• Title/Summary/Keyword: 간호문제

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Metacognition, Learning Flow and Problem Solving Ability in Nursing Simulation Learning (간호시뮬레이션 학습에서 메타인지, 학습몰입 및 문제해결력)

  • Oh, Yun-Jeong;Kang, Hee-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.3
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    • pp.239-247
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    • 2013
  • Purpose: This study was done to investigate the relationship between metacognition, learning flow, and problem solving ability in simulation learning of nursing students and to identify the factors influencing problem solving ability. Methods: The study sample was 136 nursing students. Data were collected from September to November, 2012 using a structured questionnaire on metacognition, learning flow and problem solving ability. Descriptive statistics, Pearson correlation and stepwise multiple regression analysis were used with the SPSS win 20.0 program to analyze the data. Results: There were significant positive correlations between metacognition, learning flow and problem solving ability. Learning flow was a significant factor affecting problem solving ability. These variables accounted for 33% of variance. Conclusion: These results suggest that simulation learning has a positive effect on nursing students' learning outcomes.

Community diagnosis of health life style in the maternal community -A project for maternal & child health at Ban Nong Loob division in Thailand- (지역사회 진단을 통한 모자보건사업 계획)

  • So, Ae-Young
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.227-235
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    • 1994
  • 본 프로젝트는 1993년 6월부터 9월까지 태국의 International Community Maternal and Child Health Nursing Training Program에서 이루어진 것으로 17개국 참석자 중 8개국 참가자들이 태국의 권케지역(태국 북동부)중 한 농촌지역을 택해 1개월간의 가정방문과 Group Work을 통해 지역사회 진단후 진단내용을 근거로 사업계획을 시행한 것이다. 조사지역 -Ban Nang Loob Village-은 우리나라의 일차보건의료를 수행하는 가장 말단지역인 이(里)에 해당하며, 이 중 5세 미만의 영유아가 있는 어머니들을 조사대상으로 하였다. 조사가구는 75가구였으며, 자료수집도구는 일반적인 특성, 환경상태, 지역사회 조직, 모자보건에 대한 지식, 태도, 실천과 관련된 내용으로 총 52개 문항이었다. 자료수집은 면접과 관찰을 통해 이루어졌으며 면접은 통역을 위해 태국 권켄대학의 간호대학 교수들과 함께 시행하였다. 본인이 참석한 그룹에서는 모자보건사업 중 모성건강에 관한 조사만 이루어졌으므로 이 지면에 소개된 프로젝트는 모성건강문제에 국한된다. 본 조사에서는 3가지 모성 건강과 관련된 문제가 나타났는데 이를 문제의 정도, 심각성, 예방가능성, 지역사회의 관심정도로 점수화하여 총계를 낸 후, 가장 커다란 문제점으로 '모성의 임신과 산욕기 동안의 합병증에 대한 지식부족'이 제기되어 이를 기초로 Master Plan, Operational Plan, Time Frame, Budget이 제시되었다. 본 프로젝트에서 제시된 사업계획은 담당지역의 Health Center, 권켄 간호대학, 지역사회 주민조직의 협조로 지역주민의 모자보건사업 활성화를 위해 실제로 시행될 계획이다.

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Effects of Simulation and Problem-Based Learning Courses on Student Critical Thinking, Problem Solving Abilities and Learning (간호학생의 비판적 사고성향, 문제해결능력과 학습에 대한 PBL과 S-PBL의 효과)

  • Son, Young-Ju;Song, Young-A
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.1
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    • pp.43-52
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    • 2012
  • Purpose: The purpose of the study was to discover long-term effects of Problem-based learning (PBL) and Simulation Problem-based learning (S-PBL) on critical thinking, problem solving abilities, learning attitude, motivation, and learning satisfaction among nursing students at Cheju Halla College. These students were taking problem based learning and simulation as a problem based learning method with an integrated curriculum. Methods: This study used a pretest-posttest with repeated measure design. Data was collected using convenience sampling from the beginning of the 1st semester to the end of the 2nd year when the PBL and S-PBL were completed by those who were enrolled in the integrated nursing curriculum. One-hundred eighty-three surveys were collected and analyzed during the repeat data collection. Results: There we restatistically significant differences of critical thinking, problem solving abilities, learning attitude, motivation and satisfaction post PBL and S-PBL. Conclusion: This study contributes to our understanding of outcomes from the PBL and S-PBL approach. The students undertaking PBL and S-PBL demonstrated that they developed a more positive attitude about their educational experience. In addition, students' tendency to think critically and problem solve improved through the use of the PBL and S-PBL approach.

