• 제목/요약/키워드: New Graduate Nurse

검색결과 63건 처리시간 0.026초

신규간호사를 위한 맞춤형 멘토 프로그램(새싹프로그램)의 개발 및 적용 - 일개 대학병원 중환자실을 중심으로 - (Development and Application of a Specialized Mentor Program for New Graduate Nurses - Focused on Intensive Care Unit of a Tertiary University Hospital -)

  • 권은옥;조정숙;송경자;최스미;장선주;김주희;박승현;신효연;유미;김정아
    • 간호행정학회지
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    • 제15권4호
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    • pp.563-570
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    • 2009
  • Purpose: The purpose of this study was to develop specialized mentor program to improve adaptation for new nurses of intensive care unit and to identify the effect of the program on early resignation rate. Methods: The study adopted nonequivalent control group, non synchronized design. Based on the identification of problems and the needs of new nurses, a 6 month specialized mentor program was developed. The program was consisted of three parts; developing knowledge, improving interpersonal relationship and increasing coping competency for emergency situation. Data were collected between July 2006 and 2008 from 37 nurses and the early resignation rate was compared before and after the implementation of the mentoring program. Results: Early resignation rate of the nurses who received the mentor program was significantly lower than that of the nurses who didn't. The resignation rate within 1 year dropped from 44.5% to 8.3%(p=.034). Conclusions: The specialized six month mentoring program was effective in reducing early resignation rate.

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신규간호사의 조직사회화 측정도구 개발 (Development of an Instrument to Measure Organizational Socialization of New Clinical Nurses)

  • 손인순;김효심;권정순;박달이;한용희;한상숙
    • 임상간호연구
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    • 제14권1호
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    • pp.85-97
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    • 2008
  • Purpose: This study was conducted to develop an organizational instrument on socialization for new graduate nurses in the workplace, and to test its reliability and validity. Method: A methodological design was used to develop the instrument. Data were collected from new clinical nurses in 188 hospitals nationwide in Korea. In the first stage, 159 items were developed through a literature review. In the second stage, seven experts conducted a content validity test and the number of items was reduced to 155. In the third stage, factor analysis was performed to analyze the data collected from 198 nurses in 8 hospitals using the modified instrument. A total of 65 items were included and a five-point Likert scale was used. In the fourth stage, the final evaluation instrument was finalized as comprising 11 factors in 7 domains, using 39 items developed from analysis of the data collected from 1,410 nurses using the 40 items. It was comprised of 11 factors in 7 domains. The SPSS 11.0 windows program was used. Results: Accumulated variation for the 11 factor-39 items nurse organizational instrument on socialization was 67.22%. The results of the reliability test indicated that Cronbach's coefficient for the total 39 items was over 0.97. Conclusion: The instrument developed in this study has a high degree of reliability and validity.

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임상간호사가 경험한 긍정적인 간호조직문화 (Clinical Nurses' Experience of Positive Organizational Culture)

  • 염영희;노상미;김경희
    • 간호행정학회지
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    • 제20권5호
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    • pp.469-480
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    • 2014
  • Purpose: This study was conducted to explore clinical nurses' experience of positive organizational culture in order to provide data for effective strategies of acquisition and retention of competent nurses. Methods: In this qualitative study, interviews with four focus groups of four to six nurses, 19 in total, were held. Compositional factors in groups included clinical experience, age, work place, and position. Interviews proceeded until data were saturated. Results: Fifteen sub-themes, categorized into six themes, emerged. Positive organizational culture themes included "Helping nurses to be organization members", "Allowing nurses to communicate with one another", "Helping nurses take an initiative to lead organization", "Having competent leader take charge of organization", "Enabling nurses to achieve organizational changes", and "Leading nurses to accomplish organizational performance." Conclusion: Results indicate that positive organizational culture is related to increases in occupational satisfaction and decreases in turnover through supportive organizational culture which makes it possible to reinvest expenses required for training new members to promoting quality growth in the organization and the prestige of professional nurses. In order to improve occupational satisfaction and sustained growth in nurses, it is necessary to provide nurses with positive work environments and require members to make active efforts leading to strategic changes.

