• Title/Summary/Keyword: Clinical nursing performance

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

  • 고선일;강경자
    • 임상간호연구
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    • 제26권3호
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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.

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

  • 임지영;김소인
    • 간호행정학회지
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    • 제6권2호
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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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초임 보건교사의 직무수행 어려움과 직무만족도에 대한 인식 (School Novice Health Teachers' Perception of Job Performance Difficulties and Job Satisfaction)

  • 장서문;이규영
    • 지역사회간호학회지
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    • 제32권4호
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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.

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

  • 태영숙;김종선
    • 종양간호연구
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    • 제3권2호
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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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환자 개인정보보호에 대한 간호대학생의 인식과 실천 (Recognition and Performance of Patient Private Information Protection (PPIP) in Nursing Students)

  • 김창희;정선영;송영신
    • 디지털융복합연구
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    • 제11권11호
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    • pp.479-490
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    • 2013
  • 본 연구는 환자 개인정보보호에 대한 간호대학생의 인식과 실천정도를 규명하기 위한 조사연구이다. 조사대상은 간호대학생 383명으로 측정도구는 Lee & Park (2005)이 개발한 설문지를 학생용으로 수정하여 사용하였다. 자료는 descriptive statistics, t-test, ANOVA, Pearson correlation coefficients로 분석하였다. 분석 결과 대상자의 96.1%이상이 학교나 병원에서 환자 개인정보보호에 대한 교육을 받았으나 10분이내의 교육이 48.0%이었다. 환자 개인정보보호에 대한 인식정도는 평균 4.13점, 실천정도는 평균 3.84점이었다. 영역별로는 의사소통 업무 영역에서 인식과 실천 정도가 가장 높았다. 학력과 나이에 따라 영역별로 인식정도에 차이가 있었고, 병원에서의 교육경험 유무, 병원교육시 정규프로그램 유무, 병원교육 시 일 회당 교육시간에 따라 영역별로 실천정도에 차이가 있었다. 인식과 실천의 총점과 영역별 점수간에 유의한 상관관계가 있었다. 본 연구의 결과는 임상실습을 하는 간호대학생을 대상으로 환자의 개인정보를 보호하기 위한 교육 프로그램을 개발하는데 도움이 될 것이다.

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

  • 홍인화;은영
    • 대한간호학회지
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    • 제50권6호
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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.

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

  • 김은재
    • 문화기술의 융합
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    • 제9권4호
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    • pp.39-49
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    • 2023
  • 본 연구는 간호대학생의 보건소 실습에 전공만족도 및 실습의 중요도 인식과 수행도을 분석하고 보건소의 실습내용에 대한 개선방안을 파악하고자 J시의 간호대학생 217명을 대상으로 자료를 수집하였다. 수집된 자료는 SPSS WIN 25.0을 이용하여 분석하였으며, 연구결과는 전공만족도와 보건소 임상실습 수행도와는 정적상관(r=.55, p<.001)을 가지는 것으로 나타났으며, 수행도의 하위요인 모두와 정적 상관(r=.41~.54, p<.001)을 보였다. 특히 하위의 요인 중 실습을 통한 내적 성장과 이론의 실제 적용과의 상관관계는(r=.54~.56, p<.001)으로 상관성이 높은 요인이었다. 간호학생들의 전공만족도를 향상시키기 위해서는 이론 공부가 선행되어야 하며, 영역별 분석을 통해 간호대학생이 의 간호대학생들의 정체성과 내적 성장을 통한 만족감을 얻기 위해서는 보건소 실습을 하는 동안 실습지도자는 다양한 네트워크를 구축하며 간호대학생들과의 원할한 의사소통에 최선을 다하며, 지역사회의 보건소 실습 환경개선을 위해 실습 전·후 실습기관과의 간담회를 통한 다양한 의견들의 제시가 이루어지도록하며, 간호대학생들의 보건소 실습이 원활하게 수행되기 위해서는 실습지도교원은 간호대학생이 보건소 실습을 하기 전 실습관련 사전 학습이 필요하다는 개선점을 도출하였다.

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

  • 박진아;홍지연
    • 한국콘텐츠학회논문지
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    • 제16권1호
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    • pp.342-351
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    • 2016
  • 기본간호학 교과목은 간호대학생이 임상실습을 하기 전에 간호실무를 경험하는 교과목으로 이론과 실습으로 구성되어 있으며, 기본간호술기는 대상자의 건강문제를 해결하는데 있어서 핵심적 간호술기이다. 본 연구는 간호대학생의 기본간호술기 수행능력과 관련된 영향요인을 분석하기 위한 서술적 조사연구이다. 본 연구는 간호학과에서 기본간호학 교과목을 수강하는 학생 중 연구 참여에 동의한 총 181명을 대상으로 하였으며, 구조화된 설문지를 이용하여 자기기입식 질문지법으로 자료수집하였다. 수집된 자료는 SPSS WIN 22.0 프로그램을 이용하여 분석하였다. 대상자의 일반적 특성 중 입학동기, 전공만족도, 실습 흥미도에 따라 기본간호수행능력에서 차이가 나타났다. 간호대학생의 기본간호술기 수행능력에 영향을 미치는 요인은 비판적 사고성향, 자율실습 도움정도 이었으며, 이들 변인은 기본간호술기 수행능력 총 변량의 23.8%를 설명하였다. 이상의 결과를 바탕으로 간호대학생의 기본간호술기 수행능력을 증진시키기 위해서는 비판적 사고 향상을 위한 다양한 교수법의 활용과 자율실습을 활성화 하기 위한 교과목 운영 방법을 제언한다.

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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    • 제70권3호
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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.

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

  • 김소인
    • 대한간호
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    • 제29권5호
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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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