한국 전문간호사의 분야 체계화 관련 연구
Study on Systematization of Advanced Practice Nursing in Korea
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초록
목적: 본 연구는 한국 전문간호사 13개 분야 체계화를 위한 기초자료를 제공하고자 수행되었다. 방법: 연구는 다음과 같이 3단계로 수행되었다. 1) 전문간호사 운영에 관한 문헌고찰 및 교육과정 검토, 2) 전문간호사제도의 운영에 관한 의견을 수렴하기 위해 전문간호사 9명, 전문의 6명, 간호학 교수 8명을 대상으로 포커스그룹 인터뷰(FGI), 3) 직무 기반 분야별 분류, 전문의제도 운영 고찰 및 데이터를 기반으로 한 전문간호사 분야 체계적 운영 방안 도출. 결과: 전문간호사 운영 체계 고찰과 교육과정 검토 결과 전문간호사 13개 분야를7개 그룹으로 나눌 수 있었고, 직무 기반에 근거한 분석에 따르면 4 개의 그룹으로 나눌 수 있었다. FGI 자료를 분석한 결과 2개 의 주제와 7개의 범주가 확인되었다. 두 가지 주제는 1) 논의가 필요한 분야별 전문간호사, 2) 전문간호사 교육과정 개선 으로 확인되었다. FGI 및 전문의제도 운영 고찰을 반영하면 임상 영역과 비 임상 영역의 두 그룹으로 통합 할 수 있었다. 결론: 국내 전문간호사 제도 활성화를 위해 13개 분야는 통합이 필요하며, 전문간호사 업무의 법제화 및 그에 따른 교육과정 등을 위해 추가적인 논의가 지속되어야 할 것이다.
Abstract
Purpose: This study was conducted to provide basic data for the systematization of 13 areas related to Advanced Practice Nurses (APN). Methods: The three-phase study was conducted as follows. 1) review of APN system and curriculum, 2) Focus Group Interviews (FGI) with 9 APNs, 6 physicians, and 3 nursing professors on the APN system, 3) analysis of clinical practice of the 13 APN areas, and of the accreditation and certification system for APNs, medical board, and medical subspecialty board. Based on the above data, a systematic plan was drawn. Results: The 13 APN areas could be divided into 7 groups based on a review of the APN system and curriculum for the 13 areas. Analysis based on clinical practice showed that the 13 APN areas could be divided into 4 groups. Two themes and seven categories emerged in FGI. The two themes were 1) 13 APN areas that need to be discussed, 2) improving the curriculum for APN. Considering these themes from FGI and the system of the medical subspecialty board, results could be integrated into 2 groups - clinical area and non-clinical area. Conclusion: The 13 APN areas need to be integrated in order to activate the APN system. For that, further discussions on improvements and a standard curriculum according to legislation related to APN should be carried out.
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