• Research in Community and Public Health Nursing
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• v.13 no.3
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• pp.444-455
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• 2002

Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

• Journal of Home Health Care Nursing
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• v.20 no.1
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• pp.5-15
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• 2013

Purpose: This study aimed to investigate the self-care education experience, self-care performance, and home care service needs of patients with rare and incurable diseases who use a home ventilator. Methods: From2 ventilator rental companies and 5 hospitals, records of 162 subjects were collected to obtain data regarding self-care education experience (23 items) and home care service needs (25 items). Results: Of the subjects, 65.4% were male and 55.6% had a myotrophic lateral sclerosis. The items with the highest and lowest levels of self-care education experience were "using the ventilator"(94.0%) and "community-available resource information"(27.0%), respectively. Meanwhile, self-care was performed well in terms of "personal hygiene"(59.6%) but not performed well in "community-available resource information"(23.7%). "Health status assessment" had the highest need(88.2%) of home care services. Generally, the need of home care services was higher for the patients using invasive ventilators than that for those using non-invasive ventilators. Conclusion: Home care nurses need to not only provide physical care for the patients but also strengthen their roles of enhancing patient access to and utilization of various community resources to provide systematic and individualized training and care.

• Korean Journal of Health Education and Promotion
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• v.15 no.2
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• pp.143-161
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• 1998

The purpose of this study is to find out the educational needs for the coronary heart disease patients of a general hospital in a municipal general hospital. The study subjects were 90 outpatients who had been diagnosed as myocardial infection or angina at the hospital from January 3, 1998 to January 31, 1998. The questionaire was consisted of risk factors and educational needs for coronary heart disease patients. The qusetions on the education needs of the coronary heart disease were consist of 34 questions in 6 fields. In analyzing the data, the number and the percentage were calculated in patients general characteristics, the average and the standard-deviation were calculated to understand the educational needs, t-test and ANOVA were used to find out inter group difference on educational needs. In ANOVA, the advanced analysis was done by Scheffe-test. The results of this study were as follows: 1. 52(57.8%) of the patients (90%) live in Kangnung-city and 95% of the patients live in the middle-east part of Korea. At the age distribution 39 to 80, 41.1% of the patients were in their sixties and average age was 62.4 years old. 40% of the patients left school in mid-course or graduated from middle school or high school 2. As a result of the study on the risk factors of the coronary heart disease, the patients who have hypertension and diabetes were 41.1% and 20% respectively. In smoking and drinking, smokers were 30% and drinkers were 40% and average of smoking and drinking duration over 30 years old. 47.8% were over 140mgHg systolic - BP and 45.8% were over 90mmHg diastolic - BP 3. The patients' educational needs average 94.88 (maximum 134), and item average 2.79(maximum 4.0), the highest needs field was the characteristic of disease 33.22(maximum 44). Item average 3.02 (maximum 4.0) and the lowest education needs field was the physical activity and exercise 10.21(maximum 16). Item average 2.55(maximum 4.0) 4. General characteristics which were different from the general characteristic educational needs were statistically different by group of educational level, occupation, age and sex. 5. The risk factors which were different from the coronary heart disease patients' risk factors educational needs were statistically different by groups of the heart disease patients in family and the patients who take regular exercise. with a result the nurses need to improve the educational programs while considering the high educational needs field and the characteristics which showed significant concerns statistically.

• Journal of the Korean Home Economics Association
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• v.44 no.12
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• pp.9-18
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• 2006

