• 제목/요약/키워드: Nursing process competence

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보건진료원들이 지각하는 보건진료소 30년간의 활동경험과 성과 (Looking Back the Past 30 Years: Activities and Achievements of Community Health Practitioners in Rural and Remote Areas in Korea)

  • 김춘미;전경자
    • 지역사회간호학회지
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    • 제23권1호
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    • pp.51-62
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    • 2012
  • Purpose: The purpose of this study was to identify community health nursing activities that community health practitioners perceive and their achievements in community by reviewing the community health nursing activities that community health practitioners have done for the last 30 years. Methods: This study was a qualitative study. Thirty one community health practitioners were interviewed using the focus group interview method and data were analyzed using content analysis. Data were collected from April to June in 2011. Results: Community health practitioners perceived themselves as "Community Vitalizers" and 9 categories were identified. They were 'ground to explore new nursing areas', 'assimilation to community', 'ground to establish community diagnosis', 'everyday life health management in the community', 'increased accessibility to medical services for the residents', 'enforced health practices for the residents', 'reinforced self-reliance of community', 'commitment to making a happy village' and 'mental fence of the community.' Conclusion: This study was meaningful in that it explained the unique identity of the community health practitioners and could be used as important basic materials in the process of re-establishment of the roles of Health Offices. Hereafter in-depth study on community competence reinforcement should be made to identify the roles of community health nurses.

병원 간호사의 갈등과 갈등 해소 경험 (Hospital Nurses' Experiences of Conflict and Conflict Resolution)

  • 정호기;양야기
    • 한국직업건강간호학회지
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    • 제27권1호
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    • pp.13-24
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    • 2018
  • Purpose: The purpose of this study was to investigate conflicts and the experiences of conflict resolution of hospital nurses. Methods: This qualitative study used phenomenological methodology. The research participants were 8 nurses of C hospital. Data were collected through in-depth individual interviews from November 2016 to February 2017. The data analysis method was based on Colaizzi's approach. Results: The study results showed that the experiences of nurses consisted of 15 themes and 6 theme clusters: 1) Ambiguous role, 2) Recognizing lack of competence, 3) Difficulty maintaining relationships, 4) Unsatisfactory work environment, 5) Efforts to resolve conflicts, and 6) Conflict resolution process through labor union. Conclusion: The findings of this study recommend that hospital organizations and managers should pay attention to improving the work environment and organizational culture of members. The results of the present study can improve the understanding of various aspects of the daily life of hospital nurses.

만성질환아의 자기관리에 대한 개념 분석 (Concept Analysis of the Self Management in Children with Chronic Disease)

  • 이숙영
    • 한국보건간호학회지
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    • 제31권1호
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    • pp.121-134
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    • 2017
  • Purpose: The goal of this study was to define and clarify the concept of "self management" of children with chronic diseases. Methods: For analyzing the concept of self management, this study used the hybrid model. This study involved in-depth interviewing nine children with chronic disease. Results: The concept of self management of children with chronic disease can be categorized with three dimensions: internal, environmental, and behavioral aspects. Besides, five attributes and thirteen indicators were analyzed. The concept of self management of children with chronic disease can be expressed as a kind of process; a) re-established yourself (internal dimension), b) assistance by the surrounded (environmental dimension), and c) positive health management behavior with self control of daily life (behavioral dimension). Conclusion: The self management is important for children with chronic disease to control their disease for long time. The attributes and indicators drawn by this study could be used for tool development and useful resources of self management competence in children with chronic disease.

여성결혼이민자의 의료서비스 이용경험 (Married Female Migrants' Experiences of Health Care Services)

  • 고진강;고선강
    • 한국간호교육학회지
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    • 제15권1호
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    • pp.89-99
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    • 2009
  • Purpose: The purpose of this study was to describe married female migrants' experiences of health care services and to help nursing researchers, nursing educators, and clinical nurses understand married female migrants' experiences. Method: A conventional content analysis method was utilized. Individual in-depth interviews with 15 married female migrants were conducted. Subject recruitment was performed at a district in Seoul. Results: Ten categories were induced: language barrier, financial burden, insufficient time with a physician, complexity of utilization process, lack of support from peer group, health care providers' discrimination, anxiety regarding lack of information about children's health, health care providers' concerns and efforts to minimize the language barrier, family support, and advanced health care service environment. Conclusion: This study provides basic knowledge regarding married female migrants' experiences related to health care services. Future research should designate and utilize valid instruments to measure the positive and negative experiences and to explore strategies to strengthen the positive features while eliminating the negative ones. Finally, the Korean nursing education curriculum should include cultural competence and knowledge about an ethnic minority's right to health service utilization.

