• 한국의료질향상학회지
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• 제2권2호
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• pp.32-45
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• 1996

Background : A critical path defines an optimal sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to better utilize resources, maximize quality of care, and minimize delays. It can be thought of as a visualization of the patient care process. In this study, a review of appendectomy patient records was undertaken to identify a critical path for the management of this treatment. Methods: For this study, records of patients under 15 or over 65 years of age were excluded ; cases where the patient was pregnant, or where complications developed were also excluded. The remaining 21 cases were divided into two categories according to the indication for appendectomy : for acute appendicitis, and for perforated appendix or drainage of periappendical abscess. The time frame for the review was from patient examination immediately prior to operation, through discharge. The study team was composed of a surgeon, research head nurse, education head nurse, surgical part head nurse, and medical recorder. Following their review of the 21 charts, the team determined an appropriate progression and schedule for an appendectomy. Result : Through the chart and literature review, the following aspects of the care process were identified as typical and tracked : monitoring/assessment, treatment, lines/drains, medication, activity, diet, tests and patient education. Conclusion : From this study, the design team determined two separate critical paths : one for appendectomy only, and one for appendectomy plus drainage. Next, these paths must be validated and fine-tuned through clinical implementation. In addition, a comparison of our design with the critical paths determined at other hospitals would be extremely valuable for advancing research in this area. Lastly, the critical path approach to improving patient care and maximizing hospital resources should be applied to other procedures.

• 성인간호학회지
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• 제26권6호
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• pp.630-641
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• 2014

Purpose: The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings. Methods: This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method. Results: Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects". Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect. Conclusion: These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role.

• 대한간호학회지
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• 제38권6호
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• pp.853-865
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• 2008

Purpose: The aim of this study was to develop and to analyze the task of gerontological nurse practitioners (GNPs) in Korea. Methods: The definition of GNP and job description was developed based on developing a curriculum (DACUM) by 7 panels who have experienced in DACUM analysis and gerontological nursing. One hundred sixty nurses who were working at long term care facilities were participated. The questionnaire included frequency, importance, and difficulty of duties, tasks, and task elements. The data were collected in November 2006, analyzed by descriptive statistics. Results: The job description of GNPs in Korea revealed 5 duties, 23 tasks, and 86 task elements. On the all five duties, the highest duty in frequency and in importance was professional nursing care ($3.25{\pm}0.35$, $3.49{\pm}0.29$). But the highest duty in difficulty was research ($3.24{\pm}0.46$). 'Prevent health problem ($3.42{\pm}0.43$, $3.56{\pm}0.33$)', 'Teach other staffs ($2.83{\pm}0.77$, $3.39{\pm}0.43$)', 'Develop the evidence-based standards ($2.43{\pm}0.76$, $3.22{\pm}0.43$)', 'Develop the self ($2.81{\pm}0.65$, $3.26{\pm}0.42$)', and 'Participate the team activities' were the highest score in frequency and in criticality of tasks. 'Provide emotional support to older adults and families ($3.16{\pm}0.41$)', 'Counsel older adults and their families ($3.14{\pm}0.49$)', 'Do clinical research ($3.32{\pm}0.49$)', 'Quality insurance ($3.25{\pm}0.49$)', and 'Build collaborative system ($3.18{\pm}0.47$)' were perceived the most difficult tasks. Conclusion: The political efforts for the legislation of role and task of GNPs were needed.

