• Title/Summary/Keyword: Nursing Health Assessment

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Effects of the Health Assessment Learning Programs using On-line Platfom on Problem Solving Process, Critical Thinking Disposition, Class Participation and Class Flow of Nursing Students (온라인 플랫폼을 활용한 건강사정 학습 프로그램이 간호대학생의 문제해결과정, 비판적 사고 성향, 수업참여도 및 수업몰입도에 미치는 효과)

  • Hyang-Soo Kim
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.2
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    • pp.305-317
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    • 2024
  • This study is a pre-experimental research that applied one-group pretest-posttest design to find out effects of the health assessment learning program using an online platform on the problem-solving process, critical thinking disposition, class participation, and class flow of nursing college students. Data before and after participation in the learning program using the online platform were collected from second-year nursing students who were 52 test subjects taking the health assessment and practice course at J University located in G-gun, C-buk-do. As a result of analyzing, it was found that the problem-solving process (t=-2.569, p=.013), critical thinking disposition (t=-5.363, p<.001), class participation (t=-4.429, p<.001), and class flow (t=-3.747, p<.001) were statistically significantly improved according to before and after participation in the program. Therefore, it is believed that a learning program using an online platform can be used to improve the problem-solving process, critical thinking disposition, class participation, and class flow of nursing college students during health assessment classes.

A Study on the Application of a Health Promotion Program about No Smoking in Industry (건강증진을 위한 산업장에서의 금연프로그램 적용의 일 연구)

  • Choi Sun Ha;Lee Kyu Nan
    • Journal of Korean Public Health Nursing
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    • v.8 no.1
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    • pp.30-52
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    • 1994
  • This study was conducted to diffusion of the health promotion program about no smoking in industry. No smoking program model composed of assessment, plan, implementation and evaluation was developed through the method of literature review and applied to 27 smokers of the management team and dept. of the 1st production in one industry, from October 27 to November 3D, 1993. For the analysis, descriptive statistics and paired t-test were used. The result of this study are summarized as follows: 1. The object was composed of no smoking and reduced smoking. The achievement rate of object was $48\%$. 2. As a result of the implementation of no smoking program, $11\%$ of no smoking rate was obtained. 3. After application of no smoking program, the health age was a little lower but statistical significations was not found. 4. Health education and support of family were effective in health promotion program. Complementary measures about indivisual activity for no smoking were required in no smoking program. In conclusion, subject's response about no smoking program was high and health education and support of family were effective in health promotion· program. And nurses were expected to do their roles as a planner, intervener, manager and supporter in health promotion services.

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A Study on Plans for Improvement of RN-BSN Curriculum Based on the Needs of the Students (RN-BSN 학생 요구에 근거한 교육과정 개선방안 연구)

  • Shin, Yun-Hee;Hyun, Myung-Sun;Jeong, Geum-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.2
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    • pp.151-161
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    • 2006
  • Purpose: The purpose of this study was to assess the needs of RN-BSN students concerning the RN-BSN curriculum and make suggestions for improvement in the curriculum based on the needs of the students. Method: A descriptive survey study was used. Data were collected from 707 RN-BSN senior students in 21 universities. The research instrument, which was developed after in-depth interviews with 13 RN-BSN students, consisted of 10 curriculum objectives, 34 cultural courses, 48 major courses, three questions on clinical practicum, and teaching methods for 5 required courses. Result: The curriculum objectives selected by the RN-BSN students were problem solving, clinical applicability, critical thinking, creative thinking, and decision making. They wanted cultural courses such as English, understanding of human behavior, social welfare, women's studies, psychology, nutrition science, leadership, recreation, computer applications, exercise and health. They wanted major courses to include the nursing process, nursing research, health assessment, advanced adult nursing, infection control, spiritual/hospice nursing, and nursing of cancer patients. They responded that a clinical practicum was not necessary. They wanted to experience various teaching methods according to particular characteristics of subject being taught. Conclusion: This study suggests some recommendation for improvement of the curriculum based on the needs of RN-BSN students.

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Financial Projection of the Nursing Fee Differentiation Policy Improvement Proposal in the National Health Insurance: Using a Break-even Analysis Model for the Optimal Nursing Fee (적정 간호인력 등급별 입원료 추정 모델을 이용한 간호관리료 차등제 정책개선 재정부담 추계)

