• Title/Summary/Keyword: Clinical Basic Nursing Practice

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Survey on Ethical Issues, Ethical Dilemma, and Needs for Ethics Education in Healthcare Providers (의료인의 윤리적 이슈, 윤리적 딜레마와 윤리교육 요구도 조사)

  • Je, Nam-Joo;Park, Mee-Ra;Bang, Sul-Yeong
    • Journal of Digital Convergence
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    • v.18 no.10
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    • pp.285-296
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    • 2020
  • The purpose of this study is to provide basic data for developing future ethics education programs by surveying healthcare providers working at institutions of various sizes, using Ethical Issues in Clinical Practice tool. Data were collected from 149 healthcare providers working at medical institutions in G-do. Analysis was done using t-test, ANOVA, Pearson correlation coefficient, and Multiple regression with IBM SPSS WIN/21.0. Needs for ethics education was inversely correlated to end-of-life treatment issues (r=-.22, p=.007) and patient care issues (r=-.28, p<.001). The most influential factor on the subjects' needs for ethics education was patient care issues (β=-.246, p=.035), followed by Buddhism (β=.208, p=.010). The explanatory power was 13.4% (F=5.596, p<.001). Therefore, when organizing the contents of ethics education program, patient care issues should be included to meet the needs of the subjects. Also, a customized program regarding the subjects' religion is necessary.

A STUDY ON THE CLINICAL ANALYSIS AND PERFORMANCE IN COMPREHENSIVE NURSING CARE (전인간호의 임상학적 분석과 실행에 관한 연구)

  • 전산초
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.1-21
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    • 1974
  • A considerable change of the Korean nursing system has been made during the last decade not only in its philosophy but also in its function and structure to meet political and scientific need of the modern society. The main purpose of this study is to develope the new concept of comprehensive nursing care, both its Philosophy and ethics, as the basic of modern clinical nursing theory and practice. Comprehensive nursing care is the concept of human centered nursing care, and it helps a man to meet the basic physical, psychological, environmental, socioeconomic and teaching needs. It also helps him to help himself to meet these needs. This concept starts from the individualized nursing care and its ultimate goal is to improve a man to have a better position in his own community so that he may able to have a meaningful life. To accomplish this goal, an individualized nursing care plan as a nursing diagnosis and problem solving method should be set up for different patients with similar diagnosis to meet their needs, because each patient has a different social background. from this viewpoint, nursing is a science as well as abstruse humanity. The performance of comprehensive nursing care is a goal and issue of modern clinical nursing care. If nursing is a science and a profession for man, it should have ethics which recognize the dignity of man and offers infinite service voluntarily, and should be able to show leadership in carrying out the nursing responsibility. This leadership finds a person's potential and encourages him to utilize it. Such concepts should develop into a nursing ideology and this ideology should become a priority in comprehensive nursing care. The following statements are the conclusion of this study. 1) Modern nursing has been developed from disease centered nursing care to comprehensive nursing care based on humanity. The primary principle of nursing was to assist in the treatment of disease, but it has been changed to the professional nursing system independently. 2) The concept of nursing is one of continuous or endless scope of dispersion. It proves that nursing is grasping the professional responsibility to be able to coordinate scientific principles Patient health problems are according to scientific principles rather than adhering to nursing technical discipline as a daily work. 3) In chapter I and Ⅱ, the philosophy and ideology of nursing have been discussed and the flow of concept of clinical nursing and the rate of progress which emerges from naturalizing performance of the concept of comprehensive nursing in clinical nursing studied. The discussion developed the theory that a nurse should be to embody nursing ideas and objectives by establishing definite conviction of professions and study. 4) In chapter lil, nursing planning based on nursing diagnosis as a method to attain ideal nursing care for humanity with a definite idea of establishing philosophy of nursing was presented. 5) From the result of survey on patient needs about treatment and nursing, it was observed that all patient had emotional stress from unknown factors. Therefore it was concluded that nurses should not only educate the patient but also give them the opportunity to communicate freely their needs and anxieties. Furthermore complaints and doubts of the patient should be carefully noted and must be considered to meet these needs. 6) Patient teaching is the most important part of comprehensive nursing care. In chapter, Ⅲ, the important of patient teaching was emphasized by demonstrating the effect of patient teaching for diabetic patient. 7) In Chapter Ⅳ, from the result of the study on nurses attitudes to comprehensive nursing care, it was pointed that the evolution of nursing education and the establishment of a complete concept and value of comprehensive nursing was necessary.

