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      • KCI등재

        간호사 경력개발제도에 관한 연구

        권인각,성영희,박광옥,유옥수,김명애 병원간호사회 2007 임상간호연구 Vol.13 No.1

        Purpose: This study was aimed to develop a desirable clinical ladder system(CLS) model for hospital nurses in order to make recommendations for CLS application in Korea. Methods: This study was carried out through literature review and a survey of the state of CLS application in Korea. 134 hospital nurses who attended the seminar on CLS. participated in the survey. Results: 1. Most of hospital nurses have positive attitude toward the introduction of CLS and perceived the CLS would promote excellence in clinical nursing and improve nurses' job satisfaction. 2. To establish a good CLS model, a proper number of stages must be established and the level of excellence in each stage should be clearly delineated. The most preferred one was four-stage model. 3. For evaluation methods for promotion, test, performance evaluation, portfolios, and exemplars were suggested and would be used in combination. However, maintaining fairness and staff nurses' workload and psychological burden challenge the CLS application. 4. For compensation, financial reward was mostly preferred, and chances for personal development and professional compensation, compensation in working conditions and social recognition were proved to be useful. 5. To be successful, excessive stress, sense of incongruity, competitive atmosphere, concerns about unfairness, and despair or withdrawal after failure in promotion or reappointment should be considered and overcome. Conclusion: Some recommendations for introducing CLS were made. In order to suggest an ideal CLS model in Korea, more comprehensive survey and outcome analysis of the CLS are needed.

      • KCI등재

        암을 처음 진단받은 환자를 위한 신환 네비게이션 프로그램 개발 및 효과 평가

        권인각,홍진영,김혜정,백혜진,김성,남석진,김임령,김애란 병원간호사회 2012 임상간호연구 Vol.18 No.1

        Purpose: The purposes of this study were to develop a navigation program for newly diagnosed cancer patients and to evaluate its effects. Methods: The navigation program was based upon Professional Navigation Framework. Patients were asked to complete self-administered questionnaires on satisfaction, distress, anxiety and depression for evaluating the program. Results: The navigation program consisted of facilitating two concepts: continuity of care and empowerment of patients. Information-education package, telephone counseling and navigator's phone number were provided to the newly diagnosed cancer patients for care continuity. Self-care diary and emotional support by telephone counseling were provided to the patients for empowerment of patients. A total of 163 patients - 78 control and 85 experimental participants - were included in the study. The mean scores of satisfaction, distress, anxiety and depression had no statistical differences between the two groups after program implementation. In patients with longer waiting days, the experimental group with the navigation program showed higher relational continuity than the control group after program implementation(p =.023). In patients with longer waiting days or with higher distress, satisfaction of relational continuity was improved after program implementation in the experimental group. Conclusion: The navigation program in this study has applied the concept of patient navigation into oncology clinical setting in Korea. Navigation program can play a significant role in assisting patients navigating across the care continuum.

      • KCI등재
      • KCI등재

        신규간호사의 실무적응지원 교육 만족도 및 역할 이행 경험에 관한 조사

        권인각,조용애,조명숙,이영희,김미순,김경숙,최애선 병원간호사회 2019 임상간호연구 Vol.25 No.3

        Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.

