• Title/Summary/Keyword: Nursing Health Assessment

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Importance of Education Contents and Competencies on Home Care Nursing of the Hospital and Public Health Nurses in Korea (임상간호사와 보건간호사가 지각한 가정간호 교육내용의 중요도 및 업무수행능력)

  • Yu, Sook-Ja;Kim, Soon-Lae;Baek, Hee-Chong;Lee, Jong-Eun
    • Journal of Home Health Care Nursing
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    • v.7 no.1
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    • pp.5-14
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    • 2000
  • This study was conducted during the time period of September 1997 to February 1999. in order to provide data concerning important facets of horne care nursing and the degree to which practicing hospital and public health nurses believe themselves to be competent in each area. The study subjects consisted of 610 hospital nurses, 158 public health nurses and 21 other nurses from Seoul and the province of Kyunggi. Korea. Data was collected through self-reporting questionnaires which was used by Kim et al.(1999) to evaluate the status of home health nursing and the varying ideas of self-competence that practicing nurses have. The results of the study were as follows: 1) The mean scores of perceived important components and competencies on home health nursing measured on the Likert 4 point scale were $3.15{\pm}0.36$ for importance. and $2.56{\pm}0.36$ for competency. Of the four categories regarding nursing services, the 'Nursing skill' factor had the highest importance and competency. 2) There were significantly higher scores for hospital nurses' importance components and competencies of home care nursing as compared to those scores for public health nurses. 3) The significant factors of the importance component of home care nursing listed in order of priority were 'general infection control', 'bed sore care skill', 'rehabilitation care', 'keeping maintenance of the client's confidentiality', 'malpractice', 'diabetes patient care', 'ability for problem solving' respectively. In contrast, of low priority in the importance components of home care nursing were 'referring nursing as a job to others'. 'record keeping', 'family dynamics', 'medical equipment', 'economic problems', 'environmental assessment', 'suture removal', 'multidisciplinary coordination' respectively. 4) The high priority of the degree to which practicing nurses believe themselves to be competent in home health nursing were the 'blood sugar test', 'enema skill', 'injection skill', 'skin care', 'bed sore care skill', etc. In contrast, lower competence for home care nursing as perceived by nurses were 'AIDS care', 'family violence care', 'substance abuse care', 'mental health care' respectively.

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Development of Measurement of Stress for Female Marriage Immigrants in Korea (여성결혼이민자의 스트레스 측정도구 개발)

  • Park, Min Hee;Yang, Sook Ja
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.518-531
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    • 2012
  • Purpose: This study was conducted in order to develop and test a measurement for assessment of stress of female marriage immigrants in Korea. Methods: Forty four preliminary items were initially developed based on literature review and focus group interviews. Those items were evaluated by experts for content validity, resulting in six factors and 26 items. The 26 items were translated into Chinese, Vietnamese, and English by professional translators and were reviewed by native speakers of each language who are fluent in Korean. For testing validity and reliability, data were collected from 323 female marriage immigrants residing in five regions in Korea. Results: As a result of item analysis, 25 items were selected. Factor analysis yielded 21 items in four factors, including 1) household economic 2) parenting and discrimination 3) cultural and 4) emotional stressors, explaining 61.3% of the total variance of stress of female marriage immigrants in Korea. The Cronbach's alpha reliability coefficient was .903 for the overall instrument and .692-.892 for four factors. Conclusion: Measurement of stress for female marriage immigrants in Korea has high validity and reliability. Therefore, this measurement may be utilized for systematic assessment of stress and for identification of areas of support for female marriage immigrants in Korea.

Systematic Review of Meaning-centered Interventions for Adolescents

  • Lim, Young Sook;Kang, Kyung A
    • Child Health Nursing Research
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    • v.24 no.3
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    • pp.263-273
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    • 2018
  • Purpose: This study analyzes meaning-centered intervention studies conducted in Korea and abroad to compare and confirm their characteristics and results. Methods: A literature search using keywords in English and Korean was performed using nine electronic databases in December 2017. Search participants included adolescents, and interventions conducted in meaning-centered intervention studies were selected for evaluation. A Risk of Bias Assessment tool for non-randomized studies was used for quality assessment. Results: All studies were based on quasi-experimental designs. The semantic intervention included topics such as freedom, choice, responsibility, pain, death, finding value of life, purpose and meaning of life, and becoming a master of my life. All studies used logotherapy, and included meaningful interventions that influenced the meaning and purpose of the life of adolescents. The life satisfaction of adolescents changed significantly when there is a positive and open relationship with their parents. Therefore, an educational program for parents based on meaning therapy is desperately needed. Conclusion: Meaning-centered interventions were found to be effective interventions for exploring the meaning of life not only for adolescents with problems but also for healthy youth, and as such could be used as basic data for the development of an appropriate intervention for enhancing their life.

