• Title/Summary/Keyword: supportive nursing care

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Analysis of the supportive care needs of the parents of preterm children in South Korea using big data text-mining: Topic modeling

  • Park, Ji Hyeon;Lee, Hanna;Cho, Haeryun
    • Child Health Nursing Research
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    • v.27 no.1
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    • pp.34-42
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    • 2021
  • Purpose: The purpose of this study was to identify the supportive care needs of parents of preterm children in South Korea using text data from a portal site. Methods: In total, 628 online newspaper articles and 1,966 social network service posts published between January 1 and December 31, 2019 were analyzed. The procedures in this study were conducted in the following order: keyword selection, data collection, morpheme analysis, keyword analysis, and topic modeling. Results: The term "yirundung-yi", which is a native Korean word referring to premature infants, was confirmed to be a useful term for parents. The following four topics were identified as the supportive care needs of parents of preterm children: 1) a vague fear of caring for a baby upon imminent neonatal intensive care unit discharge, 2) real-world difficulties encountered while caring for preterm children, 3) concerns about growth and development problems, and 4) anxiety about possible complications. Conclusion: Supportive care interventions for parents of preterm children should include general parenting methods for babies. A team composed of multidisciplinary experts must support the individual growth and development of preterm children and manage the complications of prematurity using highly accessible media.

Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy (고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과)

  • Kim, Hyun Jin;Chun, Nami
    • Women's Health Nursing
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    • v.26 no.2
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    • pp.180-190
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    • 2020
  • Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women's length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women's state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.

Pediatric Nurses' Perceptions related to End-of-Life Care and Turnover Intention (아동의 임종에 관한 간호사의 인식과 이직 의도)

  • Baek, Sook Young;Kang, Sook Jung
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.353-363
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    • 2018
  • Purpose: The purpose of this study was to investigate pediatric nurses' perceptions regarding in end-of-life care and turnover intention. Methods: A cross-sectional descriptive study was performed among 111 hospital nurses. Pediatric nurses' perceptions of obstacles and supportive behaviors were measured using the Pediatric Nurses' Perceptions of End of Life Care Questionnaire which was translated into Korean and turnover intention was measured using the Korean Nurse Turnover Intention Scale (K-NTIS). Results: The supportive behavior with the highest perceived magnitude was 'Physicians who are compassionate, but very clear about prognosis.' The obstacle with the highest perceived magnitude was 'Instigating painful treatments when there is no hope of recovery.' Pediatric nurses' perceptions of obstacles in end-of-life care showed statistically significant differences depending on whether nurses received end-of-life care education (t=2.02, p=.046). The perception of obstacles in end-of-life care was positively correlated with turnover intention (intensity r=.28, p=.002) (frequency r=.20, p=.027). Conclusion: These results suggest that pediatric nurses' perception of obstacles and supportive behaviors in end-of-life care need to be assessed when considering turnover intention. Furthermore, psychological counseling should be offered to nurses to prevent burnout and reduce moral distress which is correlated with the turnover rate.

Health Care Professinals' Attitudes, Knowledge and Confidence on Brestfeeding : Metropolitan Areas of South Korea (의료요원의 모유수유에 대한 태도, 신념 침 지식 정도의 비교분석)

  • Kim, Hea-Sook
    • Women's Health Nursing
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    • v.1 no.2
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    • pp.287-299
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    • 1995
  • A 15-minute questionnaire on breast-feeding was administered to the obstetric and pediatric residents and nurses in metropolitan academic training programs in Korea to assess their attitudes to and knowledge about breast-feeding and their confidence in managing breast-feeding problems. The questionnaires were self-administered and confidential and the participants was 279. Overall, the study participants indicated a supportive attitude toward breast-feeding. Nurses had a highest supportive attitude than obstetric and pediatric residents. Their self-confidence in this area was inappropriately high with 48% of total, 49% of obstetric, 42% of pediatric and 58% of nurses describing themselves as "confident" or "very confident" to manage common breast-feeding problems to compare their knowledge level answering only 46% of the questions correctly. However, nurses who did have continuing education about breast-feeding had significantly high in knowledge level. These health care professionals have extremely limited knowledge of breast-feeding management compared to their reported confidence. To be truly supportive of breast-feeding, health care professionals should receive didactic and clinical training to breast-feeding management.

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Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy (전화를 이용한 지지간호가 항암화학요법을 받는 여성 암 환자의 자가간호수행과 삶의 질에 미치는 효과)

  • Kim, Ae-Sook;Lee, Eun-Sook;Kim, Sung-Hyo
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.744-753
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    • 2007
  • Purpose: The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated. Methods: A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program. Results: This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group. Conclusion: This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.

