• Title/Summary/Keyword: Team Nursing

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Capstone Design Trail in Nursing Education and Its Outcome (간호학에 적용한 캡스톤 디자인의 적용사례 및 결과)

  • Moon, Kyoung-Ja
    • The Journal of the Korea Contents Association
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    • v.17 no.6
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    • pp.194-202
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    • 2017
  • This study is a methodological study analyzing the results of applying capstone design to nursing education. Among the nursing college students who completed the fundamental nursing subject, the students who agreed to participate in the research were composed of the project team and proceeded as team activities. It was conducted through knowledge - team composition - topic selection / analysis - design / development - simulation - evaluation / feedback process starting from knowledge learned through fundamental nursing class. The research period was from January 1, 2015 to October 30, 2015 for 6 months. BBS (Bed Sore Socks) was developed for the prevention of pressure ulcers, and BBS was applied for seven days to randomly selected patients in the long term care facility. The incidence and pressure ulcer risk scores were assessed. The results of the pilot study showed that the intervention group had an effect on the incidence of pressure ulcer ($x^2=.40$, p = .500) and the pressure ulcer risk score (z = -.45, p = .690), but it was not statistically significant. Capstone design was trailed in the field of nursing education and produced the bed sore socks. In the nursing education, not many capstone design trails appeared yet, this study might be the first trail in the field of nursing, and it could be challenging for expanding of nursing education.

A Study of the Attitudes of the Health Team To Wards a Hospital Based Community Health Nursing Service (일 종합병원의 지역사회 보건간호사업에 대한 의료인의 태도 조사연구 - W병원을 중심으로-)

  • Lee Yon Sil;Suh Mi Hae;Suh Moon Sook
    • The Korean Nurse
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    • v.25 no.2 s.135
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    • pp.72-79
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    • 1986
  • The present health system with its emphasis on the patient in hospital and with specialized medical services, is not equipped to provide health maintenance and preventive care to society. Community generated medical facilities to provide preventive and lo

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A Study for the Enhancement of Accessibility to Community Home Nursing Care Services - The Home Nursing Care Program of Seoul Nurse Association - (지역사회에서의 가정간호 접근성 제고 방안 - '서울시간호사회' 가정간호사업 분석을 토대로 -)

  • Hwang, Na-Mi;Park, Sung-Ae;Kim, Yun-Ok;Moon, Young-Im;Park, Jeong-Sook;Ryu, Ho-Sihn;Rhee, Kae-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.10 no.1
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    • pp.5-14
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    • 2003
  • Recently, there has been an increasing need for long-term care and comprehensive health care services in community settings. The Ministry of Health and Welfare introduced the Hospital-Based Home Nursing Care Program in 2000. Before this initiative, there was a Home Nursing Demonstration Center, affiliated with the Seoul Nurse Association, had offered home nursing services with the financial support from the local government. since 1993, the Center's nursing staff has been engaged in a general hospital in an effort to provide home nursing care services within Korea's health care system. The purpose of this study was to analyze and identify characteristics of community-based home nursing care supplied by a community-based home nursing team engaged in a general hospital. Also. visit nursing care services provided by public health centers were evaluated in terms of accessibility and supply versus demand, to enhance the accessibility of low-income patients living in Seoul to home nursing care services. Data were collected from home nursing insurance reimbursement claims submitted by the community-based home nursing care team from March 1 to October 30 in 2001 and a questionnaire survey on home-visit nursing services of 25 public health centers in Seoul. The subjects consisted of 197 patients and 12 public health centers. The result were as follows. First, medical institution's community-based home nursing care program was better in technical quality than health-center-based home-visit nursing care. In addition. the pattern of the subject patients was similar to that of hospital-based home nursing care program. Second, there was a high demand for community-based home nursing care while only a small number of home-visiting nurses served at public health centers in Seoul. As a result, many patients could not receive adequate care. Finally, we suggest that community-based home nursing care program should be introduced in the national health system to meet the at-home care needs of severely ill low-income patients. Furthermore, to better utilize home nursing and visit-nursing care resources and offer continued care for patients in community settings, an efficient referral network should be built among related institutions. This would require improvement of reimbursement system and amendment of the law related to health insurance system and community-based home nursing care services.

