Challenges and Prospects of KOREAN NURSING

Park Min-hyang J-INSTITUTE 2016 International Journal of Human & Disaster Vol.1 No.2

The purpose of this study is to provide useful information for developing the policy for securing nursing work force in a desirable direction based on the understanding of the present situation and structure related to secur-ing the nursing work force in Korean hospitals. In order to efficiently plan nursing work force and draft policy, data analysis and decision making based on objective data and systematic information collection are required. First, the structure of policies to secure nursing work force should be clarified and evaluated. The level of nurse workforce should be considered on the extension line of the supply and demand status of other medical personnel such as doctors. Therefore, the core data on the demand and supply status of the whole healthcare workforce at the regional and national level, data of the nurses market economic situation, data demonstrating the effectiveness of nurses should be regularly updated and managed to be used as a rational decision-making material. Second, the policy of simply increasing the numbers of nursing college admissions and establishing nursing jobs is not a fundamental solution. Improvement efforts are needed, such as setting minimum standards for arranging nurses, legalizing nursing staff placement standards and linking with health insurance fee, improving quality of education such as curriculum, creating environment and culture that nurses do not leave jobs, support-ing for working place-home compatibility, increasing assignment life of nursing work force such as improving working condition of nursing work force and securing a stable supply condition by securing career nurses. Third, it is necessary to revise and supplement the differential of nursing care fees. The rating scale for nurse grades which affects shortage of nurses, should be changed from the number of beds per one nurse to the number of patients. The continuing claim of nurses and hospitals regarding the nursing management fee differential is that the added level of nursing care fees is low. It is also necessary to consider resetting the level of nursing care fees by reevaluating the admission fee including the nursing care fee. Fourth, we should shift attention from the aspect of expanding supply of nurses to the aspect of retention. With the expansion of supply of new nurses, consistent supply rationalization policy was not effective and pro-duced idle nurses. We should seek ways for nursing staffs to work for a long time without leaving the medical institution. In order to achieve the results, we should collect various cases in working hours and working forms of nurses in various working forms, such as short-time work system, flex time system, staggered office hours, telecommuting, intensive working time system, shift system of various patterns, and implement policies accord-ing to the hospital situation. Fifth, it is required to seek ways to prevent nursing staffs from concentrating on Seoul and the metropolitan area. We should consider introducing monetary incentives to encourage employment in affiliated local hospital.

간호대학생의 간호리더십 측정을 위한 학습성과 평가도구 개발

김지미(Ji Mee, Kim),홍성경(Sung Kyung, Hong) 한국간호연구학회 2019 한국간호연구학회지 Vol.3 No.4

Purpose : The purpose of this study was to develop a learning outcomes tool which assesses nursing leadership of nursing students. Methods : This tool went through the development of measurement tools such as focus group interview with nursing staff, literature review, content validity test, construct validity and reliability test. Results : This was supported by the analysis of construct validity and reliability based on the results of a survey of 242 fourth-year nursing college students. The final tool developed through measurement tool development process was 31 questions. The five identified factors of nursing leadership of nursing students were ‘responsibility’, ‘self-directedness’, ‘self-control’, ‘nursing capability’, and ‘communication’. Conclusion : Nursing leadership of nursing college students, one of the qualities and competencies that nursing college students are expected to exhibit at graduation, is to perform their duties responsibly with self-directed, self-control, and two-way communication skills and transform nursing capability into clinical performance. This is considered a basic and common attribute as a nurse.

혼종모형을 이용한 요양병원 간호사의 치료적 말벗간호에 대한 개념분석

이은선,백연단 한국보건기초의학회 2024 한국보건기초의학회지 Vol.17 No.1

The study was conducted to identify and clarify the conceptual definitions and attributes of a therapeutic companion nursing. The hybrid model was used to perform the concept analysis of therapeutic companion nursing. Results from both the theoretical review and a field study including five participants were included in final process. The concept of therapeutic companion nursing was found to have three dimensions with five attributes. Therapeutic companion nursing by nursing hospital nurses was defined as positive of aspects of companion nursing usually experienced in three dimensions such interaction (Talking to patient first with interest, Light physical contact, A verbal expression), motivation (Supporting health behavior) and respect (Respect for the patient). Based on the results, a tool for measuring a therapeutic companion nursing for nursing hospital nurses and effective programs for enhancing a therapeutic companion nursing should be developed in future studies.

