• Title/Summary/Keyword: School health nursing

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A Survey for Developing Strategies to Improve the Fees for Nursing Care (건강보험 간호관리료 수가체계 개선의견 조사분석)

  • Kim, Yun Mi;Nam, Hye Kyung;Sung, Young Hee;Park, Kwang Ok;Park, Hae Ok
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.5-14
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    • 2008
  • Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

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Evaluation on the Performance of Nursing in according to the Nursing grade of Hospitals (병원 간호등급에 따른 간호수행 정도)

  • Yun, Soon-Gil;Park, Jae-Yong;Kim, Key-Hoon;Han, Chang-Hyun
    • Korea Journal of Hospital Management
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    • v.15 no.3
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    • pp.1-16
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    • 2010
  • As a cross-sectional study, this study was aimed to investigate and compare the job efficiency and satisfaction of nurses according to the hospital grade. Survey was conducted by mail on June 2009, and the respondents were 1,016 nurses working in 15 hospitals which are 9 high-grade general hospitals and 6 general hospitals. The percent of nurses acknowledging their hospital grades is 34.5%, and that is 20.5% at high-grade general hospitals. As the result of review of studies, it is concluded that under the circumstance that differential rates are contracted to calculate fees for hospital services and copayment of patients are according to nursing grades and hospital grades, the degree of nurses' awareness of insurance fees impact on their performance like recording of care and prescription. In order to improve nurses' performance, they need to be educated about the national insurance fee system. In hospitals with higher nursing grade and more beds, the levels of nursing quality and faithfulnes and their job satisfaction were higher. Nurses' awareness of their hospital nursing grade was related to the quality of nursing but not the faithfulness. Nurses working in higher nursing-grade hospital are more self-respect and satisfied at their jobs, and their job efficiencies are not significantly different. The current nursing fees based on the proper number of nurses per beds of nursing units should be changed to be based on the amount of job per nurse by their nursing protocol, and the nurse staffing standard should be differentiated between nursing grades. As the aspect of nursing, 24-hours patient care, it is difficult to improve nurses' job satisfaction, and in the other hand, that tends to depend on their income level. In the current circumstance, comprehensive research is required to investigate the propriety of 25% of the inpatient fees as the nursing management charge.

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The Influences of COVID-19 Knowledge, Anxiety, and Nursing Professionalism on Clinical Practicum Stress among Nursing Students (간호대학생의 COVID-19에 대한 지식, 불안, 간호전문직관이 임상실습 스트레스에 미치는 영향)

  • Lee, Ho Im ;Sung, Ji Hyun
    • Journal of Korean Public Health Nursing
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    • v.37 no.2
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    • pp.205-217
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    • 2023
  • Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.

Factors Affecting Multicultural Acceptability of Adolescents Using Multilevel Analysis (다수준 분석을 이용한 청소년의 다문화 수용성에 영향을 미치는 요인)

  • Choi, Yeon-Hee;Gu, Min-Jeong;Choi, Moon-Ji;Kim, Young-Mi
    • The Korean Journal of Health Service Management
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    • v.12 no.2
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    • pp.75-87
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    • 2018
  • Objectives : This study aimed to investigate factors affecting multicultural acceptability of adolescents at individual and environmental levels. Methods : Participants were 2,032 first-year high school students who participated in the 4th-year Korean Children and Youth Panel Survey in 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation, and multilevel analysis. Results : Individual factors affecting multicultural acceptability of adolescents were health status, ego-resilience, and experience of visiting foreign countries. Learning activity, school regulation, relationship with teachers, and community spirit were significant factors at environmental level. Conclusions : Findings suggest that it is necessary to consider health status, improve positive resilience, activate a multicultural experience program, establish friendly relations with teachers, adhere to social norms, and strengthen community spirit for multicultural acceptability.

