• 제목/요약/키워드: private nursing

검색결과 263건 처리시간 0.025초

일개 보건소의 가정간호사업 위탁운영에 관한 경제성 평가 (An Economic Evaluation of the Home Nursing Care Services: Public Health Center Versus Private Hospital)

  • 김진현;이인숙;주미경
    • 간호행정학회지
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    • 제16권4호
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    • pp.409-418
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    • 2010
  • Purpose: The purpose of this study was to compare the costs and benefits of home nursing care services between public health centers (PHC) and private hospitals. Method: Participants were 105 patients who had received home nursing care services from a private hospital or public health center. From a societal perspective, the researcher identified the costs and benefits of the services using performance data and calculated the net benefit and benefit/cost ratio. Result: The net benefit of the home nursing care service based in the PHC was 165.9 million won and benefit/cost ratio was 2.0, while the net benefit of the home nursing care services by the private hospital was 141.1 million won and benefit/cost ratio was 1.7. Both types of programs were economically validated. Conclusion: Home nursing care services were basically efficient as the results showed a positive net benefit. A cost-benefit analysis indicated that the PHC-based home nursing care services were more efficient than that of the private hospital. With limited human resources and management standards in public health centers, results suggest the need for a more systematic management of the home nursing care service to improve the health of this vulnerable community population.

조선시대(朝鮮時代) 여성의 간호역할 (A Women's Nursing Role in Chosun Dynasty)

  • 홍윤정;송지청;엄동명
    • 대한한의학원전학회지
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    • 제26권1호
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    • pp.55-63
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    • 2013
  • Objective : Nursing system in traditional society depended on more private service in family than public service. In Chosun dynasty, there were several books mentioned private nursing srvice to author's family. Method : We tried to find out mentions in books above and analyze them by point of nursing services. Result : In Nehoon nursing was considered as a view of royal family services, in Gyenyeoseo as a view of neo-Confucianism, in Gyubanggasa as a view of obedience to parents and in Gyuhapchongseo there were lessons to author's daughter and in-laws about private nursing. Conclusion : In traditional society, women's activities were limited. However, there were several roles, especially private nursing services to their family through this bibliographical records.

국.공립과 사립병원 간호사의 직무만족, 조직몰입, 간호조직문화 및 이직의도 비교 (Comparison of Job Satisfaction, Commitment to Organization, Nursing Organization Culture and Job Experience between National/Public Hospital Nurses and Private Hospital Nurses)

  • 김미정;한상숙
    • 동서간호학연구지
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    • 제13권1호
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    • pp.22-30
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    • 2007
  • Purpose: This study was to analyze the differences of job satisfaction, organizational commitment, nursing organization culture and intention of separation between national/public and private hospital nurses and thereby, provide for some basic data useful to effective management of nursing human resources and improve the organizational performances. Method: The researcher sampled 464 clinical nurses working for 4 national/public hospitals and the same number of private hospitals in Seoul and Gyeonggi Province. The data collected from the questionnaire survey were statistically processed using the SPSS PC 12.0 program for $X^2$-test, T-test and ANCOVA. Result: 1) There was found no significant difference of job satisfaction scores between national/public hospitals and private hospitals. 2) National/public hospital nurses scored significantly higher than private hospital nurses on the organizational commitment scale. 3) There was no significant difference of nursing organization culture scores between national/public hospitals and private hospitals. 4) In the area of job experience, national/public hospital nurses scored lower than private hospital nurses, but such a difference was not significant. Conclusion: Difference between two groups was significant only in the area of organizational commitment. In terms of sub-areas, the difference between two groups was significant in professionalism conducive to job satisfaction.

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간호조직의 지적자본과 조직유효성: 공공병원과 민간병원의 비교 (Intellectual Capital and Organizational Effectiveness of Nurses: Comparison of Public and Private Hospitals)

  • 오정은;전경숙;장광심
    • 보건의료산업학회지
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    • 제12권2호
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    • pp.27-38
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    • 2018
  • Objectives : This study was conducted to examine the differences in the association of intellectual capital with organizational effectiveness of nursing organizations between public and private hospitals. Methods : A total of 166 nurses (82 of public hospital and 84 of private hospital) were recruited for the survey. Nurses' job satisfaction, organizational commitment, intellectual capital, sociodemographics, work-related factors, and health status were measured. Results : Nurses of public hospitals reported significantly higher scores in human capital, customer capital, job satisfaction, emotional engagement, and transactional commitments than did those of the private hospital. Human capital private and structural capital were significantly associated with nurses' job satisfaction in both public and private hospitals. Customer capital was positively associated with the emotional and transactional commitment in the public hospital, while, structural capital was associated with transactional and normative commitment in the private hospital. Conclusions : We could confirm that the nurses' intellectual capital is important the effectiveness of nursing organizations in both public and private hospitals.

