• 제목/요약/키워드: Nursing Management Practice

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일개 상급종합병원 간호사의 공감역량, 전문직 자아개념 및 간호근무환경이 돌봄 행위에 미치는 영향 (Effects of Compassion Competence, Professional Self-concept, and Nursing Practice Environment on Caring Behaviors of Clinical Nurses in a Tertiary Hospital)

  • 안영미;장금성;박현영
    • 보건의료산업학회지
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    • 제12권4호
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    • pp.17-30
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    • 2018
  • Objectives: This study aimed to examine the effects of compassion competence, professional self-concept and nursing practice environment on caring behaviors of clinical nurses. Methods: A convenience sample of 200 nurses was drawn from a tertiary hospital in G city. Structured self-report questionnaires were used to collect data, which were analyzed with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and stepwise multiple regression. Results: A significant difference in caring behaviors of nurses was found for age, educational level, and unit. There were statistically significant positive correlations between study variables. Sensitivity and communication of compassion competence, communication of professional self-concept, and nursing foundations for quality of care in nursing practice environment were significant predictors of caring behaviors, explaining 51.3% of total variance. Conclusions: To improve clinical nurses' caring behaviors, strategies must be developed and implemented for enhancing their compassion competence, professional self-concept, and nursing practice environment.

아동의 발열과 발열관리: 문헌고찰 (Fever and Fever Management in Children: A Literature Review)

  • 정용선;김진선
    • Child Health Nursing Research
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    • 제16권1호
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    • pp.30-40
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    • 2010
  • Purpose: The purposes of this review were to identify whether available evidence supports the nursing interventions that are commonly used to reduce fever in children and to introduce research findings into practice. Methods: Journal databases and clinical guidelines from 1990 to 2009 were searched. The search terms were fever, febrile convulsion, fever management, fever phobia, child, antipyretics, temperature, external cooling, tepid sponge bath, and physical treatment. Results: Evidence suggests that uncomplicated fever is relatively harmless, but it is an important immunological defense. Antipyretics should not routinely be used with the sole aim of reducing body temperature in children with fever who are otherwise well. Currently a lack of evidence supports the practice of alternating acetaminophen and ibuprofen, and the routine use of tepid sponge bath. Conclusion: Currently, fever management in children does not reflect research evidence. Pediatric nurses can play an important role by encouraging clinical research in this area and also by enhancing research utilization in their practice. Moreover, pediatric nurses can educate parents about evidence-based fever management. Evidence-based educational interventions for pediatric nurses need to be developed and evaluated to improve the quality of nursing care in the management of childhood fever.

간호대학생이 인식한 간호관리학 실습 중요도와 실습경험도 비교 (A Comparison between Importance of Nursing Management Clinical Practicum and Practical Experience recognized by Nursing Students)

  • 황성우;구옥희
    • 한국융합학회논문지
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    • 제10권9호
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    • pp.351-361
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    • 2019
  • 3개 대학 간호학과 4학년 간호관리 임상실습을 경험한 학생 289명을 대상으로 간호관리학 실습교육내용에 대한 중요도 인식 및 실제 실습경험에 대하여 비교 조사하였다. 연구결과 평가 항목에서 책임감, 대인관계, 신뢰, 의사소통, 도덕성 순으로 중요하게 인식하였다. 간호관리 실습교육내용의 중요도에서는 간호단위관리를 4.37(최대 5점)로 가장 중요하게 인식하였다. 실제로 임상에서 직접 경험할 수 있었던 항목은 간호단위관리(22.0%), 간호관리의 이해(20.7%), 인적자원관리(19.8%)가 빈도순으로 가장 높았으며 실제 경험을 전혀 못 한 항목으로는 마케팅(52.4%), 재무관리(44.0%)였다. 학생들이 인식한 실습내용의 중요도와 실제 실습경험을 한 항목 간에는 여전히 불일치가 나타나 표준화된 간호관리학 임상실습 프로토콜의 완성과 관리실습 전담 프리셉터 제도의 시행을 제언하고자 한다.

일 대학부속 한방병원 간호사의 직무내용 및 직무량분석 (An Analysis of Nursing Practice in an Oriental Medicine Hospital)

  • 안양희
    • 동서간호학연구지
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    • 제2권1호
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    • pp.54-61
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    • 1997
  • This study was directed at analysing nursing practice in one oriental medicine hospital. In this study, the nurses were chosen from two units at one oriental medicine hospital. Using the worksampling method, a total of 780 series of nursing actions were collected over thirteen days. this study had two findings. First, the percentage for the amount of actual nursing practice was 79.5% which is lower than the amount of actual nursing practice in other western style general hospitals. Second, the content of nursing practice included nursing actions(43.8%), nursing management (35.5%), and education /research (0.1%), indicating that only the special care of oriental nursing and education /research were not observed in nursing practice. These findings indicate a deficit knowledge in oriental medicine and oriental nursing care by nurses in oriental medicine hospitals. Since Oriental Nursing has not been included in Nursing curriculum, there is a need for research to develop basic education in Oriental Medicine and pharmacology as well as the development of a sgstematized approach to Oriental Nursing so as to provide an appropriate background for nurses working in this field. Further research is needed to define nursing in the Oriental Medicine system.

