• Title/Summary/Keyword: 간호 방법론 연구

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A Methodological Quality Evaluation of Nursing Cost Analysis Research based on Activity-based Costing in Korea (활동기준원가계산(Activity-Based Costing; ABC) 기반 간호원가분석 연구의 방법론적 질 평가)

  • Lim, Ji-Young;Noh, Wonjung;Mo, Jin-A
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.279-290
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    • 2016
  • This study was performed to evaluate the methodological quality of nursing costs analysis research based on the activity-based costing in Korea. Data were collected from database of Research Information Shraing Service, Korean studies Information Service System, DBpia and National Assembly Library. Eight studies were published on thesis and journal until Oct, 2015. Quality assessment tool was consisted in 5 factors based on activity-based costing. Studies of 87.5% were calculate the nursing units' costs in the hospital. All papers were appropriate in labor costs in resource factor and activity factor, but only 2 paper was appropriate in overhead cost allocation. Through this result, we found the necessity of improving accuracy in nursing costs analysis. These results can be helpful to manage cost and performance in nursing practice.

Reseach on Transcultural Nursing (횡문화 간호에 관한 연구)

  • Shin, Kyng-Rim
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.454-463
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    • 1992
  • 세계가 일일 생활권화 됨과 더불어 국제교류가 활발해지므로써 횡문화 간호 연구는 전문직 간호(Professional Nursing)에 있어서 매우 중요한 부분을 차지하고 있음을 많은 문헌을 통해서 알 수 있다(Brink, 1976 : Leininger, 1977 : Roberston & Boyle, 1987). 횡문화 간호연구는 서로 다른 문화적 배경을 가진 사람들을 잘 이해하고 그들의 건강을 돌봄에 있어서 더욱 효과적이고, 안전한 간호를 할 수 있을 뿐만 아니라 간호이론 개발, 간호모형(Model) 개발에 있어서도 매우 중요한 역할을 한다고 믿는다. 본 연구는 1984년에서 1987년 사이에 전문적 간호연구지에 실린 10편의 횡문화 간호연구와 관련된 논문들을 발췌하여 간호지식체의 본질적인 과정인 비판적 문헌고찰을 통해 각 논문들을 비교 분석 한 것으로써, 미래의 간호연구를 위한 간호실무, 간호교육, 간호연구 방법 및 간호 행정면에서 그 적용성을 높여줄 것이다. 비판적 문헌고찰을 위한 기준은 Burns와 Grove(1987)의 방법을 참고하여 아래와 같이 선정하였다. 1. 분석대상 : 목적, 가설 진술, 문헌고찰, 표본조사, 방법론적 논점, 결과 해석 2. 이론적 틀의 유도 흑은 통합 3. 발전적인 간호수행을 위한 중요성, 적용성 및 제언 이상의 내용으로 비교 분석을 해본 결과 1984년에서 1987년 사이에 발표된 횡문화 간호에 관한 논문들의 주제는 주로 여성을 대상으로 한 건강돌봄, 자가간호, 건강신념, 수유, 임신 그리고 간호사와 소수민족 노인과의 의사소통 양상 등으로 나누어 볼 수 있었다. 이론적 틀은 주로 사회학, 정신심리학, 인류학 이론으로부터 도출되었고, 오직 두 편만이 간호 이른에 틀을 둔 것으로 나타났다. 1. 10개의 논문의 가설과 목적의 분석에 있어서 4편의 논문은 목적과 가설이 구체적으로 진술되어 있었고, 나머지 6편은 목적이 전반적으로 진술되어 있었으며 가설도 구체적이지 않았다. 이러한 제한점은 각 논문의 연구자가 문헌고찰을 충분히 하지 못하고 단지 수편의 논문만을 제시 한 데서 비롯되었다고 분석 해 볼 수 있겠다. 2. 문헌고찰 부분에서는 각각의 연구주제를 지지해줄 수 있는 문헌들이 충분히 고찰되지 못하였고, 이론적배경 또한 횡문화 이론과의 관련성이 적었다. 또한 횡 문화 연구에 기초가 되는 연구대상자의 사회 인구학적 특성과 역사적 배경은 잘 나타났으나, 이론적 연구와 경험적 연구 간에 괴리가 있었다. 3. 표본추출방법은 문화에 기반을 둔 대상자를 선정한다는 점에서 한계성 이 있었다. 4. 방법론적 이유로는 대상자와의 면담시간이 구체적으로 기술되지 않았으며, 고유한 언어를 통역하는 과정에서 의미론적 문제에 대한 고려가 부족하였다. 면접과 기록과정에서 보면 자료의 기록과정과 분류 및 분석과정이 명시되어 있지 않았다. 참여관찰과 면접방법을 사용시 이에 대한 자세한 기술이 되어 있지 않았다. 5. 연구결과의 적용 및 이에 대한 논의는 상당히 제한되어 있었는데, 수편의 연구만이 방법론 문제점과 앞으로의 연구분야에 대한 전망을 제시하였으며, 특이한 것은 어 떤 연구자도 이른 개발을 위한 적용 및 임상실무적 차원에서 간호에 대한 제언을 하지 않았다.

