• Title/Summary/Keyword: 간호사 요구

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The Effects of Verbal Violence in Clinical Practice, Academic Stress Coping, and Depression on Professional Self-concepts among Korean Nursing Students (간호대학생의 임상실습 시 경험한 언어폭력, 학업스트레스 대처 및 우울이 전문직 자아개념에 미치는 영향)

  • Jeon, Hae Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.8
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    • pp.501-512
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    • 2018
  • The aims of this study were to investigate the effects of verbal violence experienced during clinical practice, emotional responses, academic stress coping, and depression on professional self-concepts of nursing students. Data were collected through a self-reported structured questionnaire form given to nursing students in grades 3-4 using convenient sampling methods from October 25 to November 1, 2017. As a result, 41.9% of the subjects experienced verbal violence during clinical practice. The frequency of experiences for verbal violence was '1 time' at 16.9%, '2 times' at 15.5%, and '3 times' at 4.7%. The verbal violence attackers were patients (42.9%), nurses (37.7%), and protector (15.5%). Emotional response was positively correlated with depression and frequency of verbal violence. Academic stress coping had a negative correlation with depression and a positive correlation with professional self-concept. Depression was negatively correlated with professional self-concept. Multiple regression analysis showed that academic stress coping and depression were statistically significant variables in the professional self-concept, and these variables had a 28% explanatory power. Therefore, in order to improve the professional self-concept of nursing students, it is necessary to develop a strategy to raise the level of academic stress coping and to reduce depression.

Adoption of the Use of Smart Technology by Health-care Workers in Nursing Homes: an Exploratory Study (노인요양시설의 스마트 기술 도입에 대한 탐색적 연구 -요양시설 종사자 답변을 중심으로-)

  • Lee, Sunhyung;Ahn, Joonhee
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.156-171
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    • 2014
  • The purpose of this exploratory study is to examine if the application of smart technology(ST) would assist adjustment to the nursing home facilities in the elderly. Since there is not much previous research on this subject, we generated survey questionnaires on our own. Data were collected from the survey of 127 employees at 6 nursing homes including geriatric care workers, social workers and nurses who provide direct as well as indirect care services. Results showed that the utilization of ST would benefit the areas of family relationship support, health support, leisure support, and physical environment adjustment. As for physical environment adjustment, study participants reported that ST would help elders familiarize employees and find directions for specific space the most. As for health support, ST would be best utilized as a security sensor and program alarm system. As for support for family relationship, ST was expected to be utilized as looking at family pictures and playing with self pictures/videos. As for leisure support, ST was expected to assist elders to listen to music and watch movies/TV. These results were different according to the characteristics of the participants and the smartifacts. These results of the study will show the direction for more in-depth studies on application of smart technology for the elderly in the future.

Institutionalization of a Patient-Sitter Program in Acute Care Hospitals (보호자 없는 병원 제도화 방안)

  • You, Sun-Ju;Choi, Yun-Kyoung
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.370-379
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    • 2013
  • In an effort to resolve the burden of patients hiring patient sitters, this study sought to review the Ministry-of-Health-and-Welfare-initiated pilot program of running hospitals without patient-sitter to identify its background, operation method, performance results, and limitations. Based on the review, the study derived the necessity of introducing a hospital system without patient-sitter as well as its operation and systemization methods. The ministry-initiated pilot programs were conducted twice: in 2007, and in 2010. A review of the 2007 pilot program revealed that the patients and families' satisfaction score with nursing services was 9.1 points (on a 10-point scale), their intention to reuse the service was 97.8%, and their intention to recommend the service was 98.0%, all high scores. Appropriate nursing manpower, derived from the 2007 pilot project, indicated 2.3 patients per nurse and 4.0 patients per nurse aid. The 2010 pilot project results indicated that the patients and families' satisfaction was high at 8.0-9.1 points (on a 10-point scale), and that the intention to reuse and recommend the service was also high. Compared with the 2007 pilot project, however, the types of medical institutions and the nurse to patient ratios were diverse, offering limitations. In conclusion, to systemize hospitals without patient-sitter, it is necessary to develop policies designed to establish criteria for the appropriate nurse to patient ratio and skill-mix, to standardize the work, to prepare finances for securing nursing staff, to evaluate the nursing demands, and to monitor the quality management.

