• Title/Summary/Keyword: Nursing activities

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Structural Relationships among TQM Activities, Compensation Equity, and Performance in Hospitals (의료기관 TQM 활동, 보상 공정성과 성과간의 구조적 관계)

  • Park, Hyun-Sook;Park, Sang-Youn
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.3
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    • pp.325-335
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    • 2009
  • Purpose: The purpose of this study was to examine the relationships among TQM activities, compensation equity, and performance in hospitals. This study was designed to construct a structural equation model of TQM activities, compensation equity, and performance. Method: The subjects were 239 personnels working in four hospitals in Daegu and Gyeongpook. Data were collected using structured questionnaire from October 4, 2007 to February 4, 2008. The collected data were analyzed using the SPSS 12.0 and AMOS 5.0 program. Result: The overall fitness of the structural equation model was evaluated. These results showed that the model was adequate. TQM activities directly influenced organizational performance and indirectly influenced organizational performance through compensation equity. Conclusion: In testing the structural equation model, the findings showed that TQM activities and compensation equity were important factors for improving organizational performance. Therefore, to improve performance, the hospital leaders must establish the strategies to facilitate TQM activities. It is also necessary to establish effective reward and performance appraisal systems to induce positive participation of personnels in hospitals.

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Effects of Perceived Patient Safety Culture on Safety Care Activities among Nurses in General Hospitals (지방 중소병원 간호사의 환자안전문화 인식이 안전간호활동에 미치는 영향)

  • Kim, Hye Young;Lee, Eun Sook
    • Journal of East-West Nursing Research
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    • v.19 no.1
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    • pp.46-54
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    • 2013
  • Purpose: An objective of this study was to investigate nurses' perceptions toward patient safety culture and to examine the factors affecting safety care activities. Methods: The participants were 429 nurses, at 6 hospitals located in regions, which have 150 to 300 beds, and HSOPSC (AHRQ, 2009) and questionnaire on safety care activities were used as measurement tools. Descriptive statistics, independent t-test, one way ANOVA, and stepwise multiple regression with SPSS/WIN version12.0 were used to analyze the data. Results: Supervisor manager expectations and actions promoting patients safety and frequency of events reported were the highest as positive responses, whereas staffing and nonpunitive response to errors showed the lowest scores as positive responses. Scores of medication surveillance is the highest while firefighting surveillance is the lowest in terms of safety care activities. Significant predictors influencing safety care activities were frequency of events report, handoffs and transitions, work unit a patient safety grade, organizational learning-continuous improvement, and teamwork across units. These predictors account for 23% of the variance. Conclusion: These results suggest that hospital policies and systems should be built to settle patient safety culture effectively. Development of standard manuals for safety care activities is another critical element for promoting patient safety.

Effects of Foot Bath Therapy on the Symptom Intensity, Distress, and Interference with Usual Activities due to Chemotherapy-Induced Peripheral Neuropathy in Patients with Metastatic and Recurrent Cancer (족욕요법이 항암화학요법을 받은 전이·재발암 환자의 말초신경병증으로 인한 증상강도, 고통정도 및 일상생활 방해정도에 미치는 효과)

  • Kim, Soon Yeo;Jun, Eun-Young
    • Journal of Home Health Care Nursing
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    • v.24 no.2
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    • pp.189-199
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    • 2017
  • Purpose: This study aimed to investigate the effects of foot bath therapy on the symptom intensity, distress, and interference with usual activities due to chemotherapy-induced peripheral neuropathy (CIPN) in patients with metastatic and recurrent cancer. Methods: Foot bath therapy was administered to the experimental group for >8 sessions in 2 weeks, and the chemotherapy-induced peripheral neuropathy assessment tool (CIPNAT) was used to measure its effects on the symptom intensity, distress, and interference with usual activities due to CIPN. SPSS was used to perform data analyses including descriptive statistics, chi-square test, Fisher's exact test, t-test, paired t-test, and repeated measures ANCOVA. Results: A statistically significant difference in the variation of the symptom intensity, distress, and interference with usual activities due to CIPN was observed between the two groups; however, a statistically insignificant difference was observed between the groups and time of interaction. Conclusion: Foot bath therapy can be used as a simple and effective clinical or home care nursing intervention to improve the symptom intensity, distress and interference with usual activities due to CIPN.

