일 도시지역 고위험가족 판별기준표 개발

안양희 한국가족치료학회 1997 가족과 가족치료 Vol.5 No.1

본 연구에서는 보건간호사가 건강위험의 가능성이 있는 가족이나 고위험 상황에 처해 있는 가족을 빠른 시간내에 판별할 수 있으며 또한 사용하기에 간편한 도구를 개발하여 통합보건사업의 실질적인 효율화에 기여하고자 한다.

비판적 사고와 간호교육표준

안양희 한국보건의료인국가시험원 2004 보건의료교육평가 Vol.1 No.1

Critical thinking is the basis of professional nursing practice and is essential in the current complex health care delivery system. A major goal of baccalaureate nursing education is the development and promotion of students' ability to think critically. In America, the National League for nursing outcome-oriented accreditation process challenged nursing faculty to think about teaching and evaluating critical thinking. Based on nursing literature, the findings were inconsistent because of a lack of consensus on a definition of critical thinking and the measurement of critical thinking utilizing critical thinking instruments non-specific for nursing. However, a variety of teaching-learning strategies in nursing education were effective in the development of critical thinking dispositions and skills among nursing students. The author provides insight and ideas for nursing faculty as follows: 1) nursing programs must define critical thinking operationally in relation to their curricula; 2)nursing faculty must be knowledgeable concerning evaluation of critical thinking disposition and skills and construct a standardized critical-thinking instrument that is specific to the discipline of nursing; 3) nursing faculty must develop teaching-learning strategy in nursing education for improving students' critical thinking abilities. These are prerequisite for critical thinking which should be considered as a criterion in The Standards of Nursing Education in Korea.

의료급여 사례관리 성과와 발전방향

안양희 한국통합사례관리학회 2010 한국케어매니지먼트연구 Vol.5 No.-

우리나라 의료급여사례관리는 2003년 5월부터 의료급여 1종 수급권자를 대상으로 시작되었으며, 그들의 삶의질 향상과 합리적 의료이용을 유도하기 위함이었고, 궁극적으로 의료급여 재정 안정화를 도모하기 위함이었다. 2010년 현재 전국 244개 보장기관에 약 480여명의 의료급여관리사가 배치되어 의료급여수급권자 중에서 신규로 의료급여수급권자가 된 자, 병의원의 외래를 과다 또는 과소 이용하는 자, (요양)병원에 장기적으로 입원해 있는 자들을 대상으로 사례관리를 수행하고 있다. 의료급여관리사들은 전화, 방문, 서신 방법 등을 활용하여 정보제공, 심리적 지지, 보건교육 및 상담, 연계 및 의뢰 서비스를 제공한다. 본 연구는 문헌고찰을 통하여 의료 급여사례관리가 의료급여수급권자의 건강 삶의 질, 자가 관리 능력, 합리적 의료이용, 지지체계 영역에서의 향상과 외래 진료비 감소에 효과가 있는 반면에 입원 진료비는 증가하였음을 알 수 있었다. 이를 기반으로 효율적인 사례관리를 위한 발전방향을 첫째 통합순환 사례관리 체계구축, 둘째 표준화된 임상지침 및 사정도구개발, 셋째 자원 네트워크체계 구축, 넷째 통합 정보체계 개발로 제시하였다. The Medicaid case management system has been implanted to improve Medicaid beneficiary health-related quality of life and efficiency of the Medicaid finance since 2003 in Korea. Emphasis is given to the recipient of reasonable utilization of medical care. In order to provide health and welfare care through the Medicaid case management program, case managers, whose total number is approximately 480 nurses as of December 2010, have been working at 244 local government agencies across the country. Their role in the program includes not only providing information guide, psychological support, health education and counseling, but also networking the related health and welfare resources through personal home-visits, telephone, and mailing. The author reviewed articles and reports related effects of the Medicaid case management system. The case management approach was shown to be effective to improve the beneficiaries’ health-related quality of life and to decrease the cost of the medical treatment on outpatient clinics. The author proposes four policy directions as follows: building an integrated circulation system for the case management; development of standardized instruments and clinical guideline by the type of recipients; development of resources network system; development of integrated information system.

일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과

안양희,김의숙,고일선 지역사회간호학회 2010 지역사회간호학회지 Vol.21 No.3

Purpose: This study was done to analyze the effects of tele‐care case management services using secondary data. Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high‐risk group or the preventive group. Casemanagement services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t‐test. Results: After the case management intervention, the participants' health quality of life, self‐care competency, and reasonable medical care utilization increased significantly for the high‐risk group. However there were no significant changes in the preventive group. Conclusion: The results showed that the tele‐care case management services were effective for high‐risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.

간호학사학위특별과정(RN-BSN) 교육과정 평가연구 : 임상실습교육평가

안양희,최상순,허혜경,임영미 연세대학교 교육대학원 2000 연세교육과학 Vol.48 No.-

성매매 종사자들의 성병감염예방을 위한 콘돔사용 예층요인

안양희 지역사회간호학회 2005 지역사회간호학회지 Vol.16 No.2

A Study on Health as Expading Consciousness of the Low-income Elderly Living Alone Purpose : This study was to explore health experience of the low-income elderly living alone reflected in Newman's Health as expanding consciousness theory. Method : The researcher used Newman's praxis methodology because it is good for showing the process of interaction between the researcher and the low-income elderly living alone. Results : The significant characteristics of early health experience during a participant's lifetime were demonstrated that blamed themselves, being burden of themselves hopeless of their lives. However, after a turning point in health experience. The health experience of most of the participants evolved as expanding consciousness. Conclusion : This study has provided support for Newman's theory of health. Most of the participants recognized meanings in their patterns and authentic caring relationships as a nursing practice was a meaningful transforming process in the participant-nurse partnership the scope of sharing health experience with the elderly living alone and with caring community people.

