• Journal of Korean Biological Nursing Science
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• 제2권1호
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• pp.85-93
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• 2000

The purpose of this study is to determine the effect of the first experience of the clinical experience for psychiatric nursing on the urinary 17-ketosteroid (KS) and 17-hydroxycorticosteroid (OHCS) of the nursing students. We analyzed the urine of fifteen students on curriculum who were students of D college in K city, compared with the control. In terms of 17-KS, at the end (4 PM) of the first day (p=0.001) and the last day (p=0.003), there was statistically significant difference between the control and the experimental group. In terms of 17-OHCS, at the end of the first day, there was statistically significant difference between the control and the experimental group (p=0.005), and between at the beginning (8 AM) and at the end during the clinical experience (p=0.035). At the last day, also, there was significant difference on the statistics between at the beginning and at the end in both the control (p=0.018) and the experimental group (p=0.004). In conclusion, 17-KS and 17-OHCS may be used as a indicator of the amount of stress to improve the educational environment for the students.

• International Journal of Advanced Culture Technology
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• 제10권3호
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• pp.210-219
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• 2022

Psychiatric nursing is a specialty where nursing students experience many difficulties in applying what they have learned in theory to clinical practice. Therefore, a situation-oriented case-based strategy is required to help them overcome the limitations of psychiatric nursing clinical practice and reduce their burden. This study aimed to measure the effectiveness of a psychiatric nursing clinical practice program using situation-oriented case-based learning. Participants comprised 63 nursing students in psychiatric nursing classes. The students were asked to create a scenario of interaction between a nurse and patient based on a case study. Empathy, therapeutic communication ability, and attitudes toward mental illnesses were measured. We analyzed the effectiveness of the program by comparing changes in the nursing students' empathy, therapeutic communication ability, and attitude toward mental illness after the program. The participants showed significant increases in empathy and therapeutic communication abilities. However, there were no significant changes in attitudes toward mental illnesses. Based on the results of this study, it is expected that situation-based learning will be effective for students who have difficulties in certain aspects, such as COVID-19, or where there are limited clinical practice opportunities, such as psychiatric nursing.

• 대한간호학회지
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• 제6권1호
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• pp.29-40
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• 1976

This study attempted to measure personality changes in collegiate nursing students as a result of their psychiatric nursing practice. The study population consisted of 310 students in 8 colleges of nursing in Korea, 96 with psychiatric practice, 103 with other clinical practice and III without clinical practice experience. The objectives of the study were to identify: 1. The self-actualization scores of nursing students resulting from psychiatric nursing practice. 2. The self-actualization scores of nursing students resulting from other clinical nursing practice. 3. The difference between scores for students with clinical practice experience and those without experience. 4. The relevance between self-actualization and sibling order. 5. The relevance between self- actualization and religion. 6. The coefficiently scores for students before and after clinical practice. The instrument used was the Personal Orientation Inventory (POI), developed by Shostrom. It provides a measure of values and behavior which are thought to be of importance in the development of self- actualization. The main findings of the study were as follows: 1. There was a significant difference in the Time Competence, Self Regard, and Nature of Man scales resulting from psychiatric nursing practice. 2. There was a significant difference in the Inner Directed, Existentialist, Feeling Reactivity, Spontaneity, Nature of Man and Capacity for Intimate Contact scales resulting from other clinical nursing practice. 3. There was a significant difference in the Inner Directed, Feeling Reactivity, Spontaneity, Self- Regard and Capacity for Intimate Contact scales between students with clinical practice and those without practice. 4. There was a significant difference in the Self-Acceptance scale for both the eldest and the youngest siblings. 5. There was a significant difference in the Time Competence, Inner Directed, Existentialist, Self-Acceptance and Capacity for Intimate Contact scales for middle and youngest siblings, 6. There was a significant difference in the Existentialist scale between students with a religion and those without one. 7. There was a significant difference for students without a religion in the Time Competence, Inner Directed, Self-Regard, Nature of Man, and Capacity for Intimate Contact scales after clinical practice. 8. There was a significant difference for students, with a religion in the Inner Directed, Existentialist, Spontaneity, and Nature of Man scales after clinical practice. 9. There was a significant difference for students in the Self- Actualizing value, Spontaneity, Nature of Man and Synergy scales according to whether their parents had a religion or not. 10. Before and after practice, significantly different correlations were found between the Time Competence and Capacity for Intimate Contact scales : the Inner Directed and Existentialist scales ; the Self- Actualizing Value and the Feeling Reactivity, Spontaneity, Self-Regard and Nature of Man scales : the Feeling Reactivity and Acceptance of Aggression scales: the Spontaneity and the Self-Regard and Nature of Man scales; and between the Self-Regard and Nature of Man scales.

