• Title/Summary/Keyword: nursing performance

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Performance and Impediments to Patient and Family Education among Home Health Care Nurses (가정전문간호사의 환자·가족교육 수행정도와 저해요인)

  • Seo, Yoo Jin;Lee, Mi Kyoung
    • Journal of Home Health Care Nursing
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    • v.26 no.3
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    • pp.329-340
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    • 2019
  • Purpose: This study aimed to provide basic data necessary to develop education programs and educational services for home care by investigating the degree of patient and family education among home health care nurses. Methods: Data collection was carried out with 145 people from 47 institutions that agreed to participate in the research. A total of 128 questionnaires were received, of which 122 were analyzed. Data were analyzed using SPSS 12.0. Results: The item on which education was most frequently delivered was intravenous injection speed control (66.4%), whereas the item requiring the longest teaching period was pressure ulcer care. The average degree of impediment perceived by home care nurses was 2.82 out of 5. Conclusion: Medical institutions should develop educational materials and programs that reflect the characteristics and degree of home health care needed. Repeated research, including that by medical institutions, on the degree and impeding factors related to patient and family education performance of home health care nurses should be conducted. Moreover, medical institutions should investigate the nursing and educational needs of patients and families who received home health care service.

Comparison of Learning Effects using High-fidelity and Multi-mode Simulation: An Application of Emergency Care for a Patient with Cardiac Arrest (High-fidelity와 Multi-mode 시뮬레이션을 이용한 학습 효과 비교 : 심정지 환자 응급간호 적용)

  • Ryoo, Eon-Na;Ha, Eun-Ho;Cho, Jin-Young
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.185-193
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    • 2013
  • Purpose: Simulation-based learning has become a powerful method to improve the quality of care and help students meet the challenges of increasingly complex clinical practice settings. The purpose of this study was to identify the learning effects using high-fidelity SimMan and multi-mode simulation. Methods: Participants in this study were 38 students who were enrolled in an intensive course for a major in nursing at R college. Collected data were analyzed using Chi-square, t-test, and independent t-test with the SPSS 18.0 for Windows Program. Results: There were no statistically significant differences in learning effects between high-fidelity SimMan and multi-mode simulation group. However, skills in clinical performance in the high-fidelity SimMan group were higher than in the multi-mode group (p=.014), communication in clinical performance in multi-mode simulation group was higher than in the high-fidelity SimMan group (p<.001). Conclusion: Multi-mode simulation with a standardized patient is an effective learning method in many ways compared to a high-fidelity simulator. These results suggest that multi-mode simulation be offered to students in nursing colleges which cannot afford to purchase a high-fidelity simulator, or offered as an alternative.

Development and Feasibility of a Video Recording-Based Standardized Handoff Program for Ward Nurses: A pilot study (비디오 녹화 기반 병동 간호 인수인계 프로그램 개발 및 적용가능성 : 예비연구)

  • Seo, Eun Koung;Kim, Sun-Hee;Son, Youn-Jung
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.71-84
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    • 2018
  • Purpose : This study develop a Video Recording-Based Standardized Handoff (VRSH) program at shift change for ward nurses. Methods : The study was conducted in five medical, three surgical, and one comprehensive nursing care service wards affiliated with a secondary general hospital. In this methodological study, the VRSH program was developed between April and December, 2017. It is noted that 65 nurses who were involved in the VRSH program participated in this study. Results : In line with the modified Situation, Background, Assessment, Recommendation tool, the VRSH program consisted of three phases. In the VRSH program, the average time for handoff duration was 3-5 minutes per patient. More than 90% of the ward nurses were satisfied with the VRSH program since it benefited them by reducing overtime work and improving the performance, as well as effective communication, of nurses. The content analysis of nurses' VRSH program experience, revealed three categories and eight sub-categories. Conclusions : This study provides evidence that the VRSH program improves effective nursing performance and, the handoff communication and relationships between nurses. Future studies on large sample sizes and multiple settings are required to substantially evaluate the impact of the VRSH program on clinical outcomes.

