• Title/Summary/Keyword: 간호사 요구

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Evaluating the Accuracy of Blood Pressure Measurement in General Hospital Nurses (종합병원 간호사의 혈압측정의 정확성 평가)

  • Kim Jong-Sook;Kim Sang-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.7-15
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    • 2000
  • To assess the accuracy of blood pressure measurement in general hospital nurses, 276 nurses at four hospital in Kyungju city and Pohang city were observed during the study period 20 December 1998 to 29 December 1998. The nurses measuring the blood pressure of simulated patient's were checked by the researcher or 20 items, that are recommended for consideration when doing a blood pressure measurement. Of the six items in the preparation step for measuring blood pressure, the accuracy of 'patients shouldn't talk during the procedure' had the lowest frequency(27.1%) and the other five items were above 80%. Of the ten items on blood pressure measuring technique, the accuracy of the frequency for 'inflating the cuff until the radial or brachial artery pulse is no longer palpable and then adding 30mmHg' was 0%, 'waiting $30{\sim}60$ seconds before reinflating the cuff' was alse 0%, 'rapidly deflating the cuff', 0.3%, 'rapidly and steadily inflating the cuff to the maximal level as per above-mentioned initial systolic pressure assessment step', 0.7%, 'reading the pressure to the nearest 2mmHg mark on the manometer', 10.8%, the remaining items were above 70%. Of the four items on blood pressure recording, the accuracy of 'recording the cuff size' had a frequency of 0.3%, 'recording the patient's position such as sitting, standing or lying position', 10.8%, 'recording the arm or leg which was used for measuring the blood pressure', 53.6%, and 'recording systolic/diastolic pressure', 100%. The variables significantly related to the accuracy of the blood pressure measurement were age, career position at hospital, and qualification education for blood pressure measurement(p<0.01). In the multiple regression analysis, position and qualification education were significant variables(p<0.01). In conclusion, the accuracy of blood pressure measurement was very low, thus, qualification education for blood pressure measurement should be done immediately to improve the accuracy of measurement by nurses in general hospitals.

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Development of Educational Components of Managerial Cost Accounting for Nurses

  • Lim, Ji Young;Noh, Wonjung
    • Journal of Home Health Care Nursing
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    • v.26 no.1
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    • pp.81-90
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    • 2019
  • Purpose: In accordance with changes in the healthcare environment, it is necessary to understand managerial cost accounting for nurses. This study aimed to develop educational components of managerial cost accounting for nurses. Methods: This study is comprised of a comprehensive literature review, nominal group technique using focus group interview, audit by an expert group, and priority analysis. Results: The comprehensive literature review identified 15 educational components of managerial cost accounting. In the nominal group technique, the participants finally agreed on eight educational components of managerial cost accounting for nurses. The average content validity index of these components was 0.99. "Activity-based costing" scored the highest for relative importance (15.7%). Conclusions: These results can be used to develop an education program to strengthen nurses' managerial cost accounting competencies. Furthermore, it will be helpful to use a basis for the development of cost management curricula for nursing students and on-the-job training courses of nurse managers and executives.

Needs of Training Programs for Practice Courses in Advanced Practice Nurse Education (전문간호사를 위한 임상 전문실습교육프로그램 요구)

  • Ryu, Ho-Sihn;Oh, Pok-Ja;Lim, Ji-Young;Kang, Hee-Sun;Yang, Seung-Hee;Kim, Ae-Kyung;Ham, Ok-Kyung;Chu, Sang-Hui;SeoMun, Gyeong-Ae
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.4
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    • pp.553-561
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    • 2007
  • Purpose: This study aimed to assess needs of training programs for APN practice courses and continuing education programs for APNs to provide baseline data to improve APN education and practice. Methods: A total of 98 questionnaires were distributed to professors in 38 nursing institutions and 64 (65.3%) were returned. Data collection was performed in November and December, 2007 through email. Results: Professors in charge of geriatric and home care nurse practitioner programs constituted 43.7% of the study participants. Forty-one percent answered that they were satisfied with the practice programs they currently have operated, while 36.5% responded to have difficulty in appointment of institutions for practice programs and 56.3% had problems in assignment of preceptorship. In case of developing training programs for APN practice courses, 58.7% answered that they are willing to participate, and 90.6% felt needs for development of continuing education programs for APNs. Regarding liability insurance for APN students, only 11.5% provided insurance policy. Conclusion: The study results indicated that standardized training programs are needed to assure quality of APN education, and continuing education programs are required to provide opportunities for APNs to improve competencies.

