• 제목/요약/키워드: Patient-Centered Nursing

검색결과 153건 처리시간 0.019초

간호대학생을 위한 휴머니튜드 케어 교육 프로그램 개발 및 효과 (Development and Evaluation of Humanitude Care Education Program for Nursing Students)

  • 정하림;최희정
    • 근관절건강학회지
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    • 제30권1호
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    • pp.1-14
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    • 2023
  • Purpose: This study aimed to develop Humanitude care educational program and validate its effects with a sample of third-year nursing students, thereby providing fundamental data for the application of the program to the education of gerontological nursing. Methods: Humanitude care comprised four strategies and five steps for the elderly. In this study, the Humanitude care educational program for nursing students was developed according to ADDIE process. And then, a non-randomized control group pretest-posttest design was adopted to identify the effects of the Humanitude care educational program. The intervention group with 22 third-year nursing students completed the Humanitude care educational program and then participated in clinical practice for 3 weeks. The 25 third-year nursing students in the comparison group participated in clinical practice without taking educational intervention. Differences between the intervention group and control group on Humanitude care knowledge, attitude toward the elderly, patient-centered communication, and care efficacy were analyzed with t-tests. Results: After completing the Humanitude care education, the intervention group showed significantly high scores in Humanitude care knowledge (t=8.82, p<.001), patient-centered communication (t=2.54, p=.015), and care efficacy (t=2.14, p=.040) than the control group. However, after finishing clinical practice, there were no significant differences in all variables between the intervention and control groups. Conclusion: Humanitude care educational program can be adopted as an effective intervention in Humanitude care knowledge, patient-centered communication, and care efficacy of nursing students. However, to continue the educational effect, instructors should facilitate nursing students applying Humanicide care in clinical practice. Ultimately, it can propose a novel educational direction that can be applied to human-centered care in gerontological nursing practice.

The Effect of Patient-centered CPR Education for Family Caregivers of Patients with Cardiovascular Diseases

  • Kim, Hyun Sun;Kim, Hyun-Jin;Suh, Eunyoung E.
    • 대한간호학회지
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    • 제46권3호
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    • pp.463-474
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    • 2016
  • Purpose: For cardiovascular patients, family caregivers play a vital role in daily nursing and cardiac emergencies. This study aimed to evaluate the effect of patient-centered CPR education (PCE) for family caregivers of patients with cardiovascular diseases. Methods: Fifty-four participants were randomly assigned to the PCE or control group. The PCE group received tailored counseling on overall cardiovascular disease information and CPR followed by interactive instructor-guided CPR training and re-education follow-up by telephone 2 weeks later. The control group received only video-based CPR self-education and booklets. Cardiovascular disease and CPR knowledge and self-efficacy were measured before (pre-test), immediately after (post-test 1), and 4 weeks after the PCE (post-test 2). CPR skills and performance were measured pre-test and at post-test1. Results: The PCE group demonstrated significant improvements in knowledge (F=91.09, p<.001), self-efficacy (F=15.19, p<.001) and CPR skills and performance (F=8.10, p=.008), as well as significant differences over time (knowledge: F=364.25, p<.001; self-efficacy: F=1162.28, p<.001; CPR skills and performance: F=1798.81, p<.001). There were significant group-by-time interactions for knowledge (F=8.10, p=.001), self-efficacy (F=4.30, p =.019) and CPR skills and performance (F=4.81, p=.036) by repeated measures ANOVA. Conclusion: This is the first study to demonstrate the effects of a patient-centered intervention with CPR education tailored for patients' and family caregivers' preferences, needs, and lifestyles. The results of this study encourage the use of tailored, patient-centered interventions in cardiovascular nursing practice.

