Edu-Care 시스템 활성화 방안 - 유치원 보육 교사의 인식을 기초로 -

전미수 한국유초등음악교육학회 2005 음악교육 Vol.5 No.-

병원감염 예방에 대한 간호사의 중요성 인지도와 시행도에 관한 일 연구

전미수,강채원,김명옥,김용순,윤석희 대한감염학회 1992 감염 Vol.24 No.1

Modern hospital is a place where patients with highly contagious disease as well as those highly susceptible to infections congregate. Nurses are the ones responsible in the hospitals for preparation and management of the diagnostic, thrapeutic instruments, variaties of patient care supplies and utensils. In order to development guidline for staff development and educational programs for nurses in preventing noscomial infection, a 68-items, 5 point likert type tentative guidline is made on six nurse performance categories: "hand washing", "management and patient's clothes", "hospital housekeeping and environment control" and "handling of contaminated equipment and instrument". The tentative guidline is used to assess nurses' on the perceived importance scores and on the performance scores on prevention of nosocomial infection and the disparity between the two scores. Data were gethered from June. 25. through July. 16. from 347 convincedly sampled registered nurses. Result are summarized as follows; 1) The average perceived importance score(4.49), revealed to be significantly (P<.001) higher than that of performance score(4.17). 2) The highest perceived importance score and performance score among the 6 nurse performance categories revealed to be "Administration of medication"(4.63, 4.36) followed by "sterilization and handling of aseptic supplies(4.58). The 3rd highest perceived importance scores revealed to be "hospital house-keeping and environment control"(4.57) where the 3rd highest performance score was "hand washing"(4.27). The lowest perceived importance scores reveled to be "management and patient's clothes"(4.27) where the lowest performance scores was "hospital house-keeping and environment control"(3.96). 3) No significant difference was revealed in perceived importance and performance scores between ICU and non-ICU nurses. However among the perceived importance scores of the 6 categories; "hand washing" scores of ICU(4.48), nurses revealed to be significantly (p<0.034) higher then that of non-ICU nurses(4.40). Performance scores of ICU nurses on "handling contaminated instrument"(4.47) revealed to be significantly (p<0.001) higher than that non-ICU nurses(4.40). 4) The mean perceived importance and performance scores significantly differed to subject's age (p<0.0001, p<0.0315), and the length of clinical experience (p<0.0001, p<0.0067) respectively. The older and the longer in the clinical experience revealed the higher scores. 5) The mean perceived importance scores of 4-nurse performance categories significantly differed according to subject's age; that 3 categories significantly differed according to subject's nursing position; all 6 categories significantly differed according to the length of clinical experience. The older, the higher in the nursing position and the longer the clinical experience reveled to be more concerned about the importance of preventive measures. 6) The mean performance scores of 1 to 4 nurse performance categories significantly differed according to subject's age, type of nursing education program, clinical specialty, length of clinical experience, as well as the hospital governing body. Recommendations; 1) As the disparity between the level of perceived importance and the level of performance on prevention of nosocomial infection has been assessed, further investigation of preventive measure by nurses are recommended. 2) As the disparities are particularly significant according to age, length of clinical experience, nursing position, special emphasis on prevention of noscomial infection, staff development programs for the newly employed, younger nurses be developed.

간호사-환자간의 촉진적 관계 증진을 위한 교육프로그램 개발에 관한 연구

김문실,전미수 이화여자대학교 간호과학연구소 1991 Health & Nursing Vol.3 No.-

Interpersonal relationships and communication skills are essential to all health care practitioners providing services in the health care system. Effective communication skills contribute to clients' satisfaction and to an understanding of the client and practitioner roles and of health care issues. More particularly, the nurse-client relationship is a helping process in which the goal is to strengthen the ability of clients to solve their own problems by assisting them if appropriate, or by enhancing their prolem -solving skills. For nurses to fulfil their roles as professional practitponers, essential components to facilitate interpersonal relationships are empathetic understanding of others, respectful accepting attitudes toward others and a warmth of behavior. Thus, the purpose of this study was to develop a training program to promote facilitative relationships in nusrse -client interactions. This educational program was designed to provide learning experiences through perception and response training. Perception training includes perceptions of feelings, empathic understanding and nonverbal behaviors. Response training includes empathic responses, respecting responses, empathic responses to anger and warmth responses. This program may be used in inservice education with clinical nurses, in the education of students and in orientation programs with new nursing staff.

