간호정책 및 정보 : 전자간호기록에 사용된 표준간호진술문 활용실태와 시스템 사용자 만족도

정주희 ( Joo Hee Jung ),명근희 ( Geun Hee Myung ),강경현 ( Kyung Hyun Kang ),박은희 ( Eun Hee Park ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.2

Purpose: The aims of this study were to analyze the frequency of standard nursing statements used in the Electronic Nursing Record (ENR) and to evaluate the degree of satisfaction by users of the ENR system. Methods: We retrospectively reviewed the ENR of 1914 patients who were admitted to our center between 1 May 2011 and 31 May 2011. Additionally, we collected questionnaires from 100 doctors and 300 nurses to evaluate the satisfaction of the users. Results: The frequency of use for the following standard nursing statements was investigated: standard nursing assessment statements (43.6%), standard nursing diagnosis statements (61.8%), standard nursing plan statements (46.7%), standard nursing intervention statements (56.9%), and standard nursing evaluation statements (41.7%). The mean satisfaction score was 3.03 out of 5 in the nurse`s group, and 3.11 in the doctor`s group. The nurses said the advantages of the ENR system were as follows: easy to access, informative, and standardized terms. However 75.7% of the nurse answered that they cannot express actual nursing situations exactly with the currently limited standard nursing statements. Conclusion: Development of various standard nursing statements is needed to meet the demands of the users. As a result, the use of the ENR system would become easier and more efficient for its users.

한국 간호윤리교육의 현황 및 고찰

황혜영 한국의료윤리학회 2017 한국의료윤리학회지 Vol.20 No.3

Although nursing ethics education in South Korea continues to expand quantitatively in terms of number of courses offered, the quality and satisfaction of the education remains low due to the lack of a systematic curriculum. Many nursing colleges offer lectures on nursing ethics as a modules in other courses instead of as an independent subject. The purpose of this study is to contribute to the development of nurses’ sense of professional ethics by examining the present state and problems of nursing ethics education in Korea and to suggest directions in which to expand and strengthen nursing ethics education. There are three types of problems with nursing ethics education in Korea: a lack of recognition of nursing ethics; imprecise definitions of nursing ethics; and a lack of nursing ethics experts. This study proposes an evaluation plan as follows. First, it is necessary for a deeper reflection and understanding on the nature of nursing ethics. Second, it is necessary to set the goals of nursing ethics education as an independent subject and to develop a standardized curriculum according to these established educational goals. Third, it is necessary to hire nursing ethics specialists who can accurately grasp the academic characteristics of nursing ethics. Finally, it is necessary to link ethics education between nursing colleges and the work of practitioners in the clinical field. 간호윤리교육의 효과와 필요성이 증명되었음에도 불구하고 한국의 간호윤리교육은 양적으로만 확 산되고 있는 추세를 보인다. 체계적인 간호윤리교육 과정의 부재로 교육에 대한 질과 만족도는 여전 히 낮은 실정이다. 대부분의 간호대학에서는 간호윤리 과목을 독립 교과목으로 개설하지 않고, 타 교과 목 강의 시간을 일부 할애하여 간호윤리 강의를 진행하고 있다. 이에 본 연구에서는 한국 간호윤리교육 의 현황 및 문제점을 살펴보고 앞으로 간호윤리교육이 나아가야 할 방향을 제안함으로써 간호사의 올 바른 윤리의식 함양에 기여하고자 한다. 국내 간호윤리교육의 문제점은 첫째, 간호윤리에 대한 인식 부 족, 둘째, 간호윤리 본질에 대한 정의 미흡, 셋째, 간호윤리 전문가 부족의 세 가지로 구분될 수 있으며, 향후 간호윤리교육의 개선방안은 다음과 같다. 첫째, 간호윤리 자체의 고유한 본질에 대한 깊이 있는 성찰과 이해가 필요하다. 둘째, 독립과목으로서의 간호윤리학 학습목표 제정과 이에 따른 표준화된 교 육 내용의 개발이 필요하다. 셋째, 간호윤리학의 학문적 특성을 정확하게 파악하고 있는 간호윤리 전문 가의 양성이 필요하다. 마지막으로 간호대학과 임상현장 간 간호윤리교육의 지속적인 연계가 필요하다.

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.

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.

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.

