• 제목/요약/키워드: 성인간호학

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간호진단과 간호중재 연계를 위한 연구 (Study to Develop Linkages between Nursing Diagnoses and Interventions)

  • 이은주;최인희
    • 성인간호학회지
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    • 제15권2호
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    • pp.183-192
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    • 2003
  • Purpose: This study was performed to validate the linkage between nursing diagnoses and nursing interventions by identifying performance and importance of nursing interventions linked to five NANDA nursing diagnoses. Method: Data was collected from 153 staff and head nurses working in 4 hospitals in K city. The results were analyzed using mean, SD and spearman correlation for ranking correlation. Result: The most importantly considered interventions were Medication Administration (IV) for pain, Pain Management for Constipation, Intravenous (IV) Insertion for Diarrhea, treatment, Vital Sign Monitoring for Hyperthermia, and Vital Sign Monitoring for Infection risk. The most frequently performed interventions was Medication Administration (IV) for Pain, Fluid Management for Constipation, Intravenous (IV) Insertion for Diarrhea, Vital Sign Monitoring for Hyperthermia, and Vital Sign Monitoring for Infection: Risk for. The rank correlations between importance and performance were highest in Diarrhea and lowest in Constipation. Conclusion: The above findings can be used to develop a nursing information system which can be used to facilitate documenting the nursing process, and a nursing information system developed by this research process will ultimately contribute to identifying nurses contribution to patient health.

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성인 금연자의 금연유형에 관한 연구 - Q 방법론적 접근 - (The Types of Smoking Cessation Among Adult Smokers: Q Methodological Approach)

  • 신성례;장성옥;김상숙
    • 성인간호학회지
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    • 제16권1호
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    • pp.60-71
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    • 2004
  • Purpose: The purpose of this study was to analyze the subjectivity of smoking cessation methods of smokers. Method: The Q. methodology which provides a method of analyzing the individual's subjectivity was used. The 34 subjects classified 38 selected Q-statements into a 9 point scale to make a normal distribution. The collected data was analyzed using a QUANL PC program. Result: Three types of smoking cessation among smokers were identified. Type I, Family Centered; Type II, Suppressing Temptation; Type III, Self Overcoming. Conclusion: This study results revealed that different approaches of support programs are needed to address the three types of smoking cessation and their characteristics.

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성인의 생활양식과 건강관련 삶의 질에 대한 연구 (Lifestyle Characteristics and Health Related Quality of Life in Korean Adult)

  • 김애경;김정아
    • 성인간호학회지
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    • 제17권5호
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    • pp.772-782
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    • 2005
  • Objectives: The purpose of this study was to investigate the relationship between Korean lifestyle characteristics and health status and to identify the variables influencing health in Korea. Methods: A cross-sectional descriptive correlational design was used to explore the lifestyle characteristics and health status of 397 Korean adults. Correlational analysis calculated the correlation between lifestyle and health status. To examine the relationship among demographic characteristics, lifestyle, and health status we used the t-test and one-way ANOVA. Stepwise multiple regression was conducted to examine the significant predictors of general health among subjects. Results: Positive correlations were seen between general health (GH) and the overall score and subscales of the Lifestyle. The stepwise regression model showed that vitality (VA), body pain (BP), nutrition, and occupation were significant variables influencing general health (GH). Conclusions: These findings provide evidence regarding the lifestyle patterns and healthstatus among Koreans. When planning intervention strategies for this population, exercise and physical activity should be principal focus areas.

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간호학문의 현상학적 연구에서의 미학적 사유 (An Aesthetical Thinking in Phenomenological Research of Nursing Science)

  • 공병혜
    • 성인간호학회지
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    • 제15권3호
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    • pp.441-451
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    • 2003
  • Purpose: The purpose of this study is to illuminate the relation between the aesthetics and qualitative nursing research, and especially to consider the aesthetical characteristics of phenomenological nursing research which may reflect works of art. Method: Based on Heidegger, Merleau-ponty and Gadamer' philosophical aesthetics, this study shows how aesthetical thought can be is applied to artistic creation and aesthetical criticism in the phenomenological research of nursing. Result: The result of aesthetical characteristics of phenomenological nursing research were as follows: 1) Poetical thought of the client's experience as the living is revealed as poetic expressions in forms of listening gazing, reflection and metaphor. 2) Literature works, paintings, poetry and fiction used as sources of lived-experience help to awaken insight into the essence of lived-experience. 3) Aesthetical evaluation of phenomenological product as art is related to the harmony as a whole, especially to the ability to do vicarious lived-experience of the client. Conclusion: In order to produce creative phenomenological works in nursing research, two suggestions are made: aesthetical thought and poetic language in phenomenological reflective writing which enables researchers to transmit the essence of the lived-experience.

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성인간호학 실습지원 웹 콘텐츠의 학습효과 (The Effects of Web-Contents Learning for Adult-Care Practice)

  • 김영옥;배영숙;김수미;양진주
    • 한국간호교육학회지
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    • 제16권1호
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    • pp.5-13
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    • 2010
  • Purpose: This study investigated the effects of Web-Contents Learning by nursing students on nursing knowledge, self-directed learning and clinical competence. Method: This study was a quasi-experimental, nonequivalent control group pre-post test. For the study, 146 nursing students were selected from three colleges. Seventy-six were experimental subjects and 70 were control subjects. The subjects in the experimental group studied Web-Contents along with four weeks of clinical practice. Data were collected by structured questionnaires and analyzed using the SPSS program. Result: The experimental group showed significant increase in their nursing knowledge (t=-3.866, p=.001). However, no significant differences were observed between the two groups in self-directed learning (t=-.759, p=.449) and clinical competence (F=.891, p=.347). Conclusion: From our investigation, the present study suggests some implication for learner-related variables. Elaboration of experimental design to validate the effects of Web-Contents Learning should be carried out.

