• Title/Summary/Keyword: 임상 간호사

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Factors Influencing Clinical Competence in General Hospital Nurses (종합병원 간호사의 임상수행능력 영향요인)

  • Kim, Mi-Jung;Kim, Moon-Ok
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.668-678
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    • 2021
  • This study aimed to identify the factors influencing the clinical competence of nurses, using a descriptive correlational study design. Data were collected through questionnaires administered to 170 nurses working in a general hospital in Gwangju city and Jeollanam-do province from March 24 to May 27, 2021. There were significant differences in clinical competence according to age, marital status, and educational level. Clinical competence was significantly correlated with nursing professionalism (r=.600, p<.001), critical-thinking disposition (r=.568, p<.001), communication skills (r=.658, p<.001), and nursing practice environment (r=.353, p<.001). Factors influencing clinical competence were communication skills, nursing professionalism, critical-thinking disposition, and age, which explained 54.0% of the total variance. It is necessary to develop educational programs to improve the communication skills, nursing professionalism, and critical-thinking disposition of nurses. Additionally, Institutional and national measures are needed so that nurses can continue to work in hospitals.

Factors Influencing on Clinical Decision Making Ability of Nurses in Long-term Care Hospitals (요양병원 간호사의 임상의사결정능력에 미치는 영향요인)

  • No, Ji-Yeong
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.769-777
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    • 2022
  • The purpose of this study was to identify factors influencing the clinical decision making ability of nurses in long-term care hospitals. Data were collected from 174 nurses working in long-term care hospitals in G-do from October 11 to December 10, 2021. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation and stepwise multiple regression through the SPSS 23.0. As a result of the study, the clinical decision making ability was positively correlated with critical thinking disposition(r=.494, p<.001) and nursing work environment(r=.451, p<.001). Critical thinking disposition and nursing work environment explained 33.1% of clinical decision making ability. In order to improve the clinical decision making ability, which is the core competency of nurses, education to increase critical thinking disposition and the creation of a desirable nursing work environment are necessary. In future research, research to identify various variables affecting the clinical decision making ability of nursing hospital nurses, and research for the development and effectiveness of programs to improve clinical decision making ability are suggested.

Experience of Clinical Nurse's Bioethics Dilemma during the COVID-19 (코로나-19 상황 속 임상간호사의 생명윤리의식 딜레마 경험)

  • Je, Nam-Joo;Lee, Do-Young;Kwon, Mi-Gyeung;Yoo, Ji-Eun;Jo, A-Young
    • Journal of the Korea Convergence Society
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    • v.13 no.3
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    • pp.379-390
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    • 2022
  • The purpose of this study is to provide the basic data for improving the coping ability of clinical nurses by deeply analyzing and understanding the bioethics dilemma the clinical nurses experience in the COVID-19 pandemic. To understand the essence of bioethics dilemma the clinical nurses would experience in the COVID-19 pandemic, this study interviewed with a clinical nurse and then analyzed it by using Colaizzi (1978)'s phenomenological method. In the results of this study, total three theme clusters were drawn such as 'Agony to face a situation that violates the principle of respect for man's life and dignity', 'Frustration and confusion caused by the situation in which the principle of good deed and prohibition of evil deed cannot be kept', and 'Doubt about fulfilling and not fulfilling the principle of justice'. To improve the ability to cope with bioethics dilemma the clinical nurses experience in the pandemic situation based on the results of this study, it would be necessary to establish the education and policy for clinical nurses, and also to make efforts to improve the treatment of nurses.

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.

Effects of critical thinking and nursing practice environment on clinical decision making among nurses (비판적 사고와 간호근무환경이 간호사의 임상적 의사결정에 미치는 영향)

  • Jang, Insil;Lee, Kyoung-Sook
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.255-264
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    • 2019
  • This study was a cross-sectional study done to determine the relevance and impact factors of critical thinking and nursing practice environment on clinical decision making among nurses. A survey was conducted for April 2017 with self-report questionnaire. Participants were 261 registered nurses working in one tertiary hospital. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and hierarchical regression analysis with SPSS/WIN(21.0). Factors affecting clinical decision making included age, educational background, position, work shift, clinical career. Clinical decision making had a positive correlation with critical thinking and nursing practice environment. And position, critical thinking and nursing practice environment accounted for 35.8% of the variance in clinical decision making. Therefore, quality management for developing nursing professionalism and administrative support for effective staffing and resource adequacy in addition improving critical thinking increase nurses'clinical decision making.

Desirable Personality Required of Nurses in Clinical Nursing Field: Focus Group Interviews Centered On (임상 간호현장에서 간호사에게 요구되는 바람직한 인성: 포커스그룹 인터뷰를 중심으로)

  • Mi-Ran Kim
    • Journal of Industrial Convergence
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    • v.20 no.12
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    • pp.27-37
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    • 2022
  • This study aims to identify the nature and content of the desired nursing personality of clinical nurses and provide basic data for securing nursing competencies and providing quality nursing as clinical nurses. This is a qualitative study with a focused group analysis to comprehensively explore the desirable nurse personality expected in clinical nursing settings. From November 30, 2019 to Jan 20, 2020, 6 nurses with more than 5 years of clinical experiences and working in a regional university hospital participated in the four focus group interviews. The collected qualitative data was analyzed by the content analysis method. The personality required of clinical nurses is 'process of self-regulation and effort for patient care', 'components for human-centered nursing', 'influence to create healthy interpersonal relationships', and 'nursing'. Configure and operate the organization. It was analyzed into a total of five main themes and 17 sub-themes: "Influence to make changes" and "Influence to bring about organizational change and results." This study confirms the desirable elements of personality in nursing practice, and proposes the application and effect verification research of clinical nursing education programs for nurses in order to secure the nursing competence of professionals and provide high-quality nursing care in the future.

