• 제목/요약/키워드: Nursing perspectives

검색결과 376건 처리시간 0.031초

농촌여성노인의 베트남며느리 뒷바라지 체험 (The Lived Experience of Elderly Women's dueitbaragi for Vietnamese Daughter-in-law)

  • 김윤경;양복순
    • 디지털융복합연구
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    • 제17권10호
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    • pp.381-393
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    • 2019
  • 본 연구는 농촌여성노인의 베트남며느리 뒷바라지 체험의 의미와 본질을 탐색하기 위하여 van Manen의 해석학적 현상학 연구방법을 사용하였다. 연구 참여자는 베트남며느리와 동거하는 농촌지역 여성노인 8명을 대상으로 하였으며, 자료수집은 면대면 심층면접과 관찰을 통해 이루어졌다. 연구결과 8개의 본질적 주제와 28개의 주제가 도출되었다. 농촌지역 여성노인들은 베트남며느리를 맞아 아들가정을 지속적으로 지원해 주어야만 했고, 한국과 베트남의 문화 차이로 인한 높은 스트레스를 경험하고 있었다. 이상의 연구결과는 실용적이고 포괄적인 지역사회 간호 중재 개발에 기여할 수 있을 것으로 여겨지며, 향후 모든 가족 구성원의 관점에 기초하여 베트남며느리, 아들 및 손자 관점에서의 경험을 탐구하는 후속 연구가 필요할 것으로 사료된다.

입원경험이 환자의 만족도와 병원추천의향에 미치는 영향 (The Effect of inpatients' Experience on Patients' Satisfaction and Willingness to Recommend Hospital)

  • 조명선
    • 디지털융복합연구
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    • 제19권2호
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    • pp.299-305
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    • 2021
  • 본 연구는 입원환자의 만족도과 병원추천의향에 미치는 영향 요인을 연구하기 위해 '2018년 의료서비스경험조사' 원시자료중 입원의 경험이 있는 593명의 자료를 분석에 활용하였다. 분석결과, 환자의 입원 경험은 의사 요인, 간호사 요인, 시설 및 행정, 보건의료제도의 4개 요인으로 분류되었다. 의사 요인, 간호사 요인, 시설 및 행정 요인, 보건의료제도 요인은 성별, 연령, 교육수준 등의 인구사회학적 요인과 건강관련 요인을 통제한 다중회귀분석에서, 입원환자의 만족도와 병원추천의향에 각각 영향을 미치는 것으로 나타났다. 따라서 입원환자의 만족도를 제고하기 위해 의사, 간호사 등 의료진과 병원의 시설 및 행정지원 서비스가 총체적으로 환자중심적인 태도와 방향으로 개선하는 노력 외에도 보건의료제도에 대한 신뢰와 만족을 제고하기 위한 다각적인 방안이 강구되어야 할 것이다.

Evaluation of Physicians' Perception of Patient Safety Incidents Including Disclosure Utilizing Hypothetical Clinical Vignettes

  • Kim, Juyoung;Pyo, Jee-Hee;Choi, Eun-Young;Lee, Won;Jang, Seung-Gyeong;Ock, Min-Su;Lee, Sang-Il
    • 한국의료질향상학회지
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    • 제28권1호
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    • pp.34-44
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    • 2022
  • Purpose:We investigated physicians' responses to a series of clinical vignettes consisting of patient safety incidents, with and without disclosure of patient safety incidents (DPSI). Methods: An anonymous survey was conducted to investigate physicians' responses to the DPSI via online communities of physicians, and additional participants were recruited using a snowballing sampling method. We evaluated physicians' responses to the DPSI using eight hypothetical scenarios (HS) from the following perspectives: thoughts regarding medical errors, revisiting the physician, recommendation, lawsuit, criminal prosecution, trust score, and compensation amounts. We used the chi-square test to evaluate the overall differences in response rates among the scenarios. Statistical analyses were performed using the Student's t-test to compare the trust scores and compensation amounts. Results: A total of 910 physicians participated in this survey. An overall comparison of trust scores among HS showed that HS 1 (unclear medical errors, minor harm, and DPSI) had the highest trust score. In contrast, in the opposite scenario, HS 8 (clear medical errors, major harm, and DPSI not conducted) received the lowest scores. Cases with minor harm to patients (HS 1, 2, 5, and 6) showed lower compensation amounts than the others (HS 3, 4, 7, and 8). Physicians were more likely to think of situations with DPSI as not having medical errors (53.1% vs. 55.2%). In addition, the scenarios with DPSI were evaluated favorably in terms of intention to revisit, recommend, suit, and engage in criminal proceedings. Physicians showed higher trust scores (6.2 vs 5.4) and gave lower compensation amounts ($27.7 million vs $28.1 million), although there was no significant difference in terms of compensation amounts to the physician conducting DPSI. Conclusion: Our study showed overall positive perceptions regarding DPSI among Korean physicians.

