1.02k likes | 1.24k Views
????. ???????? ????. 3. ????????. ???????????????????????????????????????????????????????????
E N D
1. ???? ???????? ???? 1 ???? ????????
?????????
????
2. ???? ???????? ???? 2 ???? Nursing Management??
??????,??????????????????????????????????
by Gillies
3. ???? ???????? ???? 3 ????????
???????????????????????????????????????????????????????????·???·????????????
By Gillies
4. ???? ???????? ???? 4 ?????? ????????????????????????????????????????????????????????????????????????????????????????????????????????????
By ??????
5. ???? ???????? ???? 5 ??????????????? ?????????
????????????????
?????????
????????????????????
6. ???? ???????? ???? 6 ??????????? 1.???
2.?????
3.???
4.????
7. ???? ???????? ???? 7 ?????????5????
1.????
2.????
3.??
4.???????????
5.??
??????????
???????
8. ???? ???????? ???? 8 ?????? 1.????
2.?????
3.????????
4.??????????????
5.????
6.??????????
9. ???? ???????? ???? 9 ???????
????
????
??
???(????)
10. ???? ???????? ???? 10 ????? 1.?????
2.??????????
3.??????
4.??????
5.??????????
6.????????
7.?????????????
8.??????
9.????????????
10. ?????
11. ???? ???????? ???? 11 ??? 1.??
2.???(????)
3.?????????
4.?????
5.?????(??)
12. ???? ???????? ???? 12 ????????? 1.??·???
2.?/?
3.???/????
4.??/??????
13. ???? ???????? ???? 13 ??????????
???????
????????
?????
14. ???? ???????? ???? 14 ??????? ????
???????
?????
15. ???? ???????? ???? 15 ??????·????? ?????????????????????????????????????????????????????????????????????????????????????????????????????????
16. ???? ???????? ???? 16 ??????·????? 1.?????
2.????????????
3.???????
4.???????????????
5.??????????????????
17. ???? ???????? ???? 17 ??????·????????????? ?????????????
???????????????
???????????
????????????
????
??????????????
????
18. ???? ???????? ???? 18 ????????????????? 1.???????????
2.?????·????????
3.?????????????????
4.???????????????
5.??????????
6.???????????
7.???????????
8.???????
9.?????????????????
10.??????????
11.????????????
19. ???? ???????? ???? 19 ?????? Herzberg??
????????????
???????????????????????
??? ?? ? ??
???
??
20. ???? ???????? ???? 20 ???? Quality Assurance ?????·???????
?????????????????????
TQM Total Quality Managment
???????????????????????????????
???????????????????
CQI Continuing Quality Improvment
????????????????????????????????????????
21. ???? ???????? ???? 21 ???????? ???????????????????????????????????
22. ???? ???????? ???? 22 ???????????? ??????????????????????????
??????????????????????
?????????????????????
23. ???? ???????? ???? 23 ??????????? ???????????
??????????
?????????
???????????
?????????????????????
24. ???? ???????? ???? 24 ????????? 6.??
7.???
?????
8.??
9.?????
1.???
2.?????
3.??
4.??
5.??
25. ???? ???????? ???? 25 ??????????? ?????????????
????
?????
????????
????
26. ???? ???????? ???? 26 ??????????????????? ????????????????
1.?????
2.???????(??·??)
?????????·??
3.????????
?????????????
27. ???? ???????? ???? 27 ??????????????? ????????????????
1.??????
2.????(???????)
3.??????
4.??????
28. ???? ???????? ???? 28 ??????????????? *?????
*??
*?????
*????
*??
29. ???? ???????? ???? 29 ????????????????? ?????????????
???????????????
????????????????????????????????
30. ???? ???????? ???? 30 ??????? ??????
???????????
?????????(EBM)
??????????3??
1)?????????
2)????????
3)??????????
31. ???? ???????? ???? 31 ?????????????? ?????????
32. ???? ???????? ???? 32 ?????????? 1.????????
2.?????????
3.??????????
(?????????)
33. ???? ???????? ???? 33 ???? ?????????????????????????????????????????????????????????????????????????????????????????????
IOM (Institute of Medicine)
34. ???? ???????? ???? 34 ?????????????? ??
(??????????????????)
??
(??????????????????)
?????(??)
(???????????????????????????)
