임상간호사의 성찰적 사고 수준과 성찰 조건이 간호역량에 미치는 영향

장금성,김희영 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.6

The aim of this study was to identify the effect of clinical nurses' reflective thinking levels and conditions for reflection on nursing competency. Participants were 235 clinical nurses who worked in 4 general hospitals in Gwangju Metropolitan City. Data were collected by self-reporting questionnaires during June and July, 2011. Reflective thinking levels, conditions for reflection and nursing competency measurements were used as measurement tools. Data were analyzed using frequencies, means, t-test, one-way ANOVA, Pearson correlation coefficients, and backward multiple regression. Reflective thinking levels consist of intensive reflection, reflection, understanding, and habitual action. The mean score of intensive reflection was the highest, the next were reflection, understanding and habitual action in order. There were significant differences in intensive reflection and reflection according to age, total clinical career, and educational background. Intensive reflection, reflection, and conditions for reflection correlated positively with nursing competency. Multiple regression analysis showed that total clinical career, reflection explained 22.3% of nursing competency. This finding suggests that total clinical career and reflection are important factors on enhancing nursing competency, thus we recommend that reflective thinking training is a powerful strategy to promote the professional development for nurses. 본 연구는 임상간호사의 성찰적 사고 수준과 성찰 조건이 간호역량에 미치는 영향을 확인하기 위한 서술적 조사연구이다. 2011년 6월부터 7월까지 설문조사를 통해 G광역시 소재 4개의 종합병원 간호사 235명을 최종 분석하였다. 간호역량은 Jang(2000)의 13개 간호역량의 임상등급별 행동지표를 이용하여 측정하였고, 성찰적 사고 수준과 성찰 조건은 Peltier, Hay, Drago(2005)의 성찰적 학습 과정(reflective learning continuum)을 You(2009)가 번역·수정한 도구를 간호사에 맞게 수정하여 사용하였다. 수집된 자료는 서술적 통계와 t-검정, 분산분석(ANOVA), 피어슨(Pearson)의 상관계수, 후진제거 다중회귀분석을 하였다. 성찰적 사고 수준은 심층적 성찰, 성찰, 이해, 습관적 행위로 구성되는데, 간호사의 성찰적 사고 수준은 심층적 성찰이 가장 높았고 다음으로 성찰, 이해, 습관적 이해의 순서였다. 심층적 성찰과 성찰은 연령, 총 임상경력, 학력이 높은 군이 유의하게 높았으며, 습관적 행위는 연령과 학력이 높은 군이 유의하게 낮았다. 심층적 성찰과 성찰, 성찰의 조건인 동료와의 상호관계와 관리자와의 상호관계는 간호역량과 긍정적 상관관계가 있었고 회귀분석에서 총 임상경력과 성찰은 간호역량의 22.3%의 설명력을 나타냈다. 임상간호사의 성찰적 사고는 간호역량을 향상시키는 중요한 요인이므로 간호사들이 성찰적 사고를 할 수 있도록 교육 및 훈련체계를 마련하고 성찰조건인 실무환경을 능동적이고 협력적인 상호작용이 발생하도록 조성하여야 한다.

보건교사의 직무스트레스와 교사효능감이 직무만족에 미치는 영향

장금성,김정희 한국간호과학회 2012 한국간호과학회 학술대회 Vol.2012 No.10

임상간호현장에서의 실행연구 여정

장금성,김희영,김은아,김윤민,문정은,박현영,송미옥,백명 한국간호과학회 간호행정학회 2013 간호행정학회지 Vol.19 No.1

Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

인사고과에 관한 국내 간호연구 동향분석

장금성,김윤민,김남영,정경희 대한간호협회 2005 대한간호 Vol.44 No.4

Purpose: The authors reviewed researches related to performance appraisal(32 researches), in order to identify the direction for future research and to establish a credible performance appraisal system. Method: Almost all of the theses and research published in 9 major journals of nursing in korea were reviewed. Results: Most of research(84.4%) were theses and all researches were used to non-experimental design; survey 81.3%, methodological research 15.6%, review 3.1%. The major subjects of study were appraisees and appraisers. Psychosocial data collection which only used questionnaire were 81.3% and carried out interview(12.5%) and delphi-method(3.1%). Data analysis methods were used frequency 78.1%, t-test 62.5%, mean/SD 59.4%, Pearson's correlation 50%, and Cronbach α 50%. Appraisal tool used or developed in studies was graphic rating scales in nine studies and ran parallel with forced distribution in 2. Also, MBO and BSC were developed. Total number of korean terms in performance measurement were 11, and english terms 15. The tendency of the terms was toward performance appraisal or evaluation. Conclusion: In the light of results, we expect development of corporate appraisal tool that can evaluate nurse competence and performance. Total performance management system also should be established.

대학생의 비판적 사고 성향과 정보 활용 능력과의 관계

장금성,김은아,유상은,윤란,윤희선,이리나 전남대학교 간호과학연구소 2010 Nursing and Health Issues(NHI) Vol.15 No.1

Purpose: The purpose of this study was to investigate the relationship between university student's critical thinking disposition and information literacy. Method: Data was collected from convenient sample of 267 University students (the 1 Syear - the 3"\tear) in the Nursing, Philosophy, Physical education, Human ecology classes in C university. The questionnaire measured the level of critical thinking disposition, information literacy. The data were analyzed using descriptive statistics, t-test, One-way ANOVA, Scheffe test, and Pearson's correlation coefficient. Result: The mean score of critical thinking disposition was 3.31 (±O.37), information literacy was 3.S0(±O.44). The critical thinking disposition was a significant positive correlation with information literacy. Conclusions: From the studies reviewed, critical thinking disposition can be expect the positive effect to increase the information literacy of university students. These findings would be expected to use basic study that undergraduate's development of improving learning ability strategies.

