• Title/Summary/Keyword: Education of Nursing Management Practice

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The Effects of Simulation Education using Virtual Reality based Core Nursing Skills Training Program on Knowledge, Nursing Practice, Self-Confidence in Performance, Self-Efficacy, and Problem Solving Ability in Nursing Students (가상현실(Virtual Reality)을 활용한 핵심간호술 훈련이 지식, 수행, 수행자신감, 자기효능감, 문제해결능력에 미치는 효과)

  • Kyungmi Lee;Miran Jung;Soyeon Im;yungmi Ryu;Shinhong Min
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.97-105
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    • 2024
  • The purpose of this study was to investigate the effect of HMD-based virtual reality core nursing skills training on nursing students' knowledge, performance, self-confidence, self-efficacy, and problem-s olving ability. The study participants were 45 fourth-year nursing students from a university in A city. The participants were assigned to either the experimental group (n = 21) who received VR core nursing skills related to blood transfusion training or the control group (n = 24) who received traditional training using mannequins. After completing core nursing skill training, the experimental group and the control group performed simulations including blood transfusion. Data was collected from October 3 to October 28, 2022. The collected data were analyzed using descriptive statistics and t-tests. The results showed that after the intervention, the experimental group had significantly higher knowledge scores than the control group (t=-2.13, p=.039). The control group had significantly higher self-confidence in performance than the experimental group (t=2.63, p=.012). There were no significant differences in performance, self-efficacy, or problem-solving ability between the two groups. Therefore, VR-based core nursing skills training can be usefully utilized for nursing students to learn the knowledge and procedures before performing them in real life, and traditional core nursing skills training using mannequins can lead to an increase in nursing students' confidence in performing the skills.

Knowledge, Attitudes and Practices in Health Care Professionals and Awareness in the Public toward Propofol (프로포폴에 대한 의료인의 지식, 태도, 실천 및 일반인의 인식정도)

  • Ryoo, Eon-Na;Ha, Eun-Ho;Cho, Jin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.275-284
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    • 2013
  • With the propofol-induced accident such as adverse effects, abuse, death is becoming to the fore as a social issue, there is an increasingly loud call for self-examination about excessive propofol use. The purpose of this study was to identify the knowledge, attitudes and practices in health care professionals and awareness in the public toward propofol. Participants in this study were 359 health care professionals, and 682 publics who is going to undergo endoscopy. The collected data was analyzed using t-test, ANOVA, Scheffe for knowledge, attitude, and practice toward propofol in health care professionals, Pearson Correlation for its correlation. and frequencies, %, mean for others. Scores of knowledge, attitudes, and practices were 7.16 (11), 3.26 (5), 3.95 (5) respectively. Nurses' attitudes toward propofol was much more higher than doctors', doctors' practice toward propofol was higher than nurses'. There was a correlation among knowledge, attitudes, and practices toward propofol. 53.4% of the publics answered that never heard what is propofol. Considering these results, regular customized and standardized-education strategies for both groups need to be developed for the purpose of proper use and management of propofol.

The Relationship between Professional Self-Concept, Organizational Commitment and Job Satisfaction in Clinical Nurses (중소병원 간호사의 전문직자아개념과 조직몰입 및 직무만족과의 관계)

  • Kim, Won-Kyung;Chung, Kyung-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.3
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    • pp.287-296
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    • 2008
  • Purpose: This study is descriptive survey to offer basic data of nursing management practice as identify the relationship between Professional Self-Concept, Organizational Commitment and Job satisfaction, whom nurses work general hospitals less than 250 beds. Methods: The subjects in this study were random sampling 320 nurse who worked in 9 general hospital in G city that had less than 250 beds, data was collected from 10 to 30 in Apr, 2007. The data were analyzed using descriptive statistics, Pearson‘s correlation, t-test, ANOVA, Scheffe test. Results: Level of Professional Self-Concept of nurses was average 2.60 point, level of Organizational Commitment of nurses showed 2.83 point, level of Job Satisfaction of nurses showed 2.73 point. There was a statistically significant difference at Professional Self-Concept of nurses as general characteristics showed a marriage state, position, work place, clinical career. There was a statistically significant difference at Organizational Commitment of nurses as general characteristics showed a marriage state, position, clinical career. There was a statistically significant difference at Job Satisfaction of nurse as general characteristics showed a marriage state, position, clinical career. There were highest correlation Organizational Commitment with Job Satisfaction(r=.536, p<.001), also high correlation Organizational Commitment with Professional Self-Concept(r=.478, p<.001). And there were high correlation Job Satisfaction with Professional Self-Concept(r=.422, p<.001). Conclusions: As integrate of the study result showed the Professional Self-Concept had correlation to Organizational Commitment and Job Satisfaction, specially as relation those valuables with general characteristics of subjects, it strongly need to develop educational program for improving Professional Self-Concept with supporting of variety administration for developing human resource for nurses who are not married, low position in hospital, short career, or worked in inpatient wards.

