• Title, Summary, Keyword: 간호강도

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Differences in Patients' and Family Caregivers' Ratings of Cancer Pain (암환자와 그 가족간호자가 지각하는 환자의 통증강도 차이)

  • Kim, Hyun-Sook;Yu, Su-Jeong;Kwon, Shin-Young;Park, Yeon-Hee
    • Journal of Hospice and Palliative Care
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    • v.11 no.1
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    • pp.42-50
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    • 2008
  • Purpose: Undertreatment of canter pain, especially due to the differences in the perception of pain between the patients and caregivers, is a well recognized problem. The purpose of this study were to determine if there exist differences in communication about pain intensity scores between patients and their family caregivers in Korea. Methods: A total of 127 patient-family caregiver dyads who have experienced canter pain participated in this study at a hospital in Seoul for six months. The data were obtained by fare to face interview with a structured questionnaire based on Brief Pain Inventory-Korean version and other previous researches. The clinical information for all patients was compiled by reviewing their medical records. Results: Patients' 'worst-pain for 24-hour' and 'right-now-pain' scores estimated by family caregivers were significantly higher than those by patient themselves. The degree of agreement between patients and family caregivers in the estimate of patients' 'worst-pain for 24-hour' intensity categories was 78.7% for 'severe pain', 40% for 'no pain', 27.5% for 'mild pain' and 22.9% for 'moderate pain'. In case of 'right-now-pain' intensity categories, the agreement was 50% for 'severe pain', 47.2% for mild pain, 46.3% for 'no pain', and 26.3% for 'moderate pain'. Conclusion: This study demonstrates that the degree of agreement between patients and family caregivers in the estimate of patients 'pain intensity categories was less than 50% except for 'severe pain'. The results indicate that Korean family caregivers tend to overestimate the canter pain intensity of their caring patients, especially, when a lancer patient has 'moderate' or 'mild pain'. Health Providers are advised to educate patient-family caregiver dyads to use a pain measurement scale to promote their agreement in pain Intensity stores. Further analyses and studies are needed to identify the factors and differences that influence their communication about pain intensity scores between patients and their family caregivers.

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The Effects of Trust in Supervisor, Work Intensity and Organizational Cynicism on Organizational Silence in Clinical Nurses (임상간호사의 상사신뢰도, 간호업무강도, 조직냉소주의가 조직침묵에 미치는 영향)

  • Kim, Hyo-Jung;Jo, Yeon-Gyo;Lee, Ji-Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.627-635
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    • 2018
  • This study was conducted to investigate the effects of trust in supervisor, work intensity, and organizational cynicism on organizational silence of clinical nurses. Data were collected from 134 nurses in 6 hospitals in two cities in February 2018. The data were analyzed by t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression using SPSS 25.0. There were significant correlations between trust in supervisor, work intensity and organizational silence, r=-.32(p=<.001) and r=.18(p=.043), respectively. The factors that significantly influenced organizational silence were trust in supervisor (${\beta}=-.36$, p<.001), the length of career in current hospital (over 10 years, ${\beta}=-.67$, p=.002), type of work (day only, ${\beta}=-.79$, p<.001; 3-shift, ${\beta}=-.64$, p<.001). In order to reduce clinical nurses' organizational silence, programs should be provided to increase trust in supervisor and to offer changes in work types and work intensity.

Analysis of Nursing Intensity Related to Nursing Activities in Operating Room using the Relative Value Scale For Nursing Cost (간호수가 산정을 위한 상대가치를 이용한 수술실 간호행위 간호강도 분석)

  • Ha, Ru Mee;Kwon, Kyoung Ja;Woo, Jin Ha;Kim, Jung A
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.2
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    • pp.162-176
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    • 2014
  • Purpose: The purpose of this study was to perform an operating room nursing activities analysis and estimate nursing intensity of each nursing activity based on the Relative Value Scale (RVS). Methods: The methodology for this study of RVS was based on the work of Hsiao et al. The first stage was to identify nursing activities and the second to measure intensity of nursing activities including technical skill, mental effort, and stress. Results: Calculation of the RVS for 99 nursing practices showed a score range from 300.00 to 1337.78. CS operation assistant, OS operation assistant, and obtaining certification had high nursing intensity. Surgical hand washing, putting on surgical gowns, surgical gloves and surgical caps and mask had low nursing intensity. Conclusion: The activities of operating room are not compensated separately but reimbursement is usually included in physician fees. In the future, an estimation of nursing cost should show the nursing contribution rate to total operation revenue.

Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke (바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과)

  • 김금순;이소우;최명애;이명선;김은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.432-442
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    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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Reliability and Validity Tests of Patient Classification System Based on Nursing Intensity (간호강도에 의한 환자분류도구의 신뢰도 및 타당도 검증)

  • Park, Jung-Ho;Kim, Eun-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.1
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    • pp.5-16
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    • 2007
  • Purpose: This study is to verify the validity and reliability of classified items and criteria of the patient classification system(PCS) based on Park's definition of nursing intensity. Methods: An expert group of 8 persons verified the content validity of the tools. The 1817 inpatients at a tertiary hospital in Seoul, Korea were classified into 4 groups according to two tools for verifying concurrent validity and interraters' reliability. These verifications were performed from September to October, 2004. Results: Nursing domains of the tools have been divided into 12 items: hygiene, nutrition, elimination, exercise & activity, education & counseling, emotional support, communication & consciousness, treatment & examination, medication, measurement & observation, coordination of multidisciplinary team, admission & discharge & transfer management. Content validity was verified by the content validity index(above 0.75 in all 12 areas). Interraters' reliability was no significant difference in the results of the patient classification between the two raters(A group 93.75%. B group 88.24%). Concurrent validity was also verified by the agreement of two tools(73.7%). Conclusion: These results showed that the reliability and validity of the PCS based on the nursing intensity were verified. These will use an data for nursing productivity in the future.

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Psychosocial Stress and Stress Disease (정신 사회적 스트레스와 스트레스질환)

  • Chung H S;Kang K S;Hwang A R
    • The Korean Nurse
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    • v.26 no.5
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    • pp.25-28
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    • 1988
  • 정신 사회적스트레스원 자체는 스트레스 질환을 일으키는 원인은 아니다. 정신 사회적 스트레스를 일으키는 원인 자체보다는 그에 대한 인간의 능동적인 인지 과정이 중요한 요인으로서 작용하게 된다. 실제로 인지된 스트레스가 개개인의 적응능력보다 그 강도가 너무 크거나 장기간 지속되는 경우 혹은 개체가 효율적인 대체 기전을 통해 스트레스 반응을 최소화할 수 없을 때에는 개체의 적응력을 고갈시키게 되므로 유전적으로나 환경적 영향으로 취약해져 있는 장기에 스트레스 질환이라 불리우는 여러 신체적 정신적 질환을 유발하게 되며 기존하는 질환이 있는 경우에는 그 심각도를 가중시키게 될 것이다.

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Experiences of High Intensity Focused Ultrasound (HIFU) Treatment in Benign Uterus Neoplasms (자궁양성종양 환자의 고강도 초음파 집속술(HIFU) 치료 경험)

  • Park, Seo A;Kim, Hye Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.403-411
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    • 2018
  • The purpose of this study was to identify the experience of patients with uterine benign neoplasms in response to high-intensity focused ultrasound treatment. The study participants were patients who received high-intensity focused ultrasound treatment after diagnosis of benign uterine neoplasms and were contacted through purposive techniques. Five patients agreed to participate in this study. Data were collected from February, 2018 to May, 2018 at Women's hospital in D city. The interview data were analyzed by the phenomenological analysis method developed by Colaizzi using open-ended questions during in-depth interviews. Three categories emerged from the analysis using Colaizzi's method: 1) Discomfort. 2) Ambivalence. 3) Will and need. These study results contribute to a deeper understanding of the experience of patients with uterine benign neoplasms in response to high-intensity focused ultrasound treatment. Therefore, it should be developed as part of an effective nursing education program to provide evidence-based guidelines and nursing interventions that alleviate health problems in patients receiving high-intensity focused ultrasound treatment and proper nursing understanding of the development of new treatment methods for woman's health.

