• 지역사회간호학회지
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• 제31권4호
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• pp.481-490
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• 2020

Purpose: The purpose of the present study is to examine the factors influencing intention of dementia prevention behavior in adults with hypertension or diabetes. Methods: A total of 113 community-dwelling adults with hypertension or diabetes agreed to participate in this study. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: Self-efficacy and cues to action toward dementia prevention behavior were factors influencing intention of dementia prevention behavior of participations. Self-efficacy toward dementia prevention behavior was the most influential factor. These factors accounted for 22% of intention of dementia prevention behavior. Conclusion: These results suggest a need for strengthening self-efficacy to increase intention of dementia preventive behaviors. And dementia prevention programs should be developed in consideration of strategies to reinforce cues to action.

• 한국직업건강간호학회지
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• 제32권3호
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• pp.89-98
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• 2023

Purpose: This study proposes preventive strategies for factors affecting the work impairment of international medical tourism coordinators. Methods: Data for this study were collected via an online questionnaire survey involving 296 international medical tourism coordinators in South Korea, considering the impact coronavirus disease 2019. The survey was conducted from 25th April 2022 to 22nd July 2022 and data were analyzed SPSS/WINdows software version 22, including statistical, reliability, factor and regression analyses. Results: This study focused on occupational stress, health problems and job efficacy among international medical tourism coordinators in medical tourism research. The main objective was to examine the factors that influenced their work impairment. Conclusion: This study emphasizes the importance of factors such as occupational stress, health problems and job efficacy in influencing work impairment among international medical tourism coordinators. The identified factors account for 30% of explanation power. An intervention program tailored to the characteristics of domestic and international medical tourism coordinators is recommended.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.408-417
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• 2015

본 연구는 뇌졸중 대상자간호 시뮬레이션 교육을 적용한 실험군과 자율실습과 임상실습을 적용한 대조군간의 간호수행능력과 교육만족도의 차이를 검증하기 위한 연구이다. 비동등성 대조군 전. 후 유사실험 연구설계로 연구대상은 일 대학 간호대학 학생으로 연도별로 임의 배정된 실험군(2013년), 대조군(2014년) 각각 32명의 총 64명이었다. 실험군에게는 사전조사 후 뇌졸중 대상자간호 시뮬레이션 교육이 오리엔테이션 10분, 핵심기본간호술기 훈련 90분, 상황 자율실습 90분으로 진행되었고 이후 사후조사가 실시되었다. 대조군은 자율실습과 임상실습 적용 전후 조사가 실시되었다. 수집된 자료는 SPSS 21.0을 이용하여 측정변수에 대한 Kolomogorov-Smirnov 정규성 검정 후 비모수 통계인 Mann-Whitney U 분석을 실시하였다. 실험군과 대조군간의 실험전후 간호수행능력 차이를 분석한 결과 실험군이 대조군에 비해 간호수행능력의 하위 영역인 간호수행준비(z = -1.464, p = 0.143)를 제외한 문제인식(z = -2.715, p < .007), 사정(z = -2.861, p = .003), 중재(z = -3.075, p = .002), 태도(z = -3.520, p < .001)와 총점(z = -3.373, p < .001)에서 통계적으로 유의하게 높았다. 교육프로그램 만족도 총점은 5점 만점에 실험군이 4.83점으로 대조군의 4.58점 보다 통계적으로 유의하게 높았다(z = -3.245, p = .001). 문항별로는 교재와 자료(z = -2.377, p = .017), 동료에게 권유(z = -3.602, p < .001), 교육방법의 다양성과 효과(z = -2.281, p = .023), 지식(z = -2.513, p = .012), 간호수행능력 향상(z = -2.556, p = .011)에서 실험군이 대조군보다 통계적으로 유의하게 높았다. 본 연구결과를 바탕으로 뇌졸중 대상자간호 시뮬레이션 교육은 간호학생의 간호수행능력과 교육만족도에 유의한 중재임을 확인하였다. 간호교육과정에 본 연구에서 개발된 뇌졸중 대상자간호 시뮬레이션 교육을 확대 적용할 것을 제언하며, 추후 연구에서는 시뮬레이션 교육 프로그램을 이수한 신규간호사의 임상적응능력과 간호수행능력을 장기 추적 관찰할 것을 제언한다.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.109-116
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• 2020

