• Title/Summary/Keyword: 분만실

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Experience on Delivery Room Practice of Male Nursing Students (남자간호학생의 분만실 실습경험)

  • Jung, Ok-Bun;Park, Hyun-Joo
    • Women's Health Nursing
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    • v.17 no.1
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    • pp.64-76
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    • 2011
  • Purpose: This study was to understand the meaning of experience in delivery room practice of male nursing students. Methods: This is qualitative research using focus groups. Data were collected by group interviews from May 22 to June 20, 2010. The focus group interviews were conducted to 14 male nursing students who had experience clinical practice in delivery room. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. Results: Five theme clusters were identified from thirteen themes and twenty four sub-themes. The five theme clusters were 1) cultural perception of gender role, 2) perceived reality of male nurse, 3) difficulty in approaching clients, 4) counter-educational environment, 5) insight and new perception. Conclusion: For the purposes of remedying male nurse students' problems experienced during clinical practice in delivery room, it seems that there is a need for reeducating nurses' perception of male nurse students and develop programs specially dedicated to clinical practice of male nurse students.

Male nursing students' Practicum Experiences on Delivery Room (남자 간호학생의 분만실 실습 체험)

  • Kim, Kyoung-Ah;Won, Mi-Hwa;Shin, Sun-Hwa;Go, Gee-Youn;Choi, Junkyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.2
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    • pp.458-469
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    • 2016
  • The special education setting in nursing practicum is required for male nursing students to become professional registered nurses. Therefore, this study identifies how male nursing students find and recognize the meaning of the practicum in a delivery room. Eight male nursing students were selected randomly in junior and senior grade. They had finished delivery room practicum within a month and were interviewed from Jul. 20th, 2012 to Dec. 28th, 2012 until the narrative data were fully saturated. The phenomenological method of Colaizzi was used. Thirty themes, nine theme clusters, and three categories were identified. The three categories were frightened in the 'female privacy first' environment, sexual inequality for male students, and only one observation chance of the delivery process. From this study, male students did their best against the gender role and female-only field. A strategy to improve the image of professional nursing is required to enlighten the social conventions regarding the gender role. In addition, multilateral efforts are expected to eliminate the gender discrimination in the nursing education system to establish the correct role of professional registered nurses.

건강관리 사례담56-정신박약아

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.14 no.12 s.145
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    • pp.2-5
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    • 1990
  • 지금 이 순간에도 어느 병원 분만실에서는 탄생의 기쁨을 알리는 아이의 울음소리가 우렁차게 울려나고 있다. 그러나 그중에는 결코 기쁨만으로 느껴지지 않는 울음소리가 있다. 선천성 대사이상으로 인한 정신박약아의 출생. 우리나라에서만 1년에 300명 정도라고 한다. 그러나 더더욱 안타까운 것은 신생아기에 발견만 되었으면 정신박약아로의 성장이 아닌 정상인으로의 성장이 가능함에도 이들이 방치되고 있다는 사실이다. 이미 모든 신생아에게 선천성 대사이상 검사가 실시되고 있는 선진각국의 추세를 감안, 몇 년 전부터 국내에서도 제기되고 실시되기 시작한 이 검사가 현재 어느 정도까지 주진되었는지를 이번호에서 알아보기로 한다.

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Effects of Doula Support in LDR (Labor-Delivery-Recovery) on Anxiety, Labor Pain, and Perceived Childbirth Experience of Primiparas (일개대학병원 가족분만실에서 듈라(Doula)식 분만지지간호가 초산부의 불안, 분만통증 및 분만경험지각에 미치는 효과)

  • Park, Kwang Hee;Choi, Jung Sun;Lee, Jeong Hwa;Jin, Bo Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.87-97
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    • 2008
  • Purpose: The purpose of this study was to evaluate the effects of Doula support during labor on anxiety, labor pain, and perceived childbirth experience of primiparas. Method: Of 65 primiparas who were hospitalized in LDR from March 1 to September 30, 2007. 32 women were placed in the Doula group and 33 in the control group. VAS was used to measure the degree of labor pain and anxiety in the latent, active, and transitional phases. Perceived childbirth experience was measured within 2 hours after birth. Results: The Doula group had a significantly lower anxiety level than the control group in the active phase (t=-2.13, p=.04) and the transitional phase (t=-3.99, p=.000). The degree of labor pain of the Doula group was significantly lower than that of the control group for the active phase (t=-3.10, p=.003) and the transitional phase (t=-7.24, p=.000). Also, There was no significant difference in perceived childbirth experience between the two groups (t=.19, p=.85). Conclusion: The results of this study show Doula support in LDR decreases not only anxiety of primiparas but also labor pain in the active and transitional phases. Therefore Doula support by nurses in LDR can be a useful intervention during childbirth.

