• Title/Summary/Keyword: Infection Management Practice

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A Journey to Action Research in a Clinical Nursing Context (임상간호현장에서의 실행연구 여정)

  • Jang, Keum Seong;Kim, Heeyoung;Kim, Eun A;Kim, Yun Min;Moon, Jeong Eun;Park, Hyunyoung;Song, Mi-Ok;Baek, Myeong
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.95-107
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    • 2013
  • Purpose: The purpose of this study was to examine the effectiveness of Action Research (AR) approach in nursing. Methods: Participants were 64 perioperative nurses recruited from C hospital in Gwangju, Korea. The nurses were engaged in the project through 2 cycles of planning, acting, observing, and reflecting. A mixed-methods design was used to examine changes in participants and their knowledge management practice. Quantitative data were analyzed using SPSS 20.0 program and qualitative reflection data underwent content analysis. Results: During the project, participants developed standardized pre-operative checklists and opened an Internet Cafe to better manage their perioperative nursing information. At the end of the project, there was a significant increase in nurses' knowledge management (p=.015) and the rate of surgical material prescription errors decreased from 8.0% to 2.9%. Core AR project team members' teamwork skills and organizational commitment increased significantly (p=.040, p=.301, respectively). The main themes that emerged from the qualitative data were learning how to solve problems in practice, facilitating team activities through motivation, barriers of large participation, and rewarded efforts and inflated expectations. Conclusion: The AR project contributed to empowering participants to solve local problems. AR is a useful methodology to promote changes in practices and research participants.

The Knowledge and Confidence in Performance on Patient Safety among Health-Related Majors : Convergent Approach (보건계열 학생의 환자안전 지식 및 수행 자신감 : 융복합적 접근)

  • Lee, Mi Hyang;Park, Jung Hee;Bae, Seok Hwan
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.219-227
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    • 2019
  • The purpose of this study was to investigate the knowledge on patient safety and performance confidence for the subject of health-related major students. Participants were 349 Health-related majors. Data were analyzed using SPSS 21.0. According to the study results, correct answer rate for patients' knowledge on safety was 65.7% in average. Average point of performance confidence was $7.11{\pm}1.74$. Considering in terms of question, patient identification was high, while effective communication was shown to be low. Patient identification, communication, surgery procedure, fall, patient's safety accident report as the lower domain for patients' knowledge on safety and performance confidence had a positive correlation, while knowledge and infection management, facility environment had a negative correlation for health-related major students, development of patients' safety education program is needed to enhance importance of patients' safety before clinical practice and to allow implementation of safe clinical practice.

A Study on Nursing Needs and Respiratory Self-care Practice Degree in Elderly Chronic Obstructive Pulmonary Disease (만성폐쇄성 폐질환 노인의 호흡기 자가간호 실천정도와 간호요구)

  • Noh, Hyun-Sook;Min, Hye-Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.1
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    • pp.17-29
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    • 2003
  • This study investigated the degree of self-care practice to maintain the stable respiratory function and the required respiratory nursing needs upon the elderly with chronic obstructive pulmonary diseases. The research subjects were 115 elderly people over 60 years old, who were diagnosed to have chronic obstructive pulmonary diseases (the mixed type, chronic bronchitis, bronchial asthma, emphysema) and were hospitalized in 3 university hospitals in Busan or treated as outpatient, and the data was collected over the period between June 1, 2002 and September 30, 2002. In order to measure the respiratory self-care practice degree and nursing needs of the subjects, the instrument on the self-care practice and the instrument on nursing needs were developed by the researcher. The research results are as follows: 1. The mean of respiratory self-care practice degree by the subjects was 2.41 out of 4 for each clause, and the degree of practicing general management was the highest(2.70), and nutrition control(2.66), respiratory exercise(2.65), expectoration of sputum (2.63), oxygen therapy(2.60), environment control(2.50), and medication control(2.36) succeeded. 2. The degree of self-care practice had a significant difference depending on age(F=2.82, P=0.02), frequency of hospitalization(F=3.11, P=0.01), and diagnosed disease(F=15.66, P=0.00). 3. The subjects nursing needs of respiratory system were 3.07 on the average out of 4.00, and 'I want to know how to prevent the infection of respiratory system such as cold scored the highest 3.83, while the clauses like 'want to know how to face the respiratory disorder properly'(3.77) and 'want the specific explanation of the symptoms of my disease'(3.66) also had scored high points. 4. The nursing needs of the respiratory system had a significant difference depending on diagnosed disease such as mixed type of chronic obstructive pulmonary diseases, emphysema, bronchitis, and asthma (F=6.70, P=0.00). The research showed that the subjects degree of self-care practice of respiratory system was low on the whole, while the nursing needs for managing respiratory organ were relatively high. Therefore, specific education concerning the nursing of the disease and self-care upon the elderly having chronic obstructive pulmonary disease is necessary.

