간호, 로봇, 과학기술 혁명: 간호업무 지원을 위한 로봇 시스템

송영애,이현정,김현정 한국노인간호학회 2018 노인간호학회지 Vol.S No.-

Purpose: The purpose of this study was to review the influence of robot systems on nursing and robotics technology. Methods: The research design was a review article. The literature was done to help understand the current status and effects of robotic technology in the healthcare field, both domestic and overseas. The keywords searched were 'Nursing', 'Robot', and 'Patient safety' in Pubmed, CINAHL etc, and 'Nursing Activity', 'Nursing Care Integration Service' in RISS and KISS. Results: In healthcare, robotics is used in five areas; personal care robots, mobility and transfer robots, cognitive and emotional robots, nursing assist robots and care robots in palliative home care settings. Nurses' demands for utilization of robotic systems are high. Especially, if robotics is used for indirect and non-value-added nursing activities, efficiency may increase. Therefore, robotics should be used to help nurses focus on bedside care and perform better nursing care. Conclusion: Future robots and technology can help nurse to provide optimal nursing to patients, and will improve the quality life of patients. It is suggested that nursing research should be actively pursued in the future. Especially, it is an urgent field to improve nursing quality and reduce the burden of nurses.

혼종모형을 이용한 요양병원 간호사의 치료적 말벗간호에 대한 개념분석

이은선,백연단 한국보건기초의학회 2024 한국보건기초의학회지 Vol.17 No.1

The study was conducted to identify and clarify the conceptual definitions and attributes of a therapeutic companion nursing. The hybrid model was used to perform the concept analysis of therapeutic companion nursing. Results from both the theoretical review and a field study including five participants were included in final process. The concept of therapeutic companion nursing was found to have three dimensions with five attributes. Therapeutic companion nursing by nursing hospital nurses was defined as positive of aspects of companion nursing usually experienced in three dimensions such interaction (Talking to patient first with interest, Light physical contact, A verbal expression), motivation (Supporting health behavior) and respect (Respect for the patient). Based on the results, a tool for measuring a therapeutic companion nursing for nursing hospital nurses and effective programs for enhancing a therapeutic companion nursing should be developed in future studies.

간호중재분류체계(NIC)에 따른 성인간호학 임상실습 내용 분석 및 중요도 분석

김은정,김광숙,성경미,신현숙,신혜경,이영자,정석희,김대란 대한의료커뮤니케이션학회 2018 의료커뮤니케이션 Vol.13 No.2

Background: The purpose of the study was to analyze the contents and importance of clinical practicum education in adult health nursing. Methods: This is a descriptive study using content analysis for identifying the items of clinical nursing checklists gathered from 13 university nursing programs accredited by Korean Accreditation Board of Nursing Education. Items in the checklist were standardized in accordance with the Nursing Intervention Classification (NIC) and categorized into simple-technical skill, complex-technical skill, and disease-specific care. The perceived significance of each item was examined by surveying nurses who in charge of nurse education from various clinical setting. Results: A total of 182 items in the clinical practicum contents were analyzed, and the terminologies of each item were variously described among nursing schools. Fifty percent of the total items were categorized into simple-technical skill. In terms of clinical importance, expert validity results showed that nurses considered infection control, infection protection, and fall prevention as the most significant items, which was not the same as the most common items in the clinical nursing checklist. Conclusion: These findings suggest that standardized nursing terminologies are needed to describe a nursing practicum checklist. Clinical importance of each item in the checklist should be taken into consideration in developing a clinical nursing checklist to assist the students in achieving the competencies as a clinical nurse.

간호정책 및 정보 : 전자간호기록에 사용된 표준간호진술문 활용실태와 시스템 사용자 만족도

정주희 ( Joo Hee Jung ),명근희 ( Geun Hee Myung ),강경현 ( Kyung Hyun Kang ),박은희 ( Eun Hee Park ) 서울대학교 간호과학연구소 2012 간호학의 지평 Vol.9 No.2

Purpose: The aims of this study were to analyze the frequency of standard nursing statements used in the Electronic Nursing Record (ENR) and to evaluate the degree of satisfaction by users of the ENR system. Methods: We retrospectively reviewed the ENR of 1914 patients who were admitted to our center between 1 May 2011 and 31 May 2011. Additionally, we collected questionnaires from 100 doctors and 300 nurses to evaluate the satisfaction of the users. Results: The frequency of use for the following standard nursing statements was investigated: standard nursing assessment statements (43.6%), standard nursing diagnosis statements (61.8%), standard nursing plan statements (46.7%), standard nursing intervention statements (56.9%), and standard nursing evaluation statements (41.7%). The mean satisfaction score was 3.03 out of 5 in the nurse`s group, and 3.11 in the doctor`s group. The nurses said the advantages of the ENR system were as follows: easy to access, informative, and standardized terms. However 75.7% of the nurse answered that they cannot express actual nursing situations exactly with the currently limited standard nursing statements. Conclusion: Development of various standard nursing statements is needed to meet the demands of the users. As a result, the use of the ENR system would become easier and more efficient for its users.

