• 여성건강간호학회지
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• 제30권1호
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• pp.26-40
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• 2024

Purpose: This study investigated the scope of patient navigation studies on women's health care for maternal health and noncancerous gynecologic conditions and aimed to report the characteristics of the identified patient navigation programs. Methods: A scoping review was conducted following Arksey and O'Malley's framework. Five electronic databases were searched for relevant studies published in English: PubMed, Embase, Cochrane Library, CINAHL, and PsycInfo. There were no restrictions on the publication date and the search was completed in July 2023. Results: This scoping review included 14 studies, which collectively examined seven patient navigation programs. All selected studies were related to maternal health issues (e.g., perinatal health problems and contraception for birth spacing). Close to two-thirds of the patient navigation services were provided by women (n=9, 64.3%) and half by lay navigators (n=7, 50.0%). The majority incorporated the use of mobile health technologies (n=11, 78.6%). All of the patient navigation programs included in the review coordinated the necessary clinical and social support services to improve women's access to care. Conclusion: Patient navigation appears to be in its nascent phase in the field of maternal health. The results of this study suggest that the implementation of patient navigation services could potentially improve access to care for socially disadvantaged women and families. Furthermore, providing patient navigation services that are specifically tailored to meet women's needs could improve the quality of maternity care.

• 기본간호학회지
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• 제24권3호
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• pp.181-188
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• 2017

Purpose: Competency in physical assessment is an important component of nursing practice. However, some physical assessment skills are not being utilized within the current teacher-centered, content-heavy curriculum. This study was conducted to identify the effects of student-centered, self-directed learning in the physical assessment class. Methods: An experimental study with a post-test only control group design was used to compare an intervention group that was provided self-directed learning classes and a control group that was provided traditional lecture and practice classes. Competency in physical assessment, academic self-confidence, and learning satisfaction were evaluated. Collected data were analyzed using $x^2$-test (Fisher's exact test) and independent t-test. Results: Competency in physical assessment was significantly higher in the experimental group. However, academic self-confidence and learning satisfaction were not significantly different between the groups. Conclusion: The findings in this study indicate that self-directed learning can improve nursing students competency in physical assessment and that self-directed learning is a good education method to improve nursing students' competency in physical assessment during clinical practice and perform quality patient care by making active use of physical assessment skills.

• 한국간호교육학회지
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• 제6권2호
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• pp.359-375
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• 2000

PBL can be defined as an active, self-directed and student-centered learning, and an opposite way of classroom teacher-centered learning which has been traditional role learning. PBL enables students think more efficiently and effectively when puzzling through the patient problems. The purpose of this study is to find out the perception of student nurse about PBL, the characteristics and the structure of the type for PBL. The research process is as follow : First, the researcher selected 35 statements for PBL with the content analysis of in depth interview and the literature review. Second, the researcher asks 38 student nurse to classify the statement cards. The result of the research is that the type of student nurse's PBL perception is divided into 4 types(Affirmative type, Negative type, Suspicious type, and Preferable type), and the explanative total variance is 44 percent. In relation to this, if PBL well combined and adapted in our traditional curriculum will change our nursing education in better direction.

• 디지털융복합연구
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• 제20권3호
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• pp.359-366
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• 2022

본 연구는 COVID-19 유행상황에서 간호대학생의 윤리적 의사결정, 도덕적 민감성 및 감염관리 수행도와의 관계를 파악하여 간호대학생의 감염관리 수행도를 높이기 위한 중재방법의 기초자료를 제공하기 위함이다. 간호대학생 3,4학년을 대상으로 구조화된 설문지를 이용하여 일반적 특성, 전공 관련 특성, 윤리적 의사결정, 도덕적 민감성 및 수행도를 조사하였다. 자료분석은 IBM SPSS21.0 프로그램을 이용하여 기술통계, Indepentent t-test, One-way ANOVA, Pearson's correlation coefficient, Stepwise Multiple regression anlaysis를 하였다. 본 연구결과 COVID-19 감염관리 수행도에 영향을 미치는 요인으로 윤리적 의사결정에서 선행의 원칙, 도덕적 민감성에서 갈등과 환자중심간호로 나타났다. 앞으로 신종감염병이 출현할 가능성이 높은 상황에서 예비의료인인 간호대학생의 감염관리 수행도를 향상시키기 위해서는 환자중심의 간호윤리를 강화할 수 있는 실무중심의 융복합적인 교육프로그램을 개발하는 것이 필요하다.

• 재활간호학회지
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• 제17권1호
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• pp.27-37
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• 2014

Purpose: The purpose of this study was to understand nurses' experience of managing diet and fluid in hemodialysis patients and to provide helpful information in improving care of hemodialysis patients. Methods: Data were collected through in-depth interviews with ten nurses who had experience of providing care to hemodialysis patients. Colazzi's phenomenological method was used to analyze data. Results: Twenty themes were identified in the first stage of data analysis and were later categorized into ten theme clusters, of which four categories were derived. The four categories were 'developing a strong feeling of responsibility for management', 'acknowledging limits in performing duties', 'providing patient-centered education' and 'becoming a guide for the long treatment process'. Conclusion: The study results will be useful for improving nursing curriculum to ensure more effective and successful diet and fluid management in hemodialysis patients.

