• Title/Summary/Keyword: Care Experience

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Knowledge, Experience, and Attitudes of Nurses at Long-Term Care Hospitals regarding Advance Directives

  • Go Eun, Park;Nae Young, Lee
    • Journal of Hospice and Palliative Care
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    • v.25 no.4
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    • pp.139-149
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    • 2022
  • Purpose: The purpose of this study was to promote awareness of the need for advance directives (ADs) and to provide baseline data for the development of a nurse training program about ADs. Methods: Nurses at eight long-term care hospitals in Busan and South Gyeongsang Province (N=143) were recruited using the random sampling method from December 2018 to January 2019. Data were obtained using a structured self-reported questionnaire to assess their knowledge, experience, and attitudes regarding ADs. Data were analyzed in SPSS 22.0 using descriptive statistics, the t-test, analysis of variance, the Scheffé test, Pearson's correlation coefficient, and stepwise multiple regression analysis. Results: The mean scores were 7.79±1.39 points for knowledge, 1.92±2.00 points for experience, and 2.80±0.24 points for attitudes regarding ADs. Knowledge and experience (r=0.32, P<0.001) had a positive correlation with knowledge and attitudes (r=0.17, P=0.39). Conclusion: According to the results, nurses generally had a high level of knowledge regarding ADs, which resulted in a positive attitude toward ADs. However, they had little experience with ADs. Therefore, nurses' must develop both direct and indirect experience with ADs using a practical training program to strengthen their clinical competency regarding ADs.

Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach (중환자실 간호사의 연명치료환자 간호 경험: 현상학적 접근)

  • Lee, Su Jeong;Kim, Hye Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.23 no.2
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    • pp.172-183
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    • 2016
  • Purpose: The purpose of this study was to explore the subjective experience of life-sustaining treatment care among nurses in intensive care units. Method: A phenomenology was used for the study. Data were collected from October to December, 2015 using open-ended questions during in-depth interviews. Participants were nurses working in intensive care units and were contacted through purposive techniques. Eight nurses participated in this study. Results: Four categories emerged from the analysis using Colaizzi's method: (a) difficulties due to life-sustaining treatment care, (b) dilemma of extension or cessation of life-sustaining treatment, (c) repressed feelings and emotional exhaustion, and (d) forming values for life-sustaining treatment from nursing experience. Conclusion: Provision of clearer guidelines on life-sustaining treatment which reflect a family-oriented culture is important for nurses in ICU and will promote nurses involvement in the decision-making process of life-sustaining treatment of patients.

Impacts of death perceptions, terminal care stress, and life satisfaction on attitudes toward end-of-life care among nurses at a tertiary hospital (죽음인식, 임종간호 스트레스, 삶의 만족도가 상급종합병원 간호사의 임종간호태도에 미치는 영향)

  • Yoon Young Shin;Haejung Lee
    • Journal of Korean Biological Nursing Science
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    • v.26 no.3
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    • pp.218-227
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    • 2024
  • Purpose: This study investigated the factors influencing attitudes toward end-of-life care among nurses at a tertiary hospital in Korea. Specifically, it examined the roles of nurses' characteristics, death perceptions, terminal care stress, and life satisfaction. Methods: The participants included 150 nurses working at a tertiary hospital, who were recruited between August 15 and September 19, 2023. Data were collected through an online survey and analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis with SPSS/WIN 28.0. Results: Nurses' attitudes toward end-of-life care were positively correlated with death perceptions (β = .28, p < .001), 3 years or more of clinical experience (β = .25, p = .001), the experience of an acquaintance death (β = .22, p = .002) and life satisfaction (β = .20, p = .004). These variables explained 34.0% of the total variance in attitudes toward end-of-life care. Conclusion: It is essential to develop and implement individualized end-of-life nursing education programs, particularly utilizing simulations, for nurses with limited clinical experience and low levels of death perceptions. Further research should explore attitudes toward end-of-life care among various healthcare providers with a broader regional scope to improve the overall quality of end-of-life care.