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Ethical Awareness and Attitudes of Patients' Families towards DNR(Do-Not-Resuscitate) (심폐소생술금지(Do-Not-Resuscitate)에 대한 환자보호자의 윤리적 인식 및 태도)

  • Song, Kyung Ok;Jo, Hyun Sook
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.3
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    • pp.73-84
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    • 2010
  • Purpose: The purpose of this study was to investigate the ethical awareness and attitude of patients' families towards Do-Not-Resuscitate(DNR), and thus provide basic information required to develop Korean appropriate DNR instructions and practice informed consent for DNR. Methods: During April 2010, 219 patient family members visiting the hospital were surveyed using a questionnaire. Results: Most of the participants preferred DNR to meaningless treatment for incurable patients. They recognized the necessity of explaining DNR to the patient with a terminal disease. They also requested DNR orders for themselves if they were in the same medical condition. In making a DNR decision, the patient's family agreed and preferred that it reflect the opinion of the patient and the doctor in charge. They also agreed that treatment should be given with the best efforts even if a DNR decision had been made for the patient. Conclusion: To make a decision on DNR for a patient who is terminally ill or for whom survival is not possible, a practice of informed consent and guidelines for executing the DNR reflecting the patient's opinion are required.

Clinical Practicum Experiences of Local Nursing College Studentsat a University Hospital in the Seoul Metropolitan Area (일 지방 간호대학생의 수도권 대학병원 임상실습 경험 )

  • Jo, Hyun-Mi
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.651-661
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    • 2021
  • This study was conducted to examine the experiences of nursing students during a clinical practicum at a university hospital in the Seoul metropolitan area. The participants of the study were 12 senior nursing students from J city, and the data was collected from September 29 to October 12, 2017, using interview questionnaires. The collected data was analyzed using Colaizzi's phenomenological analysis method. As a result of this study, there were three categories and nine theme clusters. In the category of 'high-quality practical education', 'the participants had high expectations prior to the practicum' and 'satisfaction with the practical instruction of education' as well as identified 'the opportunity to consider for future career'. In the category of 'experiences with independent social life', the participants described about their 'freedom away from everyday life', 'challenges of problem-solving alone', and identifying 'the importance of human relationships' in unfamiliar surroundings. In the category of 'lack of support system in practicum', the participants reported 'difficulties in preparing for practicum due to lack of information', 'lack of financial support' and 'the fear of living in an unsafe environment'. The results of the study will be used to as a basic data to find a high-quality clinical practice education environment by identifying what clinical practice students experience at university hospitals in the metropolitan area.

A study on educational need of nurses for home care (간호사의 가정간호를 위한 교육요구 분석)

  • Moon Jung-Soon
    • Journal of Korean Public Health Nursing
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    • v.5 no.2
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    • pp.5-25
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    • 1991
  • This study was conducted from July to December 1990, in order to diagnose nurses' educational need for home care. The study subjects consisted of 145 nursing educators, and the 3 groups of nurses, namely 250 senior nursing students of diploma and collegiate program, 235 health center nurses, 521 university' hospital nurses in Seoul. Four types of questionaires were formulated by Delphi method. Two questionaires for the nursing educators were designed to measure their expectations of nurses' knowledge and of their skill for home care, and another two questionaires for the nurses to measure their actual home care knowledge and skill. The results of the study were as follows : 1) The mean scores of educators' expectation for home care knowledge were 17.68 for the care of dependence on medical equipment, 17.44 for the care of mobility impairment patient, 16.56 for the care of cardiopulmonary impairment patient, 16.40 for the care of nutrition and elimination impairment patient, '1.20 for the care of psychiatric disorder patient and 9.03 for the care of cancer and terminally ill patient,. 2) The mean scores of nurses' home care knowledge tested by 20 items were 14.36 for the care of mobility impairment patient, 13.28 for the c8;re of dependence on medical equipment, 13.78 for the care of cardiopulmonary impairment patient, 12.92 for the care of nutrition and elimination impairment patient, and those of tested by 10 items were 7.08 for the care of psychologic disorder patient, 7.80 for the care of cancer and terminally ill patient. The sum of means marked 69.23. As for the nurses' home care knowledge categorized by tasks in terms of the group, significant difference were shown in the care of mobility impairment(P=0.00), cancer and terminally ill(P=0.03), nutrition and elimination impairment(P=0.00) and psychologic disorder patient(P=0.00). No significant difference were shown in the care of dependence on medical equipment and cardiopulmonary impairment patient. 3) Regard to educational need of nurses' home care knowledge categorized by task according to the group it was found that all sampled nurses had educational need in the care of mobility impairment, dependence on medical equipment, cardiopulmonary impairment, cancer and terminally ill patient. It was found that health center nurses had educational need in the care of psychologic disorder. No educational need were found in the health center nurses whose career less than 2 years, in the care of mobility impairment, cardiopulmonary impairment and psychologic disorder patient, and in those of career with 2-5 year in the care of psychologic disorder patient. No educational need were found in the hospital nurses whose career more than 15 years, in the care of cardiopulmonary impairment patient and in those of career with 11-15 year, in the care of cancer and terminally ill patient. 4) The mean scores of educators' expectation for home care skill measured by Likert 5 points scale were 4. 21 for assessing, 4.49 for planning, 4.29 for basic care, 4.42 for curative care, 4.40 for rehabilitative care, 4.36 for emergency care, 4.53 for medication, 4.31 for nutritional care, 4.32 for other means for care, and 4.38 for evaluation. 5) Regard to nurses' home care skill measured by Likert 5 points scale of self evaluation, there was a significant difference between the nurses' home care skill and group(P=0.00l). The higher scores reported by students were vital sign checking and basic care while the scores of below medium were curative care and emergency care. The higher scores reported by health center nurses were vital sign checking, other means for care and care of specimen while the scores below medium were curative, emergency and nutritional care. The higher scores reported by hospital nurses were vital sign checking, care of specimen and basic care, while the score below medium was emergency care. 6) Regard to educational need of nurses' home care skill by nursing process activity according to the group it was found that health center nurses had educational need in all nursing skills including vital sign checking, care of specimen, health assessment, socioeconomic assessment, nursing diagnosis, care plan, basic care, curative care, rehabiitative care, psychological care, emergency care, medication, nutritional care, other means for care and evaluation. And students had educational need in all nursing skills except vital sign checking, and hospital nurses had educational need in all nursing skills except vital sign checking, care of specimen and basic care. 7) In short, the result of this study suggests that the curriculum should be organized in accordence with nurses' educational background and their career for the education of nurses for home care. It should be considered to develop the short term educational program focused on curative and rehabilitative care for health center nurse or community health nurse practitioner and which was focused on family care for hospital nurse. Concerning about this field practice for home care nurse, they are required not only community practice but also . clinical practice including emergency, curative and rehabilitative care.

