• 제목/요약/키워드: Clinical Research Nurse

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근거기반실무(Evidence-based Practice) 자기효능감, 교과목 요구도, 장애요인 및 촉진요인 탐색을 위한 혼합연구: 교수 및 임상실습 프리셉터를 중심으로 (Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors)

  • 오의금;양유리;유재용;임지윤;성지현
    • 대한간호학회지
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    • 제46권4호
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    • pp.501-513
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    • 2016
  • Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.

일반병동 간호인력 확보수준과 간호업무성과 분석 (An Analysis of Nurse Staffing Level and Nursing Performance in the General Unit)

  • 고유경;김병진
    • 간호행정학회지
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    • 제14권4호
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    • pp.413-420
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    • 2008
  • Purpose: To examine the relationship between nurse staffing level and nurse perception of nursing performance. Method: The subjects of this study were 724 nurses from 70 medical or surgical wards in 23 hospitals from February to March 2006. A self-reporting questionnaire, which was developed by the researcher through a preceding study, was used. In data analysis, SAS program was utilized for descriptive statistics, t-test, ANOVA, and Tukey test. Results: The mean score of the nursing performance was 53.3. The mean of bed-to nurse ratio was 3.39:1. The study revealed a negative correlation between bed-to nurse ratio and the nurses' perception of nursing performance. There was a significant relationship between above 3.5:1 and below 2.5:1(F=4.59, p=0.010). Conclusion: We found that the higher the nurse staffing, the better the nursing performance. It is recommended that future research measures nurses' performance and nursing organizational performance using objective measurement tools including clinical indicators.

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간호사의 이미지와 호감도 분석 (Analysis of the Image and Likability of the Nurse)

  • 염영희;김경희;손희숙;전재희;이정민;김명애
    • 임상간호연구
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    • 제21권2호
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    • pp.169-179
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    • 2015
  • Purpose: The purpose of this study was to investigate nurse images and likability that were perceived by various groups in the general population. Methods: Using cross-sectional descriptive design, six groups of people were invited to participate in the survey. The participants included nurses, physicians, nurse aids/technicians, patients/caregivers, college students, and the general public. A total of 1,530 individuals were drawn from 42 hospitals nationwide. Bhargava's likability questionnaires and the Ward Nurse Image tool were used. Results: Compared with other groups, patients and caregivers had higher scores for likability and better nurse image than other groups. Most respondents perceived nurses are clean and caring, but many individuals still had the image that nurses are submissive. Conclusion: To improve nurse image, perceptions from various groups of people need to be considered and programs develop to show the positive aspects of nursing and nurses.

간호학생의 전공교육 입문경험에 관한 연구 (The Study of an Entrance Experience into Major Subject of a Student Nurse)

  • 조계화;조영숙
    • 한국간호교육학회지
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    • 제7권2호
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    • pp.360-368
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    • 2001
  • This research was an attempt to find out an entrance experience into major subject of student nurse. The purpose of this study was to understand an lived learning experience of student nurse. Method of the study was applied a phenomenological approach used by Colaizzi's analytic technique. Participants were 33 sophomore student nurse from TC University. The investigator conducted participated observations and in-depth unstructured interviews which were audio taped under the permission of student nurse, formulating meanings, themes and theme clusters. Results of the study were revealed 6 categories, 14 theme clusters, and 31 themes. Six categories include 'feeling anxious about clinical application', 'making superficial class', 'evaluation for ability of memory', 'deficit of academic evaluation criteria', 'insufficiency of textbook' and 'deficit for uniqueness of nursing science'. This findings confirm the fact that the student nurse's entrance experience was complicated and diversely influenced by their learning experiences. In conclusion, this study will prove helpful not only in understanding student nurse's entrance experience about their specialities but also in developing curriculum for nursing education.