35. ???? ???????? ???? 35 ??????????? ?????????????????????????????????????????????????????????????????????????
36. ???? ???????? ???? 36 ???? 1.???????
2.????
3.?????
37. ???? ???????? ???? 37 ??????? 1.??????
??????
2.???
???????
??????????
3.?????????
???????
38. ???? ???????? ???? 38 ???? 1.??????
????
?????
2.???
??????????????????
EBM, ?????????????
3.??
??????????????????
QC?????CQI??????
????????
39. ???? ???????? ???? 39 ????? 1.??????
???????
2.???
????
????????
40. ???? ???????? ???? 40 ???????????? ?????????
IOM(???????)
??????8?
(??4?4???9?8??)
??????????
???????????????????????????????
41. ???? ???????? ???? 41 ????? ·?????????????????????????????
·???????????????????????????????
42. ???? ???????? ???? 42 ?????? ?????????????????
1.??(??)???
2.?????
(??????????
???????)
3. ????????
43. ???? ???????? ???? 43 ??????????
1.???????
2.????????
(??)????(TQM)
3.??????????
????
44. ???? ???????? ???? 44 ??????? ·??(??)???
·????????
· ??????????
· ????
· ????
45. ???? ???????? ???? 45 ??????????? ????????
???????
(1980??????????????)
46. ???? ???????? ???? 46 ?????????????(???)???(CQI)? ???????????????
????????
47. ???? ???????? ???? 47 ??·????? ???·???????????????????????????????????????????????????????????????
48. ???? ???????? ???? 48 ????? ?????·?????????????????????????????(???????????????)
????????????????
49. ???? ???????? ???? 49 ????? 1.????
2.???
3.??(?????)
4.??
5.????(???)
50. ???? ???????? ???? 50 ???????? ???·?????????????????????????????????????????????????????????????
51. ???? ???????? ???? 51 QC?????? ??:????????20????
????????????
????????
???????????
? ????10??????????
52. ???? ???????? ???? 52 ???????:QC???? ??????? ?8??3?????????????
3?????????????
??????(QC7???)
9??14????????
???7?
????????(?????????)
??(???)???????????
????4?????????
??????????????????
???????????
????????????????
53. ???? ???????? ???? 53 ?????????????????? ·??(???????????????????????????)
·??(?????????????????????????????????????????????????????)
·??????(?????????????????·??????)
54. ???? ???????? ???? 54 ???5??? 1.Q(QUALITY)?
2.C(COST)???
3.D(delivery)?????·??
4.S(safety)??
5.M(Morale)????·???
6.(????)
7.(??)
55. ???? ???????? ???? 55 ???QC??????? ·???????????????
·???????????????????
·???????????
·?????????
·??????????????????????
56. ???? ???????? ???? 56 ???QC??????????? 1.QC????????????
2.?????
3.???????????
4.???????
5.??????????
6.????????????
57. ???? ???????? ???? 57 QC?7??? 1.?????
2.?????
3.??
4.???????
5.??????
6.???
7.???·???
58. ???? ???????? ???? 58 ?QC7??? 1.???
2.???
3.???????
4.???
5.??????????
6.PDCA?
7.??????·??????
59. ???? ???????? ???? 59 PDCA???? 1.??(Plan) ??·??
2.??(Do) ??·??
3.??(Check) ???????????
4.??(Action) ???????
·QC?????2?3???????PDCA???????
60. ???? ???????? ???? 60 ???????????4M???? 1.??(Man)
???????????????????
2.????(Machine) ?????
3.??(Material) ????????
4.??(Method)
???????????
61. ???? ???????? ???? 61 4M????? ??:??????????
??:?????(??NH??)???????
??:?????????????????????
??:??·?????????
62. ???? ???????? ???? 62 ???3? 1.??
2.??
3.??
·???????????????????????
63. ???? ???????? ???? 63 ????????? ???????
????
?????
64. ???? ???????? ???? 64 ????? 1.????
2.???
3.??(?????)
4.??
5.????(???)
65. ???? ???????? ???? 65 ???????????? ?????:???????????????
66. ???? ???????? ???? 66
67. ???? ???????? ???? 67 ???????EBP EBM Evidence-based Medicine
?????????
EBP Evidence-based Practice
?????????
EBN Evidence-based Nursing
?????????
68. ???? ???????? ???? 68 EBP????? EBM Evidence-based Medicine
????????????
