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활동기준원가계산(ABC)을 이용한 간호활동 분석 및 간호서비스 원가분석;일 산부인과 간호단위를 중심으로
강경화,Kang, Kyeong-Hwa 한국간호행정학회 1999 간호행정학회지 Vol.5 No.2
The purpose of this study is to examine a possibility of applying the ABC system to analyze the cost of nursing service on one obstetrics and gynecology (OB/GYN) unit in a major medical center. The activities of nurses on an OB/GYN unit were analyzed for 4 days for 96 hours. 2 week days and 2 days on weekend. Total cases included in the study were activities of 12 charge nurses and 12 staff nurses. Activities were categorized into direct and indirect activities in order to calculate the cost of activities. Nursing activities were defined multidimesionally in order to utilize the ABC system. The 60 nursing activities were classified into the direct nursing activities and the indirect nursing activities based on a literature review, interview, and survey results. The direct activities were further categorized into the single nursing activities and the multiple nursing activities. The indirect activities were classified into the indirect nursing service activities and the general management activities. The major findings of this study were as follows : 1. There were differences in activities according to the positions and duties of the nurses. The charge nurses mostly performed the indirect nursing service activities and the general management activities. Almost all of their indirect nursing activities spent on each patient were similar. The staff nurses performed the single nursing activities and the multiple nursing activities. 2. The activities of staff nurses included medication, patient assessment, rounding and organizing the unit. patient education, nursing treatment, admission and discharging of patients. There was no differences in types and amount of time spent between the nurses on day-time duty and evening-time duty, but the patient assessment activity increased during the night-time. 3. The cost of post partum nursing services for women who had a normal vaginal delivery using the ABC system included the cost incurred by direct nursing activities provided by the staff nurses (85.9%), indirect nursing activities incurred by the staff nurses(19.0%) and the nursing activities by the charge nurses and the head nurse(14.1%). The ABC system is a relatively new method of cost analysis. The results of this study can provide the nursing and hospital managers with useful information on cost control. It is suggested that more studies should be done using the ABC system and extend the scope of studies to include value analysis to aid the Activity-Based Management(ABM) and/or the reengineering of hospital process.
종합병원 진료협력간호사의 전문직업성, 역할갈등, 근무환경이 직무배태성에 미치는 영향
강경화(Kang, Kyeong Hwa),임연재(Lim, Yeon Jae) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.5
Purpose: The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness. Methods: The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province. Results: Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory. Conclusion: Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.
강경화 ( Kyeong Hwa Kang ),한현미 ( Hyun Mi Han ),박일미 ( Il Mi Park ),권은주 ( Eun Joo Kweon ),채덕희 ( Duck Hee Chae ),이유영 ( Yu Young Lee ),이정석 ( Jeong Eeok Lee ),우정희 ( Chung Hee Woo ) 국군간호사관학교 군진간호연구소 2012 군진간호연구 Vol.30 No.1
Purpose : The purpose of this study was to describe demographic and air travel related characteristics of invalid passengers and to investigate flight irregularities and canceled or delayed travel cases. Methods : All invalid passenger reports for an airline medical department during year 2005 and 2009 were examined retrospectively. A total of 427 and 732 invalid passengers traveled or intended to travel in 2005 and 2009 respectively. Descriptive statistics were used to analyze and report distributions of data collected. Results : There were incidences of 56.92 invalid passengers per million passengers in 2005 and 85.83 in 2009. Passenger`s age, flight time, and medical clearance by airlines medical department were related to flight irregularities, such as medical diversion and death on board. A total of 2 cases of flight irregularities occurred in 2005 and 10 cases in 2009. Conclusion : The findings of this study highlighted the importance of coordination of health care professionals, airline medical department, and other related parts to ensure passengers` safe travel and to prevent flight irregularities.
Text Network Analysis를 이용한 간호관리학 실습경험 분석
강경화(Kang, Kyeong Hwa),유소영(Yu, Soyoung) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.1
Purpose: The purpose of this study was to analyze students experiences during clinical practice in nursing management. Methods: Assessing through computerized databases, self-reflection reports of 57 students were analyzed. Text network analysis was applied to examine the research. The keywords from each student"s reports were extracted by using the programs, KrKwic and NetMiner. Results: The results of the keyword network analysis of what students learned in the nursing process included 27 words. The keyword network analysis of what students learned from the problem solving process included 23 words and the keyword network analysis of improvements in Clinical Practice of Nursing included 31 words. Conclusion: Studies related to clinical practice have been increasing, and themes of the studies have also become broader. Further research is required to investigate factors affecting clinical practice specifically in nursing management. Further comparative studies are necessary to define differences in clinical practice systems related to improving nursing students competency.
