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김민영 ( Kim Min-Young ) - 제주대학교 간호학과
최수정 ( Choi Su-Jung ) - 삼성서울병원
설미이 ( Seol Mi-Ee ) - 서울아산병원
김정혜 ( Kim Jeong-Hye ) - 울산대학교 임상간호대학원
김희영 ( Kim Hee-Young ) - 서울아산병원
변숙진 ( Byun Sook-Jin ) - 동아대학교병원
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Abstract
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Purpose: This study was to investigate the nationwide operational status of the professional medical support staffs (PMSS) who practice the expanded roles in the hospital setting.
Methods: The data were obtained through survey from 36 hospitals with over 500 beds from 25th May to 12th July 2016. Data from 1,666 PMSS were analyzed.
Results: Since the job titles varied, we classified them into 5 groups according to their roles; advanced practice nurse, clinical nurse expert, PA (physician assistant), coordinator, and others. There were differences in the operation status of PMSSs depending on the region, nurse staffing grade and number of hospital beds. Qualification criteria varied from hospital to hospital, and almost half of the hospitals didn’t have any qualification standards for them. There were differences in age, educational level, clinical careers, rewards, and job satisfaction in 5 groups. Especially PA group had low salary, poorer working conditions, more difficulties in performing their work, and lower job satisfaction than other groups. Most PMSS (99.5%) were using a delegated prescription authority, however only 68.3% had job description and 19.9% had documented delegated role.
Conclusion: Adequate training curriculum, documented delegated roles, and the protocols for legal protection and efficient medical services are needed.
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KeyWords
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조직 및 운영, 전문간호사, 전담간호사, 진료보조인력, 직무만족도
Organization and Administration, Nurse Specialists, Nurse Clinicians, Physician Assistants, Job Satisfaction
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원문 및 링크아웃 정보
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등재저널 정보
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