• Title/Summary/Keyword: Clinical nurse specialist

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Effect of Systematic Educational Program for the Application of National Institutes of Health Stroke Scale (NIHSS) as a Neurologic Assessment Tool in Stroke Patients (뇌졸중의 신경학적 사정 도구인 NIHSS 적용을 위한 체계적인 간호사 교육 프로그램의 효과)

  • Han, Jung Hee;Lee, Gee Eun;An, Young Hee;Yoo, Sung Hee
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.1
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    • pp.57-68
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    • 2013
  • Purpose: In assessing patients' neurological status following a stroke it is very important to have a valid tool for early detection of neurological deterioration. NIHSS is considered the best tool to reflect neurological status in patients with ischemic stroke. An education program on use of NIHSS was planned for nurses caring for these patients and the effects of the program were evaluated. Methods: The NIHSS education program (NEP) which includes online and video lectures, and practical education was provided to the nurses from April to July, 2010. To examine the effect of NEP, nursing records of patients with ischemic stroke who were admitted to a stroke center were analyzed. Two groups, a historical control group (n=100) and the study group (n=115) were included. Results: Nursing records for neurologic symptoms for each patient increased (41.0% versus 100.0%, p<.001), and especially, visual disturbance, facial palsy. limb paralysis and ataxia, language disturbance, dysarthria, and neglect symptoms significantly increased (all p<.001). Nurse notification to the doctor of patients with neurological changes increased (21.0% versus 39.1%, p=.004), and nurses' neurological deterioration detection rates also increased (37.5% versus 84.6%, p=.009). Conclusion: NEP improved the quality of nursing records for neurological assessment and the detection rate of neurological deterioration.

A Study on the Projection of Critical Care Advanced Practical Nurses(APNs) (중환자 전문간호사 수요추계연구)

  • Shin, Sung-Rae;Son, Eun-Jin
    • Korean Journal of Adult Nursing
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    • v.15 no.2
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    • pp.287-295
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    • 2003
  • Purpose: This descriptive study was conducted to project the number of critical care APNs needed in critical care units in an acute care hospital setting, up to the year 2020. Method: Necessary data and information were collected from various funded reports, professional literature, web-sites and personal visits to national and private institutions. The demand of critical care APNs were projected based on two critical care APNs per critical care units. Result: The projected number of critical APNs for the critical care units in acute care hospital settings as follows: 1) The total projected number of critical care APNs needed for critical care units were 1,270 in 2001. 2) By the year 2020, total number of projected critical care APNs needed in critical care units will be 1,080-1,700. Conclusion: In order to match the supply to the need, the professional organization should direct their efforts toward enacting legislation. Educational systems should identify strategies in initiation of critical care APN programs in masters level as well as standardizing curriculums across the programs.

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Recognition of Nursing Students and Graduates on Nursing and Future Career (일개 간호대학생과 졸업생의 전공 및 진로에 대한 인식)

  • Bang, Kyung-Sook;Cho, Jin-Kyong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.14 no.1
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    • pp.88-97
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    • 2008
  • Purpose: This study was done to develop strategies for better education and career adaptation of nursing students by investigating the recognition and intentions of nursing students and graduates on the nursing and a future career. Method: Data was collected from a survey conducted between the 1st of October and 5th of December, 2007. Participants were 113 students and 37 graduates of one nursing college. Result: The majority of participants thought that atmosphere and relationships were important criteria to choose a job. Most of them selected nursing major not because their aptitude but because of its professionalism and job stability. Most wanted to go to graduate school and were interested in a nurse specialist program, especially for critical and emergency care. The preferred nursing role changed from recovery care to health promotion as they advanced in their studies. They thought work overload and fatigue from three shift as barriers for a longer stay as a clinical nurse. Conclusion: This study is meaningful in a way that it suggests some strategies for promoting nursing professionalism and adaptation to working field. In order to generalize the results of this study, replicate studies need to be conducted with nation-wide samples.

Descriptive Study on Sexuality for Women with Gynecological Cancer (부인암 여성의 성생활에 대한 서술적 연구)

  • Nho, Ju-Hee;Park, Young-Sook
    • Women's Health Nursing
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    • v.18 no.1
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    • pp.17-27
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    • 2012
  • Purpose: This study aimed to identify sexuality for women with gynecological cancer. Methods: A total of seven women with gynecological cancer agreed to participate in this study. The data were collected utilizing in-depth semi-structured interviews style. A descriptive study design was used in this study. The interviews were analyzed using inductive content analysis methodology. Results: Three themes identified were: 'women with gynecological cancer who give up their sexual life due to misunderstanding and fear', 'women with gynecological cancer who control their body and mind for recovery', 'women with gynecological cancer resume their sexual life with their partner's will'. Conclusion: To improve sexual health and quality of life for women with gynecological cancer, we need to develop programs related to sexual health. An adjusted sexual health program will contribute to increased sexual health and quality of life for women with gynecological cancer.

