• 제목/요약/키워드: Nursing Department

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중환자실 간호의 숙련성: 질적연구방법론적 접근 (Expertise in ICU Nursing: A Qualitative Approach)

  • 이명선;이은옥;최명애;김금순;고문희;김민정;김현숙;손정태;엄미란;오상은;이경숙;장은희;조결자;최정숙
    • 대한간호학회지
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    • 제30권5호
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    • pp.1230-1242
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    • 2000
  • The purpose of this research was to uncover the expertise of ICU nursing in Korea, and to describe nurses' practice based on the degree of skill acquisition. A total of 18 ICU nurses participated in the study. The data was collected through individual in-depth interviews and it was managed using the NUDIST 4.0 software program. The data was analyzed using interpretive phenomenology suggested by Benner. Four properties of expertise of ICU nursing were identified. These are 1) concern and love toward patients; 2) knowledge; 3) skill, and 4) abilities in interpersonal relationships. And the characterisitcs of four levels of skill acquisition, that is advanced beginner, competent, proficient, and expert, were described with exemplars. The results of this study might help nurse researchers clarify and elaborate on the concept of expertise in ICU nursing, and enable them to understand how the process of skill acquisition occurs in the ICU setting. They might also help nurse managers establish educational goals for ICU nursing for student or novice nurses.

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간호대학생의 임상실습만족도가 간호전문직관에 미치는 영향 (Influence of Satisfaction with Clinical Practice on Nursing Professionalism of Nursing Students)

  • 서영숙;정추영;강복희
    • 한국임상보건과학회지
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    • 제7권2호
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    • pp.1257-1265
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    • 2019
  • Purpose: This study was conducted to examine the correlations among nursing professionalism, clinical practice satisfaction of nursing students. Method: The subjects were 184 nursing students recruited from one college located in D city. Data were collected using structured questionnaire, and analyzed with the PASW 21.0 program. Results: The results indicate that nursing students have levels of nursing professionalism, and clinical practice satisfaction that are higher than the median. Nursing professionalism showed differences according to plans for academic performance, major satisfaction, personality, and personal relations. Nursing professionalism was significantly correlated with clinical practice satisfaction, major satisfaction. Conclusion: Clinical practice satisfaction, and academic performance were the most influential factor predicting greater nursing professionalism. Thus, these factors should be considered when developing a program for enhancing nursing professionalism.

간호학 지식개발 분류에 근거한 기본간호학회지 논문 특성 - 2006년도 게재논문을 중심으로 - (An Analysis of Research Trends Published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN) based on Knowledge Development Classifications of Nursing - 2006 Year of Publication Articles in JKAFN -)

  • 송경애;김종임;임난영;이규은;정승교;김경희;백훈정;박선남;최동원;장성옥
    • 기본간호학회지
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    • 제14권2호
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    • pp.150-156
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    • 2007
  • Purpose: This study was conducted to identify the nature the research trends of articles published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN). Method: Comparison analysis between articles in JKAFN (Volume 13, Number 1-3) and articles in the Journal of Korean Academy of Nursing (Volume 36, Number 1-3, 5-7) based on knowledge development classification was used to identify the nature of research trends in JKAFN. Results: Based on comparison with Journal of Korean Academy of Nursing, research trends in JKAFN were dominant; in personal knowledge in the pattern of knowing in nursing, in the desiderative focus in cognitive needs for nursing epistemology, in advancing of various aspects of nursing in the focus of knowledge, and practice domain in the domains for nursing. Conclusion: The major focuses on research trends in JKAFN were nursing practice, actions of nurses in practice and practice guideline applicable in nursing education.