The Study on the Variable related to the Sexual Harassment among the Korean Adolescents (한국 청소년의 성희롱 관련요인에 대한 조사연구)

  • Kim Young-Hae;Lee Hwa-Za;Jung Eun-Soon;Kim Yi-Soon
    • Child Health Nursing Research
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    • v.8 no.1
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    • pp.77-85
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    • 2002
  • Recently in Korea, the adolescents' sexual problems including sexual violence have increased, and those phenomena have escalated to be one of the major social issues. This study was conducted to identify the variables related to the sexual harassments of the Korean adolescents. The variables to which the subjects belong were gender, school grade, religion, extracurricular activity, amount of pocket money, school performance traffic mean to school, ownership of PC, internet contact frequency and place, contact to pornography, heterosexual friend, drinking, and smoking. The period of survey was from July 2000 to Dec. 2000. The subjects were 475 middle and high-schoolers in Busan and Kyung-Nam. The instrument to measure sexual harassments of the subjects was questionnaire. That was gained by modifying the three patterns(physical, verbal and visual) in the manual provide by the Ministry of Labor(1999). The degree of sexual harassments was measured by 4-point Likert scale. The collected data was analyzed with t-test and ANOVA by SPSS win(10.0). The findings were as follows ;1. The variables related to the physical harassment were gender, age, pocket money, perceived school performance, traffic means, contact to pornography, having heterosexual friend, experience of drinking and smoking.2. The variables related to the visual harassments were gender, age, perceived school performance, traffic mean, internet contact, contact to pornography, having heterosexual friend, experience of drinking & smoking.3. The variables related to the verbal harassments were gender, age, pocket money, perceived school performance, traffic mean, internet contact, contact to pornography, having heterosexual friend, and experience of drinking & smoking.

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Quality Improvement of Clinical Practice in Nursing Students : Focused on Delivery Room Clinical Practice (간호대학생의 분만실 임상실습 질 향상 방안)

  • Chun, Nami;Noh, Gie-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.513-521
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    • 2016
  • Purpose of this study was to provide strategies to improve quality in clinical practice by identifying the nursing student contents of clinical practice, performance level and satisfaction in the delivery room setting and correlations between the performance level and satisfaction. As the result, Nursing students were mostly rely on observational experiences with very limited experiences of performance and assist. Nursing students' clinical practice satisfaction were relatively low with 69 percentile score. The women's health clinic group showed higher score on frequency of clinical observation, clinical practice satisfaction than the tertiary hospital group. Correlations among frequencies of observation, assist and satisfaction were identified. Simulation based clinical practice as alternative ways to enhance students' performance level, utilizing community based speciality healthcare facilities for clinical practice, increasing observational experiences in the clinical field were suggested as strategies to improve quality of nursing clinical practice and ultimately to improve quality of healthcare services.

Nurse's Role Performance and Perception of the Importance of Role among Nurses Practicing in a Cancer Care Facility (암 전문병원 간호사의 간호역할 수행도와 중요도)

  • Chae, Young Hee;Lee, Won Hee;Min, Young Mi;Shin, A Mi;Kim, Hyang Mi
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.3
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    • pp.407-418
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    • 2013
  • Purpose: The purpose of this study is to examine the nurse's role performance and the perception of the importance of role among nurses practicing in a cancer care facility. Methods: A descriptive study design was applied with convenient sampling of 175 nurses working at a cancer care facility in Daegu, Korea. Data was collected using a structured questionnaire from July 1, 2013 to July 5, 2013. Results: Cancer care facility nurse's role performance score was measured on average $3.23{\pm}0.64.$ Oral medication was the most frequently performed role, followed by encouragement, care related to medication, and pain management. The perception of the importance of nurse's role was measured on average $3.31{\pm}0.35$. Care related to medication was regarded as the most important, followed by transfusion, oral medication, and intravenous & intramuscular medication. Nurse's role performance was different according to nurse's age (F=3.21, p=.024) and current practice area (F=3.73, p=.012). The perception of the importance of nurse's role was different only in relation to current practice area (F=6.82, p<.001). Conclusion: Nurses practicing in oncology setting frequently involve encouraging patients and pain management. Training programs designed to facilitate frequently performed and highly regarded nurse's roles are required for nurses practicing in oncology setting.

Nursing Action Analysis of Operation Room Nurse According to Their Career Ladders (수술실 간호사의 경력등급별 간호행위분석)

  • Chae, Su Jeong;Ahn, Jun Hee;Kim, Eun Hye;Kim, Hyo Jung
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.86-98
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    • 2012
  • Purpose: The present study was conducted with the aim of developing a training manual for operation room nurses through an examination of nursing actions in terms of the frequency of performance, importance, and the levels of difficulty. The participants were recruited from the five university-affiliated hospitals according to one's career ladders, resulting in getting 181 OR nurses enrolled. Methods: Researchers developed a questionnaire using a 5-point Likert scale which measuring OR nurses' actions, importance, and the levels of difficulty. The frequencies of performance, importance and the levels of difficulty of nursing action were compared according to their career ladders using one-way ANOVA. Results: The frequencies of performance showed significant differences in 26 items according to the participants' career ladders; the importance in 6 items; and the levels of difficulty in 19 items among the OR nurses' actions. Conclusion: Given the fact that the significant differences were shown in the frequencies of performance, importance, and the levels of difficulty in nursing action across differing work experience, continuous development and application of job training based on one's work experience seem crucial in practice.

