• Title/Summary/Keyword: 직접간호중재

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Development of Nursing Process Information System for the Home Health Care (가정간호를 위한 간호과정 정보시스템 개발)

  • Cho, Hyun;Kang, In-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.5
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    • pp.1126-1132
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    • 2009
  • We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.

Theoretical Substruction: Fatigue in Cardiac Arrhythmia Patients (Theoretical substruction : 심부정맥 환자의 피로감)

  • Kang Youn-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.3
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    • pp.430-437
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    • 2001
  • 모든 질병에서 피로감은 환자가 경험하는 매우 흔한 증상으로서 임상간호현장에서 쉽게 간과 되어져왔다. 최근까지 건강관련 학문분야에서 피로감에 관한 수많은 연구가 진행되어져 왔지만. 임상간호현장에 도움이 될 만한 연구결과, 즉 임상 간호사의 간호사정과 간호중재에 지침이 되는 연구는 부족한 현실이다. 구체적인 연구 계획에 앞서, 연구의 이론적인 배경과 근거, 이론에서 추출된 개념, 변수와 연구 도구들간의 전체적인 일관성이 매우 중요하다. 추상적인 이론으로부터 개념과 변수를 거쳐 연구에 직접 사용될 구체적인 연구도구를 일관성 있게 선택하는 일련의 과정을 'Theoretical Substruction'이라 한다. 심부정맥환자가 지각하는 피로감에 관한 연구에 앞서, 본 글을 통해 심부정맥과 피로감의 이론적인 연관성과 이 연구를 위한 개념과 변수, 구체적인 연구도구를 선택하는 과정, Theoretical Substruction에 대해 토의될 것이며, 이에 따른 연구질문도 제의 될 것이다.

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The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept (간호학생의 임상실습 스트레스, 수행능력, 만족도, 비판적 사고성향이 간호전문직 자아개념에 미치는 영향)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.213-224
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    • 2017
  • This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

The Effect of Covert Narcissism of Nursing Students on Nursing Professionalism : Mediating effect of Perceived Social Support and Interpersonal Competence (간호대학생의 내현적 자기애가 간호전문직관에 미치는 영향 : 지각된 사회적 지지와 대인관계능력의 매개효과)

  • Jeong, Mihyun
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.1
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    • pp.125-141
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    • 2019
  • The purpose of this study was to examine the mediating effects of perceived social support and interpersonal competence on the effects of covert narcissism on nursing professionalism of nursing students. For this purpose, 375 nursing students from three colleges in J province were sampled for convenience. The result of this study were as follows: First, the fix indexed of causal model among covert narcissism, nursing professionalism, perceived social support and interpersonal competence were identified suitably. Second, covert narcissism of nursing students directly affected interpersonal competence and perceived social support, which was statistically significant. Third, interpersonal competence showed mediating effects in relationship between covert narcissism and nursing professionalism. Fourth, the interpersonal competence of nursing students directly affected perceived social support and nursing professionalism. Based on the results of the research, it is necessary to develop an intervention program that can enhance interpersonal competence in order to strengthen nursing professionalism of nursing students.

The Effects of the Hand-holding Program as an Independent Nursing Intervention for the Patients with Anxiety in Local Anesthesia (국소마취 백내장 수술환자의 불안에 대한 직접간호중재로서의 손잡아주기 프로그램 효과)

  • Kim, Kwuy-Bun;Kim, Kwang-Joo;Lee, Hyang-Yeon;Shin, Hye-Sook;Chae, Jeong-Sook
    • Journal of East-West Nursing Research
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    • v.4 no.1
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    • pp.7-20
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    • 1999
  • Operation usually brings about psychological stress as well as physical stress to the patient and it greatly influences the maintenance of the homeostasis. Until now, most of the nursing research concerning the anxiety of the patient undergoing an operation has been done while the patient was under general anesthesia. Under local anesthesia, the anxiety of the patient who undergone operation is short. However, there is much demand of the operational nurses to mediate between the patient who is undergoing operation when fully conscious, as they are aware of the patient's anxiety and to decrease the patient's anxiety of this local anesthesia. Therefore, this research tries to verify the effects of the Hand-holding program on the anxiety of the operational patient undergoing local anesthesia and affirms the role of the nursing intervention. As an unequivalent control group non-synchronized designs, this research selects out 20 control groups and 21 experimental groups at random who have received cataract operation while under local anesthesia and after implementing the Hand-holding program to the experimental groups while undergoing the operation, the effect of the experiment was observed. By observing the Epinephrine, Cortisol, blood pressure, and pulse for the physical indexes before and after the enforcement of the hand-holding, and using the measurement of Speilberger(1972) for the psychological indicators for the anxiety of the patient before and after hand-holding, the results were analyzed through SAS program. As a results, intervention of hand-holding had a remarkable effect to decrease the anxiety felt by the patient and the diastolic blood pressure also was effectively decreased. On the other hand, through the decrease of the systolic blood pressure was also observed, it was not statistically significant. In the Epinephrine and Cortisol indicators, the intervention of hand-holding was revealed to have an insignificant effect. The Hand-holding was revealed to have an indicators, the intervention of Hand-holding was revealed to have an insignificant effect. The Hand-holding program may be said to have an effect which decreases the psychological anxiety of the patient undergoing local anesthesia.