간호전달 체계 개선 방안 - 일 병동을 중심으로 -

이진희,이승애,함용희,양명주,김옥선,Lee, Jin-Hi,Lee, Sung-Ae,Ham, Yong-Hee,Yang, Myong-Ju,Kim, Ok-Sohn 한국의료질향상학회 1997 한국의료질향상학회지 Vol.3 No.2

Background : In many Nursing Delivery System, Nursing Department at D Hospital had used to traditional nursing practice model what is called functional activities based system. It has a lot of merit that carried out specialized and rapid works but tend to ignore indivisual professional responsibility and task-based work assignments. In addition this system showed high turnover rates due to heavy workload, timesum of handing over duties, lack of support from peers and interstaff communication. So we performed conversion of Nursing Delivery System to My Patients Nursing Care System for providing comprehensive nursing to patient and reducing turnover rates and increasing job satisfaction to nurse. Method : 1. 1st step(96.4.9): Detected the problem of Nursing delivery System and estabilished improving planning 2. 2nd step(96.4.26): Visited other hospital on job training 3. 3th step(96.4.29): Discussed to premonitoring problem after conversion Nursing Delivery System and prepared structure 4. 4th step(96.5.6): My Patients Nursing Care System practical application 5. 5th step(96.7.20): Held complementary meeting 6. 6th step(96. 7): The other ward application 7. 7th step(96. 10): Extended application to whole wards Results: 1. Workload: (1) reduction(55.6%) (2) addition(44.4%) 2. Strong points after conversion: (1) decreased timesum of handing overduties (35.2%) (2) increased responsibility(33%) (3) broaden nurse's outlook to duties(14.8%) 3. Shortcoming after conversion: (1) understanding difficulties except my patient(57.8%) (2) weak teamwork(23.3%) (3) intensive stress to low grade nurse(12.2%) 4. Effective complemental way: (1) manpower(76.7%) (2) conversion of though (8.9%) (3) education(14.4%) 5. Patient's satisfaction: (1) satisfaction(64%) (2) no effect(36%) 6. Physician and peer's satisfaction: (1) satisfaction(12.5%) (2) dissatisfaction(21.6%) (3) no interest(44.3%) 7. Nurse's satisfaction: (1) satisfaction(74.7%) (2) dissatisfaction(5.5%) (3) unknown(20.5%) 8. Want to continued: (1) want(76.4%) (2) try to any other system(18%) Conclusion : Even though Nursing Delivery System conversion still has many problem, we gained more merits than traditional nursing delivery system. So we suggest that My Patients Nursing Care System should be encouraged for comprehensive nursing care and satisfaction to nurses.