Factors Affecting the End-of Life Care Competency of Tertiary Hospital Nurses

  • Jeong, Da-In;Eun, Young
    • Journal of Hospice and Palliative Care
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    • v.23 no.3
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    • pp.139-150
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    • 2020
  • Purpose: The purpose of this study was to investigate the levels of end-of-life care competency; knowledge, attitudes, and experiences regarding advance directives; perceptions of good death; and end-of-life care obstacles and supportive behaviors among tertiary care nurses. Methods: The participants were 150 nurses at a tertiary hospital in Jinju, Korea. The data collected using a questionnaire were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression in SPSS for Windows version 24.0. Results: The mean (±SD) score of end-of-life care competency was 3.63 (±0.53) on a 5-point scale. A significant difference in end-of-life care competency was found according to whether nurses had experienced the death of a family member or acquaintance (P=0.029). According to stepwise multiple regression analysis, the factors affecting end-of-life care competency were the frequency of end-of-life care supportive behaviors (β=0.38, P<0.001), experience with advance directives (β=0.29, P<0.001), and marriage (β=0.15, P=0.039). This model had an explanatory power of 27.9% (F=18.87, P<0.001). Conclusion: In order to improve nurses' end-of-life care competency, it is important to strengthen end-of-life care supportive behaviors by exposing nurses to those behaviors and providing frequent experience with advance directives.

Support Needs for Health Promotion of Community-Dwelling People with Disabilities: Perspectives of Operators Managing Disability Supportive Housing (지역사회 거주 장애인의 건강관리 향상을 위한 지원 요구 분석: 장애인지원주택 운영 관리자의 관점에서)

  • Nam, Hye Jin;Lee, Haesun;Park, Han Nah;Lee, Sujin;Kim, Bohye;Yoon, Ju Young
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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    • pp.211-223
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    • 2024
  • Purpose: Recent studies have focused on policies aimed at supporting the independence of individuals with disabilities in communities. As part of this initiative, supportive housing, integrated care, and residential spaces offer tailored services based on individual needs and autonomy. The attitudes and knowledge of the administrators supporting supportive housing residents regarding health management can influence the well-being of individuals with disabilities. Therefore, this study aimed to explore the challenges faced by supporting housing workers in enhancing the self-management skills of individuals with disabilities. Methods: In this qualitative study, focus group interviews were conducted in August 2023 with nine administrators working to support housing in Seoul. Qualitative content analysis was used to analyze the interview data. Results: The needs and challenges in enhancing the self-management skills of individuals with disabilities were as follows: (1) the complexity of health management challenges, (2) bidirectional strategies for strengthening health management capabilities, and (3) support for systematic health management. Additionally, eight subthemes were derived. Conclusion: By investigating the difficulties experienced and identifying the necessary support requirements for supportive housing workers, this study seeks to uncover insights and identifies areas for improvement and strategies for health management. This study acknowledges the educational and institutional support necessary to improve the health and quality of life of individuals with disabilities residing in supportive housing.

Perceptions of School Health Care among School-aged Children and Adolescents with Chronic Disease: An Integrative Review (만성질환을 가진 학령기 아동·청소년의 학교 건강관리에 대한 인식: 통합적 문헌고찰)

  • Uhm, Ju-Yeon;Choi, Mi-Young
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.309-322
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    • 2020
  • Purpose: The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases. Methods: This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles. Results: Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment. Conclusion: It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

Analysis of the relationship between developmental knowledge, development-supportive nursing competency, and development-supportive nursing performance of nursing students who experienced online alternative training in the neonatal intensive care unit (신생아 중환자실 온라인 대체실습을 경험한 간호대학생의 미숙아 발달지식, 발달지지간호역량 및 발달지지간호 수행간의 관계분석)

  • Ja Young Lee;Jae Woo Oh
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.5
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    • pp.11-21
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    • 2024
  • This study is a descriptive research study to examine the relationship between developmental knowledge of premature infants, development-supportive nursing competency, and development-supportive nursing performance among 103 nursing students who experienced online alternative training in the neonatal intensive care unit. Data collection was conducted from September 1, 2022 to September 31, 2022 using a self-administered questionnaire, and the collected data was analyzed using the SPSS statistical program. As a result of the study, it was found that nursing students' grade and development support nursing competency influenced the performance of development support nursing, and the explanatory power of the variable was 22%. In conclusion, in order to improve the developmental support nursing capacity of premature infants, it is believed that a systematic education program and clinical practice education content that considers the learning level of each grade should be developed.

Impact of Job Stress, Depression and Perceived Health Status on Job Satisfaction among Child Care Teachers (보육교사의 직무 스트레스, 우울, 지각된 건강상태가 직무만족에 미치는 영향)

  • Lee, Young-Ran;Park, Sun-Nam;Lee, Mi-Ran
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.4
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    • pp.259-267
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    • 2016
  • Purpose: This study examined the effect of job stress, depression and perceived health status on job satisfaction among child care teachers. Methods: Data were from a convenient sample of 169 child care teachers with self-administered questionnaires from January 5th to 30th, 2015. Collected data were analysed using SPSS/WIN 18.0. Results: Child care teachers had upper-medium level of perceived health status, lower level of depression and job stress and above medium level of job satisfaction. Affecting factors of job satisfaction among child care teachers included depression, and job stress ($Adj.R^2=.58$, F=78.60, p<.001). Conclusion: These results suggest that development of emotional supportive program and supportive system are needed to increase the job satisfaction among child care teachers. Exploration of strategies to reduce the depression and job stress will be necessary in order to increase the job satisfaction.