Patient Safety Management Activities of Korean Nurses: A Meta-Analytic Path Analysis (국내 간호사의 환자안전관리활동에 대한 메타경로분석)

  • Jeong, Seohee;Jeong, Seok Hee
    • Journal of Korean Academy of Nursing
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    • v.52 no.4
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    • pp.363-377
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    • 2022
  • Purpose: This study aimed to test a hypothetical model of Korean nurses' patient safety management activities using meta-analytic path analysis. Methods: A systematic review, meta-analysis, and meta-analytic path analysis were conducted following the PRISMA and MOOSE guidelines. Seventy-four studies for the meta-analysis and 92 for the meta-analytic path analysis were included. The R software program (Version 3.6.3) was used for data analysis. Results: Four variables out of 49 relevant variables were selected in the meta-analysis. These four variables showed large effect sizes (ESr = .54) or median effect sizes (ESr = .33~.40) with the highest k (number of studies) in the individual, job, and organizational categories. The hypothetical model for the meta-analytic path analysis was established using these variables and patient safety management activities. Twelve hypothetical paths were set and tested. Finally, the perception of the importance of patient safety management and patient safety competency directly affected patient safety management activities. In addition, self-efficacy, the perception of the importance of patient safety management, patient safety competency, and patient safety culture, indirectly affected patient safety management activities. Conclusion: Self-efficacy, the perception of the importance of patient safety management, patient safety competency, and the organization's patient safety culture should be enhanced to improve nurses' patient safety management activities.

A Comparison of Efficiency between Computerized Nursing Records and the Paper-based Nursing Records - focus on patients with a stroke - (전산간호기록과 서면간호기록의 효율성에 관한 비교연구 - 급성 뇌졸중 환자의 간호기록 중심으로 -)

  • Sung Young-Hye;Cho Myung-Sook;Choi Bok-Yeon;Jang Mi-Ra
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.1
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    • pp.24-32
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    • 2006
  • Purpose: This study was a comparative review of the computerized nursing records and paper-based nursing records to examine effects of a nursing process documentation system focusing on patients who have had stroke. Method: First, the researchers collected all the foci from the computerized records and the paper-based records. They selected ten nursing foci, used frequently in both groups and analyzed the number of foci per patient, appropriateness of foci, the number of nursing activities per nursing focus and whether outcomes were described or not in the nursing record. Results: There was fewer errors in nursing diagnosis selection, and a larger number of activities in the records than trle paper based ones. Also, there was a better description of the nursing outcomes in the computerized records. Conclusion: This study suggests that the computerized nursing records is significantly effective in increasing accuracy of the nursing care plan and quality of the nursing record.

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Activities of Daily Living and Nursing Needs of the Elderly in Nursing Home (요양시설 노인의 간호요구도 및 일상생활 수행능력)

  • Kim, Kwuy-Bun;Lee, Hye-Kyung;Sok, So-Hyune R.
    • Research in Community and Public Health Nursing
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    • v.20 no.1
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    • pp.1-11
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    • 2009
  • Purpose: The study was a survey study to identify the Activities of Daily Living (ADL) and nursing needs of the elderly in the nursing home and derive the fundamental data for offering the better quality of nursing service to them. Methods: The subjects were the 111 elderly aged over sixty five living in the nursing home located in Seoul. Measures were the nursing needs scale and ADL scale. The data were analyzed by SAS 11.0. Results: First, with regard to the nursing needs, the general need was scored average 3.0, and the emotional' social need was 3.7, and the physical need was 3.1, and the informational need was 2.7. Second, the ADL was scored at the average of 2.7, bathing 1.9,. eating 3.1. Third, In correlation between the nursing needs by area, the informational nursing needs showed the sheer correlation with the physical nursing needs, emotional' social nursing needs. The physical nursing needs showed the sheer correlation with the informational. social nursing needs, and the inverse correlation with the ADL. Conclusion: It is necessary that it should improve the service to meet the emotional and social nursing needs and develop the extensive nursing programs satisfying their desires based on the general traits of the elderly.