• Journal of Korean Biological Nursing Science
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• 제3권2호
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• pp.51-61
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• 2001

This study was done to investigate the effect of the first experience of the clinical experience for psychiatric nursing on urinary $Na^+$, $Cl^-$, $K^+$, $Ca^{++}$ of the nursing students. We analyzed the urine of 36 students on curriculum who were students of D college in K city. The data were analyzed with SAS Statistical analysis was performed by using paired t-test, GLM. The second day group increased 18.56 at 8AM, 31.90 at 4PM in case of $Na^+$(p=0.004). The second day group increased 27.61 at 8AM, 45.53 at 4PM in a case of $Cl^-$(p=0.009). The first day group increased 2.62 at 8AM, 7.09 at 4PM in case of $K^+$(p=0.018). The second day group increased 3.69 at 8AM, 5.19 at 4PM in a case of $K^+$(p=0.013). The second day group increased 20.65 at 8AM, 14.07 at 4PM in a case of $Ca^{++}$(p=0.033). There was a significant difference in $Na^+$ according to group at 8AM(F=4.17, p=0.024) and 4PM(F=3.58, p=0.040). There was a significant difference in $Cl^-$ according to group at 8AM(F=4.38, p=0.020) and 4PM(F=6.29, p=0.003). There was a significant difference in $K^+$ according to group at 8AM(F=5.03, p=0.012). In conclusion, $Na^+$, $Cl^-$, $K^+$, $Ca^{++}$ may be used as a indicator of the amount of stress to improve the educational environment for the students.

• 대한간호학회지
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• 제5권1호
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• pp.59-69
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• 1975

Author studied on various psychiatric nursing problems applying with the test of questionnaire to the 376 nurses who are attending at 13 general hospitals and one mental hospital in Korea from Apr. 1, 1974 to July 30. 1974. The results obtained were ai follows: 1. 13.095 of nonpsychiatric registered nurses wanted the psychiatric service for their most attractive assignment and this was the 3rd in order next to the general surgical and operating room. Among the psychiatric nurses, the popularity toward psychiatric ward was 31. 0% and they were 26.0%at the private general hospitals and 6, 0% in national public hospitals. 2, The feelings or attitudes of disgust and apprehension on nursing care of the patients at-flirted with infectious diseases were the highest responses (38.5%) and these 1.ends were also appeared in 6.9% of psychiatric nurses. 3. 85.5% of nonpsychiatric registered nurses have had received course lectures on psychiatric nursing and nursing care training on the psychiatric ward at their school of nursing. 38.0% of psychiatric nurses had received post graduate psychiatric nursing and they were higher in national public hospitals (27.0% ) than in private general hospitals (11.0%). 4. The responses of satisfaction and security on their employment were almost similar patterns between nonpsychiatric registered nurses and psychiatric nurses. But among the psychiatric nurses. they were more satisfied at private general hospitals (33.0%) than that of national public hospitals (10.0%). 5. Almost the half of the nurses (50.8%) were employed by the hospitals without considering their past educational or clinical experience or career. Among the psychiatric nurses, who were employed by hospitals without considering their past experience or career were 35.0% in national public hospitals and 12.0% in private hospitals. On the contrary, the nurses who were employed by their wishes fore more higher (26.0%) in private general hospitals than national public hospitals (2.0%). 6. The nurses who thought their employment was fit for their aptitude were 48.6% in nonpsychiatric registered nurses and 51.0% in psychiatric nurses. Among the psychiatric nurses, this response was higher in private general hospitals (34.0%) than the national public hospitals (17.0%). 7. Responses on wort loadings of nurses showed almost same patterns between nonpsychiatric registered nurses and psychiatric nurses. But. among the psychiatric nurses who felt much heavier than the nurses of other part were 24.0% in national public hospitals and 8.0% in private general hospitals. 8. 92.6% of nurses felt that the psychiatric nurses should have post graduate training in psychiatric nursing prior to their assignment. 9. 96.0% of nurses agreed to the risk coverage on the payment for the nurses assigned to the psychiatric ward and the ward for infection diseases.

• 임상간호연구
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• 제28권3호
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• pp.270-276
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• 2022

Purpose: The purpose of this study was to validate the Edmonson psychiatric fall risk assessment tool (EPFRAT) for psychiatric inpatients. Methods: Data from retrospective study were collected from 670 adult inpatients in two departments of mental health medicine of a tertiary general hospital by reviewing their electronic medical records. There were 41 patients who experienced falls and 629 patients who did not experience falls during the period from January to December 2019. Data were analyzed by sensitivity, specificity, positive predictive value, negative predictive value, and a receiver-operating characteristic curve (ROC) for validity assessment using the IBM SPSS/WIN 26.0 program. Results: Factors affecting falls were the participant's age, guardian's residence, high-risk determination at the time of admission, and comorbidity. At the 85 points where the point of sum of the sensitivity and specificity was largest, the sensitivity, specificity, positive predictive value, and negative predictive value of EPFRAT were 92.7%, 79.7%, 22.9%, and 99.4%, respectively. The area under the ROC to assess the overall validity of the tool was .92 (95% CI 0.89~0.94). Conclusion: The EPFRAT was proved to be valid and reasonable for predicting falls in psychiatric inpatients. Based on the results of this study, it could be used for the assessment of high-risk patients for falls in psychiatric units.

