• Title/Summary/Keyword: 임상경력관리체계

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Revised Clinical Ladder System Model Based on Nurses' Clinical Competence and Professional Activities for Nurses in General Hospitals (종합병원 간호사의 간호역량, 전문성 활동에 따른 임상경력관리체계 수정모형)

  • Cho, Myung Sook;Kwon, In Gak;Kim, Kyung Hee;Cho, Yong Ae
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.324-335
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    • 2018
  • Purpose: The purpose of this study was to propose a revised Clinical Ladder System(CLS) Model for nurses based on the evaluation of clinical competence and professional activities of nurses working in general hospitals. Methods: Data were collected between September 10 and October 30, 2017. Participants were 50 head nurses from 10 general hospitals with over 400 beds located in Seoul City and Gyeonggi Province. Each head nurse evaluated clinical competence, qualifications, and professional activities of 5 staff nurses at each of the 5 levels of CLS in her unit. The total number of the nurses evaluated was 245. Data were analyzed with descriptive statistics and t-test, one-way ANOVA, and $Scheff{\acute{e}}$. Results: Over 80% of the nurses were university graduates. As the CLS levels increased, clinical competence, qualifications, and professional activities also increased significantly. Education material development and quality improvement activities were carried out by nurses from level 2, research and evidence based practice activities were carried out from level 3, and nurses at level 4 or 5 participated in most of the professional activities as leaders. Conclusion: In order to retain excellent nurses in general hospitals, recognizing and rewarding nurses according to the revised model of the CLS are recommended.

Development of Clinical Ladder System Model for Nurses: For Tertiary Care Hospitals (간호사 임상경력관리체계 모형 개발 - 상급종합병원 중심 -)

  • Cho, Myung Sook;Cho, Yong Ae;Kim, Kyung Hee;Kwon, In Gak;Kim, Mee Soon;Lee, Jung Lim
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.277-292
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    • 2015
  • Purpose: The purpose of this study was to develop a Clinical Ladder System (CLS) model for staff nurses working in inpatient units of tertiary care hospitals in Korea. Methods: The study was carried out in 2 steps. First, a nursing competence evaluation scale was developed. Second, evaluation of the nursing competences, qualifications, and professional activities of 230 nurses from five tertiary care hospitals was done by 49 head nurses between Feb. and Dec., 2014. Nurses were selected by head nurses according to their clinical experience and expected behavioral characteristics at each level of the ladder. Results: A nursing competence scale was developed consisting of 5 subcategories (clinical practice, ethical practice, education, leadership, and professional development) and 11 elements, and 5 levels of behavioral indicators for each element. Cronbach's alphas for the entire tool and subcategories were over .853 and stability of the scale was confirmed. There were significant differences in nursing competence according to the 5 levels of the ladder. Conclusion: The findings indicate that the proposed CLS model with a standard score for nursing competence, recommended or obligatory criteria for qualifications and professional activities provides a good tool for developing nurses' competences and retaining excellent nurses in clinical practice.

Validity and Applicability of Clinical Ladder System Model for Nurses (간호사 임상경력관리체계 모형 타당성 및 적용가능성 검증연구)

  • Cho, Myung Sook;Kwon, In Gak;Kim, Kyung Hee;Kim, Mee Soon;Cho, Yong Ae
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.281-292
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    • 2017
  • Purpose: The purpose of this study was to verify the validity and applicability of the Clinical Ladder System(CLS) Model for nurses and to suggest a model for nurses in general hospitals as well as tertiary hospitals. Methods: After refining questionnaires through focus group participation, a survey was carried out with 50 nurse managers and 500 staff nurses from 6 tertiary hospitals and 4 general hospitals. S-CVI and i-CVI for validity and applicability were calculated. Differences in validity and applicability by the type of hospitals and characteristics of respondents were analyzed using t-test and ANOVA. Results: S-CVI for validity and applicability of the CLS model were over 0.8 in two types of hospitals and the validity and applicability of the CLS model were confirmed. No differences were found in the total score for validity between the 2 types of hospitals, but in applicability, general hospitals had significantly lower applicability than tertiary hospitals. Some items showed difference according to characteristics of the respondents. CLS models were postulated based on the study results. Conclusion: The CLS model refined through this study can be used for nurses. In application, modifications are needed according to the conditions of each hospital.

