• 한국의료질향상학회지
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• 제24권2호
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• pp.41-61
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• 2018

Purpose: Falls are one of the most frequent health events in medical institutions, however, they can be predicted and prevented. The Quality Improvement Nurse Society clinical practice guideline Steering Committee developed the Clinical Practice Guideline for the assessment and prevention of falls in adult people. The purpose of this study was to assess the risk factors for falls in adults aged 19 years and older, to present an evidence for preventing falls, formulate a recommendations, and indicators for applying the recommendations. Methods: This clinical practice guideline was developed using a 23-step adaptation method according to the Handbook for clinical practice guideline developer (version 1.0) by National Evidence-based Healthcare Collaborating Agency. Evidence levels and recommendation ratings were established in accordance to SIGN 2011 (The Scottish Intercollegiate Guidelines Network). Results: The final 15 recommendations from four domains were derived from experts' advice; 1) assessment of risk factor for falls in adult 2) preventing falls and reducing the risks of falls or falls-related injury 3) management and reassessment after a person falls 4) leadership and culture. Conclusion: This clinical practice guideline can be used as a basis for evaluation and prevention of fall risk factors for adults, to formulate recommendations for fall risk assessment and fall prevention, and to present monitoring indicators for applying the recommendations.

• 한국간호교육학회지
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• 제25권3호
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• pp.277-288
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• 2019

Purpose: This study aimed to examine the effects of team-based learning using concept mapping on critical thinking disposition and metacognition on college of nursing students. Methods: A non-equivalent control group pretest-posttest design was used. The experimental group was provided team-based learning using concept mapping. The control group was provided team-based learning. A total of 77 nursing students participated. Results: The experimental group increased significantly in critical thinking, however, there were no significant differences in critical thinking or metacognition between the two groups. The four essential themes extracted were as follows: (1) Expanding the scope of thinking; (2) Strengthening learning competency; (3) Enhancing communication skill; and (4) Burden of new learning method. Conclusion: The findings indicate that team-based learning using concept maps may be an effective teaching-learning method for nursing students.

• 한국콘텐츠학회논문지
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• 제17권7호
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• pp.101-112
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• 2017

본 연구의 목적은 학습자 중심 팀 기반 학습방법(Team Based Learning 이하tbl)이 예비간호학습자의 간호영어교과에서 경험과 효과를 확인 하고자 한다. 예비간호학습자 12명 대상으로 학습 결과 기록지, 학습관찰, 학습만족도, 학습자가 보고서, 동료평가서를 내용 분석하여 학습경험의 의미를 기술하였고 개인별, 팀별 점수는 빈도분석, 대응표본 T 검정을 통해 분석하였다. 연구결과는 1차, 2차 모두 개인별 점수보다 팀별 점수가 높았다. 협동이 잘되는 팀별 순위로 문제를 해결하였고 팀별 점수도 높았다. tbl학습 경험으로는 동료와 친밀감을 형성하며, 학습동기가 되고, 자율학습을 형성하며 학습이 용이해지고, 반복학습을 통해 어렵게 느꼈던 의학용어가 쉽게 암기되었다. 또한 팀끼리 시험을 봄으로 긴장감과 승부욕이 생기게 되어 성적향상에 도움이 된다고 하였고, 즐거운 학습시간으로 기억되었다고 하였다. 본 연구결과 예비학습자들에게 어렵게 접하는 간호영어 과목을 tbl을 통하여 학습동기를 유발하고 자율 학습을 유도하고 성적향상 및 동료와 친밀감이 형성됨을 알 수 있었다.

• 임상간호연구
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• 제15권1호
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• pp.67-77
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• 2009

Purpose: This study was aimed to investigate the effects of Lebed method exercise (LME) on nurses' depression, anxiety and stress. The LME is a therapeutic exercise and movement program developed by Sherry Lebed Davis and expected to lessen the stress level of nurses and enhance the nursing job's satisfaction and efficiency. This study was utilized a non equivalent control group pre-post test design. Method: The subjects were 36 nurses in total; 18 in experimental group and 18 in control group. The data were collected from March to August, 2008. For the experimental group, 8 hour-long lectures on stress management and LME were given for 12 weeks. For the control group, only lectures on stress management was given. Depression, anxiety, perceived stress, and heart rate variability were measured on the subjects in both groups as pre- and post tests. The data were analyzed by Kolmogrov-Smirov test and P-P plot, t-test and $x^2-test$ using the SPSS program. Results: As proposed in the hypothesis, the subjects in the experimental group experienced less depression (t=2.286, p=.029), less anxiety (t=3.319, p=.002) and less perceived stress(t=2.862, p=.007) than those in the control group. Conclusion: The LME is considered an effective exercise to improve depression, anxiety, and to lessen stress for the nurses. The LME program has potential to be one of the effective stress management interventions for nurses in the future.

