• Journal of Korean Clinical Nursing Research
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• v.14 no.2
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• pp.71-81
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• 2008

Purpose: The objective of this study was to determine the cause-effect and dynamic change mechanism among factors that affect calculation of the nursing workforce in the hemodialysis room and to establish a system dynamics model and create a strategic simulation to be used to increase efficiency in the clinical situation. Method: The system dynamics approach was adapted to build a simulation model for calculating the nursing workforce. The model was built using Vensim 5.0b DSS. Results: The results were as follows for Scenario A: The highest level of nursing service quality, patient satisfaction, and nurse satisfaction, and the lowest level of turnover intention is maintained when the ratio of patients to nurse is 3.5:1 compared to all other situations. Scenario B: At the ratio of patients to nurse 4.0:1 nursing service quality, patient satisfaction, and nurse satisfaction dropped slightly, and turnover intention also rose slightly. However with time the results showed improvement. Conclusion: In terms of economic efficiency in the hemodialysis room, the ratio of patients to nurse for the best nursing workforce should not exceed 4.0:1.

• Journal of Korean Clinical Nursing Research
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• v.27 no.2
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• pp.210-219
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• 2021

Purpose: The study was conducted to investigate the correlation between perception of patient safety risk factors, patient safety competency, and safety nursing activities of nurses in hemodialysis units and identify factors affecting patient safety activities. Methods: The participants were 146 nurses from 16 hemodialysis units located in Gyeongsangnam-do. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson correlation coefficient, and multiple regression analysis using the SPSS, version 24.0. Results: The mean safety nursing activity score was 3.47±0.38. safety nursing activities of the participants were significantly correlated with patient safety competency. The characteristics showing significant differences in safety nursing activities were educational level, hospital type, hospital work experience, number of hemodialysis treatment per day, number of hemodialysis treatment per nurse, educational experience of patient safety, presence of a patient safety incident report registration system, and direct registration of patient safety incident report. The multiple regression analysis revealed that the factors influencing safety nursing activities were patient safety incident report, patient safety competency, and number of daily hemodialysis treatment (<5~7 times/day) per nurse (R²=.34). Conclusion: The results of this study suggest that the safety nursing activities of hemodialysis unit nurses should be intensified. In addition, the registration system of patient safety incident report and nurses' competency on patient safety should be improved, and the number of hemodialysis per nurse should be fewer than 7 times per day.

• Journal of Korean Academy of Nursing
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• v.30 no.4
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• pp.1066-1077
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• 2000

The purpose of this study is to develop self-efficacy promotion program and to test its effects on self-efficacy, self-care, physiologic index of hemodialysis patients after applying this program to them. Preliminary study was carried out to identify the levels and types of self-care, self-efficacy of hemodialysis patients. To develop self-efficacy promoting program, several discussions with nursing professors and nurse specialists on hemodialysis patients were made after in-depth literature review on the area. Through these processes, the self-efficacy promoting program including 20 minutes long videotape and other counciling documents were completed. This videotape consisted of specific self-care techniques for hemodialysis patients including management of fistula, measurement of blood presure and body weight, special diets, medications, exercise and rest, management of physical problems and social adjustment. Two group equivalent pre and post test quasai-experimental research design was used in this study. The total subjects were 34 hemodialysis patients who received hemodialysis three time per week at 1 university hospital. Seventeen experimental group subjects were matched with control group subjects in sex and age. Data were analysed with the SPSS window program. Homogeniety between experimental and control group pretest data was tested by x$^2$ and t-test. There were no significanct differences in general characteristics, illness history, specific self-efficacy and self-care between the two groups. The differences of general self-efficacy of two groups were tested with the Repeated Measure ANCOVA because of significant differences of pretest data of general self efficacy between two groups. The differences of self-efficacy and self-care of two groups were tested with Repeated Measure ANOVA and the differences of physiologic indecies including blood potassium level and blood phosphorus level and interdialytic weight gain were tested by t-test. The results were as follows: 1. There was no significant difference in general self-efficacy between the two groups over four different time, and no interaction by groups and by time. 2. There was significant difference in specific self-efficacy between the two groups over four different time, and interaction by groups and by time. 3. There was significant difference in self-care between the two groups over four different time, and interaction by groups and by time. 4. There were no significant differences of blood potassium level and blood phosphorus level, but there was significant difference of interdialytic weight gain between the two groups. From the results above, it can be concluded that the self-efficacy promotion program for hemodialysis patients was effective to improve degree of specific self-efficacy and self-care and to decrease interdialytic weight gain. Considering results, the followings are recommended: 1) Repeated studies are needed for another hemodialysis patients. 2) This program can be used for improving degree of self-efficacy and self-care of hemodialysis patients by nurse practitioner and nurse educator.

