외래간호사의 비부가가치 간호활동의 유형과 발생원인

하미경 ( Ha Mikyung ),김동희 ( Kim Dong-hee ) 부산대학교 간호과학연구소 2022 글로벌 건강과 간호 Vol.12 No.1

Purpose: This study aimed to identify the types and causative factors of non-value-added nursing activities in outpatient departments. Methods: The participants were nurses working in the outpatient department of university hospitals located in two metropolitan cities. A total of 164 questionnaires were used for the final analysis. The research tool was a questionnaire composed of general characteristics, work-related characteristics, types of non-value-added nursing activities, and causes of non-value-added nursing activities in the outpatient department. These data were analyzed by frequency, percentage, and independent t-test and one-way ANOVA using SPSS 21.0. Results: The types of non-value-added nursing activities showed ‘repeating’ the most, followed by ‘reverse-proxy working’ and ‘waiting’. Answering phone calls for reservation confirmation or replying to irrelevant inquiries, providing guidance to hospital facilities or directing patients to the location of other departments, and providing information to not seeing patients was occurred always or frequently. The causes of non-value-added nursing activities were clients ignoring regulations, problems with computerized systems, and the absence of patients from designated locations. In terms of career in the current department, there was a statistically significant difference in the categories of ‘searching’ (t=-2.44, p=.016) and ’reworking’ (t=-2.23, p=.027) among non-valueadded nursing activities. There was a statistically significant difference between the number of aid nurses and ‘reverse-proxy working’ (t=-2.59, p=.010). There was a statistically significant difference between the number of patients and ‘repeating’ (F=3.39, p=.036), ‘reverse-proxy working’ (F=3.31, p=.039), and ‘duplicating’ (F=5.74, p=.004). Conclusion: This study is expected to be used as basic data to reduce non-value-added nursing activities and improve the efficiency of nursing activities in outpatient departments.

간호대학생의 메타인지수준과 문제해결능력

김동희 ( Dong Hee Kim ) 부산대학교 간호과학연구소 2014 글로벌 건강과 간호 Vol.4 No.1

Purpose: The purpose of this study was to understand the metacognition and problem solving ability among nursing students. Methods: The participants were 277 university students studying at two universities in Korea. Data were collected from during November 2012 using questionnaires. Results: The mean score for metacognition was 5.07±0.68 (range 1~7) and problem solving ability was 3.34±0.43 (range 1~5). There were significant mean differences in metacognition according to satisfaction with studying nursing (F=3.79, p=.024). There was a significant difference in the level of problem solving ability between students with high metacognitive level and low metacognitive level (p<.001). There was a strong, positive correlation between metacognition and problem solving ability (r=.56, p<.001). Conclusion: Metacognitive levels must be taken into consideration for strategies to improve nursing students` problem solving ability. Moreover, nursing educators should develop teaching strategies for students to improve metacognitive skills.

일개 간호대학생의 시뮬레이션 기반 통합실습 경험 분석: 텍스트 네트워크 분석의 적용

문미경 부산대학교 간호과학연구소 2019 글로벌 건강과 간호 Vol.9 No.1

Purpose: This study aimed to explore the nursing students’ experiences on a simulation based integrated practicum using a text network analysis. Methods: The data were collected from 103 questionnaires submitted by senior students who took the simulation based integrated nursing practicum course in a college of nursing during spring semester 2018. NetMiner 4.3. was used for the text network analysis. After data cleaning, frequency, degree/betweenness centrality, and subgroup analysis were used for the final analysis. Results: Situation, Patient, Skills, Coping, and Reality were the words with high frequency and centrality in practicum experience among nursing students. Comparing visualized sub-networks groups with course outcomes, ‘the collaboration with health professionals(CO4)’ were not explained by any sub-groups. Embarrassment and Mistake were the high frequency words in the analysis for negative experience. Conclusion: The results identified positive and negative experience, and the unachieved course outcomes from nursing students’ experience of simulation practicum. The results could be used for improving the quality of simulation based integrated nursing practicum.