A case study was conducted on the development of patient clothes designs at the Korea University Medical Center, in order to provide an example of patient clothes designs which meet the hospital identity and the demands of patients and nurses. In this study, we focused on general patient pajamas and one-piece gowns worn in the obstetrics and gynecology department. A scientific and systematic design approach consisting of the following four steps was conducted in the designing process: needs assessment, design direction establishment, design presentation, and final decision. For the first step, focused group interviews and a survey were conducted to identify the needs of the patients and nurses. According to the results of the first step, 3 fabric patterns with light, modern, rhythmic, modest and ordinary images were designed utilizing the university and hospital symbols and logotypes. Fixed forms with realistic and geometric characteristics and colors, including white, yellow, blue, grey, and pink were selected to deliver the preferred image. Each fabric pattern was made in male and female versions of the color sets. The following styles of patient clothes were made with the 3 fabric samples: general patient pajamas with a U-neckline, 9/10-length sleeves and ankle-length pants, a full-length sleeved gown with openings for breast-feeding, and a gown with a deep back-neckline and button fastening. Different sizing systems for males and females were recommended for the production.

• Journal of Korean Clinical Nursing Research
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• v.27 no.2
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• pp.199-209
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• 2021

Purpose: This study was conducted to investigate the nursing needs and workload of nurses according to nursing dependency for effective placement of nursing staff in the emergency department (ED). Methods: In June 2020, 256 adult patients who visited the ED were classified as two groups, suspected COVID-19 patients and general patients. The participants'electronic medical records were analyzed using descriptive statistics, t-test, 𝑥²-test, and Fisher's exact test using the SPSS. Results: The patient dependence score showed a significant difference between the two groups, with an average of 13.99±1.85 for the suspected COVID-19 patient group and 10.58±2.10 for the general patient group (t=12.42, p<.001). There were statistically significant differences in communication (t=3.28, p=.001), mobility (t=3.29, p=.001), nutrition, elimination, and personal care (t=7.34, p<.001) among the six domains of nursing dependency. In the domains of environment, safety, health, and social needs, the dependency score was 3 for all suspected COVID-19 patients and 1 for all general patients. Conclusion: The results of this study confirmed that infection control activities of emergency patients who need isolation affect the patients' nursing dependency on nursing care.

• Korean Journal of Adult Nursing
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• v.25 no.4
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• pp.409-421
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• 2013

Purpose: This qualitative study was designed to explore and describe the nursing staff reported experiences of managing the medical needs of nursing home residents in South Korea. Methods: Using a focus group interview method, qualitative data were collected from March to May 2012. Twenty five registered nurses and nurse aids working in nursing homes were recruited through a convenient sampling method. Participants participated in one of four focus group interviews lasted up to two hours in which their day-to-day experiences of taking care of the medical needs of the elderly residents. All interviews were recorded and transcribed in verbatim, and analyzed according to the qualitative thematic analysis method using MAXQDA software. Results: The overriding theme was 'experiencing differences between the requirements of the regulatory system and the actual reality of the work place.' The findings of differences between what were true and what is required was based in four subcategories. The nursing home residents had far more medical needs than what were reported. Another finding was that the family members were seen as non-supportive and negligent towards the residents. Conclusion: The findings of the study support the need for changes in the regulatory system. The regulatory limitations of current system with a shortage of resources pushed the participants to experience discrepancies between the required regulation and the reality. Additional research could contribute more exemplars to support changes.

• Journal of Korean Academy of Nursing Administration
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• v.15 no.1
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• pp.91-105
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• 2009

Purpose: The aim of this study was to analyze the needs of HIV/AIDS care and to develop the job description of HIV/AIDS Counselling nurse in Korea. Methods: The needs assessment was done by focus group interview with HIV/AIDS care recipients who are 16 persons living with HIV/AIDS and four their family members, seven persons from HIV/AIDS high risk group, and five nurses working on HIV/AIDS clinics. Based on the result of needs assessment, job description was developed using the DACUM. Mail survey was done to identify the frequency, importance, and difficulty of duties, tasks, and task elements. Results: The job description was classified under 8 duties, 36 tasks, and 290 task elements. Duties were categorized as needs assessment, health promotion and quality of life, improvement of treatment compliance, symptom care, health education, resource network, administrative activity, and career development. The importance of all duties and tasks showed high score from the survey, but the frequency and the performance level were middle range. Conclusion: It is suggested that the special training program based on the job description needs to be developed. In the political aspects, the introduction of HIV/AIDS nurse specialist certification could be considered.

