• Title/Summary/Keyword: Nursing Process

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Analysis and Application of Nursing Management Practicum Case Simulation for Developing Performance-Centered Education (성과중심 교육과정 개발을 위한 간호관리실습 사례시뮬레이션 적용 및 내용 분석)

  • Lim, Ji Young;Ko, Gug Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.235-254
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    • 2017
  • The purpose of this study was to develop a nursing management case simulation (NMCS) framework based on the five components of nursing management process and to apply it to clinical nursing practice of nursing college students. The subjects of this study were NMCS reports submitted by the 4th grade 105 nursing students of an university. The research tool is a simulation framework for nursing management practice. It reflects the brainstorming and debriefing process used in the previous simulation exercise based on the five elements of planning, organization, human resource management, directing and control of the nursing management process respectively. As a result of the study, 32 nursing management cases were found to have 79.6% correct rate, 11.6% concept error rate, and 5.6% classification error rate in the first brainstorming and debriefing process for the five components of nursing management process. On the other hand, in the second brainstorming and debriefing process, 94.6% correct rate, 0.0% concept error rate, and 4.4% classification error rate. Based on these results, the NMCS framework developed in this study can be applied to the nursing management theory and practice course of nursing college students as well as simulation based job training and maintenance educations for clinical nurses. Therefore, we propose follow-up studies in various clinical nursing settings and a longitudinal cohort study to investigate the effect of nursing management job skills of nursing college students after graduation.

Development and Application of a Computerized Nursing Process Program for Orthopedic Surgery Inpatients - NANDA, NOC, and NIC Linkages - (정형외과 입원환자를 위한 간호과정 전산프로그램 개발 및 적용 - 간호진단, 간호결과, 간호중재 연계 -)

  • Kim, Hye-Suk
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.979-990
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    • 2005
  • Purpose: The purpose of this study was to develop and to apply the NANDA, NOC, and NIC (NNN) linkages into a computerized nursing process program using the classification systems of nursing diagnoses, nursing outcomes and nursing interventions. Method: The program was developed with planning, analysis, design and performance stages. The program was applied to 117 patients who were admitted to orthopedic surgery nursing units from January to February, 2004. Results: Thirty-five of fifty-three nursing diagnoses were identified. Five nursing diagnoses in order of frequency were: Acute pain $(28.4\%)$, Impaired physical mobility $(15.6\%)$, Impaired walking $(8.7\%)$, Chronic pain $(5.5\%)$ and Risk for disuse syndrome $(5.0\%)$. The nursing outcomes of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management $(95.2\%)$, Comfort level $(35.5\%)$ and Pain level $(17.7\%)$. The nursing interventions of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management $(71.0\%)$, Splinting $(24.2\%)$ and Analgesic administration $(17.7\%)$. In comparison of outcome indicator scores between before and after the intervention according to the 61 nursing outcomes, the mean scores of 52 outcome indicators after the intervention were significantly higher than before the intervention. Conclusion: It is expected that this program will help nurses perform their nursing processes more efficiently.

Development of a Home Care Nursing Management System for Computerization of Home Care Nursing Practice (가정간호업무 전산화를 위한 가정간호관리 시스템 개발)

  • Yoo, Ji-Soo;Kim, Cho-Ja;Shin, Hye-Sun;Choi, Hee-Jai
    • Journal of Home Health Care Nursing
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    • v.8 no.1
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    • pp.62-73
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    • 2001
  • This study was conducted to develop a home care nursing management system based on the validated and useful data base found through literature review. The contents and structure according to a development procedure for a computer system were as follows. 1. A data base on home care nursing patients was accumulated by putting data respectively in both steps and fields - from selection criteria. basic information. prescription. plan of home visits. to application of nursing process. 2. Accumulated data was classified and designed to search by basic information. drug/injection prescription. examination prescription, treatment prescription. supply. and a record of the nursing process. 3. Various forms of retrieval including graphs were elaborated in terms of diagnosis and intervention aspects.

