• 제목/요약/키워드: Care Experience

검색결과 2,635건 처리시간 0.027초

환자경험 평가와 의료 현장의 변화: 의료기관 환자경험 업무 담당자의 관점 (Implementation of Patient Experience Assessment and Subsequent Changes at the Ground Level in Health Care: Patient Experience Employees' Perspective)

  • 송영채;윤은실;한세영;태지연;유수경;도영경
    • 한국의료질향상학회지
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    • 제28권1호
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    • pp.14-33
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    • 2022
  • Purpose: To examine whether the Patient Experience Assessment (PEA) has led to perceptible changes at the ground level of health care, as a way of evaluating PEA as a policy intervention for quality improvement. Methods: Four focus group discussions (FGDs) were conducted, each comprising six to eight participants who were employees responsible for patient experience at their respective hospitals. The primary focus of the FGDs was on questions such as: 1) How do hospitals respond to PEA? 2) What significant changes were observed after the implementation of PEA? 3) What were the unintended consequences of implementing PEA, if any? 4) What areas of improvement have been identified for maximizing the potential of PEA? Results: Two broad themes emerged out of the FGDs: changes observed post implementation of PEA, and areas for improvement of PEA. Four significant changes were reported by participants: changes in perception and attitude regarding patient experience in hospital employees, increased active involvement by the hospital leadership, enhanced efforts to improve patient experience, and increased cooperation between such activities. Furthermore, eight areas of improvement were identified, which have been grouped in three categories: improving the process of data collection for PEA, introducing additional catalysts to facilitate further changes, and paying attention to structure- and patient-level constraints that must be addressed in parallel. Conclusion: The implementation of PEA led to perceptible changes within hospitals, which implies that it can serve as an effective catalyst for improving patient experience. A number of areas of improvement that would aid in maximizing the potential of PEA were also identified.

결혼이주 일본여성의 만성질환 시부모 돌봄 경험 (The Lived Experience of Japanese Marriage-Immigrants' Caring for Parents-in-law with Chronic Illness)

  • 최미숙;김미영;양복순
    • 한국간호교육학회지
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    • 제20권2호
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    • pp.255-265
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    • 2014
  • Purpose: The study was done to explore lived experience of Japanese women taking care of chronically ill parents-in-law at home under the Korean family culture emphasizing filial piety. Method: van Manen's Hermeneutic Phenomenology research method was applied to conduct in-depth analysis on the meaning and nature of those experiences. This method derives the universal and fundamental aspect of human being. Results: There were 8 essential themes derived from the Japanese marriage-immigrants' experiences taking care of parents-in-law with chronic diseases as followings: 'stuck in a situation in which I am obligated to take care of the parent-in-law', 'hard to be the only person responsible to take care of the parent-in-law', 'unaccustomed to the Korean filial duty culture', 'the adverse effect of Korean-Japan history on taking care of the parent-in-law', 'refusing to let the taking care of the parent-in-law to be a shackle of my life', 'starting to be willing to take care of the parent-in-law', 'following through with my own way of taking care of the parent-in-law without being swayed by what others say', 'growing in the process of taking care of the parent-in-law'. Conclusion: The study results broadened ground to understand the experiences taking care of chronically ill parent-in-law from Japanese marriage-immigrants' social and cultural perspectives.

여성노인의 차(茶)문화치료 융합프로그램 경험 현상 연구: 주간보호센터 이용 노인대상으로 (A Study on Elderly Women's Experience of the Convergent Tea Culture Therapy Program: Focusing on female elders who use the day care center)

  • 김인숙;박선희
    • 사물인터넷융복합논문지
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    • 제7권1호
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    • pp.35-41
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    • 2021
  • 본 연구의 목적은 주간보호센터 이용 여성노인을 대상으로 차(茶)문화치료 융합프로그램 경험을 탐색하고 그 융합프로그램 경험을 이해하는 것을 목적으로 한다. 이를 위해 P시 H주간보호센터를 중심으로 차(茶)문화치료 융합프로그램 경험을 마지막 회기까지 참여 한 여성노인 4명을 대상으로 심층 면담을 수행하였으며 자료 분석은 Colaizzi의 현상학적 분석 방법으로 하였다. 분석결과 주간보호센터 이용 여성노인을 대상으로 차(茶)문화치료 융합프로그램 경험의 4개의 범주인 되돌림의 일상, 차와 함께 나는 대비마마, 차와 함께 젊은 그대, 차와 함께 행복의 나라로 분석하였다. 차(茶)문화치료 융합프로그램 경험에 대한 분석 결과를 토대로 노인복지실천 영역에서 코비드 19로 인한 노인 여가활동에 관심과 개입이 시급함을 제시하였다.

