고령친화 창의융합 교육과정 운영 및 특허창출

한남경 한국간호과학회 2022 한국간호과학회 학술대회 Vol.2022 No.10

한국보건산업진흥원(KHIDI)의 고령친화용품 품목 분류 기준 고찰: 대학에서 창출한 고령친화용품 지식재산권을 중심으로

한남경,양영애 대한고령친화산업학회 2023 대한고령친화산업학회지 Vol.15 No.1

Objective : This study aimed to improve the Classification Criteria of Elderly-Friendly Equipment of the Korea Health Industry Development Institute (KHIDI), based on created intellectual property rights for senior-friendly equipment by a college. Methods : The adequacy of the Item Classification was analyzed by applying for 60 patents among intellectual property rights created by one university over the past six years to the large and medium classification criteria of the item classification system classified by the Korea Health Industry Promotion Agency (2017). by the Korea Health Industry Development Institute (2017). Results : In the Korea Health Industry Development Institute (KHIDI)'s Elderly-Friendly Equipment Classification Criteria, the range of items in the major category was appropriate, but the range of items in some middle categories was found to need to be expanded or improved. Conclusion : The results of this study can be used as primary data to improve the domestic elderly-friendly equipment classification system and vitalize the senior product industry. 연구목적: 본 연구의 목적은 일개 대학에서 창출한 고령친화용품 지식재산권을 중심으로 한국보건산업진흥원(KHIDI)의 고령친화용품 품목 분류기준을 평가하여 개선하는데 기여하고자 하였다. 연구방법: KHIDI(2017)가 분류한 고령친화용품 품목분류체계의 대분류 및 중분류 기준에 일개 대학에서 지난 6년여 동안 창출했던 특허권 60건을 적용하여 분류체계의 적정성에 대해 분석하였다. 연구결과: KHIDI(2017)의 고령친화용품 품목분류 기준에서 대분류의 품목 범위는 적정하였으나, 일부 중분류의 품목 범위는 확대 또는 개선이 필요한 것으로 나타났다. 결론: 본 연구결과는 국내의 고령친화용품 품목 분류체계를 개선하고 고령친화용품산업을 활성화시키는 기초자료로 활용될 수 있다.

노인장기요양보험제도가 노인진료비에 미치는 영향

한남경 ( Nam Kyung Han ),정우진 ( Woo Jin Chung ),김노을 ( Ro Eul Kim ),임승지 ( Seung Ji Lim ),박종연 ( Chong Yon Park ) 한국보건행정학회 2013 보건행정학회지 Vol.23 No.2

Background: The purpose of this study was to analyze the medical expense change and influencing factors after introducing long­term care insurance system. The study period was 2 years before and after introduction of the system. Methods: We analyzed data collected from two divided group lived in Incheon. Four hundred and eighty-five elderly who received long-term care wage for one year were selected for experimental group. For control group, 1,940 elderly were selected by gender and age stratified random sampling. Difference-In-difference analyses was used for evaluating policy effectiveness. Also multiple re­gression analyses were conducted to identify the factors associated with total medical expenditures. The control variables were de­mographic variables, economic status, diseases, and medical examination variables. Results: Difference-in-difference analyses showed that total average medical expenses among long-term patients has decreased by 61.85%. Of these, the hospitalization expenses have decreased by 91 .63% and the drug expenses have increased by 3 1 .85%. Multi­ple regression analyses results showed that total average medical expenses among long-term patients have significantly decreased by 46.5% after introducing the long-term care insurance. The hospitalization expenses have significantly decreased by 148.5%, whereas the drug expenses have increased by 53.60/0. And outpatient expenses have increased by 10.40/0, but the differences were not statistically significant. Conclusion: The results showed that total medical expenses and hospitalization expenses have decreased after introducing the long-term care insurance. These results could support the opinion that the health insurance spending among long-term patients will be reduced gradually by long-term care insurance through changing medical demand.

