IPA 기법을 활용한 간호대학생의 간호사 핵심역량에 대한 교육 요구 분석: A대학 사례를 중심으로

김숙영,김보경,채민정 한국직업교육학회 2019 職業 敎育 硏究 Vol.38 No.6

The purpose of this study is to suggest methods for improving nursing core competencies of nursing college students by investigating the difference between nursing college students’s perception of importance and performance of nursing core competencies in order to understand educational needs. The nursing core competencies questionnaires survey, which was conducted for A women’s college of nursing’s students. The 178 questionnaires collected were analyzed using Importance-Performance Analysis(IPA). The results was analyzed that the means of importance of all sub-factors of nursing core competencies were higher than the means of performance, and the difference was statistically significant except for the stress management. Also it was analyzed that factors that should by urgently improved due to low performance and high degree of importance are the integrative nursing through critical thinking, leadership, stress management and core nursing. It is necessary to develop a nursing core competencies support system focusing on the sub-factors with high educational needs of the nursing college students. 본 연구는 간호대학생의 간호사 핵심역량 요인과 항목들의 중요도와 실행도의 차이를 분석하고, IPA를 통해 간호사 핵심역량의 중요도와 실행도를 동시에 분석함으로써 대학 교육과정 및 임상실습현장의 시사점을 제시하고자 하였다. 서울 소재 간호대학에 재학 중인 4학년 간호대학생 178명을 대상으로 간호사 핵심역량에 대한 중요도와 실행도를 측정하였으며, 주요 연구결과는 다음과 같다. 첫째, 간호사 핵심역량 8개 요인별 중요도와 실행도 차이분석결과 모든 요인에서 중요도와 실행도 간에 통계적으로 유의한 차이를 보였다. 둘째, 간호사 핵심역량 30개 항목별 중요도와 실행도 차이분석결과 모든 항목에서 중요도와 실행도 간에 통계적으로 유의한 차이를 보였다. 셋째, 간호사 핵심역량 IPA분석 결과 1사분면(지속유지 필요 영역)에는 ‘간호전문직관’, ‘비판적 사고를 통한 통합적 간호’, ‘의사소통능력’, ‘리더십’, ‘스트레스 관리’ 요인과 이와 연관된 13개 항목이 포함되었다. 2사분면(과잉노력 지양 영역)에는 ‘비판적 사고를 통한 통합적 간호’, ‘생명존중’, ‘간호연구’ 요인과 이와 연관된 3개 항목이 포함되었다. 3사분면(우선순위 낮음 영역)에는 ‘비판적 사고를 통한 통합적 간호’, ‘생명존중’, ‘간호연구’ 요인과 이와 연관된 6개 항목이 포함되었다. 마지막으로 4사분면(개선노력 필요 영역)에는 ‘비판적 사고를 통한 통합적 간호’, ‘리더십’, ‘스트레스 관리’, ‘핵심간호술’ 요인과 이와 관련된 8개 항목이 포함되었다. 본 연구결과는 향후 간호대학생의 간호사 핵심역량 함양을 위해 교육시스템 구축 및 교육과정 재구성을 위한 기초 자료로 활용될 수 있을 것이다.

북한 『로동신문』에 나타난 김정일 체제 간호와 간호교육 기사 분석

김주영 ( Joo Young Kim ) 이화간호과학연구소 2019 Health & Nursing Vol.31 No.2

Purpose: This research examines the nursing and the direction of nursing education in the Kim Jeong-il era through the “Rohdong” newspaper, which officially reveals the North Korean society as a party organization of North Korea. Methods: The keywords of ‘nursing’, ‘higher education’ and ‘healthcare workers’ and search through archive in the North Korean Resource Center under the Ministry of Unification. The data collecting period is the term of Kim Jeong-il era from July 8, 1994 to December 17, 2011. A total of 68 articles were derived and excluded 5 articles relationless nursing. Collected data was analyzed by content analysis. Results: 5 ‘nursing’ articles, 3 ‘higher education’ articles, 55 ‘healthcare workers’ articles were selected. First, nursing of the Kim Jeong-il era emphasizes socialism, systematization and loyalty to the reception by giving priority to “Juche” ideology rather than establishing expertise. Secondly, the higher education policies focus on working rather than education. Thirdly, the healthcare workers maintain self-reliance on free and devotion, emphasizing the supremacy of the system. Conclusion: Nursing of the Kim Jeong-il era focus on “Juche” ideology rather than expertise itself. This study suggests the priority of the North Korea’s nursing and consideration of nursing interaction in South and North Korea.

