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A Servey on Cclinical Nurse¢¥s Opinion on Nursing Specialization

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KMID : 0607319950040020005
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Abstract

Rapid changes in technology, globalization, and consumerism call for a major transformation not only in economies and businesses to be competitive in the international market but also health delivery systems within a society and related professions. Nursing profession should also train competent nurse practitioney who can deliver high quality care to meet the needs of health consumers. As a step toward this goal, I condcted a opinion survey of 1,600 clinical nurses(hereinafter nurses), who attended national and regional conferences between March and November 1995 on nursing specialization. These nurses represent opinion leaders in nursing profession in Korea.
Major findgs include: (1) A majority of nurses believe that nursing specialization should be established at the level of that in medical profession. (2) Nrrsing specialization should in principle adopt ICITs framework, which includesmedicalsurgical nursing, Maternalchild nurs. ing, pediatric nursing, psychiatric and mental health nursing, geriatric nursing, and community nursing. Detailed description of specializations should be prepared in a flexible terra so that nursing specialization may be able to meet the changing needs of health consumers. (3) Current RN(Registered Nurse) should be called "general nurse(GN)" while those GNs who complete specific special programs stipulated in Article % of the Health Practice Law and Article 54 of its Implementing Decree should be called "certified nurse(CN)" and those certified nurses who com. plete the specialized Master of Nursing Science program, which includes advanced nursing theory courses, clinical experiences, and a research methodology course, should be called "advanced practice nurse (APN) ". (4) The criteria and standards of training programs for CN and APN should be establixhed not by a single organization but in joint efforts among Korean Academy of Nursing, Certified nurses¢¥ society, and other related organizations. (5) The current one-year training program for CN is adequate. (6) APN should be required to pass licensing examinations to be administered jointly by various nursing organizations. Ucense should, however, be issued by the government. (7) 52.3% of surveyed nurses aspire to become an APN within four years. Pre ferred specialization are in the order of medicalsurgical nursing, community nursing. psychiatric and. mental health nursing, ma ternalchild nursing, pediatric nursing, and geriatric nursing.
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