• Title/Summary/Keyword: 간호결과연구

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Structuralization Expected Outcome of Social Welfare Program Based on Community Network : Using Concept Mapping Method (지역사회네트워크를 기반으로 한 사회복지프로그램 기대성과 구조화 : 컨셉트 맵핑(concept mapping)을 활용하여)

  • Kwon, Sunae
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.107-116
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    • 2014
  • The purpose of this study is to verify the applicability of concept mapping in the process of planning social welfare program based on community network. Concept mapping is a kind of decision-making method that structuralized complex ideas and presented visually. Already, concept mapping is widely utilized in counseling, nursing and public health area to plan and evaluation their program and service. For recent, effectiveness of concept mapping has been reported. Concept mapping is a effective decision-making method that they recognize outcome gap between service provider and client, reach the outcome's consensus in counseling and nursing, medical area. In this study, we conceptualized 3rd year outcomes of Community Impact Project that was supported from Busan Chest using concept mapping. This CI project intervenes children and youth who lives in Buk-gu, Busan. Concept mapping has six stages-preparation, collecting ideas, structuring statements, representing statement, interpreting the results of the analysis, applying the results. We followed these steps. The participants were working at social welfare organizations, total 11 persons. We obtained 60 statements and analyzed using multidimensional scaling. we collected 5 clusters, cluster 1 'awareness and attitude change of children and youth', cluster 2 'social system change of children and youth', cluster 3 'friendly community formation', cluster 4 'community people change', cluster 5 'service provider change'. As a result, among total 5 clusters formed, 'awareness and attitude change of children and youth' came to the strongest outcomes. When concept mapping was applied to the program planning, the consensus of the opinion came easily in the decision-making process, and the participants were empowered. In addition, clear conceptualization on each element of the program planning was made.

Validity and Reliability Evaluation of Pregnancy Related Stress Scale (임부 스트레스 측정도구의 신뢰도 및 타당도 평가)

  • Lee, Hyejung;Seo, Minjeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.503-512
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    • 2017
  • The perceived stress of pregnant women is a potential contributor to adverse birth outcomes. Although the importance of the psychosocial well-being of pregnant women has been emphasized, there are fewreliable and valid instruments to measure the stress level of pregnant women in Korea. This study evaluated the psychometric properties of Ahn's pregnancy related stress scale (PSS) that was originally developed in 1984. Two hundred pregnant women completed the survey questionnaire, which was comprised of the PSS, depression scale, and demographic information. Principal component analysis and confirmatory factor analysis was used to test the construct validity. The concurrent validity was evaluated using the correlation with depression scores. Based on exploratory factor analysis and a consideration of conceptual meaning, a five-factor structure was extracted, explaining 57.25% of the variance: physical discomfort, fetus, parenting, spouse relationship, and housework. The goodness-of-fit indices showed an acceptable fit overall with the full model and acceptable internal consistency (Cronbach's alpha =.89). The concurrent validity was confirmed by a comparing with the depression score (r=.48, p <.001). The shortened PSS, as a valid and reliable scale, is recommended to be used to assess pregnancy-related stress and to develop stress managing interventions for pregnant women in clinical settings.

Comparison of Job Stress, Hardness, and Burnout of Nurses between Advanced general Hospitals and general Hospitals (의료기관 종별 간호사의 업무스트레스, 강인성과 소진비교)

  • Choi, Jeong-Sil;Park, Seung-Mi
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.251-259
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    • 2012
  • This study was conducted to compare nurses' job stress, hardness and burnout between general hospitals and advanced general hospitals. Data were obtained through structured questionnaires from 394 nurses(general 198, upgrade general 196) in the C and S city between April and May, 2010. Data analysis was done with independent t test, ANCOVA, ANOVA, Scheffe & Eacute test and Pearson correlation coefficient with SPSS WIN v 17.0. Job stress, hardness, and burnout of nurses in general hospitals were 2.45, 2.11 and 3.70 respectively. Those in advanced general hospitals were 2.69, 2.70 and 3.70 respectively. Job stress and hardness were significantly higher in general hospitals. There was no significant difference of burnout between general and advanced general hospitals. Burnout of nurses in both hospitals was positively correlated with job stress and negatively correlated with hardness. Further studies are necessary for identify factors influencing job stress of general hospitals. Program for enhancing hardness of nurses in upgrade general hospitals should be developed.

