• Title/Summary/Keyword: 구조화된 환자교육

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Importance awareness and Compliance on Patient Safety for Nurses Working in Operating Rooms (수술실간호사의 수술환자 안전관리에 대한 중요성인지도와 실천이행도)

  • Kim, Joung-Soon;Kim, Ju-Sung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5748-5758
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    • 2011
  • The purpose of this study was to evaluate the perceived patient safety, type of errors related to patient safety, importance awareness and compliance on patient safety for operating room nurses and to identify factors influencing compliance. Data were collected using a structured questionnaire from 191 perioperative nurses. Data were analyzed using descriptive statistics, t-test, paired t-test, ANOVA, Pearson correlation coefficients, and multiple regression. The perceived patient safety score was 6.3 as moderate level. Types of errors were mostly happened in patient injury (39.8%), counts (18.4%) and infection control (17.5%). The level of compliance on patient safety was significantly lower than that of importance awareness (t=18.01, P<.001). Compliance on patient safety showed significantly positive correlations to importance awareness (r=.56, p<.001). Experience of patient safety education, experience of errors in colleague, job position and working experience in hospital explained 13.9% of variance compliance on patient safety(F=8.407, P<.001). In conclusion, Hospital should develop education program related to patient safety, encourage nurses to manage safety protocol and ensure cultivating patient safety culture in the perioperative practice setting.

Related Factors to Health Behavior by Patients With Hyperlipidemia Based on Health Belief Model (건강신념모형에 기초한 고지혈증 환자의 건강행태 관련요인)

  • Lee, Eun-Sun;Na, Baeg-Ju;Lee, Moo-Sik;Lee, Jin-Yong;Hong, Jee-Young;Lim, Young-Shil
    • Proceedings of the KAIS Fall Conference
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    • 2011.05b
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    • pp.1057-1060
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    • 2011
  • 본 연구는 건강신념모형의 주요 변수와 고지혈증 환자의 건강행태와의 관계를 파악하여 고지혈증 환자의 건강행태를 촉진하고 더 나아가 만성질환 보건사업 및 교육프로그램을 계획하는데 기초 자료를 제공하고자 시도되었다. 자료는 2009년 07월부터 2010년 9월까지 총콜레스테롤이 240mg/dl 이상이고, 중성지방이 200mg/dl 이상으로 고지혈증을 진단받은 20세 이상의 성인 남녀 146명을 대상으로 구조화된 설문지를 이용하여 조사하였으며, SPSS WIN(14.0 한글판) 프로그램을 이용하여 Chronbach's alpha의 신뢰성 분석, 요인분석, 단변량 및 다변량 분석을 시행하였다. 본 연구의 결과는 다음과 같다. 첫째, 본 연구에서는 LDL-cholesterol, HDL-cholesterol, TG에 대한 인지수준 중 TG에 대한 인지가 가장 높았고, 3가지 모두를 인지한 경우는 28.08%였다. 또한 9가지 항목에 대한 고지혈증 지식수준은 9점 만점에 평균 6.51이었으며, 지식수준이 높을수록 건강행태수준도 높았다. 둘째, 요인분석을 통하여 10개의 건강행태를 2개 요인으로 재분류 하였다. 그 결과, 건강행태 요인 1은 '식이, 운동 습관 및 고지혈증 검사 및 관련 검사요인', 건강행태 요인 2는 '흡연, 음주 습관 및 고지혈증 치료 관련 요인'이었다. 건강행태 요인1에 유의한 관련성이 있는 건강신념변수는 심각성, 이득, 장애로 나타났고, 취약성은 상관 관계가 없는 것으로 나타났다. 각 신념 요인들과 건강행태 간의 상관되는 순서는 이득(r =.455), 심각성 (r=.38), 장애(r=-.244) 순으로 나타나 고지혈증에 대한 이득 인식이 건강행태 요인1과 가장 관련성이 높은 것으로 파악되었다. 그러나, 건강행태 요인2는 건강신념변수와 관련성이 없는 것으로 나타났다. 셋째, 행동계기에 따른 건강행태의 관계를 살펴보면, 교육을 받았을 때 건강행태 요인1과 요인2에 모두 유의한 차이를 보이는 것으로 나타나, 교육이 고지혈증 환자의 건강행태에 중요한 영향을 미치는 것을 보여 주었다. 넷째, 다중회귀분석 결과 고지혈증 건강행태 요인1에 영향을 미치는 요인 중 유의한 요인으로 인지된 심각성 및 이점 신념요인, 교육여부, 보건소 교육정도 이었다. 건강행태 요인2에서는 성별, 연령, 교육여부가 유의한 영향을 미치는 요인으로 나타났다. 이상의 결과를 종합하면 건강신념모형이 고지혈증 건강행태를 예측하는데 적합한 모형이라고 판단 할 수 있으며, 건강행태 요인 특성에 따라 건강신념변수 중 고지혈증 예방에 대한 이득을 높이 인식할 수 있도록 프로그램과 교육목표를 설정하면 보다 효과적인 교육이 될 것이라 생각된다.

