• Title/Summary/Keyword: 교육상담간호사

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간호사의 영양교육에 대한 인식 및 영양지식

  • 윤현숙;최윤영
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1087-1088
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    • 2003
  • 영양사들이 영양서비스에 대한 중요성을 인지하고 있으나 과중한 급식업무에 많은 시간을 할애하고 있으며, 또한 영양사 인력부족으로 인하여 환자에 대한 영양상담이나 영양교육이 제대로 이루어지지 않은 병원도 있어 간호사들이 영양교육을 실시하는 병원도 있는 형편이다. 따라서 영양사의 원활한 업무수행 및 역할 확대를 위하여서는 이에 영향을 미칠 수 있는 의사, 간호사 등 타 의료진의 영양관리에 대한 인식파악이 필요하다고 생각되어 마산시와 창원시 및 경남 함안군에 위치한 2-3차 의료기관에 종사하는 보건의료인 중 간호사(197명)와 간호조무사(94명) 291명을 대상으로 영양관리 중 영양교육에 대한 인식 및 영양지식을 조사하였다. 환자에 대한 영양교육이 ‘매우 필요하다’에 74.2%, ‘약간 필요하다’에 32.8%를 보였으며, 간호사와 전문대 졸업이상에서 간호조무사와 고졸자에 비하여 영양교육의 필요성에 대한 인식이 높게 나타났다(P < 0.001). 영양관련 과목을 이수하지 않은 자는 47.9%, 이수한 자는 52.1%이였으며, 간호조무사(60.4%)가 간호사(42.1%)에 비하여 (P < 0.01), 그리고 근무경력 2년 이상(51.5-59.4%)에서 2년 미만(34.4%)에 비하여(p < 0.05) 영양관련 과목을 이수하지 않은 율이 높게 나타났다. 영양관련 과목 이수자 중 영양지식 습득정도는58.7%가 ‘부족’한 것으로, 40.6%가 ‘보통’인 것으로 답하여 대체적으로 부족하다고 인정하고 있었으며, 학력이 낮을수록 ‘부족’하다고 답하여 학력에 따른 유의적인 차이가 있었다(P <0.05). 영양교육 연수경험이 있는 대상자는 8.6%, 없는 자는 91.4%로 간호사에게 영양교육 연수가 거의 없는 것으로 나타났다. 영양교육 담당자의 적임자로는 영양사 69.3%, 간호사 21.3%로 답하였으며, 간호조무사는 영양교육 적임자로 영양사 82.7%, 간호사 5.8%로 답한 반면 간호사는 영양사 63.5%, 간호사 27.9%로 답하여 유의적인 차이가 있었다(p<0.001). 기회가 주어지면 영양교육에 참여하겠다는 대상자가 47.2%, 참여하지 않겠다는 자가 52.8%로 약1/2정도는 기회가 온다면 참여하겠다는 의지를 보였다. 영양교육에 참여하지 않겠다는 대상자의 43.4%가 ‘전문지식 부족’, 40.5%가 ‘전문가가 담당하는 것이 바람직하다’, 11.9%가 ‘업무량 과중’을 이유로 들었다. 환자치료 시에 영양에 대한 내용을 지도한 경험이 있는 대상자는 48.8%, 지도경험이 없는 자는 51.2%로 나타났으며, 간호사(60.9%)가 간호조무사(23.4%)에 비하여 지도경험율이 높고(p <0.001), 기혼자(57.4%)가 미혼자(44.2%)에 비하여 높으며(p < 0.05), 근무경력 2년 이상이 2년 미만에 비하여(P <0.05), 그리고 전문대 졸업 이상이 고졸에 비하여 유의적으로 높게 나타났다(p<0.001). 영양지식점수의 분포는 good group 55.3%, fair group 41.2%, Poor group이 3.4%이었으며, good group의 평균 점수는 16.1 $\pm$ 1.1점, fair group은 12.7 $\pm$ 1.4점, poor group은 6.6 $\pm$ 2.8점으로 세 군간에 유의적인 차이가 있었다(p < 0.001). 영양지식 점수의 전체평균은 20점 만점에 14.3 $\pm$ 2.5점이였다. 이상의 결과에서 환자의 영양교육 및 상담업무를 원활하게 수행하기 위하여 영양과 내에 급식관리와는 별도로 임상영양 및 영양교육을 담당하는 부서가 설치되어야 하며 영양사의 인력확보가 필요하다고 사료된다. 이상의 연구결과에서 간호사들은 영양교육이 필요하다고 인식하고 있었으나 간호사를 영양교육의 적임자로 보는 시각이 비교적 높았고 약 1/2정도는 영양교육에 참여하겠다는 의지를 가지고 있을 뿐만 아니라 실제로 영양지도를 한 경험이 있는 것으로 나타났다. 그러나 1/2 정도가 영양관련과목을 이수하지 않았으며, 91.4%가 영양교육 연수경험이 없는 것으로 나타났다.

