• 기본간호학회지
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• 제13권1호
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• pp.24-32
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• 2006

Purpose: This study was a comparative review of the computerized nursing records and paper-based nursing records to examine effects of a nursing process documentation system focusing on patients who have had stroke. Method: First, the researchers collected all the foci from the computerized records and the paper-based records. They selected ten nursing foci, used frequently in both groups and analyzed the number of foci per patient, appropriateness of foci, the number of nursing activities per nursing focus and whether outcomes were described or not in the nursing record. Results: There was fewer errors in nursing diagnosis selection, and a larger number of activities in the records than trle paper based ones. Also, there was a better description of the nursing outcomes in the computerized records. Conclusion: This study suggests that the computerized nursing records is significantly effective in increasing accuracy of the nursing care plan and quality of the nursing record.

• 임상간호연구
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• 제21권3호
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• pp.377-388
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• 2015

Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability. Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel. Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale. Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.

• 간호행정학회지
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• 제8권3호
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• pp.411-430
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• 2002

Purpose : This study was to develop Nursing Process Model of abdominal surgery patient using nursing diagnoses of NANDA, Nursing Interventions Classification(NIC), and Nursing Outcomes Classification(NOC). Method : The data in database were collected from nursing records in sixty patients with abdominal surgery admitted in a university hospital and open questionnaires of thirteen nurses. Systematic nursing process resulting from each nursing diagnoses, most common, was developed by the statistical analysis through database query from clinical database of abdominal surgery patients. Result : 51 nursing diagnoses were identified in abdominal surgery patients. The most commonly occurred nursing diagnoses were Pain, Risk for Infection, Sleep Pattern Disturbance, Hyperthermia, Altered Nutrition: Less Than Body Requirements in order. The linkage lists of NANDA to NIC and NANDA to NOC, and the nursing activities according to nursing diagnoses of abdominal surgery patients were identified in unit. Conclusion : Nursing Process of abdominal surgery patients was comprised of core nursing diagnoses, core nursing interventions, core nursing outcomes which provides the most reliable data in unit and could make nurses facilitate nursing process easily without full consideration of knowledge about nursing language classification system. Therefore, it could support nurses' decision making and recording of nursing process especially in the computerized patient record system if unit nursing process model using standardized nursing language system which contains of their own core nursing process data was developed.

• 지능정보연구
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• 제16권2호
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• pp.73-94
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• 2010

개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.

• 기본간호학회지
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• 제7권1호
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• pp.97-108
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• 2000

The purpose of this study was to assess the present status of the course content of Fundamental Nursing in accordance with the study objectives which were developed for the National Qualifying Examination by the first Faculty-Workshop in January, 1999 and the study objectives as related to other Nursing courses. The study sample included all schools of nursing and the members of the faculty for Fundamental Nursing of seventy schools(66.7%), out of the target population of 105, responded to a questionnaire which was developed by the research team. The collected data were analyzed by frequencies, percentages, means, and standard deviation using the SAS(Statistical Analysis System). The results are as follows : 1) According to this survey the course content of Fundamental Nursing as described in the study objectives for the National Examination, 223(86.77%) study objectives were included in the course of Fundamental Nursing by more than 70% of the schools of nursing, But twenty-three of the study objectives are not included by $30{\sim}50%$ of the schools of nursing. They consider this content to be taught in other courses. The study objectives, which less than 50% of the schools reported as being included in their course in Fundamental Nursing were, all study objectives for 'nursing assessment(communication)', 'nursing assessment (physical examination)', 'record and report', 'sex', and 'use of computer program for nursing diagnosis' and 'use of computerized nursing planning program' 2) Items that were not included in the study objectives for Fundamental Nursing but were included in course content for over 50% of the schools included, 'health of individual, family, community', 'change of nursing practice'. 'professionality of nursing' and all of the study objectives belonging to 'loss and grief' and 'nursing during all stages of surgical operations'. We hope that these results will be helpful in modifying the study objectives for the National Examination as developed by the first Faculty-Workshop and recommend the need for continuous survey research to produce content that is in accordance with study objectives and a National Examination that reflects the content of Fundamental Nursing.

• 대한방사선기술학회지:방사선기술과학
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• 제28권4호
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• pp.307-315
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• 2005

유비쿼터스 컴퓨팅 환경에서의 최근 ICT의 급속한 발전으로 관련 산업은 놀라운 성장을 하고 있다. 따라서 의료 정보산업 관련 디지털 병원 시스템에서도 진료서비스 환경도 여러 형태의 모바일 장비 및 유선의 디바이스를 통한 시간, 장소에 관계없이 차별화된 진료 서비스가 가능하다. 그러므로 정보통신과 접목한 의료 정보 관련 솔루션의 도입은 병원 네트워크의 통합시스템이 주류를 형성하며 시너지 효과를 나타내고 있다. 현재 병원의 PACS 솔루션은 의료영상저장전송시스템으로 많은 병원들이 디지털 환경의 정보화를 위한 시스템으로 채택하고 있으며, 기존의 시스템을 무선통신, 인터넷 등의 영역으로 통합하여 유비쿼터스 컴퓨팅 환경의 개념이 형성되고 있다. 이런 시스템의 통합은 모바일 병원의 빠른 성장을 주도하고 있으며, 각각의 네트워크 및 원격 네트워크에 있는 진료 지원파트 및 임상의들은 획기적인 진료의 업무 프로세스를 요구하고 있다. 따라서 본 논문에서 설계하는 DICOM 엔진은 기존의 PACS DB 서버의 구조를 변경하지 않고 상호운용이 가능하며, 각각의 사용자의 요구에 응답하는 유 무선 통합의 진료지원 시스템이다.