요양병원 간호사의 신체 억제대 적용 간호의 영향요인

하주영 ( Ha Ju-young ),박수빈 ( Park Su-bin ) 부산대학교 간호과학연구소 2021 글로벌 건강과 간호 Vol.11 No.1

Purpose: This study aimed to identify the factors influencing nursing practice for physical restraints among nurses in long-term care hospitals. Methods: This cross-sectional correlational study included 151 nurses working at 14 long-term care hospitals. Data were collected using self-administered questionnaires and analyzed using descriptive statistics, t-test, ANOVA, Scheffé’s test, Pearson correlation coefficients, and multiple regression with the SPSS 25.0 program. Results: The mean score of nursing practice for physical restraints, perception of physical restraints, moral sensitivity, and organizational culture score of the participants were 38.39±3.12 (possible scores=14~42 points), 55.66±10.29 (17~85 points), 132.00±13.28 (34~170 points), and 66.53±8.85 (20~100 points), respectively. Relationship-oriented organizational culture, age, moral sensitivity, and number of patients per registered nurse and nurse aide were significant predictors of nursing practice for physical restraints in nurses accounting for 27% of the variance. Conclusion: This study suggested that relationship-oriented organizational culture, high moral sensitivity of nurses, and optimal nursing staffing may be enhance nursing practice for physical restraints in long-term care hospitals.

간호대학생의 격리주의지침에 대한 지식과 태도

송주연 ( Ju Yeoun Song ),정인숙 ( Ihn Sook Jeong ) 부산대학교 간호과학연구소 2013 글로벌 건강과 간호 Vol.3 No.2

on nursing students. Methods: Cross-sectional survey was done with a self-administered questionnaire from 350 nursing students in 8 college from December 19, 2011 to February 21, 2012. Results: Overall correct answer to 13 knowledge-type questions was 70.8% percent, which wasn`t significantly different ever taken clinical practice (p=.174). 236 nursing students had taken an infection control training, which was significantly different (p=.012). The question ``the most important vehicle in pathogen transmission`` showed the highest correct answer (94.9%), followed by ``risk-guided application of a preventive strategy`` (92.0%). The question ``the main purpose of glove use`` showed the lowest correct answer (28.3%), followed by the basic concept of standard precautions` (34.6%). Preferred single prevention measure was ``hand hygiene`` (98.6%). 47.5% of the respondents answer ``know vaguely`` on the question about ``self assessment of knowledge on the concept of isolation precaution``. Preferred source of information on isolation precautions was searching for guideline (62.6%) followed by calling the hotline (24.8%). The most important obstacle to compliance with isolation precaution guideline was forgetfulness (65.4%), followed by lack of time (42.9%), lack of knowledge (34.3%), and lack of needs (2.6%). Conclusion: The knowledge on the isolation precautions among nursing students was low, therefore nursing students require fundamental and comprehensive courses in infection control precautions prior to taking part in the clinical practice. Considering forgetfulness was the most important obstacle to adhere to isolation precaution guideline, repeated education in the schools or hospitals are also recommended.

간호대학생 대상의 국제보건역량강화 프로그램 효과: 체계적 문헌고찰 및 메타분석

박서아 ( Park Seo A ),김혜영 ( Kim Hye Young ) 부산대학교 간호과학연구소 2022 글로벌 건강과 간호 Vol.12 No.1

Purpose: This study aimed to evaluate the effects of global health competency education on cultural competence, empathy, and cultural acceptance among nursing students in Korea. Methods: A literature review was performed until July 2021 in domestic electronic databases, including KoreaMed, RISS, KISS, and Google Scholar. Nine references that met the inclusion and exclusion criteria were selected and Meta-analysis was performed using Cochrane’s risk of bias tool and the R version 3.5.2 (Meta-analysis with R) program. Results: The findings in this study indicate that effect size of global health competency education for cultural competence was Hedges'g=1.33 (95% confidence interval, 0.78~1.89) and the effect size of empathy was Hedges'g=0.82 (95% confidence interval, 0.07~1.57), as indicated by a large effect size. The effect size of cultural acceptance was Hedges'g=0.49 (95% confidence interval, 0.06~0.92), as indicated by a moderate effect size. The differences were statistically significant. In the meta-subgroup analyzed by approach intervention type, intervention time had a significant effect. The risk of publication bias is low. This study found that the global health competency education program for nursing students had an effect on cultural competence, empathy, and cultural acceptance. Conclusion: Various global health competency programs should be developed and implemented for nursing students to improve their multicultural health competencies.

