• 제목/요약/키워드: qualitative descriptive study

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악화환자 인지 및 대응을 위한 시뮬레이션교육에서 간호대학생의 임상판단력과 간호수행: 후향적 혼합연구 (Nursing Students' Clinical Judgment and Performance in Simulation of Recognizing and Responding of the Deterioriating Patient ; a retrospective mixed-methods)

  • 하이경
    • 중환자간호학회지
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    • 제16권2호
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    • pp.42-53
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    • 2023
  • Purpose : This retrospective mixed-methods study aimed to explore key considerations for designing effective simulated education in nursing, focusing specifically on the recognition and response to deteriorating patients. Methods : Quantitative and qualitative data were analyzed to assess the clinical judgment and performance of the nursing students. Descriptive statistics were used to analyze quantitative data related to prior knowledge, simulation satisfaction, clinical judgment, and nursing performance during deteriorating patient simulations. Qualitative content analysis was conducted for the reflective journal entries of the participants. Results : Quantitative analysis showed that most participants demonstrated a "being skillful" level of clinical judgment (33.1%) in effective response. At the beginner level, clinical judgment varied across effective noticing(39.7-82.8%), effective interpretating(77.6-82.8%), effective responding(3.4-86.2%), and effective reflecting(90.0-95.4%). Nursing performance in assessing patient respiration or SpO2 after request from a physician ranged from 46.6-48.3%. Qualitative analysis indicated that 48.5% of the participants anticipated a deteriorating condition and initiated appropriate actions, while 70% noticed patient unresponsiveness for the first time. Conclusion : To design an effective simulation program for identifying and addressing deteriorating patient care, a framework for observation and interpretation is essential, along with regular simulated training. It is important to design and assess simulation programs and to conduct thorough interviews with nursing students to gain insight into their clinical decision-making.

일 지역 남자 중학생의 인터넷 게임중독성향의 영향 요인: 학습동기, 학교적응, 자기통제력, 자아존중감을 중심으로 (The Influential Factors related to Internet Game Addiction among Male Middle School Students in Ulsan: Focusing on Learning Motivation, School Adjustment, Self-control, Self-esteem)

  • 권남숙;이지현
    • 한국학교보건학회지
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    • 제26권1호
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    • pp.13-25
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    • 2013
  • Purpose: This study is a descriptive correlation study to identify how factors such as motivation to learn, school adaptation, self-control, and self-esteem influence the degree of Internet game addiction and to provide basic data for nursing interventions for male middle school students. Methods: The subjects of this study were 418 male students in lst, 2nd and 3rd grade at three middle schools located in Ulsan. Data were collected from May 1, 2011 to May 31, 2011 and analyzed through descriptive statistical methods, such as the t-test, ANOVA, Sheffe's test, Pearson correlation coefficient and multiple regression analysis, via SPSS 18.0 program. The study's structured questionnaire was composed of 25 items of 'the Motivation to Learn Scale', 41 items of 'the School Adaptation Scale', 20 items of 'the Self-Control Scale', 10 items of 'the Self-esteem Scale', and 20 items of 'the Internet Game Addiction Scale'. Results: 163 students (39.0%) belonged to the non-addiction group while 255 students (61.0%) fell into the addiction risk group. The addiction risk group showed a higher degree of addiction than ones in the non-addiction group. The addiction risk group's average scores for motivation to learn, school adaptation, self-control, and self-esteem were lower than those of the non-addiction group. The statistically significant factors (p<.05) that increase the chance of addiction were grade, family atmosphere, self-control, trading of online game items, and the amount of time playing online games. Conclusion: On the basis of the findings of this study, it is suggested that; qualitative research on the routes of addiction be conducted to find out ways to prevent and nurse addicted students; considering the fact that the average age of Internet users is getting lower and lower, a study targeting primary school students be implemented; since the influences of the variables covered in this study turned out to be relatively low, other factors, especially environmental factors, should also be investigated.