• 가정간호학회지
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• 제11권1호
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• pp.44-56
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• 2004

This study was conducted to investigate the evaluation of students on a practical performance of the home health care and to provide data for practical education on the home care nurse institution. Research was performed from March to December. 2002. 40 Respondents participated in the evaluation four times. The data were analysed by using the SPSS/PC + version 10. 0. The results of this study were as followings: 1. The average age of the subjects was 32. Majority of the subjects were interested in home health care. Majority of the subjects were staff nurse(57.5%) and workers at general hospitals(50%). 2. According to the result of the comparison of practical performances. performance evaluations of 20 items were higher when they admitted special practice than when they admitted any other practice. There was an positive increase in the evaluation of health assessment. nursing documentation. explanation. coping with emergency status. coordination and self assertion. In addition to health assessment. CPR. oxygenation. education & consultation. developmental assessment of child. nursing documentation. mastering nursing practice and consideration of client were significantly different. 3. The subjects were useful for practical circumference where they are working at. From these research findings. the following suggestions have been drawn: it is needed to manage practical curriculum variously and to include not only clinical aspect but also organic or administrational aspect and to reflect on students' needs and to choose to be reasonable items and to develop instruments for evaluation capability of home care nurse.

• Safety and Health at Work
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• 제13권2호
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• pp.255-260
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• 2022

Background: The coronavirus disease 2019 (COVID-19) pandemic has demonstrated the importance of implementing strategic management that prioritizes the safety of frontline nurse professionals. In this sense, this research was aimed at identifying factors associated with the illness of nursing professionals caused by COVID-19 according to socio-demographic, clinical, and labor variables. Methods: A cross-sectional study was conducted in three Brazilian university hospitals with 859 nursing professionals, which include nurses, technicians, and nursing assistants, between November 2020 and February 2021. We present data using absolute and relative frequency. We used Chi-square test for hypothesis testing and multiple logistic regression for predictive analysis and chances of occurrence. Results: The rate of nursing professionals affected by COVID-19 was 41.8%, and the factors associated with contamination were the number of people in the same household with COVID-19 and obesity. Being a nurse was a protective factor when the entire nursing team was considered. The model is significant, and its variables represent 56.61% of the occurrence of COVID-19 in nursing professionals. Conclusion: Obesity and living in the same household as other people affected by COVID-19 increases the risk of contamination by this new coronavirus.

• 산업융합연구
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• 제22권4호
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• pp.83-91
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• 2024

본 연구는 남자 간호사의 태움 경험을 탐색하여 경험의 본질을 이해하기 위한 목적으로 수행되었다. 이에 태움 경험이 있는 임상 경험 1년 이상의 남자 간호사 10명을 대상으로 심층면담을 진행하였으며, 질적연구방법 중 하나인 현상학적 연구방법(Colaizzi)을 활용하여 자료를 분석하였다. 본 연구 결과 남자 간호사의 태움 경험은 37개의 의미단위, 19개의 주제, 4개의 주제모음으로 구분되었으며, 4개의 주제모음은 '한 사람의 인생을 송두리째 변화시키는 체험', '여초조직에서 살아남기', '변화되기 어려운 간호조직', '나는 간호사'로 나타났다. 남자 간호사의 태움 경험은 남성의 특성을 이해받지 못한 채 나홀로 여성이 다수인 간호조직 내에서 적응을 위하여 고분군투하는 남자 간호사의 모습을 보여준다. 본 연구결과 간호조직의 차원에서 남자 간호사의 특성을 이해하고 조직 내에서 융화하기 위한 다각적 노력이 요구됨을 시사한다.

• 산업융합연구
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• 제20권12호
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• pp.27-37
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• 2022

본 연구는 임상간호사의 바람직한 간호 인성의 본질과 내용을 확인하여 임상간호사로서 간호역량 확보와 양질의 간호 제공을 위한 기초 자료를 제공하고자 한다. 임상 간호현장에서 기대하는 바람직한 간호사의 인성에 대해 포괄적으로 탐구하기 위하여 포커스그룹 인터뷰 분석을 시행한 질적 연구이다. 2019년 11월 30일~ 2020년 1월 20일까지 경력 5년 이상 D지역 대학병원의 경력 간호사 6명을 대상으로 총 4회 진행하였으며, 내용 분석 방법을 통해 분석하였다. 임상 간호사에게 요구되는 인성은 '환자 간호를 위한 자기 통제와 노력의 과정', '인간 중심의 간호를 위한 구성요인', '건강한 인간관계를 만드는 영향력', 간호'조직을 구성하고 운영케 하는 영향력', '조직의 변화와 성과를 이끌어내는 영향력' 총 5개의 주제와 17개의 하위 주제로 분석되었다. 본 연구를 통해 간호현장에서 바람직한 인성의 요소를 확인하였으며, 추후 전문직 간호역량 확보와 양질의 간호 제공을 위한 간호사 대상의 임상간호 인성 교육 프로그램 개발 연구를 제언한다.