• 실천공학교육논문지
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• 제15권2호
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• pp.475-484
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• 2023

본 연구는 호스피스 간호사의 생명윤리의식과 환자중심간호가 임종간호태도에 미치는 영향을 파악하기 위해 수행된 서술적 조사연구이다. 대상자는 국내 병원의 호스피스 병동에서 근무하는 간호사 145명이다. 자료는 2018년 5월 1일부터 6월 30일까지 수집되었다. 자료의 분석은 SPSS 24.0 프로그램을 이용하여 서술적 통계, t-test, one way-ANOVA, Pearson 상관관계분석과 위계적 다중회귀분석을 실시하였다. 임종간호태도에 영향을 미치는 요소로는 호스피스 전문간호사 자격증(β=.15, p=.031), 생명윤리의식(β=-.24, p=.003)과 환자중심간호(β=.36, p<.001)가 나타났으며, 이 변수들은 임종간호태도를 39.6% 설명하였다. 본 연구의 결과를 토대로 호스피스간호사의 임종간호 향상을 위해서는 생명윤리의식을 포함한 환자중심간호 능력을 향상시키기 위한 프로그램이 제공되어야 한다.

• 가정∙방문간호학회지
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• 제30권1호
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• pp.26-36
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• 2023

Purpose: This study investigated the organizational culture in hospital for infection control, moral sensitivity, and the degree of infection control among long-term care hospital nurses, and to identified the factors associated with infection control perfomance. Methods: 186 nurses who directly care for patients at seven Long-Term Care Hospitals in D Metropolitan City participated in the survey. Data were collected using self-reported questionnaires and analyzed using the IBM SPSS 26.0 software. Results: Moral sensitivity showed statistically significant differences in age (F=5.473, p=.065), clinical experience (F=8.890, p=.031), nursing hospital work experience (F=6.520, p=.038), religion (t=-2.01, p=.046) and position (t=-2.96, p=.003). Correlation analysis revealed that with moral sensitivity and effect of organizational culture on infection control, there was a positive correlation between infection control and patient-centered nursing (r=.201, p<.006), professionalism (r=.149, p<.042), benevolence (r=.303, p<.001), infection control organizational culture (r=.556, p<.001). Benevolence of moral sensitivity (β=.21, p=.001) and infection control organizational culture (β=.54, p<.001) were associated with infection control perfomance. Moral sensitivity (including patient-centered nursing, professionalism, and benevolence) and infection control organizational culture explained 33.8% of the variance in infection control (F=24.57, p<.001). Conclusion: It is important to improve the moral sensitivity of nurses and a positive organizational culture for better infection control. We need to develop intervention strategies and establish systematic and administrative support.

• 문화기술의 융합
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• 제8권1호
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• pp.131-138
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• 2022

본 연구는 국내 간호대학생의 안전에 관한 연구 동향을 분석하고자 실시하였다. 7개의 데이터 베이스를 통해 'safety', 'safety*', 'patient safety', 'patient safety*' 'nursing students', and 'nursing * students' 검색한 결과 총 29개의 논문이 추출되었다. 연구결과, '2015-2019년' 69.0%, '기타 저널' 79.3%, 대상자는 평균 242.4 명으로 '200명 이하' 51.7%, 대상지역은 '1개 지역' 48.2%, 참여 학교는 '3개 학교이상' 42.3%, 학년은 '4학년' 56.2%, 대상자 산출근거는 'G*power' 86.2%, IRB '미승인' 58.6%, 분석방법은 '회귀분석' 75.9%, 저자는 '2명' 58.6%로 대다수를 차지하였다. 키워드 분석에서도 지식중심에서 환자중심으로 변화하였다. 간호대학생의 안전역량을 파악하기 위한 전국적인 실태조사와 간호학적인 안전역량 함양을 위한 실무중심의 교육이 요구된다.

• 근관절건강학회지
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• 제24권2호
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• pp.89-100
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• 2017

Purpose: The aim of this study was to examine the utilization of and satisfaction with the smart bedside station (SBS) system among users in a hospital. Methods: A cross-sectional descriptive design was used. The participants were 190 patients, 186 family caregivers, and 154 nurses in a hospital. Results: Around 78.1% of patients or family caregivers used the SBS system at least once during their hospital stay. The commonly used items on the SBS system menu were "lab findings", "hospital cost", "today's medication", and the "alarm message". Satisfaction with the SBS system of patients and family caregivers were significantly higher than those of nurses (F=39.88, p<.001). Conclusion: A patient-centered SBS system was a useful system that could increase patient satisfaction and comfort. More specific and technical service contents reflecting the current healthcare system should be added.

• 성인간호학회지
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• 제20권5호
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• pp.743-755
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• 2008

Purpose: The purpose of this study was to describe and to analyze real conversation about polite behavior of nurses in cancer units. Methods: This study was conducted using a Brown & Levinson(1987) theory to analyze the polite behavior of nurses in cancer units. Five nurses who participated in this research gave permission to be videotaped. The data was collected from January to February, 2006. Results: Polite behavior of nurses in cancer units consisted of greetings, emotional support, open questions and indirect direction. And impolite behavior of nurses in cancer units was using the medical terminology, repetition of direct speech acts and task-oriented conversation. Conclusion: This study suggests polite behavior strategies for effective nursing conversation with cancer patients. Therefore, the findings may provide basic raw materials for educational programmes and intervention studies.