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지역사회간호학 실습교육 현황 분석 (Analysis of Current Status of the Community Health Nursing Practice Education)

  • 조유향;도은영;강경숙;김영미;김윤경;류화라;이정미;최인희;최희정
    • 지역사회간호학회지
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    • 제28권3호
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    • pp.347-356
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    • 2017
  • Purpose: The purpose of this study was to provide basic evidence to improve community health nursing practice education by analyzing the current status of actual operation, program outcomes and evaluation methods, and the level of achieving learning goals. Methods: Data were collected through an e-mail survey from 155 professors teaching community health nursing in April 2016. Out of 45 responses in total, 42 cases were used for analysis (response rate 29.0%). Results: Community health nursing practice was a 3-credit course in most of the schools (66.7%) and included a practice at public health centers without exception. The most common diagnosis classification system was OMAHA (81.0%). The core fundamental nursing skills evaluated during the practice were subcutaneous injection, vital signs, oral administration, and intradermal injection. Among the subjects of community health nursing practice, the area with the highest potential for achieving learning goals was primary health care provision (4.4/5) and the area with the lowest potential was disaster management (2.4/5). Conclusion: The results of this study show that there would be active efforts to complement and improve several problems of the community health nursing practice among the community health nursing practice instructors for more effective and qualitative community health nursing practice.

간호대학생의 환자안전 역량과 환자안전관리 행위 (Nursing Students' Patient Safety Competency and Patient Safety Management Practice)

  • 박정하
    • 한국산학기술학회논문지
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    • 제20권3호
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    • pp.216-223
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    • 2019
  • 본 연구는 간호대학생의 환자안전 역량이 환자안전관리 행위에 미치는 영향을 확인하여 환자안전관리 행위 향상을 위한 프로그램 개발의 기초자료를 제공하기 위하여 시도되었다. 참여자는 1년 이상 학생 간호사로 임상 실습을 받은 293명의 4학년 간호대학생이다. 데이터는 2018년 4월 26일부터 5월 9일까지 수집되었다. 수집된 자료는 SPSS/WIN 24.0 컴퓨터 프로그램으로 빈도, 백분율, 평균, 표준 편차, t-test, ANOVA, Pearson's Correlation Coefficient, Multiple regression으로 분석하였다. 간호대학생의 환자안전 역량은 평균 $2.90{\pm}0.38$점 (환자안전 지식 $2.68{\pm}0.65$, 환자안전 기술 $3.26{\pm}0.56$, 환자안전 태도 $2.75{\pm}0.40$)이었다. 환자안전관리 행위 점수는 평균 $4.13{\pm}0.57$점이었다. 간호대학생의 환자안전 지식, 기술, 태도 및 환자안전관리 행위 간의 상관관계에서, 기술 및 관리 행위는 r=.337, p<.001, 태도 및 관리 행위는 r=-.150, p=.010, 지식 및 관리 행위는 r=.171, p=.003이었다. 대학생의 환자안전 관리 행위에 영향을 미치는 요인은 환자안전 기술(${\beta}=.307$, p<.001), 화재에 대한 안전사고 경험(${\beta}=-.127$, p=.026), 환자안전 태도(${\beta}=-.121$, p=.026), 환자교육에 대한 안전사고 경험(${\beta}=-.119$, p=.034)으로 나타났고, 설명력은 15.7%였다. 본 연구결과를 통하여 간호대학생의 환자안전관리 행위에 영향을 미치는 다양한 요인을 확인하기 위한 반복연구가 필요하고, 환자안전관리 행위를 높일 수 있는 교육프로그램 개발이 요구된다.

가정간호업무 전산화를 위한 가정간호관리 시스템 개발 (Development of a Home Care Nursing Management System for Computerization of Home Care Nursing Practice)

  • 유지수;김조자;신혜선;최희재
    • 가정간호학회지
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    • 제8권1호
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    • pp.62-73
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    • 2001
  • This study was conducted to develop a home care nursing management system based on the validated and useful data base found through literature review. The contents and structure according to a development procedure for a computer system were as follows. 1. A data base on home care nursing patients was accumulated by putting data respectively in both steps and fields - from selection criteria. basic information. prescription. plan of home visits. to application of nursing process. 2. Accumulated data was classified and designed to search by basic information. drug/injection prescription. examination prescription, treatment prescription. supply. and a record of the nursing process. 3. Various forms of retrieval including graphs were elaborated in terms of diagnosis and intervention aspects.