A Comparative Study on the Care Services According to Care Levels in the Korean and German Home Care System (한국과 독일 방문요양의 등급별 급여 비교 연구)

  • Park, Jong Duk
    • Journal of Home Health Care Nursing
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    • v.23 no.2
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    • pp.243-252
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    • 2016
  • Purpose: This study aims to classify multiple forms of home care services from a service user's perspective. By comparing the German system to the Korean one, this study seeks to find better ways of enhancing client-centered care. Methods: The data of 121 home care users were collected from six home care centers that had under the management of nursing managers for more than five years. The researcher used a German instrument to estimate the level of care. Results: High correlation was found between German and Korean assessment criteria (r=0.81, p<.001). However, compared to their German counterparts, Korean home care providers allocated more time towards provision of domestic help per daily visit. German home care providers allocated more time towards services relating to provision of support for physical activities, including personal hygiene. It was confirmed that the level of care in Korea does not correlate with either the categories of home care services and duration. Conclusion: Therefore, care services should be offered according to long-term care needs. This study suggests a need for systematic care aimed at strengthening the client's autonomy which should be properly planned, implemented, and managed.

The Effect of Body Image and Self Esteem on Interpersonal Relationship in Nursing Students (간호대학생의 신체이미지, 자아존중감이 대인관계에 미치는 영향)

  • Park, So-Young;Koo, Sang-Mee
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.158-168
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    • 2020
  • This study is a descriptive research study to identify the relationship between the body image, self-esteem and the degree of interpersonal relations of nursing students and the factors affecting interpersonal relationships. During the month of June 2019, data were collected using a structured questionnaire survey of 252 undergraduate nursing students at universities A and Y cities. Collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and multiple regression using SPSS 20.0. Factors affecting interpersonal relationship were 12% in terms of physical image, health orientation, and health assessment. The main factors affecting interpersonal relationships were health evaluation, health orientation and appearance evaluation. Therefore, in order to improve nursing relationships among nursing college students, it is necessary to develop and apply various intervention programs to positively evaluate their health and appearance and to lead a health-oriented life.

Experiences with Rapid Appraisal to Assess Health and Social Needs in Primary Care (Primary care에서 지역사회 건강과 사회적 요구사정을 위한 Rapid appraisal 경험)

  • Cho, Myung-Sook
    • Research in Community and Public Health Nursing
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    • v.12 no.1
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    • pp.299-307
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    • 2001
  • 본 연구의 목표는 rapid appraisal의 사용을 통한 지역사회의 건강과 사회적 요구들을 알아내고 이들의 우선순위를 파악하여 지역주민과 써비스 제공자들 사이에 활동계획을 만들기 위함이다. 자료 수집은 Rapid appraisal의 정보피라미드를 통한 primary care team에 의해 3개의 자원들인 지역사회내 기존자료들과 지역 내에서 많이 사용해왔던 반 구조화된 면담지, 방문과 크리닉을 통한 직접 관찰로 자료수집을 하였다. 반 구조화된 면담지는 pilot study하고 검증한 후 사용하였다. 자료수집 대상은 Northern General hospital내에 등록되어진 100가구의 도시영세민 주택에 거주하는 자로 하였다. 결과로 면담자 들과 focus groups은 지역사회 내 지역건강요구들을 만나고 알아내며 건강뿐만이 아닌 사회적인 많은 변화가 요구되는 건강관련 우선순위를 알아내는 첫단계로써 rapid appraisal의 사용이 유용하다. 결론적으로 Rapid appraisal은 지역사회 내 Primary care에서 muti-displinary approach를 촉진하여 건강에 영향하는 다양한 요인사정의 질적인 방법으로 변화를 위한 행동 계획을 세우는데 좋은 평가 방법으로 확인되었다.

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Development of a Health Behavior Assessment Scale of Patients with Rheumatoid Arthritis (류마티스 관절염 환자의 건강 행위 사정 척도 개발)

  • Jo, Gye-Hwa;O, Won-Ok;Choe, Jeong-Yun
    • Journal of Korean Academy of Nursing
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    • v.30 no.5
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    • pp.1333-1346
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    • 2000
  • This study is a methodical research to develop a health behavior assessment scale for patients with rheumatoid arthritis, and to test the validity and reliability of the instrument. The research procedure was as follows; 1) The first step was to develop conceptual framework based on a comprehensive review of the literature, in-depth interviews patients with rheumatoid arthritis. This conceptual framework was organized in eight dimensions; pain management, exercise, rest, diet control, active committment, self-management, positive thinking, interpersonal maintenance. Initially 56 items were selected from 164 statement. 2) These items were reviewed by panel of eight specialists and the Index of Content validity (CVI) was calculated, and forty six items were selected which met more than 70% on the CVI. 3) 174 rheumatoid arthritis pateints were interviewed, and data was gathered from Jan. 25 to Feb. 18, 1999 for test reliabilities and validities of the scale. The item analysis was carried out and 40 items were selected. Factor analysis by varimax rotation was carried out to test construct validity. The internal consistency by chronbach's $\alpha$ was calculated. The findings were as follows; 1) Item analysis and factor analysis were carried out to test the validity of the health behavior assessment scale. The item analysis was based on the corrected item`s to total correlation coefficient (.30 or more), and information about the alpha estimate. However, this was only if this item was deleted from the scale. As a result of the item analysis, forty items were selected. Thirty items were selected by a initial factor analysis by varimax rotation, and ten items were deleted because of factor complexity. In the secondary factor analysis, eight factors were labled as 'positive thinking', 'exercise', 'rest', 'pain management', 'active committment', 'self-management', 'diet control', and 'interpersonal maintenance', each similar with the conceptual framework. 2) Chronbach's $\alpha$ coefficient to test reliability of the scale was. 903 for total the thirty items. The Scale for assessing health behavior developed in this study was identified to be a tool with a high degree of reliability and validity. Therefore this scale can be effectively utilized for assessment in the health behaviors of the patients with rheumatoid arthritis.

