• Title/Summary/Keyword: The self-management program

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Factors Influencing Pain Management Practice in Pediatric Nurses (아동간호사의 통증관리 수행에 영향을 미치는 요인)

  • Heo, Suk Ja;Kim, Jin Sun;Kim, Hyunlye
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.279-288
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    • 2016
  • Purpose: The purposes of this study were to explore knowledge, barriers, and self-efficacy in relation to pain management practice, and to identify factors influencing pain management practice in pediatric nurses. Methods: A descriptive correlational study was conducted. The participants were 237 pediatric nurses from a metropolitan city. Data were analyzed using t-test or analysis of variance and Pearson correlation and multiple regression analyses. Results: The mean percentage of correct answers on the children's pain management knowledge scale was 58.8%. Child and parent related factors were the main barriers for pain management. Self-efficacy to assess children's pain across developmental stages was particularly low. Pain management practices for assessing pain and non-pharmacological interventions were relatively low. Factors significantly affecting children's pain management practice were current conditions of work department and self-efficacy in pain management, and these factors accounted for 37.5% of the variance in pain management practice. Conclusion: The results suggest that an integrative education program needs to be developed to improve self-efficacy in children's pain management practice. Moreover, good communication, building cooperative relationships with children and parents, and a more active role by pediatric nurses are required to carry out more effective pain management.

A Development and Effects of Simulation-based Education Program on Emergency Airway Management (시뮬레이션 기반 응급기도관리 교육 프로그램 개발 및 효과)

  • Lee, Hyun Ah;Kim, Sung Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.11
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    • pp.282-293
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    • 2019
  • Purpose: After developing and imparting knowledge of a simulation-based emergency airway management education program for nursing students, this study identified the effects of the education by evaluating emergency airway management knowledge, Clinical Performance Ability, self-efficacy, and critical thinking disposition. Method: The participants were 30 nursing students. Data were collected from October 14 to November 11, 2017, and analyzed using IBM SPSS Version 22.0. Results: The simulation-based nursing education program was developed and applied based on the ADDIE model involving five stages: analysis, design, development, implementation and evaluation. Comparing the pre-and post-education results, we observed statistically significant improvement when considering emergency airway management knowledge (t=-9.98, p<0.001), Clinical Performance Ability (t=-23.90, p<0.001), self-efficacy (t=-16.77, p<0.001), and critical thinking disposition (t=-5.04, p<0.001). Conclusions: Simulation-based emergency airway management training program is an effective educational program that enhances the emergency airway management knowledge, Clinical Performance Ability, self-efficacy, and critical thinking disposition of nursing students. We believe that the program developed in this study contributes towards improvement of patient nursing quality by enhancing the ability of nursing students to cope with emergencies in practice. Furthermore, it can be applied for educating new nursing students, and contribute to the development of nursing practices.

Effects of the Program for Correction of Eating Habits to Prevent Digestive Disorders of Workers in Small Workplace (소규모사업장에서의 근로자 위장질환 관리 프로그램의 효과)

  • Choi, Jeong-Myung;Kim, Chun-Mi;Hyun, Hye-Jin;Yun, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.11 no.1
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    • pp.5-12
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    • 2002
  • The purpose of this study, as a project for health management at small workplace by Korean association of occupational health nurse, was to evaluate the program for correction of eating habits to prevent digestive disorders of workers. The study cases were twenty nine workers who voluntarily participated in the above program and they were from small(under fifty employees) workplace at Youngdeungpo-gu, Seoul. The study was done between January, 2000 and May, 2000. This program was concerned with daily menu for correction of eating habits and was composed of individual health education and distributing guide books and video. Nurses visited the workplace for the program once a week or two weeks. The result of this program was evaluated by paired t-test of digestive symptoms, eating habits, and self-efficacy before and after the fulfillment of the program. The result could be summarized as below. 1) There were decrease in digestive symptoms and improvement in eating habits and self-efficacy from study cases after fulfillment of the program. 2) The most common digestive symptoms were heartburn, upper abdominal pain, indigestion. The symptom which had been improved through the program were indigestion, heartburn and anorexia in the order. 3) The most improved eating habit was to eat flat foods instead of salty and spicy foods. The most improved self-efficacy was 'I can follow any helpful guides for my health'. The result indicated the program was successful for workers at small workplace. The continual management by nurses' regular visit once a week or two weeks was the most important thing for the successful program.

