• Title/Summary/Keyword: Clinical Nursing Performance

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Effect of a Complex Leg Exercise Program for Hemodialysis Patients with Restless Legs Syndrome (하지불안증후군을 경험하는 혈액투석 환자를 위한 하지복합운동 프로그램 적용 효과)

  • Ko, Seon Il;Kang, Kyung Ja
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.385-394
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    • 2020
  • Purpose: This experimental study with nonequivalent control group and pre/post-tests aims to investigate the effects of a complex leg exercise program on severity of restless legs syndrome, sleep quality, depression, and physical performance in patients with maintenance hemodialysis. Methods: Patients in the experimental group were provided with the leg exercise program three times a week for eight weeks, a total of 24times, through watching videos during hemodialysis from August 1, 2017 to October 25. The experimental group and control group consisted of 22 people each. Data were analyzed using descriptive statistics, χ2 test, Fisher's exact test, and independent t-test utilizing SPSS/WIN 22.0. Results: After providing with the leg exercise program, these were level of restless legs syndrome and depression were significantly decreased in the experimental group (t=2.79, p=.032; t=0.53, p=.036, respectively). However, sleep quality and physical performance did not have significant difference between the two groups (t=0.02, p=.947; t=1.74, p=.957, respectively). Conclusion: A complex leg exercise program appears to be beneficial in improving restless legs syndrome and depression in maintenance hemodialysis patients with restless legs syndrome.

Measurement of Nursing Service Quality using SERVQUAL Model (SERVQUAL 모델을 이용한 간호 서비스 질 측정)

  • Lim, Ji-Young;Kim, So-In
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.2
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    • pp.259-279
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    • 2000
  • This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.

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School Novice Health Teachers' Perception of Job Performance Difficulties and Job Satisfaction (초임 보건교사의 직무수행 어려움과 직무만족도에 대한 인식)

  • Jang, Seomoon;Lee, Gyuyoung
    • Research in Community and Public Health Nursing
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    • v.32 no.4
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    • pp.566-577
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    • 2021
  • Purpose: This study aimed to determine the correlation between job performance difficulties and job satisfaction that novice health teachers experienced in a new school environment, and provide the basic data necessary for policy development. Methods: Data were collected from 196 novice health teachers without in-service training program for the qualification of 1st grade and with less than four years of work experience in Korea. The self-report questionnaire consisted of general characteristics, perception of difficulties in job performance, and job satisfaction. The data were analyzed using the x2 test, t-test, ANOVA, and Pearson's correlation coefficient. Results: Novice health teachers had the most difficulty in health education during their job performance, whereas teachers without hospital clinical experience encountered difficulties in health management. Those with less than two years of teaching experience or no experience of being contract health teachers had higher job performance difficulties. The results revealed that the lack of experience in performance at a school site had a considerable influence on the difficulty in job performance. In terms of job satisfaction, novice health teachers had the highest satisfaction with status recognition and the lowest satisfaction with their tasks in charge. Additionally, as the difficulty in job performance increased, job satisfaction decreased. Conclusion: The study results indicated the need for training to provide novice health teachers with sufficient experience in job performance before being placed in a school. The provision of support to respond to difficulties in job performance will improve job satisfaction and contribute not only to the development of novice health teachers, but also to the improvement of the quality of school health.

Predictive Factors of Brest Self-Examination Practice of Clinical Nurse (간호사의 유방자가검진(Breast Self-Examination) 실천 예측요인)