A STUDY ON KOREA ORIENTAL NURSES' ROLE (한방간호사(韓方看護師)의 역할(役割)에 대한 연구(硏究))

  • Ok, Do-Hoon;Park, Chan-Kuk;Shin, Soon-Shik
    • Korean Journal of Oriental Medicine
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    • v.5 no.1
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    • pp.27-53
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    • 1999
  • The goal of this study is to review and define the role of nurses' who are engaged in Korea Oriental medical treatments in oriental medical hospitals. We think this study can contribute to the development of 'Korea Oriental medical science & nursing science' and 'Public health care'. A large portion of nurses's role in Korea Oriental Medicine(KOM. 한방/한의학) is assistance to doctors treatment. But besides of these role, we think there are many things that are riskless for nurses to do alone. But in present situation, few nurses in KOM. have enough knowledge to treat these medical treatments alone. So we believe this study will provide a way for nurses to participate more actively in KOM. public health care. With the goal of this study, we checked all medical treatments that have been practiced in oriental medical hospitals, and classified these treatments with some groups. And we organized a inquiry. At this inquiry, we ask 'What is the adequate role of nurses in Korea Oriental medical treatment? & What kind of treatment can nurses do?' We got 58 responses from nationwide 121 hospitals. From these response, more than half of them said nurses can do following medical treatment in the oriental medical hospital: 1. starting and ending part of following treatments; External treatments by instrument, by hydrotheraphy, by herb, by suction, moxibustion, Manipulative therapies on soft structure, Living and mind-body therapies. 2. pulling out Acupuncture. 3. boiling herb, judgement on dosing temperature, assisting in dosing, 4. assisting Diet, 5. operating from Living and mind-body therapies. 6. leading Physical training However, these results are coming out from present situation. So, after well-oriented instructions for nurses, this study will be need to carry out again. From this study, we suggest a desirable curriculum for students who study 'Korea Oriental Nursing Science.' That is to say, at basic course students take 4 subject for 6 credits. And at as an expert course, it should be dividend into Clinical Nursing Specialist in KOM., Self-care Nursing Specialist, Regimen Nursing Specialist and take 17 credits per each course.

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The Effect of an Education Program on Inter-rater Reliability of Neonatal/Infant Braden Q Scale for Clinical Nurses (신생아중환자실 간호사를 대상으로 한 Neonatal/Infant Braden Q Scale 사용교육이 측정자 간 일치도에 미치는 효과)

  • Park, Soon Mi;Song, Jeong Hwa;Kim, Mi Ran;Jeong, Ihn Sook
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.2
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    • pp.207-214
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    • 2015
  • Purpose: This study was aimed to investigate the effect of an education program on inter-rater agreement of Neonatal/Infant Braden Q Scale for clinical nurses working at a neonatal intensive care unit (NICU). Methods: This was single-arm pre and post experimental study. The participants were 12 nurses and 128 hospitalized neonates at a NICU from December, 2012 to March, 2013. Twelve nurses were divided into four different groups; for two groups were assigned nurses with 3 to 5 years of clinical experiences, and for the others with less than 1 year of clinical experience. The interventions were given by one wound ostomy specialist and two NICU nurses with over 5 years of clinical experiences for 1 hour twice. The inter-rater agreement was measured by intraclass-correlation coefficient. Results: Overall inter-rater agreement was improved from .87(95% CI: .80~.92) at the pre-test to .94(.91~.96) at post-test. Each inter-rater agreement except moisture and nutrition was also improved. Conclusion: The developed education program on scoring for Neonatal/Infant Braden Q scale was effective to improve the inter-rater agreement among clinical nurses. We suggest to privide an education for NICU nurse before using the Neonatal/Infant Braden Q scale in clinical settings.

A Study of Trends in Continuing Education Published in the Korean Nurse (간호협회지를 통해 본 보수교육의 역사적 경향 1962년 ~ 1995년)

  • Shin, Sung-Rae;Kim, Kyung-Sun;Lee, Sook
    • The Korean Nurse
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    • v.35 no.2
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    • pp.52-70
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    • 1996
  • This historical research was conducted to analyze and categorize the titles which were presented in the journal, The Korean Nurse, from August 1962 to October 1995. Titles which were published with the purpose of educating graduate nurses and to update 0 their nursing knowledge to improve professional practice were included. There were 348 articles published from the beginning of publication in August, 1962 to October, 1995. All of the journals were reviewed except nine missing journals which were not available in any library. According to the characteristics of the articles in the periodical, the articles were divided into three periods. In each of the three peroids there were five categories: Subject, Clinical Practice, Fundamentals of Nursing Science, Nursing Administration, Others. These categories were adopted from Kim's(1994) division system which was developed to analyze nurse's insurance education program. The special feature peroid was from August, 1962 to December, 1974. In this period the articles were presented in an unorganized manner in the area of special feature or main issue. The largest area was the subject category(44%). The second largest area wes the fundamental of nursing science category(31%). From May, 1975 to December, 1977, the articles with the educational purposes were published in a designated area called continuing education. This period was labelled as the continuing education period. Among the published articles in this period, 45% focused on the subject category and 45% on the fundamentals of nursing science category. In this period the articles were focusing on nurses 'work in specific areas such as industry, nurses' aid schools, and nursing administration, articles on physical assessment first started to appear. The written continuing education period was from January 1978 to October, 1995. All the educational articles published in this area were analyzed and categorized into five areas as for the other periods. 48% of the articles focused on the subject category. In the mid-eighties, the term nurse specialist first.appeared and ten years later in 1990, the titles were subdivided into more specific titles, such as, home nursing, industrial nursing, emergency nursing, 23% were in the fundamental nursing science category and they dealt with nursing process, nursing theories, theory development. For the content analysis, three articles, one from each period, dealing with cardiovscular diseases were selected for comparsion. First, the special feature period, the title of the article was on diet therapy for cardiovascular disease patients, but instead the content was about rest, hygiene, medication, observation. They recommended rings to prevent bed sores, which is now considered as a cause for bed sores. In the continuing education period, the content was more focused on rehabilitation rather than general nursing .care. It became more specific, systematic, and organized compared with the special feature period. In the written continuing education period, the focus was on rehabilitation, not broadly, but very specifically on exercise. The further research on the content analysis is recommended along with a comparison of the trends in the Journal of Nurses Academic Society.

