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의무기록지 분석과 간호사 면담을 통한 유치도뇨관 관리에 관한 간호활동 및 환자결과
장금성(Jang Keum Seong),정경희(Chung Kyung Hee),최자윤(Choi Ja Yun),양진주(Yang Jin-Ju),박순주(Park Soon Joo),류세앙(Ryu Se-Ang),김남영(Kim Nam Young),심재연(Sim Jae Youn) 기본간호학회 2008 기본간호학회지 Vol.15 No.4
Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.
임상간호사가 지각한 병원조직의 새로운 지적자본 창출 능력 영향요인
장금성(Keum Seong Jang),김은아(Eun A Kim),김민수(Min Soo Kim),심재연(Jae Yeun Sim),박현영(Hyun Young Park) 한국간호행정학회 2012 간호행정학회지 Vol.18 No.1
This study was designed to identify creation of intellectual capital and factors influencing the creation of intellectual capital in hospital organizations. Methods: A cross-sectional design was used, with a convenience sample of 300 nurses from three general hospitals in Gwangju and South Cholla province. The tools used for this study were scales measuring creation of intellectual capital (8 items), social capital (20 items), knowledge management (8 items). Data was analyzed with descriptive statistics, Pearson`s correlation coefficient and regression using the SPSS WIN 18.0 program. Results: There were significantly positive relationships between social capital and knowledge management with creation of intellectual capital. The mean score for creation of intellectual capital in hospital organizations was 4.59 points. Factors influencing creation of intellectual capital in hospital organization were identified as knowledge management (β=.625), shared values & action (β=.166), and participation in civic activities (β=.118). These factors explained 59.3% of the variance in creation of intellectual capital in hospital organizations. Conclusion: The results indicate which factors are major factors influencing creation of intellectual capital and therefore, serve as predictors of creation of intellectual capital in hospital organizations.
장금성(Jang, Keum-Seong),김은아(Kim, Eun A),박현영(Park, Hyunyoung) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.1
Purpose: This study was conducted to evaluate the effectiveness of an evidence-based nursing (EBN) course using action learning-based team learning in undergraduate nursing students. Methods: A quasi-experimental pretest-posttest control group design was employed. The participants who consented were 45 second-year nursing students (22 in the experimental, 23 in the control group) from a university in G-city, Korea. The intervention included lectures, practicals, team activities and reflection on overviewing EBN, formulating clinical questions, searching the evidence, and criticizing the research articles. At the beginning and the end of the 7-week EBN course, the participants completed self-reported questionnaires. Frequencies, χ2-test, t-test, and ANCOVA with the SPSS program 18.0, were used to analyze the data. Results: The experimental group showed significantly higher scores on EBN competency (F=25.80, p<001), information literacy (F=13.75, p=.001), and proactivity in problem solving (F=5.32, p=.026) than the control group. Conclusion: This study provides evidence that an EBN course improves undergraduate nursing students EBN competencies, information literacy, and proactivity in problem solving. Team learning in EBN education can be an effective teaching strategy.
간호행정학회지 게재논문의 연구동향 분석[2010~2012년]
장금성(Keum Seong Jang),김복남(Bok Nam Kim),김윤민(Yun Min Kim),김정숙(Jung Sook Kim),정석희(Seok Hee Jeong) 한국간호행정학회 2013 간호행정학회지 Vol.19 No.5
The purpose of this study was to identify the major trends in research studies in the Journal of Korean Academy of Nursing Administration from 2010 to 2012. Methods: A review using analysis criteria developed by researchers was done of 132 studies published between 2010 and 2012. Research design, participants, research domain, and keywords were analyzed from the Journal of Korean Nursing Administration. Results: Job satisfaction, stress, organizational commitment, safety, turnover, nursing education, and performance were found to be major keywords. Of the research in the Journal, quantitative methods were used in 93.2% of studies. The major setting and participants were hospitals (58.2%) and nurses (65.5%) respectively. Prevalent analysis methods used were t-test, ANOVA, correlation, regression, chi-square, AMOS, and factor analysis. Major domains in the articles were: controlling, directing, staffing, nursing management education, and professionalism & legal principles. Conclusion: Through this study, the research trends in nursing administration were identified, but there is a need to include more of the following topics in future research: new concepts in nursing policy, enhanced deliberations of IRB, rationalization of the effects in sample size calculations, theoretical development of planning and organizing, and development of interventions for management support of the nursing management process.