중일전쟁 전후 식민지 조선 사회의 간호부 인식과 변화

황선미 역사학연구소 2024 역사연구 Vol.- No.49

본고는 중일전쟁 전후의 간호부 제도 개편과 그에 따른 인식의 변화를 추적하고 분석한다. 개항 이후 서구 의료제도와 지식의 유입을 계기로 간호부는 조선 사회의 새로운 직업으로 정착하였다. 간호부는 이전까지 인정받지 못했던 여성의 ‘간호’ 노동에 전문성을 부여한 측면, 그리고 여성들에게 새로운 학업과 노동의 기회를 제공한 측면에서 각각 의료사적, 여성사적 의미를 지닌다. 그러나 이러한 역사적 함의에도 불구하고 간호부는 의료 부문의 타 직군과 비교하였을 때 그 인식이 제한적이었다. 절대적인 숫자의 부족, 병원 중심의 근무환경, 사회적 편견, 열악한 노동환경 등이 그 이유였다. 그러나 1937년 중일전쟁 발발을 기점으로 간호부 제도가 개편되면서 간호부에 대한 사회적 인식이 급변하였다. 비록 전시동원을 염두에 둔 제도의 개편이었지만, 이는 간호부의 규모 확대, 간호부의 지역적·공간적 근무공간 확산, 교육과 언론매체를 통한 긍정적 이미지 파급 등을 야기했다. 일부 간호부들은 이러한 변화 속에서 승진, 결혼 시장에서의 우위 등을 전유하였다. 이처럼 식민지 말기에 조선인 간호부들이 겪었던 일련의 경험들은 해방 후 한국으로 계승되어 간호 경험, 간호교육에 대한 합의, 간호협회 조직, 간호부의 자기 인식 등 간호부 사회에 유의미한 유산을 남겼다. This paper traces and analyzes the restructuring of the nursing system before and after the Sino-Japanese War, along with the consequential shifts in societal perceptions of the nursing profession. Following the opening of port, the nursing profession emerged as a new vocation in Joseon society catalyzed by the influx of Western medical systems and knowledge. The nursing department holds significance in medical history as well as in women’s history, by conferring professionalism upon women’s previously unrecognized “nursing” work and offeringnew academic and labor opportunities. Despite these historical significance, the nursing profession has received relatively limited acknowledgement in comparison to other healthcare sectors. This underrepresentation can be attributed to several factors, including insufficient workforce, hospital-centered work environment, social prejudice, and poor working conditions. The social perception of nursing, however, underwent a dramatic shift in 1937 as a consequence of the restructuring of nursing system prompted by the outbreak of the Sino-Japanese War. Although the system was reformed because of the wartime mobilization, it led to an increase in the size and spatial distribution of nursing departments, fostering a positive image through education and the media. Amidst these transformations, certain nurses seized the opportunity engendered by these changes, leveraging them to secure promotions and enhance their desirability in the marriage market. The experience of Korean nurses during the end of the colonial period reverberated into the post-liberation era in Korea, leaving a significant legacy in the nursing profession. This legacy includes a consensus on nursing education, the establishment of nursing associations, and nurses’ self-perceptions.

