• Title/Summary/Keyword: Care need

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A Survey on Oral Care among ICU Nurses (중환자실 간호사의 구강간호에 대한 인식 및 수행 실태)

  • An, Jin-Hee;Ju, Hyeon-Ok;Kang, Ji-Yeon
    • Journal of Korean Critical Care Nursing
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    • v.1 no.1
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    • pp.47-57
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    • 2008
  • Purpose: Providing oral care is one of the most important nursing interventions in ICU. Good oral health prevents various complications including pneumonia and improves patients' well-being as well. The purpose of this study was to indentify the ICU nurses’awareness and performance on oral care. Methods: Using a convenient sampling, 170 ICU nurses from 5 university hospitals in two metropolitan cities were selected. Results: Of the 170 nurses in this study, 95.9% were aware of the importance of oral care. Subjects responded that providing oral care three times or more a day was appropriate to prevent ventilator associate pneumonia. 43.5% of the subjects acknowledged that they didn’t know what the most effective oral care solution was. In oral care performance, 61.8% of subjects provided oral care once a day for patients with intubation, and 74.7% used oral solutions without knowing the exact pharmacological effects of them. Conclusion: As the results of this study, most ICU nurses realized the importance on oral care for ICU patients, but the frequency of performance was low. To improve oral care performance in the ICU, structured education should be provided to ICU nurses and evidence based oral care protocols need to be developed.

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Integration of Palliative Care in the Hospital Setting

  • Wozencraft, Colin;Tucker, Rodney O.;Howell, Stephen
    • Journal of Hospice and Palliative Care
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    • v.15 no.4
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    • pp.188-192
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    • 2012
  • Palliative medicine has shown demonstrated benefit for patients with serious illness, their families, and hospital systems. As such, the demand for palliative care services is growing at a fast pace, and health care facilities frequently struggle to develop and implement effective and sustainable methods of providing this care. As with any new system, challenges and barriers naturally exist to instituting palliative care. Undertaking careful assessment, planning, and resource allocation can provide the greatest likelihood of success when developing these novel yet much needed models of care. This summary paper offers a qualitative overview of the potential benefits and the rationale to implement robust palliative care systems. We briefly review the history of palliative medicine in the broadest sense and address several seminal works from the US palliative care literature. Core practices to establish and advance palliative medicine are suggested. Commentary is provided on some of the particular barriers to palliative system development that may need to be addressed in the context of Korean medical culture. Collectively, we hope this overview can contribute to a framework within which such research and development can occur, leading to increasingly effective and sustainable palliative medicine in Korea.

A Survey on Home Health Care Needs in Youn-Cheon County in Korea (일개 군지역의 가정간호 요구조사)

  • 한경자;박성애;하양숙;윤순녕;송미순
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.484-498
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    • 1994
  • The purpose of this study was to investigate the home care needs in a rural county as a basic study to develop a Korean home care model. A stratified cluster sampling method was used to select 1, 352 household which accounted for 8.8% of Youn Cheon County population. A Standard criterias for home care subject were delineated by five nursing professors representing five different areas of nursing specialty. The developed criteria for home care subjects were as below, 1) Patients who had been discharged from hospital during the previous week. 2) Patients with special medical devices 3) Newborns and the mothers. 4) The chronically ill with poor recovery or control of disease. 5) Subjects with poor health care behavior or ability 6) Subjects with poor social support and / or family resources. 7) Subjects with health related educational needs. Three types of questionnaires were developed to screen home care subjects, one for adults, one for infants and one for the elderly. Also different questionnaire items were developed to evaluate the control and self care ability of chronically ill subjects. After training in interview methods for 2 days, 39 interviewers visited individual households for interviews. As the results of the study showed that 14.1% of adult subjects and 76.5% of infants and child were judged as having at least one criterion related to home care need, 15.69% of adults and 53% of elderly had at least one chronic illness. The most prevalent chronic illnesses were hypertension, skeletal-neurological disease and diabetes. The prevalence of subjects with home care needs were, those with poor health care behavior(8.89%), with health-re-lated educational needs(8.71%), with poor recovery or control of disease (3.52%), and with poor social support and inadequate family resources(3.19%). There were only 0.3%, 0.37%, 0.11% who were discharged patients, patients with medical devices, or newborns respectively. Thus, the largest home care client group were those who need direct health care and health education. Seventy five percent of the subjects responded that they were willing to use and pay for home care service if it is offered in the future. It is suggested that recently discharged patients and patients with special medical devices can be cared for by hospital based home care nurses, but other home care clients can be cared for by com-munity based home care nurses.

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An Analysis of Edu-care Programs in Korean Day Care Centers (영유아 보육프로그램 실태 분석 연구)

  • Lee, Myung Joe
    • Korean Journal of Child Studies
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    • v.22 no.3
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    • pp.287-308
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    • 2001
  • This study analyzed Korean edu-care programs for young children, including such parameters as educational planning and management, instructional materials, health, social life, expressiveness, language, and discovery. Using a questionnaire consisting of 170 items developed for the study, 830 parents evaluated the programs of 200 day care centers which their young children were attending Results showed that the programs serving children from birth through 2 years of age need to be better tailored to their developmental level by months of age, and the quality of programs for 3- to 5-year-olds needs to be enhanced. Suggestions were presented for the improvement of edu-care programs.

