• Title/Summary/Keyword: Nurse Evaluation

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A study on clinical evaluation method of nursing student in nursing management practice (간호관리실습 평가방법에 관한 연구)

  • 박성애;이병숙
    • Journal of Korean Academy of Nursing
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    • v.14 no.2
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    • pp.5-11
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    • 1984
  • The main purpose of this study were; to determine the reliability and validity of evaluation tool administered to the nursing student in nursing management practice,;to identify the effective evaluation method of nursing student in nursing management practice. The subjects were 46 senior nursing students at Department of Nursing, College of Medicine, Seoul National University in 1983. The evaluation tool was analyzed according to evaluation method; self-evaluation. and head nurse evaluation. Also individual item of evaluation tool was analyzed by item analysis in order to determine the evaluation area, and appropriateness of the test item used. A Summary of the results is as follows; 1. The reliability and validity of evaluation tool were relatively high both in self-evaluation and head nurse evaluation. 2. In comparison of mean scores, there is no significant difference between head nurse evaluation and self-evaluation. 3. The nursing management activities which have the correlation of self-evaluation and head nurse evaluation were in the activity of interpersonal relation, independent activity and implementing nursing process. In general nursing practice and unit management activity, there was no correlation of self-evaluation and head nurse evaluation.

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Economic Evaluation of Visitng Nurse Services for the Low.;.income Elderly with Long-term Care Needs (도시 저소득층 만성질환노인을 위한 보건소 방문간호서비스의 경제성 분석)

  • 이태화
    • Journal of Korean Academy of Nursing
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    • v.34 no.1
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    • pp.191-201
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    • 2004
  • Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

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

  • Jo, Kae-Hwa;Cho, Young-Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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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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Changes of Nurse-Teachers' Knowledge and Attitudes toward AIDS by Education (AIDS 예방교육을 통한 양호교사의 지식 및 태도 변화)

  • Kang, Young-Sil;Oh, Hyun-Sook
    • Research in Community and Public Health Nursing
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    • v.7 no.2
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    • pp.349-360
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    • 1996
  • This study compares nurse-teachers' knowledge and attitudes toward AIDS after education with those before education. Data were collected by way of questionnaires, made up of two sections: to examine attitudes toward AIDS patients Kelly's prejudicial evaluation scale and social interaction scale was used, and to measure knowledge about AIDS a knowledge evaluation tool developed by the investigators was used. Subjects of the study were 108 nurse teachers participating in a qualifying education program which was held at Education College, Gyeong Sang National University in 1996. The data were analyzed using percentages, means, Pearson correlation coefficients and paired t-test. The results of the study were summarized as follows ; 1. The knowledge on AIDS of nurse teachers was improved considerably after a 2 hour education. The average score was 19.1 over 20.0 after education against 15.3 before education. 2. The prejudicial attitudes of nurse teachers toward AIDS patients were also improved with statistical significance; 33.63 over a total score of 60.00 after education against 31.81 before education. The prejudicial evaluation is performed on 12 items on a scale of $1\sim5$. 3. The social interaction scale of nurse teachers toward AIDS patients improved a little. But this improvement did not show any statistical significance. 4. The prejudicial evaluation scale showed a significant negative correlation with the social in teraction scale before and after education, and the same was true for the knowledge scale but only after education.

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The Cognition Level on Patient Safety and Safe Nursing Activities According to Nurse-patient Ratios (간호관리료 등급별 환자안전 및 안전간호활동 인식 비교)

  • Nam, Mun Hee;Choi, Sook Hee
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.138-149
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    • 2011
  • Purpose: The objective of this research was to explore levels of patient safety and safe nursing activities depending on the level of nurse staffing, in order to provide effective management of nurse personnel. Methods: The research was conducted with 455 nurses from eight hospitals in B city. Data were collected according to the level of nurse personnel from second (nurse vs. patient ratio of 2.0-2.5) to fifth (ratio of 3.5-4.0) rank. The survey tools were, 'Questionnaire on Patient Safety, a Hospital Survey on Patient Safety Culture developed by AHRQ (2007), and 'Questionnaire on Patient Safety Nursing Act, in which the questions were selected from nursing-related items (Medication 6 & Safety Nursing Assurance Act 4) in the Safety Evaluation developed by Evaluation Institute of Medical Institution. Data were analyzed with SPSS PC 12.0 program using descriptive statistics, $x^2$ test, ANCOVA and $Scheff{\grave{e}}$. Results: The nurses' overall cognition level on patient safety and safe nursing activities showed that nurses who are in the second and third rank had higher scores than those in lower ranks. Conclusion: The results of this study indicate that hospitals need a higher ratio level for nurse personnel in order to assure patient safety and safe nursing activities.