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Use of Simulation in Nursing Education (시뮬레이션 교육의 간호학 적용)

  • Lee, Sun-Ok;Lee, Ju-Hee;Eom, Mi-Ran
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.1
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    • pp.90-94
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    • 2007
  • Purpose: Since the 1990s, there has been an increasing interest in patient safety and quality of care. As a result, undergraduate nursing students have difficulties in clinical nursing practice such as health assessment or providing nursing skills. The purpose of this paper was to review current issues related to use of simulations in nursing education. Method: We conducted a thorough literature review including related proceedings to identify present issues in use of simulation education in nursing. Result/Conclusion: Simulation education in nursing differs from that in medical science. In nursing education, we need to focus on developing competencies for nursing students, for example, nursing process, nursing skills, and therapeutic communication skills With an increasing number of human patient simulators, we suggest a more careful approach including faculty development, curriculum development, and cost effective strategic planning. We propose a reliable and valid scenario development among nursing faculty as a consortium in the future.

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Health Promoting Behaviors, Family support, and Quality of Marital Relationship of the Mature Gravida after 35 (고령 임부의 가족지지, 부부관계의 질 및 건강증진행위)

  • Park, Young-Joo;Viau, Paula A.;Jung, Chun-Hee;Yoon, Ji-Won
    • Journal of Home Health Care Nursing
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    • v.8 no.1
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    • pp.85-95
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    • 2001
  • This study was performed to explore the family support. the quality of marital relationship, and health promoting behaviors of the mature gravidas. and to validate the relationship between them. From November, 1999 to June. 2000. mature gravidas older than 35(N=82) were recruited from K University Hospital located in Seoul and Kyungki Province. Korea. Data was collected using a self-rating method and semi-structured interview. The questionnaires were: Perceived Social Support from Family developed by Procidano & Heller (1983). Quality of Marital Index by Norton (1983). and Health Promoting Life-style Profile by Walker, Sechrist, & Pender (1987), Interviews were conducted using the interview guide with open-ended questions related to health concerns and health promoting behaviors. Data was analyzed using a pc-SAS program for quantitative data. The levels of the perceived family support and the quality of marital relationship were relatively high. The relationship between perceived family support and quality of marital relationship, and health promoting life-style behaviors was statistically significant. Six themes emerged as primary concerns for the mature gravidas during childbearing: 'Concerns related to the fetal wellbeing', 'Concerns related to fetal education', 'Concerns related to the maternal physical health', 'Concerns related to the maternal emotional health', 'Concerns related to safe delivery' and 'Concerns related to child-rearing'. Nursing implications for practice include expanding prenatal assessment inventories to address the concerns and support system of mature gravidas.

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An Effect of Health Promotion Program on Health Behavior, Perceived health Status and Life Satisfaction in the Elderly (건강증진프로그램이 노인의 건강행위, 지각된 건강상태 및 생활만족도에 미치는 효과)

  • Jung, Young-Mi;Kim, Ju-Hee
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.327-336
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    • 2002
  • Purpose: This study is designed to develop a health promotion program for improvement of health status by means of a change of life-style and health behavior in the elderly. The purpose of this study is to provide a basis for nursing intervention strategies to promote health behaviors. Method: The health promotion program consisted of health education, group discussion, emotional support, health and telephone counsel. As a quasi-experimental design, the none-quivalent control group pretest-posttest design was utilized for this study. The subjects of this study consisted of 50 people, over 60 years of age attending 2 senior colleges in S city. They were divided into two groups: 24 in the experimental group and 26 in the control group. Data was collected from July 2, 2001 to August 21, 2001. For the analysis, SPSS PC 10.0 Window version was adopted and descriptive analysis, ${\chi}^2-test$, t-test, paired t-test, MANOVA were used for data analysis. Result: The health behavior and life satisfaction of the elderly improved significantly (F=18.305, p=.000 ; F=17.478, p=.000). But there is no significant difference in the perceived health status(F=3.807, p=.057). Conclusion: The health promotion program is confirmed as proper to promote the health in the elderly. In addition, assessment and support will be simultaneously done to manage the health of the elderly. Finally this study supports intervention for the elderly and provides a basis for further investigations.

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