중환자실 간호사의 환자안전사고 소통하기에 대한 인식과 의사소통 장애 간의 관계 (Relationship between the Perceptions of ICU Nurses on the Disclosure of Patient Safety Incidents and Communication Barriers)

  • 조인선;최수정
    • 중환자간호학회지
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    • 제17권1호
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    • pp.44-56
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    • 2024
  • Purpose : This study sought to explore intensive care unit (ICU) nurses' perceptions regarding the disclosure of patient safety incidents (DPSI) and identify the relationship between the perception of DPSI and communication barriers. Methods : This study used a descriptive research design. A total of 110 ICU nurses from a tertiary hospital were surveyed online between September 14 and October 5, 2022. The mean DPSI score ranged between 1.0 and 4.0, with a higher score indicating a higher perception of DPSI. Results : The mean score for ICU nurses' perceptions of DPSI was 2.92 (SD=0.37). Among the characteristics of ICU nurses, differences were observed in perceptions of DPSI according to gender, age, total work experience, and ICU work experience. Communication barriers among ICU nurses were negatively correlated with negative results as a sub-factor of perceptions of DPSI. Ambiguity in the nurse's position, lack of confidence, differences in perspectives with patients, and inadequate nurse-patient relationships as sub-factors of communication barriers exhibited a negative correlation with negative results as a sub-factor of perceptions of DPSI. Conclusions : ICU nurses' perceptions of DPSI and the sub-factors related to communication barriers are negatively related to DPSI. To improve ICU nurses' perceptions, open and non-punitive circumstances, staff education, practical guidelines, and support systems are required.

액취증 환자에서 표준 진료지침서의 개발과 적용 (Development and Implementation of a Critical Pathway in Patient with Osmidrosis)

  • 김양우;김흥규;심경원
    • 한국의료질향상학회지
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    • 제9권1호
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    • pp.66-73
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    • 2002
  • The current health care system demands provisions for patient care in perspectives of a cost-effectiveness and patient satisfaction. Critical pathway implementation facilitates optimal sequencing and intervention timing of patient care, and makes medical team and patients participate in a treatment actively. In this study, a critical pathway was developed and implemented to patients with osmidrosis who undertake operation. Sixty patients were included in the study. The critical pathway was implemented for care of 26 patients while the traditional care was implemented for 34 patients. In the critical pathway implemented group, time needed for charting and unessential working was reduced. Mean time amount of time for patient nursing was increased. The critical pathway implementation is an effective method to utilize time of medical team. Also it increases the satisfaction index of patients and medical team simultaneously.

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일 정신건강 사정도구의 준거 타당도 검증 (Testing the Crierion-related Validity of a Mental Health Assessment Tool in Kerean Adult)

  • 고성희
    • 대한간호
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    • 제30권4호
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    • pp.61-68
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    • 1991
  • This study was conducted to testing the criterion - related validity of a mental health assessment tool which developed based on a korean culture. Criteria scale for this tool were MMPI and CMI(M - R). The study subject were 100 male and female aged 20 or more with quota sampling. The data was collected from August 16. to August 26. 1989. The data obtained from 85 subjects were analysed using S.P.S.S.(Stastistical Package for the Social Science). As a result, there are no significant correlation between Mental Health Assessment Tool and MMPI and CMI except Mf(Masculinity-Feminity) Subscale of MMPI. This result means the MMPI and CMI was not related to tool which developed based on medical model from etic perspectives, although the tool which had been developed in America Modified to Korean situation. So I dare to say that only the absence of mental illness does not means mental health and the diagnosis of mental illness is not the only criteria of a mental health.

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여성건강을 위한 개념적 모형 (Conceptual Model for Women s Health)

