• Title/Summary/Keyword: Hospital ward

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Family Member's Perceptions of Side Rail Use in Geriatric Hospital (노인요양병원에서의 침대난간(Side Rail) 사용에 대한 환자가족의 인식)

  • Lee, Keum-Jae;Park, Gyeong-Sook;Park, Yeon-Suk
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.503-513
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    • 2016
  • The purpose of this study is to figure out family member's perceptions of side rail use in geriatric hospital by Cavanagh's content analysis with in-depth interview. This finding of the study suggests that the six themes of these perceptions are precautionary safety supervision, movement convenience, ritualistic nursing, physical restraint, danger of wounds, and alternative methods in an older person ward, and that the cause of recognized perceptions is not based on actual events, but rather on relatives' perceived protective value. With the transition of medical industry environment, there is a significant emphasis on efficacy and effectiveness of practice, risk management and evidence-based practice. However, the issue of side rail use and physical restraints remains unsolved in care of older people. Nurses claim the necessity of regimented protocol and clarification from professional organization regarding the side rail use.

A Study on the Family Attitude toward Mental Illness (정신질환자 가족들의 정신질환에 관한 태도 조사연구)

  • 조영숙
    • Journal of Korean Academy of Nursing
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    • v.11 no.1
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    • pp.7-17
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    • 1981
  • The purpose of this study is to investigate the relationship between family attitude about mental illness and their general characteristics. The subjects for this study were a sample of 120 families selected from psychiatric ward of one university hospital, which is one national hospital in Seoul. Data was collected from July 1th to August 10th in 3980 used by Opinion about Mental Illness Scale (O.M.I.). The materials were analized by S.P.S.S. program. The findings of the study were as follows: A. Families' attitude toward mental illness shown ay this study was more negative compared to those of Korea1 nursing professorss, nurses and nursing students. B. Variables which influence families' attitude about mental illness: 1. There is no significant between general characteristics and authoritarianism. (p> 0.05) 2. Benevolence (Factor B) was found to be significantly related to such variables as religion, eucation levels, existence of mental patient in their an intimate friends. (P < 0.01) Families' attitude about benevolence was mere positive in families who have not relegion or having christion beliefs: haying the higher education levels; not having a mental patient in their an intimate friends. 3. Mental health ideology (Factor C) was found to be significantly related to variable experience of mental illness. (P < 0.01). families' attitude about mental health ideology was more positive in families who had experience of mental illness. 4. Social Restrictiveness (Factor D) was found to be significantly related to variable relationship between families and patients(P<0.01). An intimate friend's attitude about mental health Ideology was mon positive than that of parent and couple. 5. Interpersonal Etiology (Factor E) was found to be significantly related to variable religion (P < 0.05). Families' attitude about interpersonal etiology was more positive in families who have relegion.

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A Study on the Relationship among Circadian Types, Sleep Quality and Adaptation to Night Shifts among Nurses Working on Two or Three Day Night Duties (2~3일 밤번근무 간호사의 일주기 수면유형, 수면의 질, 밤번근무 적응도의 관계)

  • Kim, Su Jin;Gu, Mee Ock
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.309-320
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    • 2013
  • Purpose: This study was conducted to identify relationships among circadian types, sleep quality, and adaptation to night shifts among nurses working on two or three day night duties. Methods: The participants were 199 ward nurses from two university hospitals in Gyeongnam province. Each nurse worked on two or three day night duties. Data were collected between September 24 and October 14, 2012 and analyzed using t-test, ANOVA, $Scheff{\grave{e}}$ test, Pearson correlation, and multiple regression with SPSS/WIN 14.0 program. Results: Mean scores for sleep quality and adaptation to night shifts was $4.92{\pm}1.46$ on a 10-point scale and $2.66{\pm}0.47$ on a 5-point scale respectively. There were no significant differences in sleep quality and adaptation to night shifts according to circadian types of nurses. There were significant correlation between sleep quality and adaptation to night shifts (r=.25, p<.001). Factors affecting adaptation to night shifts were preference for night shifts, and subjective health status, which together explained about 35% of the total variance. Conclusions: Nurses working on two or three day night duties had low level of sleep quality and adaptation to night shifts. It is necessary to improve preference for night shifts and subjective health status for improving adaptation to night shifts of nurse.

Effect of Taeyeumjowee-Tang and Electroacupuncture Combined-therapy on (태음조위탕(太陰調胃湯)과 전기침(電氣鍼) 병행치료의 비만에 대한 효과)