• 문화기술의 융합
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• 제9권6호
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• pp.1127-1134
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• 2023

본 연구는 Parse의 연구방법을 적용하여 간호대학생의 온라인 정신건강간호학실습 경험의 의미와 구조를 밝히기 위한 질적 연구이다. 연구대상은 K대학 간호학과 4학년 재학생으로 COVID-19상황에서 정신건강간호학실습을 온라인으로 진행한 학생 9명을 대상으로 하였다. 자료수집은 2022년 3월 7일부터 2022년 5월 27일까지 이루어졌다. 연구결과 COVID-19상황에서 간호대학생의 정신건강간호학 온라인 실습 경험의 핵심 개념은 '자기와 타인 이해의 중요성 인식', '치료적 인간관계 형성을 위한 의사소통 준비', '간호의 의미 탐구를 통한 미래에 대한 조망'으로 나타났다. 핵심 개념을 생생한 경험의 구조로 전환시키면 '자기와 타인 공감', '상호적 인간관계를 위한 마음가짐', '간호의 본질탐구와 자기실현'으로 나타났다. 핵심 개념을 개념적으로 통합시키면 '가치화', '노출-은폐', '강화성'으로 재해석할 수 있다. 결론적으로 COVID-19 상황에서 간호대학생의 정신건강간호학 온라인 실습 경험은 정신건강간호의 목적이 되는 치료적 관계를 위한 인간의 이해, 의사소통의 중요성을 인식하며 미래 간호사로 성장하고, 초월해 나가는 경험이었다. 본 연구는 향후 팬데믹 등 예측할 수 없는 다양한 상황에 효율적인 임상실습 운영을 위한 기초자료가 될 것이다.

• 동서간호학연구지
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• 제28권1호
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• pp.31-40
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• 2022

Purpose: The purpose of this study was to identify factors affecting burnout of nurses caring for people with mental illness in general hospital wards. Methods: This study conducted a survey targeting 186 nurses in general wards with more than one year of clinical experience working at three general hospitals in Seoul, Korea. The collected data were analyzed using t-test, one-way ANOVA, Pearson's correlation coefficient, and multiple linear regression analysis with SPSS 21.0. Results: The factors influencing burnout were nursing work stress (β=.30, p<.001), attitude towards people with mental illness (β=-.25, p<.001), religion (β=-.21, p=.001), psychiatric nursing competency (β=-.16, p=.016), experience of nursing for people with mental illness (β=.14, p=.023), and gender (β=.14, p=.026), explaining 33.5% of the total variance (F=16.53, p<.001). Conclusion: The findings suggest that it is necessary to develop and apply an education program to lower nurses' work stress, to create positive attitude towards people with mental illness, and to enhance psychiatric nursing competency for prevention and mitigation of burnout of nurses caring for people with mental illness.

• 대한간호학회지
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• 제4권2호
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• pp.17-31
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• 1974