• The Korean Nurse
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• v.27 no.4 s.147
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• pp.14-18
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• 1988

• The Korean Nurse
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• v.26 no.2 s.140
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• pp.15-20
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• 1987

• The Korean Nurse
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• v.21 no.1 s.114
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• pp.79-82
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• 1982

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5839-5848
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• 2012

The demands for specially trained hemodialysis nurses are increasing as the population requiring maintenance hemodialysis expands. However, there has been no standardized training program for hemodialysis nurses in South Korea. The study was conducted to develop and evaluate a hemodialysis nurse educational program (HNEP). The effects of education using the HNEP were assessed by levels of hemodialysis-specific knowledge, self-efficacy and satisfaction. A total of 25 registered nurses participated in the HNEP which consists of 20 week education (classroom theory for 10 weeks and clinical practice for 10 weeks) between April and September, 2011. Knowledge levels were compared before and after the HNEP using paired t-test. Self-efficacy and satisfaction levels were also evaluated after the program using a scale of 1-5, 5 being the highest and 1 being the lowest. Knowledge levels were significantly increased after the HNEP (Mean=13.96 vs. 17.80, t=-7.748, p=<.001). Self-efficacy and satisfaction levels with the program were high, $3.90{\pm}0.42$ and $4.02{\pm}0.77$, respectively. These findings suggest that the HNEP improved hemodialysis-specific knowledge, and levels of self-efficacy and satisfaction with the HNEP were reasonably, among the participants.

• Journal of Korean Academy of Nursing Administration
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• v.9 no.2
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• pp.205-216
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• 2003

Purpose : This study wad aimed to estimate nursing cost for hemodialysis of secondary hospitals using Resource Based Relative Value Scale(RVRBS). Method : The first, calculated nursing workload for the hemodialysis of secondary hospitals. Second, measured each spent time according to 14 nursing behaviors. Third, computed Resource Based Relative Value(RBRV) scores and nursing expenses of hemodialysis nurse. Finally, estimated nursing cost for hemodialysis of secondary hospitals, Result & Conclusion : The mean RBRV scores for each nursing behaviors were from 218.9 to 383.9 point(mean=312.7). The high RBRV socres were 383.9(Complication during hemodialysis), 353.7(Access patient vascular), 345.7 (Patient Teaching). Nursing cost for hemodialysis was estimated 23,234(won).

• The Korean Journal of Rehabilitation Nursing
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• v.17 no.1
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• pp.27-37
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• 2014

Purpose: The purpose of this study was to understand nurses' experience of managing diet and fluid in hemodialysis patients and to provide helpful information in improving care of hemodialysis patients. Methods: Data were collected through in-depth interviews with ten nurses who had experience of providing care to hemodialysis patients. Colazzi's phenomenological method was used to analyze data. Results: Twenty themes were identified in the first stage of data analysis and were later categorized into ten theme clusters, of which four categories were derived. The four categories were 'developing a strong feeling of responsibility for management', 'acknowledging limits in performing duties', 'providing patient-centered education' and 'becoming a guide for the long treatment process'. Conclusion: The study results will be useful for improving nursing curriculum to ensure more effective and successful diet and fluid management in hemodialysis patients.

• The Korean Nurse
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• v.26 no.2 s.140
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• pp.21-26
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• 1987