  • Tae, Young-Sook;Kim, Jong-Sun
    • Asian Oncology Nursing
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    • v.3 no.2
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    • pp.122-132
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    • 2003
  • Purpose: The purpose of this study was to identify predictive factors of Brest Self-Examination practice of clinical nurses. Method: The subject for this study were 277 nurses in 8 university hospitals in Busan. The data were collected from September 21 to October 20, 2001 by means of a structure questionnaire. The instruments used for this study were Choi's BSE knowledge scale. Kim's BSE attitude scale and Jung's BSE practice scale. The data were analyzed using frequency, percentage, mean, Peason Correlation, t-teat, ANOVA, scheffe's test, and multiple stepwise Regression using SPSS program. Result: 1. The mean score of BSE practice for the total sample was 7. 25${\pm}$4.62. 2. Statistically significant factors influencing the BSE Practice among social demographic characteristics were age(F=2.734, P=0.44), Married status(t=2.598, p=0.010). 3. Statistically significant factors influencing the BSE Practice among BSE relating characteristics were enlisting the help of significant peers(t=3.34, P=0.00), Intention of Practice for BSE(t=10.462, p=0.00), performance of BSE(t=7.800, P=0.00), frequency of performance in BSE(F=13.932, p=0.00), confidence in Knowledge of BSE technique(F=5.350, p=0.00), confidence in finding breast nodule(F=7.204, p=.00), asking client's BSE (t=3.153, P=0.01). 4.The mild correlation between nurse's BSE knowledge and practice was found(r=0.366,p=0.000). 5. There were significant predictors of BSE Practice. Performance of BSE was the best significant predictive factor(R2=.383, p=.000) Another significant predictive factors were knowledge, intension of practice, married status, frequency of performance. Conclusion: Degree of nurses' performance of BSE was average. It is necessary to develope the nurses' educational program for BSE with its focus on above predictive factors of performance of BSE.

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Recognition and Performance of Patient Private Information Protection (PPIP) in Nursing Students (환자 개인정보보호에 대한 간호대학생의 인식과 실천)

  • Kim, Chang-Hee;Jeong, Sun-Young;Song, Yong-Shin
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.479-490
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    • 2013
  • In this research we surveyed level of textual recognition and of practice by nursing students regarding patient privacy protection. The subjects were 383 nursing students. The questionnaire developed by Lee and Park (2005) were modified and used. Data analysis was conducted through descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. The result shows that about 96.1% of the subjects received education on patient privacy protection in school or hospital but 48.0% of all received education of 10 minutes or less. Average score for recognition of patient privacy protection was a 4.13 but average practice score was 3.84. Among all areas, communication tasks showed the highest scores for both recognition and practice. There are differences according to grade in school and age of the subject, and experience with clinical practice, existence of regular educational program embedded in clinical practice at hospitals, and the length of each educational session. For both total score and score for every domain, there was a correlation between recognition and practice. The conclusions drawn from this research will help colleges of nursing and hospitals to design and develop contents of educational programs for nursing students.

Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals (근거기반 정맥주입요법 간호실무지침 실무적용 프로그램 개발 및 평가 - 중소병원을 대상으로)

  • Hong, Inhwa;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.863-875
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    • 2020
  • Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

A Study on the IPA of Nursing Students' Major Satisfaction and Importance Perception and Performance of Public Health Center Practice (간호대학생의 전공만족도와 보건소실습 중요도 인식과 수행도의 IPA에 관한 연구)

  • KIM EUN JAE
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.4
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    • pp.39-49
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    • 2023
  • This study data were collected from 217 nursing students in J city to analyze major satisfaction and awareness of the importance of practice and performance of nursing students' practice at the public health center, and to identify improvement plans for the practice contents of the health center. The collected data was analyzed using SPSS WIN 25.0, and the research results showed that there was a positive correlation (r=.55, p<.001) between major satisfaction and public health center clinical practice performance, and the sub-factors of performance It showed positive correlation with all (r=.41~.54, p<.001). In particular, among the sub-factors, Internal growth through practice and Correlation with the actual application of theory were highly correlated (r=.54~.56, p<.001). In order to improve nursing students' satisfaction with their major, theoretical study should be preceded, and through area analysis, in order to obtain satisfaction through identity and internal growth of nursing students while practicing health center practice, practice instructors during health center practice Establish various networks, do our best to communicate smoothly with nursing students, and strive to present opinions through meetings with practice institutions before and after practice to improve the community health center practice environment. Also, nursing college students In order for the public health center practice to be carried out smoothly, practice guidance instructors drew improvement points that nursing college students need prior learning related to practice before practicing health center practice.

