• Title/Summary/Keyword: nursing process

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Nursing Process of Abdominal Surgery Patients (복부수술환자의 간호과정)

  • Yoo, Hyung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.411-430
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    • 2002
  • Purpose : This study was to develop Nursing Process Model of abdominal surgery patient using nursing diagnoses of NANDA, Nursing Interventions Classification(NIC), and Nursing Outcomes Classification(NOC). Method : The data in database were collected from nursing records in sixty patients with abdominal surgery admitted in a university hospital and open questionnaires of thirteen nurses. Systematic nursing process resulting from each nursing diagnoses, most common, was developed by the statistical analysis through database query from clinical database of abdominal surgery patients. Result : 51 nursing diagnoses were identified in abdominal surgery patients. The most commonly occurred nursing diagnoses were Pain, Risk for Infection, Sleep Pattern Disturbance, Hyperthermia, Altered Nutrition: Less Than Body Requirements in order. The linkage lists of NANDA to NIC and NANDA to NOC, and the nursing activities according to nursing diagnoses of abdominal surgery patients were identified in unit. Conclusion : Nursing Process of abdominal surgery patients was comprised of core nursing diagnoses, core nursing interventions, core nursing outcomes which provides the most reliable data in unit and could make nurses facilitate nursing process easily without full consideration of knowledge about nursing language classification system. Therefore, it could support nurses' decision making and recording of nursing process especially in the computerized patient record system if unit nursing process model using standardized nursing language system which contains of their own core nursing process data was developed.

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Development of an Evidence-based Nursing Process System to Improve Clinical Decision Making with Colorectal Cancer Nursing Diagnosis (임상의사결정 향상을 위한 근거 기반 간호과정 시스템 개발-대장암 간호진단을 중심으로-)

  • Park, Hyun Sang;Cho, Hune;Kim, Hwa Sun
    • Journal of Korea Multimedia Society
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    • v.19 no.7
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    • pp.1197-1207
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    • 2016
  • The purpose of this study was to develop an evidence-based Nursing Process System on Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions Classification targeting nurse students. We use standard classification-focused research data on the basis of Nursing Diagnosis Classification established by NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) mainly developed by Iowa Sate University. The existing research methods are difficult to be applied the consistent nursing process, since such methods need to repeatedly enter the same nursing process without systematic guidelines. But, this study was coded data of standardized nursing process in accordance with the 10 clinical condition in order to implement the nursing process macro, and developed a system that reflects the needs of nursing educators. Therefore, nurse students can improve clinical decision-making ability, and naturally learn the nursing process through a system developed.

The Problems for Application of Nursing Process in Clinical Experience of Nursing Students (임상실습에서 학생들이 경험하는 간호과정 적용문제)

  • Yang Young-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.5 no.1
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    • pp.58-71
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    • 1999
  • Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.

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An Effect of the Application of Educational Electronic Nursing Record System for Nursing Students (간호학생의 교육용 전자간호기록 시스템 적용 효과)

  • Kim, Se Young;Lee, Insook;Kim, Shinmi;Kim, Kisook;Park, Bohyun;Noh, Yoon Goo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.3
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    • pp.396-407
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    • 2016
  • Purpose: This study aimed to identify the effectiveness of educational Electronic Nursing Record System in terms of nursing process preparation ability and satisfaction about the system itself. Methods: A one group pre-post experimental study design was utilized in this study. The effectiveness of the system was examined through quality of nursing diagnoses, interventions, and outcomes and electronic nursing record system satisfaction inventory. Junior and senior nursing students were the potential study respondents and evaluation instruments were applied only for the one who agreed to participated in the study. Education about nursing process and electronic nursing record system was carried out as part of regular classes and students were guided to prepare nursing process upon the scenarios developed earlier. Results: 29 juniors and 33 seniors prepare nursing process documentation related to each scenario and both groups showed significant improvement upon nursing process documentation (t=7.53, p<.001, t=3.23, p=.003, respectively) compared to paper based nursing process preparation. Satisfaction about system itself was 2.78(0.81). Conclusion: Educational electronic nursing record system seems to be effective to train nursing students for nursing process preparation ability. Effort to enhance its utility are called in the area of education and system itself.