• The Journal of Korean Academic Society of Nursing Education
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• v.10 no.1
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• pp.20-32
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• 2004

Purpose: The purpose of this study is to investigate undergraduate nursing students' volunteering activities, volunteering motivation- needs, sociability and satisfaction in their major for those who take the social service activities, and to provide basic information for operating the credit system of social service activity as service-learning system. Method: This study is a descriptive study and the participants were 363 of 2nd- and 3rd-year students at a nurses' college in I City, who completed the basic course of volunteering, and the survey was conducted during April 2004. Result: The group who participated in counseling service as a volunteering activity was high in volunteering motivation-needs, sociability and satisfaction in their major. In the group who performed volunteering through circle activities, those who volunteered for children, who participated longer and who had an active attitude showed high volunteering motivation-needs. In the group who had volunteering activities during weekdays, those who took an active attitude toward volunteering showed high sociability. Those who were somewhat dissatisfied with volunteering activities, however, showed significantly high sociability. Satisfaction in the major, namely, nursing was higher in senior students, in those who participated in volunteering activities for the first time at college, those who had religion, those who are active in volunteering activities and those who were highly satisfied with volunteering activities. Considering that active attitude toward volunteering activities and high volunteering motivation-needs enhance nursing students' satisfaction in their major, it is necessary to upgrade the current volunteering activities to the level of service learning. That is, it is necessary to develop new service learning in nursing curriculum that utilizes volunteering activities as well as what they learn in major for community societies.

• The Journal of the Korea Contents Association
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• v.16 no.5
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• pp.351-360
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• 2016

Purpose: The purpose of this study was to identify the nursing needs of elderly patients who got a surgical operation under regional anesthesia(spinal, epidural, nerve block). Methods: The participants were 126 elderly patients who completed a questionnaire. The data were collected October 1 and October 31, 2012, and analyzed using descriptive statistics, t-test and ANOVA, $Scheff{\acute{e}}$ test. Results: The mean score for the nursing needs of elderly patients administered regional anesthesia during surgery was $3.08{\pm}0.38$, The scores for specific nursing needs were as follows: educational needs ($3.47{\pm}0.50$), spiritual needs ($3.37{\pm}0.78$), physical needs ($3.31{\pm}0.46$), emotional needs ($2.72{\pm}0.50$), and environmental needs ($2.51{\pm}0.47$). There were significant differences in nursing needs relative to gender, religion, and spouse status. Additionally, there were significant differences in nursing needs according to surgery department, the length of time the surgery, and the ASA(American Society of Anesthesiologists) physical classification. of the operation-related characteristics. Conclusion: When caring for elderly patients during the surgery, nurses must provide adequate information about the surgery and anesthesia. Further studies are needed to develop and evaluate nursing interventions to provide quality surgical care for the elderly patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.9
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• pp.136-145
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• 2017

This study aimed to identify the relationship among employee-focused and job-focused emotional labor, emotional leadership, and burnout among emergency room nurses. Data were collected from 168 emergency nurses working at general hospitals in one metropolitan city and analyzed by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using the SPSS/WIN program. According to the results, the mean scores of the employee-focused emotional labor scale were 3.51 points for superficial acting and 3.26 for deep acting. The mean score of the job-focused scale was 3.73 for frequency of emotional surface, 3.36 for duration of interpersonal interactions, and 3.46 for variety of emotional expressions. The mean score of the emotional leadership scale was 3.57, and the mean scores of the burnout were 4.59 for emotional exhaustion, 4.13 for depersonalization, and 3.60 for diminished personal accomplishment. Job-focused emotional labor scores were higher than employee-focused scores. Superficial acting and frequency of interactions in emotional labor were the most frequently performed by emergency nurses. Employee-focused and job-focused emotional labor showed a significantly partial correlation with emotional leadership and burnout. Based on the results, future research needs to develop effective strategies for managing emotional labor and burnout of nurses working in emergency rooms.