임상간호사의 간호실무 전문성정도와 간호역량간의 상관관계 연구

이전마 ( Lee Jeonma ) 부산대학교 간호과학연구소 2017 글로벌 건강과 간호 Vol.7 No.1

Purpose: The aim of this study was to determine the levels of nursing professional practice and clinical competency and the relationships between them in clinical nurses. Methods: The participants in this study were 303 nurses working at Y University Hospital. The data were collected between March 1, and March 20, 2015 using the nursing professional practice measurement developed by Lee (2016) and the clinical competency scale developed by Jang (2000). The data were analyzed using descriptive statistics, t-test, ANOVA and Pearson`s Correlation Coefficient through the SPSS/WIN 21.0 program. Results: The average ratings of nursing professional practice and nursing competency were 3.93 and 3.59 points, respectively out of a total of 5. Nursing professional practice according to age (t=-6.22, p<.001), total clinical career (t=21.42, p<.001), and present ward career (t=22.96, p<.001) were significantly different. Nursing professional practice and clinical competency showed positive correlation with performance (r=.80, p<.001). Conclusion: The results indicate that the strategies are needed to increase the level of nursing professional practice in order to enhance the clinical competency and quality of nursing service.

중환자실 간호사의 생애말 환자 간호에 대한 지식 및 태도 영향요인

정유진 ( Jeong Yu Jin ),김유진 ( Kim Yu Jin ) 부산대학교 간호과학연구소 2021 글로벌 건강과 간호 Vol.11 No.1

Purpose: This study aimed to determine the factors related to the knowledge and attitudes of critical care nurses, pertaining to end-of-life care in the ICU. Methods: A descriptive correlational study using a self-report survey was conducted, and the results were evaluated using the Scale of End-of-Life Care in the ICU (EOL-ICU). The participants were all ICU nurses at a university hospital in Seoul. The response rate was 73%. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression using the SPSS 25.0 statistical program. Results: The EOL-ICU knowledge score was positively correlated with the length of the clinical career (r=.20, p=.017), the length of the ICU career (r=.20, p=.017), and the level of interest in hospice and palliative care (r=.20, p=.023). Moreover, age (r=.23, p=.006), the length of the clinical career (r=.19, p=.025), the length of the ICU career (r=.20, p=.023), and the number of dying patients he or she takes care of per month (t=-2.55, p=.012) were significantly associated with the EOL-ICU attitude score. Conclusion: It is necessary to provide education and training programs to improve knowledge and skills related to end-of life care in ICUs.

간호대학생의 MBTI 유형과 학습양식의 관계

이고운 ( Lee Ko Eun ) 부산대학교 간호과학연구소 2012 글로벌 건강과 간호 Vol.2 No.1

Purpose: The purpose of this study was to identify the relationship between personality type and learning style. Methods: The subjects for this study were 228 nursing students attended 4 year nursing school. The instruments used for this study were MBTI and ILS. The collected data were analyzed by x2-test using SPSS/WIN 18.0 program. Results: The most common personality type was ISTJ (19.7%) while the most common learning styles were reflective, sensing, visual, and sequential (24.1%). There were significantly difference between learning style and MBTI type. The higher their preference of I type is, the higher reflective (x2=7.82, p=.004) it gets. The higher their preference of S type is, the higher sensing (x2=31 .16, p.cz.001) and sequential (x2=4.88, p=021) they get. The higher J type Is, the higher sensing (x2=6.48, p=.009) it gets. Conclusion: The results of this study suggest that there is a need of assessment program to diagnose learning style according to personality type in nursing students. We need to develop various learning strategies to improve learning health and effectiveness according to personality type with learners.

남자 간호대학생의 학교생활 적응 과정

박인숙 ( In Sook Park ) 부산대학교 간호과학연구소 2011 글로벌 건강과 간호 Vol.1 No.2

Purpose: The purpose of this study was to identified the male student`s meaning system on their adaptation experience in department of nursing where female students are in the majority, Methods: Data were collected through the in-depth interview of 9 male student and analysed through the grounded theory methodology, Results: The behaviors of male students for department-adaption can be summarized as a ``being uncomfortable`` with female students in department of nursing. Conclusion: A specific strategy is needed to provide an environment that is helpful for males in integrating into and adapting to the nursing studying.