시뮬레이션 기반 실습 교육을 통한 간호학생의 간호전문직관 인식 경험: 포커스 그룹 인터뷰를 중심으로

이은혜 한국산학기술학회 2020 한국산학기술학회논문지 Vol.21 No.2

This study was undertaken to identify nursing professionalism perceptions among nursing students who had completed a semester of simulation-based education, and to provide the basis for presenting direction of the simulation curriculum that helps in the emergence of a positive nursing professional in future. Data obtained from focus group interviews of study participants determined 17 semantic categories and 6 themes through the process of identifying, comparing, and categorizing meaningful concepts. The perception of nursing students regarding the profession after simulation-based education include 'realization of professionalism', 'ethics and emotions as professional human subjects', 'cultivation of communication skills', 'integrative thinking for problem solving', and 'foundation', and also the importance of a 'foundational knowledge body' and 'reflection of self-capacity'. The results of this study reflect on 5 intuitional areas of a nursing professional: professional self-concept, social awareness, nursing expertise, nursing room role, and independence of nursing. The results of this study indicate that in order to enable nursing students to experience nursing professional intuition through simulation-based hands-on training, it is necessary to actively revise and apply courses for the development of a positive nursing professional intuition through simulation education. 본 연구는 한 학기 동안 시뮬레이션 교육과정을 이수한 간호학생들을 대상으로, 이들의 간호 전문직관 인식 경험을 파악함으로써, 향후 긍정적 간호 전문직관을 형성을 돕는 시뮬레이션 교과목 운영의 방향성을 제시하는 데 근거자료를 마련하고자 수행하였다. 2019년 6월부터 7월까지 서울시에 소재한 일개 간호대학에서 한 학기 동안 시뮬레이션 기반 실습교과목에 참여한 4학년 간호 대학생을 대상으로 포커스 그룹 면담을 실시하였다. 연구 참여자들의 포커스 그룹 인터뷰 후, 자료질적내용분석 방법에 따라 의미있는 개념을 확인하고, 개념들의 비교하며 범주화하는 과정을 통하여 17개의 의미 범주와 6개의 주제가 도출되었다. 시뮬레이션 기반 교육 후 간호학생의 인식한 간호 전문직관은 ‘전문직임을 실감함’, ‘인간 대상 전문직으로서의 윤리의식과 정서’, ‘의사소통 능력의 함양’, ‘문제해결을 위한 통합적 사고’, ‘근거기반 지식체의 중요성’, ‘자기 역량에 대한 성찰’ 이었다. 연구의 결과는 간호 전문직관의 5개 영역인 전문직 자아개념, 사회적 인식, 간호의 전문성, 간호실무역할, 간호의 독자성을 반영하였다. 시뮬레이션 기반 실습교육을 통하여 간호학생들에게 간호 전문직관을 경험할 수 있도록 하였다는 점에서, 시뮬레이션 교육을 통하여 향후 긍정적 간호 전문직관을 형성하기 위한 교과목의 수정과 적용이 적극적으로 시도되어야 할 필요가 있다.

간호사와 간호조무사의 업무범위에 관한 고찰

김성은,백경희 강원대학교 비교법학연구소 2024 江原法學 Vol.74 No.-

In Korea, under the current medical law, nurses are medical personnel and are granted a license to perform medical activities such as medical assistance within that range. On the other hand, nursing assistants are not medical personnel, but they are allowed to perform nursing and medical assistance with qualification recognition. In this situation, due to the increasing demand for nursing, a 'proposal to enact the Nursing Act' has been discussed, which separates the nurse's job among medical personnel and stipulates necessary matters related to nursing in a separate law. However, the bill stipulates the work of nurses and nursing assistants, and it was difficult to find a large difference between the proposed nursing law enactment and the current medical law. Therefore, in this paper, the status of nurses and nursing assistants in relation to the principle of division of labor, especially in cases that actually occurred through Korean precedents, and the scope of medical assistance of nurses or nursing assistants under the guidance of doctors, dentists, and oriental doctors were reviewed to examine the duties or scope of work between each job. In addition, in Japan and the United States, we compared the systems corresponding to nurses and nursing assistants in Korea and how they understood the scope of work of each job. In order for the enactment of the nursing law to be justified in the future, it is necessary to check what the work of nurses and nursing assistants is and how to coordinate their scope in line with the changing policy reality. This can be referred to as the work setting according to the system of nursing personnel, as shown in Japanese and American legislation, including precedents.

요양병원 간호사의 간호근무환경이 느린 간호에 미치는 영향

우현미(Hyeon-mi Woo) 한국노인간호학회 2023 노인간호학회지 Vol.25 No.2

Purpose: This study aimed to examine the impact of the nursing work environment on slow nursing care by nurses in long-term care hospital. Methods: The participants in this study were 117 nurses who had worked for more than 6 months in long-term care hospitals in Daegu city or Gyeongbuk province. Data were collected from February 10 to 28, 2023, comprising general characteristics, slow nursing care, and nursing work environment. Data were analyzed using descriptive statistics, a t-test, one-way ANOVA, Pearson’s correlation, and multiple regression analysis using the IBM SPSS 22.0 program. Results: A significant positive correlation was observed between slow nursing care and the nursing work environment (r=.42, p<.001). In a hierarchical regression analysis, the nursing work environment accounted for 33% (F=8.12, p<.001) of the variance in slow nursing care among nurses in long-term care hospitals. Conclusion: The findings suggest that an optimal nursing work environment is crucial to enhance the delivery of slow nursing care in long-term care hospitals. Hence, it is recommended to develop an educational program.

