전문간호사의 성과지표 개발
The Development of Outcome Indicators for Advanced Practice Nurses
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: This study aims to develop, verify, and suggest outcome indicators for advanced practice nurses (APNs) in order to clarify their usefulness. Methods: To develop outcome indicators, the following methods were applied: reviewing literature intended to identify preliminary outcome indicators; surveying outcome indicators currently used for APNs and collecting the opinions from representatives of the professionals in clinical practice; verifying the content validity of preliminary outcome indicators by professionals and verifying the preliminary outcome indicators with 252 APNs. Results: Suggested outcome indicators are categorized into 84 items in total. Of these, the number of outcome indicators commonly appearing across disciplines was 18, mostly related to satisfaction and education. A majority of other outcome indictors exhibiting high relevance to individual disciplines are associated with care, including critical care (19 items), oncologic care (9 items) and emergency care (10 items). Conclusion: As the outcome indicators identified in this study are available to demonstrate the usefulness of APNs, it is recommended that future studies need to select and use appropriate outcome indicators according to characteristics and conditions of the discipline under examination. In addition, it is necessary to validate whether the suggested outcome indicators reflect adequately the practices of APNs.
Abstract
Purpose: This study aims to develop, verify, and suggest outcome indicators for advanced practice nurses (APNs) in order to clarify their usefulness. Methods: To develop outcome indicators, the following methods were applied: reviewing literature intended to identify preliminary outcome indicators; surveying outcome indicators currently used for APNs and collecting the opinions from representatives of the professionals in clinical practice; verifying the content validity of preliminary outcome indicators by professionals and verifying the preliminary outcome indicators with 252 APNs. Results: Suggested outcome indicators are categorized into 84 items in total. Of these, the number of outcome indicators commonly appearing across disciplines was 18, mostly related to satisfaction and education. A majority of other outcome indictors exhibiting high relevance to individual disciplines are associated with care, including critical care (19 items), oncologic care (9 items) and emergency care (10 items). Conclusion: As the outcome indicators identified in this study are available to demonstrate the usefulness of APNs, it is recommended that future studies need to select and use appropriate outcome indicators according to characteristics and conditions of the discipline under examination. In addition, it is necessary to validate whether the suggested outcome indicators reflect adequately the practices of APNs.
참고문헌 (29)
- 권영대, "진료협력간호사의 운영현황에 관한 연구", 임상간호연구, 14(3), pp.99~115 (2008), 병원간호사회
- 김금순, "전문간호사 성과지표에 관한 델파이 조사", 임상간호연구, 16(1), pp.131~143 (2010), 병원간호사회
- 김복자, "응급실 간호사의 업무 규명을 위한 연구", 임상간호연구, 12(1), pp.81~95 (2006), 병원간호사회
- 김성렬, "임상전문간호사의 업무수행에 대한 의료진 및 환자 만족도에 관한 연구", 임상간호연구, 9(1), pp.76~90 (2003), 병원간호사회
- 문옥륜, "의료의 질적 관리", 예방의학회지, 23(2), pp.131~154 (1990)
- 박재완, "책임경영 성과지표 개발에 관한 연구", 회계학연구, 24(3), pp.89~120 (2000)
- 박정윤, "임상전문 간호사 주도의 PICC(Peripherally Inserted Central Catheter) 프로그램 운영에 대한 평가 연구", 임상간호연구, 10(2), pp.103~114 (2005), 병원간호사회
- 신유근, "조직론" (1997), 다산출판사
- 이은령(Lee, Eun Ryung), "임상에서 활동 중인 종양전문간호사의 직무분석-DACUM 기법 이용-", 종양간호학회지, 10(1), pp.68~79 (2010), 대한종양간호학회
- 이정희, "중환자실 간호사 및 중환자 전문간호사의 역할 규명을 위한 연구 (법제위)", 임상간호연구, 13(3), pp.93~108 (2007), 병원간호사회
- 이희승, "국어대사전" (1996), 민중서림
- 임경춘, "임상 전문간호사 역할 기대조사-A병원을 중심으로-", 간호행정학회지, 3(1), pp.65~82 (1997)
- 채계순, "병원간호인력 배치현황 실태조사" (2008), 병원간호사회
- "분야별 전문간호사 배출 현황"[URL]
- Bigbee, J. L, "History and evolution of advanced nursing practice", pp.13~17 (1996), W. B. Saunders
- Burns,S.M, "Selecting advanced practice nurse outcome measures", pp.73~90 (2009), Springer Publishing Co
- Byers, J. F, "Demonstrating the value of the advanced practice nurse: An evaluation model", AACN Clinical Issues, 9(2), pp.296~305 (1998)
- Clochesy,J.M, "Research designs for advanced practice nursing outcomes research", Critical Care Nursing Clinics of North America, 14(3), pp.293~298 (2002)
- Cole, F. L, "Activities and procedures performed by nurse practitioners in emergency care settings", Journal of Emergency Nursing, 26(5), pp.455~463 (2000)
- Ingersoll, G. L, "Nurse-sensitive outcomes of advanced practice", Journal of Advanced Nursing, 32(5), pp.1272~1281 (2000)
- Kleinpell, R. M, "Measuring advanced practice nursing outcomes, strategies and resources", Critical Care Nurse, February, pp.6~10 (2003)
- Kleinpell,R.M, "Measuring outcomes in advanced practice nursing", pp.1~50 (2009), Springer Publishing Co
- Kleinpell, R, "Assessing outcomes in advanced practice nursing practice: The use of quality indicators and evidence-based practice", AACN Clinical Issues, 16(1), pp.43~57 (2005)
- Kleinpell, R. M, "Nurse practitioners and physician assistants in the intensive care unit: An evidence-based review", Critical Care Medicine, 36(10), pp.2888~2897 (2008)
- Lynch, M. P, "Advanced practice issues: Results of the ONS advanced practice nursing survey", Oncology Nursing Forum, 28(10), pp.1521~1530 (2001)
- Oermann, M. H, "Outcomes research: An essential component of the advanced practice nurse role", Clinical Nurse Specialist, 16(3), pp.140~144 (2002)
- Sandhu, H, "Emergency nurse practitioners and doctors consulting with patients in an emergency department: A comparison of communication skills and satisfaction", Emergency Medicine Journal, 26(6), pp.400~404 (2009)
- Sidani, S, "A conceptual framework for evaluating the nurse practitioner role in acute care settings", Journal of Advanced Nursing, 30(1), pp.58~66 (1999)
- Yeager, S, "An acute care nurse practitioner model of care for neurosurgical patients", Critical Care Nurse, 26(6), pp.57~64 (2006)