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A Study on the Relationships among Perception about Patient Safety Culture, Patient Safety Competence, and Safety Nursing Activities of Emergency Room Nurses (응급실 간호사의 환자안전문화에 대한 인식, 환자안전역량, 안전간호활동 관계)

  • Kim, Mi Jung;Kim, Jong Kyung
    • The Journal of the Korea Contents Association
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    • v.17 no.10
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    • pp.268-279
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    • 2017
  • The purpose of this study was to investigate the relationship between recognition about patient safety culture, patient safety competence, and safety nursing activities for emergency room nurses. The subjects of this study were 121 nurses working in the emergency room among the nurses with more than one year working in 9 general hospitals. The research tools were structured questionnaires of patient safety culture, patient safety competence, and safety nursing activities. As a result of this study, the perception of the patient safety culture was 3.51 out of 5, and the patient safety knowledge / attitude at the individual level was the highest. Patient safety competence was 3.60 points out of 5, and sub-domain showed 3.91 for attitude, 3.47 for skill, 3.24 for knowledge. Safety nursing activities showed 3.85 points out of 5 points and sub-area showed the highest level of medication. There was a positive correlation between safety nursing activities and patient safety culture(r=.40, p<.001), patient safety competence, and safety nursing activities(r=.70, p<.001), patient safety competence and patient safety culture(r=.40, p<.001). Especially, it was found that among the characteristics showing differences in the perception of the safety culture, patient safety competence, and safety nursing activities, the safety education within the last one year was influential. The lowest score in the knowledge domain was found to be the lowest among sub-scales of patient safety competence, and it was found that efforts to increase the knowledge level of patient safety were needed.

A Convergence Study on the Patient Safety of Nursing Students who have experienced Clinical Practice (임상실습을 경험하는 간호학생의 환자안전에 관한 융·복합연구)

  • Park, Jeong-Eun
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.88-97
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    • 2019
  • This study was conducted to identify factors affecting patient safety management (PSM) of nursing student's who have experienced clinical practice. The study subjects were 232 nursing students in five universities in five cities. Data were collected between June 17 and July 30, 2019 using by completing structured self report questionnaires. Data were analyzed using T-test, ANOV A, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 22.0. In correlation ana lysis, significant positive correlations were found between PSM practice, PSM importance awareness (r= .42, p<.001), PSM knowledge(r= .29, p<.001), and PSM attitude(r= .35, p<.001). In multiple regressi on analysis, PSM importance awareness(β=.19, p<.001) was factor predicting PSM practice of nursing students, which explained 36.2% of the variance in the model. Thus, we emphasize that continuing PSM education at the university is required to improve PSM competency.

Convergence Study on the Factors Influencing Confidence in Performing Patient Safety Management of Nursing Students (간호대학생의 환자안전관리 수행자신감 영향요인에 관한 융합적 연구)

  • Park, Jeong-Eun
    • Journal of Convergence for Information Technology
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    • v.11 no.6
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    • pp.73-82
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    • 2021
  • This study was conducted to identify factors influencinging confidence in performing patient safety management (PSM) of nursing students. The subjects of this study were 230 nursing students in four universities in two cities. Data were collected between June 22 and June 26, 2020 using by completing structured self report questionnaires. Data were analyzed using SPSS/WIN 21.0. programs. In correlation analysis, significant positive correlations were found between confidence in performing PSM, PSM knowledge(r=.321, p<.001), PSM attitude(r=.584, p<.001), and clinical decision making ability(𝛽=.460, p<.001). In multiple regression analysis, PSM attitude(𝛽=.35, p=.005) and clinical decision making ability(𝛽=.23, p<.001) were factors predicting confidence in performing PSM, which explained 34.2% of the variance in the model. Therefore, we emphasize that continuing customized convergence educational programs are required to improve nursing student's confidence in performing PSM.