간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 분석 및 중요도 분석

김은정,김광숙,성경미,신현숙,신혜경,이영자,정석희,김대란 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

한국 간호사의 윤리적 이슈 경험 정도와 간호윤리교육 요구도 : 서술적 조

전희정,김상희 한국간호윤리학회 2023 한국간호윤리학회지 Vol.3 No.1

Nursing ethics, which is an ethical norm of nursing practice, is basic to the professionalism of nurses, and ethical education is important in building the professional virtues. The study aimed to identify the needs of nursing ethics education targeting a group of nursing professionals in South Korea. This study adopted descriptive survey design via online survey. The questionnaire items consisted of the experience of ethical issues and the needs related to the subject of ethics education in nursing. 53 questionnaires were finally analyzed by descriptive statistics and correlation coefficients. The results showed that 40 of the study participants had more than 5 years of total clinical experience(69.8%). 48 of them previously participated in nursing ethics education(90.6%). The most frequently experienced ethical issues were ‘conflicts between colleagues’, ‘protecting of patient rights’ and ‘informed consent’. In relation to nursing ethics education, ‘ethical decision making and moral distress’, ‘shared decision making’ and ‘end-of-life care’ showed high needs for education. Overall, the higher the level of experience on ethical issues, the more educational needs for nursing ethics education(r=.360, p<.01). In addition, satisfaction with previous nursing ethics education was statistically significant positive correlation with the needs for the overall nursing ethics education topic(p.<01). In conclusion, the high level of experience on ethical issues shows the demands for continuity of ethical education and systematic improvement to improve the working environment of clinical nurses, and to meet the needs of nursing ethics education, a venue for discussion and education using case-based method should be provided.

지역응급의료센터 간호사의 근무형태와 근무구역에 따른 간호활동

김보희,이영희 한국자료분석학회 2014 Journal of the Korean Data Analysis Society Vol.16 No.1

This study was conducted to investigate practice time and frequency of nursing activities by nurse's work shift and work section in emergency room for basic data to improve quality of emergency nursing. The nursing activities were performed by nurses was surveyed through the structured observation questionnaire to 145 patients who visited at regional emergency medical center. Collected data were analyzed by descriptive statistics, chi-square test and ANOVA. The ‘recording' showed the largest nursing practice time in day shift, ‘medication: intradermal' in evening shift, and ‘recording' in night shift. The ‘triage' was the largest frequency of nursing activities in all shift. In nursing practice time and frequency according to nurse's work section, ‘recording' and ‘triage' in resuscitation room is the largest. There were statistically significant in nursing practice time according to work shift and work section (F=5.176, p<.001). There were statistically significant in the frequency of nursing activity according to work shift and work section (chi-square=99.491, p<.001). These results suggest the necessity of developing the standardized job in nursing practice of emergency room and to be necessary for seeking a plan for increasing of direct nursing activity, for distributing personnel be suitable the situation, and practice. 본 연구는 응급실 간호사의 근무형태와 구역에 따른 간호시간 및 빈도를 조사하여 응급간호의 질을 높이기 위한 기초자료를 제공하기 위해 수행되었다. 지역응급의료센터의 간호사 20명이 응급실에 내원한 환자 145명에게 수행한 간호활동을 구조화된 관찰기록지를 통해 조사하였다. 수집된 자료는 기술적 통계, 카이제곱검정 및 ANOVA로 분석하였다. 연구결과, 간호사의 근무형태별 간호시간은 낮번 근무에서는 ‘기록’이 가장 많았고 초번에서는 ‘투약; 피내’, 밤번에서도 ‘기록’이 가장 많았다. 빈도는 모든 근무형태에서 환자분류가 가장 많았다, 간호사의 근무구역에 따른 간호시간은 소생술실에서 기록이 가장 많았고 빈도는 환자분류가 많았다. 근무형태와 근무구역에 따른 간호시간은 통계적으로 유의한 차이가 있었다(F=5.176, p<.001). 모든 근무형태에서 소생술실에서의 간호시간이 가장 많았다. 근무형태와 근무구역에 따른 간호활동 빈도는 통계적으로 유의한 차이가 있었다(chi-square=99.491, p<.001). 이러한 결과는 상황과 업무에 적절하게 인력을 배치하기 위해 응급실 간호업무의 표준화된 직무 지침개발의 필요성을 제기하며 직접간호를 증가시킬 수 있는 방안 모색이 필요함을 제기시킨다.