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간호대학생의 전공만족도와 진로준비 행동과의 관계에서 임상실습만족도의 매개효과 (Mediating Effect of Satisfaction with Clinical Practice on the Relation between Satisfaction with Major and Career Preparation Behavior of Nursing Students)

  • 채민정;정효주
    • 보건의료산업학회지
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    • 제10권3호
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    • pp.213-222
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    • 2016
  • Objectives : This study identified the mediating effect of satisfaction with clinical practice on the relation between nursing students' satisfaction with major and career preparation behavior. Methods : Study participants were 454 nursing students with a clinical practice experiences who were enrolled as members of two university in Korea. Data were collected with self-report questionnaire and analyzed with SPSS 19.0 program. Results : Satisfaction with major was positively correlated with career preparation behavior, and satisfaction with clinical practice was also positively associated with career preparation. A mediating effect of satisfaction with clinical practice was found in the relation between satisfaction with major and career preparation behavior. Conclusions : Universities and departments should provide much effort and support for the development of clinical practice experience curriculum and hands-on training that are appropriate for the students' level and interests so that their outcomes can be connected to the career preparation behavior.

성과중심 교육과정 개발을 위한 간호관리실습 사례시뮬레이션 적용 및 내용 분석 (Analysis and Application of Nursing Management Practicum Case Simulation for Developing Performance-Centered Education)

  • 임지영;고국진
    • 한국콘텐츠학회논문지
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    • 제17권9호
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    • pp.235-254
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    • 2017
  • 본 연구는 간호관리과정의 5요소에 기반을 둔 간호관리실습 사례시뮬레이션 구성틀을 개발하고, 이를 실제 간호 대학생의 간호관리실습에 적용한 후 내용 분석을 실시함으로써, 향후 간호관리실습 교육에서의 성과중심 교육과정 개발에 필요한 기초 자료를 마련하고자 한 것이다. 본 연구의 대상은 일 대학의 간호학과 4학년 105명 학생이 간호관리실습 과제로 제출한 간호관리실습 사례시뮬레이션 보고서이다. 연구도구는 간호관리실습 사례시뮬레이션 구성틀로 본 연구자가 간호관리과정의 기획, 조직, 인적자원관리, 지휘, 통제의 5요소에 기반하여 기존 시뮬레이션 실습에서 활용된 브레인스토밍과 디브리핑 과정을 반영하여 개발하였다. 연구 결과 32개의 임상 간호 사례에 대해 간호 대학생은 간호관리과정 5요소별 간호관리 문제해결에 있어 1차 브레인스토밍과 디브리핑 과정에서는 79.6%의 적절률과 11.6%의 개념 오류율, 5.6%의 분류 오류율을 보인 반면, 재추론 과정인 2차 브레인스토밍과 디브리핑 과정에서는 94.6%의 적절률 상승과 0.0 % 의 개념 오류율, 4.4%의 분류 오류율 감소를 보였다. 이는 본 연구의 간호관리실습 사례시뮬레이션 구성틀이 간호 대학생의 간호관리과정 적용에 필요한 사고력과 논리적 추론 역량을 증진하는 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 간호 대학생의 간호관리실습과 간호관리 이론 교과목에 활용할 수 있을 뿐 아니라, 향후 임상간호사의 간호관리 역량 강화를 위한 시뮬레이션 기반 직무교육 또는 보수교육으로도 활용할 수 있을 것이다. 아울러 향후 다양한 간호관리 임상 현장에서의 후속 연구와 간호 대학생의 졸업 후 간호관리 직무 능력에 미치는 영향을 파악하기 위한 종단적 코호트 연구도 필요함을 제안한다.

간호대학생의 간호전문직관에 영향을 미치는 요인 (Factors Influencing Nursing Professionalism in Nursing Students)

  • 박주영;김선영;정영은;정은;최은다;하지연
    • 대한통합의학회지
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    • 제10권3호
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    • pp.1-11
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    • 2022
  • Purpose : In order to respond to the needs of society, it is necessary for nursing students to develop into their professional roles and form a higher degree of positive nursing professionalism. This study investigated clinical practice stress, clinical practice satisfaction, academic major satisfaction, and self-esteem among nursing students, and identified factors influencing their nursing professionalism. Methods : The participants of this study were 200 nursing students who used the internet and e-mail, and who understood the purpose and methods of this study. Data were collected from June 21 to July 27, 2021. Data analysis, including the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression, was performed using SPSS version 26.0. Results : The mean score was 3.52±.47 for nursing professionalism, 2.99±.56 for clinical practice stress, 3.35±.44 for clinical practice satisfaction, 3.75±.55 for academic major satisfaction, and 3.49±.78 for self-esteem. There were no significant differences in nursing professionalism according to general characteristics. Nursing professionalism was positively correlated with clinical practice satisfaction (r=.36, p<.001), academic major satisfaction (r=.57, p<.001), and self-esteem (r=.41, p<.001), but negatively correlated with clinical practice stress (r=-.41, p<.001). Factors influencing nursing professionalism included academic major satisfaction (𝛽=.39, p<.001) and clinical practice stress (𝛽=-.16, p=.021). These variables explained 36 % of variance in nursing professionalism (F=29.43, p<.001). Conclusion : These findings indicate that academic major satisfaction and clinical practice stress could be considered in effective nursing educational interventions to improve nursing professionalism in nursing students. Therefore, multidimensional efforts are needed to establish educational programs for nursing students aiming to enhance their nursing professionalism. In addition, these findings will be helpful for establishing various emotional control programs for the management of clinical practice stress among nursing students.