Awareness of Patient-Centeredness and Transitional Care Services for Older Patients Among Primary Care Physicians in Korea (일차진료 의사들의 환자중심성 및 노인환자 대상 전환기 돌봄서비스 인식)

  • Dronina, Yuliya;Kim, Su Kyoung;Jo, Heui Sug
    • Journal of agricultural medicine and community health
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    • v.47 no.3
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    • pp.143-153
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    • 2022
  • 목적: 병원에서 재가 및 시설로 퇴원한 환자가 지역사회에서 건강을 유지하기 위해서는 전환기 돌봄서비스(Transitional care services)가 필요하다. 이를 위해 지역사회 내 의료서비스와 자원을 연계하는 주치의의 역할이 중요시된다. 본 연구에서는 선행연구를 바탕으로 일차진료 의사들의 환자중심성에 대한 인식을 파악하여 환자중심 기반의 서비스 제공을 위해 필요한 정책을 제시하였다. 또한 Transitional Care Service에 대한 일차진료 의사들의 인식을 확인하고 인구사회학적 요인과의 관계를 확인함으로써 서비스 우선순위를 도출하고자 하였다. 방법: 본 연구는 전국의 가정의학과, 내과, 신경과 등 노인 질환과 관련 있는 과의 전문의 자격증이 있으며 자발적으로 온라인 설문조사에 참여할 의사를 표현한 일차진료 의사 259명을 대상으로 수행되었다. 환자중심성 및 전환기 돌봄서비스에 대한 인식을 살펴보기 위해 구조화된 설문지를 개발하였으며, 조사전문업체를 통해 2019년 10월 28일부터 2019년 11월 22일까지 온라인으로 설문조사를 수행하였다. 결과: 본 연구에 대한 주요 결과는 다음과 같다. 첫째, 일차진료 의사들을 대상으로 9가지 전환기 돌봄서비스 인식에 대해 살펴본 결과 "입원 시 진단, 건강상태, 치료계획 및 결과 에 대한 설명(4.4)"과 "퇴원 후 자가 건강관리를 위한 정보 및 훈련 (4.2)"에 대한 필요성이 높게 나타났다. 둘째, 35세 이상 일차진료 의사가 34세 이하 일차진료 의사보다 전환기 돌봄서비스에 대한 인식이 높게 나타났다(F=7.3, p<0.01). 또한, 환자중심성에 대한 인식이 높을수록, 연령이 높을수록, 서울 외 지역에서 근무할수록 전환기 돌봄서비스에 대한 인식이 높게 나타났다. 결론: 본 연구에서는 일차의료를 제공하는 의료진들을 위한 교육프로그램과 지역사회에서 일차의료 의사들을 중심으로 하는 지역 연계 방안을 제시하였다는 점에서 의의가 있다.

The Effects of Educational Program for Anti-cancer Chemotherapy on the Patients' Needs and Satisfactions about Nursing Activities (구조화된 항암화학요법 교육이 암환자의 간호요구도와 만족도에 미치는 효과)

  • Park Ho Ran;Park Bo Sung;Bae Young Ran
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.325-336
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    • 2002
  • The purpose of this study is to investigate the effects of educational programs on the needs and satisfaction level of nursing activities related with patients receiving anti-cancer chemotherapy. The subjects, 85 cancer patients who were admitted at St. Mary's hospital, who had taken chemotherapy between January and March, 2001 were selected for the study. Of the subjects educational program was applied to 43 patients and the other 42 patients remained and the control group. Educational booklets developed by investigators were validated by a group of judges consisted of nursing professors, physicians and head nurses. Cronbach's $\alpha$ for measurement tools used in this study were 0.96 - 0.98. The results of the study were as follows: 1. Satisfaction scores for received nursing activities m the experiment group were higher than that in the control group. 2. Needs scores for nursing in the experimental group showed no significant differences compared to the control group. The two groups showed different satisfaction levels in different categories of nursing: physical. educational. therapeutic and socio-psychological, in which the therapeutic category scored the highest. 3. Due to the general characteristics. there were no variables to affect the degree of nursing need regarding the two groups. However, in satisfaction level of nursing services, there was a contrary phenomenon between the two group relating to education level (p=0.03). Patients with higher educational levels tend to be more satisfactory. The results strongly indicated that educational program is effective in increasing the satisfaction of patients receiving anti-cancer chemotherapy.

