• 제목/요약/키워드: 성인간호학

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내·외과계 입원단위 핵심 간호중재 분석 - 일 종합전문요양기관 중심으로 - (Analysis of the Core Nursing Interventions Used in the Medical and Surgical Units in a Tertiary Hospital)

  • 성영희;신희연
    • 성인간호학회지
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    • 제18권4호
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    • pp.632-641
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    • 2006
  • Purpose: The purposes of this study were to analyze the core nursing interventions that are used in the medical and surgical units, and to present the basic data that can be applied in clinical fields. Method: The data was collected from 353 nurses of the medical and surgical units from Jan. 2005 to Dec. 2005, using the database of nursing process record system used at a tertiary hospital. Results: 190 interventions were performed in the medical units, with 21 core nursing interventions. 198 interventions were performed in the surgical units, with 16 core nursing interventions. There were 11 common core nursing interventions. Conclusion: The results revealed that the ratio of physiological interventions and the interventions related to safety were high. The interventions were classified according to one's field of specialization, together with the common interventions were also being performed. According to the changes in the demands of consumers, there was also increases in the performance of 'pain management' and 'fall prevention.' We expect that this study will allow for the performance of standardized interventions, and that it will be helpful in the role of the experienced nurse, and in the approach to the nursing specialty.

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노인 간호 실습경험에 대한 주관성 연구 (Subjectivity of Korean Nursing Students' Experiences of Geriatric Hospital Practices)

  • 신동수;서순림;이은주
    • 성인간호학회지
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    • 제18권4호
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    • pp.622-631
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    • 2006
  • Purpose: This study elicited Korean students' experiences of nursing practice at geriatric hospitals. Method: A purposive sample of 26 Korean nursing students was recruited from K College of Nursing located in Daegu, Korea. Inclusion criteria were nursing students who: 1) finished nursing practice at geriatric hospitals, 2) were oriented and communicable, and 3) understood research purpose and agreed to participate in this study. Individuals were interviewed using Q-methodology. Results: The majority of the participants had experience of living with the elderly and volunteering related to elder care. Data analysis showed that participants' experiences of nursing practices were consisted of three types: skill acquiring-oriented, relationship-oriented, and practice system-oriented. Conclusion: Nursing practices at geriatric hospitals provided opportunities of having positive attitude toward the elderly for nursing students. Nursing students' experiences were divided into at least three different types. Nursing educators need to develop curriculum for gerontological nursing practice tailoring to theses differences.

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장기기증 및 이식에 관한 국내 간호연구 동향분석 (Analysis of Nursing Researches about Organ Donation and Transplantation in Korea)

  • 유혜숙;소향숙;김혜숙
    • 성인간호학회지
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    • 제20권6호
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    • pp.895-904
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    • 2008
  • Purpose: This study analyzes the trends of nursing researches about organ donation and transplantation, and recommends the direction of future nursing studies in Korea. Methods: Ninety-nine researches based upon organ donation and transplantation in Korea were analyzed by descriptive statistics. Results: Among them 58 papers were master's theses and 9 were doctoral dissertations. Articles about organ beneficiaries were seventy. The 47 articles among them were for kidney transplantation. By the types of research design, there were 73 quantitative studies, 19 qualitative studies, and 9 methodological studies. In correlation studies, the quality of life of subjects were evaluated the association with stress, social support, self-efficacy, and compliance. In experimental studies, the independent variables were self efficacy promotion exercise, steroid medication, educational programs regarding an organ transplantation and a brain death, DanJeon breathing exercise, and telephone counseling. The methods of qualitative studies were based on the grounded theory, phenomenology, interpretive phenomenology, and ethnography. The dominant concepts of qualitative researches were experiences of a decision-making of donors and of recipients for organ transplantation. Conclusion: Descriptive surveys or correlation studies were predominant on the nursing research about organ transplantation. Qualitative studies were conducted to some extent. It is recommended to conduct clinically applicable interventional researches with the experimental design.

