• Title/Summary/Keyword: 근거-중심 간호

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Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients (성인 발열 환자를 위한 근거기반 간호 지침 개발 및 평가)

  • Shin, Yong Soon;Kim, Sung Reul;Yoo, Sung-Hee;Kim, Sun Hwa;Kim, Jeoung Hee;Kim, Hyun Jung;Na, Ra;Chae, Jee Sun;Lee, Hye Jin;An, Young Hee;Kim, Kyoung-Ok
    • Korean Journal of Adult Nursing
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    • v.25 no.3
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    • pp.250-262
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    • 2013
  • Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients. Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol. Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol. Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.

Effectiveness of Patient and Family-Centered Care interventions: A Systematic Review (환자-가족중심 의료서비스의 융합적 성과: 체계적 문헌고찰)

  • Yoo, Ji-Yeon;Ahn, Sung-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.365-379
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    • 2019
  • This review aimed to analyze characteristics and performances of patient and family-centered care interventions and evaluate the convergence effectiveness. Randomized controlled trials were searched, selected, data extracted and quality-assessed using the Risk of Bias in 15 databases. Characteristics suggested from 21 studies were provision of information, education, communication and family and friend participation. There were 89 measurement variables of performances. Patient outcome was measured by mortality, length of hospitalization, etc., indicated as significantly improved in 18 studies. This review has provided evidence that patient and family-centered care improved experience and performance of diverse patients, families and health-care providers. There is need to convergence adopt patient and family-centered care and conduct evidence-based studies for improvement of quality of healthcare and patient safety in the future.

Development of a Standardized Education Protocol for Peritoneal Dialysis Patients (복막투석 환자를 위한 표준화된 간호교육 프로토콜의 개발)

  • Kang, Jeong-Hee;Kang, Ji-Yeon;Lee, Young-Ock
    • Journal of Korean Critical Care Nursing
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    • v.4 no.2
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    • pp.47-60
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    • 2011
  • Purpose: The purpose of this study was to develop a standardized education protocol for peritoneal dialysis patients. Methods: First, the demand for education was investigated from the 27 patients on peritoneal dialysis and 16 guardians, and later, the standardized nursing education protocol has been developed through the comprehensive literature review and the critical analysis of the related studies. Contents validity and applicability have been tested through the expert group survey. Results: The standardized peritoneal dialysis nursing education protocol with 9 areas and 20 items has been developed. The content validity for timing and duration, contents, method, and place of education proposed by the protocol were all above than 0.8. In terms of the applicability of the protocol, the experts scored between 4.20 to 4.93 for all items except one. The item on home visit education acquired the lowest applicability score, because there might exist potential restrictions in visiting patient's home. Conclusion: The standardized education protocol developed in this study turned out to be adequate by representing high content validity for all items and the applicability also was high except the item on home visit education. Further researches to test the effects of this education protocol should be done.

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Factors Influencing Competency in Evidence-based Practice among Clinical Nurses (간호사의 근거중심실무역량에 대한 영향요인)

  • Kim, Yeon-Sook;Kim, Jimee;Park, Mi-Mi
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.2
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    • pp.143-153
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    • 2015
  • Purpose: The aim of this study was to describe competency in evidence-based practice (EBP) among clinical nurses and to explore critical thinking disposition (CTD) and organizational culture (OC) as possible predictors for competency in EBP. Also this study was conducted to identify baseline data for purpose of developing evidence-based OC to ensure safety of patients and to improve quality of nursing services in clinical setting. Methods: With a descriptive correlation study design, a competency in EBP questionnaire was administered to a convenience sample of nurses (N=393) from a single general hospital in Gyeonggi Province. Results: The overall mean score for competency in EBP was $3.03{\pm}0.53$. Factors influencing competency in EBP were education (${\beta}=0.23$, p<.001), attendance at lectures on EBP (${\beta}=0.18$, p<.001), intellectual eagerness & healthy skepticism (${\beta}=0.27$, p<.001) among CTD, and hierarchy-oriented OC (${\beta}=0.14$, p=.005), which explained about 35% of the total variance. Conclusion: Critical thinking and competency in EBP should be part of nursing education especially for undergraduate students as well as strengthening clinical practice by activation of EBP. The results of this study that hierarchy-oriented OC, is a significant predictor for competency in EBP is difficult to accept. Its seemed to require further exploration.

