• Title/Summary/Keyword: Evaluation of Quality of Nursing

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Dialog System Using Multimedia Techniques for the Elderly with Dementia

  • 김성일;정현열
    • The Journal of the Acoustical Society of Korea
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    • v.21 no.4
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    • pp.170-170
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    • 2002
  • The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.

Analysis on Home Care Services and Home Health Care Cost of CVA Patients in Korea (뇌혈관질환자의 가정간호 서비스 및 진료비 분석)

  • Kim, Eun-Kyung;Shin, Suk-Youn;Hwang, Jeong-Hae
    • Journal of Korean Academy of Nursing Administration
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    • v.12 no.2
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    • pp.225-232
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    • 2006
  • Purpose: The purpose of this study was to analyze the services and cost of CVA patients in hospital-based home health care and compare the differences of home health care cost by hospital types. Methods: The subjects of this study were 5,756 home care patients with cerebrovascular disease. Data were collected by using home health care medical expense claims from 127 hospitals in 2004. Results: The home care service 'indewelling catheterization' was the highest(19.28%), and then 'nasogastric tube insertion and change(16.72%)', 'bladder irrigation(15.98)', 'wound management(simple dressing)(10.42%)' followed. Average home health care cost per visit was 39,943 won, and the highest 46,058 won in general hospitals and the lowest 33,922 won in tertiary hospitals, so there were statistically significant among the types of hospitals(F=1112.47, p<0.0001). Conclusions: The number of home health care patients has been rapidly growing with the increase of aged population and demand for home care services is rising. So, it could be urgent to develop a reasonable cost reimbursement system for home health services and to expend scopes of the roles of home care specialist nurses. Amid the demand of more detail understanding the present status of home care, our study can be contributed to provide fundamental information of home care in Korea.

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A Study on the analysis of activities of t?e 5.H.T. (5.H.T. in Pusan City) (부산지역 양호교사의 업무분석에 관한 연구)

