• Title/Summary/Keyword: 간호결과분류

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International Comparison of Nursing Interventions Performed by Neurologic and Orthopaedic Nurses (신경기계와 정형외과 근무간호사의 간호중재에 대한 국제적 비교)

  • Lee, Eunjoo
    • Korean Journal of Adult Nursing
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    • v.13 no.4
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    • pp.517-528
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    • 2001
  • 목적: 본 연구의 목적은 미국 아이오와 대학에서 개발된 Nursing Interventions Classification (NIC)을 사용하여 신경기계 병동과 정형외과 병동에 근무하는 간호사들이 가장 빈번히 수행하는 간호중재를 파악함으로서 이러한 부서의 간호중재 리스트를 개발하는데 있다. 그리고 확인된 간호중재의 리스트를 미국 간호협회의 핵심 간호중재 목록과 비교함으로써 양국간의 간호중재의 유사성과 차이를 비교함으로써 한국간호의 발전을 도모하는데 있다. 방법: 8개의3차병원 및 종합병원 근무하는 간호사에게 NIC을 번역하여 소개한 뒤 가장 자주 수행하는 간호중재 30개를 선택하게 하였다. 선택된 간호중재는 빈도와 백분율 이용하여 분석하였고 미국의 핵심간호 중재목록과 영역(domain)별, 분류군 (class)별로 비교하였다. 결과: 신경기계 병동은 30개의 간호중재를 정형외과 병동은 34개를 핵심간호중재로 확인하였다. 한국과 미국의 간호중재를 비교해본 결과 신경기계 병동의 간호중재와 미국American Association of Neuroscience Nurses (AANN) 의 핵심간호중재 목록과는 단지 5개의 간호중재가 일치하였지만 정형외과 병동의 간호중재목록은 미국의 National Association of orthopaedic Nurses (NAON) 의 핵심중재목록과 27개의 간호중재가 일치되어 더 많은 유사성을 나타내었다. 두 나라의 간호중재를 영역(domain)별로 비교해보면 한국 간호사의 간호중재는 미국간호단체의 핵심간호 중재 목록보다 신체적 간호에 보다 많은 편중을 보였다. 결론: 한국간호사의 간호중재가 신체적 간호중재에 집중되어 있으므로 환자간호에 보다 전인적인 간호중재가 수행될 수 있도록 노력해야 할 것이다. 그리고 본 연구를 통해 개발된 핵심 간호중재 목록은 병원의 간호정보시스템을 개발하는데 사용될 수 있으며, 간호지식의 확장이나 staffing, 간호 수가화, 그리고 궁극적으로는 간호의 효과성 연구를 자극할 수 있을 것이다.

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The role type analysis of nursing leader for effective environment at the practice field that nursing students recognize - Q methodology - (간호 대학생이 인식하는 실무현장의 효과적 환경을 위한 간호리더자의 역할유형분석)

  • Sim, In Ok;Song, Geon Woo;Lee, Ji Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7801-7811
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    • 2015
  • Nursing students do a variety of learning at the practice field during clinical practice. They can recognize the importance and effectiveness of nursing leader. The purpose of this study was to categorize the types by analyzing what are important aspects of nursing leader's role to make effective practice environment nursing students experienced from training course. This research was used Q methodology to understand how nursing students recognize deeply. Participants were involved 30 nursing students who have experienced nursing practices. Q samples included 36 statements gathered from interviews with students who experienced clinical practices and literatures regarding types of nursing leader's role. Furthermore, major factors were analyzed and categorized by using QUANL PC program. As a result of research, there are 4 types of nursing leader's role. The first type is "Maintaining justice and level-headed", the second type is "Creating environment for motivation", the third is "Respecting character and growing capacity up" and the fourth is "Relationship center through confidence". Through the research process, this study is about to make evidences by understanding role of nursing leader for effective environment of practice field.

