• 가정간호학회지
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• 제28권3호
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• pp.317-328
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• 2021

Purpose: The purpose of this study is to provide patient-centered nursing by comparing the patient needs, patient satisfaction, and communication type of nurses for patients admitted to integrated nursing care service ward and general ward. Methods: Data were collected by self-report questionnaires between September 7 and October 9, 2021. Patients were patients recruited from a hospital in D city, 100 each from comprehensive nursing care service ward and general ward. The data were analyzed using descriptive statistics, 𝜒²-test, t-test, ANOVA, and Pearson's correlation. Results: There was no significant difference in patient needs between the patients of integrated nursing care service ward and the general ward (t=-1.12, p=.263). However, patient satisfaction was higher among the patients in integrated nursing care service ward than in the general ward (t=-3.55, p<.001). Pertaining to the communication type of nurses, the informational communication type (t=-4.02, p<.001) and the friendly communication type (t=-3.92, p<.001) were stronger in the integrated nursing care service ward than the general ward. It was, hence, confirmed that the educational requirements were positively correlated with patient satisfaction in the reliability domain and technical-professional domain, and that the nurse informational communication type and friendly communication type had a significantly positive correlation with patient satisfaction. Conclusion: The expansion of the integrated nursing care service ward may be considered in the future, with an informational and friendly communication method as an effective response that can be adapted in practice as a reflection the type of communication among nurses.

• 동서간호학연구지
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• 제27권2호
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• pp.114-123
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• 2021

Purpose: This study investigated the influence of nurses' organizational communication and self-leadership on patient safety competence in comprehensive nursing care units of small and medium-sized hospitals. Methods: A descriptive design was used and self-reported questionnaires were used to collect data from 165 nurses in Seoul from February to March, 2020. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression with SPSS/WIN 22.0 program. Results: A mean score of organizational communication was 3.20±0.49, self-leadership 3.58±0.50, and patient safety competency 4.01±0.49 out of 5. A significant positive correlation was found between patient safety competence, organizational communication and self-leadership. Self-leadership and combined ward explained 32% of the variance of patient safety competence (Adjusted R²=.32, p<.001). Conclusion: Patient safety competence in comprehensive nursing care units are associated with self-leadership and organizational communication. Systemic education to improve patient safety competence in small and medium sized hospitals should be implemented to promote organizational communication as well as self-leadership.

• 한국산학기술학회논문지
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• 제17권12호
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• pp.41-52
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• 2016

병동에서 발생하는 처방, 픽업, 액팅 정보는 데이터베이스에 저장되고 조회되어 관련 부서에 전달된다. 그러나 처방, 픽업, 액팅은 많은 부서가 매우 자주 확인하는 정보이므로 빈번한 조회로 인해 병원정보시스템에 큰 부하를 유발한다. 특히 간호와 간병 업무가 통합되면 실시간으로 전달해야 하는 픽업과 액팅 업무도 함께 증가하는데 이로 인하여 데이터베이스 조회와 정보전송량 또한 증가하게 된다. 우리는 이러한 비효율 문제를 효과적으로 해결하기 위하여 데이터베이스 조회를 배제하고 실시간 웹 방식으로 픽업 및 액팅 정보를 전송하는 간호간병통합정보시스템 개발을 목표로 하였다. 아울러 간호간병통합서비스 도입으로 증가하는 업무와 함께 책임도 커지므로 병동의 모든 환자에 대한 액팅 상황을 모든 근무자가 실시간으로 점검할 수 있는 병동액팅현황판을 제공하여 서비스의 질을 향상시키고자 하였다. 이를 위해 픽업 및 액팅 업무 분석을 중심으로 데이터베이스를 설계하고, 픽업과 액팅 발생 즉시 정보 전달이 가능하도록 실시간 웹 기술을 정보시스템에 적용하였다. 기존 데이터베이스 조회 방법과 개발한 시스템의 소요 시간과 정보 전송량을 측정한 결과, 기존 방식 보다 시간과 전송량을 크게 줄일 수 있었다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제24권1호
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• pp.41-49
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• 2018

Purpose: It is recently reported that the increasing noise in the hospitals has caused psychological and physiological stress problems with patients, and medical staffs. This study intends to investigate and analyze the noise levels in the sub stations in comparison with those in the wards in general. This study tries also to find some alterative solutions to the immediate problems. Methods: Noise measurements are conducted in advance prior to analyzing their results at two general hospitals with more than 900 beds, in the comprehensive nursing service wards and in the main/ sub stations located in the general wards Results: Although the noise level in the comprehensive nursing service wards has been slightly lower than that in the general wards, this result is over the recommended noise levels. Therefore it is recommended that efforts should be made to low down the noise level as an alternative and to replace the aged carts as well. Implications: The comprehensive nursing service wards are required to take measures against the various noise sources.

• 한국실내디자인학회논문집
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• 제26권3호
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• pp.121-129
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• 2017

The study is to identify the status of the ward of public hospital for integrated nursing care service. Integrated nursing service has expanded nationwide from 2016 but 10 out of 34 public hospitals are currently unable to operate as nurses due to the shortage. Analyze each floor plan and space program of ward and provide the basic data for the construction of the architecture plans for Integrated nursing care service. For this study, selecting 14 wards of public hospital in Korea and then analyzes space organization, distance from NS to bedroom and NS to core(Elevator) and spatial hierarchy of them. Among the 14 public hospitals, there are 7 types of double-loaded corridor, 4 types of double corridor and 3 types of single corridor. If NS is placed centrally, the control of the outsider and the patient's control would be efficient, but most of NS are lean on one side of floor. the placement of NS should be independent of individual arrangements, but it should be smooth alignment with patient spaces, staff spaces, and public spaces. This study could serve as basic research for the architectural plan for future integrated nursing care in ward of public hospital.