A Study on the Correlation between Stress, Mother-adolescent Communication and Quality of Life in the Adolescents (청소년의 스트레스ㆍ어머니-자녀 의사소통과 삶의 질간의 관계)

  • Song Mi-Ryeong;Ahn Hye-Young;Kim Eun-Kyung
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.141-151
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    • 2002
  • The purpose of this study was to find out the correlations between mother-adolescent communication and quality of life in the adolescents. The study subjects consisted of 171 adolescents who were going to middle school and high school. The data included general characteristics, health related characteristics, stress, mother-adolescent communication and quality of life. The data were analyzed by frequency, mean, percentage, t-test, ANOVA and Pearson's correlation using the SPSS statistical program. The result were as follows: 1. The mean score for the stress of adolescent was 2.48(maximum score: 5) and there were significant difference according to demographic variables that is sex, grade, father's being and health related variables that is health status, frequently ill, illness severity and illness of family. 2. The mean score for the mother-adolescent communication was 3.27(maximum score : 5) and there were significant difference according to demographic variables that is father's and mother's being. There were no significant difference according to any health related variables. 3. The mean score for the quality of life of adolescent was 3.97(maximum score : 7) and there were no significant difference according to demographic and health related variables. 4. There was a negative correlation between the stress and the quality of life. There was a positive correlation between the quality of life and the mother-adolescent communication. There was a no correlation between the mother-adolescent communication and the quality of life. Consequently, the implication for nursing of this study is that there is a need to develop relief strategy of stress for the female adolescents. And there is a need to develop a promoting program of quality of life for the adolescents considering the stress and the mother-adolescent communication.

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Effects of Anger and Entrapment on Psychological Health of High School Boys: Focused on the Mediating Effects of Social Support (남자 고등학생의 분노 및 속박감이 정신건강에 미치는 영향: 지각된 사회적 지지의 매개효과를 중심으로)

  • Yang, Sun Yi;Oh, Yun Hee
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.429-439
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    • 2017
  • Purpose: The aim of this study was to identify the status of psychological health among boys in high school and to examine the mediating effects of social support on the relationship between anger and entrapment on psychological health. Methods: The participants in this study were 193 high school boys from Jeju. Measurements included state-trait anger expression inventory, entrapment scale, student social support scale, and questionnaires to assess mental and physical health. Data were analyzed using independent t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, simple and multiple regression techniques with the SPSS 21.0. Mediation analysis was performed with the Baron and Kenny's method, and Sobel test. Results: Mean scores for anger experience, entrapment, social support, and psychological health were $29.81{\pm}7.34$, $34.09{\pm}16.33$, $45.75{\pm}7.02$, $22.51{\pm}9.91$, respectively. There was a significant correlation between anger experience and psychological health. Entrapment was significantly correlated with psychological health. Social support showed partial mediating effects in the relationship between anger experience and psychological health (Sobel test: Z=54.18. p<.001). Social support showed partial mediating effects in the relationship between entrapment and psychological health (Sobel test: Z=2.24. p=.025). Conclusion: The results indicate a need to develop social support programs for boys in high school.

Associated Factors on Energy Drink Consumption among Korean High School Students (고등학생의 고카페인 에너지 음료 섭취에 대한 관련 요인)

  • Ra, Jin Suk;Yun, Hee Kyung;Kim, Hye Sun;Ryu, Jeong Lim
    • Journal of the Korean Society of School Health
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    • v.30 no.1
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    • pp.48-58
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    • 2017
  • Purpose: The purpose of this study was to identify the factors associated with energy drink consumption in Korean high school students. Methods: This cross sectional study used the secondary data from the 2015 Adolescent Health Behavior Online Survey. A total of 33,744 high school students were included in the study. Energy drink consumption was measured by asking how often they consumed energy drink during the previous week. Associated factors were categorized into socio-demographic characteristics, psychological characteristics, and health related behavioral characteristics. Complex samples logistic regression was used to analyze the influence of associated factors on energy drink consumption. Results: For socio-demographic characteristics, adolescent boys were likely to consume more energy drink than adolescent girls (Adjusted Odds Ratio [AOR]: 1.351, 95% Confidence Interval [CI]: 1.209~1.510). For psychological characteristics, depressed adolescents were likely to consume more energy drink than their counterparts (AOR: 1.697, 95% CI: 1.537~1.874). For health related behavioral characteristics, cigarette smoking (AOR: 1.336, 95% CI: 1.168~1.528), alcohol drinking (AOR: 1.126, 95% CI: 1.012~1.254), soda drink consumption (AOR: 1.800, 95% CI: 1.565~2.071), sweet drink consumption (AOR: 1.715, 95% CI: 1.431~2.054), and insufficient sleep time a day (AOR: 1.307, 95% CI: 1.197~1.427) were associated with energy drink consumption. Conclusions: In conclusion, energy drink consumption in Korean high school students were associated with such factors as psychological factors (depression) and health related behavioral characteristics (smoking, alcohol, sleep, soda and sweet drink). Thus, intervention programs in schools and communities should focus on these psychological and health related behavioral characteristics.