본 연구는 간호대학생의 진로동기, 유머감각, 문제해결능력이 정신건강에 미치는 영향을 확인하여 정신건강을 향상시키기 위한 기초자료를 제공하기 위하여 시도되었다. 연구대상자는 B, Y시의 간호대학생 253명을 대상으로 하였다. 자료수집은 2018년 10월 22일부터 10월 31일까지 였다. 수집된 자료는 SPSS 22.0 program을 이용하여 실수, 백분율, 평균, 표준편차, t-검증, 일원분산분석, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 연구결과 대상자의 정신건강은 평균 2.19±0.77점으로 나타났다. 대상자의 일반적 특성에 따른 정신건강의 차이는 성별(F=2.219, p=.027), 학년(F=7.142, p<.001), 용돈(F=5.055, p=.007), 학교 성적(F=4.322, p=.014), 동료와의 관계(F=23.561, p<.001), 건강상태(F=21.555, p<.001)에서 유의한 차이가 나타났다. 대상자의 정신건강은 진로동기(r=-.443, p<.001), 유머감각(r=-.400, p<.001), 문제해결능력(r=-.465, p<.001)와 부적 상관관계를 나타냈다. 대상자의 정신건강에 영향을 미치는 요인은 성별(β=-.121, p=.033), 용돈(β=.123, p=.028), 동료와의 관계(β=.165, p=.004), 유머감각(β=-.168, p=.012), 문제해결능력(β=-.186, p=.006)으로 나타났고, 설명력은 33.6%로 나타났다. 본 연구결과를 통하여 간호대학생의 정신건강에 영향을 미치는 다양한 요인을 확인하는 연구가 필요하다. 또한 일반적 특성, 자신을 조절할 수 있는 심리적 요인, 학습을 통해 획득할 수 있는 기술적인 요인을 확인하는 반복연구를 통해 정신건강을 향상시킬 수 있는 중재방안을 개발하는 것이 필요하다.

• 대한간호학회지
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• 제34권7호
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• pp.1205-1214
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• 2004

Purpose: This study was conducted to develop and to test the effects of an educational program for coping with problem situations as a nursing intervention in the diabetic patient. Method: A non-equivalent control group pretest-posttest design was used in this study. Data were collected from January to March, 2002. The subjects of the study consisted of 31 diabetic patients(experimental group : 17 patients, control group : 14 patients). The intervention of an educational program for coping with problem situations was applied to the experimental group for 4weeks(total 8 hours). Data were collected before the educational program, immediately after and 1 months later and were analyzed with repeated measures ANOVA, t-test, and paired t-test. Result: 1. There was a significant difference in self efficacy between the experimental and control groups (F=13.793, p=0.001). 2. There was a significant difference in self care behavior between the experimental and control groups (F=4.583, p=0.041). 3. There was a significant difference in coping behavior of the problem situation between the experimental and control groups (F=62.018, p=0.000). There was a significant difference according to experimental stages(F=4.546, p=0.015) and interaction between education and experimental stages(F=12.039, p=0.000). 4. There was a significant difference in glycemic control between the experimental and control groups (t=-3.112, p=0.004). Conclusion: These results support that a diabetic educational program for coping with problem situations is effective in promoting and maintaining self efficacy, self care behavior, problem coping behaviors and in improving glycemic control. Thus this program can be recommended as an effective nursing intervention of in-depth education for diabetic patient.

• 한국간호교육학회지
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• 제23권2호
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• pp.146-155
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• 2017

Purpose: The purpose of this study was to investigate the nursing informatics competencies, problem-solving ability, and nursing performance ability of nurses, and to determine factors that affect their nursing performance ability. Methods: Data were collected from 210 clinical nurses employed by a general hospital having more than 500 beds in Seoul. The data were collected from June to October, 2014. The questionnaires included a nursing informatics questionnaire, the Korea problem solving process inventory, and a nurse performance appraisal tool. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: Nursing performance ability had statistically significant correlation with nursing informatics competencies (r=.49, p<.001) and problem-solving ability (r=.66, p<.001). Factors influencing nursing performance ability were problem-solving ability, nursing informatics competencies, work experience, and educational status, accounting for 54% of the variance. Conclusion: Findings indicate that nursing informatics competencies and problem-solving ability have important influences on the nursing performance ability of clinical nurses. Thus, in order to provide an improvement in nursing performance ability, educational programs towards nurses' problem-solving ability and nursing informatics competencies should be provided.

