• Title/Summary/Keyword: 간호이론개발

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The Early Childhood Caring Experience of North Korean Refugee Mothers (북한이탈 어머니의 영유아 자녀 양육 경험)

  • Kim, Yae-Young
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.102-110
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    • 2013
  • Purpose: This study was done to develop a theory on the early childhood caring experience of North Korean refugee mothers and how such caring affects how they deal with the socio-psychological problems they face as North Korean refugees. Methods: Data were gathered by indepth interviews, participant observation, and medical records, and were analyzed using the Grounded Theory methods of Strauss and Corbin (1998). Results: From open coding 62 concepts, 23 subcategories and 11 categories were derived, and the North Korean refugee mothers' caring experience was revealed to be 'hopeful upbringing'. A central theme common to the participants was 'coexistence of expectations and worries'. Conclusion: The results of this study provide theoretical grounds to understand North Korean refugee mothers' child care experiences and offer personalized nursing and a deeper understanding of their needs by looking at their experience. Findings may also be useful to help nurses who care for North Korean refugee mother-child dyads in the community and in clinical settings to gain insight on this special needs group, and facilitate the development of interventions based on better understanding of the mothers' experiences.

Review of Patient Satisfaction with Case Management (사례관리 만족도 측정에 관한 고찰)

  • Park, Eun-Jun
    • Journal of Korean Academy of Nursing Administration
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    • v.13 no.3
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    • pp.311-320
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    • 2007
  • 연구 목적: 사례 관리(CM) 환자 만족도 측정에 관한 연구 결과를 고찰하여 사례관리 실무에서 활용할 수 있는 근거를 제공하고자 한다. 연구 방법: MedLine, CINAHL에서 주요용어로 case management, care management, 주제어로 patient satisfaction, client satisfaction을 이용해 문헌 검색을 실시하였다. 연구 결과: 만족도에 대한 개념은 관련 연구가 매우 부족하며, 서로 다른 이론적 접근을 하고 있으므로 그 측정에 어려움이 있다. 신뢰할 만한 만족도 측정을 위해서는 설문 문항을 서술하는 여러 가지 방법들, 측정 척도의 종류, 만족도에 영향을 미치는 혼란변수들을 주의 깊게 고려하여야 한다. 만족도는 사례관리 연구에서 흔히 측정되는 성과이지만 대부분의 관련 연구에서 사례관리의 특징이 반영된 측정 도구를 사용하지 않고 있었다. 따라서 본 논문은 다섯 개의 사례관리 만족도 측정 도구를 제시하고 그 특징을 소개하였다. 또한, 간호성과분류체계(The Nursing Outcomes Classification)에 제시된 만족도 측정항목들 중 사례관리와 관련이 높은 약 40%의 항목들을 발견하였다. 결론: 사례관리 만족도 측정 도구가 매우 부족하므로 표준 사례관리 측정도구 개발이 시급하다. 한편 사례관리사들은 만족도 측정에 대한 이해를 높이고 기존 연구 결과를 활용함으로써 보다 정확한 사례관리 만족도 평가가 이뤄지도록 노력해야 한다.

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Development of Preventive Self-Management Knowledge Related to Premature Labor (PSMK-PL) Scale for Women of Childbearing Age : An Item Response Theory Approach (가임 여성의 조기진통에 대한 예방적 자가관리 지식 측정 도구 개발: 문항반응이론 적용)

  • Kim, Sun-Hee;Lee, Yu-Jin
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.439-450
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    • 2022
  • Purpose: This study was to develop the Preventive Self-Management Knowledge related to Premature Labor (PSMK-PL) scale for women of childbearing age. Methods: Preliminary items were developed based on the literature and interview results of those who experienced premature labor. The online survey was conducted and the data of 250 women were analyzed using the DIMTEST and DETECT programs by applying the item response theory. Internal consistency reliability was analyzed with Cronbach's alpha (95% CI). Results: Among the 30 preliminary items, six items were deleted. The difficulty and discrimination of the 24 final three-dimensional scales were all acceptable, respectively. Cronbach's alpha (95% CI) was .89 (.87~.91). Conclusion: The PSMK-PL scale generally consisted of items with validity, and the reliability was acceptable.