Effect of Flipped Learning Education in Physical Examination and Practicum (플립러닝을 활용한 건강사정 및 실습 교육 효과)

  • Cho, Mi-Kyoung;Kim, Mi Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.81-90
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    • 2016
  • The objective of this study was to investigate the effect of an education method applying the flipped learning technique for college students. Both self-directed learning readiness and educational performance before and after applying the flipped learning were examined. After applying the flipped learning technique, teacher-student interaction, learning satisfaction, and learning motivation were identified. The correlation of each variable was examined after applying the flipped learning technique to investigate its influence on learning motivation. A total of 68 second-year nursing students enrolled in E University were analyzed. A difference between before and after applying the flipped learning was analyzed by the paired t-test; a correlation between the variables was analyzed via Pearson's correlation coefficient; and an influence on the dependent variable learning motivation was analyzed using the stepwise multiple regression analysis. The results showed that self-directed learning readiness increased before and after applying the flipped learning technique with statistical significance, and the difference of educational performance was not significant. After an education session applying the flipped learning technique, a learning motivation demonstrated a significantly positive correlation with self-directed learning readiness (r=0.33, p=.006), college student educational performance (r=0.51, p<.001), teacher-student interaction (r=0.72, p<.001), and learning satisfaction (r=0.79, p<.001). A significantly positive correlation was also observed between the other variables. Factors influencing learning motivation were learning satisfaction and teacher-student interaction. The explanatory power for learning motivation in the regression model considering these two variables was 71.3% (F=80.66, p<.001). Therefore, to enhance learning motivation in applying the flipped learning technique, it is necessary to increase learning satisfaction and to establish a strategy that further vitalizes the teacher-student interaction.

A Path Analysis on the Effect of Anxiety and Depression on Health-related Quality of Life of Middle aged Women (중년 여성의 불안과 우울이 삶의 질에 미치는 영향에 대한 경로분석)

  • Oh, Yeong-Kyong;Hwang, Seon-Young
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.579-588
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    • 2017
  • The purpose of this study was to examine the effect of anxiety and depression on health-related QOL(Quality of Life) of middle aged women and to test hypothetical model of QOL. This study is a pathway analysis study using 1692 middle aged women whose age range is between 40 and 64. This study was performed as secondary analysis using the data from the 2015 Korean Social Psychological Anxiety Examination Survey. Data were analyzed using descriptive statistics, correlation analysis and pathway analysis. As a result, Stress, social support, aged preparation, self-esteem, anxiety, depression and QOL showed significant correlation. Anxiety was directly affected by stress(.21, p=.009) and social support(-.05, p=.046). Depression was directly affected by stress(.28, p=.016), social support(-.10, p=.008) and self-esteem(-.38, p=.039). Both anxiety(-.16, pp=.009) and depression(-.17, p=.011) had effect on QOL but depression was mediated by anxiety in affecting to QOL. Anxiety and depression of middle aged women affect to QOL and QOL is affected by depression via anxiety. It suggests that it needs to provide nursing intervention for mental health such as anxiety and depression for QOL of middle aged women.

Effects on Maternal Attachment, Parenting Stress, and Maternal Confidence of Systematic Information for Mothers of Premature Infants (미숙아 어머니를 위한 체계적인 정보제공이 모아애착, 양육스트레스, 양육자신감에 미치는 효과)

  • Choi, Hyo-Sin;Shin, Yeong-Hee
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.207-215
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    • 2013
  • Purpose: The aim of this study was to examine the effects of systematic information on maternal attachment, parenting stress and maternal confidence of mothers of premature infants. Methods: Using a non-equivalent control group pre-post quasi-experimental design, 42 participants were assigned to one of two groups, an experimental group (n=20), which received systematic information; and a control (n=22), which received the usual discharge education. Prior to the intervention, baseline data were collected (pretest) and then the systematic information was provided four times for the experimental group. Maternal attachment, parenting stress and maternal confidence were measured. Data were collected three times: Seven to 10 days prior to discharge, day of discharge, and two weeks after discharge. Results: Mothers in the experimental group had significantly higher scores in maternal attachment (F=6.16, p=.005), lower parenting stress scores (F=5.56, p=.004), and higher scores for maternal confidence (F=16.50, p<.001) than mothers in the control group. These tendencies were progressively enhanced even two weeks after discharge from the hospital. Conclusion: The results indicate that provision of systematic information to mothers with premature infants is an effective intervention to enhance mothers' maternal attachment, decrease parenting stress, and enhance maternal confidence.