장금성(Jang, Keum Seong),김복남(Kim, Bok Nam),정석희(Jeong, Seok Hee),김윤민(Kim, Yun Min),김정숙(Kim, Jung Sook) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.5
Purpose: This study was conducted to develop a nursing leadership program outcome evaluation system, required for accreditation of nursing education. Methods: A methodological design was used. To ensure the theoretical validity of the evaluation system, learning objectives for nursing education programs and job descriptions for nurses in Korea were verified by analyzing the relationships in the five attributes of the nursing leadership concept. The nursing leadership program outcome evaluation system was developed based on the Kim & Park’s developmental model (2008). Results: The nursing leadership program outcome evaluation system was established, including implementation level, education curriculum, level of performance, evaluation method, rubrics, and Close-the-Loop. Conclusion: The developed evaluation system can be actively used in nursing education, and contribute to enhancing the leadership competencies of nursing students and graduate nurses.
장금성(Jang Keum Seong),김은아(Kim Eun A),유상은(Yoo Sang Eun),윤란(Yoon Lyan),윤희선(Yoon Hee Sun),이리나(Lee Ree Na) 전남대학교 간호과학연구소 2010 Nursing and Health Issues(NHI) Vol.15 No.1
Ⅰ. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구결과 Ⅳ. 논의 Ⅴ. 결론 및 제언
간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구
장금성(Keum-Seong Jang),김희영(Heeyoung Kim),김남영(Nam-Young Kim) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.12
본 연구의 목적은 간호사 보수교육을 위한 간호역량을 도출하고 간호역량의 정의와 지식기반을 규명하며, 경력단계를 구분하여 역량기반 보수교육시스템 개발을 위한 기초자료를 제공하는 것이다. 국내외 문헌 10개를 분석하여 간호역량을 도출 · 정의하였고, Carper와 Chinn & Kramer의 연구를 근거로 각 간호역량의 지식기반을 규명하였다. 간호사 경력단계별 간호역량 행동지표를 개발한 후, 국내 전문가 7인을 선정하여 내용타당도를 검증하였다. 연구결과 보수교육 이수를 위한 간호역량은 근거기반환자간호, 교육과 지도상담, 간호관리와 리더십, 법과 윤리, 직업가치와 전문성 개발, 연구와 정책개발이었다. 또한 보수교육 이수를 위한 임상경력 4단계 구분과 24개 간호역량 행동지표의 타당성을 확인하였고, 임상경력단계별 간호사 보수교육방법을 제안하였다. 본 연구결과를 토대로 임상경력단계에 따른 역량기반 보수교육시스템이 국내 간호사의 전문성 향상을 위한 효과적인 인적자원개발 전략으로 활용되기를 기대한다. The aim of this study was to develop a list of nursing competency for nurses` continuing education, and to propose a competency-based continuing education system according to nurses` clinical ladder. The definition of nursing competency was extracted by analyzing 10 studies. Also, the knowledge base of each nursing competency was confirmed through Carper and Chinn & Kramer`s research. Nurses` clinical ladder and preliminary items of nursing competency behavior indicators were verified by seven experts for content validity. The results of this study were as follows; Nursing competencies were defined as `evidence-based patient care`, `education and counseling`, `nursing management and leadership`, `law and ethics`, `professional value and development`, `research and policy development`. In addition, the validity of the 4 stages of clinical ladder and the 24 indicators of nursing competency were confirmed by experts. These findings suggest that the competency-based continuing education system according to the clinical ladder will be utilized as an effective human resource development strategy for improving the professionalism of nurses.
액션러닝 교수설계에 의한 창의적 문제해결 교과의 학습성과
장금성(Keum Seong Jang),김남영(Nam Young Kim),박현영(Hyun Young Park) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.5
Purpose:This study was conducted to identify the effects of an action learning based creative problem-solving (CPS) course on problem solving, creativity and team-member exchange in nursing students. Methods: A quasi-experimental study applying a non-equivalent control group pre-post design was employed. Sophomore nursing students (32 in the experimental group and 33 in the control group) were recruited from a university in G-city, Korea. Problem solving, creativity and team-member exchange were measured for the pretest and posttest using self-report questionnaires. Kolmogorov-Smirnov test, Chi-square, Fisher`s exact test, t-test, and ANCOVA with SPSS/Win 20.0 program were used to analyze the data. Results: The scores for problem solving, creativity and team-member exchange in the experimental group were significantly higher than those of the control group. Conclusion: Results of this study indicate that an action learning based CPS course is an effective teaching method to improve nursing students` competencies. In the future longitudinal studies are needed to assess the long term effects of the course.