간호학생에게 실시한 심폐소생술 교육의 효과 (The Effectiveness of Cardiopulmonary Resuscitation Training Targeted for Nursing Students)

  • 한정석;고일선;강규숙;송인자;문성미;김선희
    • 기본간호학회지
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    • 제6권3호
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    • pp.493-506
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    • 1999
  • The purpose of the study is to evaluate the effectiveness and competence level of trainees of Cardiopulmonary resuscitation training targeted for nursing students. 70 nursing students of Y nursing college are recruited as subjects from Dec. 1st, 1998 through Dec. 8th. 1998. For the pre-test. demographic data related to CPR and knowledge of CPR were evaluated. For the post-test, the next week of pre-test, three difference groups of subjects were tested their knowledge of CPR. CPR training was designed by two components which were 90 mins lecture and demonstration by one professor and individual practice using two educational models with two professors. As the tool of measurement estimating pre or post knowledge of CPR. questionnaires were developed based on self-diagnosis questionnaires of American Heart Association(AHA). The questionnaires were multiple choices (50 questions) and open end questions regarding CPR process. Each multiple choices questions valued 2 points (Score varied min. 0 point to max 100 points.). Collected data were computerized and analyzed by SPSS-WIN. Frequency and percentage of each questions analyzed. The differences of the knowledge and competency level of subjects between pre and post test was analyses by paired t-test. The followings are research outcome. 1. In the pre-test, 95% of subjects answered that they already knew what CPR was. but only 82% described correctly what CPR was. 49% learned CPR before, and 80s5 of them learned at high school. 2. 37 questions scores increases, and 10 questions scores decreased. 3 questions didnt change their score. After getting training, ratio of 80% correct score significantly increased 4 times. 3. In post-test. knowledge level of trainees increased compared to that of pre-test. (t=-15.075, p=.000) 4. Competence level also increased (t=-14.86, p=.00). In result, after getting CPR training, most CPR knowledge increased except open the air tract, toddler CPR, and alternative behavior when the air tract is blocked. CPR training needs to extend the educational scope not only CPR lecture but also psychomotor skill practice. CPR trainees are in need of appropriate feedback as well as enough opportunities of skill practice.

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임상실습 전 시뮬레이션 기반 교육이 간호학생의 간호지식, 임상실습 불안, 임상수행 능력에 미치는 효과 (Effects of Simulation-Based Education before Clinical Experience on Knowledge, Clinical Practice Anxiety, and Clinical Performance Ability in Nursing Students)

  • 고은정;김은정
    • 한국간호교육학회지
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    • 제25권3호
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    • pp.289-299
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    • 2019
  • Purpose: This study aimed to examine the effects of simulation-based education on nursing knowledge, anxiety, and clinical performance ability in nursing students before their first clinical practice. Methods: Third-year university students who had not yet entered their first clinical practice were recruited to participate in the study. Nineteen students formed the experimental group and participated in simulation-based education for 7 sessions. The 19 students in the control group were provided with clinical practice orientation in the form of traditional lectures. Outcome measures assessed nursing knowledge, clinical practice anxiety, and clinical performance ability. Data were collected before and immediately after the simulation-based education and after six weeks of clinical practice. Results: Nursing knowledge and clinical anxiety were not statistically significant between the groups. However, there was a significant improvement in the clinical performance abilities of the experimental group. Among the subcategories, the ability to apply the nursing process and the ability to educate and cooperate were shown to maintain significant differences from the control group by the end of the six weeks of clinical practice. Conclusion: The simulation prior to nursing students' first clinical practice could be useful to improve clinical performance ability. Nursing educators should consider building programs to reduce anxiety and improve performance ability through simulations.

The Mediating Effects of Learning Motivation on the Association between Perceived Stress and Positive-Deactivating Academic Emotions in Nursing Students Undergoing Skills Training

  • Wang, Wei;Xu, Huiying;Wang, Bingmei;Zhu, Enzhi
    • 대한간호학회지
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    • 제49권4호
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    • pp.495-504
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    • 2019
  • Purpose: Nursing students experience a high degree of perceived stress during skills training. The resulting academic sentiment is worthy of research. This study examined the learning motivation as a mediator in the association between perceived stress and positive deactivating academic emotions in nursing students undergoing skills training. Methods: A survey was conducted on 386 third-year undergraduate nursing students at a university in Changchun, China, in 2017. The survey included the items on perceived stress, learning motivation during nursing skill training, and general academic emotion. There were 381 valid responses (response rate=98.7%). Based on the results of partial correlation and stepwise multiple regression equations, the study examined the mediation model between perceived stress, learning motivation and positive-deactivating academic emotions using process 2.16 (a plug-in specifically used to test mediation or moderation effect in SPSS). Results: There was a significant negative correlation between students' perceived stress and learning motivation during nursing skills training and positive-deactivating academic emotions. Nervousness, loss of control, and interest in developing reputation had significant predictive effects on positive-deactivating academic emotions. The mediating model was well supported. Conclusion: Learning motivation during nursing skills training lessened the damage of perceived stress on positive-deactivating academic emotions. Improving students' motivation to learn could reduce their perceived stress and build more positive emotions. Positive emotions during learning played an important role in helping nursing students improve skills and enhance their nursing competence.

