• 제목/요약/키워드: Advanced Nursing Practice

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Diet Pattern According to Socio-Economic status - Using the Fifth (2010-2012) Korea National Health and Nutrition Examination Survey

  • Kim, Han Na;Park, Hyo Eun
    • International Journal of Advanced Culture Technology
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    • 제4권3호
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    • pp.24-38
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    • 2016
  • The purpose of our study is to analyze the effect of socio-economic status on the diet pattern of Korean adults. Raw data from the fifth (2010-2012) Korea National Health and Nutrition Examination Survey (KNHANES) were used, and finally 11,700 adults were analyzed as subjects. Results in consideration of the socio-economic status of the subjects, a linear trend was observed in men in which the odds ratio of having lunch (p for trend=0.006) and dinner (p for trend=0.0317) decreased as the level of education went down. In diet frequency, a decreasing trend (p for trend=0.0328) was observed in which the odds ratio of having 3 meals a day reduced as the household income lowered. For women, a linear trend (p for trend=0.0012) was observed in which the frequency of dinner decreased as the level of education became lower. A falling trend in the rate of having 3 meals a day was also observed (p for trend=0.0135). Our study analyzed the characteristics of the diet patterns of individuals according to their socio-economic status with the purpose of suggesting guidelines for correcting. To prevent this, we will need education and awareness and public attention for the practice of correct eating habits.

재해관리에 대한 교육과정 개발 (A Curriculum Development on the Disaster Management)

  • 강윤숙;이옥철;이계복
    • 대한간호학회지
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    • 제28권1호
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    • pp.210-220
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    • 1998
  • The various and serious types of disaster occur everyday and everywhere on the earth. There is no doubt that it is very timely to discuss about the effectiveness and preparedness of disaster. The purpose of this study is to develop a curriculum on the disaster management through reviewing disaster concepts and the disaster management system. For the empirical relevance of the study, researchers participated in a couple or more disaster training program, reviewed references, and consulted to the experts working on action parts in the area. As a result, the 'Integrated Disaster Management System Model (IDMSM)' was designed, in which four dimensions were explained. Then the 'Disaster Curriculum Model (DCM)' was explored with its theoretical framework based on the system model. The developed curriculum is composed of four levels ; the introductory course, the fundamental course, the advanced course, and the expert course. From this DCM, basically the course-outlines of two subjects in the introductory course, 18 subjects in the fundamental course (5 of direct services. 13 of indirect services) were developed. Also each course-outline was explored by its course objective, learning objectives, contents, and its length. Finally to make the most of the results, suggestions are proposed. The governmental considerations on the policy should support the systematic and integrated educational program to practice, appointing 「Disaster School」 or 「Disaster Training Center」 of relevance and accountabilities. The further study should explore the higher levels of the DCM through interdisciplinary efforts, and develop the text aterials. ilities. The further study should explore the higher levels of the DCM through interdisciplinary efforts, and develop the text materials.

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Development and Application of Telephone Counseling Services for Care of Patients with Colorectal Cancer

  • Lin, Wen-Li;Sun, Jia-Ling;Chang, Shu-Chan;Wu, Pei-Hua;Tsai, Tsung-Chih;Huang, Wen-Tsung;Tsao, Chao-Jung
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권2호
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    • pp.969-973
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    • 2014
  • Background: The number of colorectal cancer (CRC) patients in Taiwan has increased in recent years; therefore, the effective dissemination of information related to symptom care has become especially important. Previous studies indicated that the physical and psychological status of cancer patients can be effectively improved by telephone counseling services (TCS). Thus, determining the most effective means of establishing a TCS to support the clinical practice of oncology has become a crucial goal for nursing. The purposes of this study were to analysis the content of the TCS for CRC and explore stratification of the TCS. Materials and Methods: The study design was retrospective. A total of 850 calls were made to CRC patients in the cancer center of Southern Taiwan during the period of January 2007- December 2011. A structure questionnaire was adopted to analysis satisfaction. Results: Responses provided by the TCS included information regarding nutrition, side effects resulting from chemotherapy and pain. Moreover, 28.7% of CRC patients needed advanced treatment. More than 90% satisfaction with all aspects of the calls was found. Conclusions: The TCS coulkd be shown to provide an effective means by which to expand the reach of nursing care to different times, places and patients, allowing for greater cost efficiency and more rapid service.