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Attitude and Confidence on Patient Safety of Undergraduate Healthcare profession students (보건의료전공 대학생들의 환자안전에 대한 태도와 수행자신감)

  • Wie, Seoung-Uk
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.265-273
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    • 2019
  • The Purpose of this study was to investigate the attitude and confidence of patient safety in undergraduate healthcare professions students. The subjects consisted of 145 grade 3,4 students who have had clinical practice in nursing and emergency medical technician schools in a J province from June 1st to 30th in 2016. Data were analyzed with SPSS 21.0 using descriptive statistics. The results of the study showed that the attitude of nursing students were more positive, but there was no difference in patient safety self-confidence and patient safety education experience, and the students who had experienced medical errors saw positive attitude and self-confidence. Based on the results of this study, I propose case-based multidisciplinary contents development to nurture emergency healthcare professions

Knowledge and Diffusion of Knowledge for Nursing Care of Patients with Diabetes Mellitus among Clinical Nurses (우리나라 임상간호사의 당뇨병 지식 및 지식 확산도 조사연구)

  • Hong, Myeong Hee;Yoo, Joo Wha;Kim, Soon Ai;Lee, Jeong Rim;Roh, Na Ri;Park, Jeong Eun;Gu, Mee Ock
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.61-74
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    • 2009
  • Purpose: In order to increase the quality of nursing care for patients with diabetes mellitus, it is important for clinical nurses to accept changes in diabetes knowledge and correct their approach immediately. This approach will also contribute to effective nursing practice. Methods: The study was designed to investigate the level of knowledge and diffusion of knowledge for nursing care of patients with diabetes mellitus among clinical nurses. It was conducted with nurses from 29 general hospitals in Korea from November 3 to December 5, 2008. The questionnaire consisted of 129 items and it was sent to the participants by mail. Of the 1,060 questionnaires returned, only 930 were valid for use in the statistical analysis. Results: 1) The average score for clinical nurses' knowledge of diabetes mellitus was 0.67 out of 1.0. 2) The level of persuasion of knowledge for nursing care of patients with diabetes mellitus averaged 0.64 out of 1.0 3) The level of practical application of knowledge for nursing care of patients with diabetes mellitus averaged 1.05 out of 2.0, indicating that they applied their knowledge 'sometimes'. 4) The level of diffusion of knowledge for nursing care of patients with diabetes mellitus was 2.37 out of 4.0 and level was estimated as the stage of 'persuasion'. 5) There were significant differences in nursing knowledge of diabetes mellitus, according to experience in practical education for diabetes mellitus. Conclusion: The results indicate that nurses with a lower level of knowledge of diabetes mellitus have a lower level of persuasion of knowledge for nursing care of patients with diabetes mellitus and lower practical application. To improve the level of nurses' knowledge of diabetes mellitus, practical training programs are needed for areas in which knowledge level is low, such as 'diagnosis and management of diabetes mellitus', 'oral diabetes medication', and 'glucose control in special conditions'.

