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The Effects of Disaster Training Education on the Attitudes, Preparedness, and Competencies in Disaster Nursing of Hospital Nurses (재난 대응 교육이 병원간호사의 재난간호에 대한 태도와 수행준비도, 수행능력에 미치는 효과)

  • Lee, Jieun;Lee, Eunjoo
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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    • pp.491-502
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    • 2020
  • Purpose: The purposes of this study were to determine the effects of a disaster training education for hospital nurses in terms of attitudes, preparedness, and competence of disaster nursing. Methods: One group pretest and posttest design was adopted. Data were collected from April 20th to May 20th, 2017 using 80 hospital nurses enrolled at a tertiary hospital located in D city. Results: The levels of attitudes (t=-2.31, p=.024), preparedness (t=-7.67, p<.001), and competencies (t=-16.82, p<.001) of disaster nursing at the posttest were significantly higher than those of the pretest. There were statistically significant relationships among nurses' attitudes, preparedness, and competencies of disaster nursing. The attitudes and preparedness of disaster nursing had significant effects on the competencies of disaster nursing. Conclusion: Disaster training education improved attitudes, preparedness, and competencies of disaster nursing in hospital nurses. Therefore, it is recommended to develop more practical disaster training education programs toward hospital nurses as well as nursing students as a way to enhance the competence of disaster nursing.

Factors Related to Organizational Socialization of New Nurses (신규간호사의 조직사회화 관련요인 탐색)

  • Yoo, Cheong Suk;Kim, Ju Hee;Kim, Mi Yeon;Kim, Sung Jae;Kim, Young Soo;Kim, Jeong A;Park, Seung Hyun;Cho, Eun Ju;Choi, Eun Ha;Choi, Hee Kang
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.239-250
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    • 2012
  • Purpose: The purpose of this study was to explore and describe the factors related to new nurses' organizational socialization (OS) process and to find out the strategic information for successful organizational socialization. Methods: The qualitative data were gathered from three focus group discussions with 13 new nurses and 5 experienced nurses. All interviews were recorded and transcribed. The transcript analyzed according to qualitative content analysis processes. Results: The factors related to new nurses' OS derived from new nurses' focus groups were 'burdens related to the characteristics of nursing duties', 'emotional and psychological characteristics' and 'facilitating factors to OS'. Two factors at the forepart were interfering factors to new nurses' OS. The factors related to new nurses' OS derived from experienced nurses' focus group classified to 'facilitating factors to OS', 'interfering factors to OS' and 'supports to facilitate new nurses' OS process'. Conclusion: The findings of the study revealed the facilitating and interfering factors to organizational socialization of new nurses. The main factors to interfere new nurses' OS were individual factors such as professional incompetency and psychological characteristics. On the other hand, Interactional factors within the organization were important to facilitate new nurses' OS. The findings can be applied for developing a special program to help new nurses adjust to the nursing organization successfully.

The Relationships among the Perception of Quality Assurance and National Hospital Evaluation Program and Nursing Performance of Hospital Nurses (병원 간호사의 질 관리 및 의료기관평가제도에 대한 인식과 간호업무성과와의 관계)

  • Yoo, Moon-Sook;Chung, Myung-Suk
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.3
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    • pp.260-267
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    • 2008
  • Purpose: The objective of this study was to identify relationships among the perception of quality assurance and national hospital evaluation program and nursing performance of hospital nurses. Method: The participants were 401 nurses who worked at the A medical center. The data were collected from 25 April to 9 May. 2008. The cross-sectional descriptive survey was done using a structured questionnaire. Result: The perception of the quality assurance correlated significantly with nursing performance. Also, the perception of national hospital program correlated significantly with nursing performance. However, the scores of perception of quality assurance & national evaluation program of hospital nurses is relatively low. Conclusions: These results means positive perception of quality assurance of nurses can produce good nursing performance. It suggests that nurses need more education and training for quality assurance. And the incentives will be needed to enhance the perception of quality assurance. Moreover, the detailed nursing performance indicators should be developed to measure the quality of nursing performance properly.

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Russian Inpatients' Nursing Service Expectations, Satisfaction and Intention to Revisit Hospital (러시아인 입원 환자의 간호서비스 기대, 만족도 및 재이용 의도의 관계)

  • Choi, In Young;Park, Hyoung Sook;Jung, Yun Seo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.2
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    • pp.146-156
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    • 2017
  • Purpose: The aim of this study was to identify Russian inpatients' expectation and satisfaction with nursing service, and further, to analyze the relationship between these variables. Methods: A structured questionnaire was used to survey for 81 Russian inpatients. The survey was conducted from January to June, 2014. Results: Empathy and assurance significantly influenced nursing service expectation and satisfaction. Nursing service expectation was statistically significant for the number of visit to Korea, and nursing service satisfaction was statistically significant for gender, monthly income and primary care giver during hospitalization. Revisit intention was significantly different according to religion, medical department and primary care giver during hospitalization. There were positive correlations between nursing service expectation and satisfaction, and between nursing service satisfaction and intention to revisit the hospital. Conclusion: The results of this study show that the level satisfaction with nursing service influences Russian inpatients' intention continue using the hospital. Therefore, in order to increase the intention to revisit the hospital Korea hospital employees, especially nurses, need to develop nursing service strategies according to general characteristics, culture and nationality of foreign patients.