Development of Nursing Activity Cost Calculation Program Using Time-Driven Activity-Based Costing (TD-ABC) (병동 간호활동 원가계산 프로그램 개발 :시간동인 활동기준원가계산 기반으로)

  • Lim, Ji Young;Kang, Sung Bae;Lee, Hyun Hee
    • The Journal of the Korea Contents Association
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    • v.18 no.4
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    • pp.480-494
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    • 2018
  • The purpose of this study is to develop a nursing activity cost calculation program based on Lee's doctoral dissertation using TD-ABC. The developed program has been supplemented with data storage, print out, and graph conversion functions to expand the application possibility. The development of the program consisted of three steps: program requirements analysis, program design and development, and program validation. This program was designed not only to do the cost calculation, but also to compare the cost-effectiveness and cost consumption trends. Consequently, this program is meaningful in that the nursing manager can obtain the cost information necessary for nursing unit management and extend the utilization so that the cost management strategy can be established based on the cost information. Therefore, we propose that the cost-management capacity of clinical nurses should be strengthened and the nursing performance measurement research should be expanded by applying it to various actual clinical nursing management settings. It is suggested that this program should be used as a training medium to strengthen nurse cost management capacity by combining nursing management curriculum at undergraduate level.

Effect of Oral Care Protocol on Oral Cavity Status and Self-care Performance in Solid Cancer Patients Receiving Chemotherapy (구강관리 프로토콜 적용이 항암화학요법을 받는 고형암 환자의 구강상태 및 자가간호수행에 미치는 효과)

  • Jeong, Mi Sook;Song, Chi Eun;Lee, Ae Ri;Jung, Eun-Suk;Kim, Gwang Sug
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.503-513
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    • 2018
  • The purpose of this study was to identify the effectiveness of oral care protocol including individual oral care education, cryotherapy and benzydamine gargling on oral cavity status and self-care performance in solid cancer patients receiving chemotherapy. Thirty-one patients were enrolled by convenience sampling in this study and allocated to control (n=18) and experimental group (n=13). In the intervention group, individual oral care education, oral cryotherapy and benzydamine gargling were applied, while the control group received pre-existed oral care. Oral cavity status and self-oral care behavior were measured in five periods. The data were analyzed using the Mann-Whitney test, Friedman test, and Chi-square test. There was no significant difference in oral cavity status between the groups. But the two groups showed the poorest oral cavity status on $14^{th}$ day. Self-care behavior was significantly higher in the intervention group than the control group. This effect had maintained for 4months after completion of study. The results showed that individual oral care education by oncology nurse is effective to encourage patients to do self-care behavior and a further study is needed to explore the effect of cryotherapy and benzydamine gargling on oral cavity status of patient with solid tumor.

Study of Effect on Interpersonal Communication Competence, Self-Efficacy, Social Skill from Nursing Students' Part Time Work Experiences (간호대학생의 아르바이트 경험이 의사소통능력, 자기 효능감, 사회적 기술에 미치는 효과 연구)

  • Sim, In-Ok;Song, Geon-Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.7
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    • pp.123-133
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    • 2016
  • The purpose of this study was to examine the part-time work experience of nursing students and its effects on their interpersonal communication competence, self-efficacy and social skills. The study subjects were 362 nursing students in areas S, B, G and G. The relationship between the nursing students' part time work. experience and their general characteristics was analyzed by the Chi-square (${\chi}^2$) test and Fisher's exact test. The interpersonal communication competence originating from the general characteristics, self-efficacy, and difference in the social skills standard among groups were analyzed by the t-test, and analysis of variance (ANOVA). Among the 326 participants, 91.7% had part-time experience and 8.3% had no part-time experience. There was a significant relation between the part-time experience and economic level. Those having a low economic level were more likely to have part time work experience. The interpersonal communication and social skills of the students who had part time work experience when they were middle school students were lower than those who had such experience after high school. Further research is needed to identify precisely the advantages afforded by the part-time work experience of the nursing students.

The Effects of Team-Based Learning on Fundamentals of Nursing (기본간호학 수업에서 팀기반 학습 적용 효과)

  • Kim, Soon-Ok;Kim, Mi-sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.107-119
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    • 2016
  • This research was explored the effects of the application of the team-based classes on the self-directed learning, the academic self-efficacy, and the level of learning satisfaction of the nursing students. Study subjects are 104 nursing students from one university from G region. The data were analyzed by t-test, one-way ANOVA, paired t-test, Pearson's correlation coefficients. With regard to the differences between the levels of the learning satisfaction, the differences were shown (t=4.410, p<.05). Regarding the self-directed learning, it rose to the average of 3.50 points after the application of the team-based learning from the average of 3.39 points. It showed a difference (t=-2.083, p=<.05). And the academic self-efficacy rose to 3.65 points from the 3.12 points after the application of the self-based learning. And it showed a difference (t=-14.175, p=<.001). The level of the learning satisfaction was shown to be over the middle with the average of 3.73 points. And the self-directed learning after the application of the team-based learning showed an academic self-efficacy (r=.512, p<.001), a level of the learning satisfaction (r=.421, p<.001), and a positive relationship. It was proven that the team-based learning can cultivate the capabilities for effectively solving the clinical problems.

