• 재활간호학회지
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• 제14권1호
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• pp.62-69
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• 2011

Purpose: The study assessed whether nurse staffing was associated with 3 nursing sensitive outcomes used in intensive care unit (ICU) nursing care plans. Methods: This study was a retrospective and descriptive study using clinical data extracted from the data warehouse of a large acute care hospital in the Midwest. One-way analysis of variance was used to analyze the records of 578 ICU patients admitted from March 25 to May 31, 2010. Results: 79 Nursing Outcomes Classification (NOC) outcomes were used in the nursing care plans. The 3 most commonly used NOC outcomes (Pain Level, Infection Severity, and Tissue Integrity: Skin and Mucous Membranes) were analyzed to determine their relationship to nurse staffing. As a nurse staffing ratio, the skill mix of nursing caregivers ranged from 0.74 to 1 with an average of 0.90. This skill mix of nursing caregivers significantly differed among the changes in Infection Severity scores. However, the mean difference was only 0.02. Conclusion: The results did not support that greater nurse staffing was associated with better outcomes. More research is still needed to determine the usefulness of Pain Level, Infection Severity, and Tissue Integrity: Skin and Mucous Membranes in evaluating the impact of nurse staffing.

• 임상간호연구
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• 제19권2호
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• pp.195-207
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• 2013

Purpose: This study was conducted to describe the relationship of parents' stress, coping, and partnership between nurse and parents whose children were hospitalized in the Pediatric Intensive Care Unit. Methods: A descriptive correlation study design was used. The participants were 81 parents whose children were hospitalized at S-hospital located in Seoul from October 18 to November 27, 2012. This study used the 'Parental Stress Scale: Pediatric Intensive Care Unit,' the coping scale, and 'Pediatric Nurse Parents Partnership Scale, PNPPS'. The data were analyzed using t-test, ANOVA and pearson correlation. Results: The parents of children hospitalized in pediatric intensive care unit were experiencing high level of stress ($3.22{\pm}0.82$). There was a significant positive correlation between parents' coping and nurse parents partnership (p<.001), however there was no relationship between parents' stress and coping, and parents' stress and nurse parents partnership. Conclusion: Nurse-parents partnership had significant relationship with parents' coping In the care of children hospitalized in pediatric intensive care unit. The results of this study provided a foundation to recognize importance of nurse parents partnership and to develop intervention program for nurses and parents to improve their partnership.

• Child Health Nursing Research
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• 제8권3호
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• pp.344-356
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• 2002

This study was conducted to analyse the current clinical education of pediatric nursing in baccalaurate nursing program, then to give basic data for enhancing the quality of future clinical education of pediatric nursing. Data were collected through self-reported questionnaire by mail from December 2001 to February 2002. The subjects were 29 schools of 50 baccalaurate nursing education programs. The data were analysed by double raters, researcher and assistant researcher. The results were summarized as follows: 1. Twenty-eight schools had the objectives of the clinical education of pediatric nursing, and 28 schools in pediatric ward, 23 schools in nursery, 22 schools in neonatal intensive care unit(NICU), 15 schools in objectives related to profession by clinical site. 2. Credits on clinical education of pediatric nursing were most 15 schools of 3 credits. 3. The clinical sites were mainly the hospital that sick children were admitted in. 4. The clinical teacher were 9 types including pediatric professor and field nurse. 5. On teacher's role, the professor instructed the case study and conference, and field nurse instructed the patient assignment and nursing procedures. 6. All of schools used explanation and conference as a method of clinical education, 1 or 2 schools used PBL or role play or field study. 7. On clinical education content, most of school included Apgar scoring system, physical examination in newborn assessment, respira- tion maintenance, temperature maintenance, infection prevention, nutrition, and bath in newborn care. 8. On clinical education content, most of school included care of incubator, phototheraty, infusion, gavage feeding and how to use the instruments in NICU. Eighteen schools included attachment promotion, and 20 schools case study. 9. On clinical education content, most of school included a checklist of nursing procedures, case study, assessment of growth and development in pediatric ward and other sites. 10.There were various evaluation types in scores, measuring items. In conclusion, the results of this study revealed that there were some discrepancy in the objectives and contents, clinical sites on hospital focused, teacher's role, and diversity of measurement items and ratings in clinical education of pediatric nursing. There is a need for a standardization of content, clinical site, and evaluation tool to improve a quality of clinical education of pediatric nursing based on this study.