The influence of critical thinking disposition, deep approaches to learning and learner-to-learner interaction on nursing process confidence in nursing students, with a focus on team-based learning (간호대학생의 비판적 사고성향, 심층적 학습접근방식, 학습자간 상호작용이 간호과정 자신감에 미치는 영향: 팀 기반 학습을 중심으로)

  • Choi, Hanna;Lee, Eunseon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.27 no.3
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    • pp.251-260
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    • 2021
  • Purpose: This study uses a descriptive research design to identify the influence of critical thinking disposition, deep approaches to learning, and interaction between learners on the degree of nursing process confidence for nursing students. Methods: The subjects of the study were second-year students in the Department of Nursing at a university in G city. The data included general characteristics, critical thinking disposition, deep approaches to learning, learner-to-learner interaction, and nursing process confidence were analyzed utilizing an independent t-test, one-way ANOVA, and Scheffe's test to identify differences in the variables according to general characteristics. To identify the correlation between the factors related to the nursing process and nursing process confidence, Pearson's correlation was analyzed, and hierarchical regression was used to determine the factors affecting the confidence of the subject's nursing process. Results: Gender, critical thinking disposition, and in-depth learning approach were statistically significant as factors affecting the nursing process confidence of nursing students, and these factors were shown to explain 62% of nursing course performance (F=23.80, p<.001), among which in-depth learning access has the greatest influence (β=.41, p<.001). Conclusion: Critical thinking disposition and deep approaches to learning arbitration program development are necessary to improve nursing students' nursing process confidence.

Comparative Analysis of Structural, Process, and Outcome Indicators for Evaluating the Quality of Nursing Care (임상간호 질 평가를 위한 구조, 과정, 결과 기준지표의 비교 분석 연구)

  • 김영숙;김혜순;김정엽
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.17-25
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    • 1998
  • This study was done to evaluate the quality of clinical nursing care using the variables of structure, process, and outcome and to analyze the relationship between the variables. This study also explored which variables are validating indicators to evaluate the quality of nursing care. The results analyzed by multiple regression showed that, generally structural variables did not contribute to the variance in outcome scores, but process variables of nursing care contributed significantly to the outcome variable of patient satisfaction. A combination of structure and process variables explained outcome variables more than structural variables alone. Also, patient satisfaction and hospital preference were significantly related to each other. Therefore, if nursing quality evaluation relies solely upon on structural variables such as number of available nurses and workload, it would be inaccurate because process variables of nursing care are strongly related to outcome variables and the two categories of structure and process variables helped to strengthen the relationships. Thus, it is important to focus on variables of structure, process, ant outcome together in evaluating nursing care quality.

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Impact of Applying 'Nursing Process Program' to Nursing Practice - Based on I.C.U Nursing Practice - (임상실습에서의 간호과정 전산프로그램 활용결과 분석 - 일 간호대학의 중환자 실습을 중심으로 -)

  • Park Soon-Ok;Park Hyoun-Kyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.8 no.1
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    • pp.24-34
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    • 2001
  • This study was done to identify the effectiveness of applying a 'Nursing Process Program' to the nursing students' clinical practice. The data collection period was from September 2000 to January 2001, and the subjects of the study were 39 students who were doing clinical practice in the ICU. The results are as follows : 1. Most subjects had a personal computer, had experience in using computers for one year and usually did word processing and internet, and wanted computerization of nursing work. The average results of the questions on the need for, and the effectiveness of applying a 'Nursing Process Program' to clinical practice were, on five point scales, 4.07 and 4.21 respectively. 2. There were no significant differences in the mean scores for suhjects' attitudes toward computers and computer anxiety between before and after using a 'Nursing Process Program'. 3. The total case study frequency using a 'Nursing Process Program' was 68, and 'Risk for infection' was the most frequent nursing diagnosis.

