• Title, Summary, Keyword: 상급간호실무

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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.

Core nursing practice and educational requirements according to nursing unit and clinical career in tertiary hospital (국내 상급종합병원의 간호단위 및 임상경력별 핵심간호실무와 교육요구도)

  • Kim, Yeon Hee;Jung, Young Sun;Choi, Jin Sun;Lee, Hye Young;Jung, Hye Ryun;Kim, Ji-Su;Kim, Kyunghee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.1
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    • pp.35-48
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    • 2015
  • Purpose: The purpose of this study was to provide fundamental data to develop an educational program for the development of nurses' core competences, and to improve the curriculum in nursing education institutions. Methods: This study, based on a descriptive survey, was conducted with 1,019 nurses working in a tertiary hospital in Seoul. Among 47 core nursing practice items, core nursing practices as perceived by the participants and relevant educational requirements were measured on a four-point scale. The collected data were analyzed using descriptive statistics for the mean and standard deviation, one way ANOVA, and Duncan test as post-hoc test. Results: Regarding the core nursing practice perceived as by the nurses, there were statistically significant differences in 43 out of 47 items according to nursing unit, and in 15 items according to clinical career. Regarding the educational requirements for core nursing practice, there were also statistically significant difference for the same items as perception differences according to nursing unit and clinical career. Conclusion: The results of this study suggest further study on the development of educational programs to advance the clinical expertise of nurses and for the development of curriculum reflecting the actual conditions and requirements in clinical nursing practice fields.

Strategies to Develop a Korean-Contextualized Oncology Nurse Practitioner Program;Comparative Program Evaluation between Korea and the United States (한국적 종양 전문간호사 교육과정의 발전 전략;미국 교과 과정과의 비교분석)

  • Suh, Eun-Young
    • Asian Oncology Nursing
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    • v.6 no.2
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    • pp.93-103
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    • 2006
  • Purpose: With accumulated necessity to develop Advanced Practice Nursing (APN) in Korea, various types of Nurse Practitioner (NP) programs have been recently developed. Unlike the origin of the NP programs in the U.S., in which the lack of primary health care provider preceded the creation of NP education, NP programs in Korea are currently in an early stage in which the scope of practice and educational boundaries are still evolving. Just imitating American models may result in culturally inappropriate and practically non-feasible APN programs in Korea. This article was aimed to evaluate the top-ranked Oncology NP (ONP) programs in U.S. with those in Korea. Method: Using the Donabedian paradigm, the educational structure, process, and outcome were compared and contrasted between two countries. Results: The findings of this paper demonstrated that many aspects of structure of the Korean program are similar to those of the Americans with minor differences. Three strategies for future development of ONP program in Korea are suggested. Conclusion: Practical and feasible scope of practice for ONP in Korea should be determined. It needs to embrace every aspects of cancer experience. Also, nursing-oriented and culturally competent practice needs to be identified and incorporated into the ONP practice.

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Nurses' Perceptions regarding Evidence-Based Practice Facilitators in a Tertiary Hospital (일개 상급종합병원 간호사의 근거기반실무(Evidence-Based Practice) 촉진요인에 대한 인식)

  • Cho, Myung-Sook;Song, Mi-Ra;Cha, Sun-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.3
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    • pp.300-309
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    • 2011
  • Purpose: The purpose of this study was to investigate facilitators of evidence-based practice (EBP) in Clinical Nurses. Method: The instruments used in study were the EBP facilitator scale developed by Nagy et al. and a questionnaire on EBP-related characteristics. Data were collected from 230 nurses at a tertiary hospital and analyzed by descriptive statistics. Results: Compared to previous studies, this study showed that nurses had more experience related to research courses and clinical research. However, the proportion of nurses who reviewed relevant articles still remained low. The respondents had positive perceptions of organizational supports for EBP and belief in the value of EBP, whereas they had negative perceptions of skills in locating and evaluating research reports, knowledge of research terms and statistics, and time to devote to EBP. Conclusion: The findings of the study provide important basic data to develop and implement an EBP programs. In future, EBP programs should cover the nurses' skills to search and review research literature as well as their knowledge of research terms and statistics. Furthermore, nurses will require help to ensure that there is adequate time to devote to EBP.

Current Status and Vitalizing Strategies of Advanced Practice Nurses in Korea (한국 전문간호사제도의 현황과 활성화 전략)

  • Seol, Miee;Shin, Yong Ae;Lim, Kyung Choon;Leem, Chosun;Choi, Jeong Hwa;Jeong, Jae Sim
    • Perspectives in Nursing Science
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    • v.14 no.1
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    • pp.37-44
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    • 2017
  • Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

Registered Nurses' Knowledge, Attitudes, and Practice about Evidence-Based Practice at General Hospitals in Korea (상급종합병원 간호사의 근거기반실무에 대한 지식과 태도 및 수행)

  • Lim, Kyung Choon;Park, Kwang Ok;Kwon, Jeong Soon;Jeong, Jae Sim;Choe, Myoung Ae;Kim, Joo Hyun;Lee, Kyung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.3
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    • pp.375-387
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    • 2011
  • Purpose: Evidence-based practice (EBP) has emerged as a marker for healthcare quality and a global issue in nursing care. This study was conducted to identify Korean registered nurses' knowledge, attitudes, and practice about EBP in Korea. Methods: With a cross-sectional design, the EBP questionnaire (EBPQ) was administered to a convenience sample of nurses (N=453) recruited from 44 general hospitals. To increase the response rate, the directors of nursing were individually contacted by the researchers. The final response rate was 95.7%. Results: The majority of participants were females (99.3%), staff nurses (57.8%), and with bachelors degree (40.6%). Most of them (314, 73.4%) had ever heard about EBP. The overall mean score for the EBPQ was $4.72{\pm}0.69$ out of maximum score of 7. The mean score for the knowledge of EBP, attitudes towards EBP, and practice/use of EBP were $4.61{\pm}0.75$, $4.85{\pm}0.94$, and $4.90{\pm}0.88$, respectively. Educational level, age, and exposure to EBP were statistically significant predictors of Korean nurses' EBP perception. Conclusion: The findings showed that nurses with higher education are more likely to use and value the best available evidence for practice. This study suggests needs not only for further exploration but also for developing educational plans provided by each institute to assist nurses with the process of EBP and the associated skills.