성인간호학회지(2010~2014)에 게재된 논문의 연구동향 분석

한남경(Han, Nam Kyung),김상희(Kim, Sanghee),김명신(Kim, Myoung Shin),김종근(Kim, Jong Gun),김창환(Kim, Chang Hwan),최승혜(Choi, Seung Hye) 한국성인간호학회 2015 성인간호학회지 Vol.27 No.5

간호간병통합서비스병동과 일반병동 간호사가 지각하는 타 직종 근무자에 대한 신뢰, 협력 및 팀워크 비교연구

한남경(Han, Nam Kyung),이태화(Lee, Taewha),김종근(Kim, Jonggun) 한국간호행정학회 2020 간호행정학회지 Vol.26 No.4

Purpose: This study was performed to compare the perceived level of trust, collaboration, and teamwork about other healthcare personnel, professionals and assistants between nurses who work on integrated nursing care service wards and general wards. Methods: Participants were 216 nurses working on integrated nursing care service wards and general wards of 5 general hospitals located in Kyeongido and Kyeongsangbuk-do (integrated nursing wards: 109, general wards: 107). Data were collected using structured questionnaires and analyzed using x² test, two sample independent t-test and Multivariate Analysis of Covariance (MANCOVA) with SPSS/WIN 23.0 programs. In particular, MANCOVA was conducted after controlling two independent variable covariants which are marital status (p=.045) and work department (p=.022) which had significant differences for both groups and three dependent variables which is trust, collaboration, and teamwork that highly correlated. Results: There were significant differences in the dependent variables of trust (p=.001), collaboration (p=.014), and teamwork (p<.001) between the two groups of nurses. The mean scores for trust, collaboration, and teamwork with other healthcare personnel as perceived by nurses working on integrated nursing care service wards were significantly lower than that of nurses on general wards. Conclusion: These findings show that strategies are needed to strengthen the trust, collaboration, and teamwork among nurses working on integrated nursing care service wards and other healthcare personnel.

간호사의 정치적 역량 개념 개발

한남경(Han, Nam Kyung),김광숙(Kim, Gwang Suk) 한국간호과학회 2020 Journal of Korean Academy of Nursing Vol.50 No.1

Purpose: The purpose of this study was to define and clarify the concept of political competence for nurses. Methods: A hybrid model method was used to investigate the dimensions, attributes, and definitions of the concept. In the theoretical stage of the study, literature on nursing, politics, and other discipline were reviewed. In the fieldwork stage, individual in-depth interviews and focus groups interviews were conducted with politically seasoned experts or activists who had an understanding of the concept of political competence for extensive descriptions in nursing and field of health care. Results: The concept of political competence was represented in four dimensions as political knowledge, political efficacy, political interaction, and political activity. In the political knowledge dimension, there were three attributes, namely, political knowledge, political information and systematic analysis ability. The political efficacy dimension had three attributes of internal political efficacy, external political efficacy, and self-pride of nursing profession. The political interaction dimension had three attributes of organizations and community service, networking, and persuasive power. The political activity dimension had six attributes of political leadership, political expression, assertive behavior, political advocacy, political participation, and policy intervention. Conclusion: This concept development might provide a basic understanding of developing a measurement tool and for constructing a theory promoting nurses’ political competence.

