• Title, Summary, Keyword: Nurse

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Effects of Hospital Nurse Staffing on in-hospital Mortality, Pneumonia, Sepsis, and Urinary Tract Infection in Surgical Patients (의료기관 간호사 확보수준이 수술환자의 사망, 폐렴, 패혈증, 요로감염에 미치는 영향)

  • Kim, Yunmi;Cho, Sung-Hyun;June, Kyung Ja;Shin, Soon Ae;Kim, Jiyun
    • Journal of Korean Academy of Nursing
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    • v.42 no.5
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    • pp.719-729
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    • 2012
  • Purpose: This study was done to examine relationships between nurse staffing level and postsurgical patient outcomes using inpatient database from the National Health Insurance. Methods: Records of 111,491 patients who received one of 12 types of surgery between January and December, 2009 were identified and analyzed in this study. Nurse staffing level was measured using adjusted nurse staffing grades from 0 to 7. Patient outcomes were defined as in-hospital mortality, or pneumonia, sepsis, or urinary tract infection after surgery. Logistic regression analyses estimated by Generalized Estimation Model, were used to analyze the association between nurse staffing level and patient outcomes. Results: An inverse relationship was found between nurse staffing and patient mortality. Compared with patients who were cared for in hospitals with the highest nurse staffing (Grades 0-1), increases in the odds of dying were found in those with Grades 6-7 [OR (odds ratio)=2.99, 95% CI (confidence interval)=1.94-4.60], those with Grades 4-5 (OR=1.78, 95% CI=1.24-2.57) and those with Grades 2-3 (OR=1.57, 95% CI=1.25-1.98). Lower nurse staffing level was also associated with higher number of cases in pneumonia and sepsis. Conclusion: Policies for providing adequate nurse staffing is required to enhance quality of care and lead to better perioperative patient outcomes.

Nurse's Role Performance and Perception of the Importance of Role among Nurses Practicing in a Cancer Care Facility (암 전문병원 간호사의 간호역할 수행도와 중요도)

  • Chae, Young Hee;Lee, Won Hee;Min, Young Mi;Shin, A Mi;Kim, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.407-418
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    • 2013
  • Purpose: The purpose of this study is to examine the nurse's role performance and the perception of the importance of role among nurses practicing in a cancer care facility. Methods: A descriptive study design was applied with convenient sampling of 175 nurses working at a cancer care facility in Daegu, Korea. Data was collected using a structured questionnaire from July 1, 2013 to July 5, 2013. Results: Cancer care facility nurse's role performance score was measured on average $3.23{\pm}0.64.$ Oral medication was the most frequently performed role, followed by encouragement, care related to medication, and pain management. The perception of the importance of nurse's role was measured on average $3.31{\pm}0.35$. Care related to medication was regarded as the most important, followed by transfusion, oral medication, and intravenous & intramuscular medication. Nurse's role performance was different according to nurse's age (F=3.21, p=.024) and current practice area (F=3.73, p=.012). The perception of the importance of nurse's role was different only in relation to current practice area (F=6.82, p<.001). Conclusion: Nurses practicing in oncology setting frequently involve encouraging patients and pain management. Training programs designed to facilitate frequently performed and highly regarded nurse's roles are required for nurses practicing in oncology setting.

A Study of the Image of Nurse through Analysing Linking Words of Nurse in the Internet and Social Media (인터넷과 소셜미디어를 통해 본 간호사 이미지에 관한 연구)

  • Lee, Hyunsook Zin;Lee, Ho Seon;Yom, Young-Hee;Lee, Jung Min;Jung, Won Sun;Park, Hyun Jung
    • Journal of Korean Clinical Nursing Research
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    • v.22 no.2
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    • pp.173-182
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    • 2016
  • Purpose: This study investigated the linking words of nurse which were presented together with nurse on phrase, clauses or sentence of documents or conversations in the Internet portals and social media. Methods: The linking words with nurse were calculated by the number of presentation on conversations or documents, in Google, Daum, Naver, Twitter and Facebook. The changes of characteristics and the trend of yearly changes of major linking words of nurse were investigated by the type of media. In order to identify the meaning of the words, clustering of the collected linking words by categories was analysed and the characteristics of each cluster were classified. Results: A total number of reviewed linking words was 17,399,711 and the most frequently presenting words were hospital, work and person. The words related to people were the most highly presented and the next were those of emotion, professional and place respectively. Conclusion: With analysing the trends of changes and characteristics of words by yearly base and clusters, we attempted to investigate the image of nurse that the public think and feel about nurse.