시뮬레이션기반 임상추론 실습교육 프로그램이 간호학생의 간호역량에 미치는 효과 (Effects of a Simulation based Clinical Reasoning Practice Program on Clinical Competence in Nursing Students)

  • 허혜경;노영숙
    • 성인간호학회지
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    • 제25권5호
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    • pp.574-584
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    • 2013
  • Purpose: The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. Methods: The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. Results: Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. Conclusion: Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills.

지지적 간호중재가 개심술 환아 어머니의 불안 및 간호만족도에 미치는 효과 (The Effect of Supportive Nursing Intervention on the Anxiety and Nursing Satisfaction of Mothers with Children Undergoing Open-Heart Surgery)

  • 김윤경;전은미
    • 성인간호학회지
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    • 제19권3호
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    • pp.459-469
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    • 2007
  • Purpose: The purpose of this study was to identify the effect of supportive nursing intervention on the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery. Methods: The research design involved a non-equivalent control group pretest-posttest non synchronized design. The subjects consisted of 43 mothers of children who were expected to undergo open heart surgery, and were divided into two groups; an experimental group of 22 and a control group of 21. The experiment was administered to the experimental group a total of four times, following supportive nursing intervention protocols. The research tools used were Spielberger's State Anxiety Inventory for anxiety and Park Jung-Eun's nursing satisfaction. The data were analyzed using the $x^2$-test, and t-test with SPSS/WIN 12.0 program. Results: Hypothes 1, 'The experimental group who are given supportive nursing intervention will have a lower anxiety score than the control group' was supported(t=5.658, p=.000). Hypothesis 2, 'The experimental group who are given supportive nursing intervention will have a higher nursing satisfaction score than the control gropu wasl supported(t=-9.549, p=.000). Conclusion: The supportive nursing intervention protocol was effective in reducing anxiety and increasing the nursing satisfaction of mothers with children undergoing open-heart surgery.

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간호중재와 간호결과 분석- 간이식 환자를 중심으로 - (Analysis of Nursing Interventions and Nursing Outcomes of the Patients with Liver Transplantation)

  • 유제복;장희정;김남초
    • 성인간호학회지
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    • 제15권4호
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    • pp.509-519
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    • 2003
  • Purpose: This study was designed to investigate the survey of analyzing nursing interventions and nursing outcomes of the patients with liver transplantation. Method: The subjects of this study consisted of 83 patients and fifteen nurses who took care of them. The methods of this study were retrospective and descriptive survey. Result: The mean age of patients was 42.7 years and the subjects were 62.7% males. 56.7% of these patients were diagnosed with liver cirrhosis of B type. The mean duration of hospitalization was 48.6 days. Ninety-five nursing interventions were performed at least daily. The most frequent used interventions were "environmental management: comfort", "medication administration: parenteral", "cough enhancement", and " oxygen therapy". Even though SGOT level to identify nursing outcomes was decreased, SGOT was not within normal limits. Therefore, even after discharge of patients, There is a need to take care of them carefully. Conclusion: These findings revealed the significance and need of nurse practitioners who performed professional nursing intervention for the patients with liver transplantation. Especially, it is necessary needs to develop the nursing intervention programs for comfort.

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하이브리드모델 활용 시뮬레이션 교육이 간호학생의 간호수행능력과 자신감에 미치는 효과 (The Effects of Simulation Training With Hybrid Model for Nursing Students on Nursing Performance Ability and Self Confidence)

  • 이숙정;박영미;노상미
    • 성인간호학회지
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    • 제25권2호
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    • pp.170-182
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    • 2013
  • Purpose: This study investigated the effectiveness of simulation training with a hybrid model of student nurses' performance ability and reported self confidence. Methods: A nonequivalent control group with pre-posttest was designed. Data collection was done during the first semester in 2012 at a college of nursing in Seoul. Nursing performance ability and reported self confidence related to taking care of patients with urinary problems were evaluated. The treatment group (n=96) received simulation training of a catheterization procedure with a hybrid model involving standardized patients and a mannequin. Nursing students in the comparison group (n=84) did not receive the simulation training but would receive it prior to their next clinical practicum's. Results: The treatment group showed a significantly higher performance ability and reported self confidence than that of the comparison group. The perceived helpfulness and contentment of the simulation training in experimental group was high. Conclusion: The findings of this study demonstrated that simulation with a hybrid model was effective in teaching skills prior to the clinical experience which suggests that skill development is not dependent on the actual clinical situation. Nurse educators should consider simulation training as a tool beyond that of clinical practicum.

Nursing Outcomes Classification(간호결과 분류체계)의 한글 명명화에 대한 타당성 연구 (Standardization and Validity study of Korean Nomenclature of NOC)

  • 박현애;조인숙;황지인;근효근
    • 성인간호학회지
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    • 제12권2호
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    • pp.256-266
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    • 2000
  • The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson & Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

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