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Research on Dental Hygienics Students' Perception of Personal Protection and Instrument Disinfection of by Practical Training Type in Some Areas (일부지역 치위생 전공 학생들의 실습행태에 따른 개인방호 및 기구멸균에 관한 인식조사)

  • Ka, Kyung-Hwan;Ku, In-Young;Lee, Myeong-Seon;Moon, Seon-Jeong
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.193-202
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    • 2013
  • This study aimed to investigate and compare the perception of personal protective equipments and instrument sterilization of students who are in attendance at colleges and universities and which have bedside training as a regular subject in their curriculum for third-year students. 'Completely True' is the highest response to the question about the importance of wearing gloves, mask and medical gown from all groups. 'Completely True' is the highest response to the question about the necessity for replacement of gloves from all groups. 'Moderate True' is the highest response to the question about the necessity for replacement of mask from the group without practical training and 'Completely True' is the highest response to the question about the importance of hair cleanliness from all groups regardless of practical training experience. For the question about the perception of instrument disinfection and sterilization, the group with inside and outside practical training showed the highest perception level. Consequently, the right education for prevention of infection by setting inclusive guidelines to enhance the level of perception and practice seems continuously necessary.

Disinfection, Sterilization and Aseptic Technique for Thread Embedding Acupuncture (안전한 매선요법 시술을 위한 멸균, 소독 및 무균법)

  • Yun, Young-Hee;Son, Jae-Woong;Ko, Seong-Gyu;Choi, In-Hwa
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.29 no.1
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    • pp.103-112
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    • 2016
  • Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture. This study is to introducing a specific guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture.Method : We reviewed internal regulations and guidelines about hospital infection, and Traditional Korean medicine doctors, nurses, and director of central supply room discussed in depth and established a regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture.Result : The regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture consisted of ① management of supplies, ② guidelines of disinfection, sterilization, and reuse, ③ aseptic technique for thread embedding acupuncture.Conclusion : Microbial management is an essential element of medical care and quality. Traditional Korean medicine doctors will care for disinfection, sterilization, and this should not neglect to comply with the procedures and guidelines in the medical field as well as to understand the aseptic techniques.

A study on the hand washing practice of a clinical nurse in a hospital based on health belief model (건강신념모형을 적용한 일개 병원 임상간호사의 손씻기 수행도에 대한 연구)

  • Kim, Ga-Hyun;Kwon, Yong-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.2
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    • pp.532-539
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    • 2018
  • This study is a descriptive study to analyze the hand washing practice of nurses working in clinic applying health belief model. This research involved 162 clinical nurse at G city. The data were collected from Sep 1, 2017 to Oct 31, 2017. The collected data were analyzed using an independent t-test, 1-way ANOVA, pearson's correlation coefficient and multiple regression analysis, where p-values of <0.05 were considered statistically significant by using SPSS 20.0. The overall practice of hand washing by general subjects were high 3.1 in all subjects, but there was no statistically significant difference. Health beliefs about hand washing practice according to general characteristics showed significant difference in perceived benefits (p<0.05), and there was a significant difference in perceived benefits and perceived barriers in age(p<0.05). In regard to the correlation among the subfactor of health beliefs, benefits had a statistically significant negative correlation to barriers and, positively correlated to cues to action. The results of this study suggest that continuing education of infection management in hospitals considering health beliefs about proper hand washing training will enhance hand washing practice.