가정전문간호사의 자아존중감, 영적안녕이 영적간호수행에 미치는 영향 (Influence of Home Health Care Nurses' Self-esteem and Spiritual Well-being on their Spiritual Care)

  • 김채원;박미현
    • 가정∙방문간호학회지
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    • 제28권3호
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    • pp.233-242
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    • 2021
  • Purpose: This study investigated the degree of, and factors influencing the spiritual care among home healthcare nurses. Methods: The subjects were 168 advanced practice nurses working in 94 hospital-based facilities for home health care located in Seoul, Gyeonggi-do, and Incheon Metropolitan City. Data were collected from January 14, 2019, to March 7, 2019, using structured questionnaires on spiritual care and related variables based on the literature. Data were analyzed by t-test, one-way ANOVA, Pearson correlation, and multiple regression analysis (stepwise) using SPSS Version 23.0 program. Results: The results showed that the degree of spiritual care of home health care nurses was 3.44 points out of a possible 5 points. Factors affecting nurses' spiritual care were spiritual well-being(𝛽=.36, p<.001), recognition of spiritual care as the nature of nursing(𝛽=.17, p=.016) and role of nurses(𝛽=.22 p=.002), regular-based education for spiritual care(𝛽=.23, p<.001), patients' discomfort with spiritual discussion(𝛽=-.18, p=.001), and nurses' experience in home health care area(𝛽=.14, p=.010), which explained 57.2% of the observed variation in spiritual care. Conclusion: This study suggests the need to develop regular-based education programs for facilitating spiritual care and strengthening home health care nurses' spiritual well-being and their positive perceptions toward spiritual care.

일개 대학 시나리오 기반 성인간호학 시뮬레이션 실습 교육에서 PBL 적용 수업 모듈 개발 및 융합적 적용 경험 (Development of PBL Application Class Module and Convergence Application Experience in one university Scenario-based Adult Nursing Simulation Training)

  • 정영희
    • 미래기술융합논문지
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    • 제2권3호
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    • pp.33-41
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    • 2023
  • 본 연구는 문제 중심학습법(PBL, Problem Based Learning)을 적용한 성인간호학 시뮬레이션 실습 모듈 개발과 적용 경험 분석을 통해 수업의 질 향상의 근거로 활용하고자 하였다. 간호학과 68명 학생에 대해 PBL을 접목한 시뮬레이션 실습 모듈 적용 후 만족도, 타당도, 자아성찰지와 강의 평가 등의 양적 질적 자료를 분석하였다. 만족도는 5점 중 4.64점으로, '나는 이 수업을 다른 친구들에게 추천하고 싶다'가 가장 높게 나타났다. 수업 내용의 타당성 검토 항목에 대해 64.7%~100%로 타당하다고 답하였다. 질적 자료 분석으로부터, '생동감 있는 수업 환경과 관련된 몰입감 증대', '학습자의 능동적인 수업 참여로 체화된 지식과 술기의 성장', '팀 기반 문제해결 과정을 통한 상호협업 능력 향상', '상황적 위기 대처 과정을 통한 문제해결 능력 향상', '소규모 밀착 지도에 따른 개인의 이해력 향상'의 5개 주제 묶음으로 범주화 되었다. 수업의 질 향상을 위해 추후 지속적인 PBL 학습전략 개발 및 다양한 시나리오 개발이 요구된다.

속삭임게임을 활용한 체계적 환자사정 및 보고 교육프로그램의 개발 및 학습자 경험탐색 (Development of Learning Program using Chinese Whispers Game(Broken Telephone Game) for Systematic Assessment and Reporting of Patients and Exploration on Learners' Experiences)

