`군진간호연구` 게재논문의 연구동향 분석(2011-2015)

정유미 ( Jung Yoomi ),정은영 ( Jung Eun-young ),김명자 ( Kim Myung-ja ) 국군간호사관학교 군진간호연구소 2017 군진간호연구 Vol.35 No.2

Purpose : This study is to analyze the trends of research that was published in the Korean Journal of Military Nursing Research from 2011 to 2015. Methods : Analyzing a total of 91 studies in the categories of research types, methods, and key words. Descriptive statistics were used. Results : 56% of the studies were funded, and 7.7% used a theoretical framework. An average study included 3.3 authors, and 38.5% were military-civilian joint projects. Quantitative research (79.1%) was most frequently conducted, followed by qualitative (11.0%) and literature review (5.5%). Less than 40% reported that they were approved by an IRB. An average of 3.3 instruments were used in a study, and 49.1% were psycho-social ones. Among others, inferential statistics were preferred in data analysis (69.7%) with the highest use of t-test (32.9%). The health category among 4 meta-paradigms of nursing involved 39.1% of the key words. Conclusion : The Korean Journal of Military Nursing Research is one and only journal devoted to military nursing in the country. Therefore, more military-specific and future-oriented projects should be conducted as a way of maintaining its distinct characteristics and improving military nursing practice, education, and research.

Rapid Prototyping Model을 적용한 간호사를 위한 재난윤리 교육 프로그램 개발

정유미 ( Jung Yoomi ),황선영 ( Hwang Sunyoung ),황나래 ( Hwang Narae ),신미정 ( Shin Meejung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.1

Purpose: The purpose of this study was to develop a disaster ethics education program for Korean nurses to improve their ethical competency in disaster response. Methods: This study adopted Rapid Prototyping Model with three phases. For the information gathering phase, a literature review and a focus group interview were carried out to identify education contents and nurses’ demand for disaster ethics education. During the 1st iterative loop, a prototype was developed, and a validity test was done. Next, the authors implemented the prototype for nurses as a pilot test, revised it based on their feedback, and finalized it. Results: The disaster ethics education program consisted of 5 sessions: Introduction Session, three Disaster Nursing Ethics Sessions, and Debriefing Session. Each Disaster Nursing Ethics Session included a pre-lecture, a case analysis and discussion, and a post-lecture. S-CVI of the prototype was .94 and the participants' satisfaction score in the pilot test was 4.68 out of 5.00. Conclusion: This study developed a disaster ethics education program for nurses, using Rapid Prototyping Model, for the first time in Korea. This program will contribute to enhancing the ability of nurses to respond to disasters by improving their ability to make ethical decisions.

한국과 태국 군병원 간호장교의 환자안전 지식, 태도, 수행 비교

정유미 ( Jung Yoomi ),( Paorohit Wacharaporn ),최지안 ( Choi Jian ),( Khamrath Jirapinya ),백서영 ( Baek Seoyoung ),황선영 ( Hwang Sunyoung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.3

Purpose: The purpose of this study was to compare patient safety knowledge, attitude, and skills between the Republic of Korea and Thailand nursing officers. Methods: Data were collected from 104 Korean nursing officers and 106 Thai nursing officers using structured questionnaires, patient safety knowledge, attitude and skills. Results: The proportion of men in Korean nursing officers were higher than that of Thai nursing officers, and Thai nursing officers had longer work experience than Koreans. The ROK nursing officer's patient safety knowledge score was significantly higher than Thai's (t=5.38, p<.001). However there was no difference between them in patient safety attitude and skills scores. Both countries had no difference in patient safety knowledge, attitude, and skills according to general characteristics. Conclusion: Nursing officers of the two countries had similar levels of patient safety knowledge, attitudes, and skills. However, in order to understand the gaps in patient safety culture, policy, and education programs between them, the two parties need to exchange information and benchmark with each other to strengthen their nurses' competence in patient care.