Criterion-Related Validity of the Critical Patients' Severity Classification System Developed by the Hospital Nurses' Association (병원간호사회 중환자 중증도 분류도구 준거 타당도 검정: 뇌손상 환자를 대상으로)

  • Oh, Hyun-Soo;Seo, Wha-Sook;Park, Jong-Suk;Bae, Eun-Kyung;Lee, Su-Jing;Chung, Youn-Yee;Choi, Young-Eun;Choi, Hee-Jeong
    • Korean Journal of Adult Nursing
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    • v.21 no.5
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    • pp.489-503
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    • 2009
  • Purpose: This study was conducted to test criterion-related validity of the Critical Patients' Severity Classification System (CPSCS) developed by the Hospital Nurses' Association by examining relationships with brain injury severity measured by Glasgow Coma Scale (GCS), recovery state measured by Glasgow Outcome Scale (GOS), and days of stay in ICU of brain injury patients. Methods: Prospective correlational research design was adopted by including 194 brain injury patients admitted to ICU of one university hospital. Results: The score of CPSCS appeared to significantly discriminate the severity of brain injury. Among nursing activities in CPSCS, Respiratory therapy, IV Infusion and Medication, Monitoring, Activities of Daily Living (ADL), Treatment and Procedure were significant to discriminate the severity of brain injury. Respiratory therapy, Vital Signs, and Monitoring appeared to significantly discriminate the recovery states of 1- and 3-months. Nursing activities significantly contributed to predict the days of ICU stay were Respiratory therapy, ADL, and Teaching and Emotional Support. Conclusion: CPSCS developed by the Hospital Nurses Association appeared to be valid to discriminate or predict brain injury severity, recovery states, and days of stay in ICU for brain injury patients.

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Quality of Life in Colorectal Cancer Patients at Home 5-Fluorouracil Chemotherapy with Disposable Elastomeric Infusion Pumps (일회용 약물주입기로 가정에서 항암치료 중인 대장암 환자의 삶의 질)

  • Lee, Chung Eun;Kim, Na Young;Park, Me Hee;Lee, Yoon Jung;Kim, Jin Ra;Baek, Min Ju;Kim, Hyo Jin;Byun, Eun Sung;Kil, Yun Kyung;Kim, Heejung
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.1
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    • pp.76-87
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    • 2022
  • Purpose: The purpose of this study was to examine the psychological distress related to quality of life (QoL) of patients with colorectal cancer receiving 5-fluorouracil (5-FU) chemotherapy at home with disposable Elastomeric infusion pumps. Methods: In this study, 179 colorectal outpatients were recruited between September 2019 and January 2021. National Cancer Center Psychological Symptom Inventory scores, general self-efficacy, and the EORTC QLQ-C30 scores were measured. Data were analyzed using Independent t-test, One-way ANOVA with Bonferroni post hoc analysis, and hierarchical multiple linear regression with the SPSS/WIN 26.0 programs. Results: The overall prevalence of psychological distress was 52.0% in colorectal patients. In multiple regression, psychological distress (β=-.20, p=.005), appetite loss (β=-.20, p=.001), chemotherapy cycles (β= .19, p=.002), fatigue (β=-.16, p=.035), physical functioning (β=-.16, p=.024), and emotional functioning (β=-.15, p=.025) were significant factors of QoL, and the final model explained 45.0% of the total variance of QoL. Conclusion: Supporting patients toward decreased psychological distress and increased physical and emotional functioning, especially in the first or second cycle of chemotherapy, could be used to improve their QoL. To consider the thresholds for clinical importance, it is necessary to increase the interpretation of psychological distress in clinical practice and further research.

