임상간호사가 지각한 병원조직의 새로운 지적자본 창출 능력 영향요인

장금성(Keum Seong Jang),김은아(Eun A Kim),김민수(Min Soo Kim),심재연(Jae Yeun Sim),박현영(Hyun Young Park) 한국간호행정학회 2012 간호행정학회지 Vol.18 No.1

This study was designed to identify creation of intellectual capital and factors influencing the creation of intellectual capital in hospital organizations. Methods: A cross-sectional design was used, with a convenience sample of 300 nurses from three general hospitals in Gwangju and South Cholla province. The tools used for this study were scales measuring creation of intellectual capital (8 items), social capital (20 items), knowledge management (8 items). Data was analyzed with descriptive statistics, Pearson`s correlation coefficient and regression using the SPSS WIN 18.0 program. Results: There were significantly positive relationships between social capital and knowledge management with creation of intellectual capital. The mean score for creation of intellectual capital in hospital organizations was 4.59 points. Factors influencing creation of intellectual capital in hospital organization were identified as knowledge management (β=.625), shared values & action (β=.166), and participation in civic activities (β=.118). These factors explained 59.3% of the variance in creation of intellectual capital in hospital organizations. Conclusion: The results indicate which factors are major factors influencing creation of intellectual capital and therefore, serve as predictors of creation of intellectual capital in hospital organizations.

액션러닝을 활용한 근거기반간호 수업운영의 효과

장금성(Jang, Keum-Seong),김은아(Kim, Eun A),박현영(Park, Hyunyoung) 한국간호교육학회 2015 한국간호교육학회지 Vol.21 No.1

Purpose: This study was conducted to evaluate the effectiveness of an evidence-based nursing (EBN) course using action learning-based team learning in undergraduate nursing students. Methods: A quasi-experimental pretest-posttest control group design was employed. The participants who consented were 45 second-year nursing students (22 in the experimental, 23 in the control group) from a university in G-city, Korea. The intervention included lectures, practicals, team activities and reflection on overviewing EBN, formulating clinical questions, searching the evidence, and criticizing the research articles. At the beginning and the end of the 7-week EBN course, the participants completed self-reported questionnaires. Frequencies, χ2-test, t-test, and ANCOVA with the SPSS program 18.0, were used to analyze the data. Results: The experimental group showed significantly higher scores on EBN competency (F=25.80, p<001), information literacy (F=13.75, p=.001), and proactivity in problem solving (F=5.32, p=.026) than the control group. Conclusion: This study provides evidence that an EBN course improves undergraduate nursing students EBN competencies, information literacy, and proactivity in problem solving. Team learning in EBN education can be an effective teaching strategy.

국내 의료서비스디자인연구 동향분석

장금성(Jang, Keum-Seong),정경희(Chung, Kyung-Hee),김윤희(Kim, Yun-Hee) 한국간호행정학회 2018 간호행정학회지 Vol.24 No.1

Purpose: Purpose of this study was to analyze research on the service design process applied to domestic medical service areas. Methods: A review was made through domestic databases including RISS, KISS, DBpia, and NDSL and for the analysis framework: a medical service classification code which integrated the medical service area and the design fields. Results: In the healthcare service field there were 9 studies (69.2%) in the medical area, 1 study (7.7%) each in nursing and oriental medicine, and 2 studies (15.4%) in healthcare. According to analysis results based on the medical service classification code, there were 5 studies in prevention and management, 6 studies in curative care, 1 each in rehabilitation and ancillary care. Double diamond process was used in 8 studies. Conclusion: Service design was applied mainly to the curative care in the domestic medical settings but little research on service design in the long-term nursing care area was identified. As a strategy to improve the quality of nursing service, it is necessary to adopt the service design process for various nursing service areas in Korea.

