• Title/Summary/Keyword: 전담간호사

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Current Roles and Administrative Facts of the Korean Physician Assistant (전담간호사 운영현황과 역할 실태)

  • Kwak, Chan-Young;Park, Jin-Ah
    • The Journal of the Korea Contents Association
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    • v.14 no.10
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    • pp.583-595
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    • 2014
  • Hospitals in Korea have been increasingly using physician assistants (PA) as an alternative way of dealing with the shortage of residents. However, some incidents of a Physician's Assistant practicing beyond their legal scope require closer examination of the current PA's roles and functions. This study is a web-based survey designed towards targeting physician assistants in Korea (KPA) who practice delegated tasks under a physician's license. Currently, there are 2,125 KPAs working in 141 general hospitals and medical centers. Data from 704 nurses from who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 12.0 program. Their mean age is 32.5 years with 8-10 years of clinical experiences, with males being more likely to be a PA. Despite of KPAs providing medical services and performing invasive procedures, only 13% of KPAs are licensed APNs (advanced practice nurse). KPAs have a low job satisfaction due to a lack of rewards and the necessity for providing illegal practices, and are experiencing identity confusion. The current KPA system is a transitional product of the change from the hierarchial structure to a more collaborative relationship between the medical and nursing departments. Providing adequate education and training, establishing protocols with legal protection, and developing professional independent scope of care are recommended to deliver safe and efficient medical services.

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.

A integrated study on the current status and improvement direction of physician assistant (전담간호사 제도 개선방안에 대한 통합적 연구)

  • Moon, Heakyung
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.159-165
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    • 2020
  • This study was attempted to identify the status of the work of the PA and provide the direction and evidence of policy making on the PA scheme. A convergence study was conducted to analyze a total of 23 articles of papers and Internet news through systematic review methodology. A literature search was performed using KISS, NDSL, RISS, National assembly library, and 11 major domestic daily newspapers and Youth Medical Newspaper. The analysis of eight papers showed that the PA's work-related exhaustion, job stress, unclear scope of work and lack of regulations reduced job satisfaction. Through 15 press articles, it was understood that it was urgent to establish a legal system and education system for qualifications and work as professional medical personnel amid a conflict of positive and negative opinions of related agencies. In order to increase the utilization of PA in the future, it is necessary to secure institutional devices suitable for Korean affairs and prepare educational programs.

Night Duty Experience on the Personal Life of Fixed Night Shift Nurses (야간전담 간호사의 사적 생활에 미치는 밤번 근무 경험)

  • Young-Mi Baek
    • Journal of Digital Policy
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    • v.2 no.2
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    • pp.21-33
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    • 2023
  • The purpose of this study was to explore the night duty experience on the personal life of fixed night shift nurses working in various health care delivery systems. Data collection was conducted through three focus group interviews from September to October 2022, The subjects of the study were 13 nurses working fixed night shift. For analysis, all interviews were recorded and transcribed and analyzed using qualitative content analysis. In results, 5 themes, 11 categories and 24 subcategories were derived. The five themes were 'it's a voluntary choice', 'efforts to adapt to the shift', 'awareness about fixed night shift', and 'hope to improve the system'. The study aims to help understand fixed night shift work and systems by showing various night-duty experiences on the personal life of the nurses and to provide basic data for preparing measures to improve the system.

Relationships among Bullying in Workplace, Burnout, and Emotional Intelligence of Korean Physician Assistant (PA) Nurses (전담간호사의 직장 내 괴롭힘과 소진, 감성지능간의 관계)

  • Im, Young Soon;Kim, Jae Hee;Kwon, Hye-Jin
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.703-713
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    • 2016
  • The intention of this study was to investigate relationship of PA (Physician Assistant) nurses' workplace bullying, burnout and emotional intelligence. Research respondents were 150 PA nurses who are working at 19 different hospitals from 5 cities and provinces and the collected data were analyzed with SPSS 21.0 program. This study discovered that 20.7% of PA nurses had experienced workplace bullying and 54.7% had witnessed workplace bullying. The workplace bullying scored 2.14 (on a 4-point scale), emotional intelligence scored 4.88 (on a 7-point scale), and burnout scored 3.22 (on a 7-point scale). As a result of correlation analysis, as workplace bullying was higher, the level of burnout was greater, while as the emotional intelligence was higher, the level of burnout was lower. Thus, there is a need for improvement plan for bullying in workplace to alleviate PA nurses' burnout and strategy to improve emotional intelligence and develop education and program.

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.