  • Kim, Lee-Sun;Kim, Bok-Yong
    • Research in Community and Public Health Nursing
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    • v.1 no.1
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    • pp.465-502
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    • 1989
  • The purpose of this study was to find out the general characteristics of school health teachers, the status of school health resources and the degrees of self-confident performance for the 124 school health teachers in Pusan City. Data was collected by means of questionaires from Aug. 1986 to Mar. 1987. The data were analyzed by use of percentage, mean, standard deviation, t-test, ANOVA and Pearson-correlation coefficient. The results of this study were as follows: 1 . General Characteristics of School Health Teachers (SHT) 1) The average of age of the SHT was 32.8 years old and 39.5% of them were from 30 to 34 years old. 2) The average for school nursing experience of the SHT was 7.9 years and 37.9% of them were from 5 to 9 years. 3) The 45.2% of them have not the clinical experience. 4) The 74.2% of them were graduated from the 3 years college of nursing. 2. Status of school health resources and nursing activities. 1) The average of student number was 2497.3 and class number was 45.2. 2) The average of school health budget was 1039000 won and 27.7% of school health budget expended on examination cost. 3) Only 29.0% of all schools have organization for school health. 4) The 84.7% of all schools have health clinic separately and 69.1% of schools have less than $33m^2$ sized. 5) The average of clinic visitor number was 2111.8 for 1 year. 6) Major problem was on digestive system. And other problems were skin, respiratory, musculo-skeletal system and dental problem. 7) The number of literal message was 14.4 times for 1 year. 3. The degree of the school health teachers' self-confidence. The school health teachers' self-confidence was deviced into 6 and the maximum degree was 4. 1) Program planning & evaluation; 2.8 2) Clinic management; 2.9 3) Health education, 3.0 4) Management of school environment; 2.7 5) Health care services; 2.7 6) Operating of school health organization; 2.4 4. Significances to the degree of self-confidence on school health nursing activities. 1) There was significant difference between clinical management and Religion (t=2.15 p<.05) 2) There was significant difference between Operating of school health organization and level of school (F=3.588 p<.05) 3) Program planning & evaluation: expending time for clinical management (r=-0.184 p<.05) expending time for health care services (r=0.273 p<.01) 4) Clinical management: use of separate health clinic (r=0.151 p<.05) 5) Health education: use of separate health clinic (r=0.170 p<0.5) 6) Health care services: No. of student (r=-0.144 p<0.5) No. of class (r=-0.160 p<.05) 5. The degree of the school health teachers' self-discipline. The school health teachers' self-discipline was devided into 2 and the maximum degree was 2. 1) Program planning & evaluation:1.8 2) Clinic management: 1.9 3) Health education: 1.9 4) Management of school environment: 1.7 5) Health care services: 1.8 6) Operating of school health organization.: 1.3 6. Significances to the degree of self-discipline on school health nursing activities 1) Program planning & evaluation; Level of nursing education (F=4.309 p<.01) 2) Clinical management: Level of nursing education (F=3.587 p<.05) 3) Operating of school health organization: School health organization (t=-2.68 p<.01) 4) Health care services: School health organization (t=2,58 p<.05) 5) School health performance: School health organization (t=2.32 p<.05) 6) Program planning & evaluation: School health experience (r=0.239 p<.01) Expending time for program planning & evaluation (r=-0.172 p<.05) 7) Clinic management: School health experience (r=0.249 p<.01) Expending time for dinic management (r=0.181 p<.05) No. of student (r=-0.158 p<.05) Expending time of program planning & evaluation (r=-0.199 p<0.5) 8) Health education: School health experience (r=0.234 p<0.1) Expending time of program planning & evaluation (r=-0.193 p<.05) 9) Management of school environment: Age of school health teacher (r=0.142 p<.05) School health experience (r=0.255 p<.01) 10) Operating of school health organization: Medicine Purchase (r=-0.163 p<.05) 11) Health care services: School health experience (r=0.148 p<.05) Medicine purchase (r=-0.229 p<.01) 12) Total school health performance: School health experience (r=0.200 p<.05) Medicine purchase(r=-0.168 p<.05) Based on the above results, the suggestions are as follows: 1) As the SHT take charge of the reasonable number of student, the students will have benefit of the good health service in quality. 2) It is recommended to use the health clinic separately and to arrange adequate place for good school health service. 3) It is necessary that the SHT participate budget for school health. 4) It is required to enhance self-confidence on school health nursing activities through continuous educational programs.

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Caring for Patients with Malignant Pleural Mesothelioma in Japan: Evaluation of a Palliative Care Educational Program

  • Nagamatsu, Yasuko;Nakayama, Yukiko;Clayson, Helen;Natori, Yuji;Ohata, Misato;Matsuura-Moriguchi, Shino;Porter, Sarah E.
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.21
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    • pp.9165-9170
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    • 2014
  • Purpose: This study evaluated the effect of an Educational Program on Palliative Care for MPM for Nurses in Japan. Program: The 5-h program consisted of lectures and care planning group work. Materials and Methods: This study used a pretest-posttest design with a single cohort of nurses and included a Difficulties in Palliative Care for Patients with MPM (DPCMPM) Scale with 15 items. The pre- and posttest scores were compared using a t-test. Results: We included 27 female nurses with a mean of 14.4 years of nursing experience. In 12 of 15 DPCMPM items, the posttest difficulty scores were lower than the pretest scores. Participants highly evaluated the program for validity, clarity, clinical usefulness, and the facilitators. The Palliative Care for MPM Handbook for Nurses was developed as an educational tool for clinical settings. Conclusions: The Educational Program on Palliative Care for MPM for Nurses was effective in reducing nursing difficulties.