장애청소년의 라이프 케어를 위한 장애수용과 회복경험에 대한 현상학적 연구 (Phenomenological Research on Disability Acceptance and Recovery Experience for the Life-Care of Adolescents with Disabilities)

  • 박아름;강진호
    • 한국엔터테인먼트산업학회논문지
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    • 제14권2호
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    • pp.177-185
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    • 2020
  • 본 연구는 장애청소년의 라이프 케어를 위한 장애수용과 회복경험을 이해하기 위해 현상학적 연구방법을 사용하였다. 현상학적 연구는 사람들의 경험을 이해하고자 하며, 현상에 대한 연구 참여자들의 인식을 서술하여 기술하는 연구방법으로, 연구 결과 장애로 인한 혼란과 심리적 불안, 장애를 서서히 받아들임, 회복에 대한 동기 강화, 장애 극복과 사회 복귀 네 가지의 구성요소를 도출하였다. 장애청소년들은 가족의 지지와 치료사에게 정신적 교감을 통해 심리적 위안을 받았으며 본인 및 치료사 노력을 통해 효과를 실감하여 회복을 위해 더 노력하였다. 장애청소년들은 회복됨과 동시에 장애에 대한 인식변화를 경험하였으며, 퇴원 후 삶에 대한 희망이 생겨 좌절을 극복하고 앞으로의 진로에 대한 긍정적인 모습을 보였다. 본 연구 결과를 토대로 장애청소년의 장애 수용과 회복 경험에 대해 이해할 수 있었으며, 수용과 회복의 구성요소를 확인할 수 있었다. 도출된 구성요소는 장애청소년의 라이프 케어를 위한 장애 수용과 회복 중재 방향성 제시를 위해 활용할 수 있을 것이다.

임상간호사를 위한AIDS(후천성 면역 결핍증) 교육 프로그램 개발을 위한 기초 연구 (A Study of Assessing Educational Needs on Program Planning for AIDS(Acquired Immunodeficiency Syndrome) Inservice Education for Clinical Nurses)

  • 박인혜;이숙자;이정희
    • 대한간호학회지
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    • 제29권2호
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    • pp.371-382
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    • 1999
  • Nurses are at the forefront of providing hands-on care to patients infected with HIV(Human Immunodeficiency Virus). Therefore, appropriate and sensible infection control precaution should be taken at all times. The purpose of this study is to find out nurse's loaming needs about HIV/AIDS ; and nurse's willingness to perform nursing care to HIV/AIDS patients ; and the degree of fellowing universal precautions in nursing care ; and the degree of knowledge of HIV/AIDS to provide information on the guide for the further continuing education. The respondents of this study were 280 nurses in a university hospital in Kwang-Ju city. Data were collected using a self-administered questionnaire and analyzed by using percentages, means, Pearson's correlation, t-test, ANOVA, Duncan's grouping. The findings were as follows ; 1. The mean age of the nurses was 28.9 years, and the mean duration of their clinical experience was 6.8 years. Majority of the nurses(83.9%) had no experience in taking care of the AIDS patients. 2. The content s nurse's need to learn were showed in order such as clinical manifestations, infection control, patient care, and the mode of transmission of HIV/AIDS. 3. Even though the nurses had quite low knowledge about HIV/AIDS(mean score was 12.2 from the total of 26), they are willing to take care of the AIDS patients (mean score was 39.5 from the total of 60), and the degree of following universal precaution was also not so bad (mean score was 40.8 from the total of 50). 4. Nurses who are over 35 years old and had informal education regarding HIV/AIDS better following universal precautions. Nurses who had over 12 years of clinical experiences have more willingness to perform nursing care to the AIDS patients. Nurses who had experiences in taking care of the AIDS patients were more knowledgeable about HIV/AIDS. These findings suggest that some strategies should be develope to increase the willingness to perform the nursing care to the AIDS patients. And also continuing education program should be develope and run for the clinical nurses so that they can provide effective and appropriate nursing care to the AIDS patients.

