[논문]간호사의 정치적 역량 개념 개발

한남경; 김광숙

doi:10.4040/jkan.2020.50.1.81

간호사의 정치적 역량 개념 개발
Concept Development of Political Competence for Nurses 원문보기

Journal of Korean academy of nursing = 대한간호학회지, v.50 no.1, 2020년, pp.81 - 100

한남경 (경북보건대학교 간호학부) , 김광숙 (연세대학교 간호대학.김모임간호학연구소)

Abstract ▼ AI-Helper

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.

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핵심어	질문	논문에서 추출한 답변
	한국의 보건의료환경이 저출산 및 고령화에 따른 인구구조의 변화와 더불어 만성질환 증가 및 신종 감염병 출현 등으로 질병구조의 변화가 고착화되고 있는 양상을 보임에 따라 무엇의 필요성이 대두되고 있는가?	한국의 보건의료환경은 저출산 및 고령화에 따른 인구구조의 변화와 더불어 만성질환 증가 및 신종 감염병 출현 등으로 질병구조의 변화가 고착화되고 있는 양상을 보이고 있다[1]. 이에 따라 제한된 의료자원의 분배문제 해소, 국민건강 중심의 보건의료전달체계와 운영관리 등의 효과성 제고를 위한 관련 법과 보건의료정책 개선의 필요성이 대두되고 있다[2]. 이러한 시대적 추세에서 보건의료 영역에서 종사하는 전문직은 의료법에 명시된 의료서비스 제공 역할 이외에도 국민건강 옹호와 관련된 보건의료 이슈나 정책에 관심을 가질 필요가 있다.
	Warner가 정의한 간호사의 정치적역량은 무엇인가?	국외 선행연구를 살펴보면, 먼저 Warner [8]가 간호사의 정치적역량을 전문적인 역할 내에서 효과적인 정치적 개입에 필요한 기술, 관점 및 가치로 정의하였으며, 6개 차원(통용된 가치로서의 간호 전문성, 네트워킹을 통한 기회창출, 인내심, 강력한 설득력, 집단적 힘을 위한 헌신, 전략적 관점)을 제시하였다. O’Grady와 Johnson [9]은 간호사의 정치적 역량을 깊은 지식, 정치적 안테나, 권력 행사의 3개 차원에 따른 13개의 속성, Melo 등[10]은 알기 위한 학습, 존재를 위한 학습, 행동하는 것을 학습, 함께하는 것을 학습의 4개 차원에 따른25개의 속성을 제시하였다.
	Schwartz-Barcott와 Kim의 혼종 모형을 사용하여 간호사의 정치적역량 개념을 개발하려는 연구의 구체적인 목표은 무엇인가?	.첫째, 이론적 단계에서는 간호학 및 타학문의 문헌고찰을 통하여 간호사의 정치적역량의 차원과 속성을 규명하고 잠정적 정의를 도출한다. 둘째, 현장작업 단계에서는 심층면담과 포커스그룹 인터뷰 등의 실증적 분석을 통해 간호사의 정치적역량의 차원 및 속성을 규명한다. 셋째, 최종분석 단계에서는 도출된 차원 및 속성을 비교 분석하여 개념화함으로써, 최종적인 간호사의 정치적역량의 정의, 차원과 속성 규명을 통해 개념을 개발한다.

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