호스피스병동 간호사의 역할 변화 경험 (Nurse's Experience of Changing Role in the Hospice Unit of Medical Ward)

  • 김현주;구정일;변준혜;김수미;최화숙
    • Journal of Hospice and Palliative Care
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    • 제11권1호
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    • pp.30-41
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    • 2008
  • 목적: 본 연구의 목적은 호스피스 병동에서 근무하는 간호사의 역할 변화 경험이 무엇인지 조사하여 호스피스서비스의 질향상을 위한 기초자료를 제공하고자 함이다. 방법: 본 연구는 포커스 그룹 인터뷰 방법을 사용한 질적 연구로서 연구 참여자는 서울시내 일 대학병원의 호스피스병동 간호사 12명이었다. 자료 수집은 2006년 5월에서 7월 사이에 3차에 걸쳐 이루어졌으며 포커스 그룹 인터뷰에 사용된 연구 질문은 "호스피스 환자를 돌보면서 경험한 역할변화는 무엇인가?", "호스피스 간호를 하면서 변화된 역할에 대한 자신의 경험과 반응은?" 이었으며 3차 인터뷰에서는 위의 두 가지 질문과 함께 "호스피스 환자를 간호하면서 경험한 부담감과 어려움을 위한 해결책은 무엇이라고 생각하는가?"라는 질문을 추가하였다. 수집된 자료의 분석은 Kruger(1998)가 제시한 분석과정에 따라 4단계 지침을 이용하였다. 결과: 1차 포커스 그룹 인터뷰 결과 호스피스 병동 간호사가 경험한 역할 변화는 '기계적인 간호에서 인간적인 간호로의 변화', '임종을 지키는 간호', '가족지지 및 상담', '팀워크 조율' 등의 4개 범주인 것으로 나타났으며 일반병동에서 근무할 때와 비교하여 심리사회영적인 부분과 가족을 배려하는 진호실무의 질적향상을 경험한 것으로 나타났다. 2차 포커스 그룹 인터뷰 결과 변화된 역할에 대한 간호사의 경험과 반응은 두려움, 난감함, 성숙, 부담감, 미안함, 뿌듯함, 감정이입, 우울 등 총 8개의 범주인 것으로 확인되었으며 간호사들이 개인적으로 삶과 죽음에 대한 성숙을 경험한 것으로 나타났다. 3차 포커스 그룹 인터뷰 결과 두려움, 난감함, 부담감, 미안함 등의 부정적인 경험의 감소를 위한 해결책은 호스피스 간호를 수행하기 전에 간호사 인력에 대한 체계적인 호스피스 교육이 필요하고 호스피스 전용병상의 형태보다는 독립 호스피스 병동의 개설이 필요함을 강조한 것으로 나타났다. 결론: 호스피스 환자와 가족을 간호하는 간호사들은 자신들의 경험을 통해 신체적인 면뿐만 아니라 심리사회영적인 부분을 포함하는 전인간호, 가족을 배려하고 팀�p을 중시하는 발전된 간호를 수행하게 되었으며 개인적으로도 삶과 죽음을 이해하게 되는 성숙을 경험하게 되는 것을 알 수 있다. 또한 효율적인 호스피스간호 서비스의 제공을 위해서는 독립적인 호스피스 병동 형태인 것이 바람직하고, 호스피스 병동에 근무하게 된 간호사들이 사전에 적절한 호스피스 교육을 제공하는 것이 필수적이라 하겠다.

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경남지역 일부 산업간호사의 보건관리 업무 및 관련요인에 관한 연구 (A Study on Health Care Activities of Some Industrial Nurses and their Related Factors in Kyungnam Area)