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의료진의 가정용 인공호흡기 관련 지식 정도와 교육요구도 조사 (A Survey on Nurses' and Physicians' Knowledge and Educational Needs on Home Ventilator)

  • 조수현;고명균;정진희;원선영;이희옥;남지명;위미숙;이영희
    • 중환자간호학회지
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    • 제5권1호
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    • pp.56-66
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    • 2012
  • Purpose: The purpose of this study was to investigate the knowledge and educational needs of nurses and physicians on home ventilator. Methods: The participants were 140 nurses and 47 physicians working at departments using home ventilators. The data were collected from January 30 to February 12, 2012 through a self-administered questionnaire with 32 items of the knowledge and educational needs on home ventilator. Results: The mean scores of nurses' and physicians' knowledge were 2.52 and 2.56 respectively. The mean scores of nurses' and physicians' educational needs were 3.16 and 3.06 respectively. Nurses' knowledge was associated with their experience using and receiving education about home ventilator and willingness to receive education about home ventilator education. Nurses' educational needs were associated with their present working department and experience using home ventilator. Nurses with high knowledge were more likely to have high educational needs. Physicians' knowledge and educational needs were not associated with any their general characteristics. Conclusion: Nurses' and physicians' knowledge of home ventilator were low and their educational needs on home ventilator were high. To provide high quality of care for home ventilators, it is necessary to provide nurses and physicians with education and to develop a more specific educational program for them.

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가정간호를 받는 만성질환자 가족의 체험 (A Phenomenological Perspective and Meaning of the Family Caring for the Patients under Home Care Nursing)

  • 김영혜;김명수;정정심;김윤희;김영순;최남연;류성미;고영희
    • 가정∙방문간호학회지
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    • 제10권1호
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    • pp.41-51
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    • 2003
  • The purpose of this study was the family caring for the patients under home care nursing in the two college hospitals in Busan and Kyungnam Province. Researchers deep-interviewed the participants and asked using the non-constructed questions. 'What did you experience through home care nursing?'. The results are summarized as follows ; First, there were 196 final meaningful statements in the end and 32 constructed meanings, which were classified into 13 themes. These themes were again divided into four categories such as introduction, development, turn and conclusion. In the 'Introduction' three themes were included as follows ; 'feeling their eyes blinded', 'feeling a burden to have such a patient at home', and so on. In the 'conclusion' consisted of four such as 'finding it worthwhile to take care of them at home despite in the suffocated reality', 'pinning hope on the patient', 'retiring the world at first, but later going outdoors and feeling better', and 'realizing the real meaning of family through the difficult situation'. On the basis of this research results, home care nurses have to include the patients' family among home care clients and gradually change the home care nursing into the positive direction by sensitively responding to their requests.

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아동상담에 대한 보육교사와 유아기 어머니의 인식 및 요구 (The Child Care Teacher's and Mother's Recognition and Need about Child Counseling and Therapy)

  • 문수경;이무영;박상희
    • 가정과삶의질연구
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    • 제25권4호
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    • pp.181-196
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    • 2007
  • The present study was to investigate child care teather's and parents's recognition and need about child counseling and to analyse differences between them. The subjects for this study were 244 child care teachers and 260 mothers of the day care centers. The major finding were as follows; Most child care teachers are aware of child counseling through lecture, pre-service education, and internet. Most mothers hear about child counseling through internet. They think that child counseling is very effective for young children, especially for negative experience and emotion. Most child care teachers think that they can administer child counseling. especially daycare centers. But mothers think that special facilities is the most appropriate place by child counseling. Child care teachers and mothers regard the credibility of human being as personal characteristics required for child counseling. Counseling specialists are to be the most appropriate person for followed by child care teather's and parents. And they think that special training is needed for child counseling. but few of them receive special training. They perceive the necessity of professional education in child counseling. but they rarely experience related education of child counseling. Especially, they feel lack of time and information. They also want to apply to child counseling children education after learning it through counseling association or by observing real situations in child counseling center using morning time or during weekends. Most mothers and child care teachers know play therapy, art therapy. bibliotherapy, sand play therapy.

임상간호사의 고통경험, 공감역량 및 돌봄행위가 임종간호수행에 미치는 영향 (The Effect of Suffering Experience, Empathy Ability, Caring Behaviors on Terminal Care Performance of Clinical Nurses)

  • 조계화;박애란;이진주;최수정
    • Journal of Hospice and Palliative Care
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    • 제18권4호
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    • pp.276-284
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    • 2015
  • 목적: 본 연구의 목적은 임상간호사의 임종간호수행에 미치는 영향요인을 파악하는 것이다. 방법: 대구 경북지방의 임상간호사 175명을 대상으로 하였으며, 자가 보고식 설문지로 자료를 수집하였으며, IBM SPSS WIN 19.0 program을 이용하여 데이터를 분석하였다. 결과: 임상간호사의 고통경험, 공감역량, 돌봄행위 및 임종간호수행 간에는 유의한 상관관계가 있었다. 임종간호수행에 영향을 미치는 요인에는 부서, 공감역량 및 돌봄행위가 통계적으로 유의한 예측변인으로 나타났으며, 이들 변인의 설명력은 43.52%였다. 결론: 본 연구의 결과 임상간호사의 임종간호수행 능력은 공감역량과 돌봄행위 역량의 증진을 통해 높아질 수 있음을 시사한다.