A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.
The Journal of Korean Academic Society of Nursing Education
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v.17
no.3
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pp.414-423
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2011
Purpose: This study was performed to identify the present status of graduate nursing curriculum in Korea, so as to provide basic data for improving nursing education. Methods: In order to analyze the present nursing curriculum, data were collected from the home page of 81 nursing colleges in Korea. The subjects and credits of nursing curriculum were analyzed using descriptive statistics. Results: The total graduate credits were 137.6, credits of general education were 31.4 and nursing major courses were 96.5 credits. The credits of nursing major courses were as follows: 'basic science for nursing' was 22.0 credits, 'basic nursing' was 11.9 credits, 'subjects having same name with nursing license examination' were 66.9 credits and 'other nursing subjects' were 11.9 credits. These results showed that the credits of general education and nursing major courses were decreased while the subjects and credits related to the courses for nursing license examination have not changed compared with the past. Conclusion: Considering the change of social needs and nursing student character, it is necessary to improve the nursing curriculum. We suggest that further research to facilitate nursing curriculum development and adapting to social change should be undertaken.
Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units. Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program. Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of 'acute pain' were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome 'pain control' were pain management, patient controlled analgesia assistance and medication management. Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.
Journal of Korean Academy of Nursing Administration
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v.3
no.1
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pp.17-35
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1997
The purpose of this study was to identify the formation and changing pattern of nursing perspectives of nursing students. 176 subjects were composed of 118 nusing students and 58 non-nursing students. The data were collected through openended question and structured questionair. The result were as follows : 1. Nursing perspectives were classified six categories(nature of nursing, image of nursing, component of nursing, meaning of nursing, range of nursing, function of nursing) 2. As increased major lecture period, the item of ${\lceil}$Nursing is helping${\rfloor}$ was changing positively. 3. As incresed clinical practice, the student's perception about items of ${\lceil}$Nursing has gap between theory and practice${\rfloor}$, ${\lceil}$Nursing is helping${\rfloor}$ was increased. 4. As increased self-concept, the students were considered the item of ${\lceil}$Nursing is action that giving knowledge and helping to effective coping for individual and group${\rfloor}$ significantly. 5. 1) The students having religion were considered the item of ${\lceil}$Nursing must doing politely${\rfloor}$ significantly relatively to the students don't have religion. 2) The students having experience of admission to hospital in their or their family had negative nursing perspectives. 3) Against the students who select nursing major for his high school perfoermonce and advice of their significant others, the students who select nursing major for service had positive nursing perspectives.
Journal of Korean Academy of Fundamentals of Nursing
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v.15
no.1
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pp.6-13
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2008
Purpose: This research was conducted to identify major factors that influence competency for nursing students in basic nursing skills. Method: Data were collected by questionnaires from 290 first year students in one college of nursing. The instrument tools included motivation for admission to nursing, concern about fundamentals of nursing, perceived importance of fundamentals of nursing, level of active participation in fundamentals of nursing, number of times to use open Lab, Lab class satisfaction, self-efficacy, self-evaluation and student attitude. Results: There was no significant correlation between competency in basic nursing skills and motivation for admission to nursing, concern about fundamentals of nursing, perceived importance of fundamentals of nursing, or number of times to use open Lab. Competency in basic nursing skill in these students showed a significantly positive correlation to Lab class satisfaction, self-efficacy, self-evaluation, student attitude and level of active participation in fundamentals of nursing. The major factors that influenced competency in basic nursing skills for nursing students were student attitude, self-efficacy and number of times to use open Lab. These factors explained 15.5% of the variance in competency. Conclusion: Basic nursing skill practice education programs should be developed to improve self-efficacy and active participation.