수간호사의 리더쉽 유형과 간호사의 성숙도에 관한 연구 : Hersey and Branchard 이론을 중심으로

김문실,전미수,이성희,이영주 이화여자대학교 간호과학연구소 1993 Health & Nursing Vol.5 No.-

In human society, there are so many various organizations which have the unique and another roles, and we have to have sufficient leadership to manage these organizations for their own purposes and subjects. This study is to clarify to accordance of leadership style of the head nurse as perceived by staff nurses and the self perceived maturity of the staff and to clear how a head nurse plays suitable leadership role for staff nurses and to provide the basic data for leadership to be more desirable and useful. A Head nurse as a leader in a ward should arrange sound surroundings in her ward for her staffs and promote morale so they can achieve their self-performance through satisfaction with their given jobs. The studies on leadership have developed from characteristic theory to behavior theory and situational theory. According to Hersey and Blanchard, leadership is the personnel conseqences which has followers act to achieve the common goal in a given situation. If the leadership theory changes, the leader should modify his leadership style enough to lead them effectively a capable leader can cope with the reqirements of a situation and his followers. Data on this study is from 42 head nurses and 210 staff nurses who are working at 6 university hospitals located in Seoul from May to June, 1993. An evaluation of the maturity level of the staff has conducted in 2 survey. One survey evaluated head nurses, both as an indigenous unit, and as an integral unit related to the staff. The second survey evaluated staff nurses in both of these relationships, indigenous, that is to say their horizental relations, and integral ; their vertical relatical relations to head nurses. The instrument to measure the head nurse's leadership was adopted in LEAD developed by hersey and Blanchard(1973, 1982) and the are to measure the staff nurse's maturity was developed by Kim(1993). Data was analyzed through by "SPSS" computer processing method and materialized by real numbers, percentages, and x2-test. The results of this study are summerized as followings (1) The leadership style of head nurse indentified as "selling" style was given 30.95%(65 persons) out of 210 among staff nurse (lead -otfher: as perceived by staff) and as perceived by self(lead-self: self perception of head nurse). The highest identified group among S2, "Selling" style was 16.67%. (2) The maturity of staff nurses identified as "middle -high" M3 was givens among the 210 and the marturity is the highest in "middle - high (M3)" level (45.24%). (3) The self perceived maturity of the staff nurse (maturity-self) and the leadership style of the head nurse as perceived by staff nurses (lead-other) was given 1(0. 73%) as "selling" (S2) for "middle - low level maturity(M3)", 21(15.33%) as "participating"(S3) for "middle-high level maturity(M3)" among 137. (4) The self perceived maturity of staff nurses (maturity-self) and the self perceived leadership style of head nurses (lead-self) was given 1(0.73%) as "sell ing"(S2) for "middle-low level maturity (M2)", 39(28.47%) as "participating"(S3) for "middle-high level maturity(M3)" among 137. Finally, According to Hersey and Brandchard Theory, the head nurse's most effective leadership is according to the maturity level of the staff nurses. So the result of this study clarified that the head nurse doesn't play a suitable leadership role for staff nurses.

환자간호실무 표준에 관한 연구

윤석희,강채원,전미수,김용순,김명욱,박성애,김혜자,이병숙,정면숙,전명희,Yoon, Suck-Hee,Kang, Chai-Won,Jurn, Mee-Soo,Kim, Yong-Soon,Kim, Moung-Ock,Park, Sung-Ae,Kim, Hye-Ja,Lee, Byung-Sook,Jung, Myun-Sook,Jun, Myung-Hee 대한간호협회 1992 대한간호 Vol.31 No.1

The purpose of this study is to develop a patient care standard which is the basis of unit based quality assurance. The subjects were 570 nurses of 6 hospitals is Seoul. Patient Care Standards were developed from 3 times of clinical Nurses Association's workshop & the joint meeting of Clinical Nurses Association & the Korean Nurses Academic Socity of Nursing Administration. Respondents were instructed to rate of the 2 types of 5 - point Likert type questionnaire(one is the level of perceived importance, the other is the level of actual performance) Findings of this study were as follows 1. As a results of reliability analysis, each questionnaire ranged from $\alpha$=0.79 to 0.94<Table 2> 2. The Correlations between the levels of perceived importance & actual performances were ranged from r=.40 to 0.72(P=.00) 3. There were significant differences in the level of percevied importance according to the several variables. $\circled1$ Chemotherapy unit; df=5, F=4.06, P=.000/hospital $\circled2$ Pediatric unit; df=5, F=2.8, P=.02/hospital $\circled3$ OBGY ; df=5, F=4.20, P=.00/hospital $\circled4$ ICU ; df=5, F=2.83, P=.02/hospital df=3, F=5.38, P=.00/age df=3, F=6.22, P=.00/total duration. $\circled5$ GS ; df=3, F=3.37, P=.02/total duration 4. There were significant difference in the level of actual performance according to the several variables. $\circled1$ Chemotherapy unit; df=5, F=2.89, P=.02/hospital df=3, F=3.07, P=.03/age df=3, F=3.61, P=.02/total duration $\circled2$ OBGY ; df=5, F=15.48, P=.00/hospilal df=3, F=7.83, p=.00/total duration $\circled3$ GS ; df=5, F=6.70, P=.00/hospital df=3, F=4.49, P=.01/age df=3, F=5.99, P=.00/total duration $\circled4$ ICU ; df=5, F=2.96, P=.02/hospital df=3, F=4.39, P=.0l/age df=3, F=5.20, P=.00/total duration

병원 간호조직문화 규명을 위한 연구(2)

김문실(Moon Sil Kim),전미수(Mi Soo Chun),방희숙(Hee Sook Bang),문선영(Sun Young Moon),이순희(Soon Hee Lee),한수정(Soo Jung Han),김정아(Jung A. Kim),박현태(Hyun Tae Park) 한국간호행정학회 1999 간호행정학회지 Vol.5 No.1

병원재해대책 실태조사 및 재해대책모형 개발

전시자,강윤숙,이옥철,임경수,김복자,전미수 적십자간호전문대학 2000 적십자간호전문대학논문집 Vol.23 No.-

대한간호협회 정책연구 - 간호관리료 등급별 간호인력 평가

장현숙,김문실,김복자,김정단,송지호,윤순녕,전미수,Jang, Hyeon-Suk,Kim, Mun-Sil,Kim, Bok-Ja,Kim, Jeong-Dan,Song, Ji-Ho,Yun, Sun-Nyeong,Jeon, Mi-Su 대한간호협회 2001 대한간호 Vol.40 No.5

간호관리료 등급별 간호인력 평가

장현숙,김문실,김복자,김정단,송지호,윤순녕,전미수 대한간호협회 2001 대한간호 Vol.40 No.5