The Experience of Health-Promotion Behavior in Adolescents: A Grounded Theory Approach (고등학교 청소년의 건강증진행위 경험: 근거이론 적용)

  • Kang, Na-Gyeung;Lee, Hye-Jin
    • Journal of the Korea Convergence Society
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    • v.12 no.10
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    • pp.321-331
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    • 2021
  • The purpose of this study was to understand and define the health-promotion behavior of adolescents in Korea. This study collected data from twelve high school students using group and individual in-depth interviews. Data were analyzed qualitative study with grounded theory method by Strauss and Corbin(1998). As for the study result, the core phenomenon was the Lifestyle without health promotion and the mediation conditions for controlling were Parents' Care for Health, Friends with Health Behavior, and lack of exercise environment, and the action/interection strategy to correspond to this situation was Strengthening the will to practice health promotion, Imitate a friend with a nice body, Learning parental health behavior. This study will serve as basic data in developing health promotion programs for the practice health promoting behaviors of high school students.

The Effect of Nursing Students' Clinical Practice Stress, Performance Ability, Satisfaction, and Critical Thinking on Nursing Professional Self Concept (간호학생의 임상실습 스트레스, 수행능력, 만족도, 비판적 사고성향이 간호전문직 자아개념에 미치는 영향)

  • Ju, Hyeon-Jeong
    • Journal of Digital Convergence
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    • v.15 no.8
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    • pp.213-224
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    • 2017
  • This study was to examine the structural model of nursing student 's Professional self-concept, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress. The subjects consisted of 227 nursing students and data was collected through Structured questionnaires. Results, Critical thinking, Clinical Practice Satisfaction, Clinical competency and Clinical Practice Stress showed a direct effect on Professional self-concept for nursing students. Clinical competency and Clinical Practice Stress showed an indirect effect on nursing Professional self-concept. Clinical competency and Clinical Practice Stress showed a direct effect on Critical thinking and Clinical Practice Satisfaction. In this paper, we propose a new approach to nursing students 'self-concept in nursing. In this paper, we propose a new approach to nursing students' self-concept. And to develop and apply an intervention program that can reduce the stress of clinical practice.

Factors Associated with COVID-19 Vaccination intention among Nursing Students: Applying the Health Belief Model (간호대학생의 코로나19 예방접종의도 영향요인: 건강신념모델을 중심으로)

  • Han, Me-Ra;Park, So-Yeon;Kim, Young-Me
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.343-351
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    • 2021
  • The purpose of this study was to identify the nursing students' COVID-19 vaccination intention based on health belief model. A total of 169 nursing students who were freshman to senior grade from one college participated in this study. An online self-administered questionnaire was used for data collection from April 5 to 16, 2021 and data were analyzed using the SPSS/Window 21.0 program. Multiple regression analysis conducted to verify the factors on COVID-19 vaccination intention. The significant influential factors for COVID-19 vaccination intention were self-efficacy(β=.345, p<.001), cues to action(β=.307, p<.001), perceived benefits(β =.143, p= .034), and knowledge(β=.116, p=.042). The model explained 50.8% of the variance in the COVID-19 vaccination intention. This result points to the importance of fostering nursing student's self-efficacy, cues to action, perceived benefits, and knowledge to promote COVID-19 vaccination uptake.