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The Study on the Knowledge and Attitude of Smoking, and Smoking Cessation Recommendation Among Nursing Students (간호학생의 흡연지식 및 태도, 금연권고에 대한 연구)

  • Oh, Hyo-Sook
    • Journal of Digital Convergence
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    • v.11 no.2
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    • pp.365-374
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    • 2013
  • This study was performed to find out the knowledge and attitude of smoking, and smoking cessation recommendation among nursing students. The data were collected from 529 nursing students being at three colleges in Gwangju city through structured questionnaire from 1 to 30 October 2012. In results, the smoking cessation recommendation showed statistically significant differences in grading, residence, subjective health perception, recognition about smoking, present smoking, assessment experience of smoking history, experience of smoking cessation recommendations, and participation intention of smoking cessation intervention education. The smoking cessation recommendation had correlated with smoking knowledge and smoking attitude. In multiple regression analysis, the participation intention of smoking cessation intervention education, the attitude and knowledge of smoking, and experience of smoking cessation recommendation were significant factors of the smoking cessation recommendation explaining 15.5% of the variables. To enhance recommendations of smoking cessation for patients, there are necessary to enforce smoking cessation intervention program for nursing students and increase the experience of smoking cessation intervention recommendation of nursing students in clinical practice.

Influencing Factors of Nursing Performance for Life Care of Delirium Patients among Nursing Students (섬망환자의 라이프케어를 위한 간호학생의 섬망간호 수행 영향요인)

  • Oh, Hyo-Sook;Chang, Mi-Young
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.4
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    • pp.401-410
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    • 2019
  • This study was conducted to identify factors affecting nursing performance of delirium among nursing students. A total of 252 fourth year students were recruited from nursing department in Gwangju. Structured questionnaire was self-administrated from April to September, 2017. The used statistical analysis were t-test, ANOVA, Pearson's coefficient and multiple regression analysis. Knowledge of delirium 29.0±7.24, self-confidence in the care for delirium 71.65±28.55 and nursing performance level for patients with delirium was 41.16±8.97. Nursing performance of delirium had significant positive correlations with delirium knowledge, self-confidence of delirium care. In multiple regression analysis, nursing experience for delirium patients, self-confidence of delirium care, practice experience in intensive care unit, use of nursing diagnosis related to delirium, and satisfaction of clinical practice were significant factors of nursing performance of delirium explaining 29.8% of the variables. In conclusion, to enhance nursing performance of delirium, it is necessary to develop educational program for increasing nursing experience for delirium patients during clinical practice and self-confidence of delirium care.

A Study on the Information Behavior of Older Adults with Diabetes (노인 당뇨병 환자들의 정보행태에 관한 연구)

  • Kim, Jeong-A;Chang, Hye-Rhan
    • Journal of the Korean Society for information Management
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    • v.33 no.1
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    • pp.197-223
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    • 2016
  • The purpose of this study is to understand information behavior of older adults with diabetes. After reviewing previous research, related factors are identified and a questionnaire was devised. The structured interview was administered to the aged 60 and over in the B hospital (N=543). Data about awareness of the disease, health literacy, information environment, information need, information seeking, information use, information service, and personal background are collected and analyzed descriptively. Relationship between variables are examined and hypotheses are tested to find factors affecting information behavior. The level of the awareness of the disease and health literacy appeared to be low. It is proved that awareness of the disease is a factor affecting information need and information use. Health literacy affects information use. There is a statistical significant difference between information need and information use by disease education and duration. There is also a statistical significant difference between information use among groups divided by information environment, sex, age, and education. Based on the results, campaign to raise disease awareness, marketing promotion about information support facilities, customized information service for older adults are suggested.