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.

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.

통증관리 교육이 재가 말기암 환자의 통증에 미치는 효과

권인각,황문숙,김지현 대한종양간호학회 2002 Asian Oncology Nursing Vol.2 No.1

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.

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.

비판적 성찰 탐구 훈련이 신입간호사의 임상 의사결정에 미치는 효과

권인각,박승미 병원간호사회 2007 임상간호연구 Vol.13 No.2

유방암 환자의 자기초월감 증진을 위한 자조집단과정 개발 및 운영 효과

권인각,박은영,함윤희,류성숙,이은옥 대한종양간호학회 2001 Asian Oncology Nursing Vol.1 No.2

노인 입원환자의 낙상 예측요인

권인각 ( In Gak Kwon ),김경희 ( Kyung Hee Kim ) 한국정신간호학회 2007 정신간호학회지 Vol.16 No.1

국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발

권인각l조용애l김경숙l김미순l조명숙 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.

신규간호사 프리셉터의 핵심역량 평가도구 개발

권인각(In Gak Kwon),정경희(Kyoung Hee Jung),조혜술(Hye Sool Cho),황지원(Ji Won Hwang),김지영(Ji Young Kim),전경옥(Kyoung Ok Jeon),성영희(Young Hee Sung) 한국간호행정학회 2002 간호행정학회지 Vol.8 No.4