일개 대학병원에서 OCS 도입 후 외래 간호인력의 업무구성 양상 분석

다국어 초록 (Multilingual Abstract)

This study has been aimed to analyze the contents of the service of the nurses in outpatients before and after the introduction of outpatient OCS in order to have the result of the study provided for the alterantive plan for effective nurse service and for basis materials for the management of nurse human resources.
Collection of the materials has been done from Apr. 23, 2001 through Apr. 27, 2001, and 58 nurses serving in 12 outpatients section in one university hospital have been the objects of the study and the trained observers investigated and observed the service of the nurses in every 15 minutes by using the observation checkbook for outpatients nurse service.
The followings are the conclusion of this study ;
1) In the service of outpatients the nurse showed as spending most of their time for outpatients compared to treatment nurse or communication service like assistant nurse. This is because the duty of the nurse and the assistant nurse has been conducted without any clear discrimination in outpatients service.
2) Nurse in the outpatients service showed as spending more time for the activities of assisting the treatment and examiantion related with examiantion and treatment tather than independent nurses service.
3) After the establishment of OCS there disappeared the duty of executing medical prescription slip making the nurses predict that there might be the reduction of outpatients service which however has not been changed by showing the reduction of treatment nurse and communication rather.
The above conclusion teaches us that the proper service contents according to the occupation shall be planned through the study on analyzing the service of the nurse and assistant nurse working in outpatients section and we should evaluate the effect of OCS introduction through the study on quality and quantity change of the service of the nurse after the introduction of OCS.

목차 (Table of Contents)

• 제1장 서론 = 1
• 1.1 연구의 필요성 = 1
• 1.2 연구목적 = 3
• 1.3 용어의 정의 = 4
• 제2장 이론적 고찰 = 5
• 2.1 병원정보시스템 = 5
• 2.2 업무분석 = 7
• 2.3 적정 간호인력 산정방법 = 10
• 제3장 연구방법 = 13
• 3.1 연구대상 및 기간 = 13
• 3.2 연구도구 = 13
• 3.3 자료수집방법 = 16
• 3.4 자료처리 및 분석 = 16
• 3.5 연구의 제한점 = 17
• 제4장 연구결과 = 18
• 4.1 간호영역별 간호사의 업무구성 양상분석 = 18
• 4.1.1 계역별 간호사의 간호영역별 업무구성 양산 = 18
• 4.1.2 OCS 실시전.후의 계열별 간호사의 간호영역별 업무구성 양상 비교 = 20
• 4.1.3 진료과별 간호영역별 간호사의 업무구성 양상 = 23
• 4.1.4 OCS 실시 전.후의 진료과별 간호사의 업무구성 양상 비교 = 24
• 4.2 간호영역별 조무사의 업무구성 양상 분석 = 26
• 4.2.1 계열별 조무사의 간호영역별 업무구성 양산 = 26
• 4.2.2 OCS 실시 전.후의 계열별 조무사의 간호영역별 업무구성 양상비교 = 27
• 4.2.3 진료과별 조무사의 간호영역별 업무구성 양산 = 30
• 4.2.4 OCS 실시 전.후의 진료과별 조무사의 간호영역별 업무구성 양산 비교 = 31
• 4.3 간호사와 조무사의 간호행위별 업무구성 양상 비교 = 32
• 4.3.1 간호사와 조무사의 세부적 간호행위별 업무구성 양상 비교 = 32
• 4.3.2 OCS 실시 전.후의 간호사와 조무사의 세부적 간호행위별 업무구성 양상 비교 = 34
• 4.4 간호인력별 외래 간호업무구성 분포 = 37
• 4.4.1 간호사와 조무사 간의 외래 간호업무구성 분포 = 37
• 4.4.2 OCS 실시 전.후의 간호사와 조무사간의 외래 간호업무구성 분포 = 37
• 제5장 고찰 = 39
• 제6장 결론 및 제언 = 42
• 참고문헌 = 44
• 부 록 = 48
• Abstract = 49