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A Survey on Nursee' Needs for ICU Clinical Nurse Specialists (중환자 전문간호사제도에 관한 요구조사)

  • Yoon, Sook-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.3
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    • pp.535-545
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    • 1999
  • The purpose of this study is to investigate the nurses' needs in the general hospitals as a basic study to develop ICU clinical nurse from Aug. 3 to Sept. 26 1998 at 13 general or university hospitals that have ICU nurse training course and are accredited at KNA. The subjects of study were ICU nurses and nurse managers at the department of nursing. The questionnaire items were developed from literature review, interviews with 30 ICU nurses at an university hospital in Pusan. The results were as follows : The subjects of study educated in ICU nurse training course were 44.3% of total. The 93.1% responded the necessity of ICU CNS and 89.1% wanted to have ICU CNS certification. The 43.8% answered that ICU should be a center of CNS education and 32.0% answered the department of nursing. Most of subjects responded that the clinical experience of ICU should be needed prior to CNS education. Regarding the treatment of ICU CNS, the 34.2% of total subjects responded it would be suitable to pay additional allowance and the 28.3% answered to grade-up salary step, and then the 13.7% to promote level position. Concerning the assignment department, the 63.5% answered that the charge nurse would be proper than general nurse or head nurse. As to the working time of ICU CNS, the 93.2% responded that D-duty is needed, the 79.5% to E-duty and the 64.4% to N-duty. It is suggested that the consensus of ICU nurses for the concept, the role and the system of ICU CNS is needed.

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Relations among the Decision Making Style, Self Leadership and Communication Competence of Visiting Nurses (경인지역 보건소 방문간호사의 의사결정유형에 따른 셀프리더십과 의사소통 능력)

  • Kim, Eun-Joo;Lim, Ji-Young;Choi, Kyung-Won
    • The Journal of the Korea Contents Association
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    • v.11 no.10
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    • pp.324-332
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    • 2011
  • The aim of this study was to explore relations among the decision making style, self leadership and communication competence of visiting nurses. The research design was a descriptive survey study, and 219 people were selected through convenience sampling among the visiting nurses who worked in the 28 community based health care centers. The most frequent decision making style of visiting nurses was a rational style. The scores of self leadership and communication competence of visiting nurses were also showed the highest score when the visiting nurse had a rational decision making style. The statistical significant correlations were found among the decision making style, self leadership and communication competence. The results of this study were useful to develop jop-training programs for visiting nurses to enhance their problem-solving abilities. We suggest more various education programs to increase the visiting nurse's self leadership and communication competence will be implemented and refined protocols according to situations will be developed, too.

Factors Influencing Evidence-Based Practice Readiness for Tertiary General Hospital Nurses (상급 종합병원 간호사의 근거기반실무 준비도에 대한 영향요인)

  • Kim, Jeong-Sook;Gu, Mee-Ock;Jo, Sun-Yon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2945-2957
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    • 2013
  • This study was conducted to investigate factors contributing to Evidence-Based Practice Readiness(Knowledge/Skill, Attitudes, Organizational culture) for nurses. A descriptive correlational study design was used. The data were collected from Mar. 21 to Mar. 29 of 2013. The subject were 160 nurses who were working in the 2 Tertiary General Hospital. Factors influencing EBP Knowledge/Skill were critical thinking disposition, which explained about 34.7% of total variance. and EBP Attitudes were EBP Knowledge/Skill, surgical unit, Which explained about 14.2% of total variance. and Organizational culture for EBP were Innovation-oriented culture, Relational-oriented culture, Which explained about 24.6% of total variance. Therefore, For introduction and activated of EBP, Nursing organization-dimentional required at the critical thinking disposition and EBP Knowledge/Skill training programs development and to be applied. Also, Systematic support system for the nursing organization to create a culture of Innovation-oriented culture is required.

Communication Aid System For Dementia Patients (치매환자를 위한 대화 보조 시스템)

  • Sung-Ill Kim;Byoung-Chul Kim
    • Journal of Biomedical Engineering Research
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    • v.23 no.6
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    • pp.459-465
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    • 2002
  • The goat of the present research is to improve the quality of life of both the elderly patients with dementia and their caregivers. For this Purpose, we developed a communication aid system that is consisted of three modules such as speech recognition engine, graphical agent. and database classified by a nursing schedule. The system was evaluated in an actual environment of nursing facility by introducing the system to an older mail patient with dementia. The comparison study was then carried out with and without system, respectively. The occupational therapists then evaluated subject"s reaction to the system by photographing his behaviors. The evaluation results revealed that the proposed system was more responsive in catering to needs of subject than professional caregivers. Moreover we could see that the frequency of causing the utterances of subject increased by introducing the system.

