• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.559-570
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• 2020

본 연구는 의료기관 인증 제도를 받은 요양병원과 양방병원의 내부구성원을 구분하여 인증이 구성원만족도, 직무 스트레스, 병원운영 효과, 의료서비스 향상에 미치는 영향을 파악하고자 하였다. 요양병원이 양방병원보다 인증제도가 구성원만족도, 병원운영효과, 의료서비스 효과에서 높게 나타났으며, 양방병원 구성원이 직무 스트레스에 대해선 높게 나타났다. 요양병원 및 양방병원 모두 인증에 따른 구성원 만족도, 병원 운영효과, 의료서비스 효과는 정(+)적인 결과를 나타났다. 요양병원은 2013년부터 의무적 인증으로 인증제의 효과가 실증적으로 높게 나타났을 것으로 사료된다. 따라서 본 연구는 인증제가 의료서비스 향상에 미치는 영향을 분석함으로써 꾸준한 의료의 질 관리가 병원경영 효율화 및 환자의 만족도 향상에 기여하고자 한다.

• 한국엔터테인먼트산업학회논문지
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• 제14권8호
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• pp.255-264
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• 2020

본 연구는 의료기관 인증 제도를 받은 요양병원 내부 구성원과 양방병원의 내부구성원 297명을 대상으로 설문조사를 실시한 후 SPSS 26.0을 이용하여 인증을 받은 전과 후 차이를 비교 분석하여 구성원 만족도, 직무스트레스, 의료서비스향상이 병원운영 효과에 미치는 영향을 파악하고자 하였다. 요양병원의 병원운영효과는 구성원 만족도와 의료 서비스향상이 높을수록, 병원운영효과는 높아짐을 볼 수 있으며, 양방병원의 경우, 구성원 만족도와 의료 서비스 향상이 높을수록, 직무스트레스는 낮을수록 병원운영효과는 높아짐을 볼 수 있다. 의료기관인증제도의 기본가치 체계가 환자 안전과 의료의 질 향상인 만큼 요양병원은 의무적 인증으로 인증제의 효과가 양방병원보다 높게 나타났을 것으로 사료된다.

• 벤처혁신연구
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• 제5권1호
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• pp.145-154
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• 2022

본 연구는 요양병원 1주기 인증과 2주기 인증을 간단히 비교해 보고, 또 2주기 인증과 3주기 인증의 변화 및 성과를 검토하고, 인증 3주기를 준비하는 과정에서 당면과제와 해결방안을 사례로 살펴봄으로써 요양병원 실무자들에게 시사점을 주고 인증제도의 발전에 기여하고자 한다. 본 연구에서는 다음과 같이 제언한다. 첫째, 정부가 의도하는 인증의 실질적인 효과를 보기 위해서는 인증 전 단기간에 준비하는 전시성 행정이 아니라 항상 인증을 전문적으로 관리하고 모니터링하는 직원을 두거나 기존의 환자안전관리 담당자 등을 통하여 항상 의료의 질향상을 대비하는 시스템을 만들도록 제도적인 규정이나 지원이 있어야 한다. 둘째, 요양병원 인증제 시행 이후 의료기관인증제도가 병원성과에 미치는 연구가 질적/양적인 측면에서 부족한 상황이다. 따라서 인증제에 대한 효과를 보기 위해서는 이에 대한 연구가 활발히 진행될 수 있도록 다양한 연구적 지원도 필요하다. 셋째, 인증에 대한 표준지침이 크게 변경되지 않도록 장기적인 관점에서 인증 표준 지침서를 설계하고, 지침서 뿐만 아니라 의료기관에서 활용할 수 있는 표준 개별 규정, 양식도 인증원에서 제작하여 배포하고 각 의료기관에서는 현장에 맞게 수정만 할 수 있도록 한다면 의료기관들의 부담은 훨씬 줄어들 것이다. 넷째, 4주기 인증에서는 감염관리와 격리병동 운영지침 등에 대한 정확하고 현실감 있는 지침이 개발되어야 한다. 코로나 등으로 앞으로는 감염병 관리에 대한 중요성이 더욱 부각될 것이다. 다섯째, 의료기관에서는 단기간의 인증 준비가 아닌 평소의 활동들을 인증 기준에 맞추어 실행한다면 요양병원의 의료의 질을 향상시킬수 있고 경쟁력을 가질 수 있어 성과에도 영향을 미칠 것이다. 여섯째, 요양병원 관계자들은 인증을 준비함에 있어서 과거처럼 단기적으로 서류를 정리하거나 행정적으로 처리하기에는 문제가 있다. 이것 또한 역시 평소의 업무 프로세스를 인증기준에 맞춰 설계하여야 하며, 대부분의 업무 절차를 규정하고 지표화하여 관리하는 방식으로 변화하여야 한다고 생각한다.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.438-449
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• 2016

