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서문자,박호란,강현숙,김소선,신경림,김금순,김혜숙,Suh, Moon-Ja,Park, Ho-Ran,Kang, Hyun-Sook,Kim, So-Sun,Shin, Kyung-Lim,Kim, Keun-Soon,Kim, Hae-Sook 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-
The purpose of this research was to find out the state of the nursing performance of the home care nurses in Seoul in order to provide the data for the practical work guide. The data were collected from fifty home care nurses working in 22 institutions located in Seoul. The research tool used for this research was modified and tested by Song Jong-Rye(1999) which was originally modified the standard tool of American Nurses Association (1998) and was partly supplement and adjusted for this research. The reliability of this tool was Cronbach's $\alpha$=.0982. The collected data were statistically processed using SAS for t-test, ANOVA. $Scheff\'{e}$ test. Among the surveyees, 50% have been working as a home care nurse more than three years and 74.0% of them were married. And 52% have B.S degree with certification of home care nurse from the certification program for Home Care Nurses affiliated at nursing schools. Half of the home care nursing organizations were based on the general hospitals, and most(78%) of the responsible senior personnels of those organizations were nurses. The following results are drawn from this research. 1) The level of nursing performance by the task sectors General performance level of home care nurses was relatively high in grade of 3.06 from total 4.00. Among the task sectors. the ethical field scored the highest points, and the next were nursing intervention, professional training, and data gathering, and the research sector scored the lowest point. 2) The level of nursing performance by general features of home care nurses Statistically relevant correlation between performance according to the duration of working experience as a nurse(p=0.8951) and performance according to the duration of working as home care nurse(p=0.2263) did not emerge. Also, performance by marriage status(p=0.2218), education(p=0.5733), and taking the certification program for home card nurse(p =0.1560) has no statistically meaningful correlation. 3) The level of nursing performance by the type of home care nursing organizations There exists a significant difference(p=0.002) between performances by the types of organizations. Most of the responsible senior personnels of the home care nursing organization were nurses. The level of nursing performance of the home care nursing organization under nurse management was relatively higher than that of home care nursing organizations led by medical doctors or non-medical professional, but this was not proved as statistically meaningful(p =0.3617). 4) The level of nursing performance by task sectors according to the characteristic of home care nursing service organization There exists a significant difference between nursing performances by task sectors according to the characteristics of home care nursing organization(p=0.002). In case of model research center of one College of Nursing, the nursing performance in the sectors of organization, theory, and data gathering were lower than that of in hospital based home care nursing service. And in case of local home care centers, performances in sectors of organization, theory, data gathering, nursing intervention. professional training, and research sectors were significantly low. Based on the obtained results, overall performance of home care nurses can be appraised as relatively good. Especially, performances in sectors of the nursing intervention, nursing plan. and data gathering including the in direct nursing were recorded high scores. From this, it can be concluded that high quality of nursing is relatively practicing for home patients at these days. Since the high quality of nursing for patients was directly related to the level of nursing performances of home care nurses, it is required to improve practical performance level of them by making constant evaluation and running continual education program and supplementing curriculum for the sectors with low scores.
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수술실 간호원의 업무활동에 관한 조사 연구 : 본격적 조사를 위한 일 기초연구 As a Preparatory Study for Future Systemic Surveys
서문자 최신의학사 1976 最新醫學 Vol.19 No.3
A Study on Day Time Nursing Activities of Staff Nurse in Operating Room was carried out to analyze their activities by skill level and nursing area. The continuous time study method was applied to this study by observing and checking the activities performed by 12 nursing personnel at staff nurse level. 12 nursing students observed and recorded all the nursing activities during the day after certain process of training and the results were obtained as follows: 1. The average age of the observed personnel was 23.9 years and their active service period in operating room at Seoul National University Hospital was almost under 2 years (11 cases). The type of educational background were 10 cases in Diploma course, 2 cases in Degree course. 2. The observed nursing activities were classified into as follows: 1) According to two nursing areas, 59.98% of the staff nurse's activities were spent at scrubbing time, 40.02% at circulating time. 2) In the identification of the nursing activities by the skill level, 54.45% was for the assisting activities for surgical procedure (S21~25), 14.37% was for other activities (051-52), 10.89% was for the house keeping activities, and 10.88% was for the clerical activities. 3) In the reclassification of the assisting activities for surgical procedure (S21~25) by skill level, 49.76% was for the activities of implementing operative procedure, 34.47% was for the activities of observation and waiting for emergency situation (S24) and supplies of the sterile equipments and instruments (S25), 13.57% was for the immediate preoperative assistance and the last 1.94% was for the care of patient in surgery. 4) In the compar.ison of the activities with two nursing area according to skill level, the assisting activities for surgical procedure (S) were performed in the area of scrub nursing (60.55%) more than circulating nursing (45.35%), and the other activities (P.H.C.O) were performed in the area of circulating nursing more than scrub nursing. 3. Analysis of the activities according to their professionalism and the type of nursing service indicated as follows: 1) The percentage of the professional activities was 65.36% of all activities, non professional activities was 20.27% and the ratio was 3 : 1. In the comparison with nursing area, the professional activities were performed by scrub time (69.95%) more than circulating time (58.47%) and the non professional activities of the circulating (25.56%) were more than scrub activity (16.75%). 2) In the classification of the type of nursing services in operating room, the direct patient care activities were only 1.85% and the technical assisting activities were 83.78% which means that the majority of the nursing activity in operating room was the technical, assisting skill.
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