• 지역사회간호학회지
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• 제9권1호
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• pp.89-103
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• 1998

The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

• 대한간호학회지
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• 제41권2호
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• pp.245-255
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• 2011

Purpose: This study was conducted to examine the effects of simulation-based education regarding care in a cardio-pulmonary emergency care as related to knowledge, clinical performance ability, and problem solving process in new nurses. Methods: An equivalent control group pre-post test experimental design was used. Fifty new nurses were recruited, 26 nurses for the experimental group and 24 nurses for the control group. The simulation-based cardio-pulmonary emergency care education included lecture, skill training, team-based practice, and debriefing, and it was implemented with the experimental group for a week in May, 2009. Data were analyzed using frequency, ratio, chi-square, Fisher's exact probability and t-test with the SPSS program. Results: The experimental group who had the simulation-based education showed significantly higher know-ledge (t=5.76, p<.001) and clinical performance ability (t=5.86, p<.001) for cardio-pulmonary emergency care compared with the control group who had traditional education but problem solving process was not included (t=1.11, p=.138). Conclusion: The results indicate that a simulation-based education is an effective teaching method to improve knowledge and clinical performance ability in new nurses learning cardio-pulmonary emergency care. Further study is needed to identify the effect of a simulation-based team discussion on cognitive outcome of clinical nurses such as problem solving skills.

• 한국간호교육학회지
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• 제22권4호
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• pp.577-587
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• 2016

Purpose: This study was conducted to provide Simulation Problem-Based Learning (S-PBL) for community visit nursing students according to their Myers Briggs Type Indicator (MBTI) personality types for learner-focused education and to verify its effectiveness. Methods: This study was conducted with subjects having the ST (Sensing-Thinking) and NF (iNtuition-Feeling) personality types, which are conflicting personality types, and forty-one subjects were allocated to the experimental group and nineteen subjects to the control group. The training, provided to subjects once a week, for a total of six times and 100 minutes each time, was with respect to the improvement of problem-solving ability, communication ability, and clinical practice competency. Data were analyzed through t-test and independent t-test. Results: After training, the self-rated problem-solving competency (t=3.07, p=.003), communication ability (t=2.86, p=.006), and academic self-efficacy (t=2.44, p=.018) were significantly higher in the experimental group than in the control group. However, there was not a significant difference in the clinical practice ability rated by subjects themselves (t=1.50, p=.140) and by professors (t=1.08, p=.285), and in the communication ability rated by professors (t=0.72, p=.474). Conclusion: The community visit nursing S-PBL, according to MBTI personality types, is a helpful learning method for nursing students participating in self-directed learning of nursing theory and practice.

• 기본간호학회지
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• 제12권3호
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• pp.284-289
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• 2005

Purpose: The purpose of this study was to explore changes in the test items in the preparation book for the national qualifying examination. Test items which developed in the year 2000 and 2004 through nationwide faculty workshop in Fundamentals of Nursing were examined. Method: Test items for the national qualifying examination for 2000 and 2004 in Fundamentals of Nursing were analyzed using frequencies and percent. Results: The test items for the national qualifying examination for 2004 in Fundamentals of Nursing showed an increase in the number of test item over the year 2000. According to McGuire's taxonomy, domains of the test items in 2000 were recall(65.1%), interpretation (22.0%), and problem solving(12.9%) in that order. In 2004 items for the recall domain(74.7%) increased 9.6% above the level of 2000, and interpretation and problem solving domains showed a slight decrease. With regard to type of test items, the proportion of A type in 2004 was the same with 37.6% as 2000, and that of K type(61.5%) increased by 0.7% over the year 2000(60.8%). Conclusion: The test items for the national qualifying examination of 2000 and 2004 were not different except for the increase in the number of test items.