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Educational Needs of the Infertility Care among Nurses Caring Infertility Patients (난임 환자를 담당하는 간호사의 난임 간호 교육 요구도 조사)

  • Park, Jum-Mi
    • Journal of the Korea Convergence Society
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    • v.11 no.8
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    • pp.131-138
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    • 2020
  • Purpose: The aim of this study was to investigate the nurses' educational needs for the infertility care. Methods: The 194 participants in this study were nurses in charge of infertility health services in 5 infertility hospitals and 1 public health center. Data were collected using a self-report questionnaire including education for disease and symptom of infertility, education for daily life of infertile patients and supporting and counselling for infertility patients. Results: Nurses had an average score 3.52 for the need of education for disease and symptom of infertility, 3.36 for the need of education for daily life of infertile patients and 3.32 for the need of supporting and counselling for intertility patients. Among the each subcategories, 'Infertility treatment procedure and intervention', 'Exercise' and 'How to form a supportive relationship with your spouse' showed the highest average of nurses' educational needs for the infertility care counselling programs item for the infertility patients. Conclusion: In order to effectively conduct infertility care for the infertility patients, it is necessary for nurses in charge of infertility health services to understand clear concept and objective of it.

Improvement of Nurse/Customer Satisfaction through Standard Manual on Telephone Inquiry Response (안과병동 전화문의 응대 매뉴얼 구축을 통한 간호사 및 환자의 만족도 증진)

  • Lee, Hyun Jung;Park, Seung Hye
    • Quality Improvement in Health Care
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    • v.16 no.1
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    • pp.65-76
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    • 2010
  • 문제: 퇴원 환자의 문의 전화가 많아지면서 병동 간호사는 이 문의에 응하는 일로 업무량 과다, 전화 상담에 대한 자신감 저하 및 부담 등을 느끼고 있었다. 부적절한 전화문의 관리는 환자와 간호사 모두에게 시간 소모 및 만족도 저하 등의 부정적인 경험을 남길 수 있다. 목적: 전화문의 응대 매뉴얼 구축 및 활용으로 병동 간호사 및 퇴원 환자의 만족도를 향상시키고자 한다. 의료기관: 서울시 종로구에 소재한 대학병원. 질 향상 활동: 표준화된 전화문의 응대 매뉴얼을 개발하였다. 또한 간호사의 업무 효율성 및 지식 향상을 위해 간호사 대상 매뉴얼을 교육하여 실무에서 활용하기 쉽도록 하였다. 개선효과: 표준화된 전화문의 응대 매뉴얼을 안과 병동 간호사와 전보자 및 신규 간호사 교육에 활용할 수 있었다. 간호사의 전화문의 응대 관련 직무 만족도가 향상되었다. 환자 역시 표준화된 매뉴얼에 따라 일치되고 일관성 있는 정확한 정보를 제공받게 되어 환자의 만족도와 이해도가 증가할 것이다.