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A Concept Analysis of Quality Nursing Care

  • Juanamasta, I Gede;Aungsuroch, Yupin;Gunawan, Joko
    • Journal of Korean Academy of Nursing
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    • v.51 no.4
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    • pp.430-441
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    • 2021
  • Purpose: This study aimed to perform a concept analysis of quality nursing care. Methods: Walker and Avant's concept analysis method was used to carry out this study. Results: The defining attributes identified were as follows: caring, the nurse-patient relationship, and patient needs. Antecedents included patient characteristics, individual factors (age, education, knowledge, competence, and experience), job position, and environmental factors. The consequences of quality nursing care have significant influence on both patients and nurses. Conclusion: The findings can aid researchers in obtaining a better understanding of quality nursing care, and stakeholders can consider the factors related to quality nursing care and its consequences to improve the nursing process.

The Effect of Virtual Reality Simulation Education on Nursing Process Competency (가상현실 시뮬레이션 교육이 간호과정 수행능력에 미치는 효과)

  • Lim, Jung-Hye
    • Journal of Digital Convergence
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    • v.19 no.9
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    • pp.401-409
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    • 2021
  • This study was performed to identify the difference in nursing process competency, critical thinking disposition and self-efficacy after applying virtual reality simulation education. The data were collected from 31 nursing college students using URL from February to April 2021 and analyzed SPSS 22.0. The pretest and posttest result of each group showed statistically significant improvements in nursing process competency(t=-3.776, p=.001), critical thinking disposition(t=-3.608, p=.001) and self-efficacy(t=-3.580, p=.001). As a result of this study, it was found that virtual reality simulation education improve nursing process competency, critical thinking disposition and self-efficacy of nursing students. Therefore, virtual reality simulation education will be the basis for preparing effective clinical practice education strategies for nursing students. It is suggested to have follow-up studies on virtual reality simulation education and various scenarios should be developed.

Identification of Nursing Diagnosis-Outcome-Intervention (NANDA-NOC-NIC) Linkages in Surgical Nursing Unit (일반외과 입원 환자에 적용되는 간호진단-간호결과-간호중재 연계 확인)

  • Lee, Eun-Ju;Choi, Soon-Hee
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.180-188
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    • 2011
  • Purpose: This study was to identify nursing diagnosis-outcome-intervention (NANDA- NOC-NIC: NNN) linkages applied to inpatients in general surgical nursing units. Methods: We developed the NNN linkage computerized nursing process program, which consisted of the 107 nursing outcomes and the 190 nursing interventions linked to the 39 nursing diagnoses. This program was applied to 324 patients who admitted to those nursing units from July, 2004 to February, 2005. Results: First, nursing outcomes of each nursing diagnosis were identified as follows: for 'acute pain', pain control, pain level, and comfort level; for 'risk for infection', wound healing: primary intention, wound healing: secondary intention, and infection status; for 'nausea', nutritional status: food & fluid intake, comfort level, symptom severity and hydration. Second, major nursing interventions for each nursing outcome were analyzed as follows: for pain control or comfort level, pain management and medication management; for pain level, pain management and analgesic administration; for wound healing: primary intention, incision site care and wound care; for Wound healing: secondary intention or infection status, infection control; for nutritional status: food & fluid intake, fluid monitoring; for comfort level, nausea management; for symptom severity, nausea management and vomiting management; for hydration, fluid/electrolyte management. Conclusion: This identified NNN linkages will facilitate the use of nursing process in surgical nursing practice and documentation systems.

Concept Development of Resilience (회복력 (Resilience) 개념 개발)

  • 김혜성
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.403-413
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    • 1998
  • The Resilience is described as the personal capacity which brings psychosocial comeback. The role of nursing is to do its best to rehabilitate patients and to explore the individual in order to promote patients psychosocial change. However, as the current nursing is heavily physical nursing oriented, the identity of the nursing would be lost. Therefore this researcher reviewed if the concept of resilience can be applied to the nursing after examing the concept of resilience by Documents and Fieldwork. The methodology of this research is Hybrid Model developed by Schwartz-Barcott and Kim for the concept development and analysis. The process and procedure consist of The Theoretical Phase, The Fieldwork Phase and The Final Analytical Phase in accodance with the Hybrid Model. The followings the summary of the Research. 1. The Concept of Resilience Finally Analyzed by Documents and Fieldwork (1) The Redefinition of Resilience The resilience is the latent psychosocial capacity which minimize the negative emotion and promote the adaptation under adversity. Resilience appears as cognitive, emotional and behavioral response in the course of changing from negative response to positive response through the interaction of the individual and the enviroments in a given time. Resilience changes and decreases according to time and situation and it can be nurtured. Resilience is the higher concept including hardiness, sense of coherence and self-strength which maintain the health under stress. (2) The Attribute of Resilience The attribute of resilience was devided into psychological and social dimension. In psychological attributes, there are admittion of reality of situation, denial of negative emotion, desire to live, responsibility, confidence, courage, hope, pursuit of positive meaning, identification and pursuit of goal, self-esteem, reception, spontaneity, planning, positiveness, will power, flexibility and creativity. In social attributes, there are a sense of belonging, perception of social support and active social relations. (3) The Process of Resilience There are 4 resilience phases which were the process minimizing the possibility of the negative chain reactions under adversity, the process minimizing the negative emotion under adversity, the process gaining the desire to live and the process exposing the active social relations. 2. The Application Possibility of Resilience Concept to Nursing The resilience concept is the psychosocial capacity with which an individual manages adversity. As many nursing scientists have developed nursing theory based on this capacity and the identification of nursing has been established in this field, resilience is not the new conception in nursing. However, since resilience appears in the attributes related with the resilience process concretely, it would help a lot when nurses execute psychosocial nursing.