Effects of Problem-Based Learning Combined with Simulation on the Basic Nursing Competency of Nursing Students (시뮬레이션 연계 문제중심학습이 간호학생의 간호기본역량에 미치는 효과)

  • Lee, Woo-Sook;Cho, Kap-Chul;Yang, Sun-Hee;Roh, Young-Sook;Lee, Gyu-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.64-72
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    • 2009
  • Purpose: The objective of this study was to identify the effects of problem based learning (PBL) combined with simulation on the basic nursing competency of nursing students. Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of problem based learning combined with simulation for 9 weeks in a group of 283 nursing students. The PBL group of 141 students participated in PBL classes with simulation, 4 hours a week for 9 weeks compared to control group of 142 students who received the usual fundamental nursing class. Results: The group that had PBL with simulation showed significant increases in problem solving and self-directed learning competency, although there were no significant changes in communication competency as compared to the control group. Conclusion: The findings of this study demonstrate that PBL with simulation for nursing students may increase problem solving and self-directed learning competency and suggest that utilizing this teaching-learning method may be beneficial as an effective nursing education strategy.

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Activity to reduce the record missing for nursing care charge (간호수가 누락률 감소활동)

  • Kim, Nan Ja;Lee, Yong Kyo;Kim, Hye Jin;Cheung, Ok Ju;Song, Nam Gyoung;Jun, Mi Sun
    • Quality Improvement in Health Care
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    • v.15 no.1
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    • pp.73-78
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    • 2009
  • 문제: 오늘날 간호사는 과거와 달리 현대적 보건의료 요구를 해결할 수 있는 체계적인 이론과 기술을 습득하도록 훈련된 고급 전문 인력이고, 간호행위를 생산하기 위해서는 서비스의 생산원가 뿐만 아니라 전문 인력으로서의 훈련 및 유지비용 등도 투입되어야만 가능하게 함으로서 2008년 7월부터 시행한 중환자실 간호등급에 따른 간호수가 책정으로 인해 중환자실 내에서 이루어지고 있는 많은 간호행위 중 수가를 받을 수 있는 부분이 생기게 되었고 간호행위의 중요성과 더불어 간호를 시행 후 받을 수 있는 수가에 대한 간호사들의 입력에 대한 의무도 늘어나게 되었다. 이에 빈번히 누락되고 있는 간호수가 관리를 통한 경제적 손실을 방지해야 할 필요성을 느껴 개선활동을 하고자 한다. 목적: 2008년 7월부터 시행한 중환자실 간호등급에 따른 간호수가 책정으로 인해 중환자실내에서 이루어지고 있는 간호 행위의 중요성을 인식하고 구체적인 문제 분석과 간호 현장에서의 개선안을 도출함으로써 경제적 손실을 방지할 수 있는 간호수가 누락률을 감소시키고자 함이다. 의료기관: 대구파티마병원 내과 중환자실. 질 향상 활동: 업무개선의 방법으로 환자 개인별 간호수가 입력 누락 방지 체크 리스트 사용 및 처방 전달 시스템의 간호수가 재입력 화면을 이용하여 입력의 용이성 도모하였고 입력된 간호수가를 처방 전달 시스템 간호수가 조회 프로그램을 이용해 익일 누락여부를 매일 모니터링 하였다. 교육 및 홍보활동으로는 간호수가 입력누락 방지를 위한 간호수가 입력 지침을 제작하여 전체간호사는 년 2회, 신규간호사는 개별 교육을 실시하였으며, 월별 간호수가 누락통계를 실명 공고 하여 간호수가 다 빈도 누락 간호사는 추가 개별교육을 실시하였다. 개선효과: 간호수가 입력 프로세스 개선을 통해 간호수가 평균 누락률이 개선 전 6.5%, 개선 후 1.2%로 5.3%의 누락 감소율을 보였으며 역치 5%를 달성하였고 간호수가 누락금액은 개선 전 2,992,752원, 개선 후 590,787원으로 2,401,965원의 누락 효과 비용을 구할 수 있었다. 본 QA활동으로 중환자실 간호수가 전산입력에 대한 체계적인 교육부재와 신규간호사들의 잦은 전산누락이 있어왔으나 표준화 된 체크리스트 지침과 입력확인 작업으로 전산입력 누락률이 감소하는 효과를 가져왔다. 추후 심평원 청구 작업을 하는 부서와 연계되어 실제 청구 누락률에 대한 비교와 간호사 근무연수와 간호수가 입력 누락률에 대한 상관관계 조사를 제언 해 본다.