The Correlation Study on Health-promoting Behavior and Life Satisfaction of the Elderly in Urban Area

  • Choi Yeon-Hee
    • Korean Journal of Health Education and Promotion
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    • v.21 no.4
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    • pp.63-73
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    • 2004
  • Purpose: This study was to identify the correlation between the health-promoting behavior and life satisfaction in elderly of the urban area. Method: The subjects of this study were 202 people aged over 65 who had been living in urban area. Data was collected through questionnaires from April 10th to September 30th, 2002. The collected data was analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient with SPSS statistical program. Result: The health-promoting behavior was given the informations that nutrition practices were most highly ranked, followed by interpersonal relationships, self-actualization, stress management, health responsibility, and exercise. The mean scores of health-promoting behaviors were significant differences in age and educational level. Life satisfaction was significantly related to only living situation. Health-promoting behavior of the subjects was found to be statistically significant and positively correlated with life satisfaction. Conclusion: These results suggested that elderly people in urban areas with high degree of quality of life is likely to be in practice with high degree of health-promoting behaviors. Therefore, it is necessary to develop health promotion programs in order to enhance the quality of life of elderly people in urban areas.

Determinants of Health-Promoting Behavior in the Elderly (노인의 건강증진행위와 관련된 변인에 관한 연구)

  • Kim Hyo-Jung;Park Young-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.283-300
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    • 1997
  • This study was undertaken to grasp health-promoting behavior of the elderly and to identify variables related to them in order to facilitate nursing intervention for health promotion of this population. The subjects for this study were 291 old persons obtained by cluster sampling from twenty general social welfare centers located in Tague. Data were collected by self-reported questionnaires from August 13 to September 13, 1996. Questionnaires were developed based on Sherer and others' Self-Efficacy scale, Rosenberg's Self-Esteem scale, Wallston and other's Multidimensional Health Locus of Control scale, Northern illinois University's Helath Self Rating Scale, Walker and others' Health Promotion Lifestyles Profile. Analysis of the data was done by use of descriptive statistics, stepwise multiple regression, Pearson Correlation Coefficient, MANOVA, t-test, and ANOVA. The results were summarized as follows : 1. For the practice of health-promoting behavior, the mean score was 2.89 and range was 3.59 to 2.09. The factor of the highest mean score was regular diet(M=3.42) and factor of the lowest mean score as stress management(M=2.27). 2. The combination of self-efficacy, internal health locus of control, family number, and average monthly pocket money explained 30.0% of the variance of health-promoting behavior. 3. With regard to the relationship between health-promoting behavior and cognitive perceptual factor, self-efficacy correlated positively with health-promoting behavior(r=.4951, P=.0001), self-esteem correlated positively(r=.3263, P=.0001), internal health locus of control correlated positively(r=.3244, P=.0001), perceived health status correlated positively(r=.1355, P=.0274). 4. According to age(F=2.50, P=.0431), sex(t=2.14, P=.0332), marital status(F=7.85, P=.0005), education(F=5.44, P=.0003), family number(F=11.18, P=.0001), people living together(F=7.21, P=.0009), previous occupation(F=5.83, P=.0001), average monthly pocket money(F=7.27, P=.0001), there were differences of health-promoting behavior. The above findings show that health-promoting behavior are related to demographic characteristics, four cognitive perceptual factors(self-efficacy, self-esteem, internal health locus of control, perceived health status). On the basis of the above findings the following recommendations are made ; 1. Nursing interventions enhancing exercise or activity, accountability for health, stress management of the elderly must be provided. 2. Nursing strategies enhancing self-efficacy which is most significant effect on health-promoting behavior must be developed.

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Perceptions of Quality Nursing care of Patients and Families (질적 간호에 대한 환자와 가족의 지각)

