• Title/Summary/Keyword: 간호수행능력

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Task Analysis of Emergency Nurse Practitioners: Frequency, Importance, Autonomy, and Perceived Competence to Perform (국내 응급전문간호사의 업무 수행빈도, 중요성, 자율성 및 지각된 수행능력)

  • Ahn, Suk Hee;Lee, Eun Nam;Song, Rhayun;Park, Jin-Hee;Kim, Bok-Ja;Sung, Mi Hae;Lee, Eun Ja;Kim, Minju;Kim, Sung Sook
    • Journal of Korean Critical Care Nursing
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    • v.8 no.1
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    • pp.25-40
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    • 2015
  • Purpose: The purpose of the study was to identify the frequency and importance of task performance and the perceived competence to perform of the emergency nurse practitioners (ENPs) certified in Korea. Method: This cross-sectional study was conducted with 41 ENPs certified by March 2012. The questionnaire to identify frequency, importance, autonomy, and perceived competence to perform 131 typical ENP task elements was developed on the basis of the standardized role of an ENP defined by the Korean Accreditation Board of Nursing Education. The data were analyzed using descriptive statistics. Results: The professional nursing practice showed the highest scores for performance frequency, task importance, autonomy, and perceived competence to perform as compared to other job categories. Clinical decision making was the most frequently performed duty. Data collection was the duty with highest levels of importance, autonomy, and perceived competence for the ENPs. However, the ENPs reported that research was the duty with the lowest levels of frequency, importance, autonomy, and perceived competence Conclusion: ENPs in Korea perform various tasks. In order to improve their position in the field, it is necessary to clarify their job description and enhance their competence to perform evidencebased professional nursing practices.

Effects of Heat and Exercise Combination on Self-taping Therapy for the Reduction of Menstrual Pain among Female College students (여대생의 월경통 완화를 위한 자가테이핑요법 적용 시 온열 및 운동 병합의 효과)

  • Lee, Ji-Soo;Lee, Soo-Kyoung
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.287-296
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    • 2020
  • The purpose of this study was to investigate the effects of developing and applying taping therapy combined with heat and exercise therapy to reduce dysmenorrhea and menstrual discomfort and improve daily living ability of female college students. The study consisted of 46 female college students complaining of dysmenorrhea at K University in D city, 23 in the experimental and control groups. Questionnaires were collected and data were analyzed using SPSS statistics. The comparison of kinesi taping with heat and exercise therapy showed that taping therapy with heat and exercise therapy was more effective in reducing dysmenorrhea (t = -3.034, p = .004). The combined heat and exercise taping therapy developed in this study was found to be a more effective nursing intervention for relieving dysmenorrhea and improving daily life performance of female college students. This taping therapy is a simple method. It suggests a study to develop self-nursing education programs for girls in the community with menstrual pain and to verify the effectiveness by applying individualized education programs.

ICU Nurses' Clinical Competence according to Clinical Ladder by Job Analysis Tool (직무분석도구를 이용한 중환자실 간호사의 경력단계별 실무수행능력 비교)

  • Yim, Ji-Yeoung;Lee, Mi-Jung;Ki, Eun-Jung;Chang, Bong-Hee;Chung, Myung-Suk;Jo, Hye-Jeong;Park, Mi-Mi;Park, Jee-Won
    • Journal of Korean Critical Care Nursing
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    • v.3 no.1
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    • pp.1-13
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    • 2010
  • Purpose: This study was designed to evaluate ICU nurses' clinical competence according to clinical ladder by job analysis tool for the evaluation tool development of clinical ladder development program, Methods: Data was collected using the ICU nurses job analysis tool from 148 ICU nurses who work for 6 ICUs of A hospital in S city, Results: The mean clinical competence score of the subjects was 3.03 on a 4 point scale, Competence score was increasing as ICU clinical ladder was higher (F=35.18, p<.001). Step_1 was the lowest and step_4 was higher than step_3 from Scheffe post hoc test, Result of multiple regression showed that ICU clinical ladder and ICU clinical nursing education explained 52.1% (F=38.83, p<.001) of ICU nurse's clinical competence. Conclusion: ICU nurses' clinical competence can be evaluated using ICU nurse's job analysis tool. Further researches is needed on job description according to clinical ladder for performance and evaluation.