A Study on the Job Satisfaction of the Physician Assistant (PA) Male Nurses: A Mixed-method Design (남자 전담간호사(Physician Assistant)의 직무만족: 혼합적 연구방법 적용)

  • Lim, Young Sook;Kang, Kyung Ah
    • Korean Journal of Occupational Health Nursing
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    • v.26 no.2
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    • pp.93-104
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    • 2017
  • Purpose: This is a mixed method study to understand the experience regarding the job satisfaction of Physician Assistant (PA) male nurses. Methods: First, factors influencing job satisfaction were analyzed using quantitative approach and job adaptation processes by qualitative research was done through interviews. Finally both of the collected data were comprehensively compared. Results: The factors which had the greatest influence on job satisfaction in the regression analysis were job stress (${\beta}=-.49$, p<.001) and job identity (${\beta}=.46$, p<.001) and the explanatory power explaining these variables was 58% (Adj. $R^2=.58$). The results of qualitative research were categorized using the same four variables with qualitative research variables. Five themes in job satisfaction, three themes in job identity, five themes in job stress and six themes in job value were identified by content analysis. Conclusion: This finding identified that the job stress and job identity were important variables related to job satisfaction. Therefore, the factors influencing job identity have to be strengthened, and a systematic management and interest to develop them are necessary.

The role of Forensic Nurse in the situation of Sexual Assault (성폭력 발생시 법의간호사의 역할)

  • Youk, Gi-Young;Kwak, Jyung-Sik
    • Journal of forensic and investigative science
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    • v.1 no.1
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    • pp.31-44
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    • 2006
  • The importance regarding the notion of immediate medical treatment and nursing for the victims of sexual crimes is not widely recognized yet in Korea. Throughout this research is focused on the nursing systems and the system of foreign countries in reference to sexual crime victims, and the conclusion is as follows. In Korea, there are currently no educational or medical institutes for the medical handling for the victims of sexual crimes, and the role of nurses in the medical institutes is insufficient. In addition, the basis for the standard of operation regarding the initial response, evidence collection, pursuit of systematical evidence and data is not established even in the sexual assault counseling/advocacy center. Therefore, it is necessary to foster the sexual assault nurse examiner for the sexual crime victims, and to develop adequate training programs based on the present situation in Korea. Though the cooperation among government, medical institutes, and social movement groups, it is essential to initiate effective and publicly-trusted specialized training programs for forensic nurses who will be fully charged with the treatment of sexual crime victims. By introducing the sexual assault nurse examiner system, it can be possible to develop advanced treatment for the child or adolescent victims of sex crimes.

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The Mediating Effect of Social Support on the Relationship between Social Isolation and Depression of Nurses in The COVID-19 Specialized Hospitals (코로나 전담병원 간호사의 사회적 고립감과 우울의 관계에서 사회적 지지의 매개효과)

  • Lee, Yoonjeong
    • Journal of Industrial Convergence
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    • v.20 no.3
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    • pp.47-54
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    • 2022
  • This study aimed to identify the mediating effect of social support on the relationship between social isolation and depression in nurses. This study was conducted with 135 registered nurses in three COVID-19 specialized hospitals. Data were analyzed with IBM SPSS Statistics 25.0 and using descriptive statistics, Pearson correlation coefficient, and mediation analysis. The mediating effect was analyzed using PROCESS macro for SPSS 4.0 program with bootstrapping method. Social isolation directly influenced social support (𝛽=-.62, p<.001) and depression (𝛽=.49, p<.001). Social support directly influenced depression (𝛽=-.19, p=.028). Social support has a mediating effect between social isolation and depression (indirect effect=.12, 95% CI=0.02~0.29). To managed depression, intervention are needed to reduce social isolation. Therefore, it is necessary to develop strategies that enhance social support to relieve depression in nurses perceived social isolation.

The Influence of Self-Leadership of Nurses in COVID-19 designated hospitals on Patient-Centered Nursing: The Mediating Effect of Nursing Professional Values and Occupational Stress (코로나19 거점전담병원 간호사의 셀프리더십이 환자중심간호에 미치는 영향: 간호전문직관과 직무스트레스의 매개효과)

  • Mi Hyeon Park;Bok Nam Seo
    • Journal of Industrial Convergence
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    • v.21 no.6
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    • pp.61-71
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    • 2023
  • The objective of this research is to examine the mediating roles of nursing professional values and occupational stress in the relationship between self-leadership and patient-centered nursing among nurses employed at COVID-19 designated hospitals. This study were 160 nurses at a COVID-19 designated hospitals, and the data were collected from January 10 to February 30, 2022. The collected data were analyzed by independent t-test, one-way ANOVA, correlation analysis, multiple linear regression analysis, and SPSS PROCESS Macro model No 4 bootstrapping method. The average score for self-leadership was 61.3±8.55, nursing professional values was 95.5±11.66, occupational stress was 51.3±4.76, and patient-centered nursing was 59.3±7.63. The mediating effect of nursing professional values and occupational stress was confirmed in the influence relationship between self-leadership and patient-centered nursing of nurses at COVID-19 designated hospitals. This result suggests that the content related to improve nursing professional values and reduce occupational stress should be considered when applying the patient-centered nursing enhancement program.