• Title/Summary/Keyword: 근거-중심 간호

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A Convergence Work Experience of Nursing Students under Preceptorship (간호대학생의 프리셉터십 융복합 실습 경험)

  • Nam, Mun-Hee;Kim, Hae-Ok
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.283-300
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    • 2017
  • This study is to understand the work experiences of nursing students under preceptorship in 3+1 year program, and suggests effective practice to prevent stopping nursing profession. Four focus group interviews were made with 23 nursing students in 3+1 year program. Data were analyzed through the grounded theory of Corbin and Strauss' (2008). Through comparative analysis, central phenomenon of was 'looking for lighthouse'. The causal condition was 'opportunity to learning practice'. Contextual conditions were 'mood of being a true nurse', 'getting vivid information about clinical field', and 'lack of students perception about preceptorship'. Intervention conditions were 'work environment', 'proactive learning' and 'attachment to the hospital'. Action/interaction strategies were 'adjustment to diverse demands of patients and guardians', 'feeling as if it were one's own affair', and 'looking as much as knowing'. Consequence were 'pride' and 'itinerary of learning as a new graduate nurse'. This study is meaningful because it gives useful basis to nursing students in the process of 'looking for lighthouse'.

Effectiveness of Developing and Applying Problem Based Learning: Self-Directed Learning Ability, Critical Thinking, Communicative Ability, and Problem Solving Skills of Nursing Students (문제중심 학습과정 개발 및 적용 효과: 자기주도학습능력, 비판적 사고, 의사소통능력, 문제해결능력 중심으로)

  • Park, Hyun Joo;Byun, Shang Hee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.627-636
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    • 2023
  • This study was conducted to lay the basis of the need of the self-directed learning ability, critical thinking, communicative ability, problem solving skills for nursing students by confirming the effect of problem based learning classes of nursing students. The data collection period was from March 1 to June 7, 2022. It was provided problem based learning classes to 165 nursing students located at B city. Problem based learning classes were conducted at total of 14 times, and 100 minutes/time. The collected data were analyzed using the frequency and percentage, Cronbach's α, mean and standard deviation with the SPSS Win 21.0 program, and the effectiveness verification of problem based learning classes was analyzed with a paired t-test. As a result of the effectiveness of the problem based learning class, the self-directed learning ability(t=-2.08, p=.039), critical thinking(t=-2.49, p=.014), communicative ability(t=-4.90, p<.001), problem solving skills(t=-4.84, p<.001) of nursing students who took 14 weeks of problem based learning was enhanced. Based on the results of this study, by applying it in various ways to first-year nursing students, it will be possible to use them to improve their competence, major satisfaction, and adapt to college life.

Analysis of Research Papers Published in the Journal of the Korean Academy of Nursing-Focused on Research Trends, Intervention Studies, and Level of Evidence in the Research (최근 2년간 Journal of Korean Academy of Nursing 게재논문 분석-연구 동향, 실험중재, 연구의 근거등급을 중심으로)

  • Shin, Hyun-Sook;Hyun, Myung-Sun;Ku, Mi-Ok;Cho, Myung-Ok;Kim, Sook-Young;Jeong, Jea-Sim;Jeong, Geum-Hee;SeoMoon, Gyeong-Ae;Son, Youn-Jung
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.139-149
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    • 2010
  • This study aimed was done to analyze recent trends in nursing research published in the Journal of Korean Academy of Nursing by focusing on the content of nursing interventions and their level of evidence. Methods: A total of 209 studies published between 2007 and 2008 were reviewed using analysis criteria developed by the researchers. Results: The number of quantitative studies was greater than that of qualitative studies. There was a slight increase in the number of qualitative studies and studies including elderly populations, which reflects the recent population trend in Korea. More randomized controlled trials with a low risk of bias were needed to support more evidence-based nursing practice. Concerning the low rate of ethical consideration, stricter application of research ethics needs to be encouraged. Conclusion: The findings of this study suggest the recent trends in nursing research and the direction of nursing research and review in the Journal.

