• 소프트웨어공학소사이어티 논문지
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• 제25권2호
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• pp.29-34
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• 2012

의료분야에서의 품질 관리의 중요성이 강화되면서 임상의사결정지원 시스템의 중요성이 높아지고 있다. 이로 인하여, 대형병원 뿐만 아니라 규모가 작은 지역 병원에서도 임상의사결정지원 시스템을 구축하는 것이 필요한 실정이다. 그러나 임상의사결정지원 시스템 구축은 지식저작과 정보시스템 구축, 기존 시스템과의 연동 등 다양한 활동이 필요한 작업으로 비용과 복잡도가 크다. 본 논문에서는 재사용 및 상호운영성을 보장할 수 있는 의료 지식과 재사용할 수 있는 임상의사결정 지원시스템 구축에 필요한 아키텍처를 구현한다. 3개 병원에 제안한 아키텍처 적용 결과를 바탕으로 아키텍처의 실무 적용 가능성 및 유용성을 검증한다.

• 한국간호교육학회지
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• 제12권1호
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• pp.13-20
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• 2006

Purpose: The purposes of this study were to examine the effects of the Cooperative Clinical Nursing Education Program on the competency and satisfaction of nursing students in clinical practice. Method: The research design was a quasi-experimental pretest-posttest design with a convenience sample of 107 nursing students who were at one College of Nursing located in Seoul. Data were collected using a self-administered questionnaire. Results: Nursing students participated in the program reported higher nursing skills and total satisfaction than control group after completing education program. Conclusion: Cooperative clinical nursing education program for nursing students had positive effects on nursing skills and satisfaction of clinical practice.

• 간호행정학회지
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• 제11권3호
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• pp.323-333
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• 2005

Purpose: The purpose of this study was to development and measure validity and reliability of evaluation tool for clinical nursing practice competency of Nursing students. Method: The participants in this study were 568 nurses who had worked for more than three years above in hospitals. A questionnaire of 79 items was administered to the nurses using a convenience sampling method. The data were collected from Sep. 12th, to Oct. 20th, 2004. Result: The derived outcome tool consisted of 6 factors of direct nursing actions and 6 factors of indirect nursing actions on the basis of 79 items. The 6 factors in direct nursing actions accounted for 76.84% of the variance and 6 factors in indirect nursing actions accounted for 79.68% of the variance on total scale. As a result of the item analysis, 79 items were selected and the internal consistency alpha coefficient was .9917. The value of Cronbach' alpha of direct nursing actions was .9640, indirect nursing actions was .9550. Conclusion: The results of this study show that useful application to the evaluation tool of clinical practice competency of Nursing students and further studies need to be done to verify clinical practice educational evaluation.

• 임상간호연구
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• 제26권2호
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• pp.154-163
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• 2020

Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

• 임상간호연구
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• 제17권1호
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• pp.16-26
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• 2011

Purpose: The purpose of this study is to investigate nurses readiness to self-directed learning and its correlations with nursing practice competence in a tertiary hospital in Seoul, Korea. Methods: A cross sectional survey design was utilized to assess nurses readiness to self-directed learning and job performance. The data used in this study were obtained from 286 nurses who have been working on general ward for over 1 year. Data were analyzed by ANOVA, t-test, Pearson's correlation analysis, and multiple regression using SAS 9.1 program. Results: The mean score of the readiness to self-directed learning is 3.56 and that of nursing practice competence is 2.71. The readiness to self-directed learning was statistically different according to level of education, and clinical work experience. Nursing practice competence was also significantly different according to level of education, clinical work experience, marital status, age, and working division. The readiness to self-directed learning and nursing practice competence seem to have significant positive correlation to each other (r=.555, p<.001). The readiness to self-directed learning explains 32.0% of nursing practice competence (F=20.20, p<.001). Conclusion: These findings indicate that program development for enhancing the readiness to self-directed learning is needed to improve nursing practice competence. We also need continuous efforts to improve nurses initiatives and creativity.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7801-7811
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• 2015

