• 한국산학기술학회논문지
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• 제19권8호
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• pp.482-491
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• 2018

본 연구는 간호사의 태움 개념분석연구로 개념의 속성을 확인하고 명확한 개념 정의를 내리고자 시도되었다. Walker and Avant의 개념분석 방법을 사용하였다. 간호사의 태움의 속성은 조직문화, 피해자인 미숙한 신규 간호사, 가해자인 선임 간호사, 가르침의 변질, 언어적, 신체적 폭력경험, 심리적, 신체적 증상으로 도출되었다. 간호사의 태움의 선행요인은 간호업무 과다, 높은 노동 강도, 직무 스트레스, 인력 부족, 열악한 근무 환경, 신규 간호사의 업무 능력이 기대에 미치지 못함, 조직의 위계질서, 힘의 불균형이었으며 결과는 신체적, 심리적 증상, 간호업무 효율 저하, 불신 증가, 이직의도 증가, 환자 간호의 질 하락으로 나타났다. 간호사의 태움의 선행요인을 해결하기 위해 활동 간호인력 확충을 위한 근로조건 개선, 사회적지지 프로그램 제공, 의사소통과 상호협력 관계를 지향하는 공동체 문화가 조성되어야 한다. 이후 간호사의 태움에 대한 더 많은 질적 연구와 태움의 속성이 잘 반영된 도구개발 연구, 태움 문화 개선을 위한 프로그램 개발 연구를 제언한다. 본 연구는 태움의 선행요인을 제시하여 해결방안을 제안함으로써 신규간호사 적응 프로그램을 위한 이론적 근거를 제공했다는 점에서 의의가 있다.

• 한국산학기술학회논문지
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• 제16권11호
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• pp.7635-7647
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• 2015

본 논문은 간호사의 역량을 규명하고, 전체 간호업무의 80%를 통제할 수 있는 20%의 핵심간호역량을 도출하여 이를 기반으로 하는 간호교육과정 개발을 위한 간호역량을 모델링하기 위해 시도되었다. 각종 역량 관련 문헌고찰을 통하여 역량기반 교육과정, 역량 및 간호역량의 개념을 확인하고, 간호역량의 개념에 부합하는 각종 간호역량을 열거 및 유목화 하여 이들 간의 관계를 규명하였다. 또한 각종 역량 모델링의 방법을 검토하여 이를 토대로 역량기반 간호교육과정에 고유한 핵심역량 모델의 예시적 개념 지도를 제시하였다. 역량기반 간호교육과정을 위한 핵심역량은 기저역량, 실무역량, 인성역량으로 대별되고 기저역량은 전공(이론+실기)과 간호술로 역량의 기본이 된다. 실무역량은 임상적 판단, 대상자 교육, 의사소통, 환자 안전, 질 향상, 병동 및 자원 관리 등으로 구성되며 인성역량은 리더십, 책임 인식, 협력, 정책변화 대응 등으로 이루어진다. 이들은 자기주도적 학습과 비판적 사고 능력을 통하여 지속적인 순환 관계를 유지한다. 결국 이러한 역량을 가진 간호사는 지식근로자로써 자기주도적 학습자이며 전문적이고 효율적인 의사소통가이다. 간호역량을 확정시키는 후속연구가 계속되어야 하며 실제 역량기반교육과정에 적용하여 성과를 측정하고 이를 다시 반영하는 과정이 지속적으로 이루어져야 함을 제언한다.

• 한국산학기술학회논문지
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• 제22권2호
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• pp.169-178
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• 2021

본 연구는 간호대학생의 정신간호학실습에 대한 교내실습 경험을 탐색하기 위한 질적 연구이다. 연구대상자는 강원도 소재 일 대학교에서 정신간호를 실습하는 3학년 학생 62명으로, 자료수집 기간은 2020.08.03.~08.20까지였다. 수집된 자료는 Colaizzi의 방법을 적용하여 분석하였다. 연구 결과 1) 현장경험에 대한 아쉬움 2) 배움을 통한 성취 3) 미래 간호사 역할에 대한 두려움 4) 과제 작성에 대한 부담감 5) 임상 긴장감으로부터 자유로움 6) 타 부서와의 협력의 중요성의 6가지 범주가 도출되었다. 교내실습 평가에서는 즉각적 피드백과 자세한 설명, 간접 체험의 내용이 긍정적으로 평가되었다. 이를 바탕으로 향후 교내실습의 효과적 운영을 위해서는 시뮬레이션 실습을 포함하여, 간접 체험실습, 온라인/비대면 실습, 대면실습 등의 다양한 콘텐츠가 적절히 활용되어 임상실습과의 격차를 줄이는 효율적 프로그램의 개발이 필요하다. 더불어 정신간호학 실습 교육에서는 치료적 의사소통 및 환청 중재와 같은 실무의 격차를 줄이기 위한 다각적 노력이 더욱 필요함을 제언하는 바이다.