간호학생의 환자 개인정보보호 인식에 관한 융합적인 연구 (Convergence Study on Perception on Patient Private Information Protection in Nursing Students)

  • 이현정
    • 융합정보논문지
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    • 제7권5호
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    • pp.59-65
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    • 2017
  • 본 연구는 임상실습 전의 간호 학생들의 환자 개인정보보호 인식 정도를 확인하여 정보보호에 대한 관심을 불러일으키고 임상실습 학생들을 위한 환자 개인정보보호 교육 프로그램 마련에 필요한 기반 자료를 제공하고자 시도되었다. 간호학과 2학년 학생 126명을 대상으로 조사한 결과, 간호학생들의 환자 개인정보보호 인식은 높은 수준이었다(4.52점/5점). 일반적 특성에 따른 환자 개인정보보호 인식은 통계적으로 유의한 차이가 없었다. 향후 일부 간호학생으로 제한되었던 대상자를 확대하여 간호학생의 환자 개인정보보호 인식에 영향을 주는 요인을 파악하기 위한 다학제간 융합연구가 필요하고, 임상실습 미경험 간호학생들을 위한 환자 개인정보보호 교육 프로그램 개발과 적용이 필요하며. 환자 개인정보보호 인식을 향상시키기 위한 의료기관과 대학 측의 공동 방안 모색이 필요하다.

민간병의원-공공기관 협력을 통한 지역사회 치매환자 관리사업 (The Development of Community Health Service for the Demented Elderly in Cooperation Between Private Medical Facilities and Public Health Centers)

  • 오진주;김경애;김재일
    • 지역사회간호학회지
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    • 제18권4호
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    • pp.593-600
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    • 2007
  • Purpose: This research was carried out to present an ideal cooperative model between the public and private health sectors for the management of community dementia patients. Method: In this study a public-private cooperative council was formed, basic data for dementia patients and their families were collected, and a dementia service program was carried out in cooperation between the two sectors. Results: The survey data shows the majority of the registered patients were undergoing a chronic diseases which would make the dementia health service inefficient. The cooperative public-private council adopted the reinforcement of medical service to the public enrolled dementia patients. The intensive medical service program showed effects on the health status of the dementia patients. Conclusion: The results of this study pointed out that change of the health insurance program supportive to the private sectors to be made; a referral system for the public health sector to the private sector should be established; and expanding the capacity of the visiting health program in the public health sector is needed.

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간호사 및 간호조무사 활용에 관한 개업의사의 의견조사 (A survey of private physician's opinion on utilization of nursing manpower)

  • 김진순
    • 농촌의학ㆍ지역보건
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    • 제22권1호
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    • pp.75-83
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    • 1997
  • The medical insurance system has been adopted in 1989. Since then, the utilization of medical care services has increased rapidly. It appears that the medical institution needs more nursing manpower such as nurses and nurse aides to meet an increased demand for medical care for the residents. However, the medical care clinics run by a medical practitioners has a more shortage of nursing manpower than hospitals. The purpose of this survey was to analyze the current employment status and to obtain an opinion on the improvement of utilization such as recruitment and retention of nursing manpower. The questionnaire sent to the private physician and the response rate was 28.7% ; 87 out of 300 physicians. 82.6% of the respondents employed nurses aides rather than nurses and an average number of employees per clinic was 2.5 persons. Most physicians had difficulties in recruiting nursing manpower. It took more than one month for replacement on average, therefore, they were suffering from giving good continual care for the patient and also high resignation of nursing personnel. The low wage, long working hours, hard work and lack of incentives are the biggest reasons for the difficulty in recruiting and retaining of the nursing personnel obtained for the clinics survey. The above mentioned problems would be solved in the near future by changing those difficulties. In the meantime, the private physicians are marking an effort to retain the nursing personnel by keeping a relationship of the private physician's cooperatives.