  • 정현정
    • 한국엔터테인먼트산업학회논문지
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    • 제13권6호
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    • pp.143-153
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    • 2019
  • 환자의 악화되는 변화를 인지하여 생명을 구하기 위해서는 환자사정과 보고가 초석이 되어야 하지만 이 업무는 주로 간호학생 혹은 경험이 부족한 간호사에게 위임되고 있다. 그러나 현재 국내의 교육과정에서는 환자사정 및 보고에 대한 체계적 교육이 이루어지고 있지 않다. 속삭임게임은 첫 번째 사람이 선택한 단어나 구 혹은 문장을 팀원에게 속삭여 전달한 후 최종적으로 원본 메시지가 전달과정에서 얼마나 많은 변화가 있었는지를 확인하는 게임이다. 본 연구에서는 소아전문소생술과정에서 사용하는 DVD에 포함된 환아의 정보를 전달하는 속삭임게임프로그램을 개발하고 이를 4학년 간호학생 31명을 대상으로 4회 적용 후 성찰일지 내용분석으로 학습자의 경험을 탐색하였다. 연구결과 학습동기 유발, 메타인지능력, 상황맥락학습이라는 3개의 주제가 도출되었다. 속삭임게임을 통한 반복 연습은 간호학생들이 상황과 맥락 속에서 환자를 사정하고 정보를 전달하는 과정을 메타인지하게 하는 신선하고 흥미로운 학습방법으로 확인되었으므로 널리 활용되기를 기대한다.

약물 남용 방지를 위한 모바일 기반 의약품 정보 시스템의 프로토타입 설계 (Prototype Design of Medicine Information System based on Mobile to check medicinal misusing)

  • 김하강
    • 한국항행학회논문지
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    • 제15권1호
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    • pp.112-123
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    • 2011
  • 최근 대한 약사회에서 오래된 약물의 섭취로 인한 부작용을 예방하고 약물에 의한 환경오염을 예방하자는 내용으로 공공 광고를 하고 있다. 또한 의약분업으로 인한 약물 남용을 예방하고자 하였으나, 약물 처방의 복잡한 절차와 약물처방 비용만 증가시켰다. 현 상황을 벗어나기 위한 좀더 효율적인 시스템의 도입이 필요하게 되었다. 유비쿼터스와 융합 기술이 IT 분야의 트랜드가 되었으며, 이러한 기술을 이용한 약물 남용 및 관리를 위한 모바일 기반 의약품 정보시스템과 약품 이미지 검색의 프로토타입을 설계하고자 한다.

비암성 질환들의 호스피스 의뢰 기준 (Hospice Medical Guideline, Non-Cancer Diseases)

  • 최윤선;김현숙
    • Journal of Hospice and Palliative Care
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    • 제13권2호
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    • pp.69-75
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    • 2010
  • Hospice is defined by the National Hospice and Palliative Care Organization (NHPCO, USA) and WHO, as a program of care that provides comprehensive medical, nursing and support services to dying patients and their family. Despite its broad definition, however, hospice care in Korea has been focused mostly on terminal cancer patients. Thus hospice eligibility for patients with advanced cancer is relatively easier to predict than those with other fatal chronic illnesses such as heart, lung, renal or liver diseases, and dementia. This makes it more difficult for patients and families to prepare for death and gain full benefits of hospice care. This article introduces the medical guidelines for selected non-cancer patients who are expected to live for only six months, this making it possible for patients, who are nearing the end of life, to avoid unwarranted suffering.

Development of a Delirium Educational Program for Hospital Nurses

  • KANG, Yun
    • International Journal of Advanced Culture Technology
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    • 제7권3호
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    • pp.70-78
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    • 2019
  • This paper outlines an intervention protocol used to educate nurses in a project that implemented and evaluated a delirium educational program in one general hospital. It outlines an evaluation of the content of the education and processes used to deliver the intervention through an analysis of reflective notes. The educational protocol was designed for adult learners and grounded in the six assumptions of Knowles' learning theory. Results suggest the educational program positively impacted on participating nurses' knowledge, attitudes and family caregiver involvement in delirium care of hospitalized older adults with and without dementia. This paper also acknowledges the challenges involved in sustaining a practice change through an educational intervention.

Literature Review about Virtual Reality-Based Education for Healthcare Students

  • Junghee, Park;Byoung-Gil, Yoon;Yong-Seok, Kim;Hyunjung, Lee
    • International Journal of Advanced Culture Technology
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    • 제10권4호
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    • pp.345-354
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    • 2022
  • The purpose of this study was to analyzed the current status of the of the Virtual Reality-based education for healthcare students in Korea. Five databases (KoreaMed, KMbase, NDSL, KISS, KiSTi) were searched prior to July 2022. A total 10 articles met the inclusion criteria. 5 articles developed VR-based education contents and the other 5 articles were using vSim already developed as a VR education program and evaluated the effectiveness. As a result of this literature review, VR-based education program was found to be effective in improving the healthcare students' competency. VR-based education program could be considered to improve the healthcare students' clinical practice ability.