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Relationship between Self-Directed Learning Ability, Critical Thinking Disposition and Nursing Process Confidence of Nursing Students (간호대학생의 자기주도적 학습능력, 비판적 사고성향 및 간호과정 자신감과의 관계)

  • Park, Chang Seung;Ko, Yeong Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.68-75
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    • 2019
  • This descriptive research study identified the factors affecting the nursing process confidence of nursing students. The study's data was collected from June 13th 2017 to June 30th, 2017. Informed consent was received from 129 students who were in their second year of nursing college. The collected data was analyzed using SPSS WIN 18.0 program. The score for self-directed learning ability was 3.45, the score for a critical thinking disposition was 3.55, and the score for nursing process confidence was 3.68. There was significant positive correlation between nursing process confidence and self-directed learning ability (r=.572, p<.001) and critical thinking disposition (r=.488, p<.001). The factor affecting the confidence in the nursing process was self-directed learning ability(32.2%). Educational methods based on building the self-directed learning ability are needed to enhance the nursing process. There are limitations in discussing the results of this study due to the lack of prior research. Further study is needed to confirm the results of this research and the relationships it revealed.

A study on the Experience of Nurses′ Socialization Process in the Hospital Setting (병원 간호사의 사회화 경험)

  • 김복순;류은정;김경희;정혜경;송미승;최경숙
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.393-404
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    • 1999
  • Socialization is the process of moving from one social role to another by gaining knowledge, skills and behaviors to participate in a group. Nurses who graduate from nursing school, enter the work force, and develop a career undergo socialization as they become insiders in the hospital. This study was designed to identify experiences of the nurses' socialization process in the hospital setting. The subjects were 6 nurses. Data were collected by recording and transcribing interviews and analyzed in the framework of grounded theory as mapped out by Strauss and Corbin(1990). The core category in the analysis of the experiences of nurses' socialization process was “being beyond”. In the process of data analysis, 22 categories were identified. These categories were again grouped into 13. Based upon these results, it is recommended that development of resocialization models to establish nursing identity are necessary.

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End of life Nursing Care Through a Visiting Nurse in Long-Term Care Insurance: A Case Report using the OMAHA System (방문간호사의 생애말기 환자 간호사례: 오마하시스템을 활용하여)

  • Song, Yeon Yi;Park, Eun Jin
    • Journal of Korean Academy of Rural Health Nursing
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    • v.16 no.2
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    • pp.60-68
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    • 2021
  • Purpose: This case report was attempted to present the process of the end of life nursing care provided by the visiting nurse. Methods: The subject was a person who was decided the long-term care Grade 1 and received a visiting nursing service, and the service was terminated on the death, and then was selected as a case with the consent of his family. The data were collected through long-term care benefit provision records and interviews with the visiting nurse. The nursing process was presented by applying the Omaha System. Results: The subject had digestion-hydration problems and respiration problems in the physiological domain, and the problems of role change, caretaking/parenting, spirituality, and grief in the psychosocial domain were identified. Depending on the problem, the end of life nursing care was provided to the subject and family members through activities on physical symptoms/signs, dietary management, end-life care, and coping skills. Conclusion: We expect that if the visiting nurse provides anticipatory guidance on the death process, the subject will be able to prepare for death comfortably with the family at home instead of vague fear of death.