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간호사 괴롭힘 관련 인터넷 포털 기사에 대한 댓글의 의미연결망 분석 (Semantic Network Analysis about Comments on Internet Articles about Nurse Workplace Bullying)

  • 김창희;문성미
    • 임상간호연구
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    • 제25권3호
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    • pp.209-220
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    • 2019
  • Purpose: A significant amount of public opinion about nurse bullying is expressed on the internet. The purpose of this study was to analyze the linkage structures among words extracted from comments on internet articles related to nurse workplace bullying using semantic network analysis. Methods: From February 2018 to April 2019, comments made on news articles posted to the Daum and Naver web portal containing keywords such as "nurse", "Taeum", and "bullying" were collected using a web crawler written in Python. A morphological analysis performed with Open Korean Text in KoNLPy generated 54 major nodes. The frequencies, eigenvector centralities, and betweenness centralities of the 54 nodes were calculated and semantic networks were visualized using the UCINET and NetDraw programs. Convergence of iterated correlations (CONCOR) analysis was performed to identify structural equivalence. Results: This paper presents results about March 2018 and January 2019 because these months had highest number of articles. Of the 54 major nodes, "nurse", "hospital", "patient", and "physician" were the most frequent and had the highest eigenvector and betweenness centralities. The CONCOR analysis identified work environment, nurse, gender, and military clusters. Conclusion: This study structurally explored public opinion about nurse bullying through semantic network analysis. It is suggested that various studies on nursing phenomena will be conducted using social network analysis.

임상 신규간호사의 상급 초보자에서 적임자로 되어가는 경험 (A Study on Experience of Transition from New Clinical Nurse to Competent Step)

  • 박광옥;김종경
    • 한국간호교육학회지
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    • 제19권4호
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    • pp.594-605
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    • 2013
  • Purpose: This study aimed to describe nurses' experience in transition from new graduate nurses to professional clinical nursees in a hospital. Methods: Ten new clinical nurses working in a hospital participated in this study. Data collected through in-depth interviews were analyzed using phenomenology. Results: The analysis yielded five core category themes from new nurses for becoming a professional nurse: (a) beginning of hardship journey (b) feeling of inability in workplace (c) struggling hard to develop skills (d) enduring hardships by soothing oneself and peer support (e) beginning of an exciting journey. Conclusion: Over time, new nurses face many difficulties in transition to a professional status. To enhance the role development of new clinical nurses in hospital settings, nursing schools and clinical fields must teach and prepare them. Nursing schools should teach a strong theoretical base as well as nursing skills. In addition, in the clinical nursing department, education, teaching the integrated systems, staff development, support, evaluation, and feedback are needed for new nurses's development.

종합병원 간호사의 간호역량, 전문성 활동에 따른 임상경력관리체계 수정모형 (Revised Clinical Ladder System Model Based on Nurses' Clinical Competence and Professional Activities for Nurses in General Hospitals)

  • 조명숙;권인각;김경희;조용애
    • 임상간호연구
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    • 제24권3호
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    • pp.324-335
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    • 2018
  • Purpose: The purpose of this study was to propose a revised Clinical Ladder System(CLS) Model for nurses based on the evaluation of clinical competence and professional activities of nurses working in general hospitals. Methods: Data were collected between September 10 and October 30, 2017. Participants were 50 head nurses from 10 general hospitals with over 400 beds located in Seoul City and Gyeonggi Province. Each head nurse evaluated clinical competence, qualifications, and professional activities of 5 staff nurses at each of the 5 levels of CLS in her unit. The total number of the nurses evaluated was 245. Data were analyzed with descriptive statistics and t-test, one-way ANOVA, and $Scheff{\acute{e}}$. Results: Over 80% of the nurses were university graduates. As the CLS levels increased, clinical competence, qualifications, and professional activities also increased significantly. Education material development and quality improvement activities were carried out by nurses from level 2, research and evidence based practice activities were carried out from level 3, and nurses at level 4 or 5 participated in most of the professional activities as leaders. Conclusion: In order to retain excellent nurses in general hospitals, recognizing and rewarding nurses according to the revised model of the CLS are recommended.

