• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4885-4891
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• 2014

Background: Successful implementation of pain management procedures and guidelines in an institution depends very much on the acceptance of many levels of healthcare providers. Aim: The main purpose of this study was to determine the level of knowledge and attitudes regarding pain among nurses working in tertiary care in a local setting and the factors that may be associated with this. Materials and Methods: This cross-sectional research study used a modified version of the Nurses' Knowledge and Attitudes Survey (NKAS) regarding pain. Basic demographic data were obtained for further correlation with the level of pain knowledge. Results: A total of 566 nurses, 34 male and 532 female, volunteered to participate in this study. The response rate (RR) was 76%, with an overall mean percentage score of $42.7{\pm}10.9$ (range: 5-92.5). The majority of participants were younger nurses below 40 years of age and more than 70% had worked for less than 10 years ($6.6{\pm}4.45$). Up to 92% had never had any formal education in pain management in general. The total mean score of correct answers was $58.6{\pm}9.58$, with oncology nursing staff scoring a higher percentage when compared with nurses from other general and critical care wards ($63.52{\pm}9.27$, p<0.045). Only 2.5% out of all participants obtained a score of 80% or greater. The majority of the oncology nurses achieved the expected competency level (p<0.03). Conclusions: The present findings give further support for the universal concern about poor knowledge and attitudes among nurses' related to the optimal management of pain. The results reflected that neither number of years working nor age influenced the level of knowledge or attitudes of the practising nurses. Oncology nursing staff consistently scored better than the rest of the cohort. This reflects that clinical experience helped to improve attitudes and knowledge concerning better pain management.

• 성인간호학회지
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• 제25권6호
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• pp.622-632
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• 2013

Purpose: This study was conducted to compare the nurse licensure examination system in Korea with that of the United States (US). Methods: Focus interviews with the administrative staff of the National Council of State Boards of Nursing (NCSBN) were held. two areas were explored in the interviews: the item development process and the general administrative operating procedures. Results: NCLEX-RN items are designed for entry-level practice. The items are subjected to a series of 12 steps including a item writing panel, a content and editorial review, a sensitivity panel, a pre-test, a Differential item functioning panel and a committee review. NCSBN is responsible for the test for registered nurses and one for practical nurses. In contrast the Korean National Health Personnel Licensing Board (KNHPLB) is responsible for nursing is and 21 other health related licensure. Another difference is that in Korea there is no consistent and specialized staff to develop question items. Items are developed by educators who are not active nurses (this last statemtne is not a finding but a point of view usually not given in findings.). Conclusion: Korean nurses form the largest group of health related job categories and the most direct to health care consumers. Therefore, the nursing licensure exam should be acknowledged as the most influential licensure exam in health care services. We recommend a nursing specialized licensing institution to be established with active nurse' participation in item development process to reflect clinical practice into licensure exam.

• 농촌의학ㆍ지역보건
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• 제2권1호
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• pp.30-35
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• 1977

Health care conditions in Korea are gradually improving along with the economic and social development. However, the volume of disease is still great, especially in rural areas. This study attempts, therefore, to initiate a comprehensive proposal of rural health care delivery system. The proposal is constructed three parts, problem of health care system, medical cost, medical education system. The proposal consist of the following components: I. The health care system 1. health sub-center is required to be locate in "Myun" the basis administrative unit of local government for delivering primary health care. But, in the viewpoint of medical economics, the primary health care is operated cautiously. 2. Health center is desirable to provide health services in coordinating the health sub-center and other private health institution. 3. The secondary health care is performed in regional combination hospitals, and the attitude that doctors accomodate this system is required. II. The medical cost, Insurance In the expenditure of medical care, the method of a third person's payment is required absolutely. III. The medical education system. 1. The medical education system (process) is changed from the medical education to regional doctor education. 2 In the nurse education system. nursing technical high school is resurrected.

• 한국의료질향상학회지
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• 제25권1호
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• pp.2-10
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• 2019

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

• 간호행정학회지
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• 제11권3호
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• pp.275-288
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• 2005

Purpose: The Purpose of this study was to identify reasons behind the high turnover rate of nurses, and to delineate measures for inactive nurses to participate in professional nursing activities so as to upgrade the quality of the health care delivery system in Korea. Thus, tried this study to drive market entry of these idleness manpower. Methods: This study used the action research, to collect idea from hospital/nurse administrators, nurses on the job, part-time nurses. Results: This study basic data about flexible shift form through scientific paper, Internet, individual contact source collection do, and compare each situation by direct conversation with a nurse, director of a hospital, nursing administrators about flexible shift form, and analyze example of hospital which utilize flexible shift form actually or utilized and deduced advantage, shortcoming, cause of failure, cause of success, other application plan. Conclusions: 1. Emphasize that database about idleness manpower should be put priority certainly. 2. In case of idleness manpower wants a re-employment hospital and institution which can connect to administer demonstration premise . 3. Emphasize that need organ to enforce education program and this that idleness manpower can apply in nursing spot. 4. Premise nurse's great people image and research about method that convert productivity of nursing to money.

