중환자실 간호사의 임상등급 (clinical ladder)별 간호역량 측정도구 개발 = Development of a Nursing Competency Scale according to a Clinical Ladder System for Intensive Care Nurses

다국어 초록 (Multilingual Abstract)

Purpose: This study was a retrospective survey to examine economic feasibility of home care services for patients with diabetic foot. Methods: The participants were 33 patients in the home care services (HC) group and 27 in the non-home care services (non-HC) group, all of whom were discharged early after inpatient treatment. Data were collected from medical records. Direct medical costs were calculated using medical fee payment data. Cost-effectiveness ratio was calculated using direct medical costs paid by the patient and the insurer until complete cure of the diabetic foot. Effectiveness was the time required for a complete cure. Direct medical costs included fees for hospitalization, emergency care, home care, ambulatory fees, and hospitalization or ambulatory fees at other medical institutions. Results: Mean for direct medical costs was 11,118,773 won per person in the HC group, and 16,005,883 won in the non-HC group. The difference between the groups was statistically significant (p=.042). Analysis of the results for cost-effectiveness ratio showed 91,891 won per day in the HC patients, and 109,629 won per day in the non-HC patients. Conclusion: Result shows that the cost-effectiveness ratio is lower HC patients than non-HC patients, that indicates home care services are economically feasible.

참고문헌 (Reference)

1 최진숙, "수술실 간호사의 임상등급에 따른 간호역량" 한국간호교육학회 12 (12): 60-69, 2006

2 Chinn, P. L., "Theory and nursing: A systemic approach" Mosby 1995

3 Kim, G. J., "The role of critical care nurses" 9 : 46-67, 1991

4 Corley, M. C., "The clinical ladder : Impact on nurse satisfaction and turnover" 24 (24): 42-48, 1994

5 Woodrow, P., "Nursing perspectives for intensive care" 13 : 151-155, 1997

6 Lee, E. O., "Nursing medical research and statistics" Soomoonsa 1998

7 Youk, S. Y., "Nursing competency and indicator development by emergency nurse's clinical ladder" 9 : 481-494, 2003

8 Torstad, S., "Nurse leaders' view on clinical ladders as a strategy in professional development" 15 : 817-824, 2007

9 Kim, D. W., "Modes on nursing care decision making in novice critical care nurses: Changes through experience" Seoul National University 2001

10 Carper, B. A., "Fundamental patterns of knowing in nursing" 1 (1): 13-23, 1997

11 Benner, P., "From beginner to expert: Excellence and power in clinical nursing practice" Addison-Wesley 1984

12 Benner, P., "From beginner to expert gaining a differential clinical world in critical care nursing" 14 (14): 13-28, 1992

13 Hupcey, J. E., "Feeling safe : The psychosocial needs of ICU patients" 32 : 361-367, 2000

14 Kwon, E. K., "Evaluation of clinical competency weight and content validity of behavioral indicators for developing nursing performance appraisal" Inha University 2001

15 Lynn, M. R., "Determination and quantification of content validity" 35 : 382-386, 1986

16 Buchan, J., "Clinical ladders : The ups and downs" 44 (44): 41-46, 1997

17 Deckert, B., "Clinical ladders" 15 (15): 54-60, 1984

18 Goodloe, L. R., "Clinical ladder to professional advancement program : An evolutionary process" 26 (26): 58-64, 1996

19 Dean-Baar, S. L., "Application of the new ANA framework for nursing practice standards and guidelines" 8 (8): 33-42, 1993

20 Park, H. O., "A study on the analysis of performance appraisal tools for nurses" Yonsei University 2001

21 Jang, K. S., "A study on establishment of clinical career development model of nurses" Yonsei University 2000

22 Jang, B. H., "A study on critical care practice and development of standards for critical care nursing practice" Yonsei University 2000

23 Kim, H. Y., "A development of nursing competency for operating room nurses using a clinical ladder system" Chonnam National University 2005

24 Gustin, T. J., "A clinical advancement program: Creating an environment for professional growth" 28 (28): 33-39, 1998