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사회성 훈련 프로그램에 참가한 학령 초기 아동의 사회적 행동 변화에 대한 질적 연구 (A Qualitative Study of Early School-age Children's Experiences on Social Skills Training Program)

  • 송승민;도현심;김민정;김수지;신나나;김아연
    • 한국보육지원학회지
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    • 제11권1호
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    • pp.329-354
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    • 2015
  • 본 연구에서는 학령 초기 아동의 사회적 행동을 향상시키기 위한 사회성 훈련 프로그램을 개발하고, 프로그램 실행 과정에서 나타나는 아동의 사회적 행동을 관찰하여 변화의 과정을 질적 분석을 통해 탐색하였다. 이를 위해 김민정(2008)의 사회적 기술훈련을 수정 보완하여 7명의 초등학교 1학년 아동을 대상으로 8회기의 프로그램을 실시한 후, 참여관찰 노트, 프로그램 진행자의 일지, 보조진행자의 칭찬 노트, 비디오 녹화 자료, 아동의 그림일기 자료들을 전사, 코딩, 주제의 발견 단계를 거쳐 분석하였다. 그 결과, 아동의 사회적 행동과 관련하여 다음과 같은 주제를 도출하였다. 첫째, 관계형성의 시작: (1) 수줍음과 정서적 위축, (2) 자기만의 세계에 몰입, (3) 나누기' 및 '함께하기'의 어려움, (4) 타인과의 부정적 상호작용, (5) 사회적 규칙준수의 어려움. 둘째, 정서 및 의사표현의 변화: 분명하고 직접적인 정서 및 의사표현. 셋째, 친사회성의 변화: (1) 주위에 대한 관심 및 상호작용 증진, (2) 협동 놀이, (3) '나누기' 및 '도움주기'등의 베푸는 행동. 넷째, 사회적 기술의 변화: (1) 사회적 규칙의 인식 및 실천, (2) 사회적 문제 해결하기. 본 연구는 질적 연구를 통해 사회성 훈련 프로그램이 학령 초기 아동의 사회적 기술과 정서표현에 미치는 긍정적 변화를 관찰함으로써 그 효과를 확인하였다.

Nurse Manager Competency: Views from Executives in Thai Community Hospitals

  • Tongmuangtunyatep, Kanjananat;Lynn, Marry;Kunaviktikul, Wipada
    • Asian Journal for Public Opinion Research
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    • 제4권2호
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    • pp.88-107
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    • 2017
  • Background: Adolescent mothers may find the transition to motherhood to be Aim: The aim of this study was to investigate the viewpoints of nurse managers and directors of nursing services in community hospitals regarding the essential competencies of head nurses. Methods: A qualitative descriptive design was used to investigate the perspective of nurse managers and directors of nursing services about essential competencies of nurse managers in community hospitals. A total of ten participants (four directors of nursing services and six nurse managers) were interviewed. Findings: Nurse managers and directors of nursing services identified leadership, management, communication, professional ethics, and policy and healthcare environment as the essential competencies for their positions in community hospitals. Conclusions: These findings can be used by executives of community hospitals and nursing institutes to plan for competency development for nurse managers. They should be included in nursing administration programs.

유아 또래관계 관련 국내 학술지 논문의 연구동향 분석 : 연구방법을 중심으로(1995년~2009년) (An Analysis of Research Trends in Domestic Articles on Preschooler Peer Relationships(1995-2009) : Focusing on Research Methods)

  • 김윤희
    • 아동학회지
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    • 제31권5호
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    • pp.131-149
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    • 2010
  • The purpose of this study was to examine research trends in articles of preschooler peer relationships carried in domestic academic journals. This was done in an attempt to suggest alternative directions for peer relationship studies in the early childhood education sector and lay the foundation for future studies. 131 articles that appeared in seven domestic academic journals related to early childhood education were selected and analyzed in order to better understand the general trends in the filed and the specific trends in terms of their content and methods. Our results indicate that the observation method was most common in the quantitative studies, and participant observation was most prevailent among qualitative studies. As for instrumentation, international instruments were most widely utilized, and the most dominant analysis method was descriptive statistics. In terms of reliability, internal consistency was checked most often, however, the majority of the studies failed to provide any information on validity and post-hoc analysis.