Expanding Role of Nurses in Hospitals: Focus on Nurse Administrators (병원에서의 간호사 역할확대 방안연구 -병원행정직 간호사를 중심으로-)

  • Lim, Nan Young;Sung, Young Hee;Hong, Hyun Ja;Hwang, Moon Sook;Kim, Myung Ae;Kwak, Wol Hee;Song, Kyung Ja;Lee, Mi Kyoung
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.349-362
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    • 2011
  • Purpose: The purpose for this study was to identify the present working status and tasks of nurse administrators in response to requirements of expanding nurses' roles in hospitals. Methods: The design of the study was descriptive-exploratory. The participants were 338 registered nurses who were working in hospital administrative departments. The data were collected from January 17, to March 20, 2011, and analyzed with descriptive statistics. Results: The majority of nurse administrators worked in quality assurance departments while no nurse administrators assigned in finance/taxation departments. Duties of nurse administrators were developed as 117 tasks in 11 divisions. Conclusion: These results suggest that expanding nurses' roles require developing job descriptions, nursing curricula emphasizing hospital administration, positive relationships with other health professions and a supportive system.

Effects of Facilitative Nurse-Patient Interaction using an Informational Leaflet on Emergency Care

  • Kim, Hyojin;Kang, Hee-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.26 no.2
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    • pp.127-135
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    • 2019
  • Purpose: The purpose of this study was to develop an informational leaflet on emergency care and to explore effects of facilitative nurse-patient interaction behavior using an informational leaflet on patient satisfaction with nurse-patient interaction behavior, patient anxiety, and patient satisfaction with use of emergency care. Methods: This study was a quasi-experimental study that applied a nonequivalent control-group posttest-only design. The participants were 81 patients who visited the emergency department of a hospital in Korea; the experimental group (n=40) received facilitative nurse-patient interaction behavior using an informational leaflet, and the control group (n=41) received care under routine protocols without an information leaflet. The effects of the two groups were analyzed using an independent t-test with SPSS computer program. Results: Patient satisfaction with nurse-patient interaction behavior and use of emergency care in the experimental group were significantly higher than in the control group. Patient anxiety related to using emergency care in the experimental group was significantly lower than the control group. Conclusion: Therefore, facilitative nurse-patient interaction behavior using an informational leaflet to the patient may be useful interventions that are easily implemented by nurses in emergency settings.

The Study of an Entrance Experience into Major Subject of a Student Nurse (간호학생의 전공교육 입문경험에 관한 연구)

  • Jo, Kae-Hwa;Cho, Young-Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.360-368
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    • 2001
  • This research was an attempt to find out an entrance experience into major subject of student nurse. The purpose of this study was to understand an lived learning experience of student nurse. Method of the study was applied a phenomenological approach used by Colaizzi's analytic technique. Participants were 33 sophomore student nurse from TC University. The investigator conducted participated observations and in-depth unstructured interviews which were audio taped under the permission of student nurse, formulating meanings, themes and theme clusters. Results of the study were revealed 6 categories, 14 theme clusters, and 31 themes. Six categories include 'feeling anxious about clinical application', 'making superficial class', 'evaluation for ability of memory', 'deficit of academic evaluation criteria', 'insufficiency of textbook' and 'deficit for uniqueness of nursing science'. This findings confirm the fact that the student nurse's entrance experience was complicated and diversely influenced by their learning experiences. In conclusion, this study will prove helpful not only in understanding student nurse's entrance experience about their specialities but also in developing curriculum for nursing education.