      • KCI등재후보

        임상전문간호사 운영 현황 및 역할 조사

        권인각,김연희,황경자,김혜숙,이봉숙,이혜숙,최원자 병원간호사회 2003 임상간호연구 Vol.9 No.1

        Purpose: In this study, we investigated hospitals in Korea that comprised more than 400 beds and attempted to understand the present state of Advanced Practice Nurses (APNs and below) from 11 different fields (Diabetic education, Wound-Ostomy, Neurology, Neonatal, Cardiovascular, Oncology, Emergency, Organ-transplantation, Renal, Critical care, and Hospice). We also compared and determined the time spent on the role of each nurse from each field and the frequency of implementation for each work activity. Method: This study was conducted from July 2002 to May 2003. Data from 299 nurses that responded to the survey from 57 hospitals were analyzed with descriptive statistics, chi-square test and t-test using SPSS 10.0 program. Result: Out of 299 nurses that responded, 137 nurses from 35 hospitals were officially appointed as advanced practice nurses and assumed the duties of advanced nursing practice. The remainder of the nurses were not suitable to be classified as APNs. From the fields of neurology, cardiovascular and oncology, 25~31 APNs were found respectively, amounting up 63% in total. No APNs were found in the fields of critical care and renal. Mean percentage of time spent on each role was 42.8% for direct practice, 27.7% for education, 13.2% for consultation and coordination, 8.9% for research and 6.5% for administration. Amongst the work activities of all APNs, the activities that were most frequently implemented included reading of examination results, psychosocial assessment, consultation and education for the patients and their families, managing treatment, writing up patient records, history taking, consultation for nursing staff, physical examination and triage. Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medications or tests. Conclusion: Although the number of APNs are rapidly increasing in hospitals, there is yet confusion with regards to the title and classification of APNs, as well as the distribution of roles. Thus, there is an urgent need to establish a systematic framework as well as standards. Furthermore, because some nurses are prescribing medication for patients as well as performing techniques not traditionally handled by nurses, there is an absolute need for a legalized and systematic education system for the safety of patients who are being cared for by these nurses as well as all APNs.

      • KCI등재

        국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발

        권인각,조용애,김경숙,김미순,조명숙 병원간호사회 2021 임상간호연구 Vol.27 No.2

        Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses’ transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses’ education, preceptor supporting strategies, evaluation standards for new nurse’s education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses’ transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed. 목적: 본 연구는 신규간호사의 임상실무로의 역할이행을 촉진시키기 위해 우리나라 상급종합병원에 근무하는 신규간호사를 위한 레지던시 프로그램을 개발하고자 시도되었다. 방법: 한국형 간호사 레지던시 프로그램(KNRP)은 문헌고찰과 미국의 NRP 운영사례 조사, 2차례에 걸친 전문가 자문과 적절성 평가를 통해 개발되었다. 프로그램의 적절성 평가를 위해서 KNRP의 개요와 운영, 교육프로그램, 신규간호사 교육을 위한 인력배치 기준, 프리셉터 지원전략, 신규간호사교육 평가기준, 인프라와 KNRP 적용의 이점 등 14개 영역의 118개 문항으로 된 설문지가 사용되었다. 자료수집은 2021년 2월 16일에서 3월 22일까지 43개 상급종합병원의 간호교육자, 간호관리자, 프리셉터 및 신규간호사 369명을 대상으로 이루어졌다. 자료는 서술통계로 분석하였다. 결과: KNRP 초안의 적절성 점수는 3.42±0.31 (4점)이며 14개 하위영역의 적절성 점수는 3.18±0.47점에서 3.58±0.46점이었다. 최종 도출된 KNRP는 1년 과정으로 3개월간의 집합교육과 프리셉터십을 포함한 현장교육, 역량강화 및 적응지원프로그램으로 구성되었다. 결론: 1년 과정의 KNRP 적용은 신규간호사가 임상실무에 이행할 수 있도록 촉진할 것이다. KNRP의 효과적인 적용을 위해서는 정부와 전문단체 및 병원의 협동적인 노력이 필요하다.

      • KCI등재후보
      • SCOPUSKCI등재

        종양내과병동에서의 간호중재 중요도 및 수행 빈도에 관한 연구

        권인각(Kwon In Gak),조명숙(Cho Myung Sook),신희연(Shin Hee Yeon) 한국성인간호학회 2007 성인간호학회지 Vol.19 No.2

        Purpose: This study was performed to understand the perceived importance and performance frequencies of nursing interventions and identify the core and major interventions in oncology units. Methods: Questionnaires using 151 nursing interventions were given to 45 nurses. The performance frequency was measured through the database of the nursing process recording system for 1 year. Results: The perceived importance of the nursing interventions averaged out to be 3.5 among 4 and on average 36.5 times of nursing interventions were performed on each patient. Fifteen core nursing interventions including 'pain management' were identified and they made up 82.7% of the entire performance frequency rate. And 26 interventions including 'drug administration: Amphotericin-B' were identified as major nursing interventions and occupied 10.6% of the entire performance frequency rate. Conclusion: Since the core and the major nursing interventions were identified and these occupied 93.3% of the all nursing interventions, these results can be utilized as baseline data for establishing the guidelines and standards of nursing interventions and providing systematic education for oncology nurses in Korea.

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