A Theoretical Model of Hope Enhancing the Cancer Patients just after Surgery: Realistic Hope (수술 직후 암 환자의 희망증진 간호를 위한 이론 모델 개발 : 현실적 희망)

  • Kim, Dal Sook;Park, In Sook
    • Korean Journal of Adult Nursing
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    • v.18 no.1
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    • pp.115-124
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    • 2006
  • Purpose: The purpose of this study was to propose a theoretical model of hope commonly held by the cancer patients just after surgery, under the assumptions that hope of those patients is not only realistic and disease oriented but in dialectical circulation. Method: A theoretical model was generated through 4 steps: exploring a hope structure by synthesizing the relevant hope structures expressed in Kim and Tae's studies, in-depth literature review, examining the meanings of the concepts consisted of the structure in use and their causal relations in logical adequacy, proposing a theoretical structure through synthesizing the causal relations, and diagramming the structure. Results: The proposed theoretical model involves concepts such as Cancer Related Uncertainty (CRU), Efforts to Find out the Possibility of Cure or Recovery (EFPCR), and Hopefulness or Hopelessness. The 'EFPCR' is stipulated as 'Behaviors Related to Looking for Evidences or Cues (BRLEC)' and 'Formation of Cognitive Schema (FCS)'. In the model, Hopefulness is directly influenced by 'CRU in low', which is affected by 'FCS in good' from the result of EFPCR started with 'CRU in increase' while 'CRU with increase' from the result from EFPCR has direct effect on Hopelessness. Conclusion: The theoretical model would be used to enhancing hope of the cancer patients in post-operation.

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HOME NURSING CARE NEEDS IN RURAL KOREA (한국 농촌 지역의 가정간호 요구에 관한 연구)