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Patient Safety Program and Safety Culture (투약간호 중심의 환자안전 프로그램 개발 및 평가)

  • Kim, Young-Mee;Kim, Se-Young;Kim, Min-Young;Kim, Ju-Hee;Lee, Suk-Kyoung;Jang, Mi-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.16 no.4
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    • pp.455-465
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    • 2010
  • Purpose: To determine the impact of the Patient Safety Program on the safety culture of nursing department. Methods: Patient Safety Program focused on medication safety was launched by QI team and patient safety committee. Patient Safety Program was composed of the establishment of improved reporting system as s way to learn from error, 'Patient Safety Guard' movement, and continuous education for medication safety. With one group pretest-posttest design, nurses' perception of the safety culture were measured with self-administered questionnaire. Subjects were all nurses and managers in nursing department of a tertiary teaching hospital in Seoul. Collected data from survey was statistically analyzed using t-test. Results: Patient Safety Program had been continued for 20 months in participation of all nurses and managers. Safety culture was improved (pretest=2.84, posttest=2.90, p<.001; 4 point scale). Conclusions: This study indicates that there has been a statistically significant increase in the nurses' perception of safety culture. These findings suggest that Patient Safety Program had made great contribution toward system wide safety culture in the hospital. To improve safety culture, leadership supports and flexibility to apply tailored interventions to the hospital were required necessarily.

Study on Prolonging Peripheral Intravenous Catheter Indwell Time Based on Phlebitis Rate (정맥염 발생률에 근거한 말초 정맥관의 정규교환 시기 연장에 대한 연구)

  • Yoon, Hee Sook;Park, Mee Ah;Park, Eun Jung;Choi, Jhin Hee;Kim, Mi Young;Lim, Ji Mi;Lee, Seung Ja;Lee, Chang Kwan
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.145-153
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    • 2010
  • Purpose: The purpose of this study was to re-assess the replacement time intervals of Peripheral Intravenous Catheters (PICs) by investigating phlebitis rates according to the indwelling times of PICs. Methods: The study was conducted on 340 patients in S hospital by an IV team. After PIC insertion, IV team members evaluated once a day. The PICs were replaced every 96 hours, and let them in situ when the patients wanted to, in the absence of any sign of complications, from 97 hours to 153 hours. Results: Total phlebitis rate was 19.6%. There were no significantly different factors associated with the occurrence of phlebitis. The incidence rates of phlebitis were 12.6% and 7.0% before and after 72 hours of PIC insertion, and recorded zero after 96 hours. Conclusion: It would be recommendable to maintain PIC in situ for longer than 72 hours if there is no sign of complication such as phlebitis in close monitoring of PIC insertion site.

Kangaroo mother care practices for low birthweight newborns in a district hospital in Indonesia

  • Choirunisa, Septyana;Adisasmita, Asri;Izati, Yulia Nur;Pratomo, Hadi;Iriani, Dewi
    • Child Health Nursing Research
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    • v.27 no.4
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    • pp.354-364
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    • 2021
  • Purpose: Kangaroo mother care (KMC) was introduced in Indonesia 30 years ago, but the extent of its use has not been fully documented. Therefore, this study aimed to examine the use of KMC and evaluate the characteristics of infants who received KMC at Koja District Hospital in North Jakarta, Indonesia. This retrospective cohort study recorded the characteristics of infants with birthweights less than or equal to 2,200 g at the above-mentioned hospital. Methods: Data collected from infant registers included gestational age, birthweight, Apgar score, number of complications, history of neonatal intensive care unit treatment, and KMC status. Cox regression analysis was conducted. Results: This study found that 57.7% of infants received KMC. Infants with birthweights over 1,500 g were 2.16 times (95% CI: 1.20-3.89) more likely to receive KMC. Conclusion: Efforts to promote KMC are recommended, specifically for infants with birthweights greater than 1,500 g. KMC for infants with other conditions can also be considered based on the infants' stability.

