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        간호·간병통합서비스 운영성과 및 향후 정책방향

        김진현,김성재,박은태,정수용,이은희,Kim, Jinhyun,Kim, Sungjae,Park, Euntae,Jeong, Suyong,Lee, Eunhee 간호행정학회 2017 간호행정학회지 Vol.23 No.2

        Purpose: This study was done to identify issues surrounding comprehensive nursing care within the national health insurance, analyze results and problems within national health insurance and to suggest new policy directions for stability. Methods: A literature search was performed using RISS, KISS, PUBMED databases. Eighteen studies were analyzed. Results: For implementation of comprehensive nursing care, there was improvement in nursing and in facilities. By improvement of structure, this new system showed positive outcomes in term of patient satisfaction and indicators related to patient safety. However, issues related to overload, job stress and evaluation of the system remain. In order to establish this system, staffing levels for nurses and nurse aids need to be adjusted to appropriate levels that reflect requirements for nursing. In addition, range of work needs to be determined clearly. Lastly, regular and systematic evaluation is needed to provide safe quality services to patients and to prevent waste of financial resources, Conclusion: Comprehensive nursing care needs to be implemented in ways that patients can be provided with safe and high quality service. There is a need to resolve several issues to allow this new system to function.

      • KCI등재

        국내 간호관리학 교육의 현황 및 고찰

        김은경(Eun Kyung Kim),김세영(Se Young Kim),정면숙(Myun Sook Jung),장금성(Keum Seong Jang),김진현(Jinhyun Kim),김종경(Jong Kyung Kim),김영미(Young Mee Kim),박은준(Eun Jun Park),김기경(Ki Kyong Kim),이해정(Hae Jung Lee) 한국간호행정학회 2011 간호행정학회지 Vol.17 No.2

        The purpose of this study was to explore the current status of education for nursing management in Korea. Methods: A descriptive study was done using a questionnaire developed by the investigators. The data were collected by survey from 96 out of 129 nursing schools, between December 2010 and February 2011. Results: For 22.9% of nursing schools, there was no faculty for nursing management. The credits and subjects included in nursing management varied among the nursing schools. Lectures in subjects related to nursing management were given not only by nursing management faculty but also by faculty with other majors. There were more faculty and credits for nursing management courses in 4-year nursing schools than in 3-year schools. Conclusion: To improve the quality of education in nursing management, there is a need to standardized courses and provide nursing faculty who have majored in nursing management.

      • KCI등재

        청년이 인식하는 소득불평등이 우울에 미치는 영향: 사회자본의 매개효과

        김진현 ( Kim Jinhyun ) 한국보건사회연구원 2021 保健社會硏究 Vol.41 No.2

        사회적 공정성에 대한 요구에도 불구하고 사회적 불평등은 더욱 확산되어 가고 있고 이는 청년의 상대적 박탈감과 우울을 유발한다. 기존의 연구들은 청년이 인식하는 소득불평등이 정신건강, 특히 우울에 미치는 영향을 살펴보지는 못하였다. 그리고 신뢰와 사회적 관계와 같은 사회자본이 소득불평등에 대한 인식과 우울의 관계에 미치는 매개 효과를 살펴본 연구는 매우 드물었다. 따라서 본 연구는 청년이 인식하는 소득불평등이 사회자본을 매개로 우울에 미치는 영향을 실증적으로 분석하고자 한다. 분석을 위한 연구대상은 한국보건사회연구원에서 실시한 ‘청년층 생활실태 및 복지욕구 조사’에 응답한 19-34세 청년 3,018명이다. 소득불평등에 대한 인식, 사회자본, 그리고 우울 사이의 직접적, 간접적 관계를 분석하기 위하여 구조방정식의 부트스트래핑 방법이 활용되었다. 분석결과 소득불평등에 대한 인식이 우울에 미치는 직접적인 효과는 유의하지 않았다. 하지만 소득불평등에 대한 인식이 신뢰수준을 매개로 우울에 유의미한 영향을 미치는 것으로 나타났다. 사회적 관계는 소득불평등 인식과 우울사이에서 매개효과는 없었지만 우울에는 유의미한 직접효과가 있는 것으로 나타났다. 본 연구의 결과는 청년을 위한 소득 및 취업 지원정책과 더불어 청년이 인식하는 소득불평등의 개선을 통해서 신뢰수준을 높이고 우울을 예방할 수 있는 방법에 대한 논의의 필요성을 제시하였다. Despite the growing social demand for fairness, social inequality has been widening and resulting in youth’s relative deprivation and depression. Previous studies have not addressed the impact of perceived income inequality on mental health, especially depression among youth. In addition, few studies have identified the mediating effects of social capital such as trust and social relationship between perceived income inequality and depression. Thus, this study aims to empirically examine the impact of perceived income inequality on depression mediated by social capital. The research sample consisted of 3,018 youth aged 19 - 34 years old who participated in the Survey on the Living Conditions and Welfare Needs of Youths sponsored by the Korea Institute for Health and Social Affairs (KIHASA). Bootstrapping methods and structural equation modeling were utilized to test direct and indirect relationships among perceived income inequality, social capital, and depression. Results showed that the direct relationship between perceived income inequality and depression was not significant. However, the impact of perceived income inequality on depression was significantly mediated by levels of trust. Social relationship did not have a indirect effect between perceived income inequality and depression, but it had a significant direct effect on depression. Results from this study suggest that it is necessary to discuss how to increase levels of trust and to decrease depression through addressing perceived income inequality in addition to income and employment support policy for youth.