  • 김영숙
    • 한국직업건강간호학회지
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    • 제4권호
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    • pp.48-57
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    • 1995
  • The purpose of this study was to assess the performance of the role and function of some industrial nurses and to characterize the factors affecting the performance of their activities. Thus the results could be used to suggest the direction in the performance of industrials nurses' activities effectively. During a period from January 10 to March 31, 1994, the data were collected from 87 industrial nurses, who were working as health managers in the plants, in Ulsan city and the vicinity in Kyungnam province, using a structured questionnaire. The results were as follows : 1. The general characteristics of industrial nurses in this study were 82.8% being 30 years old or less, 60.9%, being not married, and 93.1% having eduction levels above junior college. 2. With respect to general work conditions, 94.3% were working in a separate room provided for health care division, 40.2% working under the safety and health department, and 98.9% working as common-level staffs. And 60.9% were working less than 44 hours a week, 70.1% had work experiences less than 5 years, and 50.6% had annual incomes ranging 10 to 14 million wons. 3. As work conditions related to health care activities, 49.4% performed the activities not related to health care as always or occasionally, and 87.4% answered that occupational physicians were appointed in their plant and among them, however, only 6.9% worked on full-time basis and 52.8% perform little activities as occupational physicians. For a decision related to health care activity, 69.0% discussed the problems with the supervisors, and 19.5% made decisions by themselves. 4. As for attitude and perception to their activities as health managers, 66.7% moderately recognized the importance of health manager in the workplace, with 63.2% being satisfied their wages and treatment from the company, 57.5% being satisfied with their job positions and 51.7% having positive attitudes as being health managers. 5. The degree of performance at least in one of health related activities were very high in activities such as general medical care(100%), general health examination(98.0%) and specific health examination(100%), and relatively high in health education(72%), new employee health examination(60.9%), document handling(79.3%) and activity for work environment(70.1%). However, the performance rate was very low in preparing protective equipment (20.8%). 6. The levels of activities related to health care were significantly high when making decisions by themselves, when occupational physicians not being full-time, and when satisfying their job positions, and, on the other hand, significantly decreased as work hours increased. 7. In addition to some kinds of periodic education asked by all of the nurses, 89.7% wanted a specialized licensing system for industrial nurse, and 97.4% wanted to apply for the license test. As a conclusion, it is suggested that industrial nurses should be given more authority and placed in more self-controlled system to perform health care and other activities more efficiently, and the role and function of the occupational physician should be clearly distinguished from that of the industrial nurse as a health manager to avoid an unnecessary overlapping.

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재가간호서비스 제공자의 업무 수행 현황과 장애요인 (Current Status of Home Visit Programs: Activities and Barriers of Home Care Nursing Services)

  • 오의금;이현주;김유경;성지현;박영수;유재용;우수희
    • 대한간호학회지
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    • 제45권5호
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    • pp.742-751
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    • 2015
  • Purpose: The purpose of this study was to examine the current status of home care nursing services provided by community health nurses and to identify barriers to the services. Methods: A cross-sectional survey was conducted with three types of community health care nurses. Participants were 257 nurses, 46 of whom were hospital based home care nurses, 176 were community based visiting nurses, and 35 were long term care insurance based visiting nurses. A structured questionnaire on 7 domains of home care nursing services with a 4-point Likert scale was used to measure activities and barriers to care. Data were analyzed using SPSS WIN 21.0 program. Results: Hospital based home care nurses showed a high level of service performance activity in the domain of clinical laboratory tests, medications and injections, therapeutic nursing, and education. Community based visiting nurses had a high level of service performance in the reference domain. Long term care insurance based visiting nurses showed a high level of performance in the service domains of fundamental nursing and counseling. Conclusion: The results show that although health care service provided by the three types of community health nurse overlapped, the focus of the service is differentiated. Therefore, these results suggest that existing home care services will need to be utilized efficiently in the development of a new nursing care service for patients living in the community after hospital discharge.

병원조직에서 간호사가 경험한 태움에 관한 현상학적 연구 (A Phenomenological Study on Tae-um Experienced by Nurses in Hospital Organizations)

  • 김민;김미선;정현철
    • 융합정보논문지
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    • 제10권12호
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    • pp.39-48
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    • 2020
  • 본 연구는 간호사를 대상으로 병원조직에서 겪은 태움에 관한 경험의 의미와 본질적인 구조를 파악하기 위한 질적 연구이다. 참여자는 해당 병원의 협조를 받아서 직장내 SNS를 통하여 연구에 참여하겠다고 동의한 자를 대상으로 10명을 선정하여 면담을 진행하였다. 수집된 자료는 Colaizzi의 현상학적 방법을 적용해 분석하였다. 연구 결과 간호사의 병원조직 내 태움은 4개의 범주(지독한 첫발 내딛기, 끝날 것 같지 않은 힘듦의 연속, 스스로 버텨봄, 적응을 위한 비상의 날갯짓 하기)와 16개의 주제들로 도출되었다. 결론적으로 태움은 신규간호사 뿐만 아니라 경력을 쌓은 간호사들조차도 여전히 현재진행형이므로 힘든 병원조직에 적응을 하고 있음을 확인할 수 있었다. 따라서 간호사들을 위한 심리적 지원프로그램을 도입한다면 태움 문제를 해결하고, 간호사들이 존중 받는 조직문화를 이루는데 기여할 것이다.