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Effect of East-West Self-help Group Program for Rehabilitation of Post Stroke Clients (뇌졸중 후 대상자의 동서재활 자조관리 프로그램의 적용 효과)

  • Kang Hyun-sook;Kim Won-ock;Kim Jeong-wha;Wang Myoung-ja;Cho Joung-hee
    • Journal of Korean Academy of Nursing
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    • v.34 no.7
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    • pp.1351-1361
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    • 2004
  • Purpose: The purpose of this study was to evaluate the effect of an East-West Self-help program for Rehabilitation of post-stroke patients, Method: A quasi-experimental design was used. The subjects were 75 post stroke clients(Exp. group : 38, Cont. group:37), The subjects of the experimental group participated in the Self-help group program of six sessions, twice a week, during 6 weeks. The program consisted of health education of stroke, exercise, oriental nursing interventions, and therapeutic recreation. The obtained data were analyzed by using the repeated measure ANOVA of SPSS. Result: 1) The score of rehabilitation self-efficacy increased significantly in the experimental group as compared to the control group. 2) The score of BADL, IADL, amount of use & quality of movement of the affected U/E, and grip power increased significantly in the experimental group as compared to the control group. 3)The level of blood cholesterol decreased significantly in the experimental group as compared to the control group. Conclusion: Considering these research results, the program is effective in improving functional abilities and self-management ability. Therefore this program could be implemented as a community based self-help group program for post stroke clients.

An Education Program for Housewives' Human Resource Development Toward the Knowledge Informatization Society. For the Social Integration and a Solution of Digital Divide Between Family and Society (지식정보화사회 조성을 위한 주부의 인적자원개발 교육프로그램에 관한 연구* : 가정과 사회의 정보격차 해소와 사회적 통합을 위하여)

  • 이기영;이승미;송혜림
    • Journal of Families and Better Life
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    • v.21 no.1
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    • pp.129-143
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    • 2003
  • The purpose of this study is to provide the contents and effective methods of educational program for human resource development focused on the full-time housewives. For this purpose the case interviewed with 24 professionals and management leaders of women education field are performed and 445 questionares from full time housewives who participate in at least one education program are analyzed. The findings of this study are followed. 1. The most preferred programs are sports/health program(28.8%), leisure program(26.5%), household income management program(15.9%), culture/arts program(15.2%) in percentage order. And the first preferred motivation of participation in the programs is the self development(38.4%). 2. The positive effect of program is founded more with participants in family oriented program and society oriented program than in individual oriented program. And the satisfaction degree of participants in family oriented program is higher than in individual/society oriented program. 3. The degree of demands for Program management and program characteristics is higher than the demands for program installations and program supplying methods. 4. In the area of effectiveness methods the demands for program systematization according to program level are most referred.

Needs for Development of IT-based Nutritional Management Program for Women with Gestational Diabetes Mellitus (IT-기반의 임신성 당뇨병 영양관리 프로그램 개발을 위한 요구도 조사)

  • Han, Chan-Jung;Lim, Sun-Young;Oh, Eunsuk;Choi, Yoon-Hee;Yoon, Kun-Ho;Lee, Jin-Hee
    • Korean Journal of Community Nutrition
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    • v.22 no.3
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    • pp.207-217
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    • 2017
  • Objectives: The aim of this study was to examine self-management status, nutritional knowledge, barrier factors in dietary management and needs of nutritional management program for women with Gestational Diabetes Mellitus (GDM). Methods: A total of 100 women with GDM were recruited from secondary and tertiary hospitals in Seoul. The questionnaire composed of general characteristics, status of self-management, dietary habits, nutrition knowledge, barrier factors in dietary management, needs for nutrition information contents and nutritional management programs. Data were collected by a self-administered questionnaire. All data were statistically analyzed using student's t-test and chi-square test using SAS 9.3. Results: About 35% of the subjects reported that they practiced medical nutrition and exercise therapy for GDM control. The main sources of nutrition information were 'internet (50.0%)' and 'expert advice (45.0%)'. More than 70% of the subjects experienced nutrition education. The mean score of nutrition knowledge was 7.5 point out of 10, and only about half of the subjects were reported to be correctly aware of some questions such as 'the cause of ketosis', 'the goal of nutrition management for GDM', 'the importance of sugar restriction on breakfast'. The major obstructive factors in dietary management were 'eating more than planned when dining out', 'finding the appropriate menu when dining out'. The preferred nutrition information contents in developing management program were 'nutritional information of food', 'recommended food by major nutrients', 'the relationship between blood glucose and food', 'tips on menu selection at eating out'. The subjects reported that they need management program such as 'example of menu by calorie prescription', 'recommended weight gain guide', 'meal recording and dietary assessment', 'expert recommendation', 'sharing know-how'. Conclusions: Based on the results of this study, it is necessary to develop a program that provide personalized information by identifying the individual characteristics of the subjects and expert feedback function through various information and nutrition information contents that can be used in real life.

Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study

  • Lee, Hoon Ah;Jang, Keum Seong
    • Women's Health Nursing
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    • v.27 no.4
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    • pp.358-367
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    • 2021
  • Purpose: This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea. Methods: A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy. Results: Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean, 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, p<.001). Other factors, in descending order of influence, were sleep quality (β=.22, p<.001) and exercise (β=.18, p=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, p<.001) of the total variance. Conclusion: The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.

Structural Equation Modeling of Self-Management of Liver Transplant Recipients (간이식 수혜자의 자기관리 구조모형)

  • Jeon, Mi-Kyeong;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.663-675
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    • 2017
  • Purpose: The purpose of this study was to construct and test a structural equation model of self-management of liver transplant recipients based on self-determination theory. Methods: Participants were 275 outpatients who received liver transplantation. A structured self-report questionnaire was used to assess health care providers' autonomy support, transplant-related characteristics, illness consequence perception, autonomy, competence, family relatedness, depression and self-management. Collected data were analyzed using SPSS/WIN 24.0 and AMOS 24.0 program. Results: The modified model showed a good fitness with the data: GFI=.96, RMSEA=.06, CFI=.96, NFI=.93, TLI=.93, PGFI=.43, PNFI=.49. The health care providers' autonomy support, competence, family relatedness and depression were factors with a direct influence on the self-management of liver transplant recipients. The health care providers' autonomy support and illness consequence perception had an indirect influence through competence, family relatedness and depression. However, the transplant-related characteristics and autonomy did not have a significant effect on self-management. This model explained 59.4% of the variance in self-management. Conclusion: The result suggests that continuous education must be done to promote the competence of liver transplant recipients and to encourage the patient to positively perceive their current health condition with a view that enhances one's self-management. Additionally, the liver transplant recipients should be screened for depression, which would affect self-management. Most of all, health care providers, who have the most influence on self-management, should improve therapeutic communication and try to form a therapeutic relationship with the liver transplant recipients.

The Effect of Career Preparation Program on Self-esteem, Self-efficacy related career decision-making and Career Development Readiness in University Students (대학생의 진로지도프로그램이 자아존중감, 진로결정자기효능감, 진로개발준비도에 미치는 효과)

  • Kim, Sun-Hwan;Kim, Mi-Jong
    • Journal of Digital Convergence
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    • v.14 no.4
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    • pp.407-418
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    • 2016
  • The purpose of this study was to investigate the effect of career preparation program on self-esteem, self-efficacy related career decision-making and career development readiness in university students. The structured career development program was given in 124 participants, Sep.~Dec, 2014 in D city. SPSS/Win 18.0. was used. The 1.06 points were decreased in self-esteem(t=3.39, p=.00) than before. The 14.22 points, 17.36 points were increased in self-efficacy(t=-12.41, p=.00), and career development readiness(t=-13.85, p=.00) than before. It showed the program was effective. Three variables showed correlation with one another. We suggested this structured career preparation program would be applied and extended more in career development for the college students. And the follow-up studies about self esteem and relating factors will be needed.

A Convergence Study on Self-management Competency and Employment Preparation Behavior of Senior Nursing Students : Mediating effect of Academic Self-efficacy (졸업학년 간호대학생의 자기관리역량과 취업준비행동에 대한 융합연구 : 학업적 자기효능감의 매개효과)

  • Kim, Eun-A;Ha, Hey-Jin
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.445-454
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    • 2022
  • The purpose of this study was to investigate the mediating effect of academic self-efficacy in the relationship between self-management competency and employment preparation behavior of senior nursing students. The data were analyzed using SPSS 26.0 program, frequency analysis, t-test, ANOVA, Pearson's correlation, and multiple regression. As a result of the study, self-management competency was positively correlated with academic self-efficacy, employment preparation behavior, and academic self-efficacy with employment preparation behavior. Academic self-efficacy showed a partial mediating effect between self-management competency and employment preparation behavior. The higher the level of self-management competency and academic self-efficacy, the higher the level of employment preparation behavior, and the explanatory power (R2) was 34%. Therefore, it suggests that it is important to develop self-management competency and to prepare an integrated strategy that can induce a sense of academic self-efficacy in order to promote the employment preparation behavior of nursing students.