• Title/Summary/Keyword: 간접간호중재

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Identification and delegation of indirect care interventions (간접간호중재의 수행 및 위임에 관한 분석)

  • Yom, Young-Hee;Kim, So-In;Cha, Boo-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.2
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    • pp.197-207
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    • 1999
  • The purpose of this research was fourfold: (a) to identify the use rate of the indirect care interventions performed by nurses, (b) to estimate the time to perform each intervention, (c) to identify the indirect care interventions to be delegated to others, and (d) to determine the level of provider preparation needed to delegate indirect care interventions. The sample consisted of 199 nurses working in three hospitals. The Indirect Care Survey developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean and validated by nurse experts. Each of the 26 indirect care interventions were used several times a day. Four interventions (i.e.. Documentation, Shift Report, Specimen Management, and Transport) were performed several times a day by 50% or more of the nurses. The most frequently used intervention was Documentation, followed by the interventions Shift report. Environmental Management, Transport, and Examination Assistance. The least used intervention was Quality Monitoring, followed by the interventions Order Transcription, Referral, Health Care Information Exchange, Multidisciplinary Care Conference, and Product Evaluation. The intervention taking the most time to per-form was Technology Management (155.3 minutes), followed by the interventions Documentation, (122.2 minutes), Delegation (84.4 minutes), Supply management (83.4 minutes), and Preceptor: Student (79.9 minutes), Overall, the nurses reported that they would not delegate to others the majority of the interventions. More than 50% of the nurses would not delegate 21 interventions. Shift Report would not be delegated by 95% of the nurses and Documentation would not be delegated by 92% of the nurses. Caregiver Support would be delegated by 68% of the nurses to family. Three interventions (i.e.. Environmental Management, Examination Assistance, and Transport) would be delegated by more than 50% of the nurses to Nursing Assistant. This study will contributes to determining costs of nursing services and enhancing quality of nursing care. Replication study will be needed with large sample.

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Factors influencing the happiness index of elderly patients hospitalized in nursing hospitals Convergence Research (요양병원 입원노인환자의 행복지수 영향요인에 관한 융복합 연구)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.413-423
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    • 2020
  • The purpose of this study was to verify the factors influencing the happiness index for elderly patients hospitalized in nursing hospitals with a structural model. A survey was conducted on 237 people in 6 nursing hospitals in G city from July 1 to August 15, 2018, and analyzed with SPSS 18.0 and AMOS 18.0 programs. As a result of the research, the direct effect on the happiness index is the greatest factor, Next, perceived health status, economic status, and nursing satisfaction are in order, and the explanatory power is 66%. Both direct and indirect economic conditions were found to have a significant effect, and hospitalization period only had indirect effects through helplessness and nursing satisfaction. Therefore, development and application of various programs that can reduce the feeling of helplessness and improve the perceived health status. It is believed that an integrated management system, such as support system support and nursing intervention, suitable for each individual situation is needed.

Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey (상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사)

  • Park, Hyunsoon;Kim, Ha Woon;Kim, Hee Jeong;Kim, Soon Ick;Park, Eun Hye;Kang, Nam Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.55-66
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    • 2019
  • Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept (간호학생의 임상실습 스트레스, 수행능력, 만족도, 비판적 사고성향이 간호전문직 자아개념에 미치는 영향)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.213-224
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    • 2017
  • This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

A Study on the Experience of Nursing Student's Clinical Education in School Practice: Focused on Psychiatric Nursing Practice (간호대학생의 임상실습 교과의 교내실습 경험연구: 정신간호학 실습을 중심으로)

  • Kim, Hyeun-sil;Kim, Eun-mi;Lee, Dong-suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.169-178
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    • 2021
  • This study is a qualitative study to explore the experiences of nursing students' psychological nursing practice in-school. The subjects of this study were 62 students who were the 3rd grade nursing students at a University in Gangwon-do. The data were collected from August 3rd to August 20th, 2020. For data analysis, Colaizzi's qualitative analysis method was applied. Six categories were derived from data analysis: 1) Lingering affection for clinical practice in field. 2) Achievement through learning 3) Fear of nurse's role in future 4) Burden for many tasks 5) Feeling free of stress from clinical practice in field 6) Importance of cooperation with other departments. The positive aspects of in-school practice education, which from nursing students' evaluation, were immediate feedback, detailed explanations, and indirect experiences. Based on this study result, it is recommended to develop in-school nursing practice education program for gap-reducing with clinical practice. It would be consisted of various contents: simulation, online/non-face-to-face practice, face-to-face practice for indirect experience. In addition, these multi-aspect effort is needed more in psychological nursing practice education to reduce the gap with clinical practice such as therapeutic communication and hallucination interventions.

A Study on the Relationship Between the Variables Related to the Health Promoting Behavior of the Elderly (노인의 건강증진행위 관련 변인들 간의 융복합적 연구)

  • Ju, Hyeon-Jeong;Kong, Hee-Kyung
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.243-254
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    • 2019
  • The purpose of this study was to investigate the effect of helplessness, depression, subjective health status, family support, and social support on health promoting behaviors of elderly people over 65 years old. The subjects of this study were 3 welfare centers in G city and C city, 3 senior citizen center and 225 elderly people in 2 geriatric hospital, and this study was analyzed with descriptive statistics, reliability, correlation, confirmatory factor analysis, fitness test, total effect, direct effect, and indirect effect. The direct effects of variables affecting health promoting behaviors were social support, depression, family support, subjective health status, and helplessness. These variables accounted for 66% of health promoting behaviors. Depression, helplessness had a significant indirect effect on family support and social support, and subjective health status had a significant indirect effect on social support, but didn't have a significant indirect effect on family support. In this paper, we propose a new approach to elderly's health promoting behaviors and it is recommended that an intervention program be developed and applied to on personal situation should be necessary for elder's depression, helplessness and subjective health status.