  • KIM, SUNG SILL
    • Journal of Korean Academy of Nursing
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    • v.18 no.1
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    • pp.44-69
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    • 1988
  • 보건의료기술이 고도로 발달되었다 하더라도 의료의 혜택이 필요할 때 누구에게나 언제든지 제공될 수 없는한 전체 국민의 건강요구를 포괄적으로 충족시킬 수 있는 제도나 방법이 필요하게 된다. 본 연구는 사회 집단의 최소 단위인 가정을 중심으로 수행되고 있는 지역사회 가정간호의 합리적 수행에 필요한 기초자료를 얻기 위하여 가정간호 요구의 사정 및 가정간호 수행에 관하여 연구하였다. 가정 간호(Home Nursing Care, Home Health Care)는 추후관리를 받아야 할 대상자, 고령자, 만성질환자에게 규격화되어 있는 병원간호를 가정이라는 친숙한 분위기에서 개별적으로 제공되는 가정 중심의 심리적 안정은 물론 시간과 경비를 절감하는 효과적 간호수단이다. 본 연구의 목적은 첫째 우리나라 농촌가정의 가정간호의 요구는 무엇이며 그 요구의 원인은 무엇인가\ulcorner 둘째, 농촌가정에서 가지고 있는 상병에는 어떠한 것이 있으며 행하여 지고 있는 가정간호의 내용에는 어떤 것들이 있는가\ulcorner 셋째, 가정간호 수행자는 누구이며 이에 대한 수혜자의 만족도는 어느 정도인가\ulcorner 본 연구의 방법은 1985년 6월 18일 부터 8월 7일 까지 C군에 거주하는 주민중 11개소 보건진료소가 소재한 반의 주민 전체 1,027명 중 상병자 159명과 30세 이상의 인구 440명, 가구주 239명을 대상으로 가정방문을 통한 면접으로 질문지를 기록케 하여 자료를 수집하였다. 연구의 도구는 첫째 간호요구의 측정을 위한 도구로 Virginia Henderson의 기본간호활동 14가지를 기초로 지역주민 50명과 현직 간호원 50명에게 개방질문으로 얻은 내용을 중심으로 제작하였으며 둘째, 가정간호수행에 대한 도구로 Orem의 간호이론 중 간호방법 5가지를 근거로 개발하였다. 본 연구의 내용은 보건진료원에 의하여 사정된 간호요구와 그 원인들을 인간의 기본요구 영역별로 분류하여 가정간호진단을 위한 지역사회 가정간호사정 및 진단도구로 쓸 수 있도록 개발하였으며, 상병자에 대한 가정간호 수행은 수행빈도와 수행내용에 따른 수행자와 수행 만족도를 측정하였다. 1. 가정간호요구에 대하여 1) 가정간호요구 측정은 신체영역 중 몸을 청결히 하고 몸차림을 단정히 하여 피부를 보호하기 내용에서 더위나 추위에 대하여 옷을 맞추어 조절하기의 요구, 적절한 식사와 수분섭취하기 내용에서 배변의 요구, 또한 몸을 움직이고 바람직한 체위를 유지하기 내용에서 한가지 자세를 계속하기의 요구가 높았고 정상호흡하기 내용에는 일상활동시 호흡에 대한 요구가 높은 편이었다. 사회, 심리, 영적 간호요구 영역에서는 자신이 신앙에 따라 예배하기 내용에서 신앙으로 어려움을 극복하려는 요구가 높았으며 여러가지 오락의 형태를 취하여 이에 참여하기 내용에서는 취미생활의 요구가 높았다. 2) 가정간호요구는 연령이 높을수록 높았고 성별로는 여자의 가정간호요구가 남자보다 높았으나 내용별 요구의 차이는 없었다. 2. 가정간호수행에 대하여 1) 가정에서 수행되는 가정간호내용으로는 직접간호가 가장 많이 수행되었으며 내용으로는 구강청결, 옷 갈아 입기, 투약, 음식투여, 대ㆍ소변보기의 빈도가 많았다. 건강한 환경제공의 간호수행내용에서는 적당한 실내온도 유지하기의 빈도가 많았으며 안내와 지도내용에서는 투약요령 알기의 빈도가 많았으며, 보호와 지지내용과 교육의 간호수행내용에서는 현 상태 인정하기와 투약 방법에 대한 교육하기의 간호수행빈도가 가장 많았다. 2) 간호수행자에 있어서 직접간호 수행은 본인 스스로 하는 빈도가 가장 많았으며 안내와 지도 및 교육의 간호수행은 전문가가 많았고 보호와 지지간호는 가족이 많았고 건강한 환경제공간호는 배우자에서 더 많았다. 3) 간호수행자에 대한 만족도는 직접간호 방법에서는 가족이, 안내와 지도는 배우자가, 보호지지, 건강한 환경제공 및 교육에서는 전문가에 의한 간호수행 만족도가 높았다. 4) 상병상태에 따른 주 증상은 관절통 요통이 가장 많았고 상병자는 남자가 많았고 주 중상에 대한 성별간의 큰 차이는 없었다. 이상 가정간호요구와 정도 및 가정간호 수행의 내용을 기반으로 가정간호사업의 시행이 시급하다는 결론을 내릴 수 있었으며 가정간호사업의 시행을 위한 제도적 보완개선책이 요구된다고 결론을 지을 수 있다.

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Validity of the Korean Interpersonal Caring Behavior Scale (ICBS) for Clinical Nurse (임상간호사를 위한 한국형 대인돌봄행위 측정도구의 타당성)

  • Lee, Sook;Choi, Ae-Sook;Yim, So-Youn;Chun, Yeol-Eo
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.89-101
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    • 2022
  • This study attempted to develop a scale that Interpersonal Caring Behavior Measurement Tool, based on Kim's Interpersonal caring theory, and confirmed its reliability and validity. The items were used as 50 items of 10 concepts based on the Su-ji Kim's interpersonal care theory in Korea developed by Seon-hee Yun. Subjects were nurses working at a general hospital or higher, who agreed to participate in this study. As a result of the study, 50 questions in 10 concepts of the first were derived from active listening, accepting, complimenting, noticing, and companioning through exploratory and confirmatory factor analysis, and criterion validity and reliability were verified. This tool is meaningful in that it can measure Caring Behavior from the perspective of the subject and family, and can be used as an index to visualize the quality improvement of nursing care by quantifying it.