액션러닝 교수설계에 의한 창의적 문제해결 교과의 학습성과

장금성(Keum Seong Jang),김남영(Nam Young Kim),박현영(Hyun Young Park) 한국간호행정학회 2014 간호행정학회지 Vol.20 No.5

Purpose:This study was conducted to identify the effects of an action learning based creative problem-solving (CPS) course on problem solving, creativity and team-member exchange in nursing students. Methods: A quasi-experimental study applying a non-equivalent control group pre-post design was employed. Sophomore nursing students (32 in the experimental group and 33 in the control group) were recruited from a university in G-city, Korea. Problem solving, creativity and team-member exchange were measured for the pretest and posttest using self-report questionnaires. Kolmogorov-Smirnov test, Chi-square, Fisher`s exact test, t-test, and ANCOVA with SPSS/Win 20.0 program were used to analyze the data. Results: The scores for problem solving, creativity and team-member exchange in the experimental group were significantly higher than those of the control group. Conclusion: Results of this study indicate that an action learning based CPS course is an effective teaching method to improve nursing students` competencies. In the future longitudinal studies are needed to assess the long term effects of the course.

대학생의 비판적 사고 성향과 정보 활용 능력과의 관계

장금성(Jang Keum Seong),김은아(Kim Eun A),유상은(Yoo Sang Eun),윤란(Yoon Lyan),윤희선(Yoon Hee Sun),이리나(Lee Ree Na) 전남대학교 간호과학연구소 2010 Nursing and Health Issues(NHI) Vol.15 No.1

Ⅰ. 서 론 Ⅱ. 연구 방법 Ⅲ. 연구결과 Ⅳ. 논의 Ⅴ. 결론 및 제언

간호사 임상경력단계에 따른 역량기반 보수교육시스템 개발을 위한 연구

장금성(Keum-Seong Jang),김희영(Heeyoung Kim),김남영(Nam-Young Kim) 한국콘텐츠학회 2018 한국콘텐츠학회논문지 Vol.18 No.12

본 연구의 목적은 간호사 보수교육을 위한 간호역량을 도출하고 간호역량의 정의와 지식기반을 규명하며, 경력단계를 구분하여 역량기반 보수교육시스템 개발을 위한 기초자료를 제공하는 것이다. 국내외 문헌 10개를 분석하여 간호역량을 도출 · 정의하였고, Carper와 Chinn & Kramer의 연구를 근거로 각 간호역량의 지식기반을 규명하였다. 간호사 경력단계별 간호역량 행동지표를 개발한 후, 국내 전문가 7인을 선정하여 내용타당도를 검증하였다. 연구결과 보수교육 이수를 위한 간호역량은 근거기반환자간호, 교육과 지도상담, 간호관리와 리더십, 법과 윤리, 직업가치와 전문성 개발, 연구와 정책개발이었다. 또한 보수교육 이수를 위한 임상경력 4단계 구분과 24개 간호역량 행동지표의 타당성을 확인하였고, 임상경력단계별 간호사 보수교육방법을 제안하였다. 본 연구결과를 토대로 임상경력단계에 따른 역량기반 보수교육시스템이 국내 간호사의 전문성 향상을 위한 효과적인 인적자원개발 전략으로 활용되기를 기대한다. The aim of this study was to develop a list of nursing competency for nurses` continuing education, and to propose a competency-based continuing education system according to nurses` clinical ladder. The definition of nursing competency was extracted by analyzing 10 studies. Also, the knowledge base of each nursing competency was confirmed through Carper and Chinn & Kramer`s research. Nurses` clinical ladder and preliminary items of nursing competency behavior indicators were verified by seven experts for content validity. The results of this study were as follows; Nursing competencies were defined as `evidence-based patient care`, `education and counseling`, `nursing management and leadership`, `law and ethics`, `professional value and development`, `research and policy development`. In addition, the validity of the 4 stages of clinical ladder and the 24 indicators of nursing competency were confirmed by experts. These findings suggest that the competency-based continuing education system according to the clinical ladder will be utilized as an effective human resource development strategy for improving the professionalism of nurses.

