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간호사가 인지하는 병원노인전문간호사역할에 따른 직무중요도

Other Titles
 Job importance perceived by nurses according to roles of geriatrics hospital nurses 
Authors
 염현주 
Issue Date
2005
Description
노인간호전공/석사
Abstract
[한글] 병동에 입원한 노인의 경우 대부분 장기간의 입원을 요하게 되고, 노화로 인하여 빈번한 합병증의 발생을 예방하여야 한다. 그러므로 노인을 대상으로 하는 진료 및 간호의 목적은 특별하다. 즉 일반적으로 흔한 노인성 질환의 치료관련 기술의 증가, 노인환자의 병원 재원기간의 단축, 재입원률 감소, 간호와 관련된 비용의 최소화를 도모하기 위하여 임상실무전문가, 교육자, 상담과 지지자, 연구자, 관리자 그리고 윤리적 의사결정에 대한 조력자 등의 역할을 감당할 수 있는 병원노인전문간호사가 필요하다.본 연구는 간호사가 인지하는 병원노인전문간호사역할에 따른 직무중요도를 조사하기 위한 서술적 조사연구로 자료 수집은 2005년 4월 11일부터 4월 27일까지 일개 대학부속종합병원, 보건소, 노인요양원에서 근무하는 간호사 170명을 대상으로 한국간호평가원(2004)에서 제시한 전문간호사 핵심능력에 따른 직무를 연구도구로 사용하였다. 수집된 자료는 SPSS-Window 12.0 통계 프로그램을 이용하여 평균과 표준편차, ANOVA, Scheffe′test를 이용하여 분석하였다.연구 결과를 요약하면 다음과 같다.1. 전문가적 간호실무자역할의 항목별 중요도는 전반적이고 정확하며 체계적으로 대상자의 신체검진을 실시한다가 가장 높았으며 실무에서 이론, 과학, 예술을 적용한다가 가장 낮은 평균을 보였다.2. 교육자역할의 항목별 중요도는 건강증진, 질병과 불구예방 및 자가관리 등에 대해 적절한 상담을 제공한다가 가장 높았으며, 개인, 가족, 직원을 교육함에 있어서 간호예술을 시범한다가 가장 낮았다.3. 연구자역할의 항목별 중요도는 연구문제를 확인하고 간호사, 연구자나 관리자들과 의사소통한다가 가장 높았으며, 적응성을 위해 연구를 비판한다가 가장 낮았다.4. 지도자역할의 항목별 중요도는 자기계발을 통해 전문성을 향상시킨다가 가장 높았으며, 간호 관련 각종 문서를 관리한다가 가장 낮았다.5. 자문 및 협동자역할의 항목별 중요도는 건강관리팀과 협조체계를 구축하여 협력적으로 실무를 수행한다가 가장 높았으며, 건강관리팀의 자문에 응한다가 가장 낮았다.6. 근무기관별 병원노인전문간호사 직무중요도 차이는 전문가적 간호실무자역할(p<.035), 교육자역할(p<.006), 연구자역할(p<.002), 지도자역할(p<.001)은 통계적으로 유의한 차이를 보였으나 자문 및 협동자역할(p>.165)은 통계적으로 유의한 차이를 보이지 않았다.7. 간호사 근무경력별 병원노인전문간호사 직무중요도 차이를 살펴보면 전문가적 간호실무자역할(p<.021), 교육자역할(p<.004), 연구자역할(p<.001), 지도자역할(p<.013)은 통계적으로 유의한 차이를 보였으나 자문 및 협동자역할(p>.053)은 통계적으로 유의한 차이를 보이지 않았다.8. 간호사 학력별 병원노인전문간호사 직무중요도는 전문가적 간호실무자역할, 교육자역할, 연구자역할, 지도자역할, 자문 및 협동자역할 모두 대졸이 전문대졸보다 점수가 모두 높았으나 통계적으로 유의한 차이를 보이지 않았다.9. 간호사 직위별 병원노인전문간호사 직무중요도는 전문가적 간호실무자역할은 책임간호사가 높게 인식하였으며, 나머지 교육자역할, 연구자역할, 지도자역할, 자문 및 혐동자역할은 수간호사가 높게 인식하였으나 통계적으로 유의한 차이를 보이지는 않았다.
[영문]Most aged people in the hospital need long-term hospitalization and prevention of frequent occurrence of complications caused by aging. For this reason, medical treatment and nursing of the old has a special goal. In other words, geriatrics hospital nurses are in demand who can take such roles as an expert in clinical practices, an educator, a counselor and supporter, a researcher, a manager, and an assistant for ethical decision-making in order to improve skills for treating generally common geriatric diseases, reduce the period of old patients'' hospitalization, decrease re-hospitalization, and minimize nursing expenses.As a descriptive research to examine job importance perceived by nurses according to roles of geriatrics hospital nurses, this study collected data from 170 nurses working at a general university hospital, a public health center, or a sanatorium for the old, using job by nurses'' key abilities suggested by the Korea Institute of Nursing (2004) as a tool from April 11 to 27, 2005. The collected data were analyzed using the SPSS-Window 12.0 statistical program along with mean, standard deviation, ANOVA, and Scheffe′test.The results can be summarized as follows:1. As for importance of the role as a professional nursing practitioner by categories, the mean was highest in general, accurate, and systematic physical examination of subjects and lowest in application of theories, science, and art to practices.2. As for importance of the role as an educator by categories, it was highest in offering good counseling for health improvement, prevention of diseases and disabilities, and self-management and lowest in demonstration of nursing art in educating individuals, family members, and staff members.3. As for importance of the role as a researcher by categories, it was highest in identification of research questions and communication with nurses, researchers, and managers and lowest in criticizing researches for adaptability.4. As for importance of the role as a leader by categories, it was highest in improvement of expertise through self-development and lowest in management of many kinds of documents about nursing.5. As for importance of the role as an advisor and cooperator by categories, it was highest in construction of a health management team and cooperation system for cooperative practices and lowest in responding to advice by the health management team.6. As for differences in job importance of geriatrics hospital nurses by institutions, there were statistically significant differences in the role as a professional nursing practitioner (p<.035), an educator (p<.006), a researcher (p<.002), and a leader (p<.001) while there was no statically significant difference in the role as an advisor and cooperator (p>.165).7. As for differences in job importance of geriatrics hospital nurses by working career, there were statistically significant differences in the role as a professional nursing practitioner (p<.021), an educator (p<.004), a researcher (p<.001), and a leader (p<.013) while there was no statistically significant difference in the role as an advisor and cooperator (p>.053).8. As for job importance of geriatrics hospital nurses by school career, university graduates showed higher marks in all roles as a professional nursing practitioner, an educator, a researcher, a leader, and an advisor and cooperator than college graduates; however, there was no statistically significant difference.9. As for job importance of geriatrics hospital nurses by positions, responsible nurses showed high perception of the role as a professional nursing practitioner while head nurses showed high perception of the roles as an educator, a researcher, a leader, and an advisor and cooperator; however, there was no statistically significant difference.
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 2. Thesis
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/136893
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