4년제 간호교육 평가인정 표준 및 기준 개발

안양희,박경숙,양순옥,신경림,김미자 한국보건의료인국가시험원 2005 보건의료교육평가 Vol.2 No.1

The goal of accreditation is to ensure that the education provided by an institution of higher education meets an acceptable level of quality. This study developed standards and criteria for accreditation of baccalaureate nursing education programs, by comparing accreditation in South Korea and in the United States, and validating standards and criteria. A main comparative analysis was made between Nursing League for Nursing Accrediting Commission (NLNAC) standards, Commission on Collegiate Nursing Education (CCNE) standards for accreditation of baccalaureate nursing education programs, and Korean Accreditation Board of Nursing standards for accreditation of nursing education programs. The research team developed and validated standards and criteria for South Korean baccalaureate nursing education programs. Using the results of the analysis, revisions are proposed to standards for accreditation of baccalaureate nursing education programs, and categorized into 24 criteria and six domains: mission and governance, curriculum and teaching-learning practices, students, faculty, resources, effectiveness. Further studies are required to refine the standards and criteria and make them sophisticated enough to be applied globally.

일 군 보건소 중심의 방문보건 · 재가복지 통합시범사업

안양희,장세진,최균 한국보건간호학회 2004 한국보건간호학회 학술대회지 Vol.2004 No.12

취약계층 노인의 우울예방을 위한 지역사회기반의 통합프로그램 개발 및 효과검증

안양희 지역사회간호학회 2003 지역사회간호학회지 Vol.14 No.2

The purpose of the study was to develop an integrated prevention program to strengthen elders self-care capability and to examine its effectiveness on their psychological condition. This study used one group pre- and post-test design. Subjects were 85 elderly residents (over 65 years of age) who lived alone, and received free basic medical care and social welfare services in a rural community in Korea. Subject eligibility criteria for this study were to an elders who 1) is not currently taking any anti-depressant medication 2) is able to communicate, and 3) agrees to participate in this study. The integrated program was composed of horticulture, reminiscence, and friendship activities. Twelve sessions were provided for 12 weeks in community-based partnerships to achieve better outcomes. The intervention was case-managed by a public health nurse and aided by six volunteers. The main outcome variable was depression, which was assessed by using 15 items selected from the Geriatric Depression Scale-short form Korean version. Sociodemographic characteristics, functional status, and satisfaction with social support were used as covariates. Results showed that there was a significant intervention effect at post-intervention time point compared to pre-intervention time point(E.S. 0.94). Multiple linear regression analysis showed significant interaction effects between intervention and satisfaction with social support. These findings must be interpreted within the context that an effects of an integrated program could be more synergistically increased when social support factor is considered in the program. A community-based integrated prevention program of depression is effective for vulnerable rural elderly. It is suggested that randomized controlled trials within community setting for better methodological strength as well as multi-level outcomes on community need to be conducted in future.

임상실습 교육을 위한 임상실습지도자제도(preceptorship)의 모형개발

안양희,최상순,허혜경,임영미,신윤희,박소미,김대란,김기경,김기연 연세대학교 교육대학원 2002 연세교육과학 Vol.50 No.-

The purpose of this study was to construct a modified preceptorship model that could be used to improve the quality of clinical practice for student nurses in the Department of Nursing, Wonju College of Medicine, Yonsei University. Through a literature review, three workshops, and analysis of the preceptorship performance of new nurses, three findings were identified. First, based on the literature review and workshops, a modified preceptorship proposal for clinical practice for student nurses in the hospital setting was developed. It contained standard criteria outlining qualifications and rewards for preceptors, training for preceptors, and regulations concerning reciprocal relations among preceptors, head nurses, clinical instructors, and students. Second, results of the analysis of the preceptorship performance of new nurses in the hospital found implications for improvement of self-esteem and self-confidence and, for burden in overloading. Third, based on the literature review, the modified preceptorship proposal, and the results of the analysis of the preceptorship performance of new nurses, a modified preceptorship model was constructed. The modified preceptorship model for clinical practice for student nurses in both hospital and community settings contained standard criteria outlining qualifications and rewards for preceptors, training and education fur preceptors, and regulations concerning reciprocal relations. The standard criteria for qualification as a preceptor should be at least a BSN, at least two years experience, and leadership ability. Rewards for preceptors could be job conditions. For the training and education of preceptors, the difference between hospital and community settings was the content and duration of training. The common training content for preceptors were objectives, orientation to curriculum and preceptorship, clinical practice guidelines, communication channels between health teams and preceptors, nursing process, nursing interventions, and evaluation. In conclusion, the findings suggest a need fur further study on preceptorship when used to improve the quality of clinical practice for student nurses in the both hospital and community settings. The ultimate goal of the research on preceptorship was not only to help student nurses to enhance their ability in clinical practice, but also to maintain the quality of clinical practice in the professional nurses in any clinical setting.