• 한국임상보건과학회지
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• 제4권4호
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• pp.769-781
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• 2016

Purpose. The purpose of this paper was to analyze the educational needs of industry which will hire learner and to develop curriculum to meet the demand. Methods. This study was a descriptive research based on survey results. In each questionnaire, the number of responses and ratios were measured to determine the priorities of the questionnaire items and the education demand was evaluated based on these priorities. Results. The core competency keywords for nurses in industry are knowledge, technology, and communication. In the industry needs for curriculum development, the importance of education to be strengthened for nurse training was found to be core basic nursing skills, nursing process application ability, communication ability, creative nursing problem solving ability, personality and foreign language ability. Conclusion. This study has laid the groundwork for the development of competency based curriculum based on environmental factors and reducing the problems of mis - matching between industry and education.

• 성인간호학회지
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• 제12권3호
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• pp.369-383
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• 2000

The purpose of this study was to understand clinical nurses' knowledge and attitudes on pain management. The subject of the study were 254 nurses working at two hospitals affiliated with a university in Seoul. The questionnaires included four areas: general knowledge on pain, knowledge on the use of analgesia, knowledge and implementation on the pain assessment scales and pain interventions and nurses' general characteristics. The data were analyzed with descriptive statistics, analysis of variance, LSD test and t-test using SPSS statistical package. The results were as follows. 1. The mean score of the general pain knowledge was 61.46 and that of knowledge on the use of analgesia was 52.19. 2. Most nurses(74%) answered with hesitation about injecting narcotic analgesia to patients. 3. The pain assessment scale which nurses knew (57.5%) and used(48.0%) extremely was a simple descriptive scale. 4. The pain intervention which nurses knew (94.5%) and implemented(92.1%) extremely was to inject analgesia. 5. The number of nurses who had learned about pain management was 49 of 254(19.3%). 6. Nurses' knowledge on the use of analgesia was of relevance to having learned pain management, but general pain knowledge was not so relevant. According to this research, I suggest the following. 1. It is necessary to develop an education program with actual practice and intervention which nurses can perform for themselves. 2. It is necessary to continuously educate about pain management in clinical wards.

• 임상간호연구
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• 제24권3호
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• pp.313-323
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• 2018

Purpose: This cross-sectional survey study explored the moderating effect of social support between hierarchy-oriented nursing organizational culture and turnover intention in clinical nurses. Methods: Data were collected using self-report questionnaires from 240 nurses working at three general hospitals in February 2018. Hierarchy-oriented nursing organizational culture, turnover intention and social support were measured using 5, 6, and 8 items, respectively, of validated instruments. Descriptive analysis and hierachical multiple regression were conducted using SPSS/WIN 21.0. Results: Nurses rated $3.66{\pm}0.50$ for hierarchy-oriented nursing organizational culture, $3.40{\pm}0.64$ for turnover intention, and $3.77{\pm}0.56$ for social support respectively. Nurses' turnover intention was positively correlated with hierarchical organizational culture, but negatively with social support. The moderating effect of social support was not significant in the relationship between hierarchical nursing organizational culture and turnover intention. Conclusion: It is required to improve the hierarchy-oriented nursing organizational culture. Institutional preparation and education are urgently needed to strengthen the boss and peer support for clinical nurses and finally to reduce turnover intention.