• Journal of Korean Critical Care Nursing
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• v.6 no.2
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• pp.51-64
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• 2013

Purpose: This study was to analyze adherence to self-care behaviors and identify factors affecting the adherence behaviors among inpatients with heart failure. Methods: A total 94 hospitalized inpatients from three hospitals participated in a survey. Data were collected using structured self-reported questionnaire from November 28, 2011 to March 31, 2013 and analyzed using frequency, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: The score of adherence to self-care behaviors among inpatients with heart failure was $26.02({\pm}8.84)$. Factors related to the adherence to self-care behaviors were living with spouse (t=-2.47, p=.019), functional state (t=2.18, p=.034), heart failure knowledge (r=-.49, p<.001), social support (r=-.35, p<.001), self-control (r=-.25, p=.016), and self-care confidence (r=-.24, p=.019). The factors affecting adherence to self-care behaviors were heart failure knowledge, self-care confidence, and social support. These factors explained 32% of the variance in adherence to self-care behaviors. Conclusion: The adherence to self-care behaviors with heart failure can be improved if heart failure knowledge, self-care confidence, and social support are improved. Therefore, developing a nursing intervention program for patient with heart failure that is considered these factors leads to improve quality of life and prevent readmission.

• Journal of Digital Convergence
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• v.16 no.4
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• pp.167-173
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• 2018

The aim of the study is to examine the effects of the peer relationship promotion convergence program on self-esteem and sociality of children using a community child center. A nonequivalent control group pre-post design was used. Participants were 52 children (experimental group=26, control group=26), 4-6th grade in elementary school from 5 rural community child center. The experimental group participated in 12 sessions of the program for 50 min, once a week. The data were analyzed with descriptive statistics, a chi-square test, and an independent t-test using SPSS WIN 21.0 program. After completion of the program, the experimental group showed a significant improvement in self-esteem(t=2.43, p=.018) and sociality (t=2.03, p=.047) compared to the control group. The result shows that the program is beneficial for improving self-esteem and sociality of low-income, school-age children. Therefore, the program is recommended the intervention for improvement of self-concept and sociality of children.

• Journal of Digital Convergence
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• v.15 no.5
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• pp.271-280
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• 2017

This study was done to develop a human relation and communication course combined with a convergence communication training program and examine the effects of communication self efficacy, communicative competence, and interpersonal relations in nursing students. The study was designed using a nonequivalent control group pretest-posttest design, data were collected between September 5 and December 13, 2016, Participants were 83 1-year nursing students in 1 College of D City, and were assigned to an experimental group (n=41), or a control group (n=42). The data were analyzed using descriptive analysis, t-test, and ${\chi}^2$ test with the SPSS/WIN 21.0. After receiving the program, difference was observed in communication self-efficacy(t=15.23, p<.001), communicative competence(t=11.42, p<.001), and interpersonal relations(t=19.24, p<.001) of the experimental group. It is expected that these results would be helpful for increasing communication self efficacy, communicative competence, and interpersonal relations in nursing students on human relation and communication course combined with a convergence communication training program.

• Journal of Digital Convergence
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• v.17 no.3
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• pp.253-260
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• 2019

This study was conducted to test the effects of flipped learning on learning motivation, academic self-efficacy and critical thinking disposition for undergraduate nursing students. This study used a one group pre-post test design. Participants were 88 nursing students. The flipped learning was provided for 4 times(8 hours) in adult nursing. Data were collected between March 5 and June 8, 2018. Data were analyzed by frequencies, paried t-test using SPSS/WIN 23.0. The results showed that learning motivation (t=12.7, p<.001) was significantly lower than levels before flipped learning, academic self-efficacy (t=-3.01, p<.001) was significantly higher than levels before flipped learning and critical thinking disposition (t=-.51, p=.606) was higher than levels before flipped learning but was no significantly. The study findings suggest that the flipped learning has proven to be influential educational program for improving the academic self-efficacy, critical thinking disposition of nursing students. The flipped learning was an effective teaching program for nursing students. But Learning motivation is decreased, It is necessary to develop flipped learning that can improve learning motivation.

• Journal of Digital Convergence
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• v.18 no.6
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• pp.389-399
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• 2020

This study was conducted to identify the effects of fundamental nursing practice education using flipped learning on self confidence performance, academic achievement and critical thinking. The subjects of this study were 38 experimental groups and 36 control groups, who were in the second year of the department of nursing at D university, and Flip learning was applied to the experimental group for four weeks, while the existing teaching methods were applied to the control group. As a result, the academic achievement of vital signs in the experimental group after the experiment with flip learning was significantly higher than the control group (t=2.921, p=.005), but other variables were not significant. In addition, the critical thinking of the experimental group was significantly increased after the experiment than before (t=2.277 p=.029). However, it was not significant in the control group. In the future, various studies using flip learning in nursing are needed.