  • Cho, Jung-Hoon;Song, Byung-Jae;Jang, Young-Ju
    • Journal of Korean Medicine for Obesity Research
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    • v.1 no.1
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    • pp.77-83
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    • 2001
  • We wanted to study the effect of Taeyeumjowee-tang and electroacupunctre combined-therapy on obese patients. From 1 March, 2000 to 30, September, 2000 we studied 33 out-ward patients who clinically diagnosed obesity and classified Tae-Em-In by QSCC(Questionnaire of Sasang Constitution Classification). We treated the patients by electroacupuncture therapy and taeyeumjowee-tang for 6 weeks, We investigated the change of mean body weight, mean body mass index, mean obesity degree, percent body fat and waist-hip circumference ratio. To analyze the results we used repeat measure method by SPSS ver 7.5. The results were as follows: 1. From $70.4{\pm}11.4\;to\;64.9{\pm}8.7$, mean body weight was significantly decreased according to combined-therapy. 2. From $27.2{\pm}3.2\;to\;24.6{\pm}2.7$, mean BMI was significantly decreased according to combined-therapy. 3. From $116.7{\pm}13.9\;to\;104.4{\pm}12.1$, mean obesity degree was significantly decreased according to combined-therapy. 4. From $32.1{\pm}6.8\;to\;27.4{\pm}7.5$, percent body fat was significantly decreased according to combined-therapy. 5. From $0.90{\pm}0.06\;to\;$0.86{\pm}0.06$, waist-hip circumference ratio was significantly decreased according to combined-therapy. In this study we knew the combined-therapy of electroacupuncture and taeyeumjowee-tang is very efficient in obese patient.

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Effects of exposure to endocrine disruptors, burnout, and social support from peers on premenstrual syndrome in nurses (간호사의 내분비계 교란 물질 노출, 감정 노동, 동료 지지가 월경 전 증후군에 미치는 영향)

  • Chang, Hye Young;Park, SoMi
    • Women's Health Nursing
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    • v.26 no.2
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    • pp.171-179
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    • 2020
  • Purpose: This study aimed to investigate the effects of exposure to endocrine disruptors, burnout, and social support from peers on premenstrual syndrome (PMS) in nurses. Methods: This descriptive correlational study was conducted among 122 nurses under the age of 49 working at a university hospital. The participants answered self-report questionnaires. The data were analyzed using the t-test, analysis of variance, Pearson or Spearman correlation coefficients, and hierarchical multiple regression in IBM SPSS version 23.0. Results: The mean age of the nurses was 28.9 years. Of these nurses, 49.2% were working in a general ward, 24.6% in the intensive care unit, 14.8% in the emergency room, and 11.4% in an outpatient department. The explanatory power of the model was 38.3%, and it was statistically significant (F=11.74, p≤.001). Exposure to endocrine disruptors (β=0.32, p<.001) was the most powerful variable affecting PMS, followed by burnout (β=0.27, p=.001), working in the intensive care unit or emergency room (β=0.22, p=.003), family history of PMS (β=0.19, p=.009), and support from coworkers (β=-0.15, p=.043). Conclusion: Based on these findings, it is necessary to develop an intervention program to reduce the symptoms of PMS. Additionally, further studies are needed to develop and evaluate measures to minimize exposure to endocrine disruptors and burnout in order to alleviate PMS among nurses.

Adaptation of the Evidence Based Nursing Practice Guideline (근거중심 급성 뇌졸중 간호 가이드라인 수용개작)

  • Kim, Ji Hyun;Song, So Lee;Kim, Mi Kyung;Cho, Myoung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.176-191
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    • 2011
  • Purpose: This methodological study translated, adapted, and validated the evidence based guideline of RNAO (Registered Nurses Association of Ontario) in Canada, for acute stroke care to domestic circumstances. Methods: Quality of the RNAO guideline was evaluated using AGREE tool. Then the guideline was translated into Korean and a preliminary guideline was established After checking content validation by an expert group, the Korean version of the guideline was applied to clinical settings to see its applicability. Results: The RNAO guideline in Korea was deemed appropriate. The Korean version of the guideline was drawn up with 56 items in 3 areas in stroke system related nursing, nursing of acute stroke inpatients, and stroke nursing assessment. A questionnaire survey was performed on appropriateness, enforceability, and applicability of those recommendations. A total of 54 recommendations were finalized after deleting 2 items below CVI 0.7 and correcting 3 items by taking professional advices. After trial application of the guideline to 40 stroke patients hospitalized at a ward of a hospital in Seoul, its performance was improved but was not statistically significant. Conclusion: This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for acute stroke care in Korea.

Awareness, Nursing Needs, and Nursing Satisfaction on Conscious Sedation as a Pretreatment for Diagnostic Tests in the Guardians of Hospitalized Children (진단검사 전 처치로 실시하는 의식하 진정요법에 대한 환아 보호자의 인식도와 간호요구도, 간호만족도)

  • Seo, Mi Hee;Park, Soonjoo
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.573-581
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    • 2021
  • This study aims to investigate the awareness, nursing needs, and nursing satisfaction of conscious sedation, and their relationships in the guardians of hospitalized children receiving conscious sedation. Data were collected from 120 guardians of children who were admitted to the pediatric ward of University Hospital C in D city from July 6 to October 6, 2016 and received conscious sedation as a pretreatment for diagnostic tests. The result showed that the guardians' awareness was relatively low (2.49±0.83) and nursing needs (4.53±0.40) was found to be significantly higher than nursing satisfaction (3.81±0.56)(p<.001). Awareness showed a significant positive correlation with nursing satisfaction (r=.18, p=.048) and there was a significant positive correlation between nursing needs and satisfaction (r=.20, p=.033). This result suggested that in order to improve the nursing satisfaction of the guardians, it is necessary to understand the awareness and nursing needs of the guardians on conscious sedation. In addition, the development of customized nursing intervention should be carried out based on the awareness and nursing needs.