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Development of Online Continuing Education Courses on National Health Examination for Community Health Nurses: Using the Rapid Prototyping Method (지역사회 간호사를 위한 건강검진 온라인 교육안 개발: Rapid prototyping method를 활용)

  • Kim, Eun-Ha;Kim, Kye-Ha;Bae, Kyung-Eui
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.250-263
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    • 2019
  • This study was conducted to develop an online education program for visiting health nurses on National Health Examination. The study period was from November 2016 to December 2017. The program was developed in stages using rapid prototyping methodology. 1) Learners' needs were identified through literature review and focus group interviews (FGIs) with visiting health nurses and stake-holders in the field. 2) The contents of the education program including counseling strategies regarding the heath of visiting health nurses were developed. 3) Online education materials were developed and piloted amongst learners. 4) The contents of educational programs were classified into eight learning modules, and online education drafts were pilot tested. 5) Based on feedback from learners, this program was revised and a web-based continuing education program for community nurses was developed. These education programs effectively assisted nurses with counseling regarding health examinations during visiting health nursing care. Therefore, the online continuing education program may be a very effective educational approach to improving nurses competency.

Development and Effectiveness of Counseling Manual for Community-based Visiting Nursing (맞춤형 방문건강관리사업 상담매뉴얼 개발과 효과)

  • Choi, Kyung-Won;Lim, Ji-Young;Kim, Eun-Joo
    • The Journal of the Korea Contents Association
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    • v.12 no.9
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    • pp.226-233
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    • 2012
  • Purpose: The purpose of this study was to develop and analyze the effectiveness of an education program counseling manual (EPCM) for community-based visiting nurses. Methods: Seventy-eight of community-based visiting nurses was enrolled in this study. Data were collected using structured questionnaires and analyzed using descriptive statistics, the ${\chi}^2$-test, and the paired t-test in SPSS version 18.0. Results: Nurses had higher mean scores for counselor activity self-efficacy: skill self-efficacy, session management self-efficacy and counseling challenges self-efficacy, after EPCM than before EPCM. Significant differences were found after applying the EPCM. Conclusion: The results of this study indicate that the EPCM is effective at improving counselor self-efficacy of community-based visiting nurses.

A Study for Development of Competency-Based Continuing Education System Depending on Nurses Clinical Ladder (간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구)

  • Jang, Keum-Seong;Kim, Heeyoung;Kim, Nam-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.12
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    • pp.503-515
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    • 2018
  • The aim of this study was to develop a list of nursing competency for nurses' continuing education, and to propose a competency-based continuing education system according to nurses' clinical ladder. The definition of nursing competency was extracted by analyzing 10 studies. Also, the knowledge base of each nursing competency was confirmed through Carper and Chinn & Kramer's research. Nurses' clinical ladder and preliminary items of nursing competency behavior indicators were verified by seven experts for content validity. The results of this study were as follows; Nursing competencies were defined as 'evidence-based patient care', 'education and counseling', 'nursing management and leadership', 'law and ethics', 'professional value and development', 'research and policy development'. In addition, the validity of the 4 stages of clinical ladder and the 24 indicators of nursing competency were confirmed by experts. These findings suggest that the competency-based continuing education system according to the clinical ladder will be utilized as an effective human resource development strategy for improving the professionalism of nurses.

Survey on Education Needs for Gerontological Nursing using Nursing Diagnosis classification in hospital nurses (간호진단 분류를 이용한 노인환자 간호 교육 요구도 조사: 병동 간호사를 대상으로)

  • Song, Juhyun;Kim, Sisook
    • Journal of the Korea Convergence Society
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    • v.13 no.2
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    • pp.341-348
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    • 2022
  • The study was aimed to identify the educational needs for gerontological nursing using the nursing diagnosis classification of hospital nurses. A cross-sectional survey was conducted on 245 nurses who had experience caring for older patients within 1-year at two nurse web cafes. As a result of the study, 43 nursing diagnoses were classified into 6 areas: acute care, daily life care, education and counseling, environment and resource management, health promotion, and geriatric disease management. Nursing educational needs differed according to the age, sex, marital status, education level, size of the hospital, and working experience of the nurse. In order to effectively perform nursing care for the elderly and geriatric patients, it may be necessary to investigate the needs of continuous education and develop a detailed education program.