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Effect of Learner-Centered Virtual Reality Simulation Education (학습자 중심의 가상현실 시뮬레이션 교육 효과)

  • Kim, Sungeun;Kim, Mi-Jin
    • Journal of Digital Convergence
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    • v.20 no.4
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    • pp.705-713
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    • 2022
  • The purpose of this study is to identify the effect of virtual reality simulation education and intend to present basic data that enables virtual reality simulation education to be used as practical education. Data were collected from April 26 to June 4, 2021 and analyzed by paired t-test, Wilcoxon Signed-Rank Test, Spearman's correlation coefficient using IBM SPSS Statistics 25 program. The results of this study showed that critical thinking disposition, clinical competency, practice satisfaction was improved after virtual reality simulation education. And there were a positive correlation with each other. Virtual reality simulation education is considered a very effective teaching method for nursing students. It is necessary to develop and apply more diverse and systematic scenarios and practice programs in future research.

Basic Knowledge Level of Nurses on the Administration of Medication (투약에 관한 간호원의 기초지식 정도)

  • 한윤복;이인자;김명자;노유자
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.12-22
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    • 1976
  • Amongst varieties of clinical nursing role, the administration of medication is often highlighted as of prime importance. In order to attain data for the improvement of teaching strategies of medication, diagnostic evaluation of the knowledge level is a necessity. This study was performed from August through December 1975. 449 registered nurses, randomly sampled from general hospitals:16 of Seoul and 7 of Taegu and Pusan, were tested through 54 test questionaries based on 4 practical dimensions of administration of medication. Results are as follows ; 1. Status of respondents: Length of clinical experiences; the average length revealed to be 2 years and 7 months, 72% revealed to have had less than 3 years of experience; 38.6%-less than 1 year, 19 .2%-over 1 year and less than 2 years, and 14, 2%-over 2 years and less than 3 years. Type of Nursing education received ; 9.4% revealed to have graduated technical high school of nursing, 67.5o/o the 3 year diploma school and 21, 7% the baccalaureate degree program. The knowledge Level; Degree of self-satisfaction on knowledge level revealed that;27, 4% responded to "more or less satisfied", 48.8% "more or less un-satisfied" and 19.8% to "not satisfied". The average level of basic knowledge revealed to be moderate by 66.95 points. The level of knowledge of 4 questionnaire categories revealed that; drug action category by average of 66.5 points, methodology category by 65.4 Points, safety measure category by 71.4 points and terminology and concepts category by 64.6 points, Questionnaire items which revealed high points are of;6 of drug action category, 4 of methodology, 4 of safety measure, and 3 of terminology. The items of low points are: 8 of drug action, 3 of methodology, 3 of safety measure and 5 of terminolology categories. 3. The type of nursing education revealed to have no significant influence on the level of knowledge on the administration of medication. 4. The length of clinical experience revealed to have no significant influence on the level of knowledge. 5. 75. l% responded that the actual practice of medication modes are "similar" to that included in the fundamentals of nursing course. 6. In-service education on medication; 54.0% revealed to have some incidental in-service education on medication while 34.0% receive programmed in- service education. 61.8% revealed to have expressed the need of systemic In-service education as one of the means for improvement of medication. 32.7% revealed to obtain information concerning medicine by reading commercial publications on drug package, while only 20.9% by reading specific information channel.

