• Title/Summary/Keyword: Nursing

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Comparison of Nursing Activities Reflected in Nursing Notes rind In-depth Interviews of Nurses in an Acute Hospital (간호일지와 간호사의 면담자료에 나타난 간호활동 내용의 비교분석)

  • 송미순;김매자;박영숙;이은옥;하양숙;한경자;류세앙;강혜영;김경남
    • Journal of Korean Academy of Nursing
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    • v.33 no.6
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    • pp.802-811
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    • 2003
  • Purpose: The purpose of this study was to compare the nursing activities delineated by interview of nurses with those on nursing notes. Method: The participants of interview were 18 nurses working in medical and surgical units of a large hospital in Seoul. Each nurse was asked to choose one patient who demand most nursing care among her patients. The nurse was then interviewed to describe what her nursing activities for the patient was that day. The audio-taped interview was transcribed and the content was analyzed by researchers. Nursing notes of each nurses' patients were copied and the content analyzed by researchers. Finally, themes from the interview data and those from nursing notes were compared. Result: Activities related to emotional or psychological nursing, education for patient and families, and problem solving related to treatment or nursing procedure were most often omitted in nursing notes. Most of the documentation in nursing notes were related to physical condition of patients or physician's orders. Nurses described that they will do better recording if they were given less patient care responsibility, had better nursing knowledge, had better recording system, and received more training on nursing record. Conclusion: Nursing notes did not reflect nursing activities properly. Few independent nursing roles were documented in the nursing notes. Development of nursing education program and nursing record system is needed for improvement of nursing record.

Analysis of the Nursing Practice in a Medical ICU Based on an Electronic Nursing Record (간호기록을 이용한 중환자실 간호업무 조사연구)

  • Song, Kyung-Ja
    • Journal of Korean Academy of Nursing
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    • v.37 no.6
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    • pp.883-890
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    • 2007
  • Purpose: The purpose of this study was to identify the entity of critical care nursing practices through analyzing nursing statements described by electronic nursing records in a MICU. Methods: 176,459 nursing statements of 188 patients during a 6 month-stay were analyzed statement by statement according to the nursing process(nursing phenomena, nursing diagnosis, & nursing activity) and 21 nursing components of Saba's Clinical Care Classification. Results: Among 176,459 single statements, the statements of nursing activity ranked first in number. The contents of the statements were analyzed and categorized by main themes. Among 489 categorized themes, the number of themes of nursing phenomena statements was the highest. When analyzed by Saba's clinical Care Classification, the nursing statements mainly included a physiological component. Among 21 components, the respiratory component ranked in the first position in nursing phenomena, nursing diagnosis and nursing activity. The extra statements not included in the 21 components were 9,294(15.1%) in nursing phenomena and 21,949(22.7%) in nursing activity. Most are statements related to tests and the doctor. Conclusion: The entity of MICU nursing practice expressed by electronic nursing records was mainly focused on physiological components and more precisely on respiratory components.

Nursing Process of Abdominal Surgery Patients (복부수술환자의 간호과정)

  • Yoo, Hyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.411-430
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    • 2002
  • Purpose : This study was to develop Nursing Process Model of abdominal surgery patient using nursing diagnoses of NANDA, Nursing Interventions Classification(NIC), and Nursing Outcomes Classification(NOC). Method : The data in database were collected from nursing records in sixty patients with abdominal surgery admitted in a university hospital and open questionnaires of thirteen nurses. Systematic nursing process resulting from each nursing diagnoses, most common, was developed by the statistical analysis through database query from clinical database of abdominal surgery patients. Result : 51 nursing diagnoses were identified in abdominal surgery patients. The most commonly occurred nursing diagnoses were Pain, Risk for Infection, Sleep Pattern Disturbance, Hyperthermia, Altered Nutrition: Less Than Body Requirements in order. The linkage lists of NANDA to NIC and NANDA to NOC, and the nursing activities according to nursing diagnoses of abdominal surgery patients were identified in unit. Conclusion : Nursing Process of abdominal surgery patients was comprised of core nursing diagnoses, core nursing interventions, core nursing outcomes which provides the most reliable data in unit and could make nurses facilitate nursing process easily without full consideration of knowledge about nursing language classification system. Therefore, it could support nurses' decision making and recording of nursing process especially in the computerized patient record system if unit nursing process model using standardized nursing language system which contains of their own core nursing process data was developed.