The Relationship among Burnout, Compassion Fatigue, Compassion Satisfaction and Social Support of Clinical Dental Hygienists (임상치과위생사의 소진과 공감피로, 공감만족 및 사회적 지지와의 관계)

  • Han, Yang-Keum;Kim, Han-Hong
    • Journal of dental hygiene science
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    • v.14 no.2
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    • pp.256-263
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    • 2014
  • The purpose of this study was to examine the relationship among burnout, compassion fatigue, compassion satisfaction and social support of clinical dental hygienists. The subjects in the study were 313 dental hygienist who were randomly selected in dental clinic and hospital, which were located in Daejeon, South and North Chungcheong province. Data were gathered using structured questionnaires from June 17 to July 31, 2013. The major findings of the study were as follows: 1. As for burnout by general characteristics, there were statistically significant difference according to age, marital status, clinical career, agency work type and job position. 2. The relationship of burnout and other variables was analyzed, and compassion fatigue had a significant positive effect on burnout, and compassion satisfaction and social support had negative effects on burnout. 3. As a result of analyzing which variables affected burnout, it's found that burnout were under the influence of agency work type, compassion fatigue, compassion satisfaction and social support. These variables made a 56.9% prediction of burnout. These findings provide strong empirical evidence for the importance of compassion fatigue, compassion satisfaction and social support in explaining burnout of clinical dental hygienists. Therefore, the effective human resource management programs should be developed to consideration with the dental hygienist work environment and the quality of service.

Correlation between scope of practice and clinical paramedic properties (임상 1급응급구조사의 특성과 업무범위 간의 상관관계)

  • Uhm, Tai-Hwan;Park, Sang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5968-5975
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    • 2012
  • The aim of this study was to reveal correlation between scope of practice and clinical paramedic properties. from April 9 to May 12, 2012, one hundred and eighty-one clinical paramedics filled out anonymously to the questionnaire which includes gender, academic background, clinical career, clinical practice and medical direction. To analyse the collected data, Pearson's r at ${\alpha}$=0.05 (two-tailed) was performed using IBM SPSS 19 (Chicago, IL, USA). One hundred and forty (77.4%) working at medical facilities, one hundred and four (57.5%) graduated from four-year colleges, seventy seven (42.5%) acquired paramedic certificate in 2010-2012, one hundred and twelve (61.9%) charted on nursing records, one hundred and sixteen (69.6%) had a good knowledge in scope of practice, one hundred and six (58.5%) thought of legal restriction & absence of direct medical direction leading to narrow clinical practice. Implementing practices and practices needed were thirty two. There were significant relationships in Likert scale 1-5 between paramedic competency and legal practice (p=0.039); implementing practice (p=0.006); practice needed (p=0.049); and overall (p=0.001). Also, between knowledge on scope of practice and implementing practice (p=0.003); overall (p=0.047); clinical career and legal practice (p=0.019); practice needed (p=0.002); and overall (p=0.002). However, these correlations were relatively low (r $$\leq_-$$ 0.238). The working condition of clinical paramedics was restricted by the Emergency Medical Services Systems Act, which requires a narrow scope of practice. This condition leads to the poor quality of emergency care, therefore the scope of practice in the act will be revised from specificism to generalism, from direct medical direction to indirect medical direction by means of quality management.

A Study on Factors Affecting Job Satisfaction of Dental Hygienist (치과위생사의 직무만족도에 영향을 미치는 요인)

  • Lee, Ji-Young;Kang, Yong-Ju
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.478-488
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    • 2019
  • The purpose of this study was to investigate job satisfaction of dental hygienist. A questionnaire survey was conducted on 224 dental hygienist. The 224 data were analyzed by descriptive statistics, ANONA, Pearson's correlation analysis, and multiple regression analysis with SPSS(Statistical Package for Social Science) Ver.19.0. The average score of the communication skill was $3.32{\pm}0.49$, interpersonal relationship ability was $3.45{\pm}0.48$, job satisfaction was $3.19{\pm}0.44$. The average score of the communication skill according to the general characteristics was the married was higher than the singles, the higher the career. The average score of the interpersonal relationship ability according to the general characteristics was the higher he education, the higher the income and the business management. The average score of the job satisfaction according to the general characteristics was the higher the business management. A multiple regression analysis was conducted to examine the effects of communication skill and interpersonal relationship ability on job satisfaction, which had the lower career(t=-2.846, p=0.005), high communication skill (t=2.099, p=0.037), high interpersonal relationship ability(t=4.142, p=0.000). In order to improve the job satisfaction of the dental hygienist, provide proper compensation and the effort to improve the communication skill and interpersonal relationship ability.

