[논문]한국 전문간호사의 업무 성과

김미정; 김영경; 신수진

doi:10.7475/kjan.2014.26.6.630

한국 전문간호사의 업무 성과
Job Performance by Advanced Practice Nurses in Korea 원문보기

성인간호학회지 = Korean Journal of Adult Nursing, v.26 no.6, 2014년, pp.630 - 641

김미정 (경일대학교 간호학과) , 김영경 (부산가톨릭대학교 간호대학) , 신수진 (순천향대학교 간호학과)

Abstract ▼ AI-Helper

Purpose: The purpose of current study was to explore the positive outcomes of advanced practice nurse who have experienced the roles in their clinical settings. Methods: This study adopted a qualitative research design based on conventional content analysis. Participants were 16 nurse practitioners have been worked at hospitals or community centers. Data were collected via focus group interviews and analyzed using thematic analysis method. Results: Patients' aspect outcomes were "client-centered care in providing continuity", "providing trust based on expertise", "promoting skilled intervention in patient recovering", "blocking the negative consequences", "quality improvement: nursing becoming tighter", "providing total care for cases that require intensive care", "improving patients outcomes by total management", "increasing confidence in evidence-based professional nursing", "rising the satisfaction by cost-effective services", "providing skilled professional practice", and "providing comprehensive care related to covering various aspects". Other themes elicited also included "promoting efficacy by inter-related health professions supervising", "the expansion of specialized practice areas increase business efficiency", "formation of outside customers due to increasing the satisfaction with skilled nursing care", "filling in the emptying spaces of doctors by practicing reliable role to bridge", "attracting external customers through successful management of subjects", "increasing staff's satisfaction on the role to make a bridge between inside and outside doctors", "24 hours medical expertise of professional staff ready secured", and "low cost, same results, that is, cost-effective" in reference to health care resources aspect. Conclusion: These findings suggested that advanced practice nurses perceived various positive outcomes and provided basic data for outcome indicators of advanced practice nurses' role.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	구체적으로 질적 연구에서 신뢰성은 무엇인가?	질적 연구에서 신뢰성은 방법론적 견실성(soundness)과 적절성을 의미한다. 구체적으로는 맥락적 의존가능성(dependability), 신빙성(credibility), 이전가능성(transferability), 확실성(authenticity), 확증가능성(confirmability)을 확보하는 것이다[21]. 맥락적 의존가능성, 신빙성, 이전가능성은 연구결과가 참여자들의 의미를 적절하게 해석하는가에 대한 것으로 본 연구에서는 연구자가 참여자의 말을 요약하고 의미를 추출한 것에 대해 연구참여자에게 확인하는 과정을 거쳤다.
	전문간호사란?	전문간호사는 해당 분야에 대한 높은 수준의 지식과 기술을 가지고 자율적으로 의료기관 및 지역사회 내에서 간호대상자에게 상급 수준의 전문가적 간호를 제공하는 자이다[1]. 전문 간호사 제도는 보건의료 분야 및 실무현장에서의 실제적인 수요의 증가와 함께 그 필요성이 인식되었고, 효율적인 치료 및 간호체계를 갖춤으로써 의료비 절감에 기여할 것으로 기대하여 도입되었다.
	전문 간호사 제도의 도입 배경은?	전문간호사는 해당 분야에 대한 높은 수준의 지식과 기술을 가지고 자율적으로 의료기관 및 지역사회 내에서 간호대상자에게 상급 수준의 전문가적 간호를 제공하는 자이다[1]. 전문 간호사 제도는 보건의료 분야 및 실무현장에서의 실제적인 수요의 증가와 함께 그 필요성이 인식되었고, 효율적인 치료 및 간호체계를 갖춤으로써 의료비 절감에 기여할 것으로 기대하여 도입되었다. 2005년 8월 전문간호사 자격시험 시행 후 2012년 까지 배출된 전문간호사는 자격시험 시행 이전 8,164명을 포함하여 13개 분야 12,935명으로[2] 매년 400여명의 전문간호사가 배출되어 양적으로 성장하고 있다.

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