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현행 정맥주입관리에 대한 실태조사 : 40개 3차 의료기관을 중심으로 in Forty Tertiary Hospitals
곽월희,최은숙,김복자,김금순 서울대학교 간호대학 간호과학 연구소 1998 간호학 논문집 Vol.12 No.1
The purpose of this study was to find out a current practice trend of intravenous therapy among tertiary hospitals. 180 cases(90%) out of 200 cases were collected from forty hospital. The questionnaire was comprised of seven major categories, with questions related to flushing and dressing protocols, types of vascular access device used, the availability of equipment, and educational experiences. The results of this study showed that scalp needle were used infrequently, while plastic catheters were used more frequently in peripheral IV therapy(95%). Nontunneled catheters were used more frequently than tunneled catheter, implanted port and PICC FOR CENTRAL VENOUS CATHETERS. Types of flushes is categorized into two: heparinized and non-heparinized. Flushing procedures and demonstrated a lack of consistency throughout the hospital. The type of dressing used, the skin preparation, change frequency, and techniques in dressing procedures were inconsistent. Tubing change intervals were varied from 24 hours to 72 hours. Participation of nurses in intravenous therapy is the highest in peripheral IV cannula insertion(65.4%), whereas the lowest percent were recorded in peripherally inserted central catheter, central venous catheter dressing, transfusion and chemotherapy. 69.5% of the respondents answered that they had received training of total 17 items which are the necessary elements for the IV therapy practice. In conclusion, standardization of IV therapy protocols is needed for the nursing practice. Participation of nurses in intravenous therapy is also needed to be encouraged to expand their role. Training and reeducation to nurses are needed about intravenous therapy practice.
우리나라 PA(Physician Assistant)의 역할모델 개발을 위한 연구
김소선,곽월희,문성미,성영희 병원간호사회 2006 임상간호연구 Vol.12 No.1
Purpose: This study was pursued to identify the practice status of PA(Physician Assistant) in hospitals and to develope a role model for PA in Korea. Method: Subjects were 59 nurses working titled either as a PA or a clinical nurse specialist in the hospitals. The instruments used in this study were work activity checklists including the questions on education and job satisfaction. In addition, 10 of the subjects were interviewed to collect their lived experiences. Data were collected from December, 2005 to January, 2006 and analyzed by using descriptive statistics and content analysis. Result: The activities that were most frequently implemented included reading of test results, consultation, education of the patients and their families, history taking, wound dressing, coordination of treatment plans and triage. In specific, prescribing medications and tests were most frequently performed activities in the department of thoracic and cardiovascular surgery. From content analysis, the subjects concerned much about their unclear identities and job securities, a lack of unified job description, conflicts with the residents, and unsatisfactory compensations. Conclusion: It is needed to integrate the role of PAs and that of advanced practice nurses (APN) to prevent the confusion and each role posses, and to reform their educational preparations and roles reflecting the needs of the current health care systems in Korea.
신입간호사를 위한 e-learning 예비교육 프로그램 개발 및 적용
김수영,최선숙,김연희,곽월희,김미순,현미숙 임상간호사회 2004 임상간호연구 Vol.10 No.1
Purpose: To develop and apply an e-learning orientation program that enables the new nurses to be acquainted with their works more rapidly so that they could perform their abilities more efficiently in the field. Method: The study was designed with 4 stages in the order of demand survey done by 159 new nurses, program development based on Network Instructional System Design Model, program application done by 433 other new nurses and user evaluation. Result: The total of the following 18 courses have been thoroughly developed in the order listed as follows: oxygen therapy, suctioning, peripheral intravenous therapy, emergency drugs, drug management, drug dosage calculation, clinical drugs Ⅰ, clinical drugs Ⅱ, blood transfusion, medication administration, tube feeding, enema, urinary catheterization, vital sign checking method, infection control, safety control, overview of clinical pathology and emergency nursing. The overall average score of the evaluation was 4.13 out of 5 points in satisfaction. Conclusion: In order to continuously develop and promote the e-learning program, the applicants study demand and clinical nursing practice must be reflected to the program.
병원에서의 간호사 역할확대 방안연구 : -병원행정직 간호사를 중심으로-
임난영,성영희,홍현자,황문숙,김명애,곽월희,송경자,이미경 병원간호사회 2011 임상간호연구 Vol.17 No.3
Purpose: The purpose for this study was to identify the present working status and tasks of nurse administrators in response to requirements of expanding nurses' roles in hospitals. Methods: The design of the study was descriptive-exploratory. The participants were 338 registered nurses who were working in hospital administrative departments. The data were collected from January 17, to March 20, 2011, and analyzed with descriptive statistics. Results: The majority of nurse administrators worked in quality assurance departments while no nurse administrators assigned in finance/taxation departments. Duties of nurse administrators were developed as 117 tasks in 11 divisions. Conclusion: These results suggest that expanding nurses' roles require developing job descriptions, nursing curricula emphasizing hospital administration, positive relationships with other health professions and a supportive system.
유선주,장현숙,김묘경,최윤경,성영희,김을순,곽월희 병원간호사회 2007 임상간호연구 Vol.13 No.1
Purpose: To suggest the classifications of nursing tasks for hospitalized patients and assignment of nursing personnel by types of medical institutions. Method: We conducted mail questionnaires on nurses(including chief nurses), medical doctors who work at tertiary hospitals, general hospitals, hospitals, clinics, and nursing homes. Ninety-one medical institutions answered to the questionnaires(29.2%). Medical doctors submitted 180 copies of questionnaires(15.5% answered) to us and nurses 483 copies(41.6%), respectively. Result: We conducted a survey to examine the current total number of nursing personnel assigned to a usual unit with 50 beds and optimal total number of nursing personnel in it. It is showed that in tertiary hospitals the optimal number was 22.7 compared with the current number of nursing personnel, 19.0. The difference in number was 3.7, which is the smallest among other hospitals. However, the difference in number was large as in hospitals the optimal number was 8.3, in general hospitals 7.2, and in nursing homes 5.8, respectively. In addition, we conducted a survey on the assignment of work responsibilities by types of nursing personnel to suggest a work responsibility schedule by types of nursing personnel. Conclusion: The plans for conforming to the criterions of assignment of nursing personnel and supplement plans should be suggested and the criterions of assignment of nursing personnel to intensive care units or operation rooms need to be itemized by the characteristics of nursing tasks to improve quality of nursing service.