• Title/Summary/Keyword: Team Nursing

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The Effects of Early First Oral Water Intake on Thirsty Feeling, Nausea, and Vomiting in Child under Ambulatory Surgery (당일수술 후 최초 경구수분섭취 시간단축이 소아에서의 갈증감소 및 오심, 구토 발생에 미치는 영향)

  • Kim, Kyung-Ja;Lee, Yoon-Young;Hyun, Dong-Su;Park, Kwang-Ok
    • Journal of Korean Biological Nursing Science
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    • v.6 no.1
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    • pp.43-52
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    • 2004
  • Purpose : The purpose of this study was to find effects of early oral water intake on thirsty feeling, nausea, and vomiting after ambulatory surgery. Method : Sixty patients who received PET(Pressure Equalizing Tube) insertion surgery under general anesthesia were conveniently sampled and divided into two groups. Experimental group was instructed to drink water after two hours and control group was directed to intake water after three hours postoperatively. Data were collected from May 1, 2002 to August 31, 2002 at ambulatory surgery center of Asan Medical Center. The thirsty feeling, nausea and vomiting score between experimental and control group were compared at the time of recovery, recovering consciousness, 2hr, 3hr, right before discharge and/or 24hr(telephone interview) postoperatively. The collected data were analyzed by SPSS 8.0 statistic program. Result : Result of this study are as follows. 1) There was a statistically significant difference(t=-10.31, p=0.00) in the occurrence of thirsty feeling at the 3hr postoperatively between experimental and control groups. 2) There was a statistically significant difference($x^2=6.66$, p=0.02) in the incidence of nausea during the 2hr postoperatively between experimental and control groups. 3) There was no difference($x^2=0.35$, p=0.55) between groups in vomiting scores. Conclusion : It was generally known that the delay of oral water intake decreases post operative complications. But, this study shows that early oral water intake decreases discomfort of thirsty and there was no adverse effects on the occurrence of postoperative nausea and vomiting.

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The effects of Pre-briefing Team-based Learning in Standardized Patients Simulation (표준화 환자 시뮬레이션 실습교육기반의 간호교육에서 사전브리핑을 활용한 팀 기반 학습 효과)

  • Kim, Hyun-Ju
    • Journal of Digital Convergence
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    • v.18 no.8
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    • pp.271-279
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    • 2020
  • Simulation practice training is used in nursing education as an education method to improve the adaptability to the clinical field, but responds to unpredictable situations and negatively affects practice satisfaction. This study applied a team-based learning utilizing a pre-briefing inequality controls ago to investigate the effect of self-efficacy, simulation practice satisfaction and clinical performance of the nursing college in the simulation based nursing education and after quasi-experimental study. Data collection in the fourth grade and P University Nursing 72 peoples, the study period is from November 15 from October 14, 2019. As a result, the experimental group that applied team-based learning using pre-briefing showed higher self-efficacy, simulation practice satisfaction, and clinical performance than the control group. Therefore, applying team-based learning to the pre-briefing process can be an important learning strategy for simulation practice training, and suggests a follow-up study to confirm the effectiveness by standardizing the pre-briefing step later.

The Effect of Team-based Clinical Practice Education Using Conceptual Map on the Learning Attitude, Self-directed Learning Ability, and Critical Thinking of Nursing Students (개념지도를 활용한 팀 기반 임상실습교육이 간호대학생에게 미치는 효과)

  • Eun-mi Kwak;Yoon-Hee Lee
    • Journal of Industrial Convergence
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    • v.21 no.5
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    • pp.59-66
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    • 2023
  • This study was conducted to understand the effect of team-based clinical practice education using conceptual maps on the learning attitude, self-directed learning, and critical thinking of nursing students. The subjects of this study were 80 nursing college students taking clinical practice courses. Data analysis was performed with descriptive statistics and paired t-test using SPSS 22.0 program. As a result of the study, it was found that the learning attitude (p< .000), self-directed learning (p< .000), and critical thinking (p< .000) scores were statistically significantly improved before and after education. Based on the results of this study, it is recommended to develop and apply a systematic team-based clinical practice program using concept maps to nursing students, and this result can be used as a variety of teaching-learning methods that reflect the characteristics of the subject.

The Effect of Team Based Simulation Learning Using SBAR on Critical Thinking and Communication Clarity of Nursing Students (SBAR 이용 팀 기반 시뮬레이션 학습이 간호학생의 비판적사고, 의사소통명확성에 미치는 효과)

  • Yoon, Jung-Hyun;Lee, Eun-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.42-49
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    • 2018
  • The purpose of this study is to investigate the effects of team - based simulation training in nursing students on critical thinking and communication clarity. This study was conducted from October 2017 to November 2017 for 69 students (33 experimental group and 36 control group) who took a course of "Basic Nursing Theory and Practice" students in a major nursing student in P city, Gyeongbuk province. Collection and analysis. In this study, we conducted a questionnaire survey using a tool of critical accidents measurement by Yoon Jin(2004) and a communication clarity tool by Hye - jin Jo(2013). Statistical analysis was performed using SPSS 23.0, Chi-square, Fisher's exact test, t-test and ANCOVA. Data analysis showed that the groups participating in the SBAR team based simulation training were significantly more effective than the control group in critical thinking (F = 11.91, p <.001) and communication clarity (F = 4.40, p = .040). Based on these results, it is shown that using SBAR team - based simulation learning for nursing students is effective in teaching 'fundamental nursing and practice' and can be recommended as teaching method for nursing students.