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임상간호사가 지각한 욕창 간호의 중요도, 교육요구도와 지식 및 수행과의 관계 (Perceived Importance, Educational Needs, Knowledge and Performance Concerning Pressure Ulcer Care by Clinical Nurses)

  • 양남영;문선영
    • 성인간호학회지
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    • 제21권1호
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    • pp.95-104
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    • 2009
  • Purpose: To examine pressure ulcer care from the standpoints of perceived importance, educational needs, knowledge and performance among clinical nurses. Methods: This descriptive study was conducted with a convenient sample of 289 nurses from four hospitals. Questionnaire data collected from June to August 2008 was analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficients. Results: The mean scores of importance and educational needs concerning pressure ulcer care were high, performance was moderate, and knowledge was low. Knowledge level differed significantly according to career, performance differed significantly according to pressure ulcer care education and the main healer(the person primarily responsible for treatment). Perceived importance differed significantly according to the main healer, and educational needs differed significantly according to working area and the main healer. Significant correlations were evident between performance and importance, performance and educational needs, importance and knowledge, and importance and educational needs. Conclusion: Focus on perceived importance and educational needs to clinical nurses about pressure ulcer care may be beneficial to improve knowledge and practice of pressure ulcer care, and should be reflected in the development of effective programs to enhance relevant nursing skills.

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간호학생의 임상실습 환경에 관한 인식과 관련 변수의 관계 (The Relationship between Perceptions of Nursing College Students regarding Clinical Practice Environment and Related Variables)

  • 최귀윤
    • 성인간호학회지
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    • 제21권1호
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    • pp.129-139
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    • 2009
  • Purpose: This study was to identify the perceptions of nursing student on the clinical practice environment and related variables. Methods: The subjects of this study were 180 nursing students from a college participated in clinical practice at four regional hospitals. Data was collected with the questionnaire tool for the perceptions of clinical practice environment. Results: The students highly satisfied in the major had significantly high perception in innovation, personalization, student involvement, and clinical practice satisfaction. The students with a low level of stress and a clearly named guidance nurse were significantly high in the perceptions of task orientation, innovation, personalization, student involvement, and practice satisfaction. Clinical practice environment variables such as task orientation, innovation, individualization, personalization, student involvement, and practice satisfaction were significantly correlated with each other. In student characteristics, the main variables directly influencing the perceptions of clinical practice environment were religion, the level of stress, and the method of guidance. Conclusion: Understanding the students' perspective would be valuable for promoting a positive clinical practice environment. Developing a cooperative system between the college and educational hospitals is necessary for effective clinical practice education.

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한국 간호교육기관의 성 건강 이론 교육과정 분석 (Analysis of the Sexual Health Education Curriculum of Nursing Schools in Korea using Posner's Theory)

  • 김현경
    • 성인간호학회지
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    • 제26권2호
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    • pp.223-233
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    • 2014
  • Purpose: This study was aimed to analyze the sexual health curriculum for the nursing baccalaureate and associate's degrees in Korea. The curriculum proper based on Posner's theory presented the analysis of purpose, content, organization, and underlying assumption. Methods: This study was conducted with sexual health education guidelines, nursing practice standards, 181 curriculums, and teaching materials. Data were collected through literature, online homepage from 181 nursing school, and textbooks from July to September, 2013. Data were analyzed using percentage and mean with SPSS 12.0. Results: The purposes were mostly included in the low grade cognitive learning domain. The contents included 20 key elements among 22, so the scope was not inclusive. There was an unbalance between content's depth and scope, because total mean credit of sexual health nursing education was only 19.81 hours. The spiral structure of organization showed continuity, sequence, and integration with international standards. The interdisciplinary integration and transcultural value were advantages of the curriculum. Conclusion: This study provided a view on understanding sexual health nursing curriculum and implication for advanced education. The proclaiming of the standard and concept mapping of sexual health curriculum may contribute to the curriculum development for the advanced nursing.