Survey on the Oral Health Care according to the Oral Health Education Experience of the Special School Teachers (일부 특수학교 교사의 구강보건교육 유무에 따른 구강건강관리 조사)

  • Yoo, Ja-Hea;Lee, Min-Young;Kim, Jung-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.3
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    • pp.81-93
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    • 2014
  • Objectives: This study aims to find status of the oral health care, the oral health education program utilization and the oral health guidance according to the experience status of oral health education of special school teachers. Methods: The study subjects were 133 teachers at special schools in Seoul, Gyeonggi, Chungbuk and Jeonbuk regions. Results: 32.8% of the male and 67.2% of the female teachers have the oral health education experience. Barriers for the dental treatment to teachers with the education experience show in the order as 'disabled children's noncooperation' 49.2%, 'economic reasons' 37.7% and 'medical institution's rejection' 6.6% and, to teachers without the education experience, 'disabled children's noncooperation' 45.8%, 'economic reasons' 19.4% and 'not emergency situation' 13.9%(p<0.01). Regarding the necessity of arranged institution to manage the oral health, 91.8% of teachers with the oral health education answer as 'necessary'(p<0.05). Regarding the barriers on the performance of oral health program 27.9%, the majority of teachers with the education experience answer as 'insufficient administrative & financial support' and 36.1%, the majority of teachers without the education experience answer as 'insufficient understanding and expertise on the oral health education'. 86.9% of the teachers with the education experience and 62.5% of the teachers without the education experience are found to 'guide students on the oral health'(p<0.01). Conclusions: It was considered that various oral health education programs positively influential to the oral health care and education for disabled children should be developed according to the status of oral health education experience of special school teachers.

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The Effects of Child Care Teacher's Job Stress and Personality on Child Abuse Protective Behaviors

  • Kim Min-Gon;Hur Mun-Yeong;Park Sang Hyuk
    • International Journal of Advanced Culture Technology
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    • v.12 no.2
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    • pp.258-269
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    • 2024
  • This study aims to examine the effects of child care teachers' job stress and personality on child abuse protective behaviors, which consist of perception and reporting intention of child abuse, and to verify the moderating effect of past child abuse experience. A survey was conducted on 246 child care teachers nationwide, and the collected data were analyzed through regression analysis and t-test. The results showed that job stress had a negative effect and personality had a positive effect on child abuse protective behaviors. In addition, there was a significant difference in the influence of job stress and personality on protective behaviors according to the presence or absence of past child abuse experience. Based on these results, practical implications for preventing child abuse by child care teachers were discussed.

Experiences in Spiritual Nursing Care by Student Nurses before Starting Nursing Practice in Hospital: Part I (간호대학생의 임상실습 전 영적 간호경험 I : 사례연구를 중심으로)

  • Koh Myung-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.462-472
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    • 2002
  • The purpose of this study was to describe the spiritual care experiences of student nurses after they have received 2 credits in a spiritual nursing care course at a university in Seoul, Korea. The major finding are as follow: 1 The problems that students reported for their patients were. loss of self- confidence, anxiety about outward appearance, anxiety about his(her) health and illness, maladaptability, guilt, problems with dating, uncertainty about his (her) future. 2. The methods which students used to help solve the patients' problems were: prayer with patients, use of Scripture, conversation, advice, frequent meetings listening, frequent phone call, writing letters, exploring problem solving methods together, and introduction of similar patients. 3. After the students had experienced spiritual nursing care they felt satis-faction, lack of knowledge of spiritual care, understood that spiritual nursing care courses at the university are important for education and experience, and understood the need for experience to increase sensitivity to the spiritual needs of their patients. Conclusion : Maintaining spiritual wellness is a important as maintaining physical fitness and essential for optimal well being. Therefore educating student nurses in developing and maintaining spiritual wellness is essential in order for them to help their patients achieve holism.

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The Influence of Death Anxiety and Terminal Care Stress on Job Satisfaction of New Nurses (신규간호사의 죽음불안, 임종간호 스트레스가 직무만족도에 미치는 영향)

  • Park, Eun Ju;Seo, Minjeong
    • Korean Journal of Occupational Health Nursing
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    • v.28 no.4
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    • pp.230-241
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    • 2019
  • Purpose: This study aimed to investigate the correlation between death anxiety, terminal care stress, and job satisfaction of new nurses, as well as to identify factors affecting job satisfaction using descriptive correlations. Methods: This study included 143 new nurses who had 3 to 12 months of experience in terminal care. Data were collected from January to February 2018, and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe? test, Pearson's correlation coefficient, and hierarchical regression analysis. Results: There was a negative correlation between job satisfaction and terminal care stress (r=-.170, p=.043), while death anxiety and terminal care stress were positively correlated (r=.284, p=.001). The following findings demonstrated a significant effect on job satisfaction: lesser the clinical career experience, the lower the job load causing death anxiety and terminal care stress, and the higher the job satisfaction. Furthermore, the explanatory power of these factors was 15.1%. Conclusion: To assist new nurses within three months of joining in clinical adaptation, it is necessary to provide them with appropriate knowledge regarding terminal care through training, and with counseling opportunities for the psychological burdens they experience while caring for dying patients.