EBP(Evidence-based Practice)????????????????????????????????????????????????????????
69. ???? ???????? ???? 69 EBM?EBN(Nursing)???EBP EBM?EBN???
-?????????????
-??Diagnosis????????
-??Treatment??????????
EBP ????????????
70. ???? ???????? ???? 70 EBM????? 1.???????????
????????
???????????????
2.??(??)??:??????
????????????????
3.?????:????????
?????????????????
4.?????????????
5.??
71. ???? ???????? ???? 71 EBM????????? ?????EBM?????????????????????
????????????????????????????????????·????????
??????·??????????????EBM???????????????????????
72. ???? ???????? ???? 72 ??????????? ??????????
1.?????????????
2.????????
3.??????
????????
73. ???? ???????? ???? 73 EBM?????????? ?????????
????
???????
?????
???????
74. ???? ???????? ???? 74 EBM·EBP ????
????
?????
75. ???? ???????? ???? 75 ????EBM·EBP JCAHO2000 EBM/EBP???
????????
?????
?????=???????+????
76. ???? ???????? ???? 76 ????????????? 1. ??????????????? ????????????????
2. ??????????????? ??
3. ??????????????? ??(??????????
???????????)
4. ??????????????? ???
77. ???? ???????? ???? 77 EBM???????????????? ???EBM????????
????????????????????????????????????????
???????????????????????????????????????????????????????????????????
78. ???? ???????? ???? 78 EBM?????????? ??????????????????????·??·?????????????
??????????????
???·?????????????(??????)??????
???????????????
79. ???? ???????? ???? 79 ???EBM·N????? ??????????
?????????
???????????????????
EBM????????????????????
????????????
80. ???? ???????? ???? 80 EBM McMaster ???????
(????????)
?????(????????)
=EBM+???
(??·???????)
81. ???? ???????? ???? 81 EBM?? EBM·EBP??????3????
1.???????????????
2.???????(???????????????????????????????????????????)
3.??????(?????????????????)??????
82. ???? ???????? ???? 82 ???????? ???????
1.????????????
2.???????????
3.????????????????
83. ???? ???????? ???? 83 EBM????? 1.???????????
????????
???????????????
2.??(??)??:??????
????????????????
3.?????:????????
?????????????????
4.?????????????
5.??
84. ???? ???????? ???? 84 ?????????? AHCPR ?a ?????????????????
?b ?????1???????????
?a ?????1??????????? ??????????
?b ?????1??????????? ????????????
? ?????????,????????, ???????????????
? ????????????,????
????????
85. ???? ???????? ???? 85 Evidence?????????????????????selection criteria ?Evidence-based Nursing?
1.??????????????? ????????
(??????????)
2.??????????????? ??
3.??????????????? ?????????
86. ???? ???????? ???? 86 ???????? -???????? 1.???????
2.???
3.??????????????? ??????
4.???????
?????????????
87. ???? ???????? ???? 87 ????????????????????????????? McClarey??1997) 1)????????
2)?????????????????
3)??????????????
4)?????????????????(? ?????????)?????
???????????
5)?????????????????
(??????????)
6)?????????????????
???????
88. ???? ???????? ???? 88 ??????????????????????? 1.????
2.?????
3.??????
4.??
(Kessenich?1997)
89. ???? ???????? ???? 89 EBM·EBP ????
????
?????
90. ???? ???????? ???? 90 ???????????????????
91. ???? ???????? ???? 91 ????? ??????????????????????
???????????????????
??????????????????
-????????????
-????????????
-????????????
92. ???? ???????? ???? 92 ???????????
93. ???? ???????? ???? 93 ????????????????
94. ???? ???????? ???? 94 ?????????? (?????????????) ???
95. ???? ???????? ???? 95 ?????????? (???????????????) ????140mmHg???
?????????
??????
96. ???? ???????? ???? 96 ???????????? ????????????????
??????????????
?????
-?????????
-????????????
97. ???? ???????? ???? 97 ???EBM·N ?????????
??????????????(CDC????????????????????)
??????????????????
???????????????????????????????????????????
98. ???? ???????? ???? 98 ??????????????? ???????????????
???????????????????
???????????????????
???????????????????
????????????????????
????????????
?????????????????????????
99. ???? ???????? ???? 99 ???????? ??????????
100. ???? ???????? ???? 100 ?????