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An Analytic Study on Curriculum in Nursing Education (간호교육 과정에 관한 분석 연구)

  • 도복늠
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.81-94
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    • 1974
  • The trend in modern nursing is toward the performance of comprehensive nursing carp. Airer liberation of 1945, nursing education in Korea has made rapid progress. The System of nursing education in Korea has come to the professional school of nursing and collegiate program from high School level. Under these situations, the improvement on curriculum of nursing education is necessary. This paper is a basic study for improvement of curriculum in nursing education. 1. The aims of this study are; 1) to analyze and compare the objectives of nursing education in Korea and U.S.A 2) to analyze and compare the differences in curriculum of nursing education between Korea and U. S. A. 3) to find problems in nursing education of Korea 2. The curricula and bulletins from 2 colleges.9 departments, 12 professional schools and 18 attached schools of nursing in Korea and 9 attached schools of nursing and 17 colleges in U. S. A. were collected for this study. 3. The results of this study: 1) Most of Korean programs lack for the student to make understand respect the human in the statement of their objectives. 2) Most of Korean programs prepare their graduate to function as a contributing member of the-health team in the hospital and the community, while the graduate of the American attached schools is prepared to function in general staff nursing and team leadership positions in hospitals. 3) Most of Korean programs of nursing education hays low distribution of credits in supporting sciences. (especially sociology and psychology) 4) Too much proportion of time in attached schools and less and less proportion of time in professional schools is distributed in clinical practice area. 5) In our collegiate programs. too much proportion of time is distributed in adult nursing and less proportion of time in Psychiatric nursing. 6) Professional area on curriculum of attached schools is divided into many detailed subjects. 7) A large number of credits in total are distributed at the first year in attached schools.

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A study on the relevance among Self efficacy, Major satisfaction, Nursing ethics values in Nursing Students before Clinical Practice (임상실습 전 간호대학생의 자기효능감, 전공만족도 및 간호윤리 가치관 관련성 연구)

  • Yun, Soon-Young;Kim, Minsuk
    • Journal of Digital Convergence
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    • v.12 no.2
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    • pp.363-372
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    • 2014
  • The purpose of this study was to explore relationship among self efficacy, major satisfaction, nursing ethics values in nursing department students so nursing students' ethical values, so that the correct opening for the establishment of training courses was to try to provide the basic data. Data were collected from 275 nursing department students and analyzed using descriptive statistics, t-test, ANOVA, Bonferroni's test and Pearson's correlation coefficients with the SPSS/WIN 18.0 program. The results of this study self-efficacy, major satisfaction was more than the middle, the subjects were taking positions of responsibility. Nursing ethics values and self-efficacy, major satisfaction and subject areas showed a very low correlation, self-efficacy and major satisfaction is a significant positive correlation. Therefore, to enhance self-efficacy and nursing students that can be sustained by developing a variety of educational programs for nursing professionals to meet and establish a firm that values nursing ethics is urgently required.

Convergence Awareness and Ethical Attitudes about DNR of Nursing Students (간호대학생의 DNR에 대한 융합적 인식 및 윤리적 태도)

  • Oh, Yun Jeong;Lee, Eun Mi
    • Journal of the Korea Convergence Society
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    • v.8 no.2
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    • pp.63-72
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    • 2017
  • This study was identify the awareness and ethical attitudes of DNR in nursing college students and use it as basic data to help patients with DNR. The results of the questionnaire were collected from June 1, 2016 to July 10, 2016 and analyzed using SPSS 23.0 program. As a result of the analysis, the recognition of DNR was in favor of the necessity of DNR, the decision of DNR by patient and family will, and the need for documented guidelines. Ethical attitudes favored decisions made by the patient's will, range of treatment, explanation, and guidance, and opposed decisions made by the primary care physician and reduced provision of basic care. Ethical attitudes according to general characteristics were significantly different according to grade, clinical practice experience, educational experience on ethical values, educational experience on DNR, satisfaction with life, and values for death. Based on the results of this study, more follow - up studies are needed to establish the criteria for DNR.