• 제목/요약/키워드: 간호수행능력

검색결과 642건 처리시간 0.023초

요양병원 간호사의 역할갈등 경험 (Experience of the Role Conflict of Nurses in Long-term Care Hospitals)

  • 박소은;염은이
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.368-381
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    • 2016
  • 본 연구의 목적은 요양병원 간호사의 역할갈등 경험을 기술하기 위함이다. 연구 참여자는 요양병원에 근무 중인 간호사 9명이었으며, 자료 수집은 심층면담을 통해 이루어졌다. 수집된 자료는 Colaizzi의 현상학 연구 방법을 적용하여 분석하였다. 연구결과, 12개의 주제모음과 5개의 범주가 도출되었다. 5개의 범주는 '과중한 임무,' '불명확한 규정의 간호업무 위임,' '보호받지 못하는 의사영역의 업무수행,' '비체계적인 간호 보조 인력관리' 그리고 '업무능력의 한계'로 구성되었다. 본 연구결과는 한국의 보건의료 환경을 고려한 요양병원 간호사의 업무환경 개선과 직무만족도 향상을 위한 전략 개발의 근거를 제공함으로써 요양병원 간호사의 역할정립과 업무의 질적 향상에 기여할 것이다.

Cox의 상호작용이론을 근거로 한 원예활동 프로그램이 경증치매노인의 일상생활수행능력 및 우울에 미치는 효과 (The Effects of a Horticultural Program based on Cox's Interaction Model on Ability for Daily Life and Depression in Older Patients with Mild Dementia)

  • 윤미진;성경미
    • 재활간호학회지
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    • 제20권1호
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    • pp.12-21
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    • 2017
  • Purpose: This study attempts to examine the effects of a horticultural program on activities of daily living (ADL) and depression among older patients with mild dementia. Methods: This study adopted a quasi-experimental design-based nonequivalent control group pretest and posttest design, enrolling 30 older patients with mild dementia. The Korean Form of Geriatric Depression Scale was utilized, while the data was collected from the experimental group for 60 minutes, twice weekly for 6 weeks in 12 sessions. ADL and depression were assessed for both the experimental and the control group. Overall functions were assessed only for the experimental group. Results: The experimental group showed improvement in physical function, cognitive function, as well as psychological, emotional function and social function following each session (p<.001). The horticulture program was effective in both ADL ($Z^2=5.65$, p<.001) and depression (t=-5.24, p<.001). Conclusion: In this study, the horticultural therapy based on the Cox's interaction model had positive effects for older patients with mild dementia. Therefore, horticultural therapy may be commendably applied to older patients with mild dementia as a nursing intervention.

6시그마 과정을 적용한 간호사들의 심폐소생술 수행능력 향상 활동 사례연구 (A Study on the Effectiveness of CPR Training for Nurses in the 6-Sigma Course)

  • 오숙희;장금성
    • 간호행정학회지
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    • 제16권1호
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    • pp.5-16
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    • 2010
  • Purpose: This study was done to identify the effectiveness of CPR training for nurses in the 6-sigma course. Method: The participants were nurses and doctors who worked in the medical center. For data analysis, the SPSS/PC14.0 program was used. Result: The total 11 categories of the primary problems were revealed on the recognition of carrying out CPR by nurses and doctors. After understanding the nurses' CPR knowledge and the practical ability, the survey showed 14.97 points and 67.12 points. After the education, the scores were increased from 14.87 to 23.25 in knowledge and from 67.12 to 93.43 in practical ability. The 6-sigma problem was ended as worked up the management plan and understood the changes over the management improving team. Conclusion: This study carries an emphasis on understanding of various CPR performance problems applied with 6-sigma in ward. In addition, improvement activities in relation to policy of hospitals suggest the high possibilities that the application of the improvement activities could be extended into the entire hospitals.