  • Chi, Sung-Ai;Kwon, Sung-Bok;Park, Eun-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.1
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    • pp.247-275
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    • 1998
  • The purpose of this study was to offer the results of content analysis and qualitative study that explored the perceptions about quality nursing care of patients and families as consumers and to identify the implications of this study for quality nursing care management and research. The data was collected from 12 adult patients and 9 families who were admmitted at medical and surgical nursing unit of one university hospital in Seoul from October, 1996 to January, 1997. Research participants were asked to response "what do you think quality nursing care?" and similar questions during the interviews was performed. Data were analyzed using open coding and content analysis with frequencies and percents of attributes of quality nursing care. Attributes of quality nursing care and meaning of quality nursing care that patients and families perceived were explored. 1. The attributes of quality nursing care that patient and families perceived were categorized into 56 attributes. The highest response rate among the attributes was 'one's heart at ease' (76.2%), and the next high response rates were ranked in order 'consideration' , 'care about' (each 61.9% 'expert skill' (57.1%), 'deal with problem promptly' , 'information offer' (42.9%), 'intimate feeling' (38.1%), 'smile' 'service spirit' , 'do one's best' (each 33.3%), 'frequent visit' (23.8%), 'observe the time' (23.8%), 'direct nursing care' , 'speaking warmly' , give a hope' , 'address kindly' , 'a sense of duty' , 'good facilities' (each 19.0%), 'inquire after a patient health' , 'patient-centered nursing care' , 'showing an example' , 'professional knowledge' , 'careless moraly patient' , 'give encourage to patients' , 'good answer a question' (each 14.3%), 'do not imprudently' , 'do not disregard' , 'broad knowledge' , 'emergency treatment skill' , 'dependability' ,'consolation' giving a sense of security' , 'a self sacrificing spirit' , 'a sense of responsibility' 'hard - working', 'enough disposition of nursing staff (each 9.5%), 'improve patient's pride' and the rest attributes exhibited 4.7%, respectively. 2. The attributes that were identified in patients' data only were 8 categories, 'service sprit' (58.3 %) 'expert knowledge' , 'good answer a question' (each 25.0%), 'hard working' (16.7%), 'a warm character', 'professional attainments', 'do without reserve', 'satisfaction' (each 8.3%), 3. The attributes were identified to families' data only were 31 categories, 'speaking warmly' , 'direct nursing care', 'adress kindly', 'patientcentered nursing care', 'showing an example' (each 33.3%). 'do not imprudently' , 'do not disregard' , 'consolation', 'giving a sense of security', 'broad knowledge' , 'emergency treatment skill', 'dependability' ,'a self - sacrificing spirit', 'a sense of responsibility' (each 22.2%), 'improve patient's pride' , 'without discrimination' , 'show kindness' , 'individual nursing care', 'being with patient' , 'helping' , 'accuracy' , 'without any mistake' , 'love' , 'self - confidence', 'self possession', 'a self - denying spirit' , 'a sense of duty' , 'tighten discipline' , 'disposed room with similar patient to diagnosis', 'compensatory relationship between me dical team' , 'role of connection' (each 11.1 %). 4. The attributes of quality nursing care were integrated into 11 categories that they were 'patientcentered nursing care' (25.1%), 'expertise' (22.1%), 'caring'(18.1%), 'kindness'(11.1%L 'nurse attainments(10.1%), 'sincerity' (7.5%), 'good environment' (2.0%), 'effective organizational management', 'coordination', 'enough nursing staff' ( each 1.0%), 'satisfaction' (0.5%) were showed in the order of the highest rate. 5. The concept of quality nursing care were defined as 'give a satisfaction to patients by patientcentered care based on professional skill and caring with kindness and sincerity'. The description of the meaning of quality nursing care provided by this research participants, patients and families can provide important information for quality nursing care management, medical marketing, education and researches of this field. On the basis of the above findings the following recommendations are made: to suggest to utilize this results for patient care in practice setting, development of quality assessment tool in nursing care, repeat study by the same subjects and method, and to a comparative study by the same method to nurse.

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Knowledge and Performance of Universal Precautions by Nursing Students (일부 간호대학생의 혈액매개질환 예방 지침에 대한 지식과 실천 정도)

