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Improving Nursing Education in the Republic of Uzbekistan Occasional Research Paper 2020-04 Improving People with People Nursing Education in the in Mind Republic of Uzbekistan Seul Ki Choi Bo-Eun Kim·Chin-Kang Koh·Salima Kasymova KOREA INSTITUTE FOR HEALTH AND SOCIAL AFFAIRS 【Project Head】 Seul Ki Choi Associate Research Fellow, Korea Institute for Health and Social Affairs 【Co-authors】 Bo-Eun Kim Researcher, Korea Institute for Health and Social Affairs Chin-Kang Koh Associate Professor, Seoul National University Salima Kasymova Public Health Research Consultant Improving Nursing Education in the Republic of Uzbekistan ⓒ 2020 Korea Institute for Health and Social Affairs All rights reserved. No Part of this book may be reproduced in any form without permission in writing from the publisher. Korea Institute for Health and Social Affairs Building D, 370 Sicheong-daero, Sejong city 30147 KOREA http://www.kihasa.re.kr ISBN: 978-89-6827-779-5 93510 Contents KOREA INSTITUTE FOR HEALTH AND SOCIAL AFFAIRS A b s t r a c t ············································································ 1 Ⅰ. I n t r o d u c t i o n ······························································ 9 S e c t i o n 1 . R e s e a r c h P u r p o s e ······················································· 1 1 S e c t i o n 2 . R e s e a r c h M e t h o d s ······················································ 1 8 Ⅱ. H e a l t h c a r e i n t h e R e p u b l i c o f U z b e k i s t a n ······· 2 1 S e c t i o n 1 . O v e r v i e w ······································································· 2 3 S e c t i o n 2 . H e a l t h c a r e S y s t e m ······················································ 4 1 Ⅲ. Nursing Education in the Republic o f U z b e k i s t a n ·························································· 5 1 S e c t i o n 1 . C u r r e n t S t a t u s o f N u r s i n g W o r k f o r c e ···················· 5 3 S e c t i o n 2 . N u r s i n g E d u c a t i o n S y s t e m ········································ 5 9 Section 3. Diagnosis of Problems in the Nursing Education S y s t e m ············································································ 6 8 Ⅳ. History of Nursing Education in the Republic o f K o r e a ··································································· 7 5 S e c t i o n 1 . H i s t o r i c a l A s p e c t o f N u r s i n g E d u c a t i o n ················ 7 7 S e c t i o n 2 . I n s t i t u t i o n a l A s p e c t o f N u r s i n g E d u c a t i o n ········· 1 0 0 Section 3. Aspect of National Examination System for N u r s i n g ········································································ 1 3 5 Section 4. Development of Nursing Education and Role of the K o r e a n N u r s e s A s s o c i a t i o n ···································· 1 4 2 Ⅴ. C o n c l u s i o n ····························································· 1 5 5 Section 1. Improvement Measures for the Nursing Education S y s t e m i n t h e R e p u b l i c o f U z b e k i s t a n ················· 1 5 7 R e f e r e n c e s ··································································· 1 8 3 A p p e n d i x ····································································· 2 0 5 [Appendix 1] Chronological Table of the History of Nursing E d u c a t i o n i n t h e R e p u b l i c o f K o r e a ··············· 2 0 5 [Appendix 2] An Example of Job Description of Nurses W o r k i n g a t a U n i v e r s i t y H o s p i t a l ···················· 2 1 0 [Appendix 3] Curriculum of Bachelor of Science in Nursing (BSN) Program at Seoul National University (Academic Year 2020) ········································ 2 1 5 List of Tables KOREA INSTITUTE FOR HEALTH AND SOCIAL AFFAIRS 〈Table 1-1〉 Trends in the Number of Licensed Nurses (1950-2018) in t h e R e p u b l i c o f K o r e a ······························································· 1 6 〈Table 2-1〉 Administrative Divisions of Uzbekistan ································ 2 4 〈Table 2-2〉 Life Expectancy at Birth in Uzbekistan and Global A v e r a g e L i f e E x p e c t a n c y a t B i r t h ··········································· 2 6 〈Table 2-3〉 Under-Five Mortality Rates in Uzbekistan and N e i g h b o r i n g C o u n t r i e s ······························································ 2 8 〈Table 2-4〉 Infant Mortality Rates in Uzbekistan and Neighboring C o u n t r i e s ······················································································ 3 0 〈Table 2-5〉 Elderly Population Rates in Uzbekistan and Neighboring C o u n t r i e s ······················································································ 3 1 〈Table 2-6〉 Health Expenditure in Relation to Gross Domestic P r o d u c t i n U z b e k i s t a n ······························································· 4 3 〈Table 2-7〉 Hospitals in Uzbekistan ···························································· 4 6 〈 T a b l e 2 - 8 〉 O u t p a t i e n t C l i n i c s i n U z b e k i s t a n ············································ 4 7 〈 T a b l e 2 - 9 〉 N u m b e r o f H o s p i t a l B e d s i n U z b e k i s t a n ······························· 4 8 〈 T a b l e 3 - 1 〉 C u r r e n t S t a t u s o f N u r s i n g W o r k f o r c e ···································· 5 3 〈Table 3-2〉 Job Description of General Nurses in Uzbekistan ·············· 5 5 〈 T a b l e 3 - 3 〉 N u r s i n g E d u c a t i o n S y s t e m i n U z b e k i s t a n ····························· 5 9 <Table 3-4> Number of Medical Colleges and Programs by Region ···· 6 2 <Table 3-5> Number of Faculty Members at Medical Colleges by R e g i o n ··························································································· 6 3 〈Table 4-1〉 Number of Nursing Education Departments and Students (1960s to 1970s) ·········································································· 8 7 〈Table 4-2〉 Comparison of Associate Degree Program, Vocational S c h o o l , a n d D i p l o m a p r o g r a m ················································ 8 9 〈Table 4-3〉 Number of Nursing Education Departments and Students (1980s to 1990s) ·········································································· 9 2 〈Table 4-4〉 Number of Nursing Education Departments and Students (After 2000s) ················································································· 9 6 〈Table 4-5〉 Number of Junior Colleges Designated for 4-Year Nursing Programs (2012-2019) ······························································· 9 7 〈Table 4-6〉 History of the Korean Accreditation Board of Nursing E d u c a t i o n ····················································································· 9 9 〈Table 4-7〉 Number of Junior Colleges Designated for 4-Year Nursing Programs as of 2019 ································································ 1 03 〈Table 4-8〉 Article 50-3 of the Higher Education Act ·························· 1 0 4 〈Table 4-9〉 Attached Table 3 of the Enforcement Decree of the Higher E d u c a t i o n A c t ( R e l a t e d t o A r t i c l e 5 8 - 5 ② ) ························105 〈Table 4-10〉 Items Reviewed for 4-Year Program Designation ········· 1 0 6 〈Table 4-11〉 Qualification Criteria for Nurses in the Four Fields (1973-1999) ············································································· 1 1 0 〈Table 4-12〉 Changes in the Advanced Practice Nurse System ·········· 1 1 2 〈Table 4-13〉 Current Provisions on Advanced Practice Nurses ( A r t i c l e 7 8 o f t h e M e d i c a l S e r v i c e A c t ) ····························· 1 1 4 〈Table 4-14〉 Designation Criteria of Educational Institutions for A d v a n c e d P r a c t i c e N u r s e ····················································· 1 1 6 〈Table 4-15〉 Educational Institutions by Advanced Practice Nurse Field in 2020 ··········································································· 1 1 8 〈Table 4-16〉 Required Number of Credits of Curriculum for Advanced Practice Nurse (Article 7 ①, Attached T a b l e 3 o f t h e R u l e s ) ···························································· 1 1 9 〈Table 4-17〉 Number of Advanced Practice Nurses as of 2018 ·········· 1 2 1 KOREA INSTITUTE FOR HEALTH AND SOCIAL AFFAIRS 〈 T a b l e 4 - 1 8 〉 A r t i c l e 7 o f t h e M e d i c a l S e r v i c e A c t ·································· 1 2 3 〈 T a b l e 4 - 1 9 〉 A r t i c l e 1 1 - 2 o f t h e H i g h e r E d u c a t i o n A c t ························ 1 2 5 〈Table 4-20〉 Nursing Education Accreditation Standards ( B a c h e l o r / A s s o c i a t e D e g r e e i n N u r s i n g P r o g r a m ) ········· 1 3 2 〈Table 4-21〉 Status of Accredited Nursing Education Programs as of December 18, 2019 ······························································· 134 〈Table 4-22〉 Article 14 of the National Medical Service Act (Enacted on September 25, 1951 and Came into Effect on December 25, 1951) ························································ 1 3 7 〈Table 4-23〉 Legal Basis for the National Nurse Licensure E x a m i n a t i o n M a n a g e m e n t A g e n c y ····································139 〈Table 4-24〉 Subjects in the National Nurse Licensure Examination Prior to the 1970s (Article 8 ① of the Enforcement Rule o f t h e M e d i c a l S e r v i c e A c t ) ·················································· 1 4 0 〈Table 4-25〉 Number of Applicants and Those Who Passed of the N a t i o n a l N u r s e L i c e n s e E x a m i n a t i o n ·······························141 <Table 5-1> Direction of Medical Education and Major
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