The Influence of Information Retrieval Skill on Evidence Based Practice Competency in Clinical Nurses (상급 종합병원 간호사의 정보검색능력이 근거기반실무 역량에 미치는 영향)

  • Son, Youn-Jung;Kim, Sun-Hee;Park, Young-Su;Lee, Soo-Kyoung;Lee, Yun-Mi
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.635-646
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    • 2012
  • Purpose: The purpose of this study was to understand clinical nurses' level of information retrieval skill and its influence on evidence based practice (EBP). Methods: A cross-sectional design was used. Data were collected from a convenient sample of 492 nurses working at 5 university hospitals in Korea. The Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and hierarchical multiple linear regression. Results: The mean score for information retrieval skill and EBP competency were respectively $2.81{\pm}0.64$ and $3.98{\pm}0.86$. Two step hierarchical regression analysis showed that attendance at academic conference (p = .036) and information retrieval skill (p<.001) were significant factors of EBP competency, information retrieval skill explained about 19% of total variance of EBP competency. Conclusion: Nurse need to increased fundamental information retrieval skill for EBP competency. Therefore, it is important to increase nurses' information retrieval skills by tailoring continuing EBP education modules. It would be also advisable to develop centralized systems for the internal dissemination of research findings for the use of nursing staff.

Reach and Efficacy of Palliative Care Nurse Training Program for Patients with Non Cancerous Chronic Disease; A Pilot Study (비암성 만성질환자 대상 완화간호 제공을 위한 간호사 교육 프로그램의 접근성 및 효과성 검증; 파일럿 연구)

  • Cha, EunSeok;Lee, So-Jung
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.84-97
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    • 2020
  • This pilot study evaluated the reach and efficacy of nurse training program to provide palliative care to patients with advanced chronic diseases. A mixed method was used (an one-group pre-post research design and a group interview). To examine the changes in knowledge, attitude and self-efficacy, paired t-test were used with SPSS 21.0. To obtain pivoting information in real settings, a content analysis was conducted in the data obtaining from a group interview. There were significant improvements on knowledge and self-efficacy scores after the program. Additionally, high retention rate and program satisfaction were found in the participants while recruitment strategies, especially nurses working for tertiary hospitals, need to be modified in future research. A full-fledged research is warranted to find effective strategies to implement and disseminate the program for nurses working in diverse settings.

Nurses' Experience of Middle East Respiratory Syndrome Patients Care (메르스 환자 간호에 대한 간호사의 경험)

  • Kim, Jiyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.10
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    • pp.185-196
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    • 2017
  • This study was conducted to investigate the practical experience of nurses in MERS patients care. Nine nurses in one general hospital in S city underwent in-depth interviews from August 2015 to March 2016. The collected data were analyzed according to the procedure of the phenomenological method of Colaizzi. The following five categories were derived: '1. Anxiety and burden due to the risk of transmission of new infectious diseases', '2. Social isolation because of being the nurse in charge of MERS patients', '3. Faced with problems due to an unprepared treatment environment', '4. Overcome the burdensome MERS patient care process', '5. Reflect on the steps for preparing against new infectious diseases'. These results suggest that it is important to draw positive experiences as well as the negative effects of nurses who are involved in treatment of various infectious diseases, including MERS. Based on this, it can be used as a basis for reducing negative psychological and social impacts and improving positive adaptation. Additionally, it is necessary for healthcare workers including nurses to establish the necessary workforces, departments and guidelines for nursing new infectious disease patients.

A Survey of Nursing Practice Guidelines for Prevention of Pressure Injury in the Operating Room ([수술실] 욕창예방 간호 실무지침 현황 및 적용실태 조사)

  • Kim, Seung Ok;Shin, Yong Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.11
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    • pp.635-644
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    • 2018
  • This descriptive study examined the practical nursing guidelines for the prevention of pressure injuries (PI) in operating rooms and their application. Method: Four general hospitals and three specialized hospitals located in Seoul, Incheon, and Gyeonggido province were selected through an online randomization program and nurses at these hospitals who participated in operations and had at least six months work experience were surveyed. Data were collected from January to April 2018 through a survey distributed to 150 nurses, 129 of whom returned the survey (86% recovery rate). The results showed that 43 nurses provided PI prevention care for patients in a lateral position (33.3%), 37 for patients in a supine position (28.7%), and 36 for patients in a prone position (27.9%). Gel was most widely used as the supporting surface material (102 nurses; 79.1%), followed by sponge (62 nurses; 48.1%), and cotton (47 nurses; 36.4%). Skin was often inspected twice, before and after the use of a supporting surface (90nurses; 69.8%), but no designated tool was used to determine the risk of PI developing (76 nurses; 58.9%). Additionally, the patient's position during surgery (83 nurses; 64.3%) and the length of the operation (i.e., more than two hours, in this case) (49 nurses; 38.0%) were determining factors for whether to use a supporting surface. The operating room nurses used the gel, sponge, and cotton as the supporting surfaces for the prevention of PI and confirmed that the cutoff operation time for the use of a supporting surface was more than 2 hours.