• Child Health Nursing Research
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• v.18 no.1
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• pp.9-18
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• 2012

Purpose: This study was conducted to analyze factors affecting readmission of children with home ventilator care. Methods: To collect patient data, a retrospective chart review was done of medical records of children admitted between June 1, 2007 and May 31, 2010 at one children's hospital located in Seoul. During that period 30 children were discharged with a home ventilator. Results: Twenty-one of these children had a total of 63 readmissions during the study period, averaging 2.1 readmissions per child with a mean duration of hospitalization of 7.4 days. Children with nasogastric tubes were more frequently readmitted (t=7.232, p=.012) and duration of hospitalization was significantly longer (t=4.761, p=.038). Children who had cardio-pulmonary comorbidity were more frequently readmitted and had longer hospitalization than children without comorbidity (t=5.444, p=.027). When home ventilator assisted children were admitted via emergency room, they were hospitalized longer (t=14.686, p=<.001). Cardio-pulmonary morbidity and readmission via ER explained 38.1% of variation for readmission. Feeding method explained 15.0% of variation in length of hospitalization. Conclusion: The results suggest that health care providers must give individualized education on home ventilator care to parents with children who are at risk for readmission due to cardio-pulmonary comorbidities, nasogastric tube, or readmission via ER.

• Journal of Digital Convergence
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• v.11 no.10
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• pp.585-592
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• 2013

This study was done to investigate the effects of cinema therapy on schizophrenia patients' depression and self esteem. The research design was a nonequivalent control group pretest-posttest design. Participants were recruited from two mental health facilities in J city(20 in the experimental group and 20 in the control group). The research was carried out from March to April, 2010. The cinema therapy was conducted seven times. After the cinema therapy, depression of schizophrenia patients in experimental group was lowered compared with that of patients in control group, and the difference was statistically significant (t=-4.17, p<.001). After the cinema therapy, self esteem of schizophrenia patients in experimental group was improved compared with that of patients in control group, and the difference was statistically significant(t=5.77, p<.001). The results indicate that the cinema therapy was a useful program leading positive effects on depression and self esteem in schizophrenia patients.

• Journal of Digital Convergence
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• v.17 no.9
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• pp.241-247
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• 2019

The purpose of this study was to develop and apply a to identify the effects of problem solving process and communication for nursing students. The subjects consisted of one group of 71 fourth year nursing students of D Colleage To test the application effect, a one group pre-post test design was applied. This study showed significantly higher problem solving process(t=-12.6, p<.001), and communication(t=-9.91, p<.001). Learning satisfaction was positively affected. Simulation program is one of the effective teaching and learning methods. It is recommended to develpo a scenario for simulation education applied various cases which are undergoing clinical testing, so as to apply it to the nursing training education.

• Journal of Digital Convergence
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• v.17 no.11
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• pp.305-313
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• 2019

This study was a quasi-experimental design with a non-equivalent pre-post test that verified the effect of formative feedback practice on practice satisfaction, learning motivation and academic self efficacy for nursing students. 37 were assigned to an intervention group and 41 to a control group. Formative feedback practice was applied to intervention group and peer review smartphone videos was applied to control group. Data were analyzed using the SPSS/WIN 22.0 program. There was no significant difference in learning motivation between the groups, but there were a significant difference in practice satisfaction(t=-2.79, p=.007) and academic self efficacy(t=2.30, p=.024) between the pre-post scores of the experimental group. This is meaningful in that it is more effective to provide formative feedback practice than to provide peer review smartphone videos. Therefore, it is necessary to consider formative feedback practice for the acquisition of core fundamental nursing skills of nursing students.

• Health Policy and Management
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• v.29 no.4
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• pp.482-495
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• 2019

Background: An important function of the regional public hospital is to satisfy the basic medical needs of the community through the stable provision of high-quality medical services. The purpose of this study was to identify the relevance index (RI) of the regional public hospital and to identify the factors that affect the RI. Methods: Data were obtained from the 2017 regional public hospital operation evaluation report and 2017 medical monitoring report for vulnerable area. RI of the regional public hospital was a dependent variable, and multiple regression analysis was performed with observed variables of medical supply-demand condition, medical supply, and medical supply structure. Direct effects and indirect effects were confirmed by the analysis of structural equation models (SEM) to see if there were mediating effects. Results: The RI was 13.1%, and the average of all percentage refined diagnosis-related group (RDRG) was 29.4%. Factors affecting RI were medical supply-demand conditions, medical supply, and medical supply structure. As a result of multiple regression analysis, RI was higher when high percentage RDRG of the regional public hospital (t=4.117, p<0.05), the size of regional public hospital location (t=-2.554, p<0.05), and the population of regional public hospital location (t =-2.415, p<0.05) were smaller. The results of the SEM analysis show that the higher the medical supply-demand conditions, the more direct effect of decreasing the RI and the indirect effect of decreasing the effect of reduction through the medical supply (direct effect=-1.322, total effect=-0.573, p<0.01). The higher the medical supply structure, the more direct effect on the RI (direct effect=1.047, p<0.05) and the higher the medical supply, the more indirect effect of RI through the medical supply structure (total effect=direct effect=0.619, p<0.05). Conclusion: It has been confirmed that the provision of medical services can affect the RI the regional public hospital which should be considered in carrying out future policies.