• Title/Summary/Keyword: Integrated Nursing

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Effects of simulation integrated problem based learning (Si-PBL) on Critical thinking, Problem solving, Learning motivation according to Myers-Briggs Type Indicator (MBTI) Personality Type -Pilot study (문제기반학습 연계의 시뮬레이션 교육이 MBTI 성격유형에 따라 비판적 사고, 문제해결능력, 학습동기에 미치는 효과 -모의 실험)

  • Kim, Hye-Young;Moon, Kyoung-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.6
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    • pp.3963-3972
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    • 2015
  • This study was conducted to evaluate the effects of simulation integrated with problem based learning in terms of critical thinking, problem solving, learning motivation according to Myers-Briggs type indicator(MBTI) personality type in advanced nursing course students. This study was a non-equivalent control posttest only design. Students were all enrolled in advanced nursing course which included 1) 6 weeks problem based learning 2) 5 weeks simulation integrated with PBL and debriefing. Total 19 students' data were collected and analyzed on SPSS win 21.0. The results showed students who have out patients working experience were significantly higher learning motivation(${\chi}^2=9.85$, p=.044), no experienced simulation were significantly higher critical thinking(${\chi}^2=4.44$, p=.035) and as temperament of MBTI, NT types were significantly higher on critical thinking(${\chi}^2=8.53$, p=.036). Students show various personality types and it might be impact on attitudes of learning and the results. Thus we need to understand their diversity and consider it to apply teaching methods on nursing education.

Effects of an Integrated Physical Activity Program for Physically Inactive Workers - Based on the PRECEDE-PROCEED Model - (PRECEDE-PROCEED 모형 기반 비활동성작업 근로자를 위한 통합적 신체활동증진 프로그램의 개발과 효과)

  • Kim, Hye-Jin;Choo, Jina
    • Journal of Korean Academy of Nursing
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    • v.48 no.6
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    • pp.692-707
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    • 2018
  • Purpose: We aimed to examine the effects of an integrated physical activity (PA) program developed for physically inactive workers on the theoretical basis of the PRECEDE-PROCEED model. Methods: Participants were 268 workers in three departments of L manufacturing unit in South Korea. The three departments were randomly allocated into integration (n=86) (INT), education (n=94) (ED), and control (n=88) (CT) groups. The INT group received self-regulation, support, and policy-environmental strategies of a 12-week integrated PA program, the ED group received self-regulation strategies only, and the CT group did not receive any strategies. After 12 weeks, process evaluation was conducted by using the measures of self-regulation (autonomous vs. controlled regulation), autonomy support, and resource availability; impact evaluation by using PA measures of sitting time, PA expenditure, and compliance; and outcome evaluation by using the measures of cardiometabolic/musculoskeletal health and presenteeism. Results: Among process measures, autonomous regulation did not differ by group, but significantly decreased in the CT group (p=.006). Among impact measures, PA compliance significantly increased in the INT group compared to the CT group (p=.003). Among outcome measures, the changes in cardiometabolic/musculoskeletal health and presenteeism did not differ by group; however, systolic blood pressure (p=.012) and a presenteeism variable (p=.041) significantly decreased only in the INT group. Conclusion: The integrated PA program may have a significant effect on increases in PA compliance and significant tendencies toward improvements in a part of cardiometabolic health and presenteeism for physically inactive workers. Therefore, occupational health nurses may modify and use it as a workplace PA program.

Effects of an Integrated Case Management Program on Medication Adherence, Pain, Physical Function and Depression among Korean Medical Aid Beneficiaries with Osteoarthritis (의료급여 관절염환자의 복약순응향상을 위한 통합중재프로그램의 효과)

  • Ahn, Yang Heui
    • Journal of Korean Public Health Nursing
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    • v.28 no.1
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    • pp.32-45
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    • 2014
  • Purpose: The purpose of this study was to test the effectiveness of an eight session integrated case management program for improvement of medication adherence, physical function, pain, and depression among medical aid beneficiaries with osteoarthritis. Method: A nonequivalent control group pre-posttest design was employed. Participants were 55 medical aid beneficiaries who agreed to participate in this study, and were assigned to an experimental group (n=28) or control group (n=27). The framework of this research derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The program led by a case manager with a medication calendar, motivating interviewing and coaching strategies and collaboration with a pharmacist. Analysis included change in scores, ${\chi}^2$-test, and t-test. Result: The results showed significant increase in medication adherence, physical function and decrease joint pain, joint stiffness and depression in the experimental group compared to the control group. Conclusion: The eight session integrated case management program indicated an effect on medication adherence, pain, physical function, and depression. Partnership with a pharmacist is recommended for medication adherence and conduct of further studies will be needed in order to determine the long-term effect of an extended integrated program on health outcomes.