회복실의 간호업무에 관한 조사 연구 (A Study of Nursing Activities Performed by Nursing Personnel in Postanesthetic Room)

  • 최경숙
    • 대한간호학회지
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    • 제7권2호
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    • pp.22-30
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    • 1977
  • An analysis of the Nursing activities was carried out during the period of October 6 - 10, 1975 for five days, at postanesthetic room in Seoul National University Hospital. Continuous Time Study method was applied to this study by Observing and checking the activities performed by 8 nursing personnel at head nurse, staff nurse, and nurse aide level. Six nursing Students and 6 staff nurses observed and recorded all activities during the day and the evening for 5 days after certain process of training. Following results were obtained I 1. Percentages of nursing activity os were identified at each level of nursing personnel according to the skill Level 1) Thirty three point forty two Percent of the total head nurse's activities were spent by administrative activities, 21,33% by Clerical activities, 10.63% by Nursing activities, 6.54% by Messenger activities, 4.0% by Housekeeping activities, and 24. 08% by Unclassified activities, 2) Forty point forty two percent of the total staff nurses'activities were spent by Nursing activities, 12.7% by Administrative activities, 8.03% by Housekeeping activities, 3.08% by Clerical activities, 2.03% by Messenger activities, 0.08% by Dietary activities, and 34.19 o/e by Unclassified activities. 3) Thirty six point sixty three percent of the total nurse aide's activities were spent by Messenger activities, 14.4% by Housekeeping activities, 2.2% by Nursing activities, 1.0% by Clerical activities, 0.83% by Administrative activities, and 44.94% by Unclassified activities, 2. Percentages of nursing activities were identified at each level of nursing personnel according to area of activity. 1) Thirty three point ninety six percent of the total head nurse's activities were spent by Unit - Centered activities, 30.26% by Patient - Centered activities, 8.69 % by Personnel - Centered activities and 24.09 o/o by Other - Centered activities. 2) Fifty two point seventy four percent of the total staff nurses' activities were spent by Patient - Centered activities, 11.5 % by Unit -Centered activities, 1.68 % by Personnel -Centered activities and 34.02% by Other - Centered activities. 3) Forty nine point sixty seven Percent of the total Nurse aide's activities were spent by Unit -Centered activities, 5.13% by Patient -Centered activities, 0.27% by Personnel -Centered activities and 44.93%by Other -Centered activities. 3. Percentages of staff nurses' activities were identified at each skill Level according to their shifts. 1) Forty four point eighty one percent of the total day time activities were spent by Nursing activities, 13.62% by Administrative activities, 6.37% by Housekeeping activities, 2.08% by Clerical activities, 1.74 % by Messenger activities, 0.07% by Dietary activities and31.31 o/o by Unclassified activities. 2) Thirty three point eighty seven percent of the total evening time activities were spent by nursing activities, 10.51% by Housekeeping activities, 10.0% by Administrative activities, 4.58% by Clerical activities, 2.46% by Messenger activities, 0.09% by Dietary activities and 38.49% by Unclassified activities, 4. There was no great difference among activities of 5 days.

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노인요양시설 요양보호사의 인간중심돌봄과 환자안전문화가 치매노인 낙상예방행위에 미치는 영향 (Effect of Eldercare Facility Care Workers' Person-centered Care and Patient Safety Culture on Fall Prevention Behavior of Older Adults with Dementia)

  • 변수경;강경자
    • 근관절건강학회지
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    • 제31권2호
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    • pp.126-136
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    • 2024
  • Purpose: This study aimed to investigate the level of person-centered care, patient safety culture, and fall prevention behaviors of eldercare facility workers, and identify influencing factors. Methods: Data were collected from 185 care workers at eight eldercare facilities in City J from February 1 to March 25, 2022. The data were analyzed using SPSS/WIN 25.0. Results: The results indicated that the factors influencing fall prevention behaviors in older adults with dementia were person-centered care (β=.28, p=001), patient safety culture (β=.21, p=.012), age (β=-.18, p=.005), and participation in fall prevention education (β=-.15, p=.018). The explanatory power of the model was 31.6%. Conclusion: These results suggest that, to improve fall prevention behaviors in older adults with dementia, efforts to promote person-centered care and patient safety culture are necessary. Accordingly, effective measures such as developing fall prevention education and programs should be explored to provide safe and high-quality care for older adults with dementia.

