• Title/Summary/Keyword: Nursing outcome

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Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea

  • Lee Byoungsook
    • Journal of Korean Academy of Nursing
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    • v.35 no.4
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    • pp.649-655
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    • 2005
  • The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was $41.7\%$. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M = 4.54), and Abuse Recovery: Financial, the lowest score (M = 2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M = 3.91) and lowest for Community Health (M = 2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M = 4.32) and lowest for Community Well-Being (M = 2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

A Study on application Course Embedded Assessment(CEA) for Program Outcome Assessment in Nursing Education (간호교육 프로그램학습성과 평가를 위한 Course Embedded Assessment(CEA) 적용방안 기초연구)

  • Nam, Soung-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.5
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    • pp.3121-3130
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    • 2015
  • The purpose of this study was to suggest application of Course Embedded Assessment (CEA) for program outcome in nursing education through literature & Office of Assessment web site reference review on concept, advantage, disadvantage, process, measure, tool and precaution. The process of CEA is program outcome, calculate weight of program outcome, embed program outcome in curriculum, development a rubric for CEA, assessment, analysis the result and achievement, feedback loop. CEA is vary useful to proof the student personal achievement and program quality improvement.

The Effect of the Patient's Characteristics on Nursing Outcomes in Gastrointestinal Surgery Patients (간호결과에 대한 환자 특성의 영향 - 위장관계 수술 환자를 중심으로 -)

  • Lee, Byoung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.3
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    • pp.249-259
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    • 2008
  • Purpose: This study was performed to identify the patient characteristics significantly affecting nursing outcomes and their predictability in gastrointestinal surgery patients. Method: The subjects were 149 abdominal surgery patients from 3 general surgical nursing units of 3 general hospitals. Two instruments were used to measure nursing outcomes and acuity of the subjects. The nursing outcomes were measured at post-operation 4 and 7days using review of patients' records, observation of patients, and interviews with patients by a trained nurse. For data analysis, T-test or ANOVA, Pearson Correlation and Stepwise Multiple Regression were done. Result: Age, severity score, diagnosis, cancer or not, operation site were the subjects' characteristics that were significantly related to the nursing outcomes in both post-operation 4 and 7days. Cancer or not, age, diagnosis and severity score were the significant predictors for the scores of nursing outcome in post-operation 4days and the predictability was 34.9%. The predictability of cancer or not was highest, 22.6%. Age, diagnosis and cancer or not were the significant predictors for the scores of nursing outcome in post-operation 7days and the predictability was 27.8%. The predictability of age was highest, 17.3%. Conclusions: The patient characteristics affecting nursing outcomes should be considered when nursing care is planned and provided. Especially, careful attention should be given to the patients with cancer and older age. And, these patient characteristics should be adjusted for correct estimation of the effectiveness of nursing interventions on nursing outcomes.

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Achievement of Nursing Program Outcome among Nursing Students (간호대학생의 간호학 학사학위 프로그램 학습성과 성취도)

  • Lee Oi Sun;Lim Jung Hye
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.5
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    • pp.1-8
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    • 2023
  • The purpose of this study was to examine the achievement of nursing program outcome among nursing students. Data were collected from December 7, 2021 to November 28, 2021, using a questionnaire for 141 fourth-grade college students in G-gun and C-city. The collected data were analyzed using SPSS WIN 23 with limits, mean and standard deviation, t-test, and ANOVA. Results of the Study As for the program outcomes of nursing students' undergraduate degree program in nursing, Understanding the legal and ethical standards of nursing practice was the highest at 4.61 points and Global perception scored the lowest at 3.80 points. It was found that the higher the satisfaction with the department of nursing and the satisfaction with college life, the higher the program outcome achievement. Based on the research results, it is necessary to develop and apply a plan to improve by developing and applying curriculum and extracurricular activity programs in order to improve the global perception program outcome of the graduating year.