• 한국엔터테인먼트산업학회논문지
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• 제14권7호
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• pp.559-570
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• 2020

본 연구는 의료기관 인증 제도를 받은 요양병원과 양방병원의 내부구성원을 구분하여 인증이 구성원만족도, 직무 스트레스, 병원운영 효과, 의료서비스 향상에 미치는 영향을 파악하고자 하였다. 요양병원이 양방병원보다 인증제도가 구성원만족도, 병원운영효과, 의료서비스 효과에서 높게 나타났으며, 양방병원 구성원이 직무 스트레스에 대해선 높게 나타났다. 요양병원 및 양방병원 모두 인증에 따른 구성원 만족도, 병원 운영효과, 의료서비스 효과는 정(+)적인 결과를 나타났다. 요양병원은 2013년부터 의무적 인증으로 인증제의 효과가 실증적으로 높게 나타났을 것으로 사료된다. 따라서 본 연구는 인증제가 의료서비스 향상에 미치는 영향을 분석함으로써 꾸준한 의료의 질 관리가 병원경영 효율화 및 환자의 만족도 향상에 기여하고자 한다.

• 한국보건간호학회지
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• 제11권2호
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• pp.94-105
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• 1997

The degree of nursing service requirement can be determined by functional health status and a predictive explanation for the status on the living-alone elderly is essential to plan home-care nursing intervention. The purpose of this study is to explore the functional health status of living-alone elderly. Especially the main purpose is to contrast the differences of the status between the residential living-alone elderly and institutional living-alone elderly. This study was conducted through the interview by the students of nurse college who were previously trained during the months of Oct. and Nov. 1996. Sample participants located in Tong-Gu and Seo-Gu of Kwangju City. To contrast the functional health status. this study tried to utilize the Activity Inventory(AI). Among the AI's this study adopted the Physical Activity of Daily Living(PADL) and Instrumental Activity of Daily Living(IADL). Results of the study show that the home-care nursing intervention for the living-alone elderly is urgent more for the residential than for the institutional. It seems that the residential living-alone elderly suffer from inability in Physical Activity of Daily Living. As the residential elderly who have some physical lacks prefer the institution. it is recommended to support physical lacks for the institutional. And more mental-emotional support is recommended for the residential living-alone elderly. The degree of the residential's IADL is higher than that of the institutional. It seems that it was caused by the reason that the residential's needs for the minimum level of life is greater than that of the institutional. So the polypharmacy in elderly nursing-home residents must be considered as sigificant.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.67-76
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• 2009

Recently, small and medium-sized hospitals which are located in rural areas have many difficulties in securing high quality nurses. That is because working environments for nurses in small and medium-sized hospitals in rural areas are poor compared with those of big hospitals in urban. As a result, the migration of nurses from small and medium-sized hospitals in rural areas to big hospitals in urban is continuously happening. In general, big hospitals provide nurses with high level of salary and fringe benefits. To prevent the migration of nurses, chief executive officers of small & medium hospitals in rural areas have been interested in improving nurses' working conditions including wages. Also, they have raised nurses' salary and improved working conditions. But, basically these individualized efforts have some limit. In connection with this, medical interest groups have produced various voices in terms of interpretation and solutions for these issues. However, from the future perspectives, it seems evident that two approaches for both manpower supply and demand plans of nurses are necessary. They should contain not only accurate estimation of the supply-demand of nursing manpower but also the improvement of working conditions and wages of nurses. Estimation of nursing manpower supply-demand depends on the standards and criteria being used. Supply and demand may be met or not in accordance with the points emphasized on the decision. In the articles, issues regarding nursing manpower, levels of salary, other working conditions and social support system for child care are discussed. According to Joe's report (2005), most health institutions did not meet the guidelines of nurse staffing in Medical Law. The wages of nurse vary on every hospital and there is a big difference in wages' range. The average starting salary for a nurse is 22 million won a year. In case of tertiary hospitals, it reaches up to 30 million won a year. Nurse as a profession should have a strong responsibility and should take care of the patients for 24 hours with three working shifts. Also, most of them are female who have the burden of child rearing. Therefore, it is suggested to increase the salary, to provide comfortable working conditions, and to have social support system for nurses with household affairs.

• 디지털융복합연구
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• 제18권9호
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• pp.229-237
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• 2020

본 연구의 목적은 중환자실 간호사의 도덕적 민감성과 셀프리더십, 피로도 및 표준주의지침 수행도의 상관관계를 파악하고 표준주의지침 수행도에 미치는 영향요인을 탐색하기 위함이다. 연구대상은 전국 의료기관의 중환자실 네트워크를 활용하여 15개 종합병원 중환자실 간호사 153명을 대상으로 하였으며, 자료수집은 2019년 3월 5일부터 2019년 3월 10일까지 시행하였다. 자료분석은 Descriptive statistics, Pearson's correlation coefficient, Stepwise multiple regression analysis를 이용하였다. 연구결과, 본 연구대상자의 표준주의지침 수행도에 셀프리더십(r=.17, p=.042)이 통계적으로 유의한 양의 상관관계를 보였다. 연구대상자의 표준주의지침 수행도에 영향을 주는 요인을 확인하기 위하여 단계적 회귀분석을 수행한 결과, 셀프리더십(β=.17, p=.042)이 유의한 요인으로 나타났으며, 설명력은 통계적으로 유의하였다(R²=.03, F=4.21, p=.042). 따라서 최근 간호사의 높은 수준의 표준주의지침 수행도를 유지하게 된 시점에 각 병원은 간호사들의 셀프리더십 역량 강화를 위한 노력이 필요하다.

• 보건의료산업학회지
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• 제7권4호
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• pp.179-190
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• 2013

The main purpose of this study was to investigate the effect of the factors which cause the patients to choose hospital from the view of Christian missionary hospital. The subjects were 194 inpatients and 202 outpatients of the K Medical Center in Busan. The research had been conducted from 20 June to 31 July in 2013. The major results demonstrated that the medical and social services image factors strongly affected to the satisfaction and selectivity of patients. Social role image of religious medical institution should be considered important and it seems beneficent in CRM(Customer Relationship Management) based on this results.