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Analysis of Activities and Services of Delivery Room Nurses Based on DACUM Technique (데이컴기법을 활용한 분만실 간호사의 업무활동 분석)

  • Kim, Hyun Ju;Lim, Jung Soon;Choi, Sun Mi;Park, So Hee;Park, Soo Hye;An, Seong Eun;Kim, Hee Jung;Kim, Eun Sil;Jung, In A;Kim, Soo
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.319-334
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    • 2015
  • Purpose: The aim of this study was to analyze various nursing services of delivery room nurses by hospital level, and identify importance and frequency to provide baseline data to establish delivery room nurses' roles. Methods: Through DACUM analysis technique, service descriptions, duties, and tasks were derived from the literature. A survey was done of 242 nurses from delivery rooms of hospitals, general hospitals, superior general hospitals, and special hospitals. Importance and frequency of each service were measured using a 4point scale, and results were analyzed using SPSS. Results: Nursing services for delivery room nurses consisted of 18 duties and 86 tasks. Duties with the highest importance were 'labor support' and 'infection management', and those with lowest importance were 'collaborative care' and 'communication'. The duty with the highest frequency was 'labor support', and lowest frequency was 'communication'. There were differences between importance and frequency depending on the size of hospitals. Conclusion: Results of this first study on nursing services of delivery room nurses. delivery room nurses are performing a wide range of nursing services and the various types are clarified including importance and frequency.

Effects of Clinical Practice and Simulation-Based Practice for Obstetrical Nursing (분만 간호에 대한 시뮬레이션 실습교육과 병원 분만실 실습교육의 효과)

  • Kim, Sun-Ae;Lee, Sun-Kyung;Chae, Hyun-Ju
    • Women's Health Nursing
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    • v.18 no.3
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    • pp.180-189
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    • 2012
  • Purpose: The purpose of this study was to evaluate the effects of clinical practice and simulation-based practice for obstetrical nursing in terms of self-efficacy, practice satisfaction, and practice stress. Methods: A non-equivalent control group post test design was used. The participants were 171 junior nursing students, 103 in the experimental group, and 68 in the control group. Simulation-based practice consisted of nursing assessment during labor, nursing assessment and intervention for normal and high risk mother, nursing education for mother and family during labor, and open lab. The experimental group participated in simulation-based practice for two days and the control group participated in clinical practice at delivery room for two weeks. Results: The experimental group showed higher level of self-efficacy (p= .043), practice satisfaction (p<.001) and practice stress (p=.003) compared to the control group. Conclusion: Simulation-based practice is an effective learning method for obstetrical nursing and can be used as the alternative for clinical practice. However, stress management strategies are needed for simulation-based practice.

Contactless Access Certification Management System for Infection Control in Special Rooms in Medical Institutions (의료기관 특수실 감염관리를 위한 비접촉 출입인증 관리 시스템)

  • Lee, Hyo-Seung;Choi, Woo-Jin
    • The Journal of the Korea institute of electronic communication sciences
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    • v.17 no.2
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    • pp.387-392
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    • 2022
  • In addition to complying with access standards for facilities that require infection control (operating rooms, delivery rooms, intensive care units, etc.) in accordance with the 2019 Medical Care Act Enforcement Regulations, entry, exit, contact information, etc. for entry and exit, the criteria for entering and exiting special rooms of medical institutions have been revised so that records of facts are kept for one year. However, even now, the inconvenience continues due to the fact that such contents are created by hand or due to errors. For this reason, this study designed and implemented a system that provides automatic opening, closing, and accessing record storage functions for authorized users using IoT devices and UWB technology, and we expected that the convenience of the visitors and systemized access control will be possible.

The Research about Expected Hospital Management in Gynecology area based on the Medical Information Record of a University Hospital (일개 대학병원 의무기록정보 통계를 활용한 산부인과 병원경영 예측에 관한연구)

  • Kim, Kwang-Hwan
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.195-197
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    • 2009
  • 본 연구는 산부인과 내원환자에 대한 미래경영 예측하고자 한 대학병원 의무기록정보통계를 활용하여 외래환자, 입원환자 및 분만관련 자료를 분석한 결과 다음과 같다. 신환환자의 경우 평균 140.9명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 212.6명이던 것이 최종년도(2007)에는 80.9명으로 약 140여명의 환자가 감소하였다. 입원 실인원의 경우 평균 124.6명이었며, 각 연도가 증가함에 따라 유의하게 감소하는 경향을 보였으며(p=0.000), 최초년도(2001)에 144.6명이던 것이 최종년도(2007)에는 104.8명으로 약 40여명의 환자가 감소하였다. 입원 환자 특성 및 분만관련 요인 등의 변수를 독립변수로, 입원환자수를 종속변수로 하여 다중회귀분석을 실시하였다. 그 결과, 입원환자수에 영향을 미치는 요인으로는 신환, 연인원 분만수 등이 선정되었으며 이들의 설명력은 62.8%이었다. 이상과 같은 결과 병원은 마케팅보다 환자관리라는 서비스가 우선되어야 하지만 환자 유인 효과도 현재 무시할 수 없으며 이는 환자의 병에 대해 관심을 써주는 병원의 배려가 신뢰로 연결될 수 있을 것이다.