• 한국산학기술학회논문지
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• 제21권1호
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• pp.604-611
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• 2020

본 연구는 임상간호사를 경험하고 임상시험 연구간호사 직무를 수행하고 있는 임상시험 연구간호사의 직무만족을 통하여 근무여건을 개선하기 위하여 서울, 경기지역에 근무하는 간호사 100명을 대상으로 2017년 11월 6일부터 12월 6일까지 설문조사를 실시하였다. 수집된 자료는 SPSS 프로그램을 이용하여 빈도분석, 신뢰도검증, t-test를 실시하였다. 분석결과 다음과 같다. 첫째, 직무만족도는 임상간호사는 2.94±.609점으로 임상시험 연구간호사 2.89±.620점보다 직무만족도가 높게 나타났다. 둘째, 보수 만족도에 있어 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났고, 행정업무, 자율성 만족도는 임상간호사가 임상시험 연구간호사에 비해 낮게 나타났다. 셋째, 진로결정에서는 임상간호사는 임상시험 연구간호사에 비해 상대적으로 낮게 나타났지만, 수행업무의 중요성, 직업의 안정성은 임상간호사가 임상시험 연구간호사에 비해 상대적으로 높게 나타났다. 국내외 임상시험에 대한 수요가 증가하고 있고 이에 따라 임상시험 연구간호사에 대한 수요도 꾸준히 증가할 것이다. 임상시험에 있어 임상시험 연구간호사의 역할이 중요하기 때문에 임상시험 연구간호사의 직무만족을 높이기 위해서는 보수, 전문직 지위, 행정업무 등 경력에 맞는 적절한 처우, 전문적 역할 및 근무환경조성 등 임상시험 환경에 맞는 직무가 확립되도록 개선 방안이 마련되어야 할 것이다.

• 디지털융복합연구
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• 제20권1호
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• pp.379-389
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• 2022

본 연구는 중환자실 전담간호사 역할에 대한 중환자실 의료인의 중요도와 만족도를 파악하기 위하여 시행되었다. 일개 기관의 4개 단위 내·외과계 중환자실 소속 의사, 간호사 총 138명을 대상으로 2021년 5월 3일부터 29일까지 설문을 시행하였다. 수집한 자료는 기술통계, t-test, Importance-Performance Analysis(IPA) 방법을 사용하여 분석하였다. 중환자실 전담간호사의 역할에 대한 중요도는 5점 만점에 의사 4.18점, 간호사 3.95점, 만족도는 5점 만점에 의사 4.39점, 간호사 3.85점으로 중요도(t=2.33, p=.024)와 만족도(t=5.43, p<.001)가 두 군에서 모두 통계적으로 유의한 차이가 있었다. 두 직종 모두 전문간호실무, 전문직 활동, 조정협동, 교육상담, 연구 순으로 중요도와 만족도 순위가 일치하였다. 집중개선 영역으로는 의사는 실무 표준 및 가이드라인 개발, 전문가 역할 모델과 자기 개발과 환자/가족 교육으로 나타났고, 간호사는 의료진 교육으로 평가하였다. 중환자실 전담간호사 역할에 대하여 전문성을 강화하고, 개선이 필요한 부분의 역량을 증진시키는 전략이 필요하다고 생각된다.

