• Title/Summary/Keyword: 간호 실무

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The Impact of Simulation Education within Schools on the Clinical Practice Ability of Fourth-Year Nursing Students at a Nursing College: Applying Community Nursing (교내 시뮬레이션 교육이 간호대학교 4학년의 현장실습능력에 미치는 영향 -지역사회간호학 적용-)

  • Kim Jin;Cha Nam Hyun
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.4
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    • pp.543-550
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    • 2024
  • This study aimed to identify factors influencing clinical practice abilities in nursing students after implementing simulation education. The study subjects and data collection were conducted from September 1st to October 30th, 2022, targeting 106 fourth-year nursing students. The research design employed descriptive correlational analysis. The research tools included critical thinking, self-efficacy, practical competence, and practicum satisfaction, with statistical analysis performed using SPSS version 27.0. The results revealed Practical competence showed a significant correlation with practicum satisfaction, and it demonstrated a positive correlation with critical thinking and self-efficacy. Factors influencing practical competence were practicum satisfaction (β=.85 p<.001) and self-efficacy (β=.25, p<.05), with an explanatory power of 57.0% (F=13.25, p<.001).

Development and Effectiveness of Practice Application Program of Intravenous Infusion Evidence-Based Nursing Practice Guideline - for Small and Medium Sized Hospitals (근거기반 정맥주입요법 간호실무지침 실무적용 프로그램 개발 및 평가 - 중소병원을 대상으로)

  • Hong, Inhwa;Eun, Young
    • Journal of Korean Academy of Nursing
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    • v.50 no.6
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    • pp.863-875
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    • 2020
  • Purpose: This study was conducted to develop and test the effects of a program for practice application of intravenous infusion evidence based nursing practice (EBP) guidelines in small and medium-sized hospitals. Methods: A mixed method research design was used, combining non-equivalent control group pre-post test design with qualitative study analysis. The subjects consisted of 55 nurses. The practice application program was developed based on the Advancing Research and Clinical practice through close Collaboration (ARCC) model. Data were collected for analysis in the following areas: nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, importance about intravenous infusion, and performance about intravenous infusion, with data assessed using valid and reliable instruments. Patient outcomes were collected from the hospital's medical records. Data were analyzed using t-test, χ2-test, and Shapiro-Wilk test, with qualitative content analysis used for interview data. Results: Following the intervention, nurses' EBP organizational culture and readiness, EBP beliefs, EBP implementation, and performance of intravenous infusion and perceptions of its importance showed significant improvement in the experimental group. Phlebitis rates decreased in the experimental group compared to the control group. Conclusion: This program is effective to improve nurse's perception and practice of evidence based nursing. Therefore we recommend to use this program at same levels of hospitals.

Effects of a practical work-oriented education program on the ability of newly recruited nurses in execution of clinical competency, critical thinking and turnover rate (실무중심 교육프로그램이 신규 간호사의 임상수행능력, 비판적 사고와 이직율에 미치는 영향)

  • Park, Jung Hee;Lee, Mi Hyang
    • Journal of Digital Convergence
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    • v.15 no.7
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    • pp.191-199
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    • 2017
  • This study aims to confirm the effects of the practical work-oriented educational program applied to the nursing students prior to the commencement of their employment on the ability of the newly recruited nurses in execution of clinical competency, critical thinking and turnover rates. It is a single-group pre-post design and non-equivalent control group design. As for the results of the research, nurses who participated in the practical work-oriented educational program prior to employment displayed an increase in their ability to execute clinical competency and critical thinking capabilities along with the reduction in their turnover rate within 1month after their employment. The results indicate that practical work-oriented educational program form the stage of nursing school years prior to employment at hospital in important and the practical work-oriented educational program attempted as a new means of management of human resources for new nurses can be used as a beneficial program at the time of the development of education programs at the hospitals ans nursing schools.