만성 요통환자의 수지요법 적용에 대한 효과 (The Effects of Koryo Hand-Acupuncture on the Patients with Chronic Low Back Pain)

  • 임난영;이여진
    • 대한간호학회지
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    • 제33권1호
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    • pp.79-86
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    • 2003
  • Purpose: The purpose of this study was to identify the effects of Koryo Hand-Acupuncture on health status(pain, trunk flexion, IADL, depression) of patients with chronic low back pain. Method: This study used a quasi experimental pre-test and post-test design. Data were collected from December 1st, 2000 to December 20th, 2001. 63 chronic low back pain patients(35 experimental group, 28 control group) admitted to the Back-School and consented to this study. The experimental group participated in treatment: Koryo Hand-Acupuncture and AB-Bong. Two groups was homogeneity. After 4 weeks the effects of treatment on the health status was measured between experimental and control group. Data were analyzed using SPSSWIN 10.0 with crosstab, t-test, and paired t-test. Result: In the experimental group, pain(t=4.85, p=.000) and IADL difficulty(t=2.05, p=.045) was significantly lower than those in the control group. It makes no difference trunk flexion(t=-1.60, p=.114) and depression(t=1.50, p=.138) between experimental and control group. Conclusion: These findings indicate that Koryo-Hand Acupuncture is an effective method for reducing pain and IADL difficulty in patients with chronic low back pain, and is considered as a independent nursing intervention for chronic low back pain.

운동요법을 병행한 사례관리 프로그램이 노인의 건강에 미치는 효과 (Effects of Case Management with Exercise Program on Health of Elders)

  • 이홍자
    • 한국농촌간호학회지
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    • 제6권1호
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    • pp.5-14
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    • 2011
  • Purpose: The primary goal of this study was to develop a case management with exercise program for community dwelling elders who live alone, and examine the effects of the program. Method: The design of this research was a one group pre-post test study. The participations were 85 elders diagnosed with hypertension and diabetes mellitus and who lived alone as residents of D city. The case management with exercise program included exercise and counseling as the intervention and was provided for 12 weeks. Data were collected before and after the intervention which lasted from September 3 to November 26, 2009. Collected data were analyzed using descriptive statistics, and paired t-test. Results: There were significant differences in blood pressure (t=-5.24, p<.001, t=-1.94, p= .040), fasting blood sugar (t=-4.41, p<.001), ADL (t=-5.43, p=.022) and cognitive function (t=7.41, p=.008) between pre- and post intervention. Conclusion: These results indicate that the case management program is an important intervention for health promotion for community-dwelling elders, and exercise improves functional status of older persons with diseases. Therefore, now is the time to develop new supportive community-based programs for elders who live alone. However, it is also necessary to do further longitudinal studies to confirm the results of this study.

간호학생을 대상으로 한 통합(모성-아동) 시뮬레이션 프로그램 개발 및 효과 (Development and Effects of Integrated Simulation Program (Maternal-Child) for Nursing Students)

  • 박현정;이선희
    • Child Health Nursing Research
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    • 제21권4호
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    • pp.293-301
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    • 2015
  • Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

수지경혈 마사지가 뇌졸중환자의 일상생활동작 수행 능력과 악력반응에 미치는 효과 (The Effects of Hand Acupoint Massages on ADL Ability and Grip Strength of Stroke Patients)

  • 김현미;전은영;최연희
    • 지역사회간호학회지
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    • 제14권3호
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    • pp.424-431
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    • 2003
  • Purpose: The purpose of this study was to explore the effects of hand acupoint massages on ADL ability and grip strength of stroke patients. Method: This study was designed as a quasi-experimental nonequivalent control group for pre and post-test. Twenty-eight patients were assigned to the experimental group and thirty to the control group. The hand acupoint massage was applied to both hands of the experimental group for sixteen minutes each time, a total of 15 times during five weeks. The patient's ADL ability and grip strength were measured before and after the program. The data were analyzed with mean. percent, chi-square, a paired t-test and t-test. Result: The level of ADL ability was significantly higher in the experimental group than in the control group. Also, the level of grip strength was significantly higher in the experimental group of the plegic side than in the control group, but not in the normal side. Conclusion: We have found that the hand acupoint massage helps the stroke patients improve their ADL ability and grip strength. Through this result, the hand acupoint massage could be considered as an effective application for rehabilitation of hemiplegic patients after stroke.

