Son Kyoung Suk, Cho Kyung Sook
Unit Manager, Kohwoon Women's Hospital, Korea.
Korean J Women Health Nurs. 2019 Sep;25(3):239-257. doi: 10.4069/kjwhn.2019.25.3.239. Epub 2019 Sep 2.
To analyze the job of nursing unit managers working at women's hospital, using DACUM (developing a curriculum), DACUM is a method for analyzing job-focused competency.
This study involved a descriptive survey. A DACUM workshop was held to define women's hospital nursing unit managers' role and identify their duties and tasks. For the workshop, a committee was formed consisting of 5 women's hospital nursing unit managers. Finally, after validation, the developed contents were made into a survey asking about nursing unit manager's duties and tasks.
Sixteen duties and 83 tasks were identified on the DACUM chart. The importance, difficulty, and frequency of the tasks were ranked in terms of A, B, and C, with A being the highest degree. Eight tasks received A's all in importance, difficulty, and frequency of performance. The 8 tasks were: 'taking over', 'taking care of seriously ill patients on handover', 'ward rounding', 'analyzing and resolving demands identified during handover and patient tour', 'reporting patient status during rounding', 'promoting breast-feeding', 'uterine contraction, and training for breast-feeding'. The duty with the biggest determinant coefficient (DC) was 'patients complaint management' (DC=7.09). Based on tasks, the one with the biggest DC was 'solving patient and patient guardian's complaints' (DC=7.53), followed by 'making infection control guidelines' (DC=7.5).
When expanding the nursing staff of the hospital, women's hospitals nursing unit managers also need to use administrative functions as intermediaries to focus on the operation management of the entire hospital rather than direct nursing to suit their role.
运用DACUM(课程开发)方法分析在妇女医院工作的护理单元管理者的工作,DACUM是一种用于分析以工作为重点的能力的方法。
本研究采用描述性调查。举办了一次DACUM研讨会,以界定妇女医院护理单元管理者的角色,并确定其职责和任务。为该研讨会成立了一个由5名妇女医院护理单元管理者组成的委员会。最后,经过验证,将所制定的内容编制成一份关于护理单元管理者职责和任务的调查问卷。
在DACUM图表上确定了16项职责和83项任务。这些任务的重要性、难度和执行频率按照A、B、C进行排序,A代表最高程度。有8项任务在重要性、难度和执行频率方面均获得A。这8项任务分别是:“接管”、“在交接时照顾重症患者”、“查房”、“分析并解决在交接和患者巡查过程中发现的需求”、“在查房时汇报患者状况”、“促进母乳喂养”、“子宫收缩以及母乳喂养培训”。决定系数(DC)最大的职责是“患者投诉管理”(DC = 7.09)。基于任务来看,决定系数最大的是“解决患者及患者监护人的投诉”(DC = 7.53),其次是“制定感染控制指南”(DC = 7.5)。
在扩大医院护理人员队伍时,妇女医院的护理单元管理者还需要作为中介运用管理职能,关注整个医院的运营管理,而非直接护理工作,以适应其角色。