환자중심의료를 위한 병동디자인이 환자가족 및 의료진에 미치는 효과에 대한 연구 - 미국의 환자중심의료를 위한 중환자병동 사례를 중심으로 (A Study on the Effect of Unit Design for Patient-Centered Care on Family Members and Caregivers - A Case Study of the Intensive Care Unit (ICU) for Patient-Centered Care in the United States)

  • 최영선
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제21권3호
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    • pp.37-45
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    • 2015
  • Purpose: The main objective of this paper is, to evaluate the unit design for patient-centered care and to draw lessons-learned for further improvement. Methods: This study conducted a case study of the intensive care unit, designed to fulfill patient-centered care in the US. It evaluated the effectiveness of the unit by incorporating several study methods such as plan analyses, direct observations through nursing tracking and behavior mapping, and focus group interviews. Results: The major design decision made in this patient-centered unit was the use of patient rooms with designated family areas and distributed nursing stations. Both design features appeared to be a success on a variety of research metrics and outcomes. The study identified that the patient rooms ultimately help family members to spent more time with their loved ones, which leads to increased satisfaction of family members and nurses also report that they generally enjoy the distributed nurses' stations, which provide a comfortable environment to complete their regular lines of work such as charting, monitoring patients, and collaborating with their colleagues. Implications: Certain design features in intensive care units such as patient rooms with designated family areas and distributed nursing stations could appropriately support hospitals to fulfill patient-centered care.

코로나19 거점전담병원 간호사의 셀프리더십이 환자중심간호에 미치는 영향: 간호전문직관과 직무스트레스의 매개효과 (The Influence of Self-Leadership of Nurses in COVID-19 designated hospitals on Patient-Centered Nursing: The Mediating Effect of Nursing Professional Values and Occupational Stress)

  • 박미현;서복남
    • 산업융합연구
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    • 제21권6호
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    • pp.61-71
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    • 2023
  • 본 연구의 목적은 코로나19 거점전담병원 간호사의 셀프리더십과 환자중심간호 관계에서 간호전문직관과 직무스트레스의 변수들간 매개효과를 확인하는 것이다. 자료수집은 코로나19 거점전담병원 간호사 160명으로 2022년 1월 10일부터 2월 30일까지 실시하였고, 독립 t- 검정, 일원분산분석, 상관관계분석, 다중선형회귀분석, PROCESS MACRO 모델4를 활용하여 부트스트래핑 방법을 통해 분석되었다. 셀프리더십의 평균 점수는 61.3±8.55점, 간호전문직관의 평균 점수는 95.5±11.66점, 직무스트레스의 평균 점수는 51.3±4.76점, 환자중심간호의 평균 점수는 59.3±7.63점이었다. 코로나19 거점전담병원 간호사의 셀프리더십과 환자중심간호 간 영향관계에서 간호전문직관과 직무스트레스의 매개효과를 확인하였다. 이 연구의 결과는 환자중심간호 강화 프로그램 적용시 간호전문직관 향상 및 직무스트레스를 감소시킬 수 있는 내용을 포함해야 함을 시사한다.

복합질환을 가진 입원노인 대상 환자중심간호 개념분석 (A Concept Analysis on Patient-Centered Care in Hospitalized Older Adults with Multimorbidity)

  • 손연정;윤현경
    • 중환자간호학회지
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    • 제12권2호
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    • pp.61-72
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    • 2019
  • Purpose : The aim of this study was to explore the attributes, antecedents, and consequences of patient-centered care (PCC) for older adults with multimorbidity in acute care hospitals. Methods : The concept analysis performed by Walker and Avant was used to analyze PCC. Fifteen studies from the literature related to PCC appear in systematic literature reviews in the fields of theology, medicine, psychology, and nursing. Results : PCC in acute care hospitals was defined according to the five attributes of 'maintaining patient autonomy', 'empowering self-care', 'individualized and relationship-based care', 'shared decision-making', and 'creating a homelike environment'. Antecedents of PCC were found to be a respect for patients' preferences, qualifications of the nursing staff, care coordination and integration, and organizational support. Consequences of effective PCC were a functional status; health-related quality of life; satisfaction with care, mortality, and medical costs from the perspective of the patient and family; and quality of care and therapeutic relationships from nurses' viewpoints. Conclusion : PCC as defined by the results of this study will contribute to the foundation of institutionalization and the creation of a safe and healthy acute care hospital culture focused on patients' preferences and values.