• 한국실내디자인학회논문집
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• 제26권6호
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• pp.71-80
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• 2017

The purpose of this study is identify the status of the ward of public hospital for integrated nursing care service. Integrated nursing care service has been expanding on a national scale from 2016 but most of public hospitals are currently unable to operate due to nursing shortage. In this study 8 wards of public hospital have been chosen and analyzed. The measure of space program and area distribution(patient area percentage, staff area percentage, circulation area percentage), nurses's walking distance(distance from ns to patient room, distance from ns to core) were calculated by depthmapX and autocad programs. The result of this study is as follows. Nurse's walking distance is more than 24m so the efficiency of nurse's patient care is reduced. The percentage of patient area in double-corridor is higher and the patient feels more comfortable but the Nurse's walking distance is longer and the accessibility is lowered. NS should be located in the center of the ward and close to the core but some wards are not composed of proper space-separation and flow of human trrafic is overlapped. This study may serve as basic research for the architectural plan for future integrated nursing care ward.

• 한국산학기술학회논문지
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• 제18권6호
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• pp.119-128
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• 2017

본 논문은 병원에서 간호 간병통합서비스가 전국에 확대 적용되었을 경우 필요한 간호인력과 재정비용을 추계한 연구이다. 연구자료는 건강보험심사평가원으로부터 받은 2012년 기준 간호사 수, 간호조무사 수, 의료기관 수, 환자 수를 이용하였다. 간호 인력의 규모는 결정론적 방법으로 개발된 작업부하모델에 의해 추정되었다. 간호간병통합서비스 연간 총 재정비용을 계산하는데 상향식 추정방법이 사용되었다. 간호사 및 간호조무사 수는 각각 81.8%, 83.2% 더 증가되어야 간호 간병통합서비스가 전국 규모로 적용가능한 것으로 추정되었다. 전국의 모든 일반병동에 간호 간병통합서비스가 적용되기 위해 필요한 재정적 비용은 110.4% 더 증가해야 할 것으로 추정되었다. 이 새로운 시스템을 성공적으로 구현하려면, 인력공급의 양적확대 전략뿐만 아니라 숙련된 간호사와 신규간호사의 이직을 최소화해야 한다. 또한 간호사-환자 비의 타당성을 지속적으로 확인할 필요가 있다. 새로운 시스템을 모든 병원에 단계적으로 확대하여야 국민건강보험의 재정부담을 최소화할 수 있을 것이다.

• 한국직업건강간호학회지
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• 제32권4호
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• pp.185-194
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• 2023

Purpose: This study aimed to prepare basic data for the development of a nursing intervention program to improve nursing performance by identifying the factors affecting nursing performance in an integrated nursing care service ward. Methods: Participants were 166 nurses who had worked for more than six months in the integrated nursing care service wards of three general hospitals located in B city. Data were collected from July 15 to August 30, 2022 using structured questionnaires and analyzed by T-test, ANOVA, Scheffé test, Pearson's correlation coefficients and multiple linear regression using the IBM SPSS/WIN 25.0 statistical program. Results: Factors affecting the nursing performance of participants were age (β=.58, p<.001), positive psychological capital (β=.41, p<.001), and social support (β=.28, p<.001). The total explanatory power of these variables for nursing performance was 55.8%. Conclusion: The results of this study suggest the need for programs that improve psychological capital and social support while considering nurse's age to enhance their performance in nursing integrated service wards.

• 가정간호학회지
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• 제24권1호
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• pp.14-22
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• 2017

Purpose: To study aimed to examine the impact of the Nursing and Care=giving Integrated Service on nursing work performance, nurse' job satisfaction, and patient safety. Methods: A total of 66 nurses were selected as participants, comprising 30 nurses working in Nursing and Care=giving Integrated Service hospital ward, and 33 nurses working in a general hospital ward with a similar patient and disease group and distributed moderately. For data analysis, t-tests, ANOVA, and $X^2$ tests were conducted. Results: Nursing work performance in the Nursing and Care=giving Integrated Service ward was higher than that in the general hospital ward, but this difference was not statistically significant. Conversely, job satisfaction was lower among nurses in the Nursing and Care=giving Integrated Service ward, although again the difference was not significant. However, the Nursing and Care=giving Integrated Service ward had a significantly lower rate of safety-related accidents in patients compared to the general hospital ward. Conclusion: In order to expand and improve patient safety and other aspects of the Nursing and Care=giving Integrated Service, there is a need to establish a mediation strategy for increasing nurses' work performance and job satisfaction.

• 가정간호학회지
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• 제28권3호
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• pp.295-306
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• 2021

Purpose: This study aims to compare and analysis job stress, patient safety culture, and patient safety management activities of nurses in comprehensive nursing care service wards and general wards. Methods: Through an online survey conducted on nurses with more than three months of working experience at five general hospitals in the metropolitan area, 156 participants's data were used for 𝜒²-test, t-test, ANOVA using SPSS ver. 26.0. Result: There were no significant differences in the nurses' job stress and patient safety management activities between the comprehensive nursing care service wards and general wards. However, the patient safety culture of nurses in the comprehensive nursing care service ward was significantly lower than that of general ward. Conclusion: Patient safety culture should be promoted through continuous regular patient safety education, training, and organizational support to increase patient safety management activities. Additionally, institutional programs should be prepared to reduce job stress of nurses at the frontline of patient safety.