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Health Care Needs and Health Problems of the Subjects in a Health Center (보건소 방문간호 대상자의 건강문제와 방문간호 요구)

  • Kim, Soon-Lae;Lee, Kyeong Yeao
    • Korean Journal of Occupational Health Nursing
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    • v.8 no.1
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    • pp.103-108
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    • 1999
  • In order to investigate the basic data for the visiting nursing care plan of Health Center in Korea, the questionnaire survey in regard to health care needs and health problems of the subjects with visiting nursing care was carried out on 131 subjects with visiting nursing care. The results were as follows : 1. The subjects consisted of 38.2% in male and 61.8% in female. 77.1% of the subjects had no job. 2. In the health problem, the subjects symptoms were 31.2% of hypertension, 20.6% of arthritis, and 19.1% of diabetes and other chronical illness. Utilization of medical care facilities were 61.8% of private clinics or general hospitals and 29.0% of Health Center. 3. 10 areas of health care needs that subjects wanted were disease management(19.5%), demand for welfare concerns(15.7%), health promotion and disease prevention(14.2%), information for medical institution(12.3%), health management for the aged(10.8%), hospice care(8.0%), prevention of dementia(8.0%), care for mental hygiene(6.7%), management for drinking, smoking and drug abuse(3.3%), home care nursing and rehabilitation nursing(1.2%).

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Management Control and Performance Evaluation (경영통제와 업무평가)

  • Kim K.Y.
    • The Korean Nurse
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    • v.19 no.4 s.107
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    • pp.35-42
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    • 1980
  • 본 강의의 목적은 회계가 어떻게 경영자로 하여금 경영을 효과적으로 할 수 있도록 도와주느냐에 관한 것이다. 누가 회계담당자가 되고 안되고가 문제가 아니라 경영관리자는 회계지직이 반드시 필요한 것이다. 회계와 경영관리는 떼어놓을 수 없는 관계에 있기 때문이다.

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Effect of Meta-cognition Teaching and Learning Program for Self-Leadership, Collaborative Preference, and Problem Solving Ability of Nursing Students (메타인지 교수학습프로그램이 간호대학생의 셀프리더십, 협력적 성향 및 문제해결능력에 미치는 효과)

  • Seo, Young-sook;Jeong, Chu-young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.383-392
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    • 2018
  • This study was conducted to examine the effects of a meta-cognition teaching and learning program on nursing students' self-leadership, collaborative preference and problem solving ability. The study was designed using a nonequivalent control group pretest-posttest design. Data were collected between March 5 and June 30, 2018 from 74 2-year nursing students in D College of D City who were assigned to an experimental group (n=36) or a control group (n=38). The meta-cognition teaching and learning program consisted of 10 sessions of combined individual and small group learning. Data were analyzed using descriptive analysis, as well as a t-test, ${\chi}^2$-test, and paired t-test with the SPSS/WIN 21.0 program. After receiving the meta-cognition teaching and learning program, significant differences were observed in self-leadership (t=4.79, p<0.001), collaborative preference (t=5.07, p<0.001), and problem-solving ability (t=6.48, p<0.001) of the experimental group. The results of this study indicate that the meta-cognition teaching and learning program was effective at increasing self-leadership, collaborative preference and problem-solving ability in nursing students. It is expected that the results of this study will be used as basic data to improve self-leadership, collaborative preference and problem-solving ability of nursing students.

Prevention and Overcoming Strategies for Taeoom in the Nursing Workplace: Based on the P-S-O-R Framework (간호업무 현장에서의 태움 예방 및 극복방안: P-S-O-R 프레임워크를 기반으로)

  • Eun Jin Kim;Sodam Kim;Sang-Hyeak Yoon;Sung-Byung Yang
    • Journal of Service Research and Studies
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    • v.13 no.4
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    • pp.70-96
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    • 2023
  • Recently, the high turnover rate of nursing staff and the problems caused by increased job stress have been highlighted as social issues, and the problem of 'Taeoom' in nursing organizations has received increasing attention. Therefore, the purpose of this study is to propose a solution to the Taeoom problem, including bullying in the nursing work environment, as there is an urgent need to find a solution to prevent and overcome this problem. For this purpose, based on the S-O-R framework and previous studies, job stress and turnover intention were derived as outcome variables of Taeoom and communication competence as an antecedent factor, and a research model was constructed with the expectation that mindfulness and social support would serve as moderating variables to help overcome this problem. Data were collected through a survey of 300 nurses who had experienced Taeoom within the past year, and the hypotheses were tested using a structural equation model. The results revealed that the higher the communication competence of nurses, the less they perceived the damage of Taeoom, and that the damage caused by Taeoom leads to turnover intention through high job stress. In addition, mindfulness and social support significantly attenuated the positive effects of burnout on job stress and job stress on turnover intention, respectively. The significance of this study is that it proposed an extended P-S-O-R framework by adding a prevention stage to the existing S-O-R framework, and further tested the moderating effects of mindfulness and social support variables. It is expected that the findings of this study will provide concrete guidelines to prevent and overcome the Taeoom problem that can be applied in practice.