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정신적 병동 간호업무 개선에 관한 연구 (Studies on Improvement of the psychiatric Nursing)

  • 신영란
    • 대한간호학회지
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    • 제5권1호
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    • pp.59-69
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    • 1975
  • Author studied on various psychiatric nursing problems applying with the test of questionnaire to the 376 nurses who are attending at 13 general hospitals and one mental hospital in Korea from Apr. 1, 1974 to July 30. 1974. The results obtained were ai follows: 1. 13.095 of nonpsychiatric registered nurses wanted the psychiatric service for their most attractive assignment and this was the 3rd in order next to the general surgical and operating room. Among the psychiatric nurses, the popularity toward psychiatric ward was 31. 0% and they were 26.0%at the private general hospitals and 6, 0% in national public hospitals. 2, The feelings or attitudes of disgust and apprehension on nursing care of the patients at-flirted with infectious diseases were the highest responses (38.5%) and these 1.ends were also appeared in 6.9% of psychiatric nurses. 3. 85.5% of nonpsychiatric registered nurses have had received course lectures on psychiatric nursing and nursing care training on the psychiatric ward at their school of nursing. 38.0% of psychiatric nurses had received post graduate psychiatric nursing and they were higher in national public hospitals (27.0% ) than in private general hospitals (11.0%). 4. The responses of satisfaction and security on their employment were almost similar patterns between nonpsychiatric registered nurses and psychiatric nurses. But among the psychiatric nurses. they were more satisfied at private general hospitals (33.0%) than that of national public hospitals (10.0%). 5. Almost the half of the nurses (50.8%) were employed by the hospitals without considering their past educational or clinical experience or career. Among the psychiatric nurses, who were employed by hospitals without considering their past experience or career were 35.0% in national public hospitals and 12.0% in private hospitals. On the contrary, the nurses who were employed by their wishes fore more higher (26.0%) in private general hospitals than national public hospitals (2.0%). 6. The nurses who thought their employment was fit for their aptitude were 48.6% in nonpsychiatric registered nurses and 51.0% in psychiatric nurses. Among the psychiatric nurses, this response was higher in private general hospitals (34.0%) than the national public hospitals (17.0%). 7. Responses on wort loadings of nurses showed almost same patterns between nonpsychiatric registered nurses and psychiatric nurses. But. among the psychiatric nurses who felt much heavier than the nurses of other part were 24.0% in national public hospitals and 8.0% in private general hospitals. 8. 92.6% of nurses felt that the psychiatric nurses should have post graduate training in psychiatric nursing prior to their assignment. 9. 96.0% of nurses agreed to the risk coverage on the payment for the nurses assigned to the psychiatric ward and the ward for infection diseases.

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서울시 일부 가정주부들의 가정간병인제도 및 간병교육에 대한 수용태도에 관한 연구 (Study on the Attitude to Home Attendants System and Home Nursing Education of the Housewives in the City)

  • 김기정;장임원
    • Journal of Preventive Medicine and Public Health
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    • 제21권2호
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    • pp.380-389
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    • 1988
  • This study was conducted in order to find out the attitude of housewives toward the home attendants system, the type of institute managing home attendants, the education for home attendants, the basic requisites for home attendants, and home nursing education, and identify the factors influencing on the housewives's attitude. The data were collected through questionnaires obtained from 401 housewives from March 1 to March 31, 1988. The results summarized were as follows; 1) 90.2 percent of total housewives favored the home attendants system, and housewives who had have their family member with health problem especially showed favorable response. 2) The favored types of institution managing home attendants appeared to be private social work agency(33.0%), half-private and half-public agency(32.2%), government agency(19.9%) and profit agency (2.2%). In particular, housewives who had experienced nursing favored half-private and half-public ageney (37.6%). 3) As the basic requisites for home attendants, housewives wanted service attitude(37.2%), nursing education(34.4%) and nursing experience(28.4%). But, housewives with nursing experience favored nursing education rather than service attitude. 4) 91.1% of total housewives favored the home nursing education. In particular, housewives of high education level and nursing experience showed more favorable response to the home nursing education.

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간호사와 사회복지사의 상호 협력에 영향을 미치는 요인 (Factors Influencing Cooperation between Nurses and Social Workers)

  • 김희정;배진희;박선영
    • 한국보건간호학회지
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    • 제25권2호
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    • pp.209-220
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    • 2011
  • Purpose: The study investigated the level of mutual cooperation among those engaged in public and private nursing and social welfare to understand contributing factors. Method: The subjects were 289 nurses and 279 social workers. The level of mutual cooperation between nurses and social workers was evaluated. taking into account related personal factors and organizational environmental factors. Results: The level of mutual cooperation between nursing and social welfare organizations showed the following sequence, in decreasing order; public nursing, public social welfare, private nursing and private social welfare personnel. The factors affecting nurses' cooperation with social welfare personnel were expected duties, understanding of social workers' service, service autonomy, service appropriateness, and the training environment of the organization. Factors influencing the level of cooperation of social workers with nurses included understanding of nursing service, understanding of the efficiency gained by cooperation, service appropriateness and the training environment of the organization. Conclusion: The development of training programs to increase the level of cooperation between the nursing and social welfare fields is strongly recommended.