A Systematic Review of Forest Therapy Programs for Elementary School Students (초등학생 대상의 산림치유 프로그램에 대한 체계적 문헌고찰)

  • Song, Min Kyung;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.23 no.3
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    • pp.300-311
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    • 2017
  • Purpose: There are many forest and outdoor programs being offered but systematic reviews of effects are lacking. This study was done to identify content, format, and strategies of forest therapy programs for elementary school students. Methods: Literature search using keywords in English and Korean was performed using 6 electronic databases in December 2016. Search participants were elementary school students and interventions conducted in the forest. Seventeen forest therapy studies were selected for evaluation. Risk of Bias Assessment tool for non-randomized study was used for quality assessment. Results: All studies were quasi-experimental designs. Forest therapy programs included various activities in forests such as experience of five senses, meditation in the forest, walking in the forest, ecological play, observation of animals and insects. All studies used psychosocial health variables and forest healing programs had positive effects on sociality, depression, anxiety, self-esteem, stress, aggression, anger, and school adjustment. Limitations of these studies were vague reporting of the study, lack of ethical review and rigorous research designs. Conclusion: Forest therapy for elementary school child can be an effective way to improve psychosocial health. Future studies with rigorous study designs are needed to assess long-term effects of forest therapy on physical and psychosocial health.

Effect on Core Nursing Competency of Nursing Students who Experienced Convergence Practice due to COVID-19 (코로나19로 인한 융합실습을 경험한 간호대학생의 핵심간호역량에 미치는 영향)

  • Lim, Sun-Young;Maeng, Su-Youn;Kim, Jung-Yee
    • Journal of Convergence for Information Technology
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    • v.12 no.2
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    • pp.54-62
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    • 2022
  • This exploratory study aims to identify effect on core nursing competency of nursing students who experienced convergence practice due to COVID-19. The subjects of this study surveyed 123 senior nursing students in U city with a structured self-report questionnaire analyzed by the SPSS 22.0 software, t-test, One-way ANOVA, correlation, and multiple regression analysis. The average scores for nursing competence scale, self-directed learning ability, learning satisfaction, learning outcomes were 3.99, 3.71, 4.11 and 4.25 out of 5.00. The factors affecting of students' nursing competencies were self-directed learning ability, learning outcomes with 29 percent being explained by these variables. Learning satisfaction did not affect core nursing competency. Through this study we found that high quality educational environment should be prepared to improve these limitations. it is considered that a clear and systematic standard for the educational environment and evaluation of clinical practice is needed.

Development and Psychometric Evaluation of a Quality of Life Scale for Korean Patients with Cancer(C-QOL) (한국 암 특이형 삶의 질 측정도구(C-QOL) 개발 및 평가)

  • Lee, Eun-Hyun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.324-333
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    • 2007
  • Purpose: The purpose of this study was to develop and evaluate a quality of life scale for Korean patients with cancer (C-QOL). Methods: The C-QOL was developed and validated as follows, item generation, pilot study, and psychometric tests. A total of 337 patients diagnosed with stomach, liver, lung, colon, breast, or cervix cancer were recruited. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, the SF-36, and the ECOG performance status. The obtained data was analyzed using descriptive statistics, factor analysis, multidimensional scaling (MDS), multitrait/multi-item matrix, ANOVA, t-test, and Cronbach's alpha. Results: Preliminarily twenty-six items were generated through content validity and a pilot study. Factor analysis and MDS extracted a total of 21 items with a 5-point Likert-type scale (C-QOL). The C-QOL included five subscales: physical status (6 items), emotional status (6 items), social function (3 items), concern status (2 items), and coping function (4 items). The C-QOL established content validity, construct validity, item convergent and discriminant validity, known-groups validity, reliability, and sensitivity. Conclusion: The Newly developed C-QOL is an easily applicable instrument which established psychometric properties and reflected Korean culture. It is recommended for further study to examine the responsiveness of the C-QOL using a longitudinal research design.

Development and Evaluation of a Patient Safety-focused Inservice Education Program for Surgical Nurse (외과계 간호사를 위한 환자안전 관점의 실무교육 프로그램 개발과 효과)

