• 성인간호학회지
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• 제23권1호
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• pp.1-9
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• 2011

Purpose: To evaluate undergraduate nursing students' ability in clinical competence, critical thinking, and problem solving following enrollment in a clinical reasoning course. Methods: A clinical reasoning course utilizing a human patient simulator and scenarios was offered to 22 senior students at a College of Nursing in Seoul. Students' clinical competence was measured with a checklist of 15 items by analyzing students' performance recorded on video tapes for eight scenarios. Critical thinking disposition and problem solving were measured by a self-administered questionnaire before and after the course. Data were analyzed using descriptive statistics and Wilcoxon signed-rank test. Results: The high scored items of clinical competence were: 'obtain relevant subjective/objective data', 'interpret vital signs', 'communicate with healthcare providers', and 'utilize standard precautions including handwashing.' Students' critical thinking and problem solving scores following the course were increased with statistical significance. Conclusion: A clinical reasoning course utilizing a human patient simulator creates a realistic clinical environment for nursing students and provides the opportunity to obtain clinical competence, critical thinking, and problem solving skills.

• 대한간호학회지
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• 제36권3호
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• pp.532-541
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• 2006

Purpose: This study was conducted to verify the effects of an education program of restraints use on nurses' knowledge, attitude and nursing performance related to restraints use. Method: A quasi experimental study with a pre and post non-equivalent design was used. The subjects were nurses who met the selection criteria and worked in intensive care units of two university hospitals located at K-city, Gyeongbuk. Twenty nurses in A hospital were designated as the experimental group and 20 nurses in B hospital as the control group. Result: The first hypothesis which assumed that the experimental group would have higher scores of knowledge than the control group was supported(F=62.66, p=0.000). The second hypothesis which assumed that the experimental group would have lower scores of attitude toward using restraints than the control group was supported(F=23.77, p=0.000). The third hypothesis which assumed that the experimental group would have higher scores of nursing performance than the control group was supported(F=3.28, p=0.032). Conclusion: An education program for nurses' on the use of restraints needs to be introduced to decrease inappropriate use of restraints.

• 성인간호학회지
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• 제28권4호
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• pp.447-458
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• 2016

Purpose: This study was designed to describe the effects of a nursing simulation focused on patients with cardiac arrest. The study was designed to measure knowledge, self-confidence, critical thinking, and clinical performance ability of nursing students. Methods: A non-equivalent control group quasi-experimental design was used. Thirty students in the experimental group received two hours of pre-learning and three hours of skill and simulation practice. Another thirty students in the experimental group received a two hour conventional lecture and three hours for skill practice. The post survey was completed by both groups. Results: Students in the experiemetal group scored significantly higher than students in control group. The critical thinking disposition was not significantly different between the two groups of students. Conclusion: The results indicate that a simulation education program is more effective in a number of areas including knowledge, self-confidence, and clinical performance. It is recommended that simulation education should be expanded to various clinical situations.

• 여성건강간호학회지
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• 제11권2호
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• pp.169-175
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• 2005

Purpose: This study was designed to investigate the relationships of the types of nurse staffing, the competency of nursing performance and job satisfaction by analyzing the types of nurse staffing in operating room. Method: The subjects were 472 nurses who work in operating room. The instruments used in this study were three tools: competency of nursing performance, job satisfaction and type of nurse staffing. Result: Type 4 was most in the type of nurse staffing of the subjects. According to the type of nurse staffing, the competency of nursing performance was significantly different. There was significant difference in the competency of nursing performance according to age, marital status, bachelor, employ, position, and career, and job satisfaction according to age, position, and career. In opinion about the ideal type of nurse staffing, type 2 was most regardless of career. Conclusion: Type 4 which has lower competency of nursing performance was adopted in many hospitals now but, type 2 which has highest competency of nursing performance was selected by many nurses as the best one. So, it should be considered the type of nurse staffing of in operating room and change it.

• 간호행정학회지
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• 제15권1호
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• pp.64-71
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• 2009

Purpose: This study shows the prehospital emergency nursing practices, and analyzes them associated with their individual characteristics and job conditions. Method: Based on a survey of the National Emergency Medical Center in Korea(2008), principal components were extracted from 7 prehospital emergency nursing practices by factor analysis, and some regression analyses of principal components(CPR-AED and V/S-I.V.) were executed on individual characteristics and job conditions. Results: The PENs gave themselves higher order ratings for vital sign check, airway management for loss of consciousness patients, CPR for suspicious cardiac arrest, keeping vein open for shock patients, AED for abnormal pulse rate, AED for suspicious cardiac arrest, and AED for loss of consciousness. Age and duty periods were statistically significant influential factors on the CPR-AED component. Conclusion: The results indicate that the PENs were competent in overall prehospital emergency activities and procedures even some weak self-evaluations, and that the standard curriculum and practice standard for prehospital nursing should be developed in order to increase nursing leadership in prehospital emergency settings.

• 기본간호학회지
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• 제7권1호
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• pp.60-70
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• 2000

It was reported that nursing students had most difficulties in clinical competency due to their short of knowledge and skills in nursing care. Environmental difference between laboratory in nursing school and hospital was another difficulty to them. This implicated that more preclinical competency education is needed in fundermental nursing to achieve skills of care and the laboratory environment of nursing school had to be improved. The purpose of this study was to examine contents, total lecture and practicum house of the fundermental nursing education in nursing schools. It was also examine the difference of contents between hospital in-service education and nursing school. It's study is a descriptive study with study sample of 56 nursing professors who teach fundermental nursing in colleges and universities. Structured Questionnaires was used in collecting data. The result showed that practicum hours total 96.8 hours which was 59% of funderm nursing course. The education regar medication account for large numbers of h Aseptic technique, elimination care, vital oxygen related care were the next common contents. When compared with hospital in-service education, 76% of the education were the same. This suggested that pre-clinical education in fundermental nursing needed to be enforced in its contents & education hours to establish clinical practice centered nursing education.