Perioperative Nursing Data Set(PNDS)를 이용한 수술실 간호중재 분석 (Identification of Nursing Interventions in the Operating Room using the Perioperative Nursing Data Set(PNDS))

  • 김경희;조복희
    • 기본간호학회지
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    • 제10권3호
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    • pp.361-370
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    • 2003
  • Purpose: This study was done to identify nursing interventions performed by operating room nurses using the Perioperative Nursing Data Set (PNDS). Method: The data were collected from 88 operating room nurses, from August 1 to October 25, 2002 using the PNDS developed by the Association of Operating Room Nurses and translated into Korean. Nurses working in 2 university hospitals in Gwang-ju and 2 general hospitals in Seoul. Data were analyzed using the SPSS program. Result: There were 15 of 127 nursing interventions which the operating room nurses indicated were important and which they performed at least once a day. Conclusion: The operating room nurses consider interventions to prevent physical injury and patient centered care to be very important, but the performance rate for patient centered care was low. It shows that there is a need in education courses for patient centered care to be more strongly emphasized.

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간호사가 지각한 질적간호에 대한 내용분석 (Content Analysis of Quality Nursing Care Perceived by Nurses)

  • 권성복;지성애;백경선;유수옥;주숙남;김복자;이혜숙;안옥희
    • 대한간호학회지
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    • 제31권3호
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    • pp.380-390
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    • 2001
  • Purpose: This study was designed to explore the perceptions of quality nursing care among nurses. Method: The data were analyzed using content analysis. The data were collected from 19 nurses who worked at diverse clinical areas in 8 general and university hospitals with over 400 beds. Result: 1. The attributes of quality nursing care were categorized into 7 hierarchies in the order of 'caring' (40.65%), 'specialty' (29.03%), 'nurse attainments' (15.48%), 'patient- centered nursing management' (6.45%), 'sincerity' (5.16%), 'kindness' (2.58%), 'satisfaction' (0.65%). 2. The concept of quality nursing care were defined as 'giving a satisfaction both to patients and nurses through patient-centered nursing management with specialty and caring in the ground of the kindness and sincerity'. Conclusion: Based on there findings, we suggest that the study results should be used for development of a quality assurance tool in nursing practice, patient care in hospital setting, education of nurses and nursing students. In addition, further repeated studies need to be conducted.

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중환자실 환자가 경험한 인간중심 간호에 관한 질적 내용분석 (A Qualitative Content Analysis of the Person-Centered Care Experienced by Critical Care Patients)

  • 홍희진;강지연
    • 중환자간호학회지
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    • 제11권2호
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    • pp.21-33
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    • 2018
  • Purpose : To explore the person-centered care (PCC) experienced by critical patients. Method : This qualitative study deductively examined the attributes of the PCC model proposed by Jakimowicz and Perry. The participants were 16 patients who were recently discharged from intensive care units at a university hospital. Data were collected through in-depth interviews and were analyzed using the deductive method of content analysis. Results : A total of 4 categories, 16 subcategories, and 33 codes were generated from 171 meaningful statements. The final 4 categories were "compassionate presence," "professional interaction," "outstanding competency," and "patient identity." These were consistent with the main attributes of Jakimowicz and Perry's model. However, most of the codes belonged to the "compassionate presence" and "patient identity" categories. Among the attributes of the model, "continuity of nursing," "therapeutic relationship," "expert knowledge," "clinical knowledge," "evidence-based intervention," and "patient's rights" were not derived as codes. Conclusion : These findings deepen the understanding of the PCC model from the patient's point of view. The main attributes of PCC identified in the current study can be applied to the development of practical guidelines for intensive care nursing. In addition, we recommend the development of a PCC measurement tool for critical care patients.