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강규숙,김조자,서미혜,백희정,Kang, Kyu-Sook,Kim, Cho-Ja,Seo, Mi-Hye,Baek, Hee-Chong,Margaret, Storey 한국가정간호학회 1999 가정간호학회지 Vol.6 No.-
From 1990 to 1997 Home Care Education Programs have been offered at 11 Home Care Education Institutes. But there have been no revisions in the program. Especially in the clinical practicum, the Ministry of Health and Welfare proposed 248 hours as 'Family Nursing and Practice'. But each of institutes has developed their own program, and the clinical practicum is very different. Institutions for home care practice have been very limited and even now only 40 hospitals started home care in the second demonstration project. A few community-based institutions have also been offering home care services. This study was conducted to analyze home care clinical practicum offered at Y university, and plan for a revised home care clinical practicum. Y university clinical practicum was revised to include 'visits to community institutions', 'laboratory practice', 'hospital practice', 'discharge planning and home care practice', and 'home care specialty practice'. The results of the evaluation and plan for a revision are as follows: 'Visits to community institutions' is a practice that helps the students understand community resources which are available to home care nurses, and as an orientation to institutions for practice. 'Laboratory practice' is to used to improve nursing skills that are applicable to home care. Problems that the students identified in the laboratory practice were 'lack of opportunity for individual practice', and 'inadequate theoretical preparation for practice'. To address these problems the basic nursing skills laboratory was open and could be used freely by the home care students, and practice could be done after the theoretical lectures. 'Hospital practice' is a practicum in which the students apply nursing skills to patients and to obtain assessment skills for discharge planning. Using a preceptorship, five days for hospital practice should be offered. 'Discharge planning and home care practice' was done at Wonju Christian Hospital. This institute is too far away that this practice should be provided at different institutions as soon as it is possible to contract with home care institutions. Patients groups in different home care institutions are very different, so the 'Home care specialty practice' should be done after analyzing patient groups and choosing specialty areas. These areas are' care of patients with respiratory dysfunction', 'care of patients with neurologic dysfunction', 'care of cancer patients', 'care of patients on dialysis', and 'wound care'. This practice should be offered with a preceptorship, so preceptors, clinical directors, and students should meet for home visit orientation.
일 가정간호 교육기관 교육생의 임상수행능력 평가에 관한 연구
강규숙,김조자,이원희,오의금,박희옥,Kang, Kyu-Sook,Kim, Cho-Ja,Lee, Won-Hee,Oh, Eui-Geum,Park, Hee-Ok 한국가정간호학회 2004 가정간호학회지 Vol.11 No.1
This study was conducted to investigate the evaluation of students on a practical performance of the home health care and to provide data for practical education on the home care nurse institution. Research was performed from March to December. 2002. 40 Respondents participated in the evaluation four times. The data were analysed by using the SPSS/PC + version 10. 0. The results of this study were as followings: 1. The average age of the subjects was 32. Majority of the subjects were interested in home health care. Majority of the subjects were staff nurse(57.5%) and workers at general hospitals(50%). 2. According to the result of the comparison of practical performances. performance evaluations of 20 items were higher when they admitted special practice than when they admitted any other practice. There was an positive increase in the evaluation of health assessment. nursing documentation. explanation. coping with emergency status. coordination and self assertion. In addition to health assessment. CPR. oxygenation. education & consultation. developmental assessment of child. nursing documentation. mastering nursing practice and consideration of client were significantly different. 3. The subjects were useful for practical circumference where they are working at. From these research findings. the following suggestions have been drawn: it is needed to manage practical curriculum variously and to include not only clinical aspect but also organic or administrational aspect and to reflect on students' needs and to choose to be reasonable items and to develop instruments for evaluation capability of home care nurse.
간호대학원의 교육운영전략 : 가정전문간호사와 호스피스전문간호사 중심으로
이원희,김조자,강규숙,오의금,김소야자,김은정,Lee, Won-Hee,Kim, Cho-Ja,Kang, Kyu-Sook,Oh, Eui-Geum,Kim, Soyaja,Kim, Eun-Jeong 한국가정간호학회 2004 가정간호학회지 Vol.11 No.1
Purpose: This study was to develop a cost-effective and efficient curriculum for advanced practice nurse (APN) programs in home health care and hospice. Method: The process was to: (1) compare and analyze the present curriculum in home health care and hospice programs, (2) identify the needs of 7 expert nurses in home health care and hospice, and (3) develop a common curriculum structure and contents between home health care and hospice specialty courses. Result: Out of the 10 credits constituting the home health care and hospice specialty courses respectively, 6 credits were identified the common courses, Common content areas included introduction to hospice, communication skills, pain control. symptom control. teaching methods, and agency management. Conclusion: These results can be utilized in the development of APN programs for home health care and hospice in terms of qualified and cost-effective aspects of education.
이원희,오의금,김조자,강규숙,강세원,Lee, Won-Hee,Oh, Eui-Geum,Kim, Cho-Ja,Kang, Kyu-Sook,Kang, Se-Won 한국호스피스완화의료학회 2005 한국호스피스.완화의료학회지 Vol.8 No.2
목적: 본 연구는 말기 질환자 및 가족들의 삶의 질 증진 차원에서 호스피스 상담 홈페이지를 개발하여 상담서비스를 제공함으로써 궁극적으로 호스피스 사업의 활성화 및 국민 건강증진에 기여하고자 함이다. 방법: 본 연구는 호스피스 사이버 상담 홈페이지를 개발하여, 개발된 홈페이지에 대한 사이트 평가 및 상담 과정의 흐름도에 대한 전문가 타당도를 검증한 방법론적 연구로서 진행되었다. 결과: 2004년 1월부터 2004년 8월까지 사이버 호스피스 홈페이지를 개발하였다. 하여 상담서비스를 운영하였다. 사이트 소개, 새소식(공지사항), 호스피스 관련 사이버 강의, 호스피스 의뢰자들의 커뮤니티를 위한 나눔의 광장, 그리고 주된 목적인 호스피스 상담, 호스피스 관련 추천 사이트로 구성되었다. 또한 개발 후 사이트에 대한 평가 및 상담 과정 흐름에 대한 타당도 검증 결과 상담 서비스에 대한 흐름도는 100%의 전문가 합의를 보였다. 결론: 말기 질환자 및 가족들의 삶의 질 증진, 호스피스 사업 활성화의 기초 활동으로써 호스피스에 대한 사이버 상담을 시도하였다. 호스피스 사이버 상담을 위한 전문상담인력의 훈련과 체계적이고 지속적인 홍보 전략이 사이버 상담 사이트의 활성화를 위해 필요하다고 사료된다. Purpose: The purpose of this study is to enhance the quality of life for the terminal patients and their family by providing counseling service through a hospice counseling homepage, thus activating hospice service and contributing to our national health. Methods: The study was methodologically conducted to assess the homepage developed and to professionally verify the counseling flow. Results: The cyber hospice homepage was developed between January 2004 and August 2004, whereby its counseling service was operated. The homepage included introduction, news (announcement), on-line lectures, community site for hospice clients, hospice counseling, and related links. As a result of assessing the site and of verifying the reliability of counseling service, the counseling flow was unanimously approved by the professionals. Conclusion: The cyber counseling for hospice was conducted to enhance the quality of life for the terminal patients and their family and to activate hospice service. It is required to train professional hospice cyber counselors and to establish systematic promotional strategies for activation of the cyber counseling site.