국군간호사관생도의 눈치, 임상실습 스트레스와 의사소통능력이 임상실습 적응에 미치는 영향

정유미 ( Jung Yoomi ),전소연 ( Jeon So-yeon ),신미정 ( Shin Meejung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.4

Purpose: The purpose of this study was to identify the effects of Nunchi, clinical practicum stress, and communication skills on clinical practicum adaption among Korea Armed Forces Nursing Academy (KAFNA) cadets. Methods: This study was a descriptive study and 158 cadets in 3rd and 4th year were recruited to respond to a self-reporting questionnaire in July, 2021. Statistical methods for data analysis included independent t-test, one-way ANOVA with Bonferroni post-hoc, and multiple regression. Results: The mean scores of the cadets’ Nunchi, clinical practicum stress, communication skills, and clinical practicum adaption were 4.11±0.47, 2.76±0.59, 3.95±0.44, and 3.48±0.53, respectively. The clinical practicum adaption had positive correlations with Nunchi (r=.26, p=.001) and, communication skills (r=.48, p<.001), and a negative relation with clinical practicum stress (r=-.34, p<.001). A statistically significant correlation was also found between Nunchi and communication skills (r=.56, p<.001). The multiple regression analysis presented that the communication skills (ß=.31, p=.001) had the greatest influence on the clinical practicum adaption and a major satisfaction (ß=.31, p=.039). The model explained 44.0% of the cadets’ clinical practicum adaption(F=11.28, p<.001). Conclusion: In order to promote cadets' clinical practicum adaption, education and training to further enhance their communication skills are continuously needed.

한·미 여군 건강연구 동향 분석(2015~2019년)

정유미 ( Jung Yoomi ),황나래 ( Hwang Narae ),조도선 ( Jo Doseon ),신미정 ( Shin Meejung ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.4

Purpose: The purpose of this study was to compare the research trends on female soldiers' health in Republic of Korea and the United States from 2015 to 2019 by analyzing published articles. Methods: A total of 56 studies from Korean Journal of Military Nursing Research and Military Medicine were analyzed. Research design, funding status, conceptual/theoretical framework, ethical considerations, research topic, research subjects' characteristics, characteristics of quantitative and qualitative study were analyzed. Also the frequency of use of keywords were categorized into 10 domains. Results: Female soldiers' health research in United States accounted for 91.1% and those in Korea accounted for 8.9% respectively. Quantitative and qualitative research accounted for 83.9% and 8.9% of these 56 studies analyzed, respectively. Mixed method research was 7.2%. The most frequent studies who have health issues subjects were psychological, physical, pregnant issues, reproductive issues in descending order. The most frequent keyword domain involved 'health related concept (37.4%)' among ten domains. Conclusion: This study suggests that efforts and policy support are needed to encourage more studies on female soldiers' health with a variety of perspectives and topics.

군병원 국방의료정보체계(NDEMIS) 내 표준간호진술문의 활용실태

이순영 ( Lee Soon-young ),정유미 ( Jung Yoomi ),안진옥 ( An Jin-ok ),차진희 ( Cha Jin-hee ),이현지 ( Lee Hyunji ),변다희 ( Byeon Dahee ) 국군간호사관학교 군진간호연구소 2017 군진간호연구 Vol.35 No.2

Purpose : This study is to investigate the overall use of standardized nursing statements in NDEMIS, the electronic nursing record system of Korean military hospitals and to identify frequently used statements among them by hospitals and treatment departments. Methods : The authors analyzed the nursing records of randomly chosen 4 weeks from 12 military hospitals in 2015. Descriptive statistics were used to investigate the utilization rate of nursing problems, nursing interventions, and nursing activities in the standardized nursing statements. Results : Analyzed were 245,252 nursing records of 9,532 patients who had been admitted to military hospitals. The nursing records contained 48.0% of the standardized nursing statements. Among them, the most frequently used statements were `acute pain` for nursing diagnosis, `Pain management` for nursing intervention, `notify medical team if pain worsens` and `assess pain` for nursing activity. The pattern of standardized nursing statements` use by hospitals and treatment departments reflected general characteristics of patients admitted to the military hospitals. Conclusion : This study indicates that the priority in military nursing care is management of pain. Considering the percentage of standardized nursing statements, education for nursing staff should be regularly provided to promote use of them. Also NDEMIS should be improved according to the user`s needs so that the system can be fully utilized.