  • 이경혜
    • 대한간호학회지
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    • 제27권4호
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    • pp.933-942
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    • 1997
  • There has recently been an increased interest in women's health from, various disciplines, with different perspectives presented according to each profession's academic background. This has led to many instances of incorrectly defining, or misinterpretation, of the issues even among professionals. Nurse scholars as well as practitioners who work in women's health care need to have a clear conceptual understanding of women's health in order to build a body of knowledge, delineate curricular activities, and set directions for professional nursing interventions. In addition, a conceptual model that may be directly utilized in practice is needed to maintain and promote women's health issues. The purpose of this study was to apply a Hybrid model, analyzing conceptual definitions and discussions related to women's health gathered from review of the literature. Further to compare analyticals the concepts and properties observed from field work, so as to present a final definition of women's health and, build a conceptual framework for a united comprehensive perspective on the concept as well as on nursing practice. Data collection and analysis consisted of a theoretical stage, field work stage, and final analysis. A heterogeneous group of professionals and lay persons, 39 in all, participated in the field work. Study findings Include several subconcepts under the concept of women's health : a woman's whole life, holistic health, quality of life, awareness of being a woman, individual nursing, self care ability, reproductive health, and family health. Thus, a comprehensive definition was built, 1. e., "Women's health care be defined as improvement in the quality of life of women through attainment of holistic health throughout the life span. With reproductive health at the core, the concept is directly related to family and national health, and includes taking care of one's own health based on awareness of being a woman and utilizing self care activities. Women's health care issues are unique and allow various responses, therefore women's health professionals need to apply individual approaches to reach solutions in attaining holistic health and improving quality of life." The constructual factors of women's health were found to be reproductive functions, diseases more common in woman, self actualization, mental health, women's health policies, sexuality, midlife changes, and marital relations, with each factor having more than three properties. Positive factors affecting women's health were found to be a normal childbearing process, a healthy lifestyle, active health management, health information, support, and resources, and interpersonal relationships. Negative factors were found to be overwhelming role stress, cultural oppression, gender inequality, distorted sexual identity, economic difficulties, misuse and/or abuse of substances, and stress. The model of women's health may be visualized as a balance scale set upon a woman's life, supporting 4 concentric circles. The innermost circle and second circle incorporate conceptual definitions of women's health, and the outer two circles represent the constructional factors and properties of women's health. Each circle has its own color that symbolizes the conceptual meaning. Positive and negative factors are represented as weights at either end of the scale, and are affected by nursing intervention, i. e., health and wellness increase when positive factors are stronger, whereas disease and illness increase when negative factors are stronger. This model is only a preliminary effort and requires much discussion and testing to be further developed. Continuous research is also required.

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결핵환자의 스티그마, 가족지지와 삶의 질의 관계 (Relationships of Stigma, Family Support, and Quality of Life in Tuberculosis Patients)

  • 박수정;안민정;소향숙
    • 한국콘텐츠학회논문지
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    • 제15권9호
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    • pp.285-294
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    • 2015
  • 본 연구는 결핵환자의 스티그마, 가족지지 및 삶의 질과 이들의 상관관계를 파악하기 위한 서술적 조사연구이다. 연구 대상자는 일개 대학교 병원에서 결핵치료를 받는 환자 122명으로 구조화된 설문지를 이용하여 자료를 수집하였다. 수집된 자료는 기술통계, t-test, ANOVA, 및 Pearson's correlation으로 분석하였고, 연구결과는 다음과 같다. 스티그마 I(결핵에 대한 타인 관점에 대한 지각)은 $18.67{\pm}7.48$ 이었고, 스티그마 II(자신의 관점에 대한 지각)는 $14.84{\pm}6.93$ 이었다. 가족지지는 평균 $30.81{\pm}4.16$ 이었고, 삶의 질은 평균 $102.22{\pm}13.72$ 이었다. 스티그마 I과 스티그마 II 사이에는 높은 정적 상관성(r = .753, p <.001)을, 스티그마II와 삶의 질은 경도의 부적 상관성(r = -.250, p = .005)을, 가족지지와 삶의 질은 중정도의 정적 상관성(r = .314, p < .001)을 나타내었다. 본 연구결과가 보여준 가족지지와 삶의 질의 정적 상관관계를 기반으로, 결핵환자의 스티그마를 줄이고 삶의 질을 증진시키는 중재프로그램을 개발하고 그 효과를 평가하는 연구를 제언한다.

한방간호접근을 위한 이론적 고찰 (A Literature Review for Approach of Oriental Nursing)