Effects of Work Intensity and Physical Discomfort on Job Satisfaction in Clinical Nurses (병원간호사의 업무강도와 신체적 불편감이 직무만족에 미치는 영향)

  • Kim, Hyojin;Park, Soonjoo
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.4
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    • pp.362-372
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    • 2016
  • Purpose: The aim of this study was to investigate whether job satisfaction in clinical nurses was dependent on work intensity and whether physical discomfort mediated the relationships between these variables. Methods: Structural equation modeling was used with a sample of 253 clinical nurses from four general hospitals. In the model, absolute work intensity, relative work intensity, and flexibility were considered as exogenous variables and physical discomfort as a mediating variable. Data were collected using self-report measures such as the Labor Intensity Questionnaire, the Rating of Perceived Exertion, and the Index of Job Satisfaction. Results: The results of the structural equation modeling found that the higher scores on absolute and relative work intensity were positively associated with physical discomfort but only relative work intensity was significantly related to job satisfaction. Physical discomfort mediated the relationships between absolute work intensity and job satisfaction and between relative work intensity and job satisfaction. Among three kinds of work intensity, only relative work intensity had direct and indirect effects on job satisfaction. Conclusion: The findings suggest that increase in relative work intensity might play an important role in decreasing job satisfaction in clinical nurses and a reasonable reward system considering relative work intensity could be necessary.

Moderating and Mediating Effects of Resilience in the Relationship between Work Intensity, Interpersonal Conflict and Burnout among Nurses (간호사의 업무 강도, 대인관계 갈등과 소진의 관계에서 회복탄력성의 조절 및 매개 효과)

  • Baek, Yun Mi;Kim, Souk Young
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.275-284
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    • 2020
  • Purpose: For this study the moderating and mediating effects of resilience on the relationships between work intensity, conflicts in interpersonal relationship and nurses' burnout were investigated. Methods: In this descriptive research 227 nurses who consented to participate in the study were surveyed. The tool included nurses' objective work intensity, subjective work intensity, conflicts in interpersonal relationships, resilience, and burnout. Data were collected from nurses in general hospitals in D city from July to August 2017. Collected data were analyzed using SPSS 23.0 program. Results: Participants' burnout showed a statistically significant difference according to age, marital status, total clinical experience, position, work pattern, frequency of night shifts, work department, and salary. Participants' burnout was significantly positively correlated with subjective work intensity and conflicts in interpersonal relationships, and significantly negatively correlated with resilience. Resilience moderated the relationship between participants' subjective work intensity and burnout, and mediated the relationship between conflicts in interpersonal relationships and burnout. Conclusion: Resilience had a moderating effect on the relationship between subjective work intensity and burnout, and a mediating effect on the relationship between conflicts in interpersonal relationships and burnout. Therefore, further efforts and diverse intervention measures are required to enhance resilience and reduce work intensity and conflicts in interpersonal relationships in order to prevent burnout in nurses.

The Effects of Community based Self-help Management Program on the Activity of Daily Life, Muscle Strength, Depression and Life Satisfaction of Post-stroke Patients (재가 뇌졸중 환자를 위한 자조관리프로그램이 일상활동, 근육 강도, 우울 및 삶의 만족도에 미치는 효과)

  • Kim, Keum-Sun;Seo, Hyun-Mi;Kang, Ji-Yean
    • The Korean Journal of Rehabilitation Nursing
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    • v.3 no.1
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    • pp.108-117
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    • 2000
  • Stroke is one of the leading causes of death in Korea. Because of their sequelae, strokes are categorized as a sudden-onset, constant course chronic illness which needs continuous efforts for rehabilitation. Unfortunately, there are few community based rehabilitation program for post-stroke patients who stay at home. The authors developed a community based selp-help management program for post-stroke patients to enhance their rehabilitation process. The program consists of five sessions and each session contains health education. ROM exercise, ADL training, and stress management like foot reflexology. A professor and two graduate students of nursing college coordinated the program. To test the effects of the program we conducted a 5 week program to the 10 conveniently selected post-stroke patients who were living in Kang-buk district of Seoul. The Questionnaires about ADLs, IADLs, depression and life satisfaction were asked to the all subjects before and after program. The hand grisp power and muscle strength of four limbs were measured at the end of each sessions. The analysis of data revealed that the program was effective to increase the ADLs, IADLs, and muscle strength and to decrease the depression levels of subjects. However, there was no significant difference between pre and post hand grisp power and life satisfaction. Because the program was effective to Improve the physical and psycholocial function of subjects, we suggest continual development and Implementation of community based self-help management programs.

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