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A study of the Ethical Values of Korean Nurses (간호사의 윤리적 가치관에 관한 연구)

  • 이영숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.2
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    • pp.249-270
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    • 1990
  • The purpose of this study is to identify whether ethical values of korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of literature and interview of nurses in the clinical settings. Content validity was tested from three nursing faculties and staffs. Ethical problems are categorized into four areas : 1) human life area 2) nurse-patient relationship area 3) nurse - nursing task relationship area 4) nurse-collegue relationship area The data were obtained from the 404 nurses in the clinical settings from Feb. to Mar. in 1990 by ethical value questionnaire. The analysis of data was done by Pearson's correlation coefficient, t-test, anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical values of nurse - patient relationships slightly took up deontological position. 3. The ethical values of nurse - nursing task relationships slightly took up deontological position. 4. The ethical values of nurse - colleague relationships greatly took up deontological position. 5. The ethics of nurses related to demographic characteristics of religion, attitude of nursing, ethical standards, education level and post. Those who have religion took up more deontological position than those who have not. Those who have positive attitude of nursing and firm ethical standards took up more deontological position than those who have not. Those who have higher education level and post took up more deontological position than those who have not.

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Nurses' Image Perceived by Nursing and Health Allied College Students in Korea (간호.보건 계열 대학생이 지각하는 간호사 이미지)

  • Seo, Eun-Hui
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.4
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    • pp.610-616
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    • 2009
  • Purpose: The purpose of this study was to compare and analyze the nurses' image perceived by nursing and health allied college students in Korea. Method: The data was collected from October 15th to November 15th, 2004. Subjects were composed of 679 students in three-year Junior College. The data was analyzed by SPSS 12.0 PC+ Win. The difference of nurse' image among departments and locations of Junior College were analyzed by t-test, ANOVA and Tukey test. Result: The mean score of nurses' image 3.1 point of the total 5 point. Nurses' image is showed significantly difference according to the departments; the department of nursing (3.54), physical therapy (3.01), radiology (2.97), emergency medical technology (2.76) and clinical pathology (2.67). Nurses' image was significantly differed among the 4 domains according to 5 departments; 'the qualification of nurse', 'the role of nurse', 'the interpersonal relationship of nurse', 'the social participation of nurse'. Nurses' image formed through directly contacting with nurses' and seeing nurses' action (69.1%), watching nurse in TV drama (15.9%). Conclusion: It is considered that nursing and health allied college students were affected by inter-communications with nurses' more than by mass media.

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Mediating Effect of Satisfaction in Major on the Relationship between Nursing Students' Self-Efficacy and Nurse's Image (간호대학생의 자기효능감과 간호사이미지의 관계에서 전공만족도의 매개효과)

  • No, Ji-Yeong;Park, Su-Jin;Bae, Do-Yi
    • Journal of East-West Nursing Research
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    • v.18 no.2
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    • pp.88-94
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    • 2012
  • Purpose: The purpose of this study was to examine self-efficacy, satisfaction in major, nurse's image of nursing students, and mediating effect of satisfaction in major on the relationship between self-efficacy and nurse's image. Methods: Data were collected from 4th to the 7th of October in 2011, from 277 nursing students in Gyeongnam area using questionnaire, t-test, ANOVA, and correlation efficient were used for data analysis. Results: There were statistically positive relationships between self-efficacy, satisfaction in major, and nurse's image of nursing students. Satisfaction in major was found to completely mediate the relationship between self-efficacy and nurse's image. Conclusion: Self-efficacy exerted an influence on nurse's image through the mediating effect of satisfaction in major.

A Study of the Ethical Values of Korean Nurses (임상간호사들의 윤리적 가치관에 관한 연구)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.29 no.3
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    • pp.551-562
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    • 1999
  • The purse of this study is to identify whether ethical values of Korean nurses are deontological or utilitarian. Nurse's ethical value questionnaire was developed from review of the literature and interview of nurses in the clinical settings. Ethical problem are categorized into four areas 1) human life 2) nurse-patient relationship 3) nurse-nursing task relationship 4) nurse-collegue relationship The data were obtained from 250 nurses in the clinical settings from Jun. to July in 1998 using the ethical value questionnaire developed by Lee (1990). The analysis of data was done by Pearson's correlation coefficient, t-test and anova. The results of this study were as follows : 1. The ethical values of human life slightly took up the position of utilitarian. 2. The ethical value of nurse-patient relationship slightly took up the deontological position. 3. The ethical value of nurse-nursing task relationship slightly took up the deontological position. 4. The ethical value of nurse-collegue relationship greatly took up the deontological position. 5. The ethical values of nurses related to demographic characteristics of age, marital status, position. Therefore it is suggested that new strategies and continuing education programs be established to help clinical nurses formlulate higher ethical values.

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