• 간호행정학회지
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• 제16권3호
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• pp.348-359
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• 2010

Purpose: This study aimed to evaluate the performance of Clinical Research Nurses (CRNs) and the importance of their roles at the Regional Clinical Trial Centers (RCTCs). Method: A questionnaire focused on the role of CRNs was crafted by a researcher and the content validity was verified by a panel of experts on clinical research. The subjects of this study were 91 CRNs and Clinical Research Coordinators (CRCs), who were Korean registered nurses working at nine RCTCs. 77 subjects yielded valid data were analyzed using descriptive analysis, the Mann-Whitney U test, Spearman's rank order correlation coefficient, and Kruskal-Wallis test. Results: The performance of CRNs and the recognition in the importance of their roles were statistically significant different in age, education, CRN careers, positions, employment status and the phase of clinical trial. The role of direct caregiver was performed most often by CRNs. The role of coordinator of care and research (pre-study) was considered the most important role but performed the least frequent. Conclusions: The role of CRNs can easily be differentiated from CRCs who are not registered nurses. The domains of CRNs should be clearly identified and established. Moreover, research should be carried out on CRN training programs to cultivate competence in CRNs.

• 임상간호연구
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• 제29권3호
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• pp.223-237
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• 2023

Purpose: This study aimed to investigate the impact of a nurse shift improvement pilot project on nurses' shift adjustment, work-life balance, and turnover intention, as well as nurses' experiences of participating in the pilot project. Methods: An explanatory sequential mixed-methods study was performed. Survey data was collected from a total of 1,051 nurses both in participant and non-participant groups. For the qualitative study, focus group interviews were conducted with 22 nurses who participated in the shift improvement pilot, including 12 staff nurses, 7 nurse managers, and 3 substitute nurses. Results: There were significant positive effects on the key variables of nurses' shift adjustment, work-life balance, and turnover intention in the group that participated in the nurse shift improvement pilot project. Based on the qualitative study, participants in the shift improvement pilot project indicated that it enabled nurses to recover their circadian rhythm, and achieve a better work-life balance, and they wanted to continue working as a nurse, and hoped expanded application of the pilot project. Conclusion: In order for expanded implementation of the pilot project and continued improvement in the shift system, we recommend establishing compensation standard, systematizing the use of substitute nurses, developing guidelines for shift schedules, and expanding the shift improvement pilot project to other departments such as the emergency room.

• 기본간호학회지
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• 제12권3호
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• pp.421-429
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• 2005

Purpose: This study was don(B to describe research-related activities and attitudes toward research, barriers to and support needs for undertaking research in clinical nurses. Method: Data were collected by a questionnaire from 238 clinical nurses with over one year clinical experience working at 2 university hospitals. Results: Research related activities included courses or lecture about Nursing Research 85.7%, journal reading at least once every 2 to 3 months 30.0%, memberships in academic societies 29.4%, participation in academic conferences 45.0%, conducting research 45.4%, research utilization 24.6%. The score for attitudes toward research was 3.08(range 1-5). The score of barriers to undertaking research was 3.37(1-5) and the score for support needs for undertaking research 4.14(1-5). Attitudes toward research significantly correlated with barriers to undertaking research(r=.- 36, p=.000). Barriers to undertaking research significantly correlated with support needs for conducting research(r=.23, p=.000). Nurses with experience in conducting research had more negative attitudes toward research(t=-2.130, p=0.034) and more barriers to undertaking research than those without experience in conducting research (t=2.194, p=0.029). Conclusion: These results suggest that it is necessary to increase positive attitudes toward research in clinical nurses and nursing organizations need to provide strong supports for nurses conducting research.

• 한국멀티미디어학회논문지
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• 제19권7호
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• pp.1197-1207
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• 2016

The purpose of this study was to develop an evidence-based Nursing Process System on Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions Classification targeting nurse students. We use standard classification-focused research data on the basis of Nursing Diagnosis Classification established by NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) mainly developed by Iowa Sate University. The existing research methods are difficult to be applied the consistent nursing process, since such methods need to repeatedly enter the same nursing process without systematic guidelines. But, this study was coded data of standardized nursing process in accordance with the 10 clinical condition in order to implement the nursing process macro, and developed a system that reflects the needs of nursing educators. Therefore, nurse students can improve clinical decision-making ability, and naturally learn the nursing process through a system developed.

• 대한간호
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• 제21권1호통권114호
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• pp.66-78
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• 1982

This research, conducted from March 1, 1981 to June 30, 1981, of both dying persons and their survivors, about thier deep sorrow because of separation by death, was made from both a clinical and past-oral perspective. The subjects for the research were fo