Nursing Students' Thinking about Employment (간호 대학생들의 취업에 대한 생각)

  • Kim, Jungae
    • The Journal of the Convergence on Culture Technology
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    • v.3 no.4
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    • pp.83-92
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    • 2017
  • The purpose of this study to investigate about the structure of Nursing students' thinking about job. The phenomenology study design and Giorgi method were used for this analysis. The subjects were 10 people between undergraduate 20-30 years of age and were interviewed over a total of four times. The result of this study were as follow; there were 3 structures and 14 factors such as "the better life" "future" "make a living" "affect to own family" "new starting" "independent" "closely relationship" "depth information that is self-learning" "proportion between class and job" "integrated learning manual are required" "job competition is little hard" "much in demand and various sectors" "hard and difficult nursing licence examination" "the hope of the more better life". According to the results of this study, nursing students' thinking about job were 3 structures which were the impact of employment, practical training necessary and hard but withstand. Therefore through this study appropriate education research and objective including practical contents practice manual development are suggested.

Evolving Nursing Theories in Gerontological Nursing (노인간호 분야에서 개발되고 있는 간호이론)

  • Song, Mi-Soon
    • Perspectives in Nursing Science
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    • v.3 no.1
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    • pp.1-15
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    • 2006
  • With accumulated nursing research results from older adults, refined middle range nursing theories are evolving in gerontological nursing area. Three middle range nursing theories and framework were reviewed and described. Life transition framework for older adults were developed through research related to relocation and other transitions taken place in later life. Self-efficacy exercise model was developed by extensive research related to rehabilitation of older adults based on self efficacy expectations and outcome expectations concept from social cognition theory. Need-Driven dementia-compromised Behavior (NDB) model was developed by a group of nursing scholars studying dysfunctional behaviors of demented older adults. All of these theories are approaching to practice theory by developing interventions and nursing therapeutics. There are more needs to develop theories for specific gerontological nursing phenomena such as delirium, end of life and self integrity.

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Effectiveness of Developing and Applying Problem Based Learning: Self-Directed Learning Ability, Critical Thinking, Communicative Ability, and Problem Solving Skills of Nursing Students (문제중심 학습과정 개발 및 적용 효과: 자기주도학습능력, 비판적 사고, 의사소통능력, 문제해결능력 중심으로)

  • Park, Hyun Joo;Byun, Shang Hee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.627-636
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    • 2023
  • This study was conducted to lay the basis of the need of the self-directed learning ability, critical thinking, communicative ability, problem solving skills for nursing students by confirming the effect of problem based learning classes of nursing students. The data collection period was from March 1 to June 7, 2022. It was provided problem based learning classes to 165 nursing students located at B city. Problem based learning classes were conducted at total of 14 times, and 100 minutes/time. The collected data were analyzed using the frequency and percentage, Cronbach's α, mean and standard deviation with the SPSS Win 21.0 program, and the effectiveness verification of problem based learning classes was analyzed with a paired t-test. As a result of the effectiveness of the problem based learning class, the self-directed learning ability(t=-2.08, p=.039), critical thinking(t=-2.49, p=.014), communicative ability(t=-4.90, p<.001), problem solving skills(t=-4.84, p<.001) of nursing students who took 14 weeks of problem based learning was enhanced. Based on the results of this study, by applying it in various ways to first-year nursing students, it will be possible to use them to improve their competence, major satisfaction, and adapt to college life.

Factors Influencing Character of Nursing Students (간호대학생의 인성에 영향을 미치는 요인)

  • Nam, Soung-Mi;Park, Jeong-Sook;Shin, Eun-Jung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.8
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    • pp.56-65
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    • 2019
  • The purpose of this study was to identify factors associated with character of nursing students using ecological theory. A descriptive cross-sectional study was conducted with 296 nursing students. Collected data from self report questionnaires were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS WIN 21.0. The Results of this study were as follows. A total of 2 models were examined according to individual, microsystem in ecological system theory. In the first model including individual factors, positive emotion, communication ability were significant factors explain character of nursing students. In the second model adding micro system factors family strength and major satisfaction found to be significant factors. The prediction factors of nursing student' character were communication ability (${\beta}=.431$, p<.001), major satisfaction (${\beta}=.310$, p<.001) and family strength (${\beta}=.176$, p<.001). The explanation power was 55.6%. These results showed that factors affecting character of nursing students are communication ability, major satisfaction, and family strength. Therefore, we suggest to develop various character education programs considering these factors.