국내 상급종합병원 신규간호사의 실무적응지원 프로그램 개발
Development of Korean Nurse Residency Program for Tertiary Hospitals
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목적: 본 연구는 신규간호사의 임상실무로의 역할이행을 촉진시키기 위해 우리나라 상급종합병원에 근무하는 신규간호사를 위한 레지던시 프로그램을 개발하고자 시도되었다. 방법: 한국형 간호사 레지던시 프로그램(KNRP)은 문헌고찰과 미국의 NRP 운영사례 조사, 2차례에 걸친 전문가 자문과 적절성 평가를 통해 개발되었다. 프로그램의 적절성 평가를 위해서 KNRP의 개요와 운영, 교육프로그램, 신규간호사 교육을 위한 인력배치 기준, 프리셉터 지원전략, 신규간호사교육 평가기준, 인프라와 KNRP 적용의 이점 등 14개 영역의 118개 문항으로 된 설문지가 사용되었다. 자료수집은 2021년 2월 16일에서 3월 22일까지 43개 상급종합병원의 간호교육자, 간호관리자, 프리셉터 및 신규간호사 369명을 대상으로 이루어졌다. 자료는 서술통계로 분석하였다. 결과: KNRP 초안의 적절성 점수는 3.42±0.31 (4점)이며 14개 하위영역의 적절성 점수는 3.18±0.47점에서 3.58±0.46점이었다. 최종 도출된 KNRP는 1년 과정으로 3개월간의 집합교육과 프리셉터십을 포함한 현장교육, 역량강화 및 적응지원프로그램으로 구성되었다. 결론: 1년 과정의 KNRP 적용은 신규간호사가 임상실무에 이행할 수 있도록 촉진할 것이다. KNRP의 효과적인 적용을 위해서는 정부와 전문단체 및 병원의 협동적인 노력이 필요하다.
Abstract
Purpose: The purpose of this study was to develop a Korean Nurse Residency Program (KNRP) in order to facilitate new nurses’ transition to clinical practice working at tertiary hospitals in Korea. Methods: The KNRP was developed through a literature review, investigation of NRP cases in United States, two rounds of expert consultation, and appropriateness survey. For appropriateness survey of the program, a questionnaire with 118 items and 14 subcategories including overview and operation of KNRP, education programs, staffing criteria for new nurses’ education, preceptor supporting strategies, evaluation standards for new nurse’s education, infrastructure, and KNRP benefits was used. Data were collected from 369 nurses including nurse educators, nurse managers, preceptors, and new nurses working at 43 tertiary hospitals in Korea from February 16, 2021 to March 22, 2021. Data were analyzed with descriptive statistics. Results: Appropriateness score of KNRP was 3.42±0.31 (out of 4) and those of 14 subcategories ranged from 3.18±0.47 to 3.58±0.46. The final version of the KNRP postulated is a one-year program, which is composed of off-job training and on-site training including preceptorship over 3 months, and competency reinforcement and adaptation supporting programs. Conclusion: The application of the one-year KNRP will facilitate new graduate nurses’ transition to clinical practice. In order for effective application of the KNRP, cooperative efforts of the government, professional associations, and hospitals are needed.
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