  • Kim, Sungjae;Kim, Jinhyun
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.5
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    • pp.565-577
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    • 2013
  • Purpose: This study was done to propose an improvement in the Nursing Fee Differentiation Policy to alleviate polarization of nursing staffing level among hospitals and to rectify the confusion of legally mandated standards between the Korean Medical Law and National Health Insurance Act. Methods: The policy regulation was reconstructed related to nurse staffing standards and nurse-to-patients ratios. Data on nurse staffing grades were obtained from database of the Health Insurance Review & Assessment Service (HIRA) for the third quarter of 2010 for 44 tertiary hospitals, 274 general hospitals, and 1,262 hospitals. A break-even analysis was used to estimate financial burden of the revised policy improvement proposal. An industrial engineering method was used to calculate Nurse-to-Patients ratios per shift. Results: Twelve tertiary hospitals were downgraded. 74 general hospitals and 102 hospitals were upgraded after application of the regulation. Finances for total hospitalization expenditures changed from -3.55% to +3.14%. Conclusion: The results indicate that the proposed policy would decrease polarization between tertiary hospitals and small hospitals, and would not put a major strain on the finances of the Korean National Health Insurance. Therefore, it is suggested that government stake-holders and many interest groups consider this policy proposal and build a consensus.

Work Ability Index: Psychometric Testing in Aeronautical Industry Workers

  • Maria Eugenia Gonzalez-Dominguez;Elena Fernandez-Garcia;Olga Paloma-Castro;Regina Maria Gonzalez-Lopez;Maria Paz Rivas Perez;Luis Lopez-Molina;Jesus Garcia-Jimenez;Jose Manuel Romero-Sanchez
    • Safety and Health at Work
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    • v.15 no.1
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    • pp.80-86
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    • 2024
  • Background: The Work Ability Index (WAI) is an instrument that measures work ability. The wide dispersion of the WAI internationally has led to its adaptation for use in different countries. This study aimed to evaluate the psychometric properties of the Spanish version of the WAI. Methods: A methodological design was used over an opportunistic sample of 233 workers in the aeronautical industry in Spain. Reliability was evaluated through internal consistency. Factorial validity, known groups, and convergent validity were tested. Results: The Cronbach's alpha and item-total correlation indicated an adequate internal consistency. The confirmatory factor analysis, performed to evaluate the factorial validity, found adequate fit indices for a two-factor solution with a high correlation between the factors. Factor 1, "Subjectively estimated work ability and resources", was composed of 3 subscales and factor 2, "Ill-health-related", of 2 subscales. Subscales 4 and 6 had loading in both factors. Workers under 45 years of age obtained higher significant scores than older ones. Convergent validity was also evidenced since WAI was highly correlated with self-assessment of health status. Conclusions: The Spanish version of the WAI has shown evidence of reliability and validity in this study, supporting its use in individual and collective health surveillance by occupational health professionals. The factorial solution that was found has previously been reported in another international context. However, further research is needed to resolve the discrepancies detected in the role of some subscales between other national and international studies.

A Study on The Periodic Medical Examination, and Health Care Management Programs of Industries -Busan City Province- (산업장의 건강검진과 보건관리실태에 관한연구 -부산 지역을 중심으로-)

  • Huang, Bo-Sun;Shin, Yu-Sun;Yun, Suk-Ok;Lee, Ji-Hyun;Kim, Jung-Soon;Kim, Lee-Soon;Kim, Bok-Yong;Kang, Young-Mee
    • Research in Community and Public Health Nursing
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    • v.4 no.1
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    • pp.14-24
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    • 1993
  • The Purpose of this study was to explore the condition of periodic medical examination and the health care services of industries in order to offer some basic data on developing industrial nursing care. To achieve this goal a self - administered questionnaire (developed by the academic affairs of community health nursing) was provieded to the nurses in 56 industries from Dec. 10, 1992 to Jan. 20, 1993. The statistical computer package, SPSS, was used to manipulate the data along with T-test and ANOVA. The results were as follows : 1. General characteristics: The greater part of the industries were manufacturing company, and below 300 employees of industry were 55.4%. The shift system was mostly one shift(66.1%) and three shift(23.2%), and 50.0% them organized the Industrial Safety and Health Commitee. Average a number of employees was 631 person. 2. Periodic Medical Examination: Most of the workers were receiving periodic medical examination from the designated hospital (95.71%). From the about 12.89% were gone through a colse medical examination. In colse medical examination 58.41% were decided 'C' and 36.73% were decided 'D'. About 6.23% off those who had any clinical findings were work-time shortening(7.84%), work-transition(8.12%), recoverating at home. The majority of the workers receive the result of the periodic medical examination individually (78.5%). 3. Special medical examination: The rate of those who are receiving special medical examination were 76.82% and about 8.24% were decided 'C' and 1.23% were decided 'D' Those who had any health problems were receiving follow-up checking (9.10%) and medical treatment while working (15.04%). The health managers in the company can consult (85.7%) those who had any suspicious sign and symptoms of occupational disease. 4. Health care services: The average score of health care services were 17.57 point out of 28 point, and the score was lower in health assessment and environmental hygiene than medical diagnosis and health education. There were significant differences in environmental hygine (F=3.72, P=0.017), health care services(F=3.94, P=0.013) according to the size of the size of the industries The other's significancy is not shown by any type of industrial nurse. The level of health care services were higher in the wokers who had better health and showed no singificant differences(T=-0.73, P=0.470).