Variations in Nurse Staffing in Adult and Neonatal Intensive Care Units (의료기관 및 중환자실 특성에 따른 간호사 배치수준)

  • Cho Sung-Hyun;Hwang Jeong-Hae;Kim Yun-Mi;Kim Jae-Sun
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.691-700
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    • 2006
  • Purpose: This study was done to analyze variations in unit staffing and recommend policies to improve nursing staffing levels in intensive care units (ICUS). Method: A cross-sectional study design was used, employing survey data from the Health Insurance Review Agency conducted from June-July, 2003. Unitstaffing was measured using two indicators; bed-to-nurse (B/N) ratio (number of beds per nurse), and patient-to-nurse (P/N) ratio (number of average daily patients per nurse). Staffing levels were compared according to hospital and ICU characteristics. Result: A total of 414 institutions were operating 569 adult and 86 neonatal ICUs. Tertiary hospitals (n=42) had the lowest mean B/N (0.82) and P/N (0.76) ratios in adult ICUs, followed by general hospitals (B/N: 1.34, P/N: 0.97). Those ratios indicated that a nurse took care of 3 to 5 patients per shift. Neonatal ICUs had worse staffing and had greater variations in stafnng ratios than adult ICUs. About 17% of adult and 26% of neonatal ICUs were staffed only by adjunct nurses who had responsibility for a general ward as well as the ICU Conclusion: Stratification of nurse staffing levels and differentiation of ICU utilization fees based on staffing grades are recommended as a policy tool to improve nurse staffing in ICUs.

Performance Appraisal and Job Rotation of the Nurse In a General Hospital (간호사 인사관리 제도에 관한 연구)

  • Kwon, Young-Hee;Lee, Myung-Ha
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.3
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    • pp.425-444
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    • 1999
  • The purpose of this study is to survey evaluation of the nurse on the current Performance Appraisal System. the need for future performance of the nurse and the opinions about the job rotation, and suggest the direction of improvement by obtaining basic data to improve personnel management of the nurse in a hosipial, the subject of the investigation. The study was conducted self-reporting questionniare survey of 330 nurses working at C hospital located in Chonbuk Province and the data was collected from May 4. 1999 through May 14. The research used measuring instrument developed by researcher for evalution about the present performance appraisal. the need for the future performanc appraisal system and the opinion of job rotaion. The analysis of the collected data was computerized using SPSS/PC+ program, calculated frequency, percentage, the mean and standard deviation and used Pearson, s Correlation Coefficients, t-test, chi- square test. Major findings are as follows. 1) As for the purpose of the current performanc appraisal, the appraiser recognized it as a security of promotion standard, while the employee saw it as a means for control as guidance and supervison of work. 2) With regard to use the result of the present performance appraisal, appraiser picked ambiguous appraisal standard, employees recognized unilateral evaluation of superior eliminated the participation of them as the highest priority. 3) In relation to the current criteria for promotion of the nurse, both appraisers and employees placed more weight on the length of clinical than performance appraisal score. 4) There is much possibility of the appraiser making an error to evaluate considering the length of performance appraisal. 5) Both appraisers and employees indicated that prospective result of performance appraisal should be used for the ability development & motivation of the individual. 6) Concerning employee's participation for performance appraisal both sides wanted by far more participation. 7) Regarding the most ideal appraisal method, both parties favored most the way added up the evaluation of the head nurse and peer review and followed by the manner the revaluation of the head nurse by considering self-evaluation. 8) As to the individual interview after the appraisal, more than 60% of appraisers responded it's not necessary, while above 88.5% of employees answered it is essential so that it is showed significantly difference between the appraisers and the employees. 9) As far as open of the evaluation result is concerned. 75% of the appraiser were against it but 80% of the employee were for it so that it showed significantly between them. The most principal reason that the employee want is that it motivates the individual's ability development and the fairness of the appraisal increases. 10) Whether the periodical rotation is necessary or not, 80% of appraisers and employees answered it's necessary, however, over 70% of them did not want the rotation. 11) Work-group Cohesiveness level within the nursing unit was attentive different from desire of the rotation, that is, the work group cohesiveness level of nurses wanting rotation was significantly lower than that of the group not desiring it.

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The Development of Certificates Criteria and Curriculum in Home Healthcare Nurse Specialist Program (가정전문간호사 교육프로그램 인정기준 및 표준 교육과정 개발)

  • 신경림;주수경;김혜영;김분한;양숙자
    • Journal of Korean Academy of Nursing
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    • v.33 no.3
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    • pp.395-404
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    • 2003
  • Purpose: To make a contribution to raising the quality of nursing and home healthcare services through reviewing the present state of home healthcare nurse specialist training institutions and education programs and creating concrete measures to establish high-quality education courses. Method: International comparative study of accreditation criteria and curriculum in home healthcare nurse specialist program. Result: The Authorization Standards of home healthcare nurse training institutions consists of 8 items, 23 evaluation criteria and 72 evaluation indexes. Proposal to develop a specialist training program: Curriculum. Modify and complement a present homecare nurse education program. Curriculum I. Designate two forms of certification. The first certification has been granted the authority to serve as a manager and open a home healthcare agency to nurses having masters degrees and clinical experience for five years. The second certification is allowed to perform general home healthcare after having completed a short term training course. Currculum 2. To meet increasing demands, granting a certification to perform home healthcare to registered nurses having clinical experience of more than three years. Conclusion: These results can be utilized in the home healthcare educational program for raising the quality of nurses and home healthcare services.