Relationship between job satisfaction of dental hygienists and patient safety cultural activities (치과위생사의 직무만족도와 환자안전문화 활동의 관련성)

  • Bo Young Park;Chae-Rin Kang;Yu-gyeong Byun;Eun-Seo Seong;Soo-Young Lee;Ji-Eun Lee;Yu-Jin Ham;Mi Sook Yoon
    • Journal of Korean Dental Hygiene Science
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    • v.6 no.2
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    • pp.115-127
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    • 2023
  • Background: This study was conducted to determine the level of job satisfaction and patient safety cultural activities for dental hygienists and to determine the relationship between job satisfaction and patient safety cultural activities. Methods: A survey was conducted on 214 dental hygienists, and data from the final 180 were analyzed. Job satisfaction consisted of a total of 20 questions, and patient safety cultural activities included a total of 25 questions. The survey was conducted on a 5-point scale. Results: The average job satisfaction score of the study subjects was 3.44 points. Among patient safety cultural activities, infection control had the highest average score (4.12 points) and radiation safety management had the lowest average score (3.10 points). Patients with less than 3 years of clinical experience (4.01 points) had higher patient safety culture activity scores than those with 3 to 10 years of clinical experience (3.72 points) and those with more than 10 years of clinical experience (3.69 points). The level of patient safety cultural activities was statistically significantly higher as age, less clinical experience, and job satisfaction increased (p<0.05). Conclusion: In the case of dental hygienists, patient safety cultural activities must be carried out throughout the entire work, so an active will to practice patient safety cultural activities is necessary. In order to improve the performance of patient safety cultural activities, it is necessary to adjust the workload of dental hygienists to improve job satisfaction and create a work environment in which they can focus on patient safety cultural activities.

A study on the Participation Motivation of Clinical Nurses in Job Training (임상간호사의 융복합적 직무교육 참여동기에 관한 연구)

  • Park, Hyun Hee;Lee, Kwang-Ok;Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.319-329
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    • 2016
  • This study aimed to identify nurses' participation motivation, its influence factors, and their job training need. A survey was conducted on 345 nurses of general hospitals in Gyeonggi-do. Data was collected from October 5th to 18th, 2016 and was analyzed through t-test, ANOVA, Bonferroni post-test, and multiple regressions using SPSS 21.0. Participation motivation was high in 'expertise capability improvement and development' and low in personal gain and job stability. Job training need was the highest in nosocomial infection management and CPR and was the lowest in hospice and rehabilitation nursing. Participation motivation had significant differences depending on age, marital status, educational level, and clinical experience, and was influenced by the job training need of professional nursing and medical knowledge for disease treatment. Therefore, it is necessary to plan medical educational programs to enhance job training effectiveness, establish a strategy to increase participation motivation; and expand various job training support.

The Comprehension of health care service bill of radiological technologist and dental hygienist and the study of necessity of including the service supply resources (방사선사 및 치위생사의 건강관리서비스법안 이해와 서비스 제공요원 포함의 필요성에 관한 연구)

  • Son, Soon-Yong;Jeong, Mi-Ae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.4
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    • pp.1696-1702
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    • 2011
  • This study is to present basic materials to further selection of details of health care service bill and supply resources by analysing the consciousness of radiological technologist and dental hygienist about health care service bill proposed for prevention and early diagnosis of a disease through the improvement of living habit. Subjects were 359 of dental hygienists and radiological technologists investigated from 2010 July to September for three months. As the result, recognition level on health care service bill or its details was less than 30.0% but the opinion that health care service bill is necessary was 78.0%. In its additional item, radiological technologist hope to be maintained currently, and 82.3% of the dental hygienist hope to be added, their prefered additional item was dental disease. A dominant opinion was that dental hygienist and radiological technologist as a service supply personnel were included, and their intention to participate was 8.1 in average. In conclusion, the health care service bill is indispensable, but more systematic study is required based on collecting various opinions about major contents and service provider. Particularly it is inevitable to include the health human resources such as experienced dental hygienist and radiological technologist who had completed the regular course of health education and are having continuous clinical discipline.