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Effects of Nursing Simulation-Based Education on Problem Solving Process and Self-efficacy of Nursing College Students (간호 시뮬레이션 교육이 간호대학생의 문제해결과정과 자기효능감에 미치는 효과)

  • Oh, Hye-Kyung;Han, Young-In
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.245-254
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    • 2012
  • The purpose of this study was to approve the effects of nursing simulation-based education on problem solving process and self-efficacy for nursing students. The nursing students of 244 participated the nursing simulation-based education of 60 hours. The questionnaire survey on problem solving process and self-efficacy were conducted 2 time(before education, after education) to the nursing students. The data were analyzed by the SPSS 12.0 program. The results were as follows; There was a statistically significant increase in problem solving process(t=2.637, p=.012) but no statistically significants self-efficacy(t=0.135, p=.743) effects of nursing simulation-based training in nursing college students. There was a significant positive correlation between problem solving process and self-efficacy(r=0.737, p=.017). In conclusion, the study found that nursing simulation-based education for nursing students may increase problem solving process but no effective self-efficacy.

The Classification of Standard Nursing Activities in Korea (한국 표준 간호행위 분류)

  • 박정호;성영희;송미숙;조정숙;심원희
    • Journal of Korean Academy of Nursing
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    • v.30 no.6
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    • pp.1411-1426
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    • 2000
  • A nursing activity classification for hospitalized patients was performed based on an article review regarding nursing definition and nursing activity classification system. The study was conducted as follows: 1) Taxonomy was developed by the research team through the Delphi process and review article. The taxonomy consists of four nursing processes, (assessment, diagnosis, intervention and evaluation) and twelve nursing activity domains space (resperation, nutrition, elimination, exercise/alignment maintenance, comfort, hygiene, safety, spiritual support, counseling/ education, medication, communication, patient and information management). 2) First, nursing activities of the intervention process were listed and then classified by the nursing process of assessment, diagnosis, intervention and evaluation. The list consists of twelve nursing activity domains and 136 nursing activities. 3) A pilot study was conducted in two hospitals to verify validity and appropriateness of nursing activities. 4) The content validity index, which was calculated by 6 clinical practice experts, was 0.95. Also, a nursing activity classification system should also be developed in the department of community nursing and home health care nursing.

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The Nursing Record Evaluation of the Application of the Nursing Process (간호과정 적용에 따른 간호기록지 평가)

  • 이경혜;김문실
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.87-94
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    • 1980
  • According to the provious study. it was suggested a need for improvement of nursing care through application of nursing process in Ewha Womans University Hospital With those data. it has been applied to the nursing care at maternity ward by nurses. This study was undertaken to determine the evaluation of the application of the nursing process which is an orderly. systemic min of deforming the patient's/client's nursing problems. This study involved 191 cases with patient chart and was carried out from Feb. 1979 to Feb. 1980 is Ewha Womans University Hospital. The results were as follows : 1. Actual performance of“Assessment”stage was 59%, and 45 % for the nursing diagnosis. 2. It was achieved with specific planning of nursing care for 71.6% and the plan was safely and effective implemented (97.9% ). 3. Afer“Implement”stage it was made of evaluation and feedback process (39%). 4. Nurses in Eha womans University hospital. they showed the Positive attitude toward the application of nursing process. but they saggested that there were lack of manpower and the consideration of time allocation. Recommandation are as follows : 1. All nursing staff must participate in continious education program for nursing process. 2. The results suggest a need for modification for the nursing history formeat and SOAPIER. 3. A need for improvement of physical condition for interview and effective utilization of nursing staff. 4. It will more effective when Dr's medical record replace by problem ariented aedical record( POMR).

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