Interpregnancy Interval and Adverse Birth Outcome in Term Premature Rupture of Membrane, 2017

  • Workineh, Yinager;Ayalew, Emiru;Debalkie, Megbaru
    • The Korean Journal of Food & Health Convergence
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    • v.5 no.2
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    • pp.1-11
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    • 2019
  • The objective of this study is to assess the effect of interpregnancy interval on fetal outcome among women with term premature rupture of membrane in public hospitals, Ethiopia, 2017. Facility based follow up study was conducted in Southern Ethiopia public hospitals from February 30, 2017 to August 20, 2017. Among 150 observed mothers with interpregnancy interval of less two years, 46.67 % (95% CI: (7.170, 29.93) of them experienced adverse birth outcome, but among 173 women with interpregnancy interval of two and above years, 5.78% (95% CI: (7.170, 29.93) of them experienced adverse birth outcome. The odds of adverse birth outcome were more among women with interpregnancy interval of less than two years (AOR=17.899, 95%CI: [6.425, 49.859]. The effect of interbirth interval of less than two years on adverse birth outcome of newborn was increased by length labor of >=24 hours, induction of labour and cesarean section delivery. Interpregnancy interval of less than two years, in collaboration with other risk factors, is the main predictor of adverse birth outcome. Therefore especial attention should be given to mothers with birth spacing by using family planning methods to reduce adverse birth outcome.

Validation of Major Nursing Diagnosis-Outcome-Intervention(NANDA-NOC-NIC) Linkage for Adult Surgery Patients of Post Anesthetic Care Unit (회복실 성인 수술환자의 주요 간호진단, 간호결과 및 간호중재 연계검증)

  • Cho, Eun Jaung;Kim, Nam Cho
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.141-151
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    • 2008
  • Purpose: This study aimed at applying a standardized nursing process to adult surgery patients of post anesthetic care unit, and examining the validity of linkages in the measuring index of nursing outcome by which nursing outcome was applied. Method: The subjects were 184 surgery adult patients admitted at the post anesthetic care unit of Y university hospital. This study was used the measured tool developed by Choi et al.(2004) and by Lee (2004) who had already verified a validity based on Johnson and Bulechek's study(2001). Results: The nursing diagnosis of an acute pain, an urinary retention, a nausea, a decreased cardiac output, an ineffective airway clearance and an ineffective airway clearance were used in taking care for patients. The related factors according to the main nursing diagnosis were as the following: an injurious physical factor in an acute pain, reflex are inhibition in an urinary retention, post surgical anesthesia in a nausea, stroke volume change in a decreased cardiac output, secretory stasis in an ineffective airway clearance, pain in an ineffective breathing pattern. Conclusion: The study results could be facilitated in nursing process application for nurses at post anesthetic care unit. Also this study would provide basic data to develop a computerized program for the improvement of nursing process application.

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Path Analysis of Factors Influencing Career Preparation Behavior of Korean Nursing Students - Based on Social Cognitive Career Theory (간호대학생의 진로행동에 영향을 미치는 요인에 대한 경로 분석- 사회인지 진로이론을 중심으로)

  • Koo, Hyun Young;Park, Ok Kyoung;Jung, Sun Young
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.10-18
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    • 2017
  • Purpose: The purpose of this study was to identify personal, contextual, and cognitive factors influencing the career preparation behavior of Korean nursing students. In this study, an examination was done of the fitness of a path model for the relationship among these factors based on the social cognitive career theory. Methods: The participants were 413 nursing students in South Korea. Data were collected using self-report questionnaires that included self-esteem, social support, self-efficacy, outcome expectation, career decision level, and career preparation behavior. Data were analyzed using descriptive statistics, Pearson correlation analysis, and path analysis. Results: The factors influencing career preparation behavior were self-efficacy, career decision level, self-esteem, outcome expectation, and social support. The factors influencing career decision level were self-efficacy, outcome expectation, self-esteem, and social support. Conclusion: The findings indicate that self-efficacy is an important factor influencing the career behavior of Korean nursing students. Nurse educators should consider personal, contextual, and cognitive factors of nursing students and develop systemic career guidance programs to help nursing students' career preparation behavior.