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Factors Affecting Adaptation for Elders in Long-term Care Facilities (노인 장기 요양시설 적응 영향요인)

  • Jung, Kyung-Hwa;Jo, Hyun-Sook
    • The Journal of the Korea Contents Association
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    • v.12 no.11
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    • pp.215-224
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    • 2012
  • The purpose of this study was to identify the facility adaptation characteristics, and the relationship between facility adaptation and the potential affective factors; ADL, self-efficacy, and quality of care facility, and to identify the affective factors on facility adaptation for elders in long-term care facility. Data were collected from 177 none dementia elders over 65 in 9 long-term care facilities from Jan.2, 2011 to March 15, 2011. The data were analysed through t/F test, correlation coefficient, and multiple regression (stepwise). The major findings of this study were as follow; Facility adaptation shows significant difference from admission decision maker(p=.004), religion(p=.027), and motive of admission(p=.009). And facility adaptation has weakly correlated with ADL and quality of care facility. The affective adaptation factors were decision maker, motive of admission, personal interview, religion, and perceived health status, but showed 22.8% of explanation. Thus the findings from this study could be used as bases for nursing intervention supporting elders' care facility adaptation.

A Convergence Study on the Hospital Nurse's Perception of Patient Safety Culture and Safety Nursing Activity (병원간호사의 환자안전문화인식과 환자안전간호활동의 융합연구)

  • Cho, Soon-Duck;Heo, Seong-Eun;Moon, Deog Hwan
    • Journal of the Korea Convergence Society
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    • v.7 no.1
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    • pp.125-136
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    • 2016
  • In this study, the convergent relation between perception of patient safety culture and safety nursing activity was investigated to prevent safety accidents and prepare data of nursing intervention for patient safety. Nurses in B City who signed on the written consent participated in this study between February 16 and 28, 2015. A total of 266 copies were collected and were analyzed using the SPSS 20.0 program. The mean score of patient safety culture was 3.60 on a scale of 0 to 5, and safety nursing activity, 4.28. The subcategory of perception of patient safety culture, which included the accident report frequency and patient safety level positively (+) influenced safety nursing activity. Therefore, effective communications and report systems in hospitals may be necessary to enhance patient safety culture. Education programs of patient safety should be developed and provided to nurses in hospitals to enhance the levels of patient safety management and their services.

Effects of the Field Management Training Program for Home Care Services : Understanding and Professional Competence (현장관리중심 교육훈련프로그램의 방문건강관리 이해도 및 업무수행능력 인식에 대한 효과)

  • Kim, Jae-Hee
    • Journal of agricultural medicine and community health
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    • v.35 no.2
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    • pp.111-123
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    • 2010
  • Objectives: The purpose of the present study is to examine the effects of the Field Management Training Program for home care services personnel on their understanding and professional competences. Methods: The subjects were 373 team managers of public home care services who participated in the training program. Data was collected with a self-administered questionnaire in April and September, 2007. The subjects' level of understanding of home care was measured by 35 questions divided into 8 categories while their professional competence was measured by 15 questions divided into 5 categories. Result: After attending the training, the subjects' understanding improved from 20.90 points (possible range: 4~32) to 26.11 points. The most improvement was evident in the Planning and Public Health Education categories. Their professional competences improved from 10.81 points (possible range: 4~16) to 12.51 points. The improvement of their understanding and professional competences differed across to training places. It was also evident that an increase in understanding brought about an increase in professional competence. Conclusion: The Field Management Training Program needs to be continued with efforts to reduce the differences of training effects between training places. And additional recommendations should be made through further evaluation of subsequent training programs.

Current Status of Women's Health Nursing Practicum and Direction (여성건강간호학 실습교육의 현황과 과제)

  • Kim, Jeung-Im;Kang, Heesun;Park, Somi;Ahn, Sukhee
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.173-183
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    • 2014
  • Purpose: This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed. Methods: A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum. Results: Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia. Conclusion: To improve the quality of clinical practicum, development of a clear course syllabus, standardized clinical guidebook, and core nursing skills is required and should be shared with all relevant nurse educators.