노인장기요양보험제도가 노인진료비에 미치는 영향: 일개 농촌지역을 중심으로

한남경(Han, Nam-Kyung) 대한고령친화산업학회 2019 대한고령친화산업학회지 Vol.11 No.2

목적 : 본 연구의 목적은 일개 농촌지역의 노인장기요양보험제도 도입 전후 노인진료비 지출의 변화와 영향요인을 분석하여, 노인장기요양보험과 건강보험의 재정적 관련성을 분석하고자 하였다. 연구방법 : 일개 농촌 지역의 전체 노인 중 장기요양 급여 이용자 53명의 성별과 연령을 1:4로 매칭하여 무작위로 추출한 급여 미이용군 212명의 노인장기요양보험제도 도입 전후 각 1년간의 노인진료비와 영향요인을 이중차이분석방법(Difference-In-Difference method)과 다중회귀분석을 통해 비교 분석하였다. 연구결과 : 노인장기요양보험제도 도입 이후 일개 농촌지역 장기요양 급여 이용군의 연간 총 노인진료비는 미이용군에 비해 45.12% 감소한 것으로 나타났고 총 노인진료비 중 입원진료비가 88.61%로 가장 큰 폭으로 감소하였으며 이어서 약제비가 45.12% 감소하였다. 반면에 외래진료비는 10.10%로 증가한것으로 나타났다. 결론 : 본 연구결과는 노인장기요양보험 제도 도입이 노인진료비에 미치는 정책효과를 분석함으로써 건강보험 및 의료급여와 장기요양보험의 재정적 관련성을 예측하여 향후 지속가능한 제도 운영에 참고하기 위한 기초자료로 활용 가능할 것이다. Objective : This study aimed to analyze the financial relevance to the Long-term Care Insurance and National Health Insurance by analyzing the changes in expenditure on elderly care before and after the introduction of the long-term care insurance system in rural areas. Methods : Analyzing data collected from two divided group lived in Yangpyeong-gun. One group was 53 elderly people have received long-term care health wage for one year and control group was 212 people chosen by gender and age stratified random sampling. The data of total medical expending was analyzed by Difference-In-Difference method and also conducted multiple regression for variables of socio-demographic, economic, disease characteristics. Results : The average total medical expense of group receiving long-term health insurance decreased by 45.12% compared to control group as a result of Difference-in-Difference analysis. In the cost segmentation, the hospitalization expense decreased by 88.61% and the medicine cost decreased by 45.12%. Multiple regression Analysis results showed that the average medical expense of people using long-term health insurance decreased by 15.4% after introducing this insurance system, but its difference was not statistically significant. The hospitalization expense increased by 2.5% and the medicine cost increased by 5.9% And the outpatient service cost increased by 5.9%, but its difference was not statistically significant. Conclusion : The results of this study could be used as a basic data for predicting the financial relevance of National Health Insurance and Long-term Care Insurance and referring to the efficient operation of future finances.

여자 간호대학생의 낙태태도 영향요인

김종근,한남경 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.9

This study aimed to identify the effects of the attitude toward terminating pregnancy among women college students in nursing. Data were collected by 181 nursing students using a self-questionnaire from April 17 to 30, 2017. The data were analyzed using an independent t-test, ANOVA, pearson correlation coefficients, and hierarchical multiple regression. There were significant positive correlations among attitude toward terminating pregnancy and the other variables. The significant predictors of the attitude toward terminating pregnancy were catholic among religion (β=0.22, p=.029), the most of family income(β=0.48, p=.005) and sexual attitude (β=-0.17, p=.014). This study showed that religion, family income and sexual attitude were factors women college students in nursing’ attitude toward terminating pregnancy. 본 연구는 여자 간호대학생의 낙태에 대한 태도의 영향요인을 분석하기 위한 연구이다. 2개 대학의 여자 간호대학생 181명을 대상으로 2017년 4월 17일부터 30일까지 낙태에 대한 태도에 대해 자기기입식의 설문조사를 실시하였다. 일반적 특성에 따른 낙태에 대한 인식차이는 independent t-test, 성지식, 성태도, 생식건강증진행위, 낙태태도 변수간의 상관관계는 Pearson 상관계수, 낙태태도의 영향요인은 위계적 다중회귀분석을 실시하였다. 분석 결과, 낙태태도에 영향을 주는 요인은 종교((β=0.22, p=.029), 소득수준(β=0.48, p=.005), 성태도(β=-0.17, p=.014)였으며, 낙태에 대한 태도와 성태도 간에 상관관계가 있는 것으로 나타났다. 따라서 여자 간호대학생의 낙태태도는 종교, 경제상태, 그리고 성태도 인식에 따라 영향을 받고 있음을 파악할 수 있었으며, 예비의료인으로서 올바른 성 가치관을 형성하기 위한 기초자료로 활용할 수 있을 것이다.