Development of a Diabetic Foot Ulceration Prediction Model and Nomogram (당뇨병성 발궤양 발생 위험 예측모형과 노모그램 개발)

  • Lee, Eun Joo;Jeong, Ihn Sook;Woo, Seung Hun;Jung, Hyuk Jae;Han, Eun Jin;Kang, Chang Wan;Hyun, Sookyung
    • Journal of Korean Academy of Nursing
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    • v.51 no.3
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    • pp.280-293
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    • 2021
  • Purpose: This study aimed to identify the risk factors for diabetic foot ulceration (DFU) to develop and evaluate the performance of a DFU prediction model and nomogram among people with diabetes mellitus (DM). Methods: This unmatched case-control study was conducted with 379 adult patients (118 patients with DM and 261 controls) from four general hospitals in South Korea. Data were collected through a structured questionnaire, foot examination, and review of patients' electronic health records. Multiple logistic regression analysis was performed to build the DFU prediction model and nomogram. Further, their performance was analyzed using the Lemeshow-Hosmer test, concordance statistic (C-statistic), and sensitivity/specificity analyses in training and test samples. Results: The prediction model was based on risk factors including previous foot ulcer or amputation, peripheral vascular disease, peripheral neuropathy, current smoking, and chronic kidney disease. The calibration of the DFU nomogram was appropriate (χ2 = 5.85, p = .321). The C-statistic of the DFU nomogram was .95 (95% confidence interval .93~.97) for both the training and test samples. For clinical usefulness, the sensitivity and specificity obtained were 88.5% and 85.7%, respectively at 110 points in the training sample. The performance of the nomogram was better in male patients or those having DM for more than 10 years. Conclusion: The nomogram of the DFU prediction model shows good performance, and is thereby recommended for monitoring the risk of DFU and preventing the occurrence of DFU in people with DM.

Application and Evaluation of the Pilot Program for the Education Nurse System in a Medical Institution (교육전담간호사 제도 시범사업 적용에 따른 일 의료기관에서의 성과)

  • Sim, Won Hee;Park, Ji Sun;Lim, Hyo Min;Kim, Eun Hye;Kim, Jin Hyun
    • Journal of Korean Clinical Nursing Research
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    • v.28 no.3
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    • pp.242-250
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    • 2022
  • Purpose: This study was conducted to evaluate the performance following the application of the pilot program for the education nurse system of the Ministry of Health and Welfare in a medical institution. Methods: This study was employed a non-homogeneous comparative group design by comparing new nurses who entered the medical institution after the pilot project from December 2019 to April 2020 with new nurses who entered before the pilot project during the same period. Satisfaction, academic achievement, job adaptation, personal turnover within one year, and patient safety incident rate were investigated as performance indicators. Results: After the pilot project, the overall satisfaction among new nurses, preceptors, and fellow nurses increased, but there were no significant changes in academic achievement and job adaptation in new nurses. The personal turnover rate decreased from 15.6% to 9.1%, and the patient safety incident rate also decreased from 26.3% to 15.7%. Also, the preceptor overtime also decreased from 3.67 to 0.66 hours. Conclusion: The performance of the pilot project for the education nurse system was related to improvements in satisfaction, turnover rate of new nurses, patient safety incident rate, and preceptor overtime. Above all long-term monitoring of each performance indicator is necessary through the continuation of the education nurse system of the Ministry of Health and Welfare.

The Effect of Simulation Education based on Blended Learning on Nursing Students' Knowledge, Performance, Learning Satisfaction to ACLS (블렌디드 러닝 기반 시뮬레이션 교육이 간호대학생의 전문심폐소생술 지식, 수행 능력, 학습 만족도에 미치는 효과)

  • Lee, Kyoung-Hee
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.225-232
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    • 2022
  • This study purpose was to identify the effect of simulation education based on Blended Learning on Nursing students' Knowledge, performance, Learning satisfaction to ACLS. Methods was nonequivalent control group pretest-posttest design. The participants were 88 students 4 grade from the Department of Nursing at C University. The study period was from September 1 to December 31, 2021, and Data were analyzed with X2 test, independent t-test using SPSS 22.0 program. The research results show that the experimental group showed significantly higher performance(t=-9.843, p=.001) and learning satisfaction(t=-3.484, p<.001) for ACLS compared with the control group. In conclusion, it was suggested that ACLS simulation education based on Blended Learning is an effective teaching method to improve nursing students' performance and learning satisfaction.