Prediction Model for Nursing Work Outcome of Nurses - Focused on Positive Psychological Capital (간호사의 간호업무성과 예측모형 - 긍정심리자본을 중심으로)

  • Lee, Soon Neum;Kim, Jung A
    • Journal of Korean Academy of Nursing
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    • v.50 no.1
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    • pp.1-13
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    • 2020
  • Purpose: The purpose of this study was to construct and test a structural equation model on nursing work outcomes based on Youssef and Luthans' positive psychological capital and integrated conceptual framework of work performance. Methods: This study used a structured questionnaire administered to 340 nurses. Data were analyzed using structural equation modeling. Results: Positive psychological capital showed indirect and direct effects on job satisfaction, retention intention, organizational citizenship behavior, and nursing performance. While, the nursing work environment had direct and indirect effects on job satisfaction and nursing performance, it only had indirect effects on intention to work and organizational citizenship behavior. Additionally, a mediating effect on retention intention and organizational citizenship behavior was found between job satisfaction and nursing performance variables. Conclusion: The nursing organization needs to build a supportive work environment and reinforce positive psychological capital to improve nursing performance. Additionally, it needs to actively manage the necessary parameters involved in the stages of job satisfaction, retention intention, nursing performance, and organizational citizenship behavior of nurses. The findings propose the continuous management of nursing personnel based on nurses' attitude outcome, behavioral intention, behavioral outcome, and stage of role performance.

Korean Version of the Outcome Expectations for Exercise Scale-2: Validation Study (한국판 운동기대감 측정도구 (K-OEE-2)의 타당도와 신뢰도)

  • Choi, Mona;Jung, Dukyoo
    • Korean Journal of Adult Nursing
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    • v.24 no.6
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    • pp.580-587
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    • 2012
  • Purpose: To develop and test the validity and reliability of the Korean version of outcome expectations-2 for exercise. Methods: The Korean version of outcome expectations for exercise-2 was developed through forward-backward translation techniques. Content, criterion, and construct validity using confirmatory factor analysis and an internal consistency reliability were conducted. Survey data were collected from 200 older adults living in a community. Results: The Korean version of outcome expectations for exercise-2 had factor loadings of the 13 items ranged from .20 to .76, and was validated by confirmatory factor analysis (CFI=.829, NFI=.754, RMSEA=.086). Also there was a reliable internal consistency with a Cronbach's ${\alpha}$ for the positive domain of outcome expectations for exercise scale-2 of .73. Negative domain, however, reported slightly low Cronbach's ${\alpha}$ of .63. Conclusion: The findings of this study demonstrated that the Korean version of outcome expectations for exercise-2 had satisfactory validity to measure expectations regarding exercise among older adults in Korea. Negative domain, however, should be retested to verify reliability for the further study.

Developing Course Outcome to Achieve Exit Outcome: Applying Hauenstein's theory (졸업성과 달성을 위한 교과목 학습성과 개발 : Hauenstein의 교육목표분류체계 적용)

  • Hwang, Yoon Young;Kim, Sun Hee;Chu, Min Sun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.2
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    • pp.155-167
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    • 2015
  • Purpose: The aim of this study was to develop course outcomes for nursing students by applying Hauenstein's theory. Methods: The research was conducted in three steps as follows: identifying exit outcomes related to the Adult Nursing course, developing Adult Nursing course outcomes based on the theory of Hauenstein, and finalizing Adult Nursing course outcomes. Results: Exit outcomes achievable in Adult Nursing were generated after a needs analysis survey among students, nurses and professors was conducted and subsequently reviewed by professors specializing in the subject. For theoretical courses, the level of the course outcomes was derived from the cognitive domain, whereas, for practical courses, it was derived, in stages, from the cognitive, affective and psychomotor domains. Next, using taxonomical terms that can properly address the level of each domain, course outcomes for theoretical and practical courses were determined. After expert opinion was sought, the final course outcome for the Adult Nursing course was produced. Conclusion: The results are meaningful in that valid course outcomes were developed through the process described above and are expected to greatly contribute to reaching exit outcomes and strengthen the professional capacity of nursing students.