Promoting a nursing organizational culture for Great Workplace(GWP): a Korean experience (GWP 구현을 위한 조직문화 증진활동의 효과)

  • Kim, Young-Mee;Lee, Ji-Ae;Kim, Dae-Hee;Kim, Bo-Yeoul;Lee, Soon-Hyung;Park, Hyun-Mi;Kim, Hye-Sun
    • Perspectives in Nursing Science
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    • v.6 no.1
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    • pp.21-37
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    • 2009
  • The purpose of this GWP project was two-fold:(1) to launch an organizational culture improvement for great workplace (2) to improve the perception of nursing personnel on communication and team work in a surgical nursing department of a teaching hospital in Seoul. Using one group pretest-posttest design, nursing personnel's perception on organizational culture related to communication and team work was evaluated. A 10-item, 5-point scale (1.5) survey was administered to 209 nursing personnel in January 2009 and again to 191 nursing personnel in October 2009. From January 2009, AMANNA team has taken activities focused on trust, pride, and fun. AMANNA is an abbreviation of Korean language, which means wonderful meeting and sharing in English. Monthly activities are as follows: choral concerts by nurse managers, welcome and farewell events, praising members for their services, explaining current circumstances, etc. Special activities are as follows: a New Year's greeting party, a spring picnic, beauty classes, a lecture on drug administration, cultural lectures using videos, and presentations of academic posters and another activity. The reliability of measurement was Cronbach's ${\alpha}$: 0.917(pretest), 0.954(posttest). Most nursing personnel's perception on organizational culture was improved (pretest mean=3.50 and posttest mean=3.78, p<.001). "A sense of belonging" showed the greatest improvement among the 10 items(3.18 vs. 3.56, p<.001). "Trust each other" showed the highest score (mean=3.98) in posttest. Frequency of participation and satisfaction showed a significant relationship(r=0.179, p=.021). We believe that this project has made a contribution towards a positive organizational culture. The keys to this initiative's preliminary success have been the leadership support and flexibility in implementing the interventions tailored to the hospital.

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Effect of Online Collaborative Learning Strategies on Nursing Student Interaction Patterns, Task Performance and Learning Attitude in Web Based Team Learning Environments (웹 기반 원격교육에서 온라인 협력학습전략이 간호학전공 학습자의 소집단 상호작용 유형, 학습결과 및 학습태도에 미치는 효과)

  • Lee, Sun-Ock;Suh, Minhee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.577-586
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    • 2014
  • Purpose: This study investigates patterns of small group interaction and examines the influence among graduate nursing students of online collaborative learning strategies on small group interaction patterns, task performance and learning attitude in web-based team learning environments. Method: To analyze patterns of small group interaction, group discussion dialogues were reviewed by two instructors. Groups were divided into two categories depending on the type of feedback given (passive or active). For task performance, evaluation of learning processes and numbers of postings were examined. Learning attitude toward group study and coursework were measured via scales. Results: Explorative interactions were still low among graduate nursing students. Among the students given active feedback, considerable individual variability in interaction frequency was revealed and some students did not show any specific type of interaction pattern. Whether given active or passive feedback, groups exhibited no significant differences in terms of task performance and learning attitude. Also, frequent group interaction was significantly related to greater task performance. Conclusion: Active feedback strategies should be modified to improve task performance and learning attitude among graduate nursing students.

Effects of the Team Approach Rehabilitation Program on Balance, Gait, and Muscle Strength of Lower Extremities for Elderly Patients with Parkinson's Disease (팀 접근 재활프로그램이 노인 파킨슨병 환자의 균형, 보행 및 하지근력에 미치는 효과)

  • Choi, Jin-Young;Jo, Hyun Sook
    • Journal of Korean Biological Nursing Science
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    • v.21 no.3
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    • pp.199-206
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    • 2019
  • Purpose: The purpose of this paper was to verify effects of the team approach rehabilitation program on balance, gait, and muscle strength of lower extremities of elderly people with Parkinson's disease. Method: Subjects of this paper were 40 elderly people with Parkinson's disease, 20 control and experimental groups respectively, who could walk independently and were less than the 2.5 Hoehn &Yahr stage. The team approach rehabilitation program was applied to the experimental group for 12 weeks. Results: There was significant decrease in second at timed up &go test (p= .008), but no significant difference in reach length at functional reach test (p= .201) with partial improvement of balance. There was no significant difference in second at 10-meter walk test (p= .070), but showed tendency of improvement of gait. And number of times at 30s-chair stand test, indicating muscle strength on lower extremities, increased significantly (p= .029), Conclusion: The team approach rehabilitation program has demonstrated its effectiveness on improving balance, and muscle strength of lower extremities for the elderly with Parkinson's disease.