The Meaning of Study in the Convergence Role of Married Nursing Graduate Students: Focusing on Doctoral Students (기혼 간호대학원생의 융합적 역할 내 학업의 의미 : 박사과정생 중심으로)

  • Lim, Yunmi;Lee, Shinae;Song, Hyeyoung;Park, Hyojung
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.507-521
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    • 2018
  • Objectives: The purpose of this study is to explore in depth and deeply the nature and meaning of the academic experience that married nursing graduate students have experienced in their Convergence roles. Methods: Giorgi(2004) method was used the four-step data analysis procedure following the technological phenomena. Participants were four nursing doctoral students who were involved in work, child-care. and education. Data collection was conducted through two in-depth interviews with participants from October to November 2017. Results: Data analysis was structured into 12 concepts and 5 categories, centered on thinking, feelings, and changes in life for study before and after entering graduate school. The five categories are 'I enjoy flying more than anyone', 'I am different from them', 'A solitary journey toward a dream', 'Family is my strength' and 'I have a dream.' Conclusions: In order to help married nurses improve their professionalism, it is necessary to build a support system for the family, improvement of the organizational culture, and a socially practical support system.

Development of PBL Application Class Module and Convergence Application Experience in one university Scenario-based Adult Nursing Simulation Training (일개 대학 시나리오 기반 성인간호학 시뮬레이션 실습 교육에서 PBL 적용 수업 모듈 개발 및 융합적 적용 경험)

  • Young-Hee Jeong
    • Journal of Advanced Technology Convergence
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    • v.2 no.3
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    • pp.33-41
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    • 2023
  • This study aimed to improve the quality of classes through the application experience analysis after applying the adult nursing simulation practice modules with PBL. Quantitative and qualitative data such as from satisfaction, validity, self-reflection, and lecture evaluation in 68 nursing students were analyzed after the semester. Satisfaction was 4.64 points out of 5 points, and 'I want to recommend this class to other friends' was the highest. It was appropriate for the validity as 64.7% to 100% positve answer. From the qualitative data analysis of lecture evaluation, it was categorized into 5 thematic groups : 'increased immersion related to a lively class environment', 'growth of knowledge and skills through learners' active participation', 'improvement of mutual collaboration skills through team-based problem-solving process', 'Improvement of problem-solving ability through situational crisis coping process' and 'Improvement of individual comprehension through close teaching'. The continuous development of PBL learning strategies and development of various scenarios are required in the future.

Mixed Method Research Investigating Evidence-Based Practice Self-efficacy, Course Needs, Barriers, and Facilitators: From the Academic Faculty and Clinical Nurse Preceptors (근거기반실무(Evidence-based Practice) 자기효능감, 교과목 요구도, 장애요인 및 촉진요인 탐색을 위한 혼합연구: 교수 및 임상실습 프리셉터를 중심으로)

  • Oh, Eui Geum;Yang, You Lee;Yoo, Jae Yong;Lim, Ji Yun;Sung, Ji Hyun
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.501-513
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    • 2016
  • Purpose: The current challenges faced by nurses in providing high quality and evidence-based practice (EBP) supported care require profound changes in nursing education. To understand the changes needed to strengthen EBP education, the researchers examined EBP self-efficacy, course needs, barriers, and facilitators for academic faculty and clinical nurse preceptors to teach EBP in undergraduate nursing curricula. Methods: For this study, mixed-method approach was used with survey data collected from 73 academic faculty members from 54 universities. Further, 17 clinical nurse preceptors in three academic hospitals provided qualitative data for exploration of barriers and facilitators to teaching EBP. Data analysis used SPSS/WIN 21.0 and content analysis. Results: Quantitative data showed that although the overall level of self-efficacy among faculty was moderate, the implementation levels were relatively low. Most faculty members agreed with the need to integrate EBP courses into undergraduate nursing curricula. The qualitative data showed that the barriers to teaching EBP were lack of knowledge, skill, and initial investment for teaching EBP; hierarchical, rules-oriented nursing culture; potential learner overloads in processing EBP; limited research dissemination and application. Facilitators were identified as the importance of EBP to the profession of nursing; collaboration in schools and hospitals; and continuing education in teaching/utilizing EBP. Conclusion: The findings indicate that for successful integration of EBP ni nursing education there is a need for faculty training and integrated EBP courses.