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간호대학 학부과정 의사소통 교과목 현황 및 분석 (Analysis of the Communication Education in the Undergraduate Nursing Curriculum of Korea)

  • 손행미;김현숙;고문희;유수정
    • 한국간호교육학회지
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    • 제17권3호
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    • pp.424-432
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    • 2011
  • Purpose: This study was done to investigate the current conditions with communication-related education in the nursing undergraduate curriculum, and to develop effective strategies for communication education. Methods: We collected 48 syllabi of communication-related courses from the nursing college or nursing department of a university and analyzed the syllabi using the content analysis method. Results: First, in the knowledge domain, 'Theories of communication', 'Characteristics of human relationship, understanding the importance, and building philosophical foundations' were covered. Second, the skill domain covered 'Application of communication for nursing care' as a main concept. Third, 'Building human relationships for nursing care' was mainly covered in the attitude domain. On the other hand, topics and content were different depending on instructors. Although the courses covered the same educational content, they were categorized under different names and concepts. Conclusion: These findings have implications for how to standardize a communication course in the nursing curriculum.

신경계 간호사의 신경학적 검진 수행정도와 교육요구도에 대한 조사연구 (Use of Neurologic Assessment Performance and Education Needs of Neurologic Ward Nurses)

  • 김정희;최은미;고영미;박희라;김윤경;구종모;박주연;성선숙;권미희;윤연숙;박윤례
    • 임상간호연구
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    • 제22권1호
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    • pp.46-55
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    • 2016
  • Purpose: The purpose of this study was to describe performance and education needs related to neurologic assessment by neurologic ward nurses. Methods: The study was conducted with a cross-sectional descriptive design. Participants, 297 neurologic ward nurses working in ten major hospitals in Seoul and Gyeonggi were surveyed from September 7 to October 1, 2015. Results: The mean score for performance of neurologic assessments was 3.04 points. Performances performed with high quality were orientation exam, mental status documentation, and muscle strength of extremities in that order. Performances performed with low quality were assessment of accessory nerves, hypoglossal nerves, and cerebellum function in that order. There were significant differences according to whether there was ward education programs on neurologic assessment and teaching experiences within a year. These variables significantly affected the quality of neurologic assessment performance. The need for neurologic assessment training was 3.14 points. Conclusion: Amount of performance and demand for education on neurologic assessment, which are required in the clinical setting, were significantly high. To perform neurologic assessments with high quality, development of education program for neurologic assessment and continuous education courses are required at either the department or neurological nursing organization level.

실무수행능력 중심의 교육모형 및 측정도구 개발 (The Development of Nursing Education Model and The Instrument for Improving Clinical Competence)

  • 엄영란;서연옥;송라윤;전경자;유경희;조남옥
    • 한국간호교육학회지
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    • 제4권2호
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    • pp.220-235
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    • 1998
  • The revolution of nursing curriculum has been focused on clinical competency for nursing graduates to flexibly respond to changes in societal health needs and disciplinary requirements. In this trend, the study was designed to identify basic concepts of nursing education that reflects the changes in societal needs and nursing discipline, and to develop the instrument to measure performance level in each dimension of clinical competency. The study was conducted in two phases. In phase 1, principal concepts consisted of nursing education were determined through literature review as well as series of discussion sessions on nursing philosophies and educational objectives among researchers. Though the process, the conceptual framework of competency based nursing curriculum was constructed with nursing process and professional role as horizontal threads, client, health needs, and nursing interventions as vertical threads. Then, items were developed to represent each dimension of competency : client and health need, nursing process, professional role, and nursing interventions. The total of 273 items were included as to represent clinical competency required for BSN graduates. In phase 2, questionnaires were distributed to nursing faculties of 41 BSN programs to validate the 273-item Instrument developed to measure competency. The total of 34 subjects returned the questionnaire with 81% of response rates. The subjects of the study had an average of 42 months of clinical experience and 13 years of education experience in various nursing areas with an age range of 30 to 52 years. The data were analyzed by utilizing SPSSWIN and the results are as follows. 1) The mean score of the nursing process dimension was supported most with the mean of 3.60(SD=0.32) compared to client and health need dimension(M=3.49, SD=.40), professional role(M=3.41, SD=.44), and nursing interventions(M=3.57, SD=.34). 2) The dimensions of competency were moderately correlated to each other with a range of r=.433 to r=.829, confirming that four dimensions of competency were related but distinct concepts. 3) The items of each dimension were analyzed based on its appropriateness. 'Assessing risk factors of the clients' were most highly supported in client and health need dimension. Most items of nursing process dimension were considered appropriate, while items related to efficient communication were well supported in professional role dimension. In nursing intervention dimension, items on basic nursing skills were highly supported while items on specific nursing interventions such as music therapy or art therapy were considered relatively inappropriate to competency for BSN graduates. The findings clearly showed that the current nursing education more emphasizes nursing interventions based on nursing process than other dimensions of competency. There is a need to reconceptualize nursing curriculum that is able to reflect more of nursing professional role and client/health need dimensions. Further research to validate the instrument by confirming competency dimensions of nursing graduates who are currently working at the hospital has been suggested.