Effectiveness of a Positive Psychology-based and Character Strengths-integrated Activity Program on Depression, Vitality, Life Satisfaction in Elderly Living Alone in Rural Areas (긍정심리기반 성격강점 통합활동 프로그램이 농촌 독거노인의 우울, 활력, 생활만족도에 미치는 효과)

  • Han, Sang Mi;Ha, Yeongmi
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.299-308
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    • 2016
  • Purpose: The purpose of this study was to develop a positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas, and then to examine the effectiveness of the program. Methods: A quasi-experimental pre- and post-test design with a nonequivalent control group was used. The participants included 59 elders in total, of whom 30 were assigned to the experimental group and 29 to the control group. positive psychology-based and character strengths-integrated activity program for elders consists of sixty-minute sessions held twice per week during 6 weeks, hence 12 sessions in total. Results: There were significant differences between the experimental and control groups in depression, vitality and life satisfaction (all p<.001). Conclusion: The positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas is effective in that it decreased the degree of depression and increased the vitality and life satisfaction in the participants.

The Effects of a Customized Integrated Health Care Program for Male Living Alone (독거남성을 위한 맞춤형 통합건강관리 프로그램의 효과)

  • Lim, Soon Hee;Jang, Yang-Min
    • Journal of Korean Academy of Rural Health Nursing
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    • v.11 no.2
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    • pp.17-28
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    • 2016
  • Purpose: This study aimed to determine the effects of a 'Customized Integrated Health Care Program' for male living alone in a single region and assist health promotion of the participants. Methods: This study was one-group pretest-posttest design. Eleven participants in the 'Happy Cooking Class for Male Living Alone' who made 100% of attendance from February 18 to September 8, 2016 were analyzed. Nonparametric paired T-test was performed to determine the differences in Blood pressure(BP), Blood sugar(BS), Cholesterol, Hemoglobin(Hb), Dementia screening test, Depression screening test of the participants in the Customized Integrated Health Care Program. Results: After applying the 'Customized Integrated Health Care Program', Hb level(z=-2.724, p=.006) and Dementia screening test(z=-1.974, p=.048) increased statistically significantly. Conclusion: As the elderly living alone increase in number, it seems that social support networks and health care programs contribute to health promotion of the participants and positively affect the rest of their life.

The Effects of the Integrated NICU Hospitalization Education on Maternal Attachment, Maternal Self-Esteem, and Postpartum Depression in the Mothers of High-Risk Infants (통합적 NICU입원교육이 고위험신생아 어머니의 모아애착, 모성자존감, 산후우울에 미치는 영향)

  • Ahn Young-Mee;Lee Sang-Mi
    • Child Health Nursing Research
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    • v.10 no.3
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    • pp.340-349
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    • 2004
  • Purpose: The quasi-experimental study was conducted to investigate the effects of the integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and EPDS in the 26 mothers of high-risk infants(HRI). Method: The subjects were divided into the experimental group to received the integrated NICU hospitalization education included the enforced direct education of NICU and HRI to the mothers using a booklet and the provision of the neomaternal exposure as soon as possible after delivery. The control group received the routine education of the NICU hospitalization, mostly including the admission process and the NICU rules delivering to the husband. The research variables were maternal attachment, maternal self-esteem, and EPDS. Result: The results showed the increases in these variables after the integrated education in experimental group compared to the control group. Conclusion: It supports the benefits of the early direct NICU education and the neomaternal exposures on maternal adaptation process in the mothers of HRI.

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The Effects of an Integrated Management Program on Physical Function, Cognitive Function, and Depression in Patients with Subacute stroke (통합관리 프로그램이 아급성 뇌졸중 환자의 운동기능, 인지기능, 우울에 미치는 효과)

  • Yang, Gun Young;Min, Hye Sook
    • Journal of Korean Critical Care Nursing
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    • v.14 no.1
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    • pp.50-62
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    • 2021
  • Purpose : This study examined the effects of an integrated management program on physical function, cognitive function, and depression in patients with subacute stroke. Methods : A nonequivalent control group design was adopted. The participants were assigned to either the experimental group (n=20) or control group (n=23). The experimental group received an 8-week integrated management program and standard rehabilitation service (i.e., physical therapy and occupational therapy), while the control group received the standard rehabilitation service only. Physical function was measured as gait speed and balance ability using the Berg Balance Scale (BBS). Cognitive function was measured with neuro-behavioral cognitive status examination (NCSE), and depression was measured using the Beck Depression Inventory-II (BDI-II). Repeated measure ANOVA was used to determine changes in physical function, cognitive function, and depression over 8-weeks. Results : The interaction between group and time was significant, indicating that the experimental group showed improvement in gait speed, balance ability, cognitive function (linguistic ability, linguistic memory, reasoning), and a decrease in depression compared to the control group. Conclusion : These results indicate that the integrated management program developed herein was beneficial in restoring physical function, cognitive function, and depression in subacute stroke patients.