간호 대학생은 임상실습기간동안 실무현장에서 다양한 학습을 하게 되며 특히 간호 리더자의 역할에 대한 중요성과 그 효과에 대해 인식하게 된다. 본 연구에서는 간호대학생이 실습 과정에서 경험한 효과적 실무환경을 위해 간호리더자의 역할에서 중요하게 작용하고 있는 부분이 무엇인지를 분석하여 그 유형을 분류하고자 한다. 이에 본 연구방법은 간호 대학생이 심층적으로 어떻게 인식하고 있는지를 파악하기 위해 Q방법을 적용하여 분석하였다. 연구 참여자는 간호대학생으로 실습 경험이 있는 자로 30명으로 구성하였고, Q표본은 간호리더자의 역할유형과 관련된 문헌, 임상실습을 경험한 학생과의 인터뷰를 통해 최종 표본을 36개의 진술문으로 구성 하였으며, QUANL PC프로그램으로 주요인을 분석하여 관련 유형을 분류하였다. 연구결과로 간호학생들이 인식하는 간호리더자의 역할유형은 4개의 유형으로 나타났으며, 제1유형은 "정의와 냉철함 유지형", 제2유형은 "동기부여를 위한 환경조성 형", 제3유형은 "인격존중 및 능력신장형", 제4유형은 "신뢰성을 통한 인간관계 중심형"으로 분류되었다. 본 연구 과정을 통해 간호학생이 실습과정에서 경험하는 실무현장의 효과적 환경을 위해 간호 리더자의 역할을 파악하여 추후 실무 환경을 위해 리더자의 역할의 중요성을 제안하고 이를 개선하는데 근거자료를 마련하고자 한다.

• 디지털융복합연구
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• 제12권4호
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• pp.443-454
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• 2014

본 연구의 목적은 종합병원 신규간호사의 실무적응에 대한 주관성을 유형을 파악하고자 Q방법론을 적용하였다. 연구 대상자는 종합병원 신규간호사 40명을 대상으로 개별 면담을 실시하고 Q방법론을 적용하였다. 진술문은 자신의 의견에 따라 +4점(가장 긍정하는 진술문)에서부터 0(중립) -4(가장 부정하는 진술문)을 선택하여 9점 척도상에 강제 분포하도록 하였다. 자료 분석은 PC QUANL program을 이용하였으며, 분석결과 eigenvalue 1.0이상을 가진 값을 가지고 5가지 유형이 나타났으며 변량은 62.38%이었다. : (1) 새로운 업무 부담형, (2) 흥미, 책임감형, (3) 상황개선형, (4) 지식, 기술 부족형, 그리고 (5) 과도한 업무 부담형의 5가지 유형으로 분류되었다. 이 차이점으로 보았을 때 종합병원 신규간호사의 실무적응유형을 볼 수 있었으며, 이 연구 결과 효과적인 교육과 개별화된 임상실무전략을 개발해야 할 것이다.

• 기본간호학회지
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• 제10권1호
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• pp.47-56
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• 2003

Purpose: This study was done to provide information about issues of clinical competency from the perspective of new graduate nurses and to make suggestions for improving undergraduate education programmes. It was also done to clarify learning experiences between fundamentals of nursing and the other major areas of nursing. Method: For this study, 7 new graduates and 8 experienced nurses participated. The data were collected through in-depth interviews and analysed in terms of Strauss and Corbin's grounded theory methodology. Result: Core category and main categories, were delineated. Clinical nursing competency was found to be a dynamic process with each participant actively engaged in acquiring problem solving ability in diverse clinical settings. These findings have value in understanding the embedded meaning of clinical nursing competency. Conclusion: Therefore, the educational programs reflecting the experience of new nursing staff should be developed.

• 임상간호연구
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• 제27권2호
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• pp.149-164
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• 2021

Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses' transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses' education, preceptor supporting strategies, evaluation standards for new nurse's education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses' transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2011년도 춘계학술논문집 2부
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• pp.590-593
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• 2011

본 연구는 물리치료학과 학생들을 대상으로 근거중심의 학습을 통해 학습 이해도와 성취도, 실무능력을 증진시키고자 하는 연구를 실시하였다. 과학적이고 근거중심의 단계별 수업을 이수한 1학년 대상자인 17명이 연구에 참여하였고, 남자와 여자로 구분하여 강의전, 후로 나누었다. 성별에 따른 성취도 분석과 강의 전, 후에 따른 근거중심 학습의 효용성에 관한 특성을 비교하였다. 통계처리 방법으로 실험 전 후 차이를 검증하였고, 모든 통계적 유의수준은 0.05로 하였다. 본 연구의 결과 근거중심 학습의 필요성, 학습 시너지 효과, 전문학술지 접근도에서 강의 전에 비해 후에 유의한 감소를 보였다. 향후 저학년인 1, 2학년 물리치료학과 학생들에게 흥미를 유발하고 동기를 부여하여 저널 탐색을 통한 임상 물리치료에 대한 접근도를 강화시킬 필요가 있고 이를 통해 이론중심의 수업보다 실무중심의 명확한 근거 위주의 수업을 지향해야 할 필요성이 있다고 생각한다.