간호·간병통합서비스의 간호 관련 변수에 대한 체계적 고찰

문혜경,오두남,이해영 사단법인 인문사회과학기술융합학회 2018 예술인문사회융합멀티미디어논문지 Vol.8 No.12

Comprehensive nursing care refers to nurse and nursing assistant personnel without a guardian providing hospitalized nursing service and patient safety management of team nursing systems. Comprehensive nursing care, which started in 2013 as a demonstration project, is currently expanding after being converted into a health insurance benefit project with the spread of MERS in 2015. In the meantime, various studies have been conducted to evaluate the effectiveness of the project, and positive effects of the project were reported on the patient side, such as ward environment improvement and patient satisfaction improvement. However, in the evaluation of nurse aspect such as nurse's job satisfaction and stress, each study shows different results. Thus, this study attempted to review the literature that evaluated related variables of nurses and nursing services. This study searched literature related to comprehensive nursing care published from January 2013 to December 2017 using domestic and foreign databases such as KISS, NDSL, RISS, National Assembly Library, MEDLINE (PubMED), CINAHL and Cochrane Library, etc. This study used keywords including ‘nurse’, 'nursing caring combination', 'comprehensive nursing service', 'comprehensive nursing', 'comprehensive service', 'ward with no caregiver', 'nurse', 'patient‐sitter wards' ‘nursing care', 'Korea', etc. Finally, eighteen studies were selected and analyzed. This study conducted analysis of variables related to nursing such as nurses’ job satisfaction, job burden and quality of nursing service among evaluations of effects of comprehensive nursing care. It is expected that this study will be an important task as a foundation work for suggesting the improvement plan that the comprehensive nursing care system can be spread steadily. 간호·간병통합서비스는 보호자 없이 간호사와 간호보조인력이 팀 간호체계의 전문 간호서비스와 환자 안전관리를 제공하는 입원서비스를 의미한다. 2013년 시범 사업으로 시작된 간호·간병통합서비 스는 2015년 메르스 확산을 계기로 건강보험 급여 사업으로 전환된 후 현재 확대 적용 중이다. 그동안 사업의 효과를 평가하기 위한 다양한 연구가 수행되었으며, 병동 환경 개선 및 환자의 만족도 향상 등 환자측면에서는 사업의 긍정적인 효과들이 보고되었으나 간호사의 직무만족, 스트레스 등 간호사 측면의 평가에서는 연구마다 상이한 결과를 보이고 있다. 이에 본 연구에서는 간호·간병통합서비스 제도의 안정적 확대를 위해 간호사의 업무, 간호서비스 등 간호 관련 변수들을 평가한 문헌들의 체계적 고찰을 하고자 하였다. KISS, NDSL, RISS, 국회도서관, MEDLINE(PubMED), CINAHL, Cochrane Library 등의 국내외 데이터베이스를 이용하여 2013년 1월부터 2017년 12월까지 출판된 간호·간병통합서비스 관련 국내외 문헌을 검색하였다. ‘간호사’, ‘간호간병통합’, ‘포괄간호서비스’, ‘포괄 간호’, ‘포괄서비스’ ‘보호자 없는 병동’ ‘nurse’, ‘patient-sitter wards’, ‘comprehensive nursing care’, ‘integrated nursing care’, ‘Korea’ 등의 검색어를 사용하였다. 총 18편의 논문을 선정하여 분석하였다. 본 논문은 간호·간병통합서비스의 효과 평가 중에서도 간호사들의 직무만족, 업무부담감 및 간호서비 스의 질 등 간호사 측면 변수들에 대한 분석을 수행하였으며, 이는 간호·간병통합서비스 제도가 안정 적으로 확산될 수 있는 개선 방안을 제시하기 위한 기반 작업으로 중요한 의미를 가질 것으로 사료 된다.

신생아 저체온치료방법에 따른 간호활동 빈도와 간호시간 및간호중재

김동연,조경아,이보람,박호란 한국아동간호학회 2018 Child Health Nursing Research Vol.24 No.4

Purpose: This study compared nursing frequency, nursing time, and nursing intervention priorities depending on the method of neonatal induced hypothermia. Methods: We observed 15 neonatal subjects receiving therapeutic hypothermia for 3 days each. Forty-five nurses experienced with nursing neonatal patients under therapeutic hypothermia provided responses about nursing intervention priorities. Analyses with the chi-square, the Fisher exact test, the paired t-test, the Wilcoxon signed rank test, and the Wilcoxon rank-sum test were performed on the data using SAS version 9.4. Results: The frequency of nursing activities was higher for selective head therapeutic hypothermia (SHTH) than for systemic therapeutic hypothermia (STH), and nursing time was also significantly longer. In terms of nursing intervention priorities, there were priority differences in "risk for ineffective thermoregulation" and "risks for impaired skin integrity" for SHTH compared to STH. Conclusion: Since SHTH for neonatal therapeutic hypothermia requires more nursing time and frequent nursing activities than STH, STH is therefore recommended if the therapeutic efficacy is similar. Appropriate nursing personnel should be allocated for neonatal SHTH nursing. Nurses should be aware of nursing interventions for therapeutic hypothermia as the priorities are different for different methods of neonatal therapeutic hypothermia.

간호 대학생의 환자 프라이버시 보호행동, 간호윤리의식 및 자아존중감의 관계

성기월 ( Ki Wol Sung ),김다솜 ( Da Som Kim ),한민영 ( Min Young Han ),곽은영 ( Eun Yeong Gwak ),김근영 ( Geun Yeong Kim ),김언주 ( Eon Ju Kim ),김현지 ( Hyun Ji Kim ),류선영 ( Sun Young Ryu ),문성은 ( Seong Eun Moon ),한선미 ( Seo 대구가톨릭대학교 사회과학연구소 2011 사회과학논총 Vol.10 No.-