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Cultural Capacity and Intercultural Communication of University Students in Nursing (간호대학생의 문화적 역량과 문화 간 의사소통 관계)

  • Yoo, Hyunjung;Kim, Kwanhee;Lee, Hajeong;Park, Bomi;Park, Subin;Park, Juhui;Park, Jinhui;Ban, Minjoo;Lim, Jihyun;Park, Junhoo;Lee, Yee Eun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.23-29
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    • 2019
  • Purpose: This study was done to identify the cultural capacity of college nursing students and the relationship of intercultural communication. Methods: The participants were 200 students in colleges of nursing from 6 universities in C city, who understood the purpose of the study and agreed to participate. Collected data were analyzed with t-test, ANOVA, correlation analysis, and stepwise regression analysis using SPSS/WIN 22.0. Results: Cultural sensitivities in this study (r=.372, p<.001), cultural knowledge (r=.399, p=.001), cultural awareness (r=.547, p<.001), and cultural technology (r=.550, p<.001) each showed a statistically significant correlation with intercultural communication skills. Conclusion: The results of this study show that reinforcement of the cultural and intercultural communication ability of college nursing students, in-depth exploration of the cultural area and religious inspection, cultural and professional backgrounds, assessment and consideration of cultural characteristics, nursing diagnosis, and health appropriate to the cultural background. It is suggested that education such as service provision should be conducted systematically.

Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review (인터넷 기반 교육 중재가 산욕기 어머니 건강에 미치는 영향에 대한 체계적 고찰)

  • Chae, Jung Mi;Kim, Hyun Kyoung
    • Research in Community and Public Health Nursing
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    • v.32 no.1
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    • pp.116-129
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    • 2021
  • Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as 'parenthood education', '*natal education', '*birth intervention', 'internet-based intervention', 'randomized controlled trial'. The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

Health Welfare Service Needs Analysis Using a Functional Status Assessment Instrument (기능상태 평가도구를 이용한 일 농촌지역 노인의 보건복지 서비스 요구분석)

  • Choi, Jeong-Ae
    • Journal of Korean Academy of Rural Health Nursing
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    • v.2 no.1
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    • pp.60-69
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    • 2007
  • Objectives: This study was done to identify health and functional status of rural elders, to identify the use of health and medical treatment and welfare services in order to present directions for improving use of health and welfare services by rural elders. Methods: The participants in the study were 170 elders over 65 years of age who live in the one of the 6 villages served by the Young Am Community Health Post. The elders were visited at home and interviewed the elders using the RAI tool. Descriptive statistics including frequency and range were used to analyze the data. Results: Limitations in physical function, finances and medical treatment service were identified. Conclusions: The findings of this study indicate a need to develop good quality service which is affordable and convenient.

Effects of Foot Reflexology Education Program on Bowel Function, Anxiety and Depression in Nursing Students (발 반사요법 교육프로그램 제공이 간호대학생의 장 기능, 불안 및 우울에 미치는 효과)

  • Kim, Yeong-Hie;Choi, Euy-Soon
    • Women's Health Nursing
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    • v.9 no.3
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    • pp.277-286
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    • 2003
  • Purpose: The purpose of this study was to probe the effect of foot reflexology education program on nursing students with constipation, anxiety and depression. This study was a quasi-experimental study of pre-test and posttest design on non-equivalent control group. Method: The data of this study were collected from October 28, to December 14, 2002. The subjects consisted of 61 nursing students (experimental group: 31, control group: 30) with constipation, anxiety and depression. 31 out of them were devided into the experimental group and received foot reflexology education program that was authorized by the World Foot Reflexology Association and made to suit for the subjects by the author for 6weeks composed of 2 weeks theory and of 4 weeks practical skill on the program. The effect of the program was measured by Bowel Function Assessment Form for constipation, State Anxiety Inventory, and Beck Depression Inventory. Data were analyzed by t-test, $x^2$-test, Repeated measures ANOVA, Bonferroni multiple comparison using SAS/PC 8.12 program. Result: After all session of treatment, the score of bowel function assessment were significantly decreased in the experimental group compared to the control group. Outcomes of 6 and 7 weeks were significantly different from those of pre-experiment. After all session of treatment, anxiety states were significantly decreased in the experimental group compared to the control group. Outcomes of 7 weeks were significantly different from those of pre-experiment. After all session of treatment, depression states were significantly decreased in the experimental group compared to the control group. Outcomes of 6 and 7 weeks were significantly different from those of pre- experiment. Conclusion: The results are suggested that the foot reflexology education program might improve the bowel function, anxiety and depression for the nursing students with constipation, anxiety and depression.

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