A Structural Equation Model on Quality of Life in Hemodialysis Patients (혈액투석환자의 삶의 질 구조모형)

  • Kang, Seung-Ja;Seo, Nam-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.589-598
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    • 2019
  • This study was conducted to build a structural equation model explaining factors that affect hemodialysis patients' quality of life to test the goodness of fit of the model and identify directly and indirectly significant paths. To accomplish this, 230 patients receiving hemodialysis registered at study hospitals in G Metropolitan City and M City were randomly selected, and 201 were used in the final analysis. Data were collected using a self reporting questionnaire from February 1 to March 31, 2014. SPSS WIN 18.0 was used for descriptive statistics and correlation analysis of the general characteristics and for reliability analysis of the research tools. In addition, AMOS 18.0 was used for confirmatory factor analysis of latent variables, to determine the goodness of fit of the hypothetic model, and hypotheses testing. The results of this study were as follows: the fit of the modified model was 41.32, GFI = .96, AGFI = .92, RMR = .04, NFI = .96, CFI = .91 and TLI = .95. Twelve out of the 22 research hypotheses that were improved and improved were statistically significant. The results indicated that hemodialysis patients' quality of life was influenced directly by self-efficacy, depression, and self-care behavior, and indirectly by sleep disturbance, stress, fatigue, and family support. These variables explained 58.6% of the variation in quality of life. Overall, these findings suggest that nursing interventions for hemodialysis patients require strategies for managing patient depression and for increasing self-efficacy and self-care behavior to improve quality of life.

Path Analytic Modeling of Clinical Nurses' Nursing Performance: Focused on Positive Affective Events (임상간호사의 간호업무성과 모형의 경로분석: 긍정정서사건을 중심으로)

  • Younghee Jeong;Yoonjeong Lee;Moonkyoung Park
    • Journal of Industrial Convergence
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    • v.21 no.4
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    • pp.101-109
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    • 2023
  • The aim of this study is to verify the relationships of factors affecting nursing performance of clinical nurses focused on positive affective events. The subjects of this study were 275 clinical nurses from secondary and tertiary general hospitals. Data collection was conducted for two months from May 2021 through an online survey through snowball sampling. Data analyzed was using SPSS 26.0 and AMOS 26.0. The variables affecting job satisfaction included direct effect of positive affective events (β=.65, p<.001), and direct effect of positive affectivity (β=.10, p=.038). Job satisfaction (β=.47, p<.001) had statistically significant direct effects on nursing performance. Positive affective events (β=.32, p=.003) and positive affectivity (β=.05, p=.039) had statistically significant indirect effects on nursing performance. These variables explained for 22% of nursing performance. However, emotional labor had no significant effect on job satisfaction and nursing performance. The results indicate that positive affective events and positive affectivity result in high degree of job satisfaction. Job satisfaction would increase the level of nursing performance. Therefore, in order to improve nursing performance, it is necessary to provide educational opportunities and interventions that can promote positive work environment and positive affectivity.

The Mediating Effects of Life Satisfaction on the Relationship among Parent Attachment, Peer Attachment, and Depression Perceived by Out-of-school Youths (학교 밖 청소년이 지각한 부모 애착, 또래 애착과 우울 간의 관계에서 생활만족도의 매개효과)

  • Moon, Suk-Ja;Lee, Yoonjeong
    • Journal of the Korea Convergence Society
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    • v.12 no.5
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    • pp.355-363
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    • 2021
  • This study examined the mediating effects of life satisfaction on the relationship between parent attachment, peer attachment, and depression among Korean out-of-school youths. The study participants of 145 out-of-school youths derived from 5th Panel Survey of School Dropouts. To analyze the collected data, descriptive statistics, Pearson's correlation, and path analysis conducted by using SPSS 26.0 and AMOS 26.0. Parent attachment directly related to life satisfaction. Peer attachment directly related to life satisfaction and to depression. Life satisfaction had a significant negative relationship to depression. Parent attachment (𝛽=-.23, p=.006, 95% CI: -0.33~-0.12) and peer attachment (𝛽=-.18, p=.002, 95% CI: -0.31~-0.08) had indirect effects on depression through mediating life satisfaction. Results of this study indicate that we will discuss implications for possible policies and programs to help out-of-school youth successfully integrate a satisfying life and safely improve depression.

Development of the Structural Model of Middle-aged Men's Subjective Quality of Life (중년남성의 주관적 삶의 질 모형 구축)

  • Ha, Tae Hi
    • Journal of Digital Convergence
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    • v.14 no.5
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    • pp.125-135
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    • 2016
  • The purpose of this study was to construct and test a structural equation model of subjective quality of life in middle-aged men. The participants were 493 middle-aged men. Data were collected from September 10 to October 31, 2011. Collected data were analyzed using SPSS 19.0 and AMOS 19.0. Self-esteem, social support, family communication showed direct and indirect effect on subjective quality of life for middle-aged married men, and job satisfaction showed a direct effect on subjective quality of life. The structural regression model of middle-aged men's subjective quality of life was a good fit with the model. These results indicate that it is necessary to design intervention programs to increase self-esteem, social support, family communication and job satisfaction in order to increase middle-aged men's subjective quality of life.