한국 성인여성의 자궁경부암 미수검 관련 요인분석: 국민건강영양조사(2010–2012년) 자료 이용

최원미,한남경,정우진 한국보건행정학회 2019 보건행정학회지 Vol.29 No.4

Background: This study aimed to explore the associations of social-demographic, health-behavioral, and woman-specific factors with the non-screening status of the cervical cancer screening test in Korean adult women. Methods: This study was a cross-sectional analysis of 9,698 Korean adult women aged 20 years or more who participated in the Korea National Health and Nutrition Examination Surveys V (2010–2012). Rao-Scott chi-square tests and survey logistic regression analyses were employed respectively to analyze the difference in the non-screening status of the cervical cancer screening test by each characteristic and to explore the factors related to the non-screening status. Results: The rate of the non-screening status of the cervical cancer screening test was 53.5% over the previous 2 years. In the survey logistics regression analysis, age, marital status, educational levels, income levels, residential area, occupation, private health insurance, smoking, alcohol, obesity, menstrual status, pregnancy experience, and hormone replacement therapy were significantly associated with the non-screening status of the cervical cancer screening test. Conclusion: On the basis of the results of this study, some social-demographic, health-behavioral, and woman-specific characteristics of Korean adult women seem to affect the non-screening status of the cervical cancer screening test. Therefore, appropriate health policies need to be designed, implemented, monitored, and evaluated to reduce the non-screening status of the cervical cancer screening test of them.

임상간호사의 교대제 개선을 위한 예측 가능한 패턴형 근무제

박경옥,안지원,한남경 한국보건사회연구원 2022 保健社會硏究 Vol.42 No.1

A low staffing ratio and poor shift work environment not only increase the turnover intention by increasing job stress in Korean nurses but also threaten patient safety by lowering the quality of nursing services. In this study, a predictable pattern shift schedule model was developed by reviewing previous researches, an analysis of nurses` shift schedules, and group discussions with nurses as well as experts in the field of nursing and related labor issues. Validity and feasibility of the model was evaluated using the Delphi survey technique with 16 panels from August 25 to October 8, 2021. Results indicated that the developed pattern shift schedule can be applicable to different hospital types and patients’ severity of symptoms. The content validity index (CVI) of the model ranged from 0.88-1.00 except for the item “equal number of night shift work” (CVI=0.69). Thus, appropriate staffing ratio level is a prerequisite for decent work and decent leaves. 우리나라 간호사의 낮은 인력 배치 수준과 열악한 교대근무 환경은 업무부담 및 직무스트레스를 높여 이직의도를 높일 뿐만 아니라 간호서비스의 질을 저하시켜 환자안전을 위협하고 있다. 본 연구는 임상간호사의 교대제 관련 선행연구, 근무일정표 분석, 간호사-전문가 그룹토론 및 패널 조사를 통하여 현장에서 적용 가능한 교대제 개선 모델을 개발하고 모델의 타당도를 평가하였다. 본 연구 결과, 교대제 개선을 위해 병원 종별, 환자의 중증도에 따른 상이한 ‘예측 가능한 패턴형 근무제’를 제시하였다. 모델의 타당도를 평가하기 위한 델파이조사는 2021년 8월 25일부터 10월 8일까지 간호사, 전문가 16명을 대상으로 시행하였고 모델에 대한 내용타당도를 조사한 결과 ‘동일야간근무일수’를 제외하고 0.88~1.00의 범위로 모두 타당한 것으로 나타났다. 따라서 임상 간호사 교대제 개선을 위한 모델이 예측 가능성을 갖기 위해서는 적정 인력을 전제로 적정 근무, 적정 휴가가 배치되어야 함을 확인하였다.