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Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey (상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사)

  • Park, Hyunsoon;Kim, Ha Woon;Kim, Hee Jeong;Kim, Soon Ick;Park, Eun Hye;Kang, Nam Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.55-66
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    • 2019
  • Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

Factors influencing the happiness index of elderly patients hospitalized in nursing hospitals Convergence Research (요양병원 입원노인환자의 행복지수 영향요인에 관한 융복합 연구)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.18 no.12
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    • pp.413-423
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    • 2020
  • The purpose of this study was to verify the factors influencing the happiness index for elderly patients hospitalized in nursing hospitals with a structural model. A survey was conducted on 237 people in 6 nursing hospitals in G city from July 1 to August 15, 2018, and analyzed with SPSS 18.0 and AMOS 18.0 programs. As a result of the research, the direct effect on the happiness index is the greatest factor, Next, perceived health status, economic status, and nursing satisfaction are in order, and the explanatory power is 66%. Both direct and indirect economic conditions were found to have a significant effect, and hospitalization period only had indirect effects through helplessness and nursing satisfaction. Therefore, development and application of various programs that can reduce the feeling of helplessness and improve the perceived health status. It is believed that an integrated management system, such as support system support and nursing intervention, suitable for each individual situation is needed.

The Effect of Parent Attachment on Eating Habit among Nursing Students: The Mediating Effects of Autonomous Motivation and Controlled Motivation (간호대학생의 부모 애착이 식습관에 미치는 영향: 자율적 동기와 통제적 동기의 매개효과)

  • Moonkyoung Park;Yoonjeong Lee
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.75-82
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    • 2023
  • This study aimed to identifying the mediating effects of motivation on the relationship between parent attachment and eating habit among nursing students. The survey participants was 125 college students. The data were analyzed using the SPSS/WIN 26.0 and AMOS 26.0 version program, using descriptive statistics, Pearson's correlation, and path analysis. Eating habit, parent attachment and autonomous motivation were positive correlations. Controlled motivation was positive correlations with autonomous motivation. Parent attachment directly positive related to autonomous motivation and eating habit. Autonomous motivation directly positive related to eating habit. Autonomous motivation has a mediating effects between parent attachment and eating habit (𝛽=.09, p=.003, 95% CI: 0.29~0.19). Therefore, further research is needed to develop and evaluate programs that include strengthening parental attachment and autonomous motivation.

Comparison in nursing needs of heart disease patients depending on whether or not readmitted (재입원 여부에 따른 심질환자의 간호요구 비교)

  • Choi, Young-Sil
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.519-526
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    • 2014
  • The purpose of this study was investigate nursing needs of heart disease patients depending on whether or not readmitted. Who had diagnosed heart disease and admitted on a general hospital was collected as a self-administered questionnaire method from March to June 2012. Collected data were analyzed through the SPSS 18.0 program. The average of total nursing needs is $4.12{\pm}.49$ point in patient who were not in readmission, and $3.89{\pm}.63$ point in patient joined readmission, there were significant differenced(p=.046). Therapeutic nursing needs are higher than others in nursing needs, in the both groups. Each rank and sub-regions is also different nursing needs according to readmission in two group. Physical, Social-emotional, educational and therapeutic nursing needs was correlated each other in depth. Therefore, focusing on patient's nursing needs according to patient's characteristics are required to perform nursing.

Analyses of Studies on Swallowing Rehabilitation Program for Stroke patients in Korea (뇌졸중 환자 대상의 연하재활프로그램에 대한 국내 연구 논문 분석)

  • Kwak, Hye-Weon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7394-7402
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    • 2015
  • The purpose of this study was to investigate the status of studies on swallowing rehabilitation interventions for stroke patients that had been conducted in the past 5 years (2010-2014) in Korea and to examine their findings. A literature search was conducted through RISS, National Assembly Library, and KISS, and 12 papers were analyzed. Four articles were from nursing science, and 8 from other disciplines. Qualitative evaluation of the articles was conducted by using an evaluation framework that was designed by the researcher, which took into account the checklist presented by the Scottish Intercollegiate Guideline Network (2013). In the results of the qualitative evaluation on the papers, 4 studies scored 7 out of 10 points, 6 studies scored between 5 and 6 points, and 2 studies scored 4 points. Intervention sessions were conducted for 25 minutes, on average, each at a frequency of 4.1 sessions per week, for a total of 33.7 sessions. This study found that direct swallowing training and comprehensive intervention of respiratory and oral, including pharyngeal were effective in relieving difficulties in swallowing. In the future, such findings are expected to be used in nursing interventions for establishment of the basis for evidence-based nursing practice.