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Study on Educational Needs of Patient Safety Nursing Activities in Intensive Care Units: Utilizing Importance-Performance Analysis (중환자실 간호사의 환자안전간호활동 교육요구도 조사 : IPA 활용)

  • Lee, Seung Hee;Park, Nam Hee
    • Journal of Korean Critical Care Nursing
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    • v.15 no.3
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    • pp.1-11
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    • 2022
  • Purpose : The purpose of this study was to not only examine the importance and performance status of patient safety nursing activities in the intensive care unit but also to understand nurses' educational needs in this respect. Methods : In this descriptive study, 196 nurses working in the intensive care units of university hospitals located at B City and G Province were enrolled. They completed the Importance-Performance Analysis (IPA) questionnaire, and the data were statistically analyzed. Results : Mean±standard deviation item scores of importance and performance of patient safety nursing activities were 4.75±0.33 and 4.48±0.38, respectively. In the IPA results, a total of 10 items were included in the second quadrant, including 1 item related to 'transfer,' 1 to 'infection,' and 1 to 'firefighting surveillance.' As the second quadrant contains the high-importance, low-performance items, these 10 items resemble the nurses' educational needs that should be prioritized. Conclusion : The results of this study can be used as a basis for the development of nursing educational programs for patient safety in the intensive care unit.

Factors Influencing Residents' Activities of Daily Living Related to Nursing Staff in Korean Nursing Homes using Path Analysis

  • Jung, Sun Ok;Shin, Juh Hyun;Lee, Jiyeon
    • International Journal of Advanced Culture Technology
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    • v.10 no.2
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    • pp.1-11
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    • 2022
  • Purpose: The purpose of this study was to empirically test a model of associations linking locations and competition among nursing homes (NHs), mediated by facility grade and registered nurse (RN) turnover, on activities of daily living (ADLs) in Korean NHs. Methods: This study used a cross-sectional design to identify causal factors on NH residents' ADLs. Data were collected from June 2017 to August 2017. A disproportionate stratified cluster sampling method of NHs across Korea was used to gain representation. The collected data consisted of location and the Herfindahl-Hirschman Index (HHI), RN turnover rate, facility grade, and NH residents' ADLs. Results: All pathways affecting ADLs were not significant, and the effect on facility grade was significant in RN turnover (β = -.59, p < .001). RN turnover associated negatively with facility grade. In other words, the higher the RN turnover, the worse the facility grade. Conclusion: This study is the first to examine the impact of location and HHIs, mediated by RN turnover rate and facility grade, on NH residents' ADLs. To improve residents' ADLs, subsequent studies are needed to identify the factors affecting ADLs utilizing other variables because this study did not identify factors that affect ADLs.

Relationships Among Cognition, Activities of Daily Living and Depression in Persons With Decreased Memory (기억력저하 인식 대상자의 인지기능, 일상생활수행능력 및 우울에 관한 연구)

  • Kim, Min Suk;Yoon, Soon Young;Oh, Eun Young
    • Journal of Korean Public Health Nursing
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    • v.26 no.3
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    • pp.404-416
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    • 2012
  • Purpose: The purpose of this study was to explore relationships among cognition, activities of daily living, and depression in persons with decreased memory. Method: Data were collected from 121 out-patients with decreased memory and analysis was performed using descriptive statistics, t-test, ANOVA, Bonferroni test, and Pearson's correlation coefficients with the SPSS/WIN 18.0 program. Result: K-MMSE was significantly increased by BADL (r=.40, p<.001), whereas K-MMSE was significantly decreased by K-IADL (r=-.51, p<.001) and K-IADL significantly decreased by BADL (r=-.51, p<.001). Conclusion: The K-MMSE of persons with decreased memory showed association with BADL and K-IADL. Management of patients complaining of decreased memory and development of nursing interventions will slow down the progression of cognitive impairment.

A Historical Review on Disaster Nursing Activities in Korea (1945-2005) (재해간호 활동에 대한 역사적 고찰)

  • Lee, Ogcheol;Cho, Kapchul;Shin, Gisoo;Baek, Hee-Chong
    • Journal of the Society of Disaster Information
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    • v.4 no.2
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    • pp.106-121
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    • 2008
  • Purpose: This historical research was done to identify disaster nursing activities during the last 60 years through the most serious disasters during the last 60years(1945-2005) in Korea. Method: Fot the data collection, three of main daily newspaper and The Korean Nurses Association News were reviewed and nurses who were called out to the most serious disaster onsite were interviewed. Results: The nurses were positively involved for setup onsite clinic, mobile medical services, triage, CPR, and psychological support during response and recovery phase, while hardly involved during preparedness phase. Conclusion: The clarification of job description for disaster nursing and developing systematic training program should be followed.

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