The Convergence Study on Anxiety, Knowledge, Infection Possibility, Preventive Possibility and Preventive Behavior Level of MERS in Nursing Students (간호대학생의 메르스에 대한 불안, 지식, 감염가능성, 감염예방가능성, 감염예방행위 이행 수준의 융합적 연구)

  • Kim, Og Son;Oh, Jin Hwan;Lee, kyung Hye
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.59-69
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    • 2016
  • The purpose of this study was to provide basic materials on establishing convergence oriented respiratory infection management system in nursing students attending clinical training by analyzing anxiety, knowledge, possibility of infection, possibility of prevention, and compliance level of preventive behavior. Data were collected from 222 nursing students experienced clinical practice from June 15th to 30th in 2015 using questionnaire. Characteristics relative to variables were measured, and analyzed using SPSS 18.0 program. The results are as follows. The anxiety was 42.70(max 80 points), but possibility of infection was 22.55(max 100 points). Also, knowledge(11.73 out of 16 points), possibility of prevention(7.37 out of 10 points), and compliance level of preventive behavior(34.55 out of maximum 48 points) were slightly above average. The influencing factors on compliance of preventive behavior were anxiety and possibility of prevention. It is needed to lead convergence oriented approach on enhancing compliance of preventive behavior through providing information and educating possibility of prevention during MERS outbreak.

Sequencing Methods to Study the Microbiome with Antibiotic Resistance Genes in Patients with Pulmonary Infections

  • Tingyan Dong;Yongsi Wang;Chunxia Qi;Wentao Fan;Junting Xie;Haitao Chen;Hao Zhou;Xiaodong Han
    • Journal of Microbiology and Biotechnology
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    • v.34 no.8
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    • pp.1617-1626
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    • 2024
  • Various antibiotic-resistant bacteria (ARB) are known to induce repeated pulmonary infections and increase morbidity and mortality. A thorough knowledge of antibiotic resistance is imperative for clinical practice to treat resistant pulmonary infections. In this study, we used a reads-based method and an assembly-based method according to the metagenomic next-generation sequencing (mNGS) data to reveal the spectra of ARB and corresponding antibiotic resistance genes (ARGs) in samples from patients with pulmonary infections. A total of 151 clinical samples from 144 patients with pulmonary infections were collected for retrospective analysis. The ARB and ARGs detection performance was compared by the reads-based method and assembly-based method with the culture method and antibiotic susceptibility testing (AST), respectively. In addition, ARGs and the attribution relationship of common ARB were analyzed by the two methods. The comparison results showed that the assembly-based method could assist in determining pathogens detected by the reads-based method as true ARB and improve the predictive capabilities (46% > 13%). ARG-ARB network analysis revealed that assembly-based method could promote determining clear ARG-bacteria attribution and 101 ARGs were detected both in two methods. 25 ARB were obtained by both methods, of which the most predominant ARB and its ARGs in the samples of pulmonary infections were Acinetobacter baumannii (ade), Pseudomonas aeruginosa (mex), Klebsiella pneumoniae (emr), and Stenotrophomonas maltophilia (sme). Collectively, our findings demonstrated that the assembly-based method could be a supplement to the reads-based method and uncovered pulmonary infection-associated ARB and ARGs as potential antibiotic treatment targets.

Validation of Nursing Diagnose and Defining Characteristics for Patients with Cerebrovascular Accidents - Home Health Care Nursing (뇌혈관질환자와 관련된 간호진단 및 간호진단별 특성 규명과 타당성 조사연구 - 가정간호 대상자를 중심으로 -)