Purpose: This study was done to suggest the standard ICU nursing procedure and standard ICU nursing practice time carried out according to the standard ICU nursing procedure. Methods: Through the literature review, 35 standard ICU nursing activities were selected and classified under 6 categories. Standard nursing procedures were described by research team and 4 clinical practice experts. Content validity of descripted nursing procedure was performed by 6 clinical practice experts. After that standard ICU nursing procedures were identified, standard nursing practice times were checked through 1:1 observation. Results: 35 ICU nursing activities were identified and categorized into 6 domains of activities. Also, their standard nursing procedures were identified, and finally 33 standard nursing practice times were measured and analyzed. The result of the measurement, 1 ICU nursing activity was spent above 30 minutes, 3 activities done within 10-20 minutes, 4 activities done within 5-10 minutes, and 25 activities were spent below 5 minutes. Conclusion: Through this study, 35 standard ICU nursing procedures were described and 33 standard ICU nursing practice times which carried out according to standard ICU nursing procedures were checked. The result can be as fundamental data for the study of nursing activity time in the ICU.
Journal of Korean Academic Society of Home Health Care Nursing
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v.19
no.1
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pp.19-27
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2012
Purpose: This study is conducted to survey the nursing students' need for lectures on gerontological nursing. Methods: The subjects of this study were 257 nursing students, at a college in Chungbuk, who had just finished two weeks' of gerontological nursing practice. The subjects' need for gerontological nursing education was surveyed using a structured questionnaire, after gerontological nursing practice during the period from November 2, 2009 to April 25, 2011. Results: The mean need for gerontological nursing education was 4.07 out of 5. By domain, educational need was highest for the geriatric health problems (4.32), which were followed by gerontological nursing skills (4.05), geriatric nursing process (4.01), and gerontological nursing theories (3.84). The need for gerontological nursing education was different, according to the subjects' interest in the elderly, and their perceived necessity of gerontologcial nursing education. Conclusion: Nursing students' need for gerontological nursing education was high in general, and particularly, in the domains of geriatric health problems and gerontological nursing skills. In order to meet their educational needs, accordingly, we need to develop and apply reinforcement education programs related to that of the geriatric health problems and gerontological nursing skills, as well as to assess the students' educational needs continuously.
Purpose: The aim of this study was to identify the nursing diagnosis-outcome-intervention (NANDA-NOC-NIC) linkages for gynecology inpatients shown in their electronic nursing records. Methods: This retrospective and descriptive research was conducted in two steps and based on the 287 electronic nursing records for 253 patients. First, nursing diagnoses, outcomes and interventions were collected. To identify major nursing diagnoses, a comparison was done with the top 10 nursing diagnoses from this research and with previous research selected using a content validity index developed by a team of professionals. Second, nursing outcomes and interventions that were associated with major nursing diagnoses were identified. Results: Nineteen nursing diagnoses, 12 nursing outcomes, and 40 nursing interventions were collected. The top 5 major nursing diagnoses were identified and 7 nursing outcomes and 18 nursing interventions associated with these diagnoses were checked. Conclusion: The identified NANDA-NOC-NIC linkages can contribute to improving nursing practice and will help in the establishment of standardized nursing care.
The aims of this study is to investigate the status of nursing care delivery systems and nurse staffing levels and to analyze differences in the quality of nursing care by the type of nursing care delivery system. This research was based on data from 723 nurses working in 55 medical and surgical units in 26 general hospitals. Descriptive statistics on nurse staffing levels and the nursing care delivery system, and multi-level logistic regression were used to estimate the determinants of quality of nursing care. The number of patients per nurse is 17.74 patients in functional nursing care and 15.56 patients in total nursing care. In comparison to hospitals adopting total nursing care, hospitals with functional nursing care had greater patients. The nurses rated units using total nursing care as significantly better quality of nursing care than the units with functional nursing care. Total nursing care or modified total nursing care, rather than functional nursing care, could lead to improvement in the quality of care(total nursing care OR=3.895, modified total nursing care OR=2.475). Patient-centered approaches under proper circumstances can be successfully implemented and the positive effects demonstrated.
Journal of Korean Academy of Nursing Administration
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v.5
no.1
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pp.63-76
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1999
The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.
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