• 지역사회간호학회지
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• 제10권1호
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• pp.121-139
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• 1999

Persons with disabilities have increased and among others, number of them in the community is at the high proportion. But they have a difficulty in physical, psychological adjusting and they don't be offered appropriate, sufficient rehabilitation services. Therefore, Community-Based Rehabilitation Services in Health Center be needed. With these backgrounds, this study was conducted to examine factors in relation to job performance of community-based rehabilitation program in Health Centers, and the factors are characteristics of district nurses, internal factors, external-environmental factors. This study provides guidelines for effective management for rehabilitation program. Subject in this study were 122 Health Centers randomly chosen. Data were collected from September, 16, 1998 to October, 9, 1998, and the data for analyses were ones of 105 respondents. The instrument of this study was job performance of community-based rehabilitation program is modified WHO guidelines. Credibility of instruments was 0.73-0.95 in main study. The summary of results was as follows. First, the mean of job performance of com munity-based rehabilitation program was 2.33 of full score 4.00. Significant differences were not obtained on the job performance among areas. Second, stepwise multiple regression analysis revealed that the most powerful predictor to job performance was community-based health program. The number of volunteer workers, the score of cooperation with other institution, the number of visiting nurse, the number of facilities for person with disabilities are accountable factor to the job performance of community-based rehabilitation program. In conclusions, for all the people with disabilities, Health Centers are necessary to promote community-based rehabilitation program and to increase participation of community residents and to cooperate with other institution.

• 한국학교보건학회지
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• 제31권2호
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• pp.117-126
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• 2018

Purpose: The leading cause of death among teenagers in Korea is suicide. Also, it is known that mental health of Korean adolescents identified based on the levels of perceived stress or depression is very poor. The purpose of this study was to examine the current status of student mental health programs in Korea and the associated problems and to explore ways to make the programs more effective. Methods: The subjects of the study were a total of 115 school nurses and school counselors in elementary, middle and high schools. The study examined the current status and the associated problems of school mental health programs as well as the needs for teacher training programs related to student mental health. Results: Few mental health programs other than counseling for at-risk students were being carried out. The problems associated with student mental health management were, in terms of management, 'accountability in case of incidents such as student suicide' and 'parents uncooperative in their kid's mental health management (visit to hospital, etc.)' and, in terms of manpower, 'unclear R&R between school nurses and school counselors' and, more fundamentally, 'the lack of human resources.' The needs for teacher training programs related to student mental health were very high and the content required most was 'ways to manage stress of students and teachers themselves,' followed by 'interpersonal conflicts management & conservational skills,' and 'ways to manage student mental illness.' Conclusion: In conclusion, to increase the effectiveness of student mental health programs, we should move on from the current system which focuses only on early discovery and intervention to a more comprehensive system that includes preventive approaches, while having clearer R&R and more workforce dedicated to student mental health programs and attracting more parental cooperation and support.

• 한국학교보건학회지
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• 제11권1호
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• pp.91-97
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• 1998

The main purpose of this study was to develop, implement, and evaluate a weight control program for overweight elementary school children The results of our previous study in 1996 Identified overweight as one of several health problems among elementary school children in urban areas The research method utilized was a quasi experimental design using one group in a pre and post test comparison The sample consisted of 198 children from 3 elementary schools in Kyung-gi Province who were 20% over the ideal weight for their height Height and weight were measured and a BMI score was calculated at the beginning of the program and monthly thereafter. The program had three components: physical exercise, counseling of children, and health education of children, parents, and teachers. The program lasted from March, 1997 to November, 1997. The data were analyzed using an SAS PC statistical package. The results indicate that the overweight children in two elementary schools had statistically Significant changes in their BMI score after the program while those in one school id not. When the process notes were reviewed it was Identified that the school which showed little change averaged less physical exercise, and less parent and teacher participation in the program In conclusion, a school based weight control program is an effective way to manage and prevent obesity for overweight elementary school children It is suggested that a school wide exercise program may be better accepted by overweight children than a program specifically designed for overweight children only. One of the most important factors which determine the successful outcome of any health promotion project in school is the enthusiasm and cooperation of the principal and school health nurse.