  • 김경미;김민아;정여숙;김남초
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.929-939
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    • 1999
  • The purpose of this study was to identify knowledge of universal precautions and its performance in practice. The research was conducted from November 2 to 30, 1998. A total 515 student nurses ; 249 from a baccalaureate nursing college and 266 from second and third year of a 3-year community nursing college were surveyed. The results are as following : 1. The average score for universal precautions knowledge was 270.41$\pm$19.43/300(range 150-300). The results showed that 99.2% of students avoid injury from used needles, 98.6% answered that they always wash their hands if they had contact with the patient's blood and they always dispose of used needles in special collectors (97.7%) for needles. But, 39.2% responsed that they dispose of used needles after recapping them. 2. The average score for universal precautions knowledge of the senior students in the 4-year college was the highest (277.65$\pm$13.99). 3. The average score for the performance of universal precautions knowledge was 53.18 $\pm$5.91(range 14-70). The items : ‘I cautiously avoid injury from the used needles’(4.92$\pm$0.33), ‘I always wash my hands if there has been contact with the patient's blood’(4.91$\pm$0.34), and ‘I always disposed of used needles in the appropriate collector’(4.89$\pm$0.42) showed the highest performance. However ‘I always dispose of used needles after recapping them’(2.19$\pm$1.39) and ‘I always use protection goggles when in danger of contamination’(2.19$\pm$1.20) showed low performance level. 4. The highest average score for universal precautions performance was shown among the second year students in 3-year nursing college (54.19$\pm$6.92) between the groups. It showed that the level of the universal precautions performance was higher for those who had education on university precautions prior to performance of the universal precautions than for those without any prior education. 5. The percentage of students who reported the experience of direct contact with patients' blood and/or body fluids was 42.30%. The experience of direct contact with blood and/or body fluids of the educational group was significantly higher than those were not educated. 6. The most frequent cause of the direct contact was ‘needle pricking and/or skin cut’(63.04%). The most frequent substance with which the students contact was ‘blood’(59.85%). The majority of the sample had answered that the mode of contamination was ‘unknown’(63.54%). The majority of the sample answered that strategies used after contamination included ‘washing with soap’(33.61%). Reviewing the chart of patients or asking other health professionals(28.85%). 7. The number of students who had the experience of a needle stick and/or skin cut was 145(28.16%). The clinical practice places where the incidents occurred were mainly in the internal medicine unit (45.07%) and the surgical unit (31.92%) followed by the intensive care unit and the emergency unit in order. The experience of a needle stick and/or skin cut happened during on intra-muscular injection 47.34% and intravenous injection 21.81%. The causes of the needle stick and/or skin cut were ‘putting the needle cap back on 77(35.81%)’. The number of students who took an appropriate post management blood test and/or vaccination was 27(18.62%). 8. The Pearson Correlation Coefficient between the knowledge of universal precautions and performance of universal precautions in practice showed a positive correlation.

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The Evaluation of the Knowledge and Educational Requirement Levels of Oriental Medicine of Medical Staff Working in Oriental-Western Collaborative Medicine Hospitals (한양방 협진 병원 종사자의 한의학 지식정도 및 교육요구도 평가)

  • Lee, Hyun-Ju;Kim, Sun-Lim;Jung, Min-Soo;Choi, Man-Kyu
    • Journal of Society of Preventive Korean Medicine
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    • v.12 no.1
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    • pp.49-60
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    • 2008
  • This study investigated the Oriental medicine knowledge and educational requirement of medical staff working in Oriental-Western collaborative medicine hospitals(except for Oriental and Western medicine doctors) based on the recognition that not only mutual understanding and cooperation between Oriental and Western medicine doctors but also the knowledge of Oriental medicine of medical support staff such as nurses, medical technologists, pharmacists and administrative staff are very important to promote Oriental-Western collaborative medical treatment. The study results are summarized as follows : First, it was found that the ratio of nurses who took Oriental medicine education was much higher than those of other groups. They took Oriental medicine education in the types of school curriculum (27.0%) and special lectures in workplace(20.4%). Second, many of the people who took Oriental medicine education were found to be not satisfied with the education in general - 32.7% of them answered the education content was "so so" and 48.4% of them answered "unsatisfactory." Third, the general necessity of Oriental medicine education was found to be an average of 3.60 out of 5, and the number was higher "after employment"(average=3.85) than "before employment"(average=3.04). Fourth, the study found that Oriental-Western collaborative medicine hospital staff are well aware of the necessity of the knowledge of Oriental medicine in the cases of communications between different occupational types, consultations with patients or their guardians, treatment and nursing and the establishment of the practice of specialized Oriental medicine institutes. Fifth, the levels of Oriental medicine knowledge showed a difference in average value according to the role range(p<0.000), and it was found that there is an interaction effect between occupation type and role range(p<0.015).

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