독일 간병보험제도에서 간병인 지원에 관한 고찰

정순형 사단법인 한국법이론실무학회 2022 법률실무연구 Vol.10 No.4

Germany’s nursing care system was introduced as a social insurance system in January 1995, and the legal basis is Part 1 of the Social Code. Nursing care insurance is divided into public care insurance (soziale Pflegeversicherung) and private care insurance (private Pflegeversicherung), both of which have insurance systems. The insurers of long-term care insurance are Pflegekasse and private insurance companies, which are based on Krankenkasse are subscribed. There is no age limit for nursing care insurance subscription and benefit conditions. You can receive nursing care insurance services if you have passed an accreditation survey and received a nursing grade (Pflegegrad). The public care insurance stipulates that the use of housing services and the use of support facilities for caregivers such as families take precedence over the use of services. Also, Germany’s public nursing insurance is called partial insurance and does not cover all the expenses required for nursing. The person in need of nursing care or his/her family shall bear the insufficient expenses. The insurer of public nursing insurance is the nursing home, and there is the sickness bank, which is the insurer of the public health insurance, to operate the nursing safe. Unlike Part VII of the Social Code, and Part V of the Social Code, the National Health Insurance Fund is a legally independent organization, but is organizationally under the umbrella of the Disease Safety Fund. In addition, the National Federation of Disease Vaults is also located in the National Federation of Nursing Vaults. In Germany, since the 1970s, discussions have been taking place on nursing care measures. In the background of the introduction of nursing care insurance, if a person in need of nursing cannot bear the cost of care on his own, he has no choice but to rely on social assistance that corresponds to the livelihood protection of Korea. The increased burden is cited. According to the Nursing Reinforcement Act of 2015, the insurance premium rate was increased, and at the same time, the Pflegevorsorgefonds was established under the Act to secure financial resources to prepare for further aging in the future. According to the Nursing Care Reform Act of 2017, the duties required for nursing and nursing jobs have also changed with the advent of an aging society and structural changes in diseases. In addition, in 2017, the Nursing Enhancement Act of the reform of the long-term care insurance system follows the existing level of care (Pflegestufe). In the nursing stage, the accreditation classification and standards were reviewed into 5 stages according to the nursing grade. According to the Act, all residents in need of nursing care were equally eligible for any physical, mental or psychological disability. In addition, for the purpose of supporting living at home, the level of care is newly recognized for those who have a slight disability in daily life. As a result, the number of beneficiaries of long-term care insurance increased, and among them, the number of beneficiaries of residential services increased by about 50% in public care insurance and about 20% in private care insurance. The biggest problem facing the German care insurance system for carers today is the lack of financial resources. 독일의 간병제도는 1995년 1월에 사회보험제도로 도입되었으며, 근거법은 사회법전 제1편이다. 간병보험은 공적 간병보험(soziale Pflegeversicherung)과 민간 간병보험(private Pflegeversicherung)으로 나누어져 있으며, 양자를 아울러 모두 보험제도가 성립되어 있다. 요양보험의 보험자는 질병금고(Krankenkasse)를 모체로 하는 요양금고(Pflegekasse) 및 민간보험회사이며, 공적 요양보험에는 공적의료보험(GKV) 가입자, 민간 요양보험에는 민간의료보험(private Krankenversicherung) 가입자가 가입되어 있다. 간병보험 가입 및 급여조건에 나이 제한은 없다. 인정조사를 거쳐서 간병등급(Pflegegrad)이 인정된 경우에 간병보험 서비스를 수급할 수 있다. 공적 간병보험에서는 주택 서비스의 이용 및 가족 등의 간병인 지원 시설 서비스의 이용보다 우선시킨다고 규정한다. 또, 독일의 공적 간병보험은 부분보험으로 불리고 있으며, 간호에 필요한 모든 비용을 감당하지 않는다. 부족할 비용에 대해서는 간호가 필요한 본인이나 그 가족이 부담한다. 공적 간호보험의 보험자는 간병금고인데, 간호금고 운영은 공적 의료보험의 보험자인 질병금고가 있다. 간병금고는 사회법전 Ⅺ편, 질병금고는 사회법전 Ⅴ편과 근거법이 달리, 간병금고는 법적으로 독립된 조직인 반면, 조직상은 질병금고의 산하에 있다. 또, 질병금고 중앙연합회는 간호금고 중앙연합회에도 자리 잡고 있다. 독일에서는 1970년대부터 간병대책 논의가 이뤄지고 있었다. 간병보험이 도입된 배경에는 간호를 필요로 하는 사람 스스로는 간병비용을 부담할 수 없는 경우, 한국의 생활보호에 해당하는 사회부조에 의존할 수밖에 없고, 이러한 사람이 증대한 결과로서, 지자체의 재정부담이 증가한 것 등이 꼽힌다. 2015년의 간병강화법에서는 보험료율이 인상됨과 동시에 동법에 의해 간병준비기금(Pflegevorsorgefonds)이 설립되어 장래의 추가적인 고령화에 대비한 재원이 확보되었다. 2017년 간병직 개혁법에서는 초고령사회의 도래와 질병의 구조변화에 따라 간호직이나 간병직에 요구되는 업무도 바뀌었기 때문에 기존에 별도로 수행되던 간호사(Gesundheits-und Krankenpfleger)와 간병인의 교육이 통일되었다. 또한 2017년의 요양보험제도 개혁의 요양강화법에서는 기존의 요양등급(Pflegestufe)에 따른다. 요양단계에서 간호등급에 따른 5단계로 인정구분과 기준을 재검토했다. 동법에 따라 간병을 필요로 하는 모든 주민은 신체적, 정신적 또는 심리적 어느 장애라도 평등하게 수급 대상이 되었다. 또, 자택에서의 생활지원을 목적으로 일상생활을 하는데 약간의 장애가 있는 사람에게는 새롭게 간병등급이 인정되게 되었다. 그 결과 요양보험의 수급자 수가 증가하였고, 그 중에서도 거택 서비스의 수급자 수는 공적 간병보험에서 약 50%, 민간 간병보험에서 약 20% 증가했다. 오늘날 독일 간병보험제도가 직면한 간병인 지원에 대해 가장 큰 문제는 재원의 부족이다.