• 대한간호학회지
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• 제2권1호
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• pp.159-174
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• 1971

The Family Planning Program has teen intensively implemented in Korea by the national policy since 1962. However, the desired effective results were not fully obtained by many reasons such as the shortage of qualified workers, lack of eligible women's cooperation and understanding of the importance of family planning etc., The field family planning workers is classified into two categories along the governmental personnel order; the senior field worker and the assistant field worker. The former is qualified licensed nurse and the latter same as the former of a certified nurses-aid. These family planning worker's roles are somewhat in change not only in field education, distribution of contraceptions, administrating mother's class of assistant field workers but also responsible for the senior field workers such as recording, reporting and keeping statistics. Therefor, the desired success of family planning programming in Korea depends on family planning worker's professional abilities and activities in the field. In aiming to study on professional knowledge of the above two kinds of family planning workers, the following results were obtained through a field survey with question airs done as of October, 1970 in Kyonggi-Do. 1. Working term of the family planning workers in average were less than two years. The younger the assistant Field workers were, the earlier they left job. 2. The assistant field workers selected their job in order to the superficial rather than implementing job itself. 3. Most of the workers either in the health center or in the Up-Myun had a better understanding concerning with their job ; contraceptive methods, maintenance of equipment and drug keeping, and other administrative procedures, etc., 4. They had relatively better understanding and sufficient knowledge about contraception itself and application of it's methods and side effects in detail too, but less knowledges for the care after. 5. It was hard to Find out any differences in administrative knowledge and demographic understanding. 5. It is fully agreed upon that the longer the worker have experienced with the program, the more skilful she applied. 7. The worker who had training whether pre-service or insertive are working more effectively than the untrained. 8. The fundamental demographic knowledge is recommended to obtain for the workers in Kyonggi-Do.

• 보건행정학회지
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• 제18권4호
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• pp.125-147
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• 2008

The purpose of this study is to propose the factors affecting collaboration between community nurses and social workers in Korea. Data that is used in this study, were collected from 295 provider respondents by questionnaire, additionally from telephone survey and secondary data review. This study focuses on the working relationship between professionals in the field of health and social care. Based on the literature review, this study proposes a conceptual framework for collaboration between nurses and social workers in community health and social care. The dependent variable in this study is collaboration. It reveals whether or not the inter-professional works and shows the level of collaboration. The independent variables are categorized in: the client characteristics (frailty of client, client-provider relationship); the provider characteristics (specialization, perception of interdependence, perception of the other professional); the organization characteristics (closeness of the other professional, autonomy, on-the-job training, evaluation-reward); and the community characteristics (urbanization, capacity of resources). Major findings are as follows: First, the factors that appear to have the strongest impact on whether or not inter-professional working of respondent sampled are: the perception of other professional; the perception of interdependence; closeness of, the, other professional; and the frailty of client. Secondly, the factors that found to have the most significant effect on level of cooperation are: the perception of, the other professional; on-the-job training; evaluation-reward; and the closeness of the other professional.

• 지역사회간호학회지
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• 제15권2호
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• pp.209-217
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• 2004

Purpose: The purpose of this study was to construct the structure, process and outcome of community-based home care nursing service and to examine their validity. Method: There were two steps. The first step was developing the structure and process of community-based home care and the second was evaluating the outcome of community-based home care. Home care services were provided to 25 clients who had health problems. Data on these clients were analyzed. Result: According to Albrecht Model, in the developed structure and process of community-based home care, structure contained facility's philosophy, organization, delivery system, steering committee, office, equipments, medical instruments, the home care nurse and client of home care nursing. Process contained classification of client. nursing diagnosis and nursing intervention. The majority of clients were men (56%). The service was used mostly by people aged over 50 (82%). The most frequent nursing diagnoses were altered urinary elimination (23.2%). impaired skin integrity (21.8%) and risk for infection (17.6%). Nursing interventions included wound care (16.7%), tube care (15.1%) and catheter care (14.5%). Conclusion: Several strategies are suggested from this study: first, activate a referral system within the national health care system: second, increase public information on home care nursing: third, develop home care nursing services for elderly people: and fourth, construct a cooperation system between home care services and social welfare services.

• 가정간호학회지
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• 제10권1호
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• pp.73-84
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• 2003

This study was done to examine the home care service provided by home care nurses and the level of client satisfaction. Data were collected from 110 clients who received the home care service at the P-hospital in Pusan from 23th April, 2001 to 30th November, 2002. The tool for measurement of satisfaction was composed of 16 items and was 4 score scale. Data was analyzed by using SPSS/WIN 10.5 program, the results of this study are summarized as follows; 1) 77.3% among 110 clients were over sixty years old. By the disease pattern. subjects were distributed into cancer(52.7%), cerebro-vascular disease(22.7%) and the others. 36.4% of clients were received home visits from 10 to 20 times by home care nurse. 2) The total number of home care services was 20,828. And most of the clients received the health education and training. 3) The mean score of satisfaction on provided home care services was $3.36\pm0.45$, out of 4. among 16 items. 'The home care nurses were kind enough' was highest ($3.59\pm0.49$), the total level of satisfaction of home care services was very high. with total mean score $53.84\pm7.16$. As mentioned above. the satisfaction level of home care services was very high. so we can except that the prospect of home care services is very challengeable. Therefore. we should try to expand the service recipients with promotional education to the home care clients under the cooperation with medical staff and make more efforts to develop the management system about clients' information. to improve the quality of the service, to assure close ties with the public health centers for the continuous home care service linking.