• 임상간호연구
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• 제15권3호
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• pp.171-182
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• 2009

Purpose: The purpose of this study was to find out the research trend and analyze the evidence of research on massage interventions for patients in Korea. Methods: Literature database search from 2003 to 2008 was carried out including KSTUDY, RICHIS, RISS4U, and NANET using the following MeSH terms: massage and patients. Results: A total of 51 articles registered in Korea Research Foundation were reviewed for analysis. Major participants of the studies were patients with cancer, surgery patients, stroke patients, and preterm babies. The outcome variables most commonly measured were blood pressure, state anxiety, and pain. While massage intervention was reported having a significant effect on lowering anxiety and pain, the other effects of massage in patients were inconsistent. Conclusion: Massage intervention has evidence-based effects on reducing anxiety and pain in patients. A larger body of methodologically sound research is needed to verify the multidimensional effects of massage.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2023년도 제68차 하계학술대회논문집 31권2호
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• pp.675-678
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• 2023

본 연구는 팀기반학습을 활용한 교과목을 수강한 간호대학생 56명을 대상으로 동료평가와 학업성취도와의 관계에서 수업몰입의 매개효과를 검정하였다. 매개효과 분석은 PROCESS macro Program의 model 4를 부트스트래핑(bootstrapping)을 이용하여 검정하였다. 분석 결과는 첫째, 동료평가, 수업몰입과 학업성취도 간에 유의한 정적 상관이 있는 것으로 나타났다. 둘째, 수업몰입은 동료평가가 학업성취도에 미치는 영향을 부분매개 하는 것으로 확인되었다. 동료평가가 간호대학생을 위한 TBL 과정에서 수업몰입과 팀워크를 촉진하고 궁극적으로 학업성취도를 향상시키는 효과적인 도구가 될 수 있음을 시사하며, 교수자가 학생의 학습성과를 개선할 수 있는 보다 효과적인 교육 전략 및 개입을 개발하는 데 도움이 될 수 있다.

• 임상간호연구
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• 제25권2호
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• pp.120-132
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• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.

• 간호행정학회지
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• 제10권1호
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• pp.83-96
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• 2004

Purpose: The purpose of this research is, by investigating organizational characteristics, types of nursing organizational culture and team effectiveness in ICU, to ascertain the type of nursing organizational culture and the organizational characteristic that can improve the team effectiveness. Method: The research targeted 427 nurses from 33 ICUs of 14 general hospitals which have more than 250 beds and the data were gathered by using self-report questionnaires from April 10, 2003 to April 24, 2003. For this research, the following tools were used; the tool for measuring organizational characteristics and organizational cultures and the tool for measuring team effectiveness. Result: The most significant nursing organizational characteristic in ICU is the centralization. The organizational culture in ICU is generally rank-oriented culture. There was a significant difference (p<.01) in four types of organizational cultures; relation-oriented, innovation-oriented, rank-oriented and task-oriented. Verifying influence power of organizational cultures upon team effectiveness of ICU, relation-oriented culture had 49.2% of an influence upon team effectiveness, innovation- oriented and relation-oriented culture had 60.4% of an influence, and rank-oriented, innovation-oriented and relation-oriented culture had 61.2% of an influence. The organizational culture profiles according to the types of nursing organizational cultures in 33 ICUs were found by a cluster analysis. They were classified into five culture profiles; strong balance culture profile, weak balance culture profile, innovation-oriented and task-oriened culture profile, strong relation culture profile and strong rank culture profile(p<0.5). According to me organizational culture profiles, a significant difference of team effectivenesses(coworker satisfaction, team performance perception, team satisfaction and team commitment) was found(p<.01). The strong balance culture profile had the best team effectivenesses. Conclusion: For nursing culture management, a nursing administrator should identify the relevant nursing organizational culture at first by utilizing an innovative team-leader. After identifying the organizational culture, the administrator should make strategic plans and practices that can distinguish good organizational cultures to be expanded from ones to be sublated so that a strong balance culture can be developed.

• 간호행정학회지
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• 제23권1호
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• pp.18-31
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• 2017

Purpose: The purpose of this study was to analyze literature related to nursing team effectiveness and to summarize the definition variables included, measurement tools, and findings. Basic data on operation and research for team effectiveness in nursing units was sought. Methods: A literature search was performed to identify all studies published between 2003 and 2016 from periodicals indexed in PUBMED, CINAHL, SCIENCE DIRECT, RISS, KISS, and NAL databases. The following keywords were used in the search: 'team effectiveness', 'nurse', 'nursing', and 'hospital'. Ten studies were analyzed. Results: The analysis included domestic and international literature on nursing team effectiveness. The foreign literature included studies of various organizations including nurses, use of various research tools, leadership programs and/or new nursing delivery systems. In the Korean studies, most of the research on team effectiveness surveyed nurses on team satisfaction, team commitment, and team performance in general nursing units, operating rooms, and intensive care units. Conclusion: The findings show the necessity to develop a definition of team effectiveness that can be accepted comprehensively in nursing organizations in Korea. The definition should reflect team effectiveness that includes all cooperating units not only nurses of the nursing unit but also all other related health care teams.

• 정신간호학회지
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• 제27권4호
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• pp.415-426
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• 2018

Purpose: This study aimed to explore the essentials of psychiatric and mental health nursing by identifying the care experience of the psychiatric nurses. Methods: Eleven psychiatric nurses were recruited across five geographical areas in the Korea. Data were collected using semi-structured interviews from two focus groups, which were analyzed with an inductive content analysis. Results: Participants constructed two categories including 'nursing tasks for the client' and 'nursing tasks for the organization'. Subcategories of nursing tasks for the client are 'staying alert on crisis prevention', 'leading them to be real with eager and persistent will', 'nursing beyond role boundaries', 'tuning the needs of clients' family', 'taking journey with clients' personal life history', and 'doing invisible but recognizable nursing'. Subcategories of nursing tasks for the organization are 'working as a responsible team member', 'integrating team competencies at the center of team', and 'balancing protection and control'. Conclusion: Psychiatric nurses played professional and holistic care roles for the clients, and managerial roles for the organizations. This study provides essential data for defining psychiatric nursing and estimating the appropriate ratio of psychiatric nursing staffing.