간호학생의 간호가치관, 성취동기와 임상실습만족도간의 관계 연구

이성은 경인여자대학 2003 경인논집 Vol.- No.10

The purpose of this study was to identify the nursing perspectives of nursing students and explain the relationships among the nursing perspectives, achievement-motivation and the satisfaction of clinical practice. the sophomore and junior nursing students of a health college situated in Kyunggido were surveyed from August 25, 2002 to to September 30, 2002. The students were asked to answer the questionnaire composed of 108 structured questions concerning their general characteristics, the nursing perspectives, achievement-motivation and satisfaction of clinical practice. In total 211 questionnaires were analyzed using SPSS-PC +8.0 program. The results were as follows; 1. In six categories of the nursing perspectives, 'Component of Nursing' item score was relatively high. 2. The score of sophomore was higher than that of junior in 7 items of the nursing perspectives. 3. The score of students with religion was significantly higher than that of the students without religion in items of 'nursing is understanding human being'. 4. The students with experience of hospital admission of themselves or their family had somewhat higher nursing perspective but not significant on the whole. 5. The correlation between the nursing perspectives and achievement-motivation was significant in only 2 out of 41 items related to 'Image of Nursing'. 6. The correlation between the nursing perspectives and satisfaction of clinical practice was significant in 8 items related to 'Image of Nursing', 'Nature of Nursing', 'Range of Nursing' and 'Function of Nursing'. In conclusion, the nursing perspective is main component of nursing education and is made through the higher satisfaction of clinical nursing practice. It is necessary to improve environment of clinical practice and to make a strategies for the positive nursing perspectives of nursing students.

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.

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.

간호의 메타패러다임 관점으로 바라본 국내 간호학연구 동향분석

김태현(Taehyun Kim),홍진의(Jineui Hong) 한국간호연구학회 2022 한국간호연구학회지 Vol.6 No.3

Purpose : The purpose of this study is to analyze the keywords of the papers published in the Korean Journal of Nursing from the perspective of a nursing metaparadigm in order to confirm the characteristics of the recent nursing studies. Methods : Text mining was conducted using online journal information to analyze 844 papers published in 26 nursing journals from January 1 to December 31, 2021, from the perspective of a nursing metaparadigm. Results : Four topics could be derived via topic modeling analysis. The main keywords constituting the first topic were nurses, care, experience, Korea, research, development, Koreans, COVID-19, patients, and health, and the title was “Disease and Personal Experience : Human and Environment.” The main keywords constituting the second topic were factors, health, behavior, patients, women, research, life, cancer, influence, and Koreans, and the title was “Minority and Health-related Behavior : Human and Health.” The main keywords constituting the third topic were nursing, influence, student, care, factors, influence, patients, hospitals, clinics, and cancer, and the title was “Health and Influencing Factors : Health and Environment.” The main keywords constituting the fourth topic were effects, programs, patients, considerations, interventions, development, nurses, education, care, and adults, and the title was “Nursing and Scientific Evidence : Nursing.” Conclusion : Nursing research includes at least one of the paradigms of human, environment, health, and nursing even when new science and technology are introduced and interdisciplinary convergence occurs due to changes in the times, and it is confirmed that the value of the nursing metaparadigm does not change.