임상 간호현장에서 간호사에게 요구되는 바람직한 인성: 포커스그룹 인터뷰를 중심으로 (Desirable Personality Required of Nurses in Clinical Nursing Field: Focus Group Interviews Centered On)

  • 김미란
    • 산업융합연구
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    • 제20권12호
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    • pp.27-37
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    • 2022
  • 본 연구는 임상간호사의 바람직한 간호 인성의 본질과 내용을 확인하여 임상간호사로서 간호역량 확보와 양질의 간호 제공을 위한 기초 자료를 제공하고자 한다. 임상 간호현장에서 기대하는 바람직한 간호사의 인성에 대해 포괄적으로 탐구하기 위하여 포커스그룹 인터뷰 분석을 시행한 질적 연구이다. 2019년 11월 30일~ 2020년 1월 20일까지 경력 5년 이상 D지역 대학병원의 경력 간호사 6명을 대상으로 총 4회 진행하였으며, 내용 분석 방법을 통해 분석하였다. 임상 간호사에게 요구되는 인성은 '환자 간호를 위한 자기 통제와 노력의 과정', '인간 중심의 간호를 위한 구성요인', '건강한 인간관계를 만드는 영향력', 간호'조직을 구성하고 운영케 하는 영향력', '조직의 변화와 성과를 이끌어내는 영향력' 총 5개의 주제와 17개의 하위 주제로 분석되었다. 본 연구를 통해 간호현장에서 바람직한 인성의 요소를 확인하였으며, 추후 전문직 간호역량 확보와 양질의 간호 제공을 위한 간호사 대상의 임상간호 인성 교육 프로그램 개발 연구를 제언한다.

노인의 기본심리욕구와 성공적 노화의 관계: 자아통합감과 문화역량의 이중 매개효과 및 지혜의 조절된 매개효과 (The Relationships of Basic Pychological Needs and Successful Aging of Elderly: Double Mediating Effect of Ego-Integrity and Cultural Competency, and the moderated mediation effect of Wisdom)

  • 조영문
    • 디지털융복합연구
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    • 제19권10호
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    • pp.357-365
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    • 2021
  • 본 연구는 노인의 성공적 노화와 기본심리욕구의 관계에서 자아통합감과 문화역량의 이중매개 효과와 지혜의 조절된 매개효과를 파악하기 위한 서술적 조사연구이다. 연구대상자는 2020년 6월부터 2021년 3월까지 J도, S 특별시, D 광역시에 소재한 14개의 노인복지센터와 노인종합대학을 정기적으로 이용하는 60세 이상 노인 211명이었다. 자료수집은 자가 보고식 설문지를 사용하였다. 자료분석은 SPSS/WIN 23.0 Program과 SPSS PROCESS MACRO을 활용하여 Hayes의 6번과 91번 모델로 분석하였다. 연구 결과 기본심리욕구와 성공적 노화의 관계에서 자아통합감과 문화역량이 이중 매개하여 성공적 노화에 영향을 미쳤으며, 자아통합감과 문화역량을 지혜가 조절 매개하여 성공적 노화에 영향을 주었다. 그러므로 기본심리욕구충족을 위한 노력과 지혜에 따른 자아통합감과 문화역량 강화를 위한 노인복지정책과 전략개발이 요구된다.

데이컴 기법을 적용한 일차의료 만성질환관리 간호사 케어코디네이터 직무분석 (Job Analysis of Nurse Care Coordinators for Chronic Illness Management in Primary Care Settings: Using Developing a Curriculum Process)

  • 황주희;최용준;김미숙;이성은;박용순;김지향;윤주영;신동수
    • 대한간호학회지
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    • 제51권6호
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    • pp.758-768
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    • 2021
  • Purpose: This study aimed to conduct a job analysis of nurse carecoordinators and to identify the frequency, importance and difficulty of each task of their job. Methods: A committee for developing a curriculum (DACUM) was formed and members of the committee defined nurse care coordinators' jobs and enumerated the duties, tasks and task elements by applying the DACUM technique. Then nurse care coordinators enrolled in the pilot project evaluated the frequency, importance and difficulty of each task. Results: From the job descriptions of nurse care coordinators, we identified 12 duties and 42 tasks. Each task comprised 1~5 task elements. Among tasks, 'assess the patient's general health status' was carried out most frequently. Nurse care coordinators perceived that 'check vital signs' and 'strengthen patient competence to promote health behaviors' were more important than all other tasks. The most difficult task was 'develop professionalism as a nurse care coordinator'. Conclusion: The nurse care coordinators' roles developed in this study will serve as the key guidelines for human resource management of care coordinators. Further, job specifications for nurse care coordinators need to be developed, which is necessary for designing education and training programs. We also need to integrate primary health care as an essential component in nursing education.