The purpose of this study is to understand correlation between patient privacy act, nursing ethics, and self-esteem in nursing students. Subjects of the study include 234 students in third and fourth year of four-year nursing course in universities in Daegu and the period of collecting data was between 19 and 28 September, 2011. Patient privacy act was measured by using a tool created by Lee Miyeong (2005) but revised and supplemented so that it is suitable for students nurses who are the subjects of this research. Nursing ethics was measured by the tool created by Lee Yongsook (1990) and revised by Choi Yongran (2001). Rosenberg Self-Esteem Scale (RES) developed by Rosenberg (1965) and revised by Jeon Byeongjae (1974). The collected data was analyzed by Frequency Analysis, average and standard deviation, range and t-test, one-way ANOVA, Pearson`s Correlation, Stepwise Multiple Regression. Followings are the study result. 1) The average score of patient privacy act of student nurses was over the middle mark (81.48±12.36), and the average score of nursing ethics was the middle mark (72.40 ±8.29). The average score of self-esteem was over the middle mark (31.71±3.65). 2) The significant differences of the patient privacy act were grade (p=.013) and third year students. 3) In nursing students patient privacy act was positively related to nursing ethics. 4) The significant predictors of the patient privacy act were nursing ethics, self-esteem, and grades explaining 16.9% of patient privacy act. There should be a need of educational development which can raise student nurses` nursing ethics and self-esteem in order to improve student nurses` patient privacy act based on the result of the research.

Nursing Staff Characteristics on Resident Outcomes in Nursing Homes

Lippincott WilliamsWilkins 2019 The journal of nursing research Vol.27 No.1

<P><B>ABSTRACT</B></P><P><B>Background:</B></P><P>The outlook of administrative staff and registered nurses (RNs) plays a critical role in the management of nursing homes. No previous study has compared the outcomes of nursing homes with RNs on staff with those of nursing homes without RNs on staff in Korea.</P><P><B>Purpose:</B></P><P>The aim of this study was to investigate the association between nurse-led nursing homes, staff turnover, and resident outcomes in nursing homes in Korea.</P><P><B>Methods:</B></P><P>Using a cross-sectional design, 36 nursing homes with 30 or more beds participated. Primary data included 15 quality indicators.</P><P><B>Results:</B></P><P>Nursing homes with RNs had statistically significant better resident outcomes. RN turnover related positively to the prevalence of falls ( β = 1.68, <I>p</I> < .05) and tube feeding (β = 1.71, <I>p</I> < .01) and negatively to incontinence (β = −1.53, <I>p</I> < .01). Nursing homes with RNs with tenures greater than 1 year had statistically significant lower prevalence of falls (β = −0.47, <I>p</I> < .05), incontinence (β = −0.45, <I>p</I> < .05), weight loss (β = −0.53 <I>p</I> < .05), and bed rest (β = −0.54, <I>p</I> < .01) and increased range of motion (β = 0.51, <I>p</I> < .05). Interestingly, having a nurse as a director for more than 1 year related negatively to the incidence of urinary tract infection (β = −0.56, <I>p</I> < .05) in residents. The rate of RN turnover was found to impact fall prevalence (β = 1.68, <I>p</I> < .05) and tube feeding (β = 1.71, <I>p</I> < .01) positively and to impact incontinence (β = −1.53, <I>p</I> < .01) negatively.</P><P><B>Conclusions:</B></P><P>Turnover of nursing home staff and length of tenure may contribute to the more effective management of nursing homes, higher-quality long-term care insurance, and RN-staffing-related laws. Assessing staff characteristics and the tenure of employees promotes the effective management of nursing homes.</P>

South Korean nursing students' experiences of clinical practice in the newborn nursery and neonatal intensive care unit: A phenomenological study

Sim, In Ok,Bae, Ok Yeon,Kim, Tae Hoon Korean Academy of Child Health Nursing 2021 Child Health Nursing Research Vol.27 No.1

Purpose: While clinical practice is crucial for nursing students to acquire the skills needed to provide professional, high-quality nursing care, further studies on improving undergraduate nursing programs are needed to provide a supportive clinical learning environment for student nurses. This study aimed to understand nursing students' clinical experiences in newborn nurseries and neonatal intensive care units and to provide basic data for the establishment of strategies to promote effective clinical education. Methods: Interviews were held with 15 nursing students at J University who had clinical practice experience in the newborn nursery and neonatal intensive care unit. The collected data were analyzed using the phenomenological analysis method developed by Colaizzi (1978). Results: The nursing students' experiences were grouped into four categories: "expectations for and anxiety about clinical practice", "acquisition of a wide range of knowledge regarding neonatal nursing", "challenges faced in clinical practice", and "experiencing interpersonal changes". Conclusion: The current neonatal practice nursing education system provides students with positive learning experiences. However, the lack of practice opportunities, insufficient instruction, and the theory-practice gap were identified as major issues hindering students' learning needs. These study results are expected to provide basic data for curriculum development to improve undergraduate nursing education.