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Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia (인공호흡기 관련 폐렴의 예방을 위한 근거기반 간호실무지침 개발)

  • Kim, Hwa-Young;Ryu, Seang
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.630-644
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    • 2021
  • This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.

Images of Nurse Perceived by Nursing Students and Nurses: A Q-Methodological Approach (간호사와 간호대학생이 지각하는 간호사에 대한 이미지 : Q방법론 접근)

  • Kim, Sinhyang;Park, Sihyun;Kwon, Deokwha
    • Journal of Digital Convergence
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    • v.17 no.4
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    • pp.167-176
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    • 2019
  • This study was conducted to determine the types of nurse's image in nurses and nursing students by using Q-methodology. Total 40 Q-samples were extracted from Q-population consisted of the 385 statements, which were collected from 135 nurses with more than one year clinical experience in H city and 250 nursing students at H university. The Q-sample classification was conducted by 10 nurses and 40 nursing students, and data were analyzed by using PQ method program. As results, the types of nurse's images were derived as 'textbooked', 'realistic' and 'periodic.' This study was meaningful in analyzing the types of nurse image from both nurses and nursing students. In order to improve the image of nurses, we propose not only to develop a systematic nursing curriculum but also to develop health and medical policies reflecting reality of care settings.

The Lives Experience of Visiting Nurses of Home-based Long-term Care Service Center (재가장기요양기관 방문간호사의 간호 경험)

  • Byun, Jinyee
    • The Journal of the Korea Contents Association
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    • v.19 no.11
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    • pp.603-618
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    • 2019
  • This study aims to explore the meaning and nature of the nursing experience of visiting nurses of home-based long-term care service centers by using van Manen's hermeneutic phenomenological approach. A total of 10 home-visiting nurses working in Seoul and Gyeonggi-do Province were recruited through purposive, convenience, and snowball sampling and participated in the study. Data were collected from January 7, 2017 to October 12, 2018 through in-depth individual interviews with the participants. The analysis resulted in 6 essential themes regarding the lived experience of visiting nurses: 'establising a good rapport with the patient and his or her family caregiver', 'building the foundation of visiting nursing by performing autonomously nursing procedures for the patient', 'facing the reality not to be able to work as much as I want due to the limitations of the support system in performing work as a visiting nurse', 'upset when sincerity could not be delivered', 'following the calling of medical personnel by taking responsibility for 'my patient', and 'pledging oneself to career-long work, feeling reward as a visiting nurse.' The findings of the study help understand the role and importance of visiting nurses and contribute to the preparation of practical measures to improve the quality of home-visiting nursing.

Types of Stress for the Improvement of Quality of Life for Nursing Students (간호대학생의 삶의 질 향상을 위한 스트레스 유형 연구)

  • Kim, Soon-Ae;Lee, Hye-Jin;Lee, Song-Hyun;Hong, Eun-Hee
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.2
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    • pp.237-247
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    • 2020
  • Purpose: The study aimed to explore the stress experience of nursing college students. Methods: A Q-methodology to analyze the subjectivity of each item was used. 57 statements were derived from a literature review and interviews. 40 nursing college students were classified into a shape of normal distribution using a 13-point scale. Collected data were analyzed by the PC QUANL program. Results: Four types have been identified for the stress experience of nursing college students. Type I was "curriculum burden", Type II was "goal-oriented", Type III was "outsider frustration" and Type IV was "growth stagnation" Conclusion: These results can be useful for developing education programs based on the type of stress in nursing college students.

An Evolutionary Concept Analysis of Taeoom among Nurses (진화론적 방법을 이용한 간호사의 태움 개념분석)

  • Jung, Heeja
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.4
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    • pp.157-169
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    • 2019
  • The purpose of the present study was to prepare baseline data for developing nursing theory and knowledge by analyzing the concept of taeoom among the nurses and by investigating the differences from the similar concept of workplace bullying. This study carried out an analysis after perusing 15 articles selected from 125 research articles retrieved according to the evolutionary method of Rodgers. The attributes of taeoom found in the present study were passage rites, painful human relationships, verbal attacks, and working relationships. There is a clear difference in concept between taeoom and workplace bullying, therefore the two concepts should be used discriminatively in nursing research. In addition, by the dynamic changes of the properties of taeoom according to the times and social circumstances, the concept of taeoom is gradually expanding and changing negatively.