Effect of an Integrated Breast Health Program for Pregnant Women on Knowledge, Attitude, and Early Screening Practice Related to Breast Cancer

  • Jun, Eun-Young
    • Journal of Home Health Care Nursing
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    • v.28 no.2
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    • pp.186-196
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    • 2021
  • Purpose: Breast cancer is becoming increasingly prevalent among young Korean women. During pregnancy, women's concern regarding their breasts heightens. Thus, pregnancy provides a window of opportunity for breast cancer prevention and management along with antenatal care. This study developed and evaluated an integrated breast health program for pregnant women. Methods: This study employed a non-equivalent control group and non-synchronized design (22 experimental, 29 control). Women pregnant for over 28 weeks participated. The two-session integrated breast health program focused on breast management during breastfeeding and education about breast cancer prevention and early screening. Results: During the early postpartum period (within three months after the program), there were statistically significant differences in knowledge and attitude about breast cancer and breast self-examination before and after the program. There were also statistically significant differences in BSE at 6 and 12 months after the program and mammography at 12 months after the program. However, there were no statistically significant differences in clinical breast examination and breast ultrasonography at 6 and 12 months after the program. Conclusion: The integrated breast health management program was effective in increasing knowledge and improving attitudes regarding breast cancer, BSE, and early screening practices among pregnant women. Further studies should consider providing breast health programs differently for each phase of pregnancy and continuing the same after delivery.

Effects of an Integrated Health Improvement Program Based on Primary Health Care Posts on Depression, Social Support and Quality of Life during the COVID-19 Pandemic (코로나-19 동안 보건진료소에서의 통합형 건강증진 프로그램의 우울, 사회적 지지, 삶의 질에 대한 효과)

  • Yee, Hyeyoung;Kim, Younkyoung
    • Journal of Korean Academy of Rural Health Nursing
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    • v.17 no.1
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    • pp.23-33
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    • 2022
  • Purpose: This study was conducted to identify the effects of an integrated health improvement program for the elderly based on primary health care posts during the COVID-19 pandemic. Methods: A single group pretest-posttest design (n=16) was employed to evaluate an integrated health improvement program that took place twice a week for 11 weeks. The program was conducted in a small group of no more than 10 people in compliance with the guidelines to prevent COVID-19 infection. The program consisted of various contents such as making letters using blocks, health education, and talking about one's memories. The data were analyzed using the Wilcoxon signed rank test. Results: Following the program, social support (Z=-3.50, p<.001) and quality of life of the elderly (Z=-3.74, p<.001) were significantly improved among depression, social support and quality of life. Conclusion: The integrated health improvement program based on primary health care posts, considered in this study, was useful to improve the social support and quality of life of the elderly in the community, and needs to be applied to a larger number of elderly people throughout the community.

A Study on the Effects of Comprehensive Nursing Care Service Quality to Health Care Service Performance -Focusing on the Mediating Effects of Relational Commitment- (간호·간병 통합서비스 품질이 의료서비스 성과에 미치는 영향 -관계몰입의 매개효과를 중심으로-)

  • Kim, No-Sa;Choe, ho-Gyu
    • Industry Promotion Research
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    • v.3 no.2
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    • pp.21-31
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    • 2018
  • This study conducted a hypothesis test to examine the effect of integrated service quality of nursing and care on medical service performance. The results of this study are as follows. First, the perceived performance, loyalty, perceived performance, perceived loyalty, and perceived loyalty of medical service achievement, perceived performance of medical service performance, responsiveness, confident, empathy, The results show that adoption has a positive impact on loyalty. In other words, the integrated service quality proved to be very important for the medical service capacity. In order to do this, institutional efforts should be given priority to increase the number of nursing staff. In order to nurture excellent nursing team members, in addition to professional nursing ability, emphasis should also be placed on personality education for positive relationships through patient empathy. In this study, we can find the implication of the study that we measured the effect of integrated service quality on medical service performance.