Prospects for Future Multi-disciplinary Collaboration

  • Lai, Claudia K.Y.
    • Perspectives in Nursing Science
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    • v.4 no.1
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    • pp.9-18
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    • 2007
  • Background: Intersectoral and multidisciplinary collaboration is becoming more prominent in all facets of government, health, social services, and scientific endeavors. An interplay of a multitude of driving forces moves multiple disciplines forward to achieve quality outcomes in health and social sciences services and research. Aim: This paper aims at discussing the prospects for future multidisciplinary collaboration. If inter organizational integration and multidisciplinary collaboration are the ways of the future in academia and the scientific world, it then becomes crucial to examine what lies ahead for the nursing profession, Discussion: This paper argues that in order for multidisciplinary endeavors to succeed, the leaders in multidisciplinary teams shoulder the largest share of the responsibilities involved. In developing a lasting team constituting professionals from different disciplines, the leader needs to include the right individuals in the team, identify a common goal, build trusting relationships through open communication and interprofessional education, and empower members through creating room for autonomy and at the same time allowing space for personal development. The leader will need to utilize information technologies to manage communication issues in a large multi-site multidisciplinary project. Lastly, he or she must be able to demonstrate team productivity through process and outcome evaluation. It needs to be emphasized that it falls to each individual nurse to speak up and act upon what nursing believes and represents in our quest for success in multidisciplinary endeavors. Conclusion: The significance of the role of the leader is paramount for a team to succeed. Yet there is no prospect if only a handful of exceptional nurse leaders are moving ahead in multidisciplinary endeavors. Without the actualization of professional roles by each individual nurse, the profession will have no prospect in collaborations across disciplines.

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Acute Ischemic Stroke: Current Management and Role of the Nurse Practitioner

  • Kang, Ji-Yeon;Coleman, Patricia;Kim, Keum-Soon;Yi, Young-Hee;Choi, Eun-Jung
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.26-35
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    • 2009
  • Purpose: This paper reviews current diagnostic evaluation, treatment, nursing considerations, and the nurse practitioner’s (NP) role in acute ischemic stroke care. Methods: National guidelines and extensive literature on acute stroke care were reviewed and a relevant clinical case was introduced. Results: Computerized tomography (CT) of the head without contrast is the initial brain imaging procedure for patients with an acute stroke. Magnetic resonance imaging (MRI) can be an alternative test. Restoration of cerebral perfusion to the affected area is a key therapeutic strategy for ischemic stroke. A number of treatment strategies such as thrombolysis, anticoagulation, antiplatelet, and surgical treatment can be selected to improve blood flow to the ischemic region. The NP on the stroke team is involved with immediate stroke management including neurological assessment, ensuring adequate oxygenation, blood pressure management, activity, and diet. Discharge planning with the patient, family teaching and coordination of follow up care should also be implemented early in the hospitalization. Conclusion: The nurse practitioner is one of the cardinal members on the stroke team, and must be updated with current treatment and management guidelines.

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Level of Complete Knowledge on Five Moments of Hand Hygiene among Nurses Working at Integrated Nursing Care Service Wards (간호간병통합서비스 병동 간호사의 손위생 시점에 대한 완전지식 수준)

  • Kim, Eunhee;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.51 no.4
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    • pp.454-464
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    • 2021
  • Purpose: This study aimed to identify the level of complete knowledge about hand hygiene indications among nurses working at integrated nursing care service wards. Methods: A total of 127 nurses in eight integrated nursing care service wards completed structured sheets while observing a video based on six scenarios developed by the research team. Complete knowledge level was calculated as the percentage (%) of participants who responded correctly to all questions among participants. Complete knowledge levels according to the scenarios were calculated and compared according to general characteristics using the chi-squared test or Wilcoxon rank-sum test. Results: The complete knowledge level for each scenario ranged from 7.9% (scenario 6) to 42.5% (scenarios 4 and 5), and no one had complete knowledge of all scenarios. Only 3.1% of participants demonstrated complete knowledge in more than four scenarios, and 26.0% had complete knowledge of four or more hand hygiene moments. Complete knowledge level per scenario did not differ depending on work experience at hospitals and study wards, or prior hand hygiene training in the last year. Conclusion: As the complete knowledge level regarding hand hygiene moment is very low, it is suggested that regular hand hygiene training should be provided to nurses using video media that reflect real nursing tasks. Thus, they can acquire complete knowledge of when hand hygiene is needed or not during complex nursing work situations.