  • Kim, Young-Mee;You, Myung-Sook;Cho, Yaun-Hee;Park, Seung-Hee;Nam, Seung-Nam;Park, Mi-Ok;Kim, Se-Young;Kim, Min-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.2
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    • pp.152-161
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    • 2010
  • Purpose: The aim of this project was to develop a patient safety-focused inservice education program for surgical nurse and to test the effects of this program. Methods: Methodological designs for instruments development, a pretest-posttest and a posttest design were employed. After the education, nurses' satisfaction, confidence, usefulness and application of 137 nurses were evaluated at 15 surgical units of a tertiary teaching hospital in Seoul, Korea. The education contents are 6 skill areas (infusion pump use, suction, chest tube drainage, oxygen administration, nebulizer use, insulin administration) and medication knowledge. Teaching methods were lecture, instructor demonstration, and 1:1 skill test. Descriptive statistics, Wilcoxon test, Spearman's correlation and Stepwise regression were used. Results: Satisfaction scores for skills and medication education were 4.00-4.21 (out of 5), The more performance frequency in 6 skills, the higher score in confidence as well as in usefulness and application, and the higher satisfaction with the program, the higher score in usefulness, application, confidence, and medication knowledge. Medication knowledge improved after the education (Z=-7,757, p<.001). Significant predictors of skill confidence were application of skills in job performance, medication confidence, and career in present unit. Conclusion: The results of this study suggest that systematic and continuous inservice education will improve patient safety by promoting nursing quality.

Experience of nursing students about the barriers to patient education: a qualitative study in Iran

  • Abbasi, Mohammad;Rabiei, Leili;Masoudi, Reza
    • Korean journal of medical education
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    • v.30 no.4
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    • pp.327-337
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    • 2018
  • Purpose: Patient education is a dynamic and continuous process that should be implemented during the entire time of hospital stay and even afterward. Studies have shown the typically poor quality of patient education in Iran and its failure to convey the required knowledge and skills to patients. The purpose of this study was to survey the experience of nursing students in regard to the challenges of patient education in hospitals. Methods: This qualitative study was conducted using the conventional qualitative content analysis approach on a sample of 21 undergraduate nursing students (4th semester and beyond), which was drawn from the Qom Nursing and Midwifery School through purposive sampling with maximum variation. Data were collected through semi-structured interviews conducted over a period of 45 to 75 minutes, and were analyzed using the conventional qualitative content analysis. Results: Results were derived from the experiences of 21 nursing students (nine males, 12 females) about the research subject. The primary themes identified in the study were the student-related, patient-related, instructor-related, education environment-related, and curriculum-related barriers to patient educations. Conclusion: Participants believed that patient education in Iranian hospitals is faced with many challenges. Nursing instructors and curriculum planners should ensure more emphasis on patient education at the initial semesters of nursing education curriculum and make sure that it is included in the evaluation of students. Hospital officials should provide a dedicated education environment with suitable facilities, tools, and atmosphere for patient education. Also, special education programs need to be developed for less educated patients.

The Relationship between School Health Practice Competency and Satisfaction of School Health Practice in Nursing College Students (3년제 간호대학생의 학교간호 실습수행능력과 실습만족도의 관계 연구)

  • Jang In Sun;Han Sun Hee;Lee Mee Ja;Han Myung Soo
    • Journal of Korean Public Health Nursing
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    • v.16 no.2
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    • pp.423-435
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    • 2002
  • This descriptive correlation study attempted to analyze the relationship between school health practice competency and satisfaction of school health practice in nursing college students. The participants in this study included 191 nursing college students from three junior colleges. The data were collected using a self-reported questionnaires developed or revised by the authors from 22 June to 7 July, 2002. The data were analyzed with the SPSS program using descriptive statistics, t-test, ANOVA, pearson correlation coefficient. The results of this study were as follows: 1. The mean score of school health practice competency was 3.59. The mean score of health education, health management, nursing process, environmental management were 3.81, 3.73, 3.47 and 3.36 respectively. 2. The mean score of school health practice satisfaction was 3.34. The mean score of instruction, practice environment, contents, practice hours and evaluation were 3.66, 3.37, 3.26, 3.21 and 3.21 respectively. 3. Type of school was only significant factor in general characteristics related to satisfaction of school health practice. 4. Correlation between school health practice competency and satisfaction of school health practice showed that the positive correlation between satisfaction and competency (r=0.247, p=0.00l). nursing process(r=0.356, p=0.000), environmental management (r=0.153, p=0.035). In conclusion, this study found that satisfaction of school health practice was significantly related to school health practice competency in nursing college students. Therefore further study is needed to make a strategies to enhance the quality of school health practice competency in nursing college students.

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