Effect of Self-Directed Learning Ability, Ego Resilience, Critical Thinking Disposition on the Competency of Nursing Students's Basic Nursing Skills (간호대학생의 자기주도적 학습, 자아탄력성, 비판적 사고성향이 기본간호술기 수행능력에 미치는 영향)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.342-351
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    • 2016
  • Basic nursing, the course for the nursing students to experience nursing practice before going on to th clinical practice, and is crucial for solving health-related problems of patients. This study is a descriptive research study to analyze the impact factors associated with nursing students' basic nursing skill competency. In this study, total 181 subjects participants, and by using a structured questionnaire. Data were collected by self-written questionnaire method. The collected data were analyzed using the SPSS WIN 22.0 program. Of the general characteristics of the subjects, the difference in basic nursing competency was found according to admission motive, major satisfaction, and interest in practice. Critical thinking disposition and the degree of self-training aid influenced performance of basic nursing skills by nursing students, and these variables explained 23.8% of the total variance of basic nursing skills performance. These findings suggest, in order to improve performance of basic nursing skills in nursing students, it is necessary to use various teaching methods that help improve critical thinking and relevant curriculum that promote self-practice.

A Comparative Study of Nursing Home-Acquired Pneumonia with Community-Acquired Pneumonia

  • Cho, Young-Jae;Jung, Bong-Ki;Ahn, Joon-Seok
    • Tuberculosis and Respiratory Diseases
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    • v.70 no.3
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    • pp.224-234
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    • 2011
  • Background: Little data is available regarding hospitalized patients with nursing home-acquired pneumonia (NHAP). This is unfortunate because there is an increasing number of elderly persons who are living in nursing homes in Korea. The aim of this study was to compare clinical characteristics and treatment responses of NHAP with community-acquired pneumonia (CAP). Methods: Patients with pneumonia who were admitted from eight nursing homes or from their own homes were enrolled between May 2007 and April 2009. Their clinical characteristics and treatment responses were reviewed retrospectively, and differences between the two groups were analyzed. Results: Of 110 Patients with pneumonia, 66 (60%) were from nursing homes and their median age was 84. In the NHAP group, functional performance status was significantly poorer, classical symptoms of pneumonia were less severe, and multi-lobe involvement (on chest radiographs) was more frequent than in the CAP group. Patients with NHAP more frequently showed lymphocytopenia, anemia, hypoalbuminemia, hypoxemia, and elevated blood urea nitrogen on admission. The mean CURB-65 score was 2.2 in the NHAP group, higher than 1.7 in the CAP group (p=0.004), and multi-drug resistant pathogens were also highly identified in NHAP group (39% vs. 10%, p=0.036). The mean duration of antibiotic therapy was greater for the NHAP (12.6 days) than for the CAP group (6.6 days) (p<0.001). The mortality rate was 23% in NHAP group, which was significantly higher than 5% in the CAP group (p=0.014). Conclusion: NHAP should be more intensively investigated because of the higher frequency of multi-drug resistant pathogens and mortality than the CAP.

Nursing Managemant, Strategies for its success (간호관리자 역할의 성공적 수행을 위한 연구)

  • Kim, So-In
    • The Korean Nurse
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    • v.29 no.5
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    • pp.46-53
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    • 1991
  • In the past, management had been done over nurses rather than nursing and this brought the existence of general manager and as a result, nurse-manager's position and role are being threatend. For the up-bringing of nursing to firm professional recognition in the 21st century, it is firmly believed that nursing managers are to be in the position to play the role of general manager with professional qualifications; personal qualities and exact understandings on the role and function of each tier group under her/his management. 124 top(3 nursing superintendents), middle-range(23 supervisors) and unit managers(98 head-nurses) from 3 university hospitals in Seoul were interviewed in order to investigate their belief in the role, professional qualifications, personal qualities as well as the strategy for the development of their leadership qualities. The frame of reference for the interview were developed by the researcher in reference to relevant literatures. It was the common belief that qualifications o[ top-managers and mid-managers require an educational background of master's preparation or higher and clinical career for at least 15 years for top-managers and 5 -10 years for mid-managers. The personal qualities required by nurse managers include; leadership, initiative, judgement, self-confidence, flexibility, open-mindedness and strong motivation. Achievment-orientedness would greatly help them become excellent managers. On the other hand, [or more effective management, managers of each teir group are to fully understand their role and perform "their job responsibilities ie. Top managers are supposed to study with emphasis on organization, function and conceptual s~ill while mid-managers concentrate their effort on the development of skills for direction, guidance and human relationship. Unit managers also supposed to have abilities to manage their function with emphasis on development of clinical performance skill, for direction on operative aspects. The strategies for the development of leadership qualities include program-planning at individual instutional level as well as local, national and international level. Nurse-managers are to be motivated and encouraged to participate in the programs in order to effectively communicate within tier groups.oups.

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