A Study on the Curriculum Development for the Professional Hospice Nurse in Korea (한국 호스피스 전문간호사 교육과정 개발을 위한 기초조사)

  • 최의순;노유자;한성숙;김남초;김희승;박호란;안성희
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.1027-1035
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    • 1998
  • The purpose of this study is to develop the first domestic professional hospice educational program. We investigated the present condition of Korean hospice education and analyzed the prerequisite need for a dedicated hospice course in the professional education process. Research was conducted between June and November 1996 for nursing professors teaching at each nursing education institute to find out how much hospice is being discussed and by whom, in which course it is being discussed, and also to find out the contents that needed to be included in the professional education process. From a total of 49 colleges(29 three year colleges, 20 four year colleges) out of 99, 162 nursing professors replied, the collection rate was 49.5%. The conclusions are as follows ; 1. The present condition of the hospice nursing education. 1) Whether hospice is included in the education program. \circled1 89.65% of 3 year colleges and 90% of 4 year colleges included hospice education in their education program. \circled2 In graduate studies three schools included hospice in their program and three schools expressed their plans to include hospice education 2) Hospice related education were commonly discussed in adult nursing(26.3%), fundamental nursing(22.8%), and psychiatric nursing(20.2%). In 3 year colleges its commonly discussed in the first and second year and in 4 year colleges it is taught in the second and third year. 3) Hospice related theory/practical education hours were averages of 6.5/7.0 hrs in 3 year colleges and 14.2/11.3 hrs in 4 year colleges. 4) The majority of professors in charge of hospice education were in the following order adult nursing, psychiatric nursing, and fundamental nursing. 5) The courses that are thought to be adequate to manage hospice related education were adult nursing(29.3%), community health nursing(21.7%) and the desired method of education was the method currently being used (36.5%). 2. The demand for hospice nursing education. 1) Over 70% demanded professional hospice education program, the highest demand was for the value and meaning of life followed by the role and qualification of the hospice team and the mental maintenance of a dying patient. 25 categories showed over 90% demand. 2) The highest demand was for the value and meaning of life (98.2%) and the lowest demand were for danjeon breathing(71.0%)and acupuncture(71.0%). 3) Other contents that need to be discussed in the professional hospice education program were hospice nursing, the attitude and reaction of death, bereavement care, and the prospects of hospice.

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Critical Thinking Disposition, Problem Solving Process, and Simulation- Based Assessment of Clinical Competence of Nursing Students in Pediatric Nursing (간호대학생의 비판적 사고성향, 문제해결과정 정도 및 아동간호 시뮬레이션 기반 임상수행능력)

  • Kim, Sunghee;Nam, Hyuna;Kim, Miok
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.294-303
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    • 2014
  • Purpose: The purpose of this study was to identify the correlation of critical thinking disposition and problem solving process, and the simulation- based assessment of clinical competence based on a survey of college nursing students. Methods: In this descriptive correlation study, data for 214 nursing students were analyzed using t-test and Pearson correlation coefficients. Results: Critical thinking disposition, problem solving process, and simulation-based assessment of clinical competence averaged $3.76{\pm}0.46$ (out of 5), $3.67{\pm}0.47$ (5), and $1.51{\pm}0.17$ (2), respectively. A significant difference in scores for simulation-based assessment of clinical competence was found between the high-scoring group and low-scoring group in critical thinking disposition. A significant positive correlation was found between critical thinking disposition and nursing assessment, a sub-domain of clinical competence. Conclusion: The results suggest that success in simulation-based learning requires critical thinking disposition in the nursing students, and their critical thinking disposition plays a positive role in nursing assessment, which evaluates the patient's status in a complex situation. Simulation-based learning programs help assess the students' levels in their clinical judgement and performance, and identify their strengths and weaknesses so that the instructor can evaluate and improve the current teaching method.