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간호진단 한글 표준화에 대한 연구

  • Choi, Young-Hee;Rhee, Hyang-Yun;Kim, Hea-Sook;Kim, So-Sun;Park, Kwang-Ok;Park, Hyoun-Kyoung
    • The Korean Nurse
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    • v.35 no.4
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    • pp.37-50
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    • 1996
  • Nursing Diagnosis has evolved in the guest to define nursing and its functions. But for the application to clinical practice an unified system of terminology that helps nurses to assess selected data and identify potential or actual client problems is required. Consistent terminology that captures the real meanings of the nursing diagnosis makes oral and written communication more accurate and efficient. Therefore,' this study was performed to deliver a Korean-translated version of the nursing diagnoses through the process of content validity tests and translations. Data collection for the first content validity test was done from June 27, 1996 to August 1. 1996. Among 20 questionnaires only 16 were used for analysis. With the results of content validity, the list of 109 nursing diagnoses were reviewed by two linguists, one specialized in Korean and the other in English. To clear confusion on a diagnostic label "Incontinence" a urology specialist was invited for consultation. From this analysis and discussions a total of 98 nursing diagnoses was delivered and quesitons containing 98. 98 diagnoses were mailed to 741 subjects to test content validity from August 13, 1996 to October 7, 1996. Among 741 questionnaires, 343 were used for analysis. Total mean score of the diagnoses was 4.30 on the 5 point likert scale. The diagnoses that acquired less than 3.50 were "High risk for altered body temperature"(3.34), "Ineffective thermoregulation" (3.34), "Perceived cosntipation"(3.24). "Stress incontinence"(3.42), "Ineffective airway clearance"(3. 48), "Altered sexuality patterns"(3.35).

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A Survey of Specialized In-Service Educational Programs in Hospitals in Korea (병원 내 전문 간호 교육 과정 현황 조사)

  • Kim, Sun-Ae;Park, Kwang-Ok;Kim, Young-Boon;Kim, Bok-Soon;Choi, Eun-Sung;Byun, Eun-Kyung;Jung, Hyo-Si
    • The Journal of Korean Academic Society of Nursing Education
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    • v.15 no.2
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    • pp.205-215
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    • 2009
  • Purpose: This paper was intended to identify various kinds of specialized in-service educational programs in the hospital. Method: The data was collected from June to July, 2006. The subjects were 67 general hospitals in Korea. Result: Specialized in-service educational programs were present at 36 general hospitals. Thirty-three programs were operating in the field of intensive care nursing. The purposes of specialized in-service education programs were to improve the quality of nursing care. Conclusion: Since the clinical nurse specialist was legally established in 2005 in Korea, various kinds of specialized in-service education programs for nurses are needed under the organized framework of the career development system.

The Effects of a Music Therapy Program for Autistic Children in Child Day Care Centers (자폐장애 아동을 대상으로 한 음악치료 중재 효과 연구)

  • Ju, Se-Jin;Choi, Shin-Hyoung;Nam, Ok-Seon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.114-122
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    • 2007
  • Purpose: This study was aimed at evaluating the effects of Music Therapy for the autistic children. Method: The subjects of this study consisted of 3 autistic children who were trained in an Attachment Promotion Therapy Program for 6 months. The Children were all males and 4years 9months, 3years 1 month, and 3years 8month each, and diagnosed with Autism by Child and Adolescent Psychiatrists. Data was collected by using video-taping methods(ADOS, Fagot's Interactive Behavior Code), an interview and observational methods(SMS). Music Therapy intervention was done once a week for 6 months. Data was gathered by quantitative and qualitative analysis. Result: This study showed that the Autism Diagnostic Observation Scale and Social Maturity Quotient(SQ) much improved after the Music Therapy After the Music Therapy, the Interactive Behavior Code : Gaze, Gesture for the communication, Verbal language, Laughing/Smile, and Normal play behaviors increased more than before the intervention. As the results show, the child's behavior became more positively responsive, playful, and attentive to others. Conclusion: This study suggests that Music Therapy might be an effective intervention for autistic disorder children in order to decrease autistic symptoms and increase joint attention behavior.

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