The Development of Hemodiafiltration Treatment Compliance Indicators and Discriminant Standards, Development of Hemodiafiltration Treatment Compliance Measurement - Convergent Form(HDFTCM-CF) : Focused on On-line Hemodiafiltration (혈액여과투석 환자의 치료이행 지표와 분류기준, 융합형 혈액여과투석 치료이행 측정도구 개발 : 온라인 혈액여과투석을 중심으로)

  • Hur, Jung
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.269-282
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    • 2015
  • This study is to define the hemodiafiltration treatment compliance indicators and discriminate standards for hemodiafiltration patients and development of hemodiafiltration treatment compliance measurement-convergent form. Date was collected from 300 on-line hemodiafiltration patients. To verify the hemodiafiltration treatment compliance indicators and discriminate standards, used construct validity and content validity by clinical professional group. Discriminant ability of 3 indicators-interdialysis weight gain rate(IWGR), serum phosphate level, rate of self change of total hemodiafiltration treatment time(SCR-HEFTT)- is 95.6%(wilks ramda=.256, p=.002). And hemodiafiltration treatment compliance measurement-convergent form has 91.7% discriminant accuracy. Hemodiafiltration treatment compliance is important that nurses can aware pre-stage of complication and give appropriate nursing intervention. Also this measurement can be used for foundation data of the nursing intervention development that prevent dialysis patient's complication.

Current Status of Interprofessional Education-related Research within Korean Nursing Literature (전문직 간 교육에 대한 국내 간호연구 현황 분석)

  • Ahn, EunKyong
    • Journal of Industrial Convergence
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    • v.19 no.3
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    • pp.75-82
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    • 2021
  • This study was conducted to analyse interprofessional education(IPE)-related research within Korean nursing literature and suggest future directions for IPE research. For this, Five articles were included for final review. As a results, IPE in nursing research has received attention since 2017. Studies have confirmed that no clear definition of IPE concepts has been established in nursing education. Key findings regarding IPE were categorized into Awareness of IPE, Effects of IPE as an intervention and Validation of Korean version tools measuring effectiveness of IPE. The collaboration of nurses and other healthcare professionals is essential to providing quality healthcare. Therefore, considerable effort should be made to define the concept of IPE and activate research to effectively apply it to nursing education and practice in Korea.

Study of Subjective View on the Meaning of Well-dying Held by Medical Practitioners and Nursing Students: Based on Q-Methodology (의료인과 간호학생의 웰다잉 의미에 관한 주관성 연구)

  • Kim, Seon Young;Hur, Sung Soun;Kim, Boon Han
    • Journal of Hospice and Palliative Care
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    • v.17 no.1
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    • pp.10-17
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    • 2014
  • Purpose: This study was conducted to examine understanding of the meaning of well-dying and types of such views held by medical practitioners and nursing students. Methods: The Q-methodology was used to analyze the subjectivity of each item. The P-sample was made up of 22 medical practitioners or nursing students. The P-sample was instructed to rate 33 statements using a 7-point scale to obtain forced normal distribution. They were asked to make extra comments on the statements that were placed on both ends of the distribution curve. The PC-QUANL Program was used for the factor analysis of the collected data. Results: The participants had three types of meaning of well-dying. Total variance explained by these types was 57.97%" where type 1 was "reality-oriented", type 2 "relationship-oriented" and type 3 "obeying-the-nature". Conclusion: The participants' subjective views on well-dying influences their medical practice on patients who are facing death. Therefore, medical practitioners should have profound insights concerning life and death. To that end, a training program is needed to help medical practitioners develop a proper view on well-dying by subjectivity type.

Validation of Nursing Care Sensitive Outcomes related to Knowledge (지식에 관한 간호결과도구의 타당성 조사)

  • 이은주
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.625-632
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    • 2003
  • Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were 'Knowledge: Diet', 'Knowledge: Disease Process', 'Knowledge: Energy Conservation', and 'Knowledge: Health Behaviors'. Method: Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators. Result: Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. 'Knowledge: Diet' was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R² statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators. Conclusion: This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.

A Study on the Demand of K-Nursing in Southeast Asian Nursing Colleges to Activate International Exchange Convergence in the Untacked Era (언택드 시대에 국제교류융합 활성화를 위한 동남아시아 간호대학에서 한국 간호에 대한 수요도 조사연구)

  • Kim, Seon Jeong;Kim, Kyung-yong;Choi, Byung Hwan;Song, Mei Ling
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.429-438
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    • 2020
  • The purpose of this study was to investigate the demand of K-nursing in Southeast Asian nursing colleges, and to promote international exchange convergence. In this study, we surveyed the professors and students who were living in Thailand, Vietnam, and the Philippines. For investigating the demands of the topics, two times of surveys were conducted using the google form In the first survey, the emergency care and infectious control showed the most frequent. In the second survey, the classification of emergency patients, showed the most, according the highest priority of emergency department. In infectious control department, management of new infectious diseases, such as COVID-19, showed the most, according to the highest priority. Based on the result, we make a suggestion to develop the contents, according to the highest priority, and to utilize them in international exchange programs.