The Importance and Satisfaction of Intensive Care Unit Health Care Providers with Intensive Care Unit Clinical Nurse Expert's Role (중환자실 전담간호사 역할에 대한 중환자실 의료인의 중요도와 만족도)

  • Moon, Hyun-Jung;Choi, Hye-Ran
    • Journal of Digital Convergence
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    • v.20 no.1
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    • pp.379-389
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    • 2022
  • This study was aimed to identify importance and satisfaction of intensive care unit health care providers for Intensive Care Unit Clinical Nurse Expert (ICU CNE) roles. A questionnaire survey was performed with 138 intensive care unit health care providers between May 3 to 29, 2021. Data were analyzed using descriptive statistics. t-test and Importance-Performance Analysis (IPA). There were statistically significant differences in importance(t=2.33, p=.024) and satisfaction(t=5.43, p<.001) between physicians and nurses. The importance and satisfaction of intensive care unit health care providers were ranked in the order of advanced clinical practice, professional activity, coordination and cooperation, education and counseling and research. In the 'concentrate' area, it was found that 'Professional activity' and 'Education' should be improved. A strategy is needed to strengthen the expertise of ICU CNE and to enhance the competency in areas that need improvement.

Literature Review of Development of the Genetic Counseling Education Program for Genetic Specialized Nurse (유전상담 전문간호사 교육프로그램 개발에 대한 문헌고찰)

  • Kim, Mi-Young;Byeon, Young-Soon;Yoon, Hee-Sang
    • Journal of Korean Biological Nursing Science
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    • v.7 no.1
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    • pp.15-28
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    • 2005
  • Purpose: With post-Genome Project, nurses must be able to incorporate genetic knowledge into their practice. The purpose of the present study aimed at providing the basic information needed to establish an education program for the training of nurses specialized in genetic counseling by comparing and analyzing the education contents in genetics of the various domestic and foreign nursing education institutions, identifying the problems of the existing programs, and investigating the current state of domestic genetic counseling programs. Result: The results of literature review were summarized as follows: Common curricula contents in Korea, Japan and U.S.A. were basic genetic knowledge, genetic counseling and prenatal diagnosis. However, In Korea the curriculum was not included legal, ethical, and social issues. In U.S.A. the course was focused on health promotion related to genetics. The expanded role of nurses is to provide the genetic counseling for clients and their families. So, this articles provided a sample of the new genetic counseling program for nurses which are included basic genetics, genetic counseling, nurse's role and knowledge, legal, ethical, social issues and practicum. Conclusion: this study suggests that this educational program is to brought up genetic specialized nurses in the master's course in the near future.

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Role Expectations and Cooperation of Staff Nurses and Clinical Research Nurses who take care of Clinical Research Patientser (임상연구환자를 돌보는 병동간호사와 임상연구간호사의 역할기대와 협력 인식)

  • Lee, Hye-Young;Kim, Sanghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.6
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    • pp.420-430
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    • 2021
  • This was an investigative study to identify the role expectations for clinical research related tasks that ward nurses can participate in and the awareness of cooperation between ward nurses and clinical research nurses (CRNs) and the obstacles for the same. The subjects were 66 ward nurses and 65 CRNs. The data were analyzed using descriptive statistics, the two-sample t-test, and the 𝑥2 test on SAS 9.3. As a result of this study, 4.56±0.41 ward nurses and 3.83±0.60 CRNs were found to have high role expectations of each other and statistically significant role expectations for ward nurses (p<.001). Significant differences were seen in the five categories of cooperation recognition between the two groups. Among the factors for cooperative disabilities, excessive work and lack of awareness of clinical research were ranked high. High role expectation becomes an element of role conflict. To organize the role of ward nurses and clinical research nurses in the new clinical research nursing work, procedures, establishing of effective practices, and the proper operation of an official system are expected to be necessary. To promote cooperation between the two groups, a culture of mutual trust and cooperation should be formed to enable each group to think of the other as partners and to recognize their expertise.