본 연구는 요양병원 인증제 평가를 경험한 간호사의 직무스트레스 및 소진이 이직의도에 미치는 영향에 대해 파악하기 위한 서술적 상관관계 연구이다. K대학교 기관생명윤리위원회에서 승인을 받았으며, 자료수집은 2015년 4월 1일부터 8월 31일까지이며, 자료는 SPSS/WIN 18.0 프로그램을 이용하여 분석하였다. 연구 대상자는 B광역시와 경상남 북도 소재한 15개 요양병원에서 205명의 간호사를 대상으로 하였다. 직무스트레스 평균은 5점 만점에 3.83, 소진의 평균은 5점 만점에 2.92이었으며, 이직의도 평균은 5점 만점에 3.12였다. 이직의도와 직무스트레스(r=.356, p<.001), 소진(r=.729, p<.001)은 유의한 상관관계가 있었으며, 소진은 이직의도에 53%의 설명력을 보였다(${\beta}=.729$). 이 연구의 결론을 통해 요양병원 인증제를 경험한 요양 병원 간호사의 이직의도를 감소시키기 위해 주요한 요인인 소진을 낮추기 위한 중재 프로프램 개발이 지속적으로 수행되어야 할 것이다.

• Perspectives in Nursing Science
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• 제10권2호
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• pp.158-166
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• 2013

Purpose: This study was conducted to investigate patient safety regulations and guidelines in order to understand their current status, and to examine support measures to improve patient safety in Korean hospitals. Methods: The participants were the safety officers from hospitals with 200 or more beds and 112 hospitals responded to the online survey. The questions covered patient safety regulations, the performance level of patient safety activities, patient safety incident reporting systems, the dedicated professional, training, support mechanisms, and expectations of reporting systems. Results: Among preventative measures, fall prevention and hand hygiene were reported to be most widely practiced (92% and 91%, respectively). Time-out for invasive procedures showed a relatively low practice rate at 70%. Among patient care activities, transfusion, surgery and sedation, medication, and infection management were performed by 84, 74, 93 and 93% of the hospitals, respectively. Patient safety activities included patient safety committee, patient safety cooperation between decision-making bodies, patient safety workshops, seminars, lectures, and training for employees. Conclusion: Patient safety regulations and guidelines have not yet been sufficiently prepared, and a public institution such as a certification authority is of crucial importance to enforce these guidelines.

• 간호행정학회지
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• 제14권3호
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• pp.352-363
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• 2008

Purpose: The purpose of this study was to investigate nursing services of Oncology Advanced Practice Nurses(OAPNs) from the view point of structure and process. Methods: Roles and practices of OAPNs for cancer patients on chemotherapy were investigated by semi-structured interview and survey. Subjects were 14 OAPNs in 3 hospitals. Results: OAPNs had high level of education and certification than registered nurses. Most subjects of OAPNs were patients on chemotherapy and OAPNs used most of their time in education and expert nursing practice. 57.1% of OAPNs used delegated order. They were satisfied with their job in general, but satisfaction in communication with nurse manager or resident doctor was low. Conclusion: These results will be the concrete explanation for the nursing services of OAPNs. On the basis of theses results, more study about effects of OAPNs will be needed.

• 간호행정학회지
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• 제5권3호
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• pp.535-545
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• 1999

The purpose of this study is to investigate the nurses' needs in the general hospitals as a basic study to develop ICU clinical nurse from Aug. 3 to Sept. 26 1998 at 13 general or university hospitals that have ICU nurse training course and are accredited at KNA. The subjects of study were ICU nurses and nurse managers at the department of nursing. The questionnaire items were developed from literature review, interviews with 30 ICU nurses at an university hospital in Pusan. The results were as follows : The subjects of study educated in ICU nurse training course were 44.3% of total. The 93.1% responded the necessity of ICU CNS and 89.1% wanted to have ICU CNS certification. The 43.8% answered that ICU should be a center of CNS education and 32.0% answered the department of nursing. Most of subjects responded that the clinical experience of ICU should be needed prior to CNS education. Regarding the treatment of ICU CNS, the 34.2% of total subjects responded it would be suitable to pay additional allowance and the 28.3% answered to grade-up salary step, and then the 13.7% to promote level position. Concerning the assignment department, the 63.5% answered that the charge nurse would be proper than general nurse or head nurse. As to the working time of ICU CNS, the 93.2% responded that D-duty is needed, the 79.5% to E-duty and the 64.4% to N-duty. It is suggested that the consensus of ICU nurses for the concept, the role and the system of ICU CNS is needed.

• 한국직업건강간호학회지
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• 제27권3호
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• pp.180-189
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• 2018

Purpose: The aim of this study was to investigate the influence of nurses' awareness of healthcare accreditation on their job stress and turnover intention. Methods: Across-sectional correlation study design was used. Participants consisted of 143 nurses from two tertiary hospitals in Seoul and Gyunggido, South Korea. Data were collected in October 2016 using self-report questionnaires and analyzed using descriptive statistics, t-test, an ANOVA, Pearson's correlation coefficient, and multiple regression in SPSS/WIN 21.0. Results: Awareness of health care accreditation correlated negatively with job stress (r=-.63, p<.001) and turn over intention (r=-.50, p<.001). Awareness of health care accreditation was the factor that most influenced job stress, explaining 38% of the variance (F=23.10, p<.001). Awareness of health care accreditation and duty pattern were the factors that most influenced intention to leave, explaining 32% of the variance (F=10.35, p<.001). Conclusion: These findings suggest raising nurses' awareness of certification systems to reduce their job stress and turnover intentions. It will be necessary to provide support for the aggressive work nurses do and improve their work structure, highlighting the need for both manpower and institutional support. Accordingly, providing regular education programs and appropriate compensation schemes, by raising nurses' awareness of medical institutions' certification systems, is necessary.