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.

시스템 다이내믹스를 이용한 간호단위별 간호인력 산정에 관한 연구

김문실,성영희,권경자,김도형,김정아,신덕신,유인자,유재국,이현숙 병원간호사회 2006 임상간호연구 Vol.11 No.2

Purpose: The purpose of the study was to forecast manpower by building the nursing manpower-staffing model(surgical-medical nursing unite). Method: The system dynamics approach was adapted to build a simulation model for calculating medical-surgical nursing manpower-staffing. The model was built up on Venism 5.0b DSS. Result: The results in the basic circumstance are in following. The level of nursing service quality, patientsatisfaction, and nurse job satisfaction maintains higher at medical-surgical nursing unit of the tertiary hospitals with the ratio of bed to nurse 2.5:1-3.0:1 than at any other situations. The level of nursing service quality, patient satisfaction, and nurse job satisfaction maintains higher at madical nursing unit of the secontary hospotals with the ratio of bed to nurse 3.0:1 and at surgical nursing unit of the secondary hospitals with the ratio of bed to nurse 3.0:1-3.5:1 than at any other situations in the fundamental from. The results in the simulation circumstance are in following, As author raises the operating rate of bed into 95-100%, and cut skilled nursing staff down, the level of nursing-service quality, patient satisfaction, and nurse job satisfaction drops slightly. Conclusion: In terms of economic efficiency on tertiary hospotals, the ratio of bed to nurse for the best reasonable medical-surgical nursing manpower-staffing is 3.0:1. In terms of economic efficiency on secondary hospitals, the ratio of bed to nurse for the best reasonable medical nursing manpower-staffing is 3.0:1 and surgical nursing manpower-staffing is 3.5:1

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.

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.

간호요구도에 따른 간호비용 실태에 관한 조사연구

송경자,유정숙,김은혜,김은혜,김명애 병원간호사회 2012 임상간호연구 Vol.18 No.2

Purpose: This study was performed to identify the variations of nursing care cost depending on nursing care requirement and calculate nursing care cost per one day and one care requirement point. Methods: Nursing care requirement was measured by classifying 3,855 patients according to KPCS-1(Korean Patient Classification System for nurses-1). Nursing care cost was calculated from personnel expenses and nursing care requirement. Nursing cost factors were identified by multiple regression analysis. Results: Average nursing cost per patient per day was 33,588 won, Average nursing care cost per 1 patient classification score was 3,558 won. The nursing cost per 1 patient classification score was different depending on the types and levels of the hospitals. The 4th patient classification group revealed the highest nursing care cost. Nursing cost factors included the number of beds in the hospitals, seniority, number of nurses and first grade in nurse personnel accreditation (adj-R2 74.0%. p<.05). Conclusion: Nursing care requirements expressed by patient classification scores don't directly correlate with nursing care cost. Further research is needed to evaluate validity and reliability for refining KPCS-1 and to apply variable criteria to nurse personnel accreditation.

간호 대학생의 환자 프라이버시 보호행동, 간호윤리의식 및 자아존중감의 관계

성기월 ( Ki Wol Sung ),김다솜 ( Da Som Kim ),한민영 ( Min Young Han ),곽은영 ( Eun Yeong Gwak ),김근영 ( Geun Yeong Kim ),김언주 ( Eon Ju Kim ),김현지 ( Hyun Ji Kim ),류선영 ( Sun Young Ryu ),문성은 ( Seong Eun Moon ),한선미 ( Seo 대구가톨릭대학교 사회과학연구소 2011 사회과학논총 Vol.10 No.-