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간호리더십에 대한 개념 분석 (Concept Analysis of Nursing Leadership)

  • 김정숙;김윤민;장금성;김복남;정석희
    • 간호행정학회지
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    • 제21권5호
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    • pp.575-586
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    • 2015
  • Purpose: The purpose of this study was to provide a concept analysis of nursing leadership. Methods: The concept analysis process of Walker and Avant (2011) was used. A review of the literature was conducted using several databases, including PubMed, CINAHL, Ovid-Medline, DBpia, and KISS. The databases were searched using the following terms 'nursing leadership', 'nursing' & 'leadership', and 'nurse & 'leadership', and for studies published from January 2000 to March 2015. Strict inclusion and exclusion criteria were applied. Results: Analysis of these studies indicated nursing leadership attributes were individual growth, collaboration, nursing excellence, creative problem solving, and influence. The antecedents of nursing leadership were the individual maturity level, construction of mutual trust and confidential relationships, and a job requirement. The consequences were improvement in nursing productivity, development of a supportive work environment, and satisfaction with the nursing profession. Conclusion: The findings in this study provide a definite concept of nursing leadership. The findings also provide the theoretical evidence for the development of nursing leadership competencies in nursing students and professional nurses.

국내 상급종합병원의 간호단위 및 임상경력별 핵심간호실무와 교육요구도 (Core nursing practice and educational requirements according to nursing unit and clinical career in tertiary hospital)

  • 김연희;정영선;최진선;이혜영;정혜련;김지수;김경희
    • 기본간호학회지
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    • 제22권1호
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    • pp.35-48
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    • 2015
  • Purpose: The purpose of this study was to provide fundamental data to develop an educational program for the development of nurses' core competences, and to improve the curriculum in nursing education institutions. Methods: This study, based on a descriptive survey, was conducted with 1,019 nurses working in a tertiary hospital in Seoul. Among 47 core nursing practice items, core nursing practices as perceived by the participants and relevant educational requirements were measured on a four-point scale. The collected data were analyzed using descriptive statistics for the mean and standard deviation, one way ANOVA, and Duncan test as post-hoc test. Results: Regarding the core nursing practice perceived as by the nurses, there were statistically significant differences in 43 out of 47 items according to nursing unit, and in 15 items according to clinical career. Regarding the educational requirements for core nursing practice, there were also statistically significant difference for the same items as perception differences according to nursing unit and clinical career. Conclusion: The results of this study suggest further study on the development of educational programs to advance the clinical expertise of nurses and for the development of curriculum reflecting the actual conditions and requirements in clinical nursing practice fields.

숙련성에 따른 중환자실 간호사들의 업무수행 유형 (Characteristics of Nursing Performance based on the Expertise among ICU Nurses)

  • 이명선;오상은;엄미란;김현숙;조결자;최정숙;이경숙
    • 성인간호학회지
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    • 제14권2호
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    • pp.296-305
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    • 2002
  • Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.

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