간호학 학사학위 프로그램 학습성과 평가체계 개발 사례

장금성(Jang, Keum Seong),김복남(Kim, Bok Nam),정석희(Jeong, Seok Hee),김윤민(Kim, Yun Min),김정숙(Kim, Jung Sook) 한국간호행정학회 2016 간호행정학회지 Vol.22 No.5

Purpose: This study was conducted to develop a nursing leadership program outcome evaluation system, required for accreditation of nursing education. Methods: A methodological design was used. To ensure the theoretical validity of the evaluation system, learning objectives for nursing education programs and job descriptions for nurses in Korea were verified by analyzing the relationships in the five attributes of the nursing leadership concept. The nursing leadership program outcome evaluation system was developed based on the Kim & Park’s developmental model (2008). Results: The nursing leadership program outcome evaluation system was established, including implementation level, education curriculum, level of performance, evaluation method, rubrics, and Close-the-Loop. Conclusion: The developed evaluation system can be actively used in nursing education, and contribute to enhancing the leadership competencies of nursing students and graduate nurses.

근거기반간호 : 이론 ; EBN과 간호사 교육

장금성 ( Keum Seong Jang ),김남영 ( Nam Young Kim ) 연세대학교 간호정책연구소 2005 간호학탐구 Vol.13 No.2

병원의 조직문화유형과 조직유효성간의 관계에 관한 연구 - 1개 c대학교 병원을 중심으로 -

장금성(Jang Keum Seong),김영숙(Kim Young Sook),김안자(Kim An Ja) 전남대학교 간호과학연구소 1996 Nursing and Health Issues(NHI) Vol.1 No.-

The purpose of this study was to identify the relationship between the pattern of organizational culture and organizational effectiveness in hospital. The research aims to provide the basic data necessary for the management of organizational culture or organizational development to enhance the organizational effectiveness This research design was a descriptive correlational study. 514 subjects were consisted of nurses,pharmacologists, technicians, and general staff who were working in a university hospital at K city. The data were collected from September 20 to October 20,1996 by using self-reported questionnaire. 4 instruments used in this study were Likert-type scales, which were organizational culture pattern scale by Kim berly & Quinn(1984), organizational commitment scale by Mowday et al(1979), job satisfaction scale by Shin (1979), and organizational adjustment scale by Shin (1987). The data were analyzed using t-test, ANOVA, Pearson s correlation coefficient & stepwise multiple regression. The results of this study are summarized as follows. 1. When four patterns of organizational culture were compared, the highest culture pattern was hierarchical culture(mean = 3.59) and the lowest was developmental one(mean=2.91) on a five point scale. Among organizational effectiveness variables, organizational commitment mean score was 3.26, job satisfaction, 3.21, organizational adjustment, 3.36. 2. In relation to divisional group, there was significant difference in hierarchical culture(F=10.65, p<.001), rational culture(F=5.85, p<.001), &. group culture(F=5.16, p<.01). 3. In relation to hierarchical status, there was significant difference in developmental culture(F=49.11, p<.001), rational culture(F=14.03, p<.001), & group culture (F=18.39, pC.001). 4. There was significantly a positive correlation between developmental culture and organizational commitment(r=.611, p<.000), between developmental culture and job satisfaction(r=.548, p<.000), and between developmental culture and organizational adjustment(r=.473, p<.000). 5. There was significantly a positive correlation between group culture and organizational commitment(r=.487, pC.OO0), between group culture and job satisfaction(r=.564, p<.000), and between group culture and organizational adjustment (r=.411, p<.000). 6. Stepwise multiple regression analysis showed that developmental &. group culture accounted for 38.3% of organizational commitment variance, group & developmental culture accounted for 38.3% of job satisfaction variance, and developmental, hierarchical & group culture accounted for 27.5% of organizational adjustment variance.

의무기록지 분석과 간호사 면담을 통한 유치도뇨관 관리에 관한 간호활동 및 환자결과

장금성(Jang Keum Seong),정경희(Chung Kyung Hee),최자윤(Choi Ja Yun),양진주(Yang Jin-Ju),박순주(Park Soon Joo),류세앙(Ryu Se-Ang),김남영(Kim Nam Young),심재연(Sim Jae Youn) 기본간호학회 2008 기본간호학회지 Vol.15 No.4

Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.