Community care perceived by medical welfare service providers and residents dwelling in the community (보건의료복지 서비스제공자와 지역주민의 커뮤니티케어에 대한 인식)

  • Son, Miseon;Kim, Hyeongsu;Cho, Jonghee;Ko, Young;Kim, Miye
    • Journal of Convergence for Information Technology
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    • v.10 no.6
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    • pp.200-208
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    • 2020
  • The purpose of this study was to investigate and compare health, medical and welfare service providers' and local residents' perception on community care. The participants were 68 service providers and 95 local residents. The data were analyzed using independent t-test and chi-square test. The results showed that the degree of agreement of service providers on the need for policy, and visiting services were higher. Service providers' ability to link local residents with a need for care to community resources was higher, but in the activation of self-help group in community, local residents agreed more. In add budget of policy to health insurance, local residents agreed less. In perception on priority for community care policy, high priorities were preparation of financial resources and care culture. To effectively operate community care policy, it is necessary to establish a care culture through active exchanges for reducing differences in policy and opinions of recipients.

Nurses' Knowledge of and Attitudes toward Pediatric Palliative Care of Korea (간호사의 소아청소년 호스피스완화의료에 대한 지식 및 태도)

  • Kang, Kyung-Ah;Kim, Hyun Sook;Kwon, So-Hi;Nam, Mi Jung;Bang, Kyung-Sook;Yu, Su Jeong;Jung, Yun;Choi, Sung Eun;Chung, Bok-Yae
    • Journal of Hospice and Palliative Care
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    • v.17 no.4
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    • pp.289-300
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    • 2014
  • Purpose: The aim of this research was to explore nurses' knowledge of and attitudes toward pediatric palliative care (PPC) in Korea. Methods: A descriptive cross-sectional design was used. A total of 196 participants were recruited from the ELNEC-PPC course held in Seoul, Korea. All participants completed a 20-item survey questionnaire which assessed knowledge of and attitudes toward PPC using a 7-point Likert scale. Results: Nurses' knowledge of PPC correlated with their educational level and work experience in the pediatric unit and hospice care unit. The work experience in the pediatric unit, career length in PPC and completion of palliative education course made differences in the attitudes toward PPC. Married nurses scored significantly higher on the parental rights in determining palliative care service for their child, and nurses with master's degree or higher showed a higher level of understanding of and attitudes toward the differences between PPC and adult palliative care. Conclusion: The factors influencing nurses' knowledge of and attitudes toward PPC need be considered to develop a pediatric palliative training program.

Knowledge and Education Needs Related to Multidrug Resistant Organisms Infection Control among Small and Medium Size Hospital (중소병원 간호사의 다제내성균 감염관리 지식 및 교육요구도)

  • Lee, Mi Hyang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.4
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    • pp.463-470
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    • 2020
  • This study was conducted to aid in the development of an infection control educational program for nurses, by assessing the knowledge and educational demand of nurses for MDRO infection control. Totally, 115 nurses participated in the study. Data were collected from November 15-30, 2019, using structured questionnaires. Descriptive statistics, t-test, and ANOVA were applied for analyzing the data. Experience of caring for MDRO patients was reported by 86.1% nurses, whereas 67.8% nurses had received training on MDROs. The average score for knowledge on MDROs was 25.51 out of 27 points, with minimal correct answers given for the query on level of disinfection for medical equipment used by patients, criteria for the preemptive precaution, patient management in the cohort, and timing for removing personal protective equipment. The educational demand was highest for assignment to the precaution, criteria for screening examination, and management of outbreak. Also, educational needs differed with respect to the general educational characteristics and position of the individual. We propose the need to differentiate the educational status according to the career when developing the MDROs program, and the necessity to execute education of MDROs for new nurses and career nurses.

Effect of Education and Counselling-based Cardiac Rehabilitation Program on Cardiovascular Risk, Health Behavior and Quality of Life in Elderly with Coronary Artery Disease (교육상담 기반 심장재활 프로그램이 노인 관상동맥질환자의 심혈관 위험도, 건강행위 및 삶의 질에 미치는 효과)

  • Won, Mi-Hwa
    • The Journal of the Korea Contents Association
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    • v.15 no.6
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    • pp.303-313
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    • 2015
  • Purpose: The purpose of this study was to investigate the effect of education and counselling-based cardiac rehabilitation program on cardiovascular risk, health behavior and quality of life in elderly with coronary artery disease. Methods: A quasi-experimental study used a non-equivalent control group pre-post test design. A five week education and counselling-based cardiac rehabilitation program for the elderly with coronary artery disease was developed and offered to the experimental group. Participants were drawn from hospital in Busan. Twenty two were selected for the experimental group while 22 were assigned to a control group. Cardiovascular risk, health behavior and quality of life were measured. Results: There was a statistically significant difference in the cardiovascular risk(U=118.5, p=.002), health behaviors(t=5.200, p=<.001) and quality of life(t=2.431, p=.001) between the experimental group and the control group. Conclusion: Education and counselling-based cardiac rehabilitation program can be not only an effective nursing intervention for old patients having coronary artery disease, but also the very basis of further research on aged people who have the same symptom.