혈액투석 환자가 경험한 '좋은 간호' (The 'Good Nursing' Experienced by Hemodialysis Patients)

  • 염은이;김미영
    • 성인간호학회지
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    • 제26권3호
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    • pp.275-286
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    • 2014
  • Purpose: The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis. Methods: The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method. Results: The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'. Conclusion: From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses' scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.

노인 고혈압 환자의 인지기능, 우울, 사회적 지지 및 자가간호에 관한 연구 (Cognitive Function, Depression, Social Support, and Self-Care in Elderly with Hypertension)

  • 김옥수;전해옥
    • 성인간호학회지
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    • 제20권5호
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    • pp.675-684
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    • 2008
  • Purpose: The purpose of this study was to examine the relationship among cognitive function, depression, social support, and self-care in elderly with hypertension. Methods: The subjects were 132 elderly with hypertension living in Seoul, Korea. Data were collected through face-to-face interviews using the Korean version of Mini-Mental State Examination(MMSE-K), Short form geriatric depression scale, social support questionnaire 6, and hypertension self-care scale. Results: Thirty-four percent of the subjects had questionable dementia and forty-two percent of the subjects were depressed. Means for social support were 2.40 for network size and 4.07 for satisfaction. The mean score of hypertension self-care was 60.34, indicating that the subjects took care of themselves moderately well. Cognitive function was negatively related to depression. Social support network and satisfaction were negatively related to depression. Self-care was negatively related to social support network. Conclusion: Programs are needed for elderly with hypertension to improve their cognitive function, depression, and social support. Also further studies are needed to confirm the factors related to self-care in the elderly with hypertension.

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간호대학생을 위한 회복탄력성 도구 개발 (Development of the Resilience Scale for Korean Nursing College Students)

  • 양영희;김은만;유미;박승미;이해영
    • 성인간호학회지
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    • 제27권3호
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    • pp.337-346
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    • 2015
  • Purpose: This study was to develop and test the resilience scale for Korean nursing college students. Methods: The initial 82 items (7 factors) were developed through literature review and student interviews. Items were reduced to 55 items through content validity test by 5 experts and face validity tests by 20 nursing students. The preliminary Resilience Scale for Korean Nursing Students (RS_KNS) was administered to 302 nursing students of 4 universities in Chungnam. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's ${\alpha}$. Results: Twenty-four items were selected for the final scale. Seven factors evolved from the factor analysis, which explained 61.9% of the total variance. The internal consistency, Cronbach's ${\alpha}$ was .84 and reliability of the subscales ranged from .60 to .77. Conclusion: The resilience scale for Korean nursing college students demonstrated acceptable validity and reliability. It can be used to assess the resilience of nursing college students and is expected to get utilized in teaching and research.

뇌사자 장기이식에 대한 수술실 간호사의 태도와 삶의 의미가 간호윤리 가치에 미치는 영향 (Operation Room Nurses' Ethical Value regarding Their Attitude and Meaning of Life about Organ Transplantation in Brain Death)

  • 서형은;김미영
    • 성인간호학회지
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    • 제28권4호
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    • pp.355-366
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    • 2016
  • Purpose: The purpose of study was to describe operation room nurses' ethical values in relationship to the attitude and meaning of life toward organ transplantation in brain death. Methods: This study used a descriptive correlational survey design. Participants were 174 nurses who had attended to organ transplantation surgery in brain death more than once. Data were collected from September 1 to 11, 2015 and were analyzed using independent t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and hierarchical multiple regression with SPSS 22.0. Results: Educational level, attitude on organ transplantation in brain death, and meaning of life were significant variables predicting the level of nursing ethical value, accounting for 82.6% of the variability. Conclusion: Continued education and self-development programs should be encouraged for operating room nurses to establish professional nursing ethics as well as positive meaning of life and attitude toward the organ transplantation in brain death.