침대 이송 기능을 갖춘 수동식 휠체어 설계 (Design of Manual Wheelchair with a Function of Bed Transfer)

  • 고현준;김남열;현정근;정우철;강모원;김종형
    • 한국생산제조학회지
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    • 제22권3_1spc호
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    • pp.580-586
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    • 2013
  • In general, manual wheelchairs have played important roles in moving patients from one place to another. However, patients have experienced discomfort getting on and off because of the need for physical assistance. This can be more serious if a patient has handicaps involving the arms or legs. In addition, it could be unpleasant for both the patient and assistant because of the need for extensive physical contact with each other. At times, a weak nurse feels that there is a risk when transferring a heavy patient from a bed to a wheelchair. In this paper, a new non-powered wheelchair is designed to assist in transferring a patient to their bed. This design considers the convenience of both the patient and assistant when the patient is transferred from a wheelchair to a bed and vice versa. The operation minimizes the physical contact between the assistant and the patient. The new wheelchair is also lightweight and portable compared with the normal popular wheelchair.

Development of a Family Nursing Model for Prevention of Cancer and Other Noncommunicable Diseases through an Appreciative Inquiry

  • Jongudomkarn, Darunee;Macduff, Colin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권23호
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    • pp.10367-10374
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    • 2015
  • Background: Cancer and non-communicable diseases are a major issue not only for the developed but also developing countries. Public health and primary care nursing offer great potential for primary and secondary prevention of these diseases through community and family-based approaches. Within Thailand there are related established educational curricula but less is known about how graduate practitioners enact ideas in practice and how these can influence policy at local levels. Aim: The aim of this inquiry was to develop family nursing practice in primary care settings in the Isaan region or Northeastern Thailand and to distill what worked well into a nursing model to guide practice. Materials and Methods: An appreciative inquiry approach involving analysis of written reports, focus group discussions and individual interviews was used to synthesize what worked well for fourteen family nurses involved in primary care delivery and to build the related model. Results: Three main strategies were seen to offer a basis for optimal care delivery, namely: enacting a participatory action approach mobilizing families' social capital; using family nursing process; and implementing action strategies within communities. These were distilled into a new conceptual model. Conclusions: The model has some features in common with related community partnership models and the World Health Organization Europe Family Health Nurse model, but highlights practical strategies for family nursing enactment. The model offers a basis not only for planning and implementing family care to help prevent cancer and other diseases but also for education of nurses and health care providers working in communities. This articulation of what works in this culture also offers possible transference to different contexts internationally, with related potential to inform health and social care policies, and international development of care models.

전문간호사 업무에 대한 의료인의 경험: 전문의와 전문간호사를 중심으로 (Experiences of Health-care Providers about Advanced Practice Nurses: Focusing on the Perspectives of Physicians and Advanced Practice Nurses)

  • 강영아;임경춘;김주현;정재심;한지은
    • 근관절건강학회지
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    • 제26권3호
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    • pp.290-306
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    • 2019
  • Purpose: This study aimed to describe the experiences of health-care providers about advanced practice nurses (APNs) focusing on the perspectives of physicians and APNs in Korea. Methods: Qualitative data were collected with snowball sampling. Six physicians and 13 APNs participated in this study through in-depth interviews or a focus-group interview. Qualitative content analysis was employed. Results: Three themes and seven categories were emerged. Three themes were 1) challenging start and attempts to settle down on unfamiliar system, 2) being positioned as an APN at clinical settings, 3) long journey for social recognition and legal institutionalization of APNs' role. Seven categories were 1) challenges to new area, 2) introduction and conflict of APN system, 3) driving force for stepping toward becoming APNs, 4) dedication and commitment to role development, 5) efforts to prove APNs' competency, 6) approaches to guarantee legal APNs' activities, and 7) filling the gap in health-care service. Conclusion: The findings suggest that health-care providers who have collaborated with APNs are aware of the needs to operate APN system more stably through the legislation of APNs' scope of practices. Further research is needed to provide the evidences of APNs' practice outcomes such as health care quality, patient safety, reduction of medical expenses, etc.