Today, over seventy five percent of nursing in Korea provide a psychiatric experience in the basic curriculum. The psychiatric affiliation presents numerous major problems of adjustment to the student. The Importance of positive attitude toward the nursing care of psychiatric patients is recognized by the nursing profession. I have fined out the unfavorable attitude of non collegiate nursing students toward psychiatric nursing affiliation by previous research. This study was undertaken in response to a felt need to explore the use of several devices which might yield information about attitudes toward psychiatric nursing as a basis for future planning of the program offered at a selected hospital. This study is designed to meet the following objectives; (1) In order to find out the expressed attitudes of fifty·three collegiate nursing students toward their psychiatric affiliation. (2) To compare responses given by selected group of collegiate and non collegiate nursing students to same questionnaire (3) To determine the relationship between the attitudes of nursing students toward psychiatric nursing and the type of instructions where experience was obtained. A questionnaire, a Korean translation of the "Psychiatric Nursing Attitude Questionnaire" by Moldered Elizabeth fletcher, was administered to fifty-three collegiate nursing students who had completed a four-week psychiatric affiliation in a S hospital psychiatric ward during May 7, 1973 to Dec. 16, 1973. - The questionnaire of 100 statements was administered in the following way; (1) Part Ⅰ, Preconceptions, was, given in individual conferences with each subject, during the first few days of their affiliation, and again during the final week of affiliation. The responses to Part I were oral. (2) Part Ⅱ, Expectations, Part Ⅲ, Personal Relations, Part Ⅳ, Personal Feelings, and Part V, Attitudes and Activities of Patients were given to all of the subjects in a group meeting during the second week of the affiliation, and again, during the fourth week at the termination of the affiliation. Responses to Parts Ⅱ, Ⅲ, Ⅳ·, and V, were written. Each of the 100 statements of the questionnaire was considered to be either Positive or Negative. A favorable response was assigned the positive value of 1 and an unfavorable response was assigned the Negative value of O. The coefficient of correlation was computed between the two sets of scores for the fifty-three nursing students, The mean score, the standard deviation, and the differences in the means on each of the five parts of the questionnaire were computed and the relationships calculated by at-test. The results of the study were as follows; 1. There was no significant correlation between the two sets of the scores for the fifty-three nursing students during the four-week psychiatric affiliation. (r= 0.36) 2. There was no significant difference in the mean scores between the first and final tests for any of the questionnaire. 3. The Part Ⅰ, Preconceptions, data indicated collegiate nursing students have positive attitudes in preconceptions than non collegiate nursing students and preconceptions toward the psychiatric affiliation which affect their psychiatric nursing experience. 4. The Part Ⅱ, Expectations, data indicated more appropriate expectations of collegiate nursing students related to pre psychiatric affiliation orientation and sufficient theory learning than non-collegiate nursing students. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part V, Attitudes and activities of patients, data indicated collegiate nursing students have more positive attitudes to the psychotic behavior of certain situations due to sufficient theory learning. 8. The data indicated collegiate·nursing students have more positive attitude than non-collegiate nursing students. 5. The Part Ⅲ, Personal relations, data indicated some students have negative attitudes in personal relations with normal people in respect to psychological security and social responsibilities. 6. The Part Ⅳ, Personal feelings, data indicated nursing students have psychological insecurity & inappropriateness. 7. The Part V, Attitudes and activities of patients, data indicated collegiate nursing students have more positive attitudes to the psychotic behavior of certain situations due to sufficient theory learning. 8. The data indicated collegiate·nursing students have more positive attitude than non-collegiate nursing students through psychiatric affiliation.

• 대한간호학회지
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• 제19권1호
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• pp.81-91
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• 1989

This descriptive-comparative study attempted to examine the differences according to the year in college of 288 junior college nursing students attitudes about mental illness. The instrument used for this study was the OㆍMㆍI (Opinion about Mental Illness) scale developed by Cohen and Struening. Data collection was done from the 27th to the 30th of September, 1988 by means of a questionnaire. Data were analyzed by computer, using the t-test and Analysis of Variance. The finding of this study are as follows : 1. Hypothesis I: “There will be a difference in attitudes toward mental illness according to the year in college 1"There will be a difference in the attitude about authoritarianism-according to the year in college" was rejected(F＝.5675, P＝.5676). 2 "There will be a difference in the attitude about benevolence-according to the year in college." was accepted(F＝.5376, P＝.5848). 3. "There will be a difference in the attitude about mental hygiene ideology-according to." was accepted (F＝17.3497, P＝.0000). 4. "There will be a difference in the attitude about social restrictiveness-according to" was rejected (F＝1.7416, P＝.1771), 5."There will be a difference in the attitude about interpersonal etiology-according to" was accepted (F＝10.8597, P＝.0000). 2. Hypothesis II : "There will bed difference in attitudes toward mental illness." according to whether or not the student have had clinical practice in the psychiatric ward. 1.There will be a difference in the attitudes about authoritarianism - according to "whether or not the student's have had clinical practice in the psychiatric ward was rejected(t＝.59, p＝.555). 2. "Whether they have had clinical practice at the psychiatric ward or not, There will be difference in the attitudes about benevolence." was rejected (t＝1.34, p＝.182). 3."Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the mental hygiene ideology attitude." was accepted (t＝2.72, p＝.008). \circled4 “Whether they have had clinical practice at the psychiatric ward or not, there will be difference of the social restrictiveness - attitude." was rejected (t＝-.59, p＝.557). 5. "Whether they have had clinical practice at the psychiatric ward or not, there will be difference of to interpersonal etiology-attitude." was accepted(t＝3.55, p＝.001). In conclusion, it was found that the higher the year in College, the more positive the attitudes are about mental hygiene ideology and interpersonal etiology. This study suggests that more positive attifudes about psychiatric illness can be induced by a more effective educational experience. The main limitation of this study was that the sociocultural background of Korea is not considered in the OㆍMㆍI scale.