Clothing Management Behavior and Care Label Use of College Students (대학생의 의복관리행동과 섬유품질표시 인지도)

  • Lee, So Young;Shim, Huen Sup
    • Fashion & Textile Research Journal
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    • v.23 no.6
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    • pp.852-859
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    • 2021
  • The purpose of this study is to investigate the clothing management behavior and the recognition of care label of college students, as well as the effects of sex and the learning experience of clothing life area on middle and high school students. A survey consisting of 61 questions was conducted on 475 college students(240 males and 235 females) enrolled in a university in Cheongju City, and 450 college students' data were finally analyzed. The results are as follows. First, the level of washing behavior(2.54) was the lowest compared to purchasing behavior(3.13) and storage behavior(3.09). Second, college students were well aware of the attachment of fiber care labels, but 64.7% of the college students did not check the care label. About 30% of them did not know why the care labels were attached, and about 57% did not know whether manufacturers were obligated to attach them. The meaning of precautions for handling in a care label was well inferred from the symbols. Third, there was the positive effect of the learning experience of clothing life area during middle or high school on the college students' clothing management behavior and the level of recognition of a care label. This study is meaningful in confirming the positive effect of clothing life education in adolescence on adult clothing life behavior.

How Do We Approach Quality Care for Patients from Middle Eastern Countries? A Phenomenological Study of Korean Nurses' Experiences

  • Jang, Dael;Choi, Seonhwa;Hwang, Gahui;Kim, Sanghee
    • Journal of Korean Academy of Nursing
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    • v.54 no.3
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    • pp.372-385
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    • 2024
  • Purpose: Although more people from Middle Eastern countries are visiting South Korea for medical treatment, Korean nurses lack experience in treating them. Understanding and describing Korean nurses' experiences can help them provide quality care to these patients by enhancing their competency in culturally appropriate care. This study described the experiences of nurses who provide care to Middle Eastern patients in clinical settings in South Korea. Methods: We conducted a phenomenological study to describe nurses' experience of caring for patients from Middle Eastern countries. Ten nurses with prior experience in caring for these patients were recruited from a university-affiliated tertiary hospital. Semi-structured face-to-face interviews were conducted between May 1 and June 4, 2020. The transcribed data were analyzed using Giorgi's phenomenological method to identify the primary and minor categories representing nurses' experiences. Results: Four major categories (new experiences in caring for culturally diverse patients, challenges in caring for patients in a culturally appropriate manner, nursing journey of mutual agreement with culturally diverse patients, and being and becoming more culturally competent) and 11 subcategories were identified. Conclusion: Nurses experience various challenges when caring for Middle Eastern patients with diverse language and cultural needs. However, nurses strive to provide high-quality care using various approaches and experience positive emotions through this process. To provide quality care to these patients, hospital environments and educational programs must be developed that center on field nurses and students and support them in delivering quality care while utilizing their cultural capabilities.

Perceptions of Spiritual Nursing Care Nurses and Nursing Students (간호사 및 간호학생의 영적간호 인지조사 연구)

  • 권혜진
    • Journal of Korean Academy of Nursing
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    • v.19 no.3
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    • pp.233-239
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    • 1989
  • This study was designed to clarify how nurses and nursing students perceive their clients' needs for spiritual nursing care, it's practices, and problems. The purpose was to suggest directions for the development of spiritual nursing practice. The major findings are as follows : Respondents primarily perceived spiritual nursing as nursing care designd to help terminally ill patients accept death. Many of the respondents showed a high level of awareness of spiritual nursing care and its necessity. Few of them, however, bad actual experience in spiritual care. Those with experience in spiritual nursing care tend of take either a religious approach or perceived it as the therapeutic use of the self. The greatest problem related to the practice of spiritual care was found to be lack of time. Most of nurses and nursing students were found to be well aware of the needs for spiritual nursing care but were hindered from practising it because of the lack of time. To resolve the problem it was recommended that the scope of nursing practice be readjusted and that pre-and in-service programs should be developed to further heighten nursing students' interest in spiritual nursing care.

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