Self-Efficacy, Health Promotion Behavior Intention, and Health Promotion Behavior of Middle School Students (중학생의 자기효능감, 건강증진행위의도 및 건강증진행위)

  • Kang, Yang-Hee
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.3
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    • pp.87-100
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    • 2012
  • Objectives: The purpose of this descriptive study was to investigate self-efficacy, health promotion behavior intention, and health promotion behavior in middle school students. Methods: The data were collected by a questionnaire given to the students. The participants for this study were 564 students from four middle school located in Busan. Descriptive statistics, t-test or ANOVA with Scheff$\acute{e}$ test and Pearson's Correlation Coefficients were used for data analysis with SPSS Win 18.0. Results: The level of self-efficacy and health promotion behavior intention was moderate. health promotion behavior was also relatively moderate. The score of health promotion behavior was affected by various general characteristics and health promotion behavior showed weakly positive correlation with self-efficacy, but there was no significant correlation between health promotion behavior intention and health promotion behavior. Conclusion: The findings from this study indicated a need to develop a nursing intervention program to promote health promotion behavior in middle school students including the promotion of self-efficacy.

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Development and Management of Database for School Health Improvement (학교보건 증진을 위한 데이터베이스의 개발 및 관리)

  • Choung Hye Myoung
    • Journal of Korean Public Health Nursing
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    • v.18 no.1
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    • pp.154-166
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    • 2004
  • The purpose of this study was to design and implementation of database for school health activity. This database system was designed stand-alone application for college school health center without a hospital affiliation and the database system was made of relational database management system, Microsoft access 2000 to be made GUI (Graphic user interface) type design and made up 7 tables: patients. symptoms. departments, income and outgo. medical cures. and medicine. The construction of this database system was patient management. code management. medicine management. and statistics management. The results of the database system were as follows; 1) This database system could be used for college school health center. 2) This database system could be made correct statistic data. 3) This database system could be managed income and outgo. 4) This database system could be changed for the better activity of community health service. 5) This database system could be simply attired administrative system. This database system will be used for students and employees to protect and promote health to measure for health level and quality of health service. In conclusion. this database system can be applied for unit health center to manage the college school health activity and advanced data management can be applied for health profession to do quality improvement. cost containment. management information system. and decision support system.

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Experience of Mentoring Program in Newly Opened Nursing College Freshman (신설 간호대학 신입생의 멘토링 프로그램 참여경험)

  • Jang, In-Sun;Choi, Eun-Hee;Park, Hyun-Ju
    • Journal of the Korean Society of School Health
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    • v.26 no.2
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    • pp.81-92
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    • 2013
  • Purpose: This study aimed to understand freshman's experience during a mentoring program at a newly opened nursing college. Methods: The study was qualitative research using focus groups. Data were collected through in-depth interviews performed from May 2 to May 30, 2011. The focus group interviews were conducted with 15 freshmen on their experiences with their mentors. The data were analyzed by the Colaizzi's method, in which the meaningful statements were extracted. Results: We identified the six categories from sixteen theme-clusters and thirty five themes: 1) meaningful relationship, 2) unexpected help, 3) realization, 4) solidification of one's determination, 5) establishment of a mentor image, and 6) wistful sense. Conclusion: The mentoring program was effective for a nursing college freshman to develop their vision and identity as a professional nursing.

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