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Predictors of Facility Adaptation in Nursing Home Residents (노인요양시설 입소노인의 시설적응에 영향을 미치는 요인)

  • Lee, Hye-Kyung;Lee, Hyang-Yeon;Lee, Ji-A
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.177-185
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    • 2009
  • Purpose: The purposes of this study were to examine the relationships among activities of daily living, self-efficiency, nursing home care quality and nursing home adaptation, and to identify the influencing factors of nursing home adaptation in nursing home residents. Methods: The study employed a descriptive correlational design. The data were collected from 148 older adults without dementia by interview from six nursing homes in three cities from February 1, 2008 to February 28, 2008. Results: Levels of nursing home adaptation in older adult residents were different by type of decision maker of nursing home admission, reason of nursing home admission, type of payment and length of nursing home stay. The nursing home adaptation was significantly correlated with self-efficiency and nursing home care quality. The strongest predictor of nursing home adaptation was type of decision maker of nursing home admission followed by the self-efficiency. Conclusion: The study suggested that during the decision making period of nursing home admission, older adults should have enough time and careful considerations of their families to decide by themselves in positive ways. Nursing home staff should be able to identify reasons of nursing home admission and demands or expectations of older adults and their families.

Present Situation of Korean Nursing (한국간호의 현재)

  • Choi, Euy-Soon
    • Korean Journal of Women Health Nursing
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    • v.10 no.3
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    • pp.190-199
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    • 2004
  • This thesis explores the actual circumstances of Korean nursing by investigating its present situations. Ultimately, the intent of this study aims to establish a future direction of Korean Nursing. As such, the current conditions of Korean nursing is analyzed in the following categories: education, practice, research, nursing policy, expansion of nursing field, and entrepreneurship. In the final conclusion, an appropriate orientation of the future of Korean nursing is discussed. There are two primary Nursing programs, a three-year(63) and a four-year(53), in Korean Nursing education. Master's programs are available at 32 nursing schools or 32 professional graduate schools. A total of 15 nursing schools have a doctoral program in Korea. The ratio of graduates between the three-year and four year programs is 76:24. Hence, it is highly encouraged to expand four-year nursing programs, because it will help raise the social status of nursing professionals as well as the quality of nursing. In the clinical nursing field, independency and self regulation are critical. As such, organizational change, implementation of a standardized nursing m information system, appropriate workforce, and improvement of the reimbursement system in nursing is recommended. In community nursing, the following should be resolved to provide better nursing services: improvement of working condition and benefits, establishment of a law enforcing the hiring of nurses, and providing continuing education. The number of nursing research has increased and nursing studies are in great quantity. However, research in practices and theories are more in demanded. Hence, research that integrates theories and practices are very significant. Ultimately, it is critical to support nursing studies that will influence nursing policy. The Korean Nurses Association(KNA) is an organization that supervises the nation's nursing policy. The primary focus of KNA is to combine the three and four year undergraduate education systems into 4 years and to establish the Nursing Practice Act. The Ministry of Health and Welfare has adapted a system to educate and certify nurse specialists in 10 nursing areas in 21 nursing graduate schools expecting high-quality nursing services and a decrease of cost. The government also allowed nurses to operate facilities for health management or welfare agencies.

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Linkages of nursing Diagnosis, Nursing Intervention and Nursing Outcome Classification of Breast Cancer Patients using Nursing Database (간호데이터베이스를 이용한 유방암환자의 간호진단, 간호중재, 간호결과 분류연계)

  • Chi, Mi-Kyung;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.4
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    • pp.651-661
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    • 2003
  • Purpose: This is the descriptive research project of which purpose is to acquire the practice, research, and educational data by establishing the database after confirming, classifying, and relating the nursing diagnosis, nursing intervention, and nursing outcome of Breast cancer patients by using the Yoo Hyung-sook's(2001) related 3N database model as the tool. Method : The Nursing Data occurring on Breast cancer patients nursing process was mapped to nursing diagnosis of NANDA, nursing interventions of NIC, nursing outcomes of NOC the 3N database linkage database which is related with the nursing process that was developed by using Yoo Hyung-sook's(2001). Result : 1. The nursing diagnosis were totally 505, and 26 articles of the nursing diagnosis were applied among 149 nursing diagnosis classification systems. 2. As for the nursing intervention, 250 articles(5l.4%) of nursing intervention were applied among 486 nursing intervention classification systems. 3. Regarding the nursing outcome, 28 articles(1l.2%l of the nursing outcome were applied among 250 nursing outcome classification systems. Conclusion: The result of this research in which the relating among the nursing diagnosis, nursing intervention, and nursing outcome of Breast cancer patients by using 3N nursing database was established is thought to be applied in the research and practice as well as to be utilized in the lecture or practice of the nursing process.