  • Kim, Hae-Young
    • Journal of Home Health Care Nursing
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    • v.2
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    • pp.35-51
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    • 1995
  • This study was done to define nursing diagnose and to test the validity of the characteristics for patients with cerebrovascular accidents being seen at home by home health care nurses. This study was a descriptive study. The sample consisted of 10 experts(professors and home health care nurses) who had had a variety of experience using nursing diagnoses in clinical practice, and 336 nurse progress notes for 18 patients with cerebrovascular accidents. First, 32 nursing diagnoses were defined by the analysis of 336 nurse progress notes, and ten nursing diagnoses were selected according to a criteria of frequency and four nursing diagnoses from home health care clinical practice. Second, content validity was examined by an expert group which considered the sign / symtoms of the fourteen nursing diagnoses. The instrument used for this was a checklist for sign / symtoms based on the nurse progress notes and literature : Carpenito(1993), Kim Cho Ja et al (1994), Lee Sun Ok et al.(1994), Kim Mae Ja et al. (1992), Seoul University Hospital (1993) , Kim Mi Ja et al. (1991). The data were collected from March 1995 to April 1995. Data were analyzed using Content Validity Incidence where if 80% or more of the expert group agreed, characteristics were defined as a major sign/symtoms, if between 50% and 79% of the expert group agreed with the characteristic it was defined as a minor sign / symtoms. The results of this study are summarized as follows : 1. Thirty-two nursing diagnoses related to patients with cerebrovascular accidents were defined. There was a high frequency for the following : 'Potential for disuse syndrome (61%)', 'Impaired physical mobility(50%)', 'Impaired skin integrity (44.4%)', Potential for aspiration(33.3%)', 'Potential for infection: respiration(33.3%)', 'Self-care deficit : bathing /hygine(27.8%)', 'Ineffective family coping(22.2%)', 'Potential for trauma(22.2%)', 'Alteration in nutrition: less than body requirements(22.2%)'. The following diagnoses were also used in home health care clinical practice : 'Anxiety in family (50%)', 'Caregiver fatigue(27.8%)', 'Ineffective treatment behavior (22.2%)', 'Ineffective Levin tube management and Levin tube feeding(22.2%)'. Fourteen nursing diagnoses were selected. 2. Ten of the nursing diagnoses for patients with cerebrovascular accident were listed as nursing diagnoses by NANDA but four nursing diagnoses were new nursing diagnoses used in home health care clinical practice. 3. Characteristics of the ten Nursing Diagnoses from NANDA were developed from the sign /symtoms in the literature and in the nurse progress notes. These characteristics was verified as major or minor sign / symtoms by the expert group. 4. Characteristics of the four nursing diagnoses used in home health care were not defined by the literature but only by the nurse progress notes and verified as major or minor signs /symtoms by the expert group. On the basis of the findings of this study, the following recommendations are made : 1. Continual study is necessary to identify other signs /symtoms not verified in this study. 2. It is necessary to use verified signs /symtoms in home health care clinical practice. 3. It is necessary to define related factors which define each diagnoses in this study. 4. It is necessary to develop of standardized nursing are plans which include defined signs and symtoms. 5. It is necessary to study the outcomes of the standardized nursing care plans.

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The knowledge and Attitudes about AIDS using Social Networking Services surveys for Department of Some Dental Hygiene Students (SNS 설문을 이용한 일부 대학 치위생(학)과 학생들의 AIDS에 대한 지식과 태도)

  • Choi, Young-Suk;Jun, Bo-Hye;Seong, Jeong-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.2
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    • pp.487-496
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    • 2018
  • The person who knows inaccurately about AIDS is less favorable to AIDS infectee, and the low level of knowledge as to AIDS and negative attitude cause bias and stigma of AIDS infectee to act as a social exclusion mechanism to impede early discovery or early treatment of the disease. As the level of knowledge as to AIDS affect the attitude of AIDS, so this study was tried to make use of basic data to develop education program that may help AIDS infectee and prevention of infection who visit dental clinics in the future by grasping the level of knowledge of the students of the dept. of dental hygiene as to AIDS and the attitude for the infectee. The collected the data subject to 360 students. The investigated data used statistic program SPSS 22.0 (SPSS Inc, Chicago, IL, USA) to calculate general characteristics by frequency and percentage, and for the attitude towards AIDS using Social Networking Services surveysinfectees and testing hypothesis of Duncan, Scheffe to see which groups show the difference in the practice level of infection management.