수용개작방법을 활용한 욕창간호 실무지침 개발 (Development of Pressure Ulcer Management Guideline by Adaptation Process)

  • 정인숙;김신미;정재심;홍은영;임은영;서현주;박경희;홍용은;황지현
    • 임상간호연구
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    • 제20권1호
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    • pp.40-52
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    • 2014
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline (PU CPG) for pressure ulcer prevention and management in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by Gu et al. (2012) which consists of three main phases and 9 modules including a total of 24 steps. Results: The newly developed PU CPG included the introduction, pressure ulcers, summary of recommendations, recommendations, references, appendices, and glossary. The total number of recommendations was 148 in 4 sections (organizational policy, assessment, pressure ulcer prevention and management, and education) and 16 domains. Of the recommendations 4.7% were graded A, 16.9%, B, and 78.4%, C. Conclusion: Results indicate that this new PU CPG is an evidence-based practice guidance for pressure ulcer prevention and management and can be recommended for dissemination and utilization by nurses nationwide to improve the quality of pressure ulcer prevention and management. Regular revision is recommended.

임상간호사의 직무스트레스, 직무만족도, 정신건강이 그릿에 미치는 영향 (The Effects of Job Stress, Job Satisfaction, and Mental Health on Grit of Clinical Nurses)

  • 김인숙;이미순
    • 한국콘텐츠학회논문지
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    • 제22권8호
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    • pp.570-578
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    • 2022
  • 본 연구는 임상간호사의 직무스트레스와 직무만족도, 정신건강, 그릿 정도와 이들 변수가 그릿에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료수집은 2021년 8월 1일부터 8월 31일까지 진행되었고, 연구대상자는 C시 종합병원에 근무하는 임상간호사 145명이었다. 수집된 자료는 t-test와 ANOVA, 피어슨 상관관계분석, 다중 회귀분석으로 분석하였다. 연구결과, 간호사의 그릿에 미치는 상대적 영향력은 직무만족(β= .20, p=.008), 정신건강(β= .04, p<.001), 순으로 나타났고 정신건강이 좋을수록 직무만족도가 높을수록, 그릿 정도도 높은 것으로 나타났다. 임상간호사의 정신건강과 직무만족도가 그릿의 영향요인으로 나타났으므로 임상간호사의 그릿을 증진시킬 수 있는 전략으로 정신건강, 직무만족도를 높일 수 있는 방안을 마련할 필요가 있다.

임상간호사의 감정노동, 전문직업성, 사회적 지지가 업무성과에 미치는 영향에 관한 융합연구 (Convergence Research on Emotional Labor, Professionalism, Social Support, and Performance of Nurses in Clinical Field)

  • 고명숙;이현숙;김미정
    • 한국융합학회논문지
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    • 제9권8호
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    • pp.343-353
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    • 2018
  • 본 연구의 목적은 임상간호사의 감정노동, 전문직업성이 간호업무성과에 미치는 영향을 살펴보고, 이들 간의 관계에서 사회적 지지의 조절효과를 검증하고자 하였다. 서울시에 있는 500병상 이상 종합병원에 근무하는 간호사 230명을 대상으로 자기기입식 설문조사를 통하여 자료를 수집하였으며, 위계적 다중선형회귀분석을 실시하였다. 분석결과 간호업무성과에 영향을 미치는 변수는 현 부서에서의 근무경력, 전문직업성, 감정노동 빈도. 표면행위로 나타났다. 또한 사회적 지지는 감정노동의 진심행위와 간호업무성과 간에 긍정적 조절효과가 있었다. 본 연구를 통하여 간호관리자는 간호업무성과를 높이기 위하여 간호사의 전문직업성과 사회적 지지를 높이는 간호인력관리 전략을 수립하고, 감정노동의 진심행위를 더 많이 할 수 있도록 간호조직문화를 형성할 필요가 있음을 알 수 있었다.