Nurses' Knowledge and Performance for the Prevention of Intravascular Catheter-related Infections according to the Strength of Recommendations of Evidence based Guidelines (정맥관 감염예방 근거중심 가이드라인의 권고강도 별 간호사의 지식 및 수행정도)

  • Ryu, Se-Ang;Kim, Yun-Hee;Jang, Keum-Seong;Chung, Kyung-Hee;Choi, Ja-Yun;Yang, Jin-Ju;Park, Soon-Joo
    • Korean Journal of Adult Nursing
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    • v.24 no.5
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    • pp.546-555
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    • 2012
  • Purpose: The objective of this study was to examine the relationships between nurses' knowledge and performance for the prevention of intravascular catheter-related infections (ICRI) according to the strength of recommendations in evidence based guidelines (EBG). Methods: The total participants were 144 nurses working for medical surgical unit and intensive care unit. Data were collected from July 12 to July 30, 2010 and analyzed by one way ANOVA and Pearson's correlation analysis. Results: The knowledge and performance mean scores were $0.80{\pm}0.17$ and $3.04{\pm}0.31$ for peripheral venous catheter (PVC) management, and $0.83{\pm}0.17$ and $3.00{\pm}0.30$ for central venous catheter (CVC) management respectively. The items of category IA had the highest knowledge score (F=44.70, p<.001) and the items of category II had the highest performance score (F=47.09, p<.001) in PVC management, while the items of category IA had the highest knowledge (F=20.04, p<.001) and performance scores (F=18.20, p<.001) in CVC management. Knowledge and performance scores were significantly correlated in CVC management (r=.24, p=.004), but not in PVC management (r=.03, p=.753). Conclusion: EBG for the prevention of ICRI was not fully implemented in clinical settings. These findings emphasize that clinical professions need to develope strategies to enhance nursing practices with evidence based guideline.

Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room (응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발)

  • Jeong, Min-Jin;Shin, Hyun-A;Kim, Yun-Hee;Lee, Jee-Hyang;Lee, Seung-Ja;Song, Mi-Ra
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.

Evidence-based Clinical Practice Protocol of Physical Restraints by Adaptation Process for Patients in a Geriatric Hospital (요양병원 입원 노인을 위한 신체 억제대 프로토콜의 수용개작)

  • Park, Mi Hwa;Sohng, Kyeong-Yae
    • The Korean Journal of Rehabilitation Nursing
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    • v.19 no.2
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    • pp.118-127
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    • 2016
  • Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

Analysis of the Nursing Interventions Performed by Hospital Nurses Using NIC (간호중재분류(NIC)에 근거한 간호중재수행분석 I -병원 간호사를 중심으로-)

  • 염영희
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.346-360
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    • 1999
  • The purpose of this research was to identify nursing interventions performed by hospital nurses in Korea. The sample consisted of 311 nurses working in three hospitals. The Nursing Interventions Use Questionnaire developed by the Iowa Intervention Project team was used for data collection. The instrument was translated to Korean using the method of back-translation. Eighteen interventions were performed at least daily. Interventions in the Physiological : Basic domain were most frequently used at least daily. No interventions in the Family and Behavioral domains were used by nurses at least once a day. The most frequently used interventions was Documentation, followed by the interventions Medication : Parenteral, Intravenous(IV) Insertion, Temperature Control, and Shift Report. The intervention performed least often was Reproductive Technology Management. Nurses working in intensive care units on the whole performed interventions most often, while nurses working in obstetric, gynecological, and pediatric units performed them least often. The nurses working in intensive care unit, medical and surgical care units performed the interventions in the Physiological : Basic domain more often than the nurses working in obstetric, gynecological, and pediatric units. The nurses working in obstetric, gynecological, and pediatric units used the interventions in the Family domain more often than the nurses working in the other three units. This study contributes to the documentation of nursrs' work in Korea. Further study will be needed to validate nursing activities of each NIC intervention.