Factors Affecting Disaster Nursing Competency of Nurses at University Oriental Medicine Hospital (대학 부속 한방병원 간호사의 재난간호역량에 미치는 영향요인)

  • Song, In Ja;Seo, Young Mi
    • Journal of East-West Nursing Research
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    • v.30 no.1
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    • pp.1-9
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    • 2024
  • Purpose: This study was conducted to identify factors affecting the disaster nursing competency of nurses at a university oriental medicine hospital. Methods: The survey was conducted on 115 nurses at a university oriental medicine hospital from December 1, 2022 to January 30, 2023. Data analysis was performed using t-test, one way ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Factors affecting the disaster nursing competency of nurses at a university oriental medicine hospital were perception of disaster and working experience at an oriental medicine hospital. Conclusions: It is necessary to increase perception of disaster and provide disaster education appropriate for their profession in order to improve the disaster nursing competency of nurses at university oriental medicine hospital. In addition, organizational efforts are needed to increase the long-term disaster nursing competency of nurses at university oriental medicine hospitals.

The development and evaluation of a pediatric nurse education program to improve nursing competency for newly graduated nurses in a children's hospital (어린이병원 신규간호사를 위한 간호역량 향상 교육프로그램 개발 및 효과검증)

  • Shin, Hae-kyung;Kim, Hyo-yeong;Kim, Hyun-Jung;Kim, Min-kyung;Shin, Hyun-joo;Lee, Hoo-yun;Han, Jee-hee;Lee, Hye-jung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.2
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    • pp.179-192
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    • 2022
  • Purpose: The purpose of this study is to identify the effects of a standardized educational program to improve nursing competency on newly graduated nurses in a children's hospital after developing and applying a pediatric nurse education program. The effectiveness of the program was confirmed by evaluating the clinical competency and field adaptation. Methods: In the first step, an education program was developed using the analysis, design, development, implementation and evaluation (ADDIE) model. As a second step, a similar experimental study of a single group repeat measures design was conducted to evaluate the clinical competency and field adaptation over time after application of the program. Additionally, a focus group interviews were conducted to collect subjective data on the effects and improvement points of the program. Results: As a result of applying the program, there was a significant change in the clinical competence and the field adaptation of newly graduated nurses in a children's hospital. The categories derived from the focus group interviews were "getting special guidance," "better care," "becoming a nurse at a children's hospital" and "winning together." Conclusion: It was confirmed that the education program enhances the clinical competency of new nurses in children's hospitals. In addition, it provided the necessary data to understand the experiences of new nurses, help them adapt effectively, and establish appropriate interventions.

Evidence-Based Nursing Practice Guideline: Ostomy Care (근거기반 임상실무지침: 장루간호)

  • Lee, Yun Jin;Park, Hyun Suk;Kim, Min Kyung;Seo, Hui Won;Lee, Mi Ju;Won, Eun Ae;Jo, Gha Na
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.2
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    • pp.154-163
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    • 2020
  • Purpose: The aim of this study was to develop an evidence-based guideline for stoma management providing institutional policy, assessment, complications and follow-up care. Methods: The guideline adaptation manual consisting of 23 steps developed by the National Evidence-Based Healthcare Collaborating Agency was used for this study. It presents an overview of the process used to develop the guideline and lists specific recommendations from the guideline. Results: It provides 55 recommendations that include the following 8 topics: 1) Organization and policy recommendations, 2) Preoperative nursing; Ostomy education, stoma site marking, 3) Ostomy formation, 4) Postpoperative nursing; education, assessment, high output stoma management, 5) Selection of ostomy products, 6) Colostomy irrigation, 7) Stomal and peristomal complications, 8) Follow-up care after discharge. Conclusion: The guideline can be used to address stoma management in hospital settings. The intent of the guideline is to provide information that will assist healthcare providers to manage adult patients with ostomies, prevent or decrease complications, and improve patients' outcomes.

A Comparative Study on Nursing Practice Environment, Professionalism, and Job Satisfaction according to Hospital Size (병원규모에 따른 간호사의 간호업무환경, 전문직업성과 직무만족의 비교)

  • Lee, Mi Hye;Kim, Jong Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.4
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    • pp.470-479
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    • 2013
  • Purpose: This study was conducted to investigate and compare the characteristics and relations of nursing practice environment, professionalism and job satisfaction among nurses in general hospitals according to hospital size. Methods: The participants included 314 staff and charge nurses who were working in the general medical/surgical nursing units in one large hospital, three medium sized hospitals, and four small hospitals. Data collected through using self-report questionnaire were analyzed using the SPSS and SAS statistical programs. Results: Nursing practice environment and job satisfaction had significant differences according to hospital size. Both of these scales were highest for medium hospitals and lowest for small hospitals. For all hospital sizes there were positive correlations between each of the variables. Multiple regression analysis showed that both nursing practice environment and job satisfaction were affected by hospital size, but professionalism was not. Conclusion: The results of this study indicate that nursing practice environment and job satisfaction vary with the size of the hospital. Therefore, further study is necessary to identify the work environment variables of nurses for performance management and to implement appropriate policies.