The Types and Characteristics of the Male Nurses Perceived by Female Nurses : An Application of Q- Methodology (여자간호사가 인식하는 남자간호사의 유형 및 특성 : Q 방법론적 접근)

  • Seong, Ji-Suk;Yeom, Eun-Yi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.572-584
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    • 2016
  • The aim of this study was to identify the female nurses' perception of the types and characteristics of male nurses using Q-methodology, which can explore human subjectivity. The 35 selected Q-statements from each of 35 subjects were classified into a normal distribution using a 9 point scale. The collected data was analyzed using the PC-QUANL program. Principal Component Analysis identified 3 types of perception toward male nurses. Type 1 was classified as 'development-oriented support type', Type 2 was classified as 'realistic critical type', and Type 3 was classified as 'conservative acceptance type'. The consensus of opinion in each type was 'Male nurses are under stress due to the unique characteristics of a female-dominated workplace'. These results will contribute to the perception improvement of female nurses toward male nurses by developing arbitration programs based on the three types.

A Learning Rate Model of Deep Learning for Classification Analysis of Problematic Smartphone Use (스마트폰 과의존 분류 분석을 위한 딥러닝 학습률 모델)

  • Kim, Yu Jeong;Lee, Dong Su
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2021.07a
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    • pp.401-403
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    • 2021
  • 본 연구는 한국지능정보사회진흥원에서 제공한 2018년 스마트폰 과의존 실태조사에서 사용된 11개 변수와 스마트폰 과의존과의 관계를 탐색하고, 이를 통해 딥러닝 기반 스마트폰 과의존 분류 분석 모델을 개발하고자 시행되었다. 학습데이터셋은 전국 10,000개 가구내 만 3-69세 스마트폰 이용자 25,465명의 스마트폰 이용 형태 및 개인적 특성에 관한 데이터이다. 딥러닝은 심층신경망(DNN)을 설계하였으며, 은닉층(hidden layer)은 4개층으로 구성하였다. 입력한 데이터는 각각 200개, 150개, 100개, 50개, 2개 노드를 거치면서 최종 출력 정보인 스마트폰 과의존 분류율로 나타나는 모델이다. 이때 스마트폰 과의존 분류률을 높이기 위해 학습률(learning rate)과 같은 하이퍼 파라미터를 활용하여 세부조정하면서 가장 잘 학습하는 값을 찾아내었다. 연구결과, 학습횟수가 300번으로 학습율(learning.rate)이 0.01일때 훈련데이터에서 97.43%, 검증데이터에서 98.06%로 가장 높게 나타났다.

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Validation of Nursing-sensitive Patient Outcomes: Focused on Abuse Outcomes (간호결과분류(NOC)에 대한 타당성 검증 - 학대 결과를 중심으로 -)

  • Yom, Young-Hee;Lee, Kyu-Eun
    • Women's Health Nursing
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    • v.6 no.4
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    • pp.506-515
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    • 2000
  • The purpose of this study was to validate abuse outcomes included Nursing Outcomes Classification(NOC) developed by Johnson and Maas at the University of Iowa. A sample of 71 nurse experts working in university affiliated hospitals participated in this study. They were asked to rate indicators that examplified the outcomes on a scale of 1 (indicator is not at all characteristic) to 5(indicator is very characteristic). A questionnaire with an adaptation of Fehring's methodology was used to establish the content validity of outcomes. The results were as follows: 1. All indicators were considered to be 'supporting' and no indicators were considered to be 'nonsupporting'. 2. 'Abuse Recovery : Emotional' attained an OCV score of 0.780 and was the highest OCV score among abuse outcomes. The highest indicator was 'demonstration of positive interpersonal relationship'. 3. 'Abuse cessation' attained an OCV score of 0.739 and was the lowest OCV score among abuse outcomes. The highest indicator was 'physical abuse has ceased'. 4. 'Abuse Protection' attained an OCV score of 0.743 and the highest indicator was 'plans for avoiding abuse'. 5. 'Abuse Recovery: Financial' attained an OCV score of 0.762 and the highest indicator was 'court-ordered benefits received'. 6. 'Abuse Recovery: Physical' attained an OCV score of 0.767 and the highest indicator was 'resolution of physical health problem'. 7. 'Abuse Recovery: Sexual' attained an OCV score of 0.768 and the highest indicator was 'expression of confidence with gender identity'. More outcomes need to be validated and outcomes sensitive to Korean culture need to be developed.

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