing activities were categorized into 8 areas: vital signs (manual), monitoring, activity of daily living (ADL), feeding, medication, treatment and procedure, respiratory therapy, and education-emotional support. The most frequent and time-consuming area was an ADL, unlike that of adult patients. Conclusion: The findings of the study provide a foundation for developing a neonatal patient classification system in NICU. Further research is warranted to verify the reliability and validity of the instrument.