Effects of Action Oriented Breast Self-examination(BSE) Education on Knowledge, Self-efficacy, and Performance Competence in Nursing Students (행위중심적 유방자가검진 교육이 간호학생의 지식, 자기효능감 및 수행능력에 미치는 효과)

  • Park, So-Mi;Hur, Hea-Kung;Park, Mi-Jeong;Song, Hee-Young
    • Women's Health Nursing
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    • v.12 no.1
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    • pp.47-52
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    • 2006
  • Purpose: This study was undertaken to test effects of action oriented BSE education on knowledge, selfefficacy, and performance competence in nursing students. Methods: A non-equivalent pre-posttest of time serial quasi-experimental design was used to prevent diffusion of the experiment. Out of 53 nursing students selected by convenient sampling in the third grade at a nursing college, 27 students were randomly assigned to the control group and were first given a traditional lecture on BSE. For the experimental group of 26 students action oriented BSE education consisted of lectures, demonstrations with breast models, and BSE skill practice by micro teaching. Results: There was no significant difference in general and BSE-related characteristics between the two groups. Scores of the experimental group in knowledge, self-efficacy, and performance after the intervention were significantly higher than those of the control group. Conclusions: Results showed that action- oriented BSE education was effective in increasing knowledge, self-efficacy and performance competence in nursing students. Education for students should incorporate strategies reinforcing confidence by practicing actual BSE skills as well as acquiring knowledge of BSE, so that students can become competent and practical cancer prevention educators.

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A Study on Burden and Well-being of Primary Caregivers of Patients with a Stroke (뇌졸중 환자를 돌보는 주간호제공자의 부담감과 안녕감에 관한 연구)

  • Lim, You-Jin;Cho, Bok-Hee;Jang, Hyun-Sook;Jeong, Hyun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.3
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    • pp.272-281
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    • 2009
  • Purposes: The purposes of this study were to identify factors related to burden and well-being in primary caregivers of patients who have had a stroke and examine the correlation between burden and well-being of the caregivers. Methods: Between April 2006 to June 2007 data were collected using self-report questionnaires and interviews with 85 primary caregivers of stroke patients in C University Hospital. Data were analyzed using t-test, ANOVA, Duncan test and Pearson's correlation with SPSSWIN 15.0. Results: Factors related to burden of primary caregivers were sex and activities of daily living of the patients, and age, education level and satisfaction with income of the caregivers. The factors related to well-being of primary caregivers were sex of patients, and age and education level of caregivers as well as cohabitation with the patient. A negative correlation was found between burden and well-being of the caregivers (r= -.393, p<.001). Conclusion: These results indicate a need to develop a nursing intervention program for caregivers and education program for other family members to reduce caregiver burden. These programs should lead to improvements in the well-being of the caregiver.

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Development of a Scenario and Evaluation for Simulation Learning of Care for Patients with Hyperkalemia of Liver Cirrhosis in Emergency Unit (간호시뮬레이션 학습시나리오의 개발 및 평가 -응급실 내원 간경화증 환자사례를 중심으로-)

  • Kang, Hee-Young;Kim, Eun-Jung;Oh, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.13 no.9
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    • pp.312-321
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    • 2013
  • The purpose of this study was to develop a scenario suited for our clinical situations and evaluate the application possibility by evaluating students' problem solving ability and learning satisfaction in simulation learning. This study consisted of contents which could be applied for varied situations such as complications and symptoms related to liver cirrhosis, looking into hyperkalemia symptoms of patients with liver cirrhosis in emergency unit. The stage of developing scenario was organized in the order of setting simulation learning objectives and situations of scenario, making algorithm, writing checklists of clinical performance appraisal, and debriefing. The scenario was constructed with monitor setting(actions), patient/mannequin(actions), expected interventions(events), and cues in chronological order, according to the scenario progression outline of Jeffries (2007). The scenario was used in 2011, consisting of 4-5 people per group of 53 senior nursing students who registered for 'clinical performance appraisal' course. The problem solving ability improved from a score of 4.05 before simulation learning to a score of 4.30 after simulation learning (t=-3.97, p<.001). The score for learning satisfaction after the simulation learning was high (4.09/5). Considering that simulation learning encouraged students to be the main body of class, this learning method can be the effective way of nursing education.