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Development of Standardized Nursing Diagnosis/Intervention Protocol for Nutritional and Eliminative problems (영양과 배설기능장애와 관련된 간호진단과 중재 프로토콜 개발)

  • Kim, Cho Ja;Lee, Ji Yeon
    • Korean Journal of Adult Nursing
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    • v.13 no.1
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    • pp.148-158
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    • 2001
  • The purpose of this study was to develop a standardized Nursing Diagnosis/ Intervention Protocol through a literature review and validity testing. Seven nursing diagnoses were selected as major nursing diagnosis in the field of Nutritional and Eliminative problem. The nursing intervention list was made by an expert group's review of Nursing Intervention Classification(NIC) suggested nursing interventions. Nursing activities which were included in each nursing intervention were sorted to follow the nursing intervention process after review and revision. The expert group's validity testing was done twice using the Likert scale. As a result the Nursing Diagnosis/ Intervention Protocol for Nutritional and Eliminative Problems was made to include 7 Nursing Diagnoses, 51 Nursing Interventions and 631 Nursing Activities.

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Mediating Effects of Nursing Professionalism between Image of Nurses and Satisfaction with Nursing as a Major among Nursing Students (간호대학생의 간호사 이미지와 전공만족도의 관계에서 간호전문직관의 매개효과)

  • Choi, Hyun-Ju
    • The Korean Journal of Health Service Management
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    • v.10 no.4
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    • pp.225-237
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    • 2016
  • Objectives : The purpose of this study was to identify mediating effects of nursing professionalism on the relationship between image of nurses and satisfaction with nursing as a major among nursing students. Methods : A self report questionnaire survey was completed by 429 nursing students in 1 university in K city. Data were collected between April 25 and May 06, 2016 and analyzed using the SPSS 21.0 program. Results : The nursing students recognized that image of nurses had a positive (+) effect on nursing professionalism and satisfaction with nursing as a major, and nursing professionalism had a positive (+) effect on satisfaction with nursing as a major. Further, nursing professionalism had significant partial mediating effect on the relationship between image of nurses and satisfaction with nursing as a major. Conclusions : These results indicate that nursing professionalism has a positive mediating role on the relationship between image of nurses and satisfaction with nursing as a major among nursing students. Therefore, in order to promote satisfaction with nursing as a major in nursing students, it is necessary to develop and implement educational programs that can form a desirable image of nurses and nursing professionalism.

A study on a nursing curriculum after a basic 3-year diploma course for the baccalaureate degree (학점인정제를 통한 간호학사학위 취득을 위한 간호교육과정)

  • Kim, Hwa-Joong
    • Journal of Korean Academy of Community Health Nursing
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    • v.8 no.2
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    • pp.159-177
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    • 1997
  • For the development of nursing curriculum after the completion of a basic program, this study was conducted by comparing the 4-year baccalaureate degree program with the 3-year diploma program. The results are as follows: 1. The curriculum of the 4-year baccalaureate and 3-year diploma program are similar to each other in philosophy, educational objectives, and practical experience. However, advanced nursing courses in practical experience were taught by the 4-year baccalaureate degree program only. 2. For the development of a more advanced and effective curriculum, the 3-year diploma program should concentrate on nursing core courses (80 credits) such as 'adult nursing' 'maternal nursing' 'pediatric nursing' 'psychiatric nursing' 'community health nursing' 'fundamentals of nursing' 'managerial nursing'. Furthermore, nursing related courses (20 credits) and liberal education courses (20 credits) should also be offered by the 3-year diploma program. 3. This nursing curriculum should be conducted by registered nurses who have graduated from a 3-year diploma program. The nursing educational philosophy and the educational objectives of this curriculum are the same as the 4-year program recommended by the Korean Nurses Association. This curriculum consists of 2 parts: advanced nursing courses and liberal education courses. The advanced nursing courses (20 credits) include 'nursing theory(4 credits)' 'nursing research(4 credits)' 'nursing leadership(4 credits)' 'nursing curriculum{4 credits)' and 'seminar of nursing issues(4 credits)' total is 40 credits.

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The Classification of Standard Nursing Activities in Korea (한국 표준 간호행위 분류)

  • 박정호;성영희;송미숙;조정숙;심원희
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1411-1426
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    • 2000
  • A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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