군병원 간호사의 전자의무기록과 표준간호진술문에 대한 인식 조사

안진옥 ( An Jinok ),정유미 ( Jung Yoomi ),차진희 ( Cha Jinhee ),이현지 ( Lee Hyunji ),이순영 ( Lee Soonyoung ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose: This study is to examine nurses' perception on electronic medical record (EMR) and standardized nursing statements (SNS) in the Korean Armed Forces Hospitals. Methods: 525 nurses from 14 Korean Armed Forces Hospitals across the nation reported their perception of EMR and SNS, the intention to use, and actual use of SNS. Data were collected though self-reported questionnaires in February, 2017 and analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficient. Results: The mean score for the perception on EMR and SNS were 3.44 and 3.93 on average out of a 5-point Likert, respectively. The mean score for the intention to use and the actual use of SNS was 73 and 65 out of 100 points, respectively. Inconvenience to use SNS was the main reason for not using SNS. Education (F=6.90, p=.001), ranks (F=6.05, p<.001), job positions (F=2.68, p=.047), previous education of EMR (t=2.67, p=.008) and previous education of SNS (t=-.43, p=.667) were the significant factors for the perception of SNS. The correlation between the perceptions on EMR and SNS were significant (r=.44, p<.001). Conclusion: This study suggests that education for using EMR and EMR refinement are needed to improve the usage level of SNS in military nurses.

혼합현실 기반 중증외상 처치 시뮬레이션 교육 요구 조사: 군병원 간호사 대상 포커스 그룹 인터뷰 적용

장선미(Jang, Seon Mi),황신우(Hwang, Sinwoo),정유미(Jung, Yoomi),정은영(Jung, Eunyoung) 한국간호교육학회 2021 한국간호교육학회지 Vol.27 No.4

Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including “realistic education reflecting actual clinical practice” and “motivating education” for teaching contents; five subcategories including “team-based education,” “repeated education that acts as embodied learning,” and “stepwise education” for teaching methods; six subcategories including “debriefing through video conferences,” “team evaluation and evaluator in charge of the team,” “combination of knowledge and practice evaluation” for teaching evaluation; six subcategories including “securing safety,” “similar settings to real clinical environments,” “securing of convenience and accessibility for learners,” and “operating as continuing education” for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

해군 의무시설 근무자의 감염관리 표준주의지침 수행 영향요인

조도선 ( Jo Doseon ),신미정 ( Shin Meejung ),정유미 ( Jung Yoomi ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.1

Purpose: The purpose of this study is to identify the influencing factors on the practice of standard precautions for infection control among healthcare workers in naval and marine medical units. Methods: This study is a descriptive study where 151 physicians, dentists, registered nurses, nursing assistants, medical technicians, and uncertified assistants were sampled to respond to a self-reporting questionnaire from July to October 2020. Results: The knowledge score had a significant difference among the licensed healthcare professional group, unlicensed but certified health workers group, and uncertified assistants group (F=12.35, p<.001). The practice score was significantly different between men and women (t=-3.85, p<.001). The safety climate score was found to have a positive correlation with the practice score (r=.23, p=.004). The multiple regression analysis presented that the safety climate score influenced the score of Standard Precautions practice (ß=.36, p=.005). The model explained 34.3% of Standard Precautions practice (F=7.06, p<.001). Conclusion: It is important to build a safe climate to promote healthcare workers’ practice of standard precautions in naval and marine medical units.

국군간호사관학교 2018-2021 교육과정 개발

최주영 ( Choi Ju-young ),권영훈 ( Kwon Young Hoon ),정유미 ( Jung Yoomi ),곽용녀 ( Kwoak Yong Ney ),고은자 ( Ko Eun Ja ),이동제 ( Lee Dong-jae ),이수진 ( Lee Su Jin ),이순영 ( Lee Soon Young ) 국군간호사관학교 군건강정책연구소 2018 군진간호연구 Vol.36 No.1

Purpose : This study aimed to develop a curriculum for cadets who enter Korea Armed Forces Nursing Academy from 2018 to 2021. Methods : Using the competency-based curriculum development process, the authors reviewed literature, interviewed focus groups, and conducted modified-Delphi method. Focus group interviews were done with faculty and cadets at KAFNA, middle managers and junior officers in military healthcare settings. Modified Delphi method has been implemented to verify the validity of the developed curriculum with a panel of 14 experts. The curriculum was finalized through a public hearing and the steering committee of education in KAFNA. Results : The curriculum of 146 credits was developed with six core competencies, six educational objectives, and eight program outcomes linked to one another. The Delphi for the newly developed curriculum demonstrated the average content validity ratio (CVR) of .86, a convergence level of .91, and a consensus degree of .21. Conclusion : The curriculum was successfully developed with high consensus. However, it should continue to be renewed and updated to educate and train the cadets as excellent nursing officers, as the society, the military, and the healthcare environment will not stop changing.