일개 대학병원 아토피피부염 환아의 병원 치료 및 대체보완요법 이용 양상과 치료비용
강경화 ( Kyeong Hwa Kang ),김경원 ( Kyung Won Kim ),김동희 ( Dong Hee Kim ) 대한소아알레르기호흡기학회(구 대한소아알레르기 및 호흡기학회) 2012 소아알레르기 및 호흡기학회지 Vol.22 No.1
Purpose: To investigate utilization patterns and cost of medical treatment of complementary alternative therapy in children with atopic dermatitis. Methods: A self-reported questionnaire concerning utilization pattern and cost of medical treatment of complementary alternative therapy was completed by 196 children <12-year-of-age diagnosed with atopic dermatitis for over 1 year. Descriptive, t-test, and analysis of variance analyses were performed. Results: About 70% of children reported the use of alternative therapy methods including, in order of frequency, bath, herbal medicine, supplemental foods, aroma therapy, massage, and acupuncture. During the previous 12 months, direct costs for these hospital treatments averaged 596,300 Korean Won (KRW, the currency of South Korea). The time cost averaged 657,000 KRW and transportation expenses averaged 598,000 KRW of indirect cost of hospital treatment. The direct cost for complementary alternative therapy averaged 741,000 KRW. The time cost averaged 340,000 KRW and transportation expenses averaged 810,000 KRW of indirect cost of complementary alternative therapy. There was a statistically significant relationship between direct cost of complementary alternative therapy and family income. Conclusion: The cost of complementary alternative therapy exceeded the cost of hospital treatment, and indirect costs exceeded direct costs. Analyses of cost-effectiveness of patient treatment should include complementary alternative therapy.
강경화(Kyeong-Hwa Kang),김진희(Jin-Hee Kim) 한국엔터테인먼트산업학회 2014 한국엔터테인먼트산업학회 학술대회 논문집 Vol.2014 No.5
본 연구는 지역문화 자원을 활용하여 지속적인 체험프로그램을 운영하고 있는 생생 문화재를 대상으로 에듀테인먼트의 유형을 분류하였다. 이를 위해 연구 대상은 생생 문화재 우수사례로 6년 동안 지속발전형으로 운영되고 있는 강원도 무형문화재 제4호?횡성회다지소리?에 관한 자료를 수집하였고, 문화재의 활용 유형에 따라 분류·분석방법으로 분석하였다. 본 연구 결과 첫째, 횡성회다지소리는 엔터테인먼트, 에듀테인먼트, 이모테인먼트의 각 유형별로 답사형, 체류형, 참여형으로 운영하고 있어 전통적인 무형문화재로만 머물러 있지 않음을 알 수 있다. 둘째, 다양한 대상이 직, 간접적으로 회다지 소리에 참여하면서 나타난 상호작용은 보고, 듣는 것을 넘어 개인의 주관적 감정과 인식에 문화재의 역할과 기능이 재해석 되고 있는 것으로 나타났다. 이는 활동에 참가하면서 느끼는 재미를 넘어 또 다른 재미와 즐거움을 맛보는 유인체이다. 따라서 횡성회다지소리는 엔터테인먼트, 에듀테인먼트, 이모테인먼트의 고유한 특성을 유형별로 담고 있으면서 동시에 경우에 따라서는 참여형, 답사형, 체류형의 특성과 내용이 혼합되어 있다.
국군간호사관생도의 소수집단에 대한 사회적 거리감에 영향을 미치는 요인
강경화(Kyeong Hwa Kang),우정희(Chung Hee Woo),채덕희(Duck Hee Chae) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.5
The purpose of this study was to identify factors affecting the social distance between minority groups and nursing cadets. Methods: A cross-sectional survey design was used. A questionnaire was distributed to the entire Armed Forces Nursing Academy cadets. Data from 273 nursing cadets were analyzed using t-test, ANOVA, Pearson correlation coefficients and Stepwise multiple regression. Results: Social distance had positive correlations with collective identity (r=.28) and multiculturalism (r=.37). A negative correlation was found between social distance and perceived threat (r=-.38). Perceived threat, multiculturalism, collective identity, and frequency of contact with minorities were identified as factors affecting the social distance. The model explained 24% of the variables. Conclusion: To effectively respond to the minority groups` nursing needs in the army, educational programs which help to reduce the perceived threat, to strengthen multiculturalism, and to establish a healthy collective identity of nursing cadets need to be developed.