Effects of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency, critical thinking and turnover rate (실무중심 교육프로그램이 신규 간호사의 임상수행능력, 비판적 사고와 이직율에 미치는 영향)

  • Park, Jung Hee;Lee, Mi Hyang
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.191-199
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    • 2017
  • This study aims to confirm the effects of the practical work-oriented educational program applied to the nursing students prior to the commencement of their employment on the ability of the newly recruited nurses in execution of clinical competency, critical thinking and turnover rates. It is a single-group pre-post design and non-equivalent control group design. As for the results of the research, nurses who participated in the practical work-oriented educational program prior to employment displayed an increase in their ability to execute clinical competency and critical thinking capabilities along with the reduction in their turnover rate within 1month after their employment. The results indicate that practical work-oriented educational program form the stage of nursing school years prior to employment at hospital in important and the practical work-oriented educational program attempted as a new means of management of human resources for new nurses can be used as a beneficial program at the time of the development of education programs at the hospitals ans nursing schools.

Clinical Survival: Male Nurses Adaptation Process for Female Nurses (임상에서의 생존: 여성간호사에 대한 남성간호사의 적응 과정)

  • Kim, HyunSu;Yun, HeeJang
    • The Journal of the Convergence on Culture Technology
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    • v.5 no.2
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    • pp.139-146
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    • 2019
  • The purpose of this study is to find meaning of male nurses's adaptation to female nurses by grsping deeply what the adaption process of male nurses is from male nurses's point of views. What is the adaptation of male nurses to female nurses? With this research subject, we explored the adaptation process of male nurses to female nurses through phenomenological method. The study participants were 12 male nurses with more than 25 months of experience working in hospitals who agreed to the intention and method of the study. The results of this study were derived from 39 meanings of composition, 13 theme bundles, and 4 categories. As for the category, it was revealed that, in the case of maladjustment situation, there was a tendency to assimilate into force, interpersonal relationship, to improve the job ability, and to become a dedicated nurse. The results of this study can be used as basic data to develop effective nursing workforce management measures in the clinical field by understanding the adaptation process to female nurses of male nurses.

Patient Classification Technique based on Computerized Clinical Data and Nursing Workforce Management : Analysis case of a general Hospital (전산화된 임상 데이터에 기반한 환자 분류 체계 및 간호 인력 관리 방안 : 일개 종합병원 분석 사례)

  • Kim, Kyoungok;Park, Kyungsoon;Suh, Changjin
    • The Journal of the Korea Contents Association
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    • v.13 no.3
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    • pp.287-298
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    • 2013
  • To develop a technique classifying patients based on computerized clinical data followed by validity verification by comparing with nurse's examination. Class scores were determined by nurses for a day on 348 resident patients in 7 wards of a general hospital according to KPCS-1. The class scores were simultaneously evaluated by reviewing the computerized clinical data acquired from the hospital management information system. These two class scores were both significantly different among different departments as well as disease patterns. Intraclass correlation analysis resulted a very high correlation coefficient of 0.96(p<0.01) between the two scoring methods, but the clinical data scores were somewhat higher. An automated patient classification system seemed possible to be developed in future with further enhancement of the present results based on computerized clinical data without manual scoring, which can be applied for performance evaluation as well as workforce planning.

A Design and Implementation of Database and Sync Module for Nurse Informations Svstem Using PDA (PDA를 이용한 간호사 정보 시스템의 데이터베이스 설계 및 싱크 모듈 구현)

  • 김기언;전종훈
    • Proceedings of the Korean Information Science Society Conference
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    • 1999.10a
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    • pp.364-366
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    • 1999
  • 간호사 정보 시스템은 간호사들이 사용하던 기존의 차트 대신에 PDA를 사용하여 의료 정보 데이터의 입력과 조회를 장소와 시간에 구애됨이 없이 항상 가능하게 하며, 위급한 상황이나 바른 임상판단을 요하는 상황의 발생이 빈번한 병원 환경에서 신속한 임상적 의사결정을 도모하기 위해 설계 구현된 시스템이다. 간호사 정보 시스템의 구성요소는 휴대형 정보단말기를 지원하는 이동지원시스템(MSS), 병원정보시스템으로 구성되며 이들의 원활한 연동과 정보 공유를 위해서는 간호사를 위해 특화된 데이터베이스 스키마와 이질적인 스키마간의 동기화 작업을 수행하는 싱크 모듈이 필요하다. 본 논문에서는 간호사 요구사항을 중심으로 MSS와 PDA의 데이터베이스 스키마를 설계하고 구현하였으며 또한, PDA와 MSS의 데이터 동기화 시 PDA와 MSS의 스키마 불일치 때문에 발생하는 복제와 동기화의 문제점을 해결하기 위한 싱크 모듈을 구현하였다.

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