• Perspectives in Nursing Science
• /
• v.14 no.1
• /
• pp.37-44
• /
• 2017

Purpose: This study aimed to provide information on the developmental process and current status of Advanced Practice Nurses (APN) and to suggest ways for activating APN roles in Korea. Methods: We reviewed literatures to explore domestic and international trends related to the roles, practice settings, scope of practice, regulatory policies, and political environment of APN. Results: Interest in the APN role has been gaining ground worldwide. While the roles of APN in the USA, Taiwan and Japan have been changed in terms of legislation and institutional regulations, the role of APN in 12 fields except for APN in home care has not been legislated since qualification was specified in Korean Medical Law. Many problems were found in vitalizing APN roles: absence of legal regulations on the scope of practice or health insurance coverage for APN, increase the number of medical support staffs who are not qualified, and a disagreement regarding the qualification field and practical field. Conclusion: This study presents snapshots and vitalizing strategies of practice, and regulation for APN to develop their unique roles in Korea. The tasks and duties of APN should be identified specifically to fulfill their roles. In terms of national health insurance policy APN's Nursing care should be reimbursed just as nursing care of APN in home care.

• The Journal of the Convergence on Culture Technology
• /
• v.9 no.3
• /
• pp.435-442
• /
• 2023

The purpose of this study is to analyze the effects of simulation education using standardized patients on respiratory infectious disease knowledge and clinical performance of nursing students. A single-group before-and-after design for the nursing of infectious respiratory patients using standardized patients from March 2 to June 15, 2020, targeting 112 senior nursing students. Respiratory infectious disease education program 'knowledge of lung infectious diseases', 'hand washing', 'wearing a mask', 'encouraging patients and caregivers to wear masks', 'intravenous injection', '3-way injection', 'surgical aseptic technique', 'disinfecting medical devices' , 'contaminated linen management', 'infected person management manual', etc., and 10 educational tasks were performed, and consisted of lectures, technical training, simulation using standardized patients, and debriefing. After simulation education using standardized patients, students' knowledge and clinical performance skills on respiratory infectious diseases showed significant improvement, and it was expected that it could be used for various infection control practices.

• Journal of the Korean Applied Science and Technology
• /
• v.39 no.6
• /
• pp.769-782
• /
• 2022

The purpose is van Manen's interpretation of verbal violence experienced by nursing students during their growing up period in order to use it as basic data to improve the verbal communication essential for solving nursing problems and performing tasks with guardians and peers. For this, 10 students enrolled in the nursing department of A University in Gyeonggi-do were selected and data were collected through in-depth interviews. Data analysis conducted an existential inquiry process to focus on the essence of experience. Five thematic statements in this study were as follows: 'Beginning with a trivial conversation', 'Getting confused mind', 'Being an opportunity to reflect on myself', 'Changing the frame of my thought' and 'Making a mature me'. As a result, it confirmed the necessity of strengthening language usage and personal competency that respect the other party. Therefore, it is suggested that follow-up studies on empathy or self-positive effects are needed for effective communication techniques.

• Journal of Korean Academy of Nursing
• /
• v.54 no.2
• /
• pp.237-249
• /
• 2024

Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

• Research in Community and Public Health Nursing
• /
• v.13 no.1
• /
• pp.161-170
• /
• 2002

Purpose: To evaluate community health nursing practice by nursing students for basic data to improve nursing practice education, and to determine the clinical practice experiences of nursing students at public health centers. Method: According to methodological triangulation, all data was collected from March 2001 to June 2001 through prepared questionnaires with 62 Participants, and in depth interviews with 2 Participants, and content analysis with 8 Participants. Results: 1. Clinical practice content was needed to make up professionally. 2. Clinical practice instructor was satisfied with teaching by community health nursing professor, but not by public health center nurse. 3. Clinical environment was perceived as good. 4. Clinical practice time was perceived suitable, but practice evaluation was given a low grade. 5. Experience of nursing students was grouped into 9 categories and 20 themes. 9 Categories are as follows: change of public health center image, difficulty in the personal relationship, positive personal relationships, doubt about the attitude, doubt about the task, tension, worth, ambivalance of the conference, feeling about the end stage of the clinical practice. Twenty themes are stereotypic of the public health care center: recognition, difficulty between tasks and interrelationships with the clients, decrease of self esteem due to deficiency of trust with the students, exchange of feelings in the relationships, the situation of clients was not considered, feelings were disregarded, not systematic, regarding students as supplementory manpower, independent work but not enough contents, anxiety & fear, self-trust, be skilled in the practice, pragmatic knowledge formation, understanding of the old person, self-study of oneself. live up to the expectation, consider as the job, dissolve the stress and impose burden, feeling the lack regarding active approach in the practice. Conclusion: The students have perceived the need of community health nursing through the clinical practice. Clinical practice of community health nursing requires content supplement, correction of instruction by public center nurses, environmental alteration, evaluation criteria set up. Experience of clinical practice in the public health center was as follows: Getting rid of the stereotype about public health center, nursing students comprehended variety and were worth while to do clinical practice in spite of tension& anxiety and fear. And they thought to be a community nurse someday.