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The Causal Relation between Turnover Intention and Job Factors of Hospital Workers - Focused on Comparison between of Medical Administration and Nurses Jobs- (병원종사자의 이직의도와 직무요인 간의 인과관계 -진료행정직종과 간호직종을 중심으로-)

  • Kim, Woon-Shin
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2016.07a
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    • pp.151-153
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    • 2016
  • 본 논문에서는 병원조직에서 종사하는 진료행정직종과 간호직종을 대상으로 그들의 이직의도와 직무요인 사이의 인과관계를 통해 이직 또는 잔류의도에 영향을 미치는 동기요인과 위생요인을 분석하고, 그 결과를 근거로 이직감소 방안을 제시하고자 한다. 연구의 표본은 광주광역시 소재의 중소병의원에서 근무하고 있는 진료행정직종과 간호직종만을 대상으로 실시하고자 한다. 연구결과를 예측을 하면, 진료행정직종과 간호직종 사이에는 직무특성의 차이에 따른 이직의도 수준은 유의한 차이가 있을 것으로 보이며, 직무환경과 이직의도 간에 유의한 차이가 있을 것으로 예측해 볼 수 있다. 또한 두 직종의 감정노동 강도와 이직의도 사이에 통계적으로 인관관계가 존재할 것으로 예측할 수 있다. 따라서 본 연구에서는 가설에 대한 실증검증을 통해 진료행정직종과 간호직종에서 인지하는 직무요건 중 동기요인과 위생요인을 파악하고, 두 요인이 이직의도와 어떤 인과관계가 있는지를 분석하여 두 직종의 이직률을 낮출 수 있는 방안을 제시하고자 한다.

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Customized Nursing Care Types and Process;Focusing on Home Care Services (맞춤간호유형 및 과정;가정간호서비스를 중심으로)

  • Kang, So-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.1
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    • pp.13-25
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    • 2008
  • Purpose: The study aimed at providing better understanding of the way of carrying out nursing practice tailored to meet patient's individuality, and types of customized care in home care settings. Method: This study was conducted with qualitative design, using a grounded theory method. The directors of the home care department at three general hospitals nominated 12 staff nurses who had the experience of customized care. The data were collected using interview and field observation, and analyzed line-by-line with steps of coding. Result: The core category of customized care was 'caring in a precise manner suited to patient's individuality'. The central phenomenon was 'desire to do more for patient'. The action and interactions were: (a) knowing a patient all the more, (b) making a special relationship to a patient, (c) designing care alternatives reflecting individuality, and (d) performing the care alternatives reflecting individuality. Three types of customized care were the following: (a) completion of customized care, (b) an attempt to customized care, and (c) abandonment of working for customized care. Conclusions: The knowledge of customized care would be based on development of nursing practice program focusing on patient' individuality, and instrument development necessary for further research on care customization.

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Experience of Nursing Professionalism among Nursing Students after Simulation-based Education: Focused on finding from a focus group interview (시뮬레이션 기반 실습 교육을 통한 간호학생의 간호전문직관 인식 경험: 포커스 그룹 인터뷰를 중심으로)

  • Lee, Eunhye
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.268-279
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    • 2020
  • This study was undertaken to identify nursing professionalism perceptions among nursing students who had completed a semester of simulation-based education, and to provide the basis for presenting direction of the simulation curriculum that helps in the emergence of a positive nursing professional in future. Data obtained from focus group interviews of study participants determined 17 semantic categories and 6 themes through the process of identifying, comparing, and categorizing meaningful concepts. The perception of nursing students regarding the profession after simulation-based education include 'realization of professionalism', 'ethics and emotions as professional human subjects', 'cultivation of communication skills', 'integrative thinking for problem solving', and 'foundation', and also the importance of a 'foundational knowledge body' and 'reflection of self-capacity'. The results of this study reflect on 5 intuitional areas of a nursing professional: professional self-concept, social awareness, nursing expertise, nursing room role, and independence of nursing. The results of this study indicate that in order to enable nursing students to experience nursing professional intuition through simulation-based hands-on training, it is necessary to actively revise and apply courses for the development of a positive nursing professional intuition through simulation education.