A Study on the Development of a Computerized Nursing Diagnoses System (간호진단 전산시스템 개발을 위한 연구)

  • 최영희;이향련;김혜숙;박현경
    • Journal of Korean Academy of Nursing
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    • v.28 no.2
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    • pp.468-478
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    • 1998
  • The purpose of this study was to develop the computerized nursing diagnoses system for clinical application and activation of nursing diagnoses based on validity verification. In addition, our research team also performed system tests in clinical situations, to identify ways to improve the program and make it more practical. Nursing Diagnoses System will increase nurses' knowledge and experience of the application of nursing diagnoses in clinical situations and development of nursing interventions by nurses as well as the effectiveness of hospital computerized systems. We expect this system can contribute to an improvement in the quality of nursing care. Also we will continuously evaluate and revise the system related to the utilization of the program.

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The Second Study on the Effectiveness of Nursing Organization (간호조직 효과성에 관한 2차 연구)

  • 박영주;이숙자;장성옥
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.253-263
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    • 1997
  • This second study on the effectiveness of nursing organization was designed to test the relationships between effectiveness of nursing organizations and structural variables that had been significant variables in the first study, the group design variable and the personal characteristic variables that had not been analyszed in the first study based on personal resource productivity model. The data were collected through self-reported questionnaires completed by 605 nurses working in hospitals in seoul and 782 patients being hospitalized in 5 tertiary hospitals in Seoul. The results showed that according to the canonical correlation analysis, the managing job design, nursing delivery system. nurse's age, career. and formalization were revealed as predicting variables of a nurses' job satisfaction and patients satisfaction among the five hospitals. Hospitals in which the team nursing method was used showed a higher score in nurses' job satisfaction and patient satisfaction than in hospitals which used the functional nursing model.

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Validation of Korean Nomenclature of NOC;Focused on 260 Outcomes (간호결과분류체계(Nursing Outcomes Classifications)의 한글 명명화에 대한 타당성 연구;260개 간호결과명을 중심으로)

  • Yoo, Hyung-Sook;Jang, In-Sun;Jeon, Mi-Soon;Kim, Hee-Girl;Nam, Hye-Kyung;Park, Yeon-Sook;Kim, Ok-Hyeon;Park, Hye-Ja;Hwang, Yun-Young;Lee, Jeong-Hee;Lee, Mi-Ja;Choi, Enn-Hee;Lee, In-Soon;Lee, Soon-Hee;Yom, Young-Hee;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.221-238
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    • 2002
  • Purpose: The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of 260 Nursing Outcomes Classification(NOC) developed by Johnson and Mass at University of Iowa in 2000. Method: The four phases of the study were: (1) translation of the NOC into Korean by the Research Team, (2) nine nursing professors and nurses with various clinical backgrounds reviewed each nomenclature taking into consideration of definitions and outcome indicators. The modified Delphi method was used to determine the most appropriate nomenclature for each term, (3) 307 Clinical expert nurses more than three years field experiences were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate, and (4) final accordance of Korean Nomenclature. Result: The team determined that 260 Korean nomenclature was appropriately named. because the mean validity score of 260 outcomes was 3.90 and each of 260 Korean nomenclature had a score more than 3.00. Conclusion: Korean nomenclature of NOC can be used as a standardized language of nursing result in a computerized nursing information system.

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Effects of Team-based Learning on Metacogniton, Academic achievement, Confidence in performance, Learning satisfaction (팀 기반 학습 적용이 메타인지 및 학업성취도, 기본간호술기 수행자신감, 학습만족도에 미치는 효과)

  • Kim, Soon-Ok
    • Journal of Digital Convergence
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    • v.15 no.11
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    • pp.361-374
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    • 2017
  • The purpose of this study is to investigate the effect of team-based learning on the practice of nursing practice and the effects of nursing students' meta-cognition, academic achievement, confidence in performance, self-confidence and learning satisfaction. The subjects of this study were 115 students who wanted to participate in the research in the second grade of Nursing Department of G region. The data collection period was from March 6 to June 5, 2017. The data were analyzed independence t-test and one-way ANOVA by using the SPSS 21.0 program and paired t-test for the effects of variables after the experiment, and Pearson's correlation coefficient for the correlation between the variables. The results showed that meta-cognition and the confidence in performance of team-based learning was not only increased but also statistically significant. Academic achievement was moderate, learning satisfaction was high, and meta-cognition was positively correlated with learning satisfaction. Therefore, based on the results of this study, it is necessary to activate the application of self-directed and active learning method in order to improve the nursing practice ability required in nursing field.