병원 근로자의 요통에 관한 조사

  • Park, Eun-Ok
    • Korean Journal of Occupational Health Nursing
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    • v.2
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    • pp.60-70
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    • 1992
  • 본 연구는 병원 근로자의 요통의 정도와 관련 요인들을 파악하고자 1992년 12월 1일부터 1993년 1월 23일까지 병원근로자 961명을 대상으로 실시되었다. 조사내용은 요통과 요통의 동반증상, 요통의 관련요인인 인구사회학적 특성, 작업특성에 관한 것으로 인구사회학적 특성에는 성, 연령, 근무기간, 직종 등을 포함하였고, 작업 특성에서는 작업강도, 요부의 긴장 요구정도, 작업의 단순성 및 반복성, 물건이나 환자를 운반하는 정도, 밀기와 끌기의 정도, 증상 발생 시 휴식의 가능성 등과 작업 자세를 포함하였다. 자료수집방법은 본 연구자가 개발한 자가보고식 설문지를 이용하였다. 1. 전체 대상자 961명 중 59.5%가 요통을 호소하였으며, 요통호소자의 동반증상으로는'허리의 뻐큰함'이 78.7%로 가장 많았고, '다리가 저리다'가 59.1%였으며, '허리의 운동 장애'가 23.6%, '다리의 감각이상'이 20.3%인 것으로 나타났다. 2. 인구사회학적 특성에 따른 요통호소율을 비교해 본 결과, 첫째, 성별 요통호소율은 유의한 차이를 보였다(p<.05). 둘째, 요통호소군과 비호소군의 두 집단 간 평균연령에 유의한 차이를 보이지 않았으며, 연령별 호소율을 비교하였을 때, 가장 높은 요통호소율을 보인 집단이 25-29세 연령군으로 65.0%였으며, 가장 낮은 요통호소율을 보인 집단은 30-34 세 군으로 53.9%였다. 세째, 근무기간별 요통호소율을 비교해 보면, 10년 미만의 근무기간을 가진 군은 요통호소율에 별 차이를 보이지 않는데 반해, 10-12년 근무기간 군은 55.3%, 13년 이상의 근무기간 군은 47.9%의 요통호소율을 보이고 있어, 장기 근무자가 오히려 낮은 요통호소율을 나타내었다. 그리고 평균 근무기간의 비교에서 요통호소군이 낮은 근무기간을 보이고 있고, 두 집단 간의 차이는 유의하였다(p<.05). 네째, 직종 별로 요통호소율을 보면, 조리보조원(82.2%), 방사선 기사 (67.1%), 물리 치료사(68.2), 간호사(65.9%) 등의 순이었다. 3. 요통호소군과 비호소군의 작업특성을 비교한 결과, 첫째, 요통호소군이 바호소군에 비하여 본인의 작업이 힘들다고 느끼며, 유의한 차이를 보였다(p<.001). 둘째, 요통호소군이 허리의 긴장상태를 많이 요한다고 생각하였으며, 비호소군과 비교하여 유의한 차이가 있었다(p<.001). 세째, 요통호소군이 작업의 단순성이나 반복성을 더 심하게 느끼고 있었고, 유의한 차이를 나타내었다(p<.01). 네째, 요통호소군이 물건이나 환자를 운반하는 일을 더 많이 하는 것으로 나타났으며, 비호소군과 유의한 차이를 보이고 있었다(p<.001). 다섯째, 요통호소군이 비호소군에 비해 밀거나 끄는 일을 더 많이 하고 있는 것으로 나타났으며, 유의한 차이를 보였다(p<.001). 여섯째, 요통호소군에서 증상발생시 휴식이 더 가능하지 않은 것으로 나타났으며, 비호소군과 유의한 차이를 보였다(p<.001). 허리에 부담을 주는 작업의 특성을 전체적으로 파악하기 위하여 위의 여섯항목에 대해 각각 5점을 주어 전 항목의 점수 총합을, 요통이 있는 군과 요통이 없는 군으로 나누어 비교해 보았을 때, 요통호소군은 30점 만점에 24.34(${\pm}4.01$)이었고, 비호소군은 22.05(${\pm}4.18$)이었으며, 이들 두 집단 간에 유의한 차이가 있는 것으로 나타났다(p<.001). 일곱째, 작업 자세에 따른 비교에서 주로 한 자리에 서서 일을 하는 집단이 71.8%로 가장 높았고, 서서 부서 간이나 한 부서 안을 왔다갔다 하는 군이 다음으로 높고, 앉아서 일을 하는 군이 50.3%로 가장 낮았다.

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