여성건강에 관한 간호연구 분석 : 1988 - 1997 (Analysis of Published Nursing Research on Women's Health : 1988-1997)

  • 이숙희;박영숙
    • 여성건강간호학회지
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    • 제4권1호
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    • pp.139-160
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    • 1998
  • The purpose of this study was to identify the research contents and designs of nursing papers on women's health. 1010 articles published in 9 Korean nursing journals and 2070 matser's theses and doctoral dissertations in nursing science for 10 years from 1988 through 1997 were reviewed. The percent of nursing papers on women's health was 12.7%(390) out of a total of 3080 papers. Major findings of 390 nursing papers analyzed were as following : 1. The contents of nursing papers on women's health were classified by 8 categories such as childbirth(19.5%), women's health state and behavior(18.5%), motherhood(14.9%), cultural and social issues(12.8%), menstruation(8.7%), mental health(8.2%), caring activities(8.2%), and surgery(7.7%). 2. The principal designs used in nursing papers on women's health were descriptive and correlational survey(70.8%), experimental design(14.4%), and qualitative research design(14.1%).

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사회적 지지가 농촌 조손가족 조모의 심리적 복지에 미치는 영향 (The Effect of the Social Support on the Psychological Well-being of Custodial Grandmothers in Rural Korea)

  • 이정화;최원규
    • 한국지역사회생활과학회지
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    • 제23권4호
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    • pp.419-439
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    • 2012
  • Family dissolution and economic difficulties of the grandchild's parents are the most prevailing reason for an increase of grandparent-headed families in rural Korea. However, there is a lack of empirical research looking at the experiences of custodial grandmothers, social support, and their psychological well-being. In this regard, this study examined the effect of social support (formal & informal) on the psychological well-being of custodial grandmothers in rural Korea. For this purpose, quantitative and qualitative research methods were conducted. Quantitative data were gathered, using structured questionnaire, from 311 grandmothers who were raising their grandchildren in rural Korea as primary care-givers. Statistical methods used for data analysis were descriptive statistics and hierarchical regression analysis with SPSS WIN 19.0 programs. Qualitative data were collected by in-depth interviews to 10 custodial grandmothers in rural area. The results of this study are as follows. First, almost half of the parents of the grandchild didn't visit and didn't call anymore. Some relatives -aunt, uncle, etc.- support the grandparent-headed family economically and emotionally. 3/4 of the grandparent-headed families were supported by the government and community. This was not small numbers, but the amount of economic support was low. Second, grandmothers in the study showed quite a high level of depression while their happiness level was relatively low. There were differences in the factors influencing the level of happiness/depression of these rural grandmothers. Overall, the study's results showed the importance of formal & informal support for psychological well-being of the custodial grandmothers in rural Korea. Policy and theoretical implications are discussed.

일개 여자중학교의 흡연예방을 위한 참여형 GIS(Geographic Information System) 기반 커뮤니티 맵핑 활동의 효과 (The effect of Community Mapping based on Volunteered Geographic Information System on Smoking Prevention among Female Middle School Students)

  • 손현미;정미영;홍윤경
    • 한국학교보건학회지
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    • 제29권3호
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    • pp.286-298
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    • 2016
  • Purpose: The aim of this study was to identify the effects of community mapping based on volunteered Geographic Information System on smoking prevention among female middle school students. Methods: This study used a triangulation method which integrated quantitative data from a "pre-post" study on a nonequivalent control group and qualitative data from focus group interviews. Data was collected from 4 August 2015 to 10 January 2016. The experimental group (n=24) participated in community mapping along with education on smoking prevention and the control group (n=28) participated only in routine education. Both groups were measured on their knowledge and attitude related to smoking prevention through self-report questionnaires. The quantitative data was analyzed by descriptive statistics, $x^2$ analysis, and t-test using SPSS 23.0. The qualitative data was collected through focus group interviews to investigate the social-environmental effect of smoking prevention. Results: Knowledge related to smoking prevention was significantly higher (t=2.591, p=.013) in the experimental group than the control group. But attitude related to smoking prevention did not show significant differences between the two groups. When asked about their experiences of the community mapping program, it turned out to be a process where they could learn practical knowledge related to smoking prevention and experience their individual practices manifested as collective intelligence while working together with community members. The study found that community mapping had an effect on smoking prevention from a social and environmental aspect. Conclusion: To be more effective, school education on smoking prevention should be provided in connection with the community. It is also desirable to provide an opportunity where adolescents can experience discovering and solving practical problems along with their own community.