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A Study on the interior design for 'day-care center' by Reggio emilia teaching method (레지오 에밀리아 교육방법론에 의한 보육시설의 실내 디자인에 관한 연구)

  • Lee, Jin-Kyoung;Kim, oon-Duck
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2006.11a
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    • pp.170-173
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    • 2006
  • Escalating rate of working women is increasing the necessity for day-care centers. Moreover, insufficient child-care system is known as one of many factors that relate to the seriously low birth-rate of our society. Therefore providing more adequate day-care centers can not be regarded as a mere personal necessity but a social need to be considered at corporate and governmental level. The current study analyzes 'Reggio-emilia teaching method' which is a type of early childhood educational program and its relationship to the built environment. It also examines current interior spaces of Reggio-emilia day-care centers and suggests designs for an day-care center appropriate for educating children in Korea.

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A Study on the Physical Environment in 24 Hours Child Care Centers (보육환경의 방향제시를 위한 야간 보육시설에 대한 실태조사)

  • 장상옥;안경온
    • Journal of the Korean housing association
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    • v.14 no.5
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    • pp.47-55
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    • 2003
  • This project, conducted in Korea, sought to investigate the physical environment of 24 hurs child care centers in order to suggest desirable perspective on it. For this study, documentary research, interviews and survey methods were used. Materials of the 24 hurs child care center were reviewed. The interviews and survey were conducted in 25 public and private centers in Seoul, Busan, Ulsan and Jinju. Caregivers were surveyed children's daily living and regarding the evaluation of physical environment of kitchen, bathroom and restroom of the center. The result of the documentary review indicates that there need to be increased the number of the 24 hr child care centers with quality. Mostly, caregivers were satisfied with the physical indoor environment of the center. However, they wanted the sleeping room and bathroom with bathtub for 24 hurs caring children. This result would be helpful to create useful database for planning the 24 hrs child care center.

A survey on space feature of day care center in Taegu city (대구시 소재 어린이집 공간에 관한 실측조사)

  • 안옥희
    • Journal of the Korean Home Economics Association
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    • v.36 no.2
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    • pp.35-46
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    • 1998
  • The purpose of this study was to investigate the space feature of day care center in Taegu city. This study was conducted by means of the observation on the equipments, the actual measurement of space of day care center and environment, and the questionnaire survey by the chief of day care center. The samples for analysis were 20 day care center located in Taegu city. The Major findings were as follows; 1) The chief's satisfaction of the facilities of day care center was generally low. 2) The door design, the lighting conditions, and the toilet need to be improved. 3) According to observation on the equipment, it was suggested that the environment of day care center was not desireable.

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Effects of Spiritual Nursing Care on Loneliness and Spiritual Well-Being of Terminal Cancer Patients (영적 간호가 말기 암환자의 외로움과 영적 안녕에 미치는 효과)

  • Yoon, Me-Ok
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.31-39
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    • 2009
  • Purpose: This study utilized a non-equivalent control group pre-post design to assess the effects of spiritual nursing care on loneliness and spiritual well-being of terminal cancer patients. Method: Forty-one terminal cancer patients in a general hospital, were divided into an experimental group of 20 patients and a control group of 21 patients. Those in the experimental group received four weeks of treatment three times a week for about 45 minutes each session. The treatment included nurses' spiritual care involving five instruments of spiritual nursing intervention, each of which was used according to the six types of spiritual need assessment. Data was analyzed with descriptive statistics including real number, percentage, $X^2$-test, t-test, and ANCOVA. Result: There were significant differences between the experimental and control groups in the level of loneliness and spiritual well-being. Conclusion: Spiritual nursing care was verified as an effective program that can lessen the loneliness and improve the spiritual well-being of patients with terminal cancer.

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Factors Influencing Performance of Delirium Care for Postoperative Delirium of Elderly Patients among Recovery Room Nurses (노인환자의 수술 후 섬망에 대한 회복실 간호사의 간호수행과 영향요인)

  • Koo, Hyunjoo;Yang, Jinhyang
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.387-395
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    • 2016
  • Purpose: The purpose of this study was to identify factors associated with performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 99 nurses from five urban recovery rooms. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. Results: The performance level of delirium nursing care was low because its mean score was 3.80 out of 5. Performance of nursing care was significantly positively correlated with the importance of nursing care and self-efficacy. Stepwise multiple regression analysis for performance of nursing care revealed that the most powerful predictor was the importance of nursing care. The importance of nursing care and self-efficacy explained 32.3% of the variance. Conclusion: The results indicate a need to enhance the performance of nursing care for postoperative delirium of elderly patients among recovery room nurses. The findings also suggest that consideration be given to strategies for improving the importance of nursing care and self-efficacy in developing programs to enhance the performance level of nursing care for elderly patients with postoperative delirium.