  • 강현숙
    • 대한간호학회지
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    • 제23권1호
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    • pp.118-129
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    • 1993
  • In order to approach the nursing care of clients who are using oriental medicine and to understand the perception of the client who uses oriental medicine practices and the need to develop a model of nursing related to oriental medicine it is important to examine the major nursing concepts as they are found in oriental medicine and as they are differently defined according to the basic thought, theory and philosophical perspectives between East and West. Oriental medicine developed based on Sung Confucianism the teachings of Chut-zu, especially Tai-Chi-Tu Shuo and energy thought which are similar to traditional Korean Sasang Constitutional medicine. The basic theory on which oriental medicine is build is the theory of the five elements of Yin / Eum-Yang Theory(cosmic dual forces) and Meridian Theory. The most important attribute of Yin Yang is the concept of duality, confrontation and dependence, within Yin Yang but which do not exist separately. That is, the universe is a vast, indivisible entity within which all things exist in harmonious interdependence and balance. Harmony is achieved only when the two primorial forces, Yin and Yang, are brought into perfect balance. Each is contained within the other and there is a continuing interchange between the two. This also applies to the human body including human health which is defined as balanced harmony. The most universal connection of Yin and Yang is found in the universe where the five elements of life, fire, water, earth, wood and metal can be explained as having either Yin or Yang and therefore being in a state of connectedness but systematically circulating between the two, that is essentalilly one (the control of the unified ) or as coexistant poles of individual wholes (the pluralism of Yin Yang Theory) so that it is all unified(balanced) in the Great Absoulte. Human beings also maintain a balance of Yin and Yang in the five elements and this relationship is very important in approaching ·oriental medicine, The meridians are the channels in the body through which the life force flow throughout the body. In oriental medicine the meridians are seen as the railroad, the acupuncture points on the meridians as the stations and energy as the train. In the normal healthy organism, all are maintained in balance and in a contiuous circulation of energy. illness is the result of the energy flow becoming disarranged. Although practitioners of oriental medicine approach the client differently than do practitioners of Western medicine and their method of examining the patient is different, the basic objectives of the examination are the same for practitioners of both types of medicine. Therefore if each could be used to supplement the defiencies in the other and achieve a harmonious cooperation between the two, a higher level of care which is culturally appropriate to korean culture could be achieved. The traditional korean concept of health is a naturalistic view which emphasizes being in harmony with nature. Any manifestation of disease is considered a sign that the body is in a state of disequilibrium and is thus no longer in harmony with the universe. The wholistic view of the world held by practitioners of oriental medicine can be used by nursing in the development of a world view of nursing in which the human being is seen within the macrocosm as part of the natural phenomenon of the universe and but also as a microcosm of the universe, a universe which is a vast and indivisible entity within which all things exist in harmonious interdependence and balance. Interaction between human beings and their environment and the relationship of this interaction to health are concepts that are also found in nursing. Nursing views human brings, not as an accumulation of separate cells and organs but, as unified wholes interacted in very close relationship nth their environment. Nursing also maintains a view of human beings in which emphasis is placed on the role of the mind in explaining the concepts of harmony and balance in health. Although there are differences between oriental medicine and nursing in approaches to clients, the basic point of view and philosophy have many fundamental similarites. An understanding of the basic thought and philosophy of oriental medicine if applied to nursing, would allow for the development, not only of nursing related to oriental medicine, but of a nursing theory appropriate to the korean context.

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중환자실 간호사의 의사소통 난이도, 중요도 및 만족도에 관한 인식과 환자 가족과의 의사소통 장애에 대한 조사연구 (ICU Nurses' Perceptions of Communication Difficulties, Importance, Satisfaction and Communication Barrier with Patient Families)

  • 안정원;김금순
    • Perspectives in Nursing Science
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    • 제10권1호
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    • pp.12-23
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    • 2013
  • Purpose: This study was conducted to investigate ICU nurses' perceptions of communication difficulties, the importance of and satisfaction with communication with doctors, other nurses, patients, and family, as well as to explore communication barrier with patient families. Methods: Investigators developed a 15-item communication perception questionnaire and 58-item communication barrier questionnaire. Communication barrier included 4 domains: nurses, family, environment, and patient condition. A total of 151 ICU nurses with a minimum of one year of ICU experience participated. Results: ICU patients ($3.38{\pm}0.73$) were the most difficult group to communicate with, followed by family ($3.32{\pm}0.72$), senior nurses ($3.25{\pm}0.74$), doctors ($3.21{\pm}0.68$), and nurse colleagues ($2.64{\pm}0.73$). Doctors ($4.61{\pm}0.53$) were the most important group to communicate with, followed by nurse colleagues ($4.52{\pm}0.54$), patients ($4.49{\pm}0.58$), senior nurses ($4.44{\pm}0.55$), and family ($4.43{\pm}0.61$). Satisfaction with communication was the highest with colleague nurses ($3.60{\pm}0.68$), then senior nurses ($3.37{\pm}0.74$), family ($3.18{\pm}0.71$), patients ($3.09{\pm}0.75$), and doctors ($3.06{\pm}0.83$).The total score of the communication barrier was $2.83{\pm}0.52$, where each domain was scored as follows: patient condition $3.13{\pm}0.74$, nurses $2.83{\pm}0.60$, environment $2.81{\pm}0.66$, and family $2.76{\pm}0.57$. The ICU nurses reported that communication was difficult due to 'sudden deterioration in the patient's condition', 'being too busy', 'a noisy environment', and 'information not being shared between family members.' Significant differences were noted by age, clinical experience, and marital status of nurse respondents. Conclusion: The findings indicated that development of a protocol on communication between nurses and doctors as well as development of an educational program on communication skills are necessary.

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