• 한국농촌간호학회지
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• 제19권1호
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• pp.44-54
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• 2024

Purpose: This study identifies the factors influencing unplanned readmissions among participants of the medical aid community care pilot program. Methods: This descriptive study analyzed data from 1,013 participants in a medical aid community care pilot program. Data were analyzed using multiple logistic regression analysis. Results: The presence of mental illness, injury-related conditions, long-term care grades, and activities of daily living scores are key factors influencing the likelihood of readmission. In particular, the presence of a mental disorder or an injury-related condition increased the probability of readmission, whereas individuals with long-term care grades 1~2 showed a decreased likelihood of readmission. Conclusion: This study emphasizes the importance of enhancing the management of mental and injury-related conditions, effective utilization of long-term care services, and improvement of ADL scores to reduce readmission. These findings offer crucial insights for enhancing the efficiency of home medical care benefit programs and sustainable expansion of services.

• 성인간호학회지
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• 제13권1호
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• pp.40-52
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• 2001

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.

• 한국노년학
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• 제29권4호
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• pp.1577-1589
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• 2009

본 연구는 재가노인을 대상으로 낙상공포 여부에 따른 건강상태, 신체기능상태 및 가정환경의 위험을 비교하고, 낙상공포에 영향 미치는 요인을 규명하는 것을 목적으로 하였다. 대상자는 A시 D구 노인보건센터에 방문보건사업 대상자로 등록된 65세 이상 노인으로 선정하였다. 2006년 1월부터 2007년 12월까지 사전에 교육받은 방문간호사가 직접 가정방문하여, 가노인기능상태평가도구(Resident Assessment Instrument, RAI)를 이용해 자료를 수집하였다. 연구에 참여한 973명의 평균 연령은 76.8(±7.6)세였고, 여성이 74.8%였으며, 낙상공포를 가진 대상자는 20.7%였다. 낙상공포 여부에 따른 건강상태 비교에서 요실금, 통증, 이환질병 수, 지난 3일간 우울/불안/슬픔의 징후에 있어서 유의한 차이를 보였다. 신체기능 상태는 낙상공포가 있는 집단에서 일상 생활수행능력 의존도가 유의하게 높았고, 시력 문제가 많았으며, 불안정한 걸음걸이를 보이는 대상자가 현저히 많았다. 가정환경위험은 화장실, 방 출입 및 집 밖 출입 시 낙상공포가 없는 집단에 비해 유의하게 더 어려움이 많았다. 연령이 많을수록, 일상생활 의존도가 높을수록, 이환질병 수가 증가할수록, 걸음걸이가 불안정하거나 낙상경험이 있는 경우에 낙상공포가 증가하는 것으로 나타났다. 반면, 통증, 우울/불안/슬픔의 징후, 복용하는 약은 낙상공포와 유의하지 않았다. 이 연구는 지역사회의 노인을 사정할 때 낙상공포에 관련된 주요 요인인 연령, 일상생활수행능력, 현재 앓고 있는 질환 및 걸음걸이 사정이 매우 중요하다는 것을 재확인시켜 준다. 또한, 재가노인의 낙상예방 전략 수립을 위한 기초 자료로 활용될 수 있을 것이며, 불안정한 걸음걸이의 원인을 파악하고 이에 대한 중재방법을 모색하는 지속적인 연구의 필요성을 제시한다. 이 연구를 토대로 건강 상태와 신체기능을 향상시키려는 포괄적인 간호중재를 통해 낙상공포를 감소시키고 낙상 발생률을 낮추면, 궁극적으로 노인의 삶의 질이 향상될 것이다.

• 디지털융복합연구
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• 제14권12호
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• pp.345-355
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• 2016

다문화 사회에서 문화적 역량은 간호제공자에게 필수적으로 요구되는 능력으로, 본 연구는 간호대학생의 자아성찰, 비판적 사고성향 및 다문화 경험이 문화적 역량에 미치는 영향을 확인하고자 시도되었다. 연구 대상은 경기도에 소재한 일개 간호대학생 148명이며 문화적 역량에 미치는 영향을 확인하기 위해 상관관계 및 다중회귀분석을 실시하였다. 연구결과 자아성찰, 비판적 사고성향 및 다문화 경험과 문화적 역량 간에 정적 상관관계가 있었고, 비판적 사고성향(${\beta}=0.27$, p=.005)과 자아성찰(${\beta}=0.21$, p=.040)이 문화적 역량에 주요한 영향 요인으로 문화적 역량의 26%를 설명하는 것으로 확인되었다. 따라서 간호대학생의 문화적 역량 향상을 위해서 자아성찰과 비판적 사고성향을 향상시킬 수 있는 내용과 방법들을 융합적으로 다문화 교육 프로그램 개발 및 개선 시 포함할 것과 문화적 역량에 영향을 미치는 다양한 요인을 좀 더 탐색하여 이론적 모델을 수립하는 연구 수행을 제언하고자 한다.