군집분석을 이용한 새로운 IS 실무자 분류 체계에 관한 연구

  • Gyeong, Won-Hyeon;Go, Seok-Ha
    • Proceedings of the Korea Society of Information Technology Applications Conference
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    • 2006.06a
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    • pp.573-601
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    • 2006
  • IS 실무자들은 과거처럼 단순한 시스템 분석이나 프로그래밍 기법만을 갖추는 것만으로는 조직이 원하는 정보기술을 효과적으로 운용하는 것이 어렵게 되고 있다. 예전과는 달리 최근의 기업에서는 통신 시스템을 포함하는 다양한 정보기술에 관련된 지식과 기술을 전문적으로 다룰 수 있는 전문가를 원하는 추세이다. 이러한 맥락에서 IS 실무자들이 자신의 업무를 성공적으로 수행하기 위해 필요한 전문 지식과 기술은 무엇인가라는 질문에 대한 대답을 알 수 있어야만 한다. 본 연구는 IS 실무자들이 그들이 직면하고 있는 ‘IS 지식과 기술의 빠른 변화’를 얼마만큼 인식하고 있으며, 그들이 필요로 하는 지식과 기술과 업무를 수행함에 있어 필수적인 지식과 기술을 얼마만 큼 보유하고 있는지를 조사하였다. 본 연구에서는 조사된 자료를 통하여, 기존의 국내외의 문화에서 밝혀진 인구 통계학적 분류기준 (예를 들자면, 경력 수준, 지역, 직종) 이외에 이들을 분류할 수 있는 기준에는 어떠한 것이 있는가에 대한 연구를 수행하였다. 분석을 위하여 실무자들이 현업에서 많은 시간과 노력을 들이고 있는 IS 활동영역에 대한 투자시간을 기준으로 실무자들을 분류하였다. 분석에서는 조사자의 군집분석과 다차원 분석을 통하여 분류된 실무자 그룹에 대한 여러 가지 기술적인 특성과, 인구 통계학적 특성을 파악하고, 그룹들에 대하여 새로운 분류에 적합한 표기를 제시하고자 하였다. 본 논문은 정보시스템 영역에서 수행된 IS 실무자들에 다양한 연구의 한 부분으로서, 기업 환경, 조직 환경, 나아가 실무자들의 직무환경의 개선에 필요한 지식과 기술을 제공할 것이다.아날로그 방식에서 IT 기반에 의한 디지털 환경으로 변화되고 있다. 또한 e러닝, T러닝, m러닝, u러닝 등의 용어가 생성되고 있다.키지에어컨에서 사용되고 있는 밀폐형 압축기에 대해서 그림 2에서 나타내고 있는 냉방능력 10tons(120,000Btu/h) 이하를 중심으로 상기의 최근 기술 동향을 간략하게 소개하고자 한다.질표준의 지표성분으로 간주되는 진세노사이드의 절대함량과 그 성분조성 차이에 따른 임상효과의 차별성이 있는지에 대한 검토와, 특히 최근 실험적으로 밝혀지고 있는 사포닌 성분의 장내 세균에 의한 생물전환체의 인체 실험을 통한 효과 검정이 필요하다. 나아가서는 적정 복용량의 설정과 이와 관련되는 생체내 동태 및 생체이용율(bioavilability)에 관한 정보가 거의 없으므로 이것도 금후 검토해야 할 과제로 사료된다. 인삼은 전통약물로서 오랜 역사성과 그동안의 연구결과에 의한 과학성을 가지고 있으므로 건강유지와 병의 예방 및 회복촉진을 위한 보조요법제 또는 기능성 식품으로써의 유용성이 있는 것으로 판단된다. 앞으로 인삼의 활용성 증대를 위해서는 보다 과학적인 임상평가에 의한 안전성 및 유효성 입증과 제품의 엄격한 품질관리의 필요성이 더욱 강조되어야 할 것이다.xyl radical 생성 억제 효과를 보여 주었다. 본 실험을 통하여 BHT 를 제외하고 전반적으로 세포 수준에서의 oxidative stress 에 대한 억제 효과를 확인해 볼 수 있었으며 특히 수용성 항산화제들에서 두드러진 효과를 보여 주었다. 제공하여 내수기반 확충에도 노력해야 할 것 이다.있었다., 인삼이 성장될 때 부분적인 영양상태의

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