Development and Validation of a Education Nurse Specialist-Led Education Satisfaction Scale for Nurses Working at Comprehensive Nursing Care Service Wards (교육전담간호사가 주도하는 교육 프로그램에 대한 간호·간병통합서비스 병동 간호사의 교육 만족도 측정 도구 개발 및 타당도 검정)

  • Shin, Na yeon;Lee, Seung Shin;Park, Min Jung;Park, Young Mi;Kim, Sung Kyung;Nam, Ga Hee
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.285-295
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    • 2020
  • Purpose: The purpose of this study was to develop and validate a education nurse specialist-led educational satisfaction scale for nurses working at comprehensive nursing care service wards. Methods: A methodological study was conducted. A total of 237 nurses working at comprehensive nursing care service wards in a general hospital participated in this study. The scale was developed through literature reviews, in-depth interview, development of preliminary items, verification of content validity, development of secondary items, evaluation of construct validity, and extraction of final items. Analysis included exploratory factor analysis, pearson's analysis, and reliability analysis using cronbach's α. Results: The education nurse specialist-led educational satisfaction scale for nurses working at comprehensive nursing care service ward consisted of 21 items. Two factors (critical thinking disposition and clinical competency) were identified which explained 63.5% of the total variance. Cronbach's α of each factors were >.95. Conclusion: The results suggested that the education nurse specialist-led educational satisfaction scale for nurses working at comprehensive nursing care service wards demonstrated acceptable validity and reliability. Items of the instrument can assess the level of satisfaction with regards to education led by education nurse specialist among nurses working at comprehensive nursing care service wards.

Performance, Perception, and Influencing Contexts of Intentional Rounding (의도적 간호순회 인식과 배경요인이 이행에 미치는 영향)

  • Kim, Mi Young;Kim, Mi Soon;Kim, Ae Ran;Kim, Hee Sun
    • Journal of Korean Clinical Nursing Research
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    • v.27 no.1
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    • pp.66-76
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    • 2021
  • Purpose: This descriptive study aimed to explore the performance, nurses' perception, and influencing contexts of intentional rounding (IR), and to identify the factors influencing the performance of IR. Methods: 498 questionnaire responses were collected from clinical nurses with more than six months of work experiences in general wards performing IR in a general hospital. Results: The mean scores of the performance, nurses' perception, and influencing contexts of IR were 3.81(±0.68), 3.46(±0.42), and 3.79(±0.51) out of 5.00, respectively. There were significant differences in performance (F=20.51, p<.001) and nurses' perception (F=4.96, p=.001) based on the work department. There were significant differences in the influencing contexts based on age (F=6.02, p=.003) and the length of clinical experience in the ward (F=3.36, p=.010). Performance and nurses' perception(r=.42, p<.001), performance and influencing contexts (r=.46, p<.001), and nurses' perception and influencing contexts (r=.58, p<.001) showed a statistically positive correlation. Work unit (F=10.45, p<.001), nurses' perception of the benefits to patients (F=-2.46, p=.014) and to nurses (F=4.34, p<.001), and influencing contexts at the individual (F=7.77, p<.001) and department levels (F=2.99, p=.003) were found to be significant factors on the performance of IR. Conclusion: It is necessary to support the education programs and active participation of nurses in their role as leaders to raise their awareness regarding the benefits of IR. Furthermore, there is a need to adapt the IR protocol according to the unique characteristics of each unit and evaluate the effectiveness.

The Effect of Mobile Web-Based COVID-19 Isolation Hospitalization Management Training on Patient Uncertainty, Anxiety and Nursing Education Satisfaction (모바일 웹 기반 코로나19 격리 입원관리 교육이 환자의 불확실성, 불안 및 간호교육 만족도에 미치는 효과)

  • Yang, Na Kyung;Seo, Ji Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.2
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    • pp.112-121
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    • 2022
  • Purpose: This study aims to identify the effects of mobile web-based COVID-19 isolation hospitalization management training on patient's uncertainty, anxiety, and nursing education satisfaction. Methods: Patients hospitalized with COVID-19 isolation rooms from August to October 2021, in Medical Center B which is an infectious disease dedicated hospital located in metropolitan city B were included. The total number of subjects was 142, of which 71 were the experimental group and 71 the control group. As an experimental treatment, a total of 5 minutes and 35 seconds of mobile web-based education were provided to the experimental group three times, including the day of, the first day of, and the second day of hospitalization. Existing training conducted on the control group was provided by the nurses in charge of the ward through oral explanation using printed materials. The data were analysed using the IBM SPSS/WIN 26.0 program. Results: Significant differences were observed between the two groups in pre-and post-assessment of uncertainty scores (t=-22.92, p<.001), anxiety scores (t=-15.03, p<.001) and nursing education satisfaction score (t=11.61, p<.001). Conclusion: As a result of the above, mobile web-based education can be used as an effective educational medium in nursing practice to improve the work efficiency and quality of nursing care and contribute to improving the patient's educational satisfaction.