웹 기반의 멀티미디어 심전도 모니터링 학습 프로그램 개발 및 적용에 관한 연구

장금성,박오장,류세앙,최아윤,박순주,김남영 대한의료정보학회 2003 Healthcare Informatics Research Vol.9 No.2

The aim of this study was to develop and evaluate a web-based learning program with multimedia ECG monitoring for clinical nurses. For this, we compared the self-directed, web-based learning method with the traditional lecture method. A quasi-experimental, nonequivalent control group pretest-posttest design was used, the data from 32 nurses(17 for experimental group and 15 for control group) were collected from October 1 to November 30, 2001, and analysed by SPSS program with 2 test, t-test, ANCOVA. The results were as follows : 1) There was significant improvement in the score on learning achievement of the experimental group compared with that of the control group(t=-2.739, p=.010). 2) There was no significant difference between the groups in learning motivation(t=-.054, p=.4785). In conclusion, it is suggested that a higher learning achievement was achieved in self-directed, web-based learning than in the traditional classroom style learning. There was also evidence that two educational styles had same effect in creating motivation. We propose to utilize a self-directed, web-based leaning method as a means to continue life-long education for nurses on a rotational duty system.

〈간호교육 2〉 협력학습을 적용한 임상실습이 메타인지 수준에 따라 문제해결과정에 미치는 영향

장금성,김남영,류세앙,김윤민 한국간호과학회 2006 한국간호과학회 학술대회 Vol.2006 No.11

2007-2018년 보건의료산업학회지에 게재된 간호연구 동향 분석

장금성,문정은 보건의료산업학회 2019 보건의료산업학회지 Vol.13 No.4

Objectives: This study aimed to analyze the papers on nursing in the KJHSM (Korean Journal of Health Service Management) (2007-2018), to identify the research trends and to help the future development of nursing research. Methods: The data collection was carried out from September 1, 2019 to September 30, 2019. The 78 copies of the original text were provided by the KSHSM website, DBpia, and NDSL (National Digital Science Library) electronic database. Results: Forty-seven studies had a non-experimental design, with most having a descriptive research design (89.3%). The most common participants were nurses (55.7%) and nursing college students (26.1%). A questionnaire was the most commonly used research tools (96.2%) and data collection methods (95.0%). The major keywords were the terms included in the environmental domain among the meta-paradigms of nursing (43.6%). Conclusions: In order to expand the quantity and quality of nursing science in the KSHSM, efforts are needed to improve the quality of research participants, research tools, and sampling methods.

입원환자의 비위관 영양에 관한 조사

장금성,최자윤,김현오,이숙자 전남대학교 간호과학연구소 2001 Nursing and Health Issues(NHI) Vol.6 No.1

The purpose of this study is to examine the practice of naso-gastric tube feeding in the clinical settings of Gwangju city and Chonnam province. The results are based on questionnaires sent by mail with a sample of 120 wards of 25 hospitals over 100 beds, conducted June 2001. The response rate was 83.3%. The results could be summarized as follows: 1. In general, most hospitals of surveyed were general hospitals(65%), and 31.6% of the data were collected in ICUs. The mean number of beds was 361. 2. In terms of naso-gastric tube feeding, the bolus method, which is pressing with a syringe, represented 74%, the drip method using a feeding bag represented 8% and the combination method of the bolus and drip represented 18% respectively. 3. The reasons for choosing the bolus method were as follows; It’s the easiest method of all the methods to inject with a syringe(61 .4%). Given the conditions of hospitals, it’s difficult to use the feeding bags(39.8%). The costs of feeding bags would be a financial burden to patients(38.6%). The reasons for choosing the drip method were as follows: Fewer side effects were reported(81.1 %). Since nurses themselves don’t have to inject. caring time could be shortened(51 .4%). It’s easy and simple to use the feeding bags(45.9%). 4. Those surveyed have been all using Levin tube. Most Levin tubes(51.4%) which have been used among adults are 18Fr in width. Most Levin tubes(34.8%) which have been used among children are 12Fr in width. 5. Many feeding bags(38.5%) were used over two weeks. 6. The injection speed of the bolus method was averaged 35.32ml/min. The injection speed of the drip method was averaged 26.95ml/min. There was a significant difference between the mean speed of two methods(p=0.04). 7. 36.7% of those surveyed said that they were providing patients with a additional fiber diet and 62.3% didn't. And additional fiber diet mixed with naso-gastric feeding diet in the hospita(75.0%) was the highest in the types of additional fiber diet. The results suggested that more empirical research should be conducted to develop nursing practice to reduce risk factors for upper digestive intolerance and their complications during enteral nutrition.

리엔지니어링과 간호의 통합적 관리 전략

장금성,최자윤 전남대학교 간호과학연구소 1997 Nursing and Health Issues(NHI) Vol.2 No.1

Health care environment is in a state of rapid change. Restructuring to meet patient care needs is the greatest challenge facing nursing and hospital today. Some hospitals and hospital systems are reconfiguring their delivery systems to provide better patient care. Reengineering is the fundamental rethinking and radical redesign of business processes to achieve dramatic improvement in critical, contemporary measures of performance, such as cost, quality, service, and speed. A learning organization is striving for excellence through continual organizational renewal. In short, learning organization is continually getting smarter. The purpose of this paper is to suggest a new innovative direction of nursing management in order to provide patient-centered care with high quality. To achieve this purpose, first, organizational change methodology and the core concept of reengineering and learning organization were reviewed. Second, we explained the new delivery process of patient-centered care by studying cases of hospital innovation in United States. At last, by proposing integrated nursing management model the strategy of more flexible management was specified.