A Survey on the Educational Needs and Competence of Nurses in Maternal Fetal Intensive Care Unit (고위험 산모 신생아 통합치료센터(MFICU) 간호사의 교육 요구와 직무역량 인식조사)

  • Kim, Yunmi;Kim, Jeung-Im;Jeong, Geum Hee;Kang, Hee Sun;Kim, Mijong;Moon, So-Hyun;Kim, Miok
    • Women's Health Nursing
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    • v.25 no.2
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    • pp.194-206
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    • 2019
  • Purpose: Maternal Fetal Intensive Care Unit (MFICU), which provides intensive care to high-risk mothers with increasing maternal age and high-risk newborns, has become a new field of nursing work in South Korea. The present study was conducted to identify the educational needs and self-assessing clinical competence of nurses in MFICU. Methods: The education needs and competencies of MFICU nurses were measured through prepared questionnaires by researchers based on the previous studies on job analysis of nurses in MFICU. Data were collected from January 2019 to March 2019. The study involved 168 nurses working in MFICUs at 12 hospitals nationwide as study subjects. The data were analyzed using the SPSS WIN 23.0 program. Results: The education needs of nurses in MFICU had an average of 4.21 points (${\pm}0.50$) and their nursing competence was average 3.38 points (${\pm}0.60$). The items reported as high education needs but low competency by nurses in MFICU were as following: 'postpartum hemorrhage and shock,' 'cardiopulmonary resuscitation (CPR) for neonate,' 'CPR during pregnancy,' 'disseminated intravascular coagulation,' 'sepsis,' and 'mechanical ventilation during pregnancy.' Conclusion: Based on these results, it is proposed that a comprehensive education program for nurses in MFICU should be developed by considering low capabilities among MFICU nurses as a priority factor.

The Knowledge and Education Needs of Nurses in Charge of Adequacy Evaluation in Small and Medium-Sized Hospitals (중소병원 적정성 평가를 담당하는 간호사의 지식 및 교육 요구도)

  • Nam, Sohee;Jeon, Jaehee;Heo, Yeon Jeong;Cho, Sumin
    • Journal of muscle and joint health
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    • v.28 no.1
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    • pp.18-29
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    • 2021
  • Purpose: This study examined the knowledge and education needs of nurses in charge of adequacy evaluation in small and medium-sized hospitals. Methods: Study participants included 198 nurses in charge of adequacy evaluation in small and medium-sized hospitals. Data were collected from November 19 to 28, 2020 through an online survey. The data were analyzed by independent t-test and one way ANOVA analysis using the SPSS. Results: The knowledge score for the adequacy evaluation of small and medium-sized hospitals was 11.61±4.10 (total of 20 points), and the educational demand was 3.87±0.88 points on a 5-point scale. Regarding the necessity of education for adequacy evaluation of small and medium-sized hospitals, 80.3% of the participants claimed education as being necessary. "Online video lectures" were the most preferred (22.7%) education method, and "2 times" was the most frequent education (47.0%); "1 hour" was the usual duration of class (48.5%). Conclusion: It is necessary to develop and apply an educational program reflecting the measure of educational needs to improve the knowledge level of nurses in charge of adequacy evaluation in small and medium-sized hospitals.

A Concept Analysis of Barriers to Sexual Health Nursing Care (성건강 간호 장애의 개념분석)

  • Han, Jeong-Won
    • The Journal of the Korea Contents Association
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    • v.20 no.12
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    • pp.357-369
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    • 2020
  • This study tries to identify and clarify the concept of barriers to sexual health nursing care. A hybrid model was used to perform a concept of barriers to sexual health nursing care. To accomplish this, we analyzed data collected from 4 participants as well as from available literature regarding. We categorized barriers to sexual health nursing care were identified to have five dimensions and six attributes. The definition of barriers to sexual health nursing care recognizes the need and necessity of sexual health nursing care, but due to difficulty in accessing sex, prejudice, stereotypes, difficulty in communication, and lack of knowledge related to sex, the subjects are provided with professional sexual health nursing education and it is found that the service was not provided. This study is a basic data for evaluating barriers to sexual health nursing care as a prerequisite for reducing barriers to sexual health nursing care experienced by nurses to provide sexual health nursing care. Besides, the results may serve as a basis for proposing the development of a program to reduce barriers to sexual health nursing care.