• 가정간호학회지
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• 제6권
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• pp.46-58
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• 1999

The purpose of this research was to find out the state of the nursing performance of the home care nurses in Seoul in order to provide the data for the practical work guide. The data were collected from fifty home care nurses working in 22 institutions located in Seoul. The research tool used for this research was modified and tested by Song Jong-Rye(1999) which was originally modified the standard tool of American Nurses Association (1998) and was partly supplement and adjusted for this research. The reliability of this tool was Cronbach's $\alpha$=.0982. The collected data were statistically processed using SAS for t-test, ANOVA. $Scheff\'{e}$ test. Among the surveyees, 50% have been working as a home care nurse more than three years and 74.0% of them were married. And 52% have B.S degree with certification of home care nurse from the certification program for Home Care Nurses affiliated at nursing schools. Half of the home care nursing organizations were based on the general hospitals, and most(78%) of the responsible senior personnels of those organizations were nurses. The following results are drawn from this research. 1) The level of nursing performance by the task sectors General performance level of home care nurses was relatively high in grade of 3.06 from total 4.00. Among the task sectors. the ethical field scored the highest points, and the next were nursing intervention, professional training, and data gathering, and the research sector scored the lowest point. 2) The level of nursing performance by general features of home care nurses Statistically relevant correlation between performance according to the duration of working experience as a nurse(p=0.8951) and performance according to the duration of working as home care nurse(p=0.2263) did not emerge. Also, performance by marriage status(p=0.2218), education(p=0.5733), and taking the certification program for home card nurse(p =0.1560) has no statistically meaningful correlation. 3) The level of nursing performance by the type of home care nursing organizations There exists a significant difference(p=0.002) between performances by the types of organizations. Most of the responsible senior personnels of the home care nursing organization were nurses. The level of nursing performance of the home care nursing organization under nurse management was relatively higher than that of home care nursing organizations led by medical doctors or non-medical professional, but this was not proved as statistically meaningful(p =0.3617). 4) The level of nursing performance by task sectors according to the characteristic of home care nursing service organization There exists a significant difference between nursing performances by task sectors according to the characteristics of home care nursing organization(p=0.002). In case of model research center of one College of Nursing, the nursing performance in the sectors of organization, theory, and data gathering were lower than that of in hospital based home care nursing service. And in case of local home care centers, performances in sectors of organization, theory, data gathering, nursing intervention. professional training, and research sectors were significantly low. Based on the obtained results, overall performance of home care nurses can be appraised as relatively good. Especially, performances in sectors of the nursing intervention, nursing plan. and data gathering including the in direct nursing were recorded high scores. From this, it can be concluded that high quality of nursing is relatively practicing for home patients at these days. Since the high quality of nursing for patients was directly related to the level of nursing performances of home care nurses, it is required to improve practical performance level of them by making constant evaluation and running continual education program and supplementing curriculum for the sectors with low scores.

• 약학회지
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• 제58권2호
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• pp.129-140
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• 2014

Background: As elderly population has been increasing, pharmacists need to possess special knowledge and skills to provide enhanced pharmaceutical care for senior patients. Purpose: This study aims to systematically review on (1) the certified geriatric pharmacists (CGP) system, (2) the curriculum related to geriatric pharmacy education, and (3) the CGP's performance in terms of clinical, economic and humanistic outcomes in the U.S. Method: The information related to CGP system and curriculum was obtained through the official websites of 'American Society of Consultant Pharmacists', 'Commission for Certification in Geriatric Pharmacy' and the selected pharmacy school samples. Articles about on the outcomes of pharmacist-provided cognitive services including Medication Therapy Management were searched through PubMed. Results: To gain the CGP credential, pharmacists need 2-year experience as pharmacist in advance and take the CGP examination. This certification must be renewed every 5 year. Most pharmacy schools provide geriatric-related curriculum through didactic or pharmacy practice classes for pharmacy students and certificate or dual degree in gerontology are given on completion. Most previous outcomes research reported that pharmacists have played a role in yielding favorable results regarding clinical, economic and humanistic outcomes for nursing facilities, hospitals and community pharmacy settings. Conclusion: Considering the organized CGP certification system and concrete educational courses established the basis for pharmacists to exert their ability for senior patients of the U.S., it is suggested to build a geriatric pharmacist credential model for pharmacists to provide the increasing elderly patients with the requisite safe and effective pharmacy care in Korea.