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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
김복자,이은남,강경희,김성숙,김순애,성영희,신덕신,이관옥,이희정 병원간호사회 2006 임상간호연구 Vol.12 No.1
Purpose: The purpose of this study was to provide basic data needed for the establishment of a new policy, by which roles of emergency room nurses and emergency medical technicians(EMT) could be clarified. Method: This data were collected from 738 nurses and 36 unit managers working in the emergency rooms by using the job analysis questionnaire from September 30 and November 10, 2005. Result: Among the 17 domains of nursing activities, the domain of patient education showed the highest frequency in emergency nurses and that of research, education & consultation was the lowest. And the domain of special care including CPR was the highest urgency, and the perceived competency was the highest in the domain of medication. There were no meaningful differences in the frequency, urgency, significance, and perceived competency according to the type and size of hospital, and whether EMTs are available or not in the hospital. Conclusion: It is necessary that job activities which have higher frequency and significance must be strengthened and expanded in order to improve the quality of emergency nurses. Furthermore, various education program for improving the perceived competency should be developed in the particular domain of nursing.