The purpose of this study is to understand correlation between patient privacy act, nursing ethics, and self-esteem in nursing students. Subjects of the study include 234 students in third and fourth year of four-year nursing course in universities in Daegu and the period of collecting data was between 19 and 28 September, 2011. Patient privacy act was measured by using a tool created by Lee Miyeong (2005) but revised and supplemented so that it is suitable for students nurses who are the subjects of this research. Nursing ethics was measured by the tool created by Lee Yongsook (1990) and revised by Choi Yongran (2001). Rosenberg Self-Esteem Scale (RES) developed by Rosenberg (1965) and revised by Jeon Byeongjae (1974). The collected data was analyzed by Frequency Analysis, average and standard deviation, range and t-test, one-way ANOVA, Pearson`s Correlation, Stepwise Multiple Regression. Followings are the study result. 1) The average score of patient privacy act of student nurses was over the middle mark (81.48±12.36), and the average score of nursing ethics was the middle mark (72.40 ±8.29). The average score of self-esteem was over the middle mark (31.71±3.65). 2) The significant differences of the patient privacy act were grade (p=.013) and third year students. 3) In nursing students patient privacy act was positively related to nursing ethics. 4) The significant predictors of the patient privacy act were nursing ethics, self-esteem, and grades explaining 16.9% of patient privacy act. There should be a need of educational development which can raise student nurses` nursing ethics and self-esteem in order to improve student nurses` patient privacy act based on the result of the research.

에이전트기반 개방병원 간호기록시스템 설계에 관한 연구

김경환(Kim Kyoung-Hwan) 한국지능정보시스템학회 2010 지능정보연구 Vol.16 No.2

The attending system is a medical system that allows doctors in clinics to use the extra equipment in hospitals-beds, laboratory, operating room, etc-for their patient’s care under a contract between the doctors and hospitals. Therefore, the system is very beneficial in terms of the efficiency of the usage of medical resources. However, it is necessary to develop a strong support system to strengthen its weaknesses and supplement its merits. If doctors use hospital beds under the attending system of hospitals, they would be able to check a patient’s condition often and provide them with nursing care services. However, the current attending system lacks delivery and assistance support. Thus, for the successful performance of the attending system, a networking system should be developed to facilitate communication between the doctors and nurses. In particular, the nursing records in the attending system could help doctors monitor the patient’s condition and provision of nursing care services. A nursing record is the formal documentation associated with nursing care. It is merely a data repository that helps nurses to track their activities; nursing records thus represent a resource of primary information that can be reused. In order to maximize their usefulness, nursing records have been introduced as part of computerized patient records. However, nursing records are internal data that are not disclosed by hospitals. Moreover, the lack of standardization of the record list makes it difficult to share nursing records. Under the attending system, nurses would want to minimize the amount of effort they have to put in for the maintenance of additional records. Hence, they would try to maintain the current level of nursing records in the form of record lists and record attributes, while doctors would require more detailed and real-time information about their patients in order to monitor their condition. Therefore, this study developed a system for assisting in the maintenance and sharing of the nursing records under the attending system. In contrast to previous research on the functionality of computer-based nursing records, we have emphasized the practical usefulness of nursing records from the viewpoint of the actual imp lementation of the attending system. We suggested that nurses could design a nursing record dictionary for their convenience, and that doctors and nurses could confirm the definitions that they looked up in the dictionary through negotiations with intelligent agents. Such an agent-based system could facilitate networking among medical institutes. Multi-agent systems are a widely accepted paradigm for the distribution and sharing of computation workloads in the scientific community. Agent-based systems have been developed with differences in functional cooperation, coordination, and negotiation. To increase such communication, a framework for a multi-agent based system is proposed in this study. The agent-based approach is useful for developing a system that promotes trade-offs between transactions involving multiple attributes. A brief summary of our contributions follows. First, we propose an efficient and accurate utility representation and acquisition mechanism based on a preference scale while minimizing user interactions with the agent. Trade-offs between various transaction attributes can also be easily computed. Second, by providing a multi-attribute negotiation framework based on the attribute utility evaluation mechanism, we allow both the doctors in charge and nurses to negotiate over various transaction attributes in the nursing record lists that are defined by the latter. Third, we have designed the architecture of the nursing record management server and a system of agents that provides support to the doctors and nurses with regard to the framework and mechanisms proposed above. A formal protocol has also been developed to create and control the communication required for

병원 간호등급에 따른 간호수행 정도

윤순길 ( Soon Gil Yun ),박재용 ( Jae Yong Park ),김기훈 ( Key Hoon Kim ),한창현 ( Chang Hyun Han ) 한국병원경영학회 2010 병원경영학회지 Vol.15 No.3

As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses` awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses` performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses` awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses` job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.