관절염에 관한 국내 간호학 연구 논문 분석 (The Analysis of Research in Arthritis)

  • 박상연;백명화
    • 근관절건강학회지
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    • 제7권2호
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    • pp.227-240
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    • 2000
  • The purpose of this article was to identify trend in Arthritis research and to provide ba an approach of Arthritis research. The results of analysis of 69 Arthritis articles public year of between 1970-1999 found that most articles(27.6%, n=19) were published since few(10.1%, n=7) were before 1994. Vast majority of articles(79.8%, n=55) were printed in The Journal of Rheumatology Health, and 79.8%(n=55) of those were quantitative research, 8.7%(n=6) were qualitative research, and 14%(n=1) was methodological research. 29.0%(n=20) of quantitative research were carried in experimental design and over half(50.8%, n=35) in nonexperimental design. Having concerned the types of treatment(or intervention) used in experimental study, the most common treatment was 'exercise' (45.0%, n=9), and other less common were 'self-help education(15.0%, n=3), home care(10.0%, n=2) supportive care(10.0%, n=2), flexibility exercise combined with local heat therapy(5.0%, n=1), relaxation training(5.0%, n=1). Of the types of exercise, aquatic exercise was 30.0%(n=6). The effect of exercise on outcome variable was found to be most strong among the other types of treatment. 18 articles of nonexperimental research were correlational research. From the analysis of correlational research, 29 concepts were identified, and the relationship between depression and other variable were strongly reported. In descriptive studies, most commonly physiological variables were examined in 5 articles(29.5%). Only one study(5.9%) explored patient's perception of the causal factors and those causality. In qualitative researches, two study were carried out by the means of grounded theory. Majority of those subjects were RA patients, and the largest number of sample were 23 and the smallest was 1 In two studies, patient's perceived causality of RA was identified as a research problems, and an experience of ADL, fatigue Phenomenon, an experience of having a total knee replacement with osteoarthritis were each found in one study. Methodological research was carried out to test validity and reliability of the RA Fatigue Scale.

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국내 신문에 나타난 간호 관련 기사: 주제분석 (The Image of Nurse in Korean Newspaper Article: A Thematic Analysis)

  • 김유화;김미영;양복순
    • 한국융합학회논문지
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    • 제10권10호
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    • pp.309-320
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    • 2019
  • 본 연구는 신문매체에서 표현되고 있는 간호사 관련 주제들이 내포하고 있는 의미를 융합적 관점에서 탐색하고자 하였다. 자료 수집은 2003년 8월부터 2013년 9월까지 경향신문, 동아일보, 조선일보, 한겨레신문의 기사를 수록한 인터넷 데이터베이스를 통해 수집하였고 총 9,749건의 자료 중 자료수집기준에 적절한 2,700건을 Braun과 Clarke[17]의 주제분석 6단계를 따라 분석하였다. 신문에 표현된 간호사의 모습은 '소명의식을 가지고 환자를 돌봄', '전문직으로 자리매김함', '윤리의식이 결여되어 있음', '업무대비 열악한 처우를 받음', '유망직종으로 부상함'으로 나타났다. 본 연구의 결과는 매스미디어에 추후 바람직한 간호사 이미지를 창출을 위한 간호사이미지 홍보 전략에 필요한 근거 자료를 제시하였다는데 의의가 있다. 추후 연구는 구독자의 반응까지 파악하여 신문에서의 간호사 이미지가 궁극적으로 어떻게 받아들여지는지에 대한 연구를 제언한다.