Development of the Nursing Practice Guideline for Pain Management according to the Guideline Adaptation Process (간호 분야 실무지침의 수용개작 방법론에 따른 통증간호 실무지침의 개발)

  • Eun, Young;Yu, Mi;Gu, Mee Ok;Cho, Yong Ae;Kim, Kyung Sook;Kim, Tae Hee;Lee, Hyun Hee;Jeon, Mi Jin
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.1-14
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    • 2019
  • Purpose: This study was done to develop a evidence-based guideline for pain assessment and management in Korea by adapting previously developed pain guidelines. Methods: The guideline adaptation process was conducted using 24 steps according to the guideline adaptation manual developed by Hospital Nurses Association in 2012. Results: The newly developed pain management guideline consisted of 9 domains and 234 recommendations. The number of recommendations in each domain was: 13 general instruction items, 51 pain assessments, 14 pain interventions, 66 pharmacological interventions for acute pain, 41 pharmacological interventions for chronic cancer pain, 35 pharmacological interventions for chronic noncancer pain, 21 non-pharmacological interventions, 2 documentations, 10 nursing education items, for pain. Conclusion: The findings suggest that the new pain management guideline can be used to address pain in hospital settings.

Concept Analysis of Developmental Care for Preterm Infants: Hybrid Model (미숙아 발달지지간호에 대한 개념분석: 혼종모형)

  • Kim, Jeongsoon;Shin, Heesun
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.350-358
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    • 2014
  • Purpose: The purpose of this study was to define and clarify the concept of developmental care for preterm infants. Methods: The hybrid model method was used to identify the main attributes and indicators. In the field work stage, data were collected in Seoul and Cheonan, Korea. The participants were 5 nurses working in the NICU. Results: The concept of developmental care was found to have six attributes and ten indicators in 2 dimensions. For the nursing practice dimension, four attributes were derived. They were being like intrauterine state, individualization, interaction, and integrative care with awareness of development. For the family centeredness dimension, supporting parental attachment and professional alliance were attributes of developmental care. Conclusion: Developmental focused care can facilitate the identification of behavioral responses of newborns and provide individualized interventions for fostering growth and development. This concept analysis could provide guidelines for "developmental care" nursing practice and be useful for research in the neonatal field.

Factors Influencing Nursing Practices of Physical Restraint Use among Nurses working in Long-term Care Hospitals (요양병원 간호사의 신체적 억제대 사용과 관련된 간호실무에 영향을 미치는 요인)

  • Ha, Sun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.526-534
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    • 2019
  • This study was undertaken to identify knowledge, attitude, perception and nursing practice toward use of physical restraints, among nurses in long-term care hospitals. We further explored the impact of factors associated with nursing practice toward use of physical restraints. This was a cross-sectional descriptive study in which self-administered questionnaires were collected from 128 nurses working at 11 long-term care hospitals. Descriptive statistics, including t-test, one-way ANOVA, Welch's test, Pearson correlation coefficients and multiple regression, were applied to analyze the data collected. Our results reveal that the participants possess moderate levels of knowledge, attitude, perception and nursing practice toward use of physical restraints. Significant positive correlations were observed between nursing practice and knowledge. Multiple regression analysis showed that the factors significantly related to nursing practice and use of physical restraint were knowledge (${\beta}=0.27$, p=0.002) and attitude (${\beta}=-0.17$, p=0.044), having a total explained variance of 9.0%. The findings from this study suggest that knowledge is the strongest predictor on nursing practice toward use of physical restraints. Thus, we propose that developing and applying evidence-based educational intervention programs to reduce the use of physical restraints in long-term care hospitals are required.

Development of Evidence Based Clinical Practice Guideline to Improve Quality of Critical Care Nursing (중환자 간호실무 질 향상을 위한 근거중심 임상실무지침서의 개발)

  • Park, Myong-Hwa
    • Journal of Korean Critical Care Nursing
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    • v.2 no.2
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    • pp.68-78
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    • 2009
  • Evidence based clinical practice guideline are designed to help healthcare practitioners evaluate and implement the increasing amount of evidence on best practice. Critical care area is one of the clinical sites where evidence based clinical practice guideline is needed most. This paper reviewed the definition of evidence based clinical practice guidelines, the development method of evidence based clinical practice guideline, and the current trends in guideline developing. Traditional method of guideline development is consensus based but it moves into evidence based development. Evidence based guideline is based on best available evidence and uses the strongest method to determine its effect on clinical outcomes. The current trends in guidelines is to develop the guideline at regional/national level and do subsequent modification to suit local circumstances. There is an urgent need of exploring the method of guideline development and adaptation which are appropriate for Korean clinical setting.

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