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The Effect of Feed Additives Supplement on Prerpartum and Postpartum Feed Intake, Milk Production and Metabolic Disorders of Dairy Cows (전환기 젖소의 사료첨가제 급여가 사료섭취량, 산유량 및 대사성장애 발생에 미치는 영향)

  • Kim, H.S.;Jung, H.Y.;Lee, H.J.;Ki, K.S.;Cho, Y.M.;Ahn, B.S.;Lee, S.S.
    • Journal of Animal Science and Technology
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    • v.44 no.5
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    • pp.561-572
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    • 2002
  • The objective of this study was to evaluate a feed additives used mainly in lactating cow diets in transient pregrent cow diets. The study was conducted as a completely randomized design with forty Holstein pregnant cows to determine the effect of feeding Aspergillus oryzae(T2), Saccharomyces cerevisiae mixture(T3) and enzyme(cellulase, xylanase) - releasing chemicals(ERC) (T4) on the dry matter intake, milk yield, milk composition and metabolic disorders. Dry matter intake was similar among treatments for 3 weeks prepartum but cows fed enzyme tended to increased feed intake compared to no additives treatment both in calving day and for 3 weeks postpartum. Cows fed Aspergillus oryzae, Saccharomyces cerevisiae and ERC produced more milk than those fed no additives. However, there is no significant difference among treatments. Concentration of glucose was not significantly different among treatment prepartum but that in plasma of cows fed ERC was higher at calving and 3 weeks postpartum compared to others. Increase in NEFA began at 3 weeks prepartum and accelerate during the final 7 days before calving at all treatments but lower for ERC-treated cows at calving and 3 weeks postpartum. Ca concentration not different among treatment prepartum and postpartum. Corticoid content decreased significantly for cows fed ERC compared to those fed non-additives. Metabolic disorder was not occurred in cows fed ERC. However, ketosis and displased abomasum were happened 1 cow when fed non-additives, metritis 1 cow when fed Aspergillus oryzae and retained placenta 1 cow in all treatments except cows fed ERC.

Cost Analysis of Nursing Services in the Delivery Room Using Activity-Based Costing (활동기준원가시스템을 이용한 분만실 간호활동 및 원가 분석)

  • Kim, In-Sook;Kang, Kyeong-Hwa;Lee, Hae-Jong;Kim, Mi-Jung;Kang, Su-Jin;Joo, Young-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.17-29
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    • 2002
  • The purpose of this study was to examine the application of the Activity-based Costing(ABC) system to analyze the cost of nursing services in the delivery room in a major medical center.The results of this study are as follows;1. In order to calculate the cost of nursing activities, 67 activities of staff nurses on a delivery room were identified and classified as direct nursing activities(45.2%), the indirect activities(32.1%), general management activities(13.9%) and others(8.8%).2. Nursing cost in the delivery room was classified into activity cost(29.9%) and common cost(70.1%). Activity cost involved direct activity cost of staff nurses. The common costs were categorized into indirect activity & general management cost of staff nurses, management cost of the head nurse and activity cost of assistants.3. The final cost objects of nursing services in the delivery room were nursing service for women who had normal vaginal deliveries and nursing service for women who had preterm labor.The total cost of nursing service for a woman who had a normal vaginal delivery was 165,710 won (100.0%). The cost incurred through direct activity cost of staff nurses(58,242 won, 35.1%), indirect activity & general management cost of staff nurses (55,643 won, 33.6%), management cost of head nurse (16,211 won, 9.8%), activity cost of assistants (35,614 won, 21.5%).If the number of days of hospitalization was presumed to be 14 days, the total cost of nursing service for woman who had preterm labor would be 1,845,901 won (100.0%). The cost incurred by direct activity cost of staff nurses in the activity cost (341,349 won, 18.5%), indirect activity & general management cost of staff nurses in the common cost(779,002 won, 42.2%), management cost of head nurse(226,954won, 12.3%), activity cost of assistants in the common cost(498,596 won, 27.0%).In this study, the cost of the nursing services in the delivery room was calculated based on the ABC system. The results of this study showed that resources are assigned to the nursing activities in the delivery room and the mechanisms for assigning the cost of activities for nursing services.

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