• Research in Community and Public Health Nursing
• /
• v.24 no.2
• /
• pp.185-194
• /
• 2013

Purpose: This study was to explore situations that might put the middle-aged Korean-Chinese female migrant workers at risk for work-related musculoskeletal diseases (WMSDs). At the development phase of a continuing health project, the study aimed to clarify health promotion program needs of the migrant population. Methods: A qualitative description research design was used with three focus groups of 23 Korean-Chinese female migrant workers. Each focus group interview was conducted for 70-minutes using semi-structured interview guidelines. The data were analyzed using directed qualitative content analysis techniques. Results: The majority of the participants were household workers and their work included heavy material handling, standing for a long time, and working in awkward postures. They experienced discrimination from employers, lack of control at work, limitations in open-communication, job insecurity, and acculturation. They had needs to have health promotion programs for preventing and managing chronic diseases, depression and menopause as well as WMSDs. Conclusion: The participants were situated in work environments with physical demanding tasks, acculturative and job-related stress and lack of opportunities to participate in health promotion programs. It is suggested to develop a comprehensive program to better meet the needs of middle-aged Korean-Chinese female migrant workers rather than targeting the reduction of WMSDs.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.22 no.3
• /
• pp.129-137
• /
• 2021

This study is a qualitative study conducted using focus group interviews to examine the mixed offline and online education experience of nursing students in the context of Covid-19. The subjects of this study included 7 students enrolled in the Department of Nursing at J City V University, and focus group interviews were conducted with sufficient explanation and written consent for the study. The contents of the interviews were recorded, and the interview contents were directly transcribed directly after the interview. Research results were derived through content analysis. As a result of the study, 5 domains, 10 categories, and 24 subcategories were derived from the experiences of nursing college students on mixed lectures. The 5 domains included 'mixed lectures,' 'tasks,' 'tests,' 'motivation,' and 'improvement.' The contents of each domain derived from this research result are expected to be used as basic data in the design of the on/offline mixed lectures in the future.

• Journal of Korean Clinical Nursing Research
• /
• v.15 no.2
• /
• pp.77-89
• /
• 2009

Purpose: The purpose of this study was to compare maternal perceptions between two groups of postpartum women, women who chose to have their babies room-in and women who did not (non rooming-in group). Methods: Data collection was conducted in 37 hospitals from August 10 to September 20, 2008. The participants were 209 mothers opting for rooming-in and 128 mothers for non rooming-in. The women completed a questionnaire which included the Edinburgh postpartum depression scale, maternal attachment inventory, and postpartum self-evaluation questionnaire. Results: There were significant differences in education level, income and antenatal education between the rooming-in and non rooming-in groups. The rooming-in group also showed higher levels of satisfaction with medical services. More important, the rate of breast feeding for the rooming-in group was higher than for the non rooming-in group. There was no difference between the two groups for postpartum depression, maternal attachment and mothers' confidence with infant care tasks. Conclusion: These findings suggest that rooming-in system has more advantages compared to non rooming-in and that it can help to promote breast feeding. The authors recommend that the rooming-in system be expanded nationwide. The results of this research can be used to assist the development of future rooming-in system expansion strategy.

• Journal of Korean Academy of Nursing Administration
• /
• v.7 no.3
• /
• pp.487-495
• /
• 2001

Purpose : In this study, task performance and job satisfaction of nurses in non-life insurance companies were examined to improve the personnel management in their companies. Method : Data collection was done with 119 nurses in non-life insurance companies in October and November, 1999. Data analyses were performed using SPSS Win 8.0 package. Result: The Results were as follows: 1. The tasks most commonly performed by nurses were 'medical fee inspection', 'education for staves', 'management of the injured', 'management of injury and disablement'. 2. The mean score of total job satisfaction was 3.2(interaction. 3.8; professional status, 3.6; autonomy, 3.4; task requirements, 3.1; administration, 2.8; pay and advancement, 2.6). 3. Task performance was significantly correlated with job satisfaction total score(r=0.478, p<.01). The item, 'executing statistical works and data analyses related with injury and disablement', was highly correlated with job satisfaction total score(r=0.418, p<.01). 4. The amount of task performance was significantly correlated with educational background and position. The job satisfaction level significantly correlated with personal experience and position. Conclusion : To improve the work efficiency and job satisfaction in the companies, it is necessary to set the bounds of task performance and to enlarge the promotion opportunities to higher positions.

• Korean Journal of Occupational Health Nursing
• /
• v.9 no.1
• /
• pp.49-55
• /
• 2000

When standing, walking, or running for extended periods of time, fatigue occurs in the legs. Although there are many ways, to release tense or fatigued leg muscles, in the case that there is insufficient time to relax, an easy way to release leg fatigue is using an inclined step (about 3 minutes). This method was more effective than performing stretching exercises as studied. An experiment was conducted on a golf course in the Kangwon province in Korea. Subjects were chosen randomly and consisted of 5 females and 4 males golf caddies. Their main tasks consisted of pulling golf carts to the bottom of a hill for 8 to 10 hours and sometimes lifting and lowering golf clubs during the duration of one day. EMG was measured after work and after using the previously mentioned inclined Steps for the lower legs using ME3000P. This study investigated the types of inclined Steps which would be most effective and appropriate for golf caddies, whether sex difference had any influence existed between male and female workers. The results showed that a step with a $20^{\circ}$ angle was most effective for males and a step with a $25^{\circ}$ angle was most effective for females. Females showed faster recovery from fatigue than males. However, there were no statistical significance between males and females.