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간호대학생의 간호전문직관과 감성지능이 임상수행능력에 미치는 영향 (The Influences of Nursing Professionalism and Emotional Intelligence on the Clinical Performance Ability in Nursing Students)

  • 김효원;유명숙
    • 보건의료산업학회지
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    • 제14권2호
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    • pp.41-54
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    • 2020
  • Objectives: The purpose of this study was to identify the influences of nursing professionalism and emotional intelligence on the clinical performance ability of nursing students. Methods: The subjects of this study included 234 nursing students from three universities located in two regions of South Korea. Data were collected from June 15 to 30, 2018 by using self-reported questionnaires. The data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using the IBM SPSS 21.0 program. Results: The factors which influenced the clinical performance ability in nursing students were self-concept of the profession(β=.28, p<.001), roles of nursing service (β=.22, p<.001), use of emotion (β=.22, p<.001), self-emotional appraisal (β=.18, p=.002), regulation of emotion (β=.16, p=.004), and grade (β=.16, p=.002) which explained 51.7% of the variance. Conclusions: These results suggest that to improve clinical performance ability in nursing students, an intervention that enhances their nursing professionalism and emotional intelligence should be considered.

재가 도시 노인의 주관적 건강상태, 우울, 일상생활수행능력에 관한 연구 (A Study on the Perceived Health Status, Depression, and Activities of Daily Living for the Elderly in Urban Areas)

  • 이금재;박혜숙
    • 여성건강간호학회지
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    • 제12권3호
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    • pp.221-230
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    • 2006
  • Purpose: The study was done to identify the perceived health status, depression, and activities of daily living(ADL+IADL) of elderly women and men, and to define the difference between the two groups. In addition this study investigated the relationships among the variables of perceived health status, depression, and activities of daily living of both groups. Method: The subjects of this study were 579 elderly people over 65 years living in urban area. Data was collected through personal interviews using questionnaires from March to October 2005. Data was analyzed with the SPSS program. Result: There was a significant difference of perceived health status, depression, and activities of daily living(ADL+IADL) between the elderly women and men groups. There was a significant relationship among variables of perceived health status, depression, and activities of daily living in elderly men. However, there was no significant relationship among the variables in elderly women. Conclusion: The findings of this study give useful information for constructing an intervention program and care for elderly women and men.

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신규간호사의 조직사회화 영향 요인 (Factors Associated with Organizational Socialization in New Nurses)

  • 오현미;박영례
    • 근관절건강학회지
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    • 제28권3호
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    • pp.242-251
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    • 2021
  • Purpose: The aim of this study was to examine the relationship between calling, clinical performance, role conflict, and organizational socialization and to evaluate the factors associated with organizational socialization of new nurses. Methods: This study design was cross-sectional correlational study. The participants of this study were new nurses 171 at general hospitals in Jeollabuk-do. Data was collected between August 1 to 20, 2018 from questionnaire responses and were analyzed with descriptive statistics, independent t-test, one-way ANOVA, pearson's correlation coefficient, and multiple regression analysis. Results: The average calling rating was 2.47±0.59 (rated on a scale of 1~4), clinical performance rating was 3.55±0.52 (rated on a scale of 1~5), role conflict rating was 3.29±0.59 (rated on a scale of 1~5), and organizational socialization rating 3.19±0.41 (rated on a scale of 1~5). Calling, clinical performance, role conflict, gender, and work in the desired unit were the significant factors influencing organizational socialization of new nurses. Conclusion: These findings indicate that strategies are needed to improve organizational socialization of new nurses to ensure effective management of personnel. Moreover, it is necessary to develop a program to cultivate the nursing calling, enhance clinical performance, and resolve role conflicts among new nurses.