      • 어뢰발사관을 활용한 자율 무인 잠수정의 수중 도킹 시스템 연구

        김진현(Jinhyun Kim),이기현(GiHyeon Lee) 대한기계학회 2011 대한기계학회 춘추학술대회 Vol.2011 No.10

        According to increasing the importance of underwater environments, the needs of UUV is growing. This paper represents the mechanism and algorithm of UUV docking system with 21-inch torpedo tubes for military submarines as a docking station. To improve the reliability of the docking, torpedo tubes launch a wired ROV and next the ROV combined with UUV is retrieved. For estimating the relative position between the ROV and UUV, in this paper, combining RF sensors and vision system is proposed. The RSSI method of RF sensors is used to estimate the distance and the optical image is combined for the directional information.

      • 금속 폼 필터의 촉매 적용성 연구

        김진현(Jinhyun Kim),이상수(Sangsu Lee),조규백(Gyubaek Cho),김홍석(Hongsuk Kim),이의성(Euisung Lee),오권오(Kwonoh Oh),차경옥(Kyongok Cha),정용일(Yongil Jeong) 한국자동차공학회 2006 한국자동차공학회 춘 추계 학술대회 논문집 Vol.- No.-

        Axial type metal foam filters were investigated to determine the feasibility as DPF filters in last study. In this study, catalyzed metal foam filters with 800um pore sizes were evaluated for the characteristics such as pressure drop and gas analysis. Pressure drop tests were performed in rig test bench, others were performed in engine test bench. To investigate the effects of flow rate and temperature on catalyzed metal foam filter, we controled engine rpm and load which correspond to 2400rpm(flow rate) or 290℃(upstream temperature of filter). Filters with same mean pore diameter showed high PM reduction rates and pressure drop as the filter thickness was increasing. But pressure drop was lower than cordierite DOC. Also increasing the thickness of filter exhaust gas was lower and the level was similar to codierite DOC.

      • KCI등재

        간호사인력의 수급 현황과 중장기 전망

        김진현 ( Jinhyun Kim ),권현정 ( Hyunjeong Kwon ),박은태 ( Euntae Park ),최하영 ( Hayoung Choi ),이선미 ( Sunmi Lee ) 한국보건경제정책학회 2021 보건경제와 정책연구 Vol.27 No.4

        본 연구의 목적은 간호사인력의 수급 현황을 분석하고, 중장기 수급 추계를 통해 향후 간호사인력 수급을 전망하는 것이다. 간호사인력의 수급 추세는 2013년을 전후하여 급격한 변동을 보여주고 있으므로 이를 반영하기 위하여 수급 추계방법으로 스플라인함수를 이용한 회귀모형과 상대지수모형을 사용하였다. 수도권 대형병원의 병상수 증설, 간호ㆍ간병통합서비스 확대 시행, 방문간호 확대와 같은 수요 증가 요인으로 인해 단기적으로 간호사의 취업률이 상승하였다. 그러나 10여년 전부터 간호학과의 신설과 입학정원 증원으로 인해 간호사인력의 공급이 급증하고 있는데 비해 향후 간호ㆍ간병통합서비스 확대 사업이 종료되는 시점 이후에는 임상간호사 수요가 둔화될 것으로 예상된다. 2020년 기준으로 간호사인력의 수급을 추계한 결과, 공급은 2030년 61만 7천명, 2040년 80만 1천명으로 추계되었고, 수요는 2030년 28만 5천명, 2040년 32만 7천명으로 추계되어 상대지수모형으로 추정한 결과 2030년 초과공급 19.6%, 2040년 초과공급 26.3%로 나타났다. 이에 따라 간호사의 임상 취업률은 2020년 51.6%, 2030년 46.2%, 2040년 40.9%로 예상된다. 임상간호사의 초과공급은 간호사의 근무여건 악화를 초래할 수 있으며, 증가된 간호사인력을 효과적으로 활용하여 의료자원 배분의 효율성을 제고하기 위해 간호간병통합서비스의 확대를 비롯하여 다양한 방안이 모색되어야 하고, 간호사인력의 지역별, 전문분야별, 의료기관종별 수급 불균형을 완화시킬 수 있는 정책이 필요하다. The purpose of this study is to review and forecast nursing workforce supply & demand in South Korea by using a spline function regression model. The demand for registered nurses (RN) in 2020, which is reported to be 225,462 nurses has risen sharply mainly due to the integrated nursing care and service scheme in the national health insurance and the expansion of home visiting nurse program in the community. The reported 211,103 supply of licensed nurses in 2020 has rapidly increased due to the surge in the number of enrollments in nursing schools since 2008. After the end of the integrated nursing and care service scheme in 2023, the demand for RN is expected to slow down, and we forecasted the oversupply of RN in the long-term. The supply of RN is expected to be 616,986 in 2030 and 801,196 in 2040, and the clinical demand of RN is expected to be 285,151 in 2030 and 327,486 in 2040. The ratio of RN demand to RN supply is expected to decrease from 51.6% in 2020 to 46.2% in 2030 and 40.9% in 2040. In order to effectively utilize the oversupply of RNs in the future, we suggest to expand an RN-based chronic disease management project in the community and to establish nursing homes for long-term care services.

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