• 제목/요약/키워드: 성인간호

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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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가정호스피스 간호중재 표준서에 의한 임상간호활동 분석 (Analysis of Clinical Nursing Activities Using Home Hospice Nursing Intervention Standards)

  • 용진선
    • 성인간호학회지
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    • 제20권6호
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    • pp.960-972
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    • 2008
  • Purpose: The purpose of this study was to validate the nursing intervention standards of home care to home care setting for a guide in giving quality care to home hospice patients. Methods: The developed nursing standards were applied to 79 home hospice patients at K hospital, C university. Data were collected through the developed nursing intervention standards of home care with 19 selected nursing interventions and 418 associated nursing activities from January to June in 2006. Results: The performance frequency was 509 times for total nursing interventions and 7,815 times for total associated nursing activities. The most frequently used nursing activity was 722 times(9.24%) on teaching prescribed medication, followed by surveillance(718 times, 9.18%), and vital signs & neurologic monitoring nursing intervention(701 times, 8.97%). The highest mean nursing activity performance rate showed on Intravenous therapy(82%), followed by dying care(81%), and vital signs & neurologic monitoring (80%). Among 418 nursing activities, there were three classifications: 168 as core activities, 165 as major, and 85 as accessory activities. Conclusion: The final validated nursing intervention standards can guide home care nurses to perform quality care and contribute to computerized nursing services and request of nursing fees.

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뇌혈관질환 환자의 간호진단과 연계된 간호중재의 중요도와 수행도 분석 (Comparison of Importance and Performance of Nursing Interventions linked to Nursing Diagnoses in Cerebrovascular Disorder Patients)

  • 김영애;박상연;이은주
    • 성인간호학회지
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    • 제20권2호
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    • pp.296-310
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    • 2008
  • Purpose: The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients. Methods: First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program. Results: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior. Conclusion: We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.

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간호학과 신입생의 불안정 성인애착과 자기자비, 정서인식명확성이 대인관계능력에 미치는 영향 (The Effects of Unstable Adult Attachment, Self-compassion, and Emotional Recognition Clarity of Nursing Freshmen on Interpersonal Skills)

  • 박미라;김정숙;제남주;윤지원
    • 문화기술의 융합
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    • 제10권1호
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    • pp.217-226
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    • 2024
  • 본 연구는 간호학과 신입생을 대상으로 불안정 성인애착과 자기자비, 정서인식명확성이 대인관계능력에 미치는 영향을 파악하기 위한 서술적 조사연구다. 본 연구는 G도 소재의 J시 1개 대학의 간호학과 신입생을 대상으로 2023년 3월 27일부터 4월 7일까지 자료를 수집하였으며, 총 204부를 최종 분석하였다. IBM SPSS/25을 사용하여 기술통계 t-test, ANOVA, 상관관계 다중회귀분석으로 분석하였다. 대인관계능력은 불안정 성인애착과 부적 상관관계가 있었으며(r=-.19, p=.005), 자기자비(r=.38, p<.001), 정서인식명확성(r=.28, p<.001)와 정적 상관관계가 있었다. 대상자의 대인관계능력에 영향을 미치는 변수들을 위계적 다중회귀로 분석한 결과 자기자비가 대인관계능력을 가장 잘 예측하는 요인이었고, 그 다음 외향적성격, 혼합적 성격, 정서인식명확성 순이었다. 자기자비와 정서인식명확성이 높을수록 대인관계능력에 영향을 미쳤으며, 설명력은 24.5%이었다. 간호대학생의 대인관계능력은 반드시 필요한 자질 중 하나이므로 대인관계능력을 향상시킬 수 있는 다양한 방안들이 마련되어야 할 것으로 생각된다.

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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4년제 간호대학 성인간호학 실습교육의 현황과 발전방향 (The Current State and Future Directions of Clinical Practicum for Adult Health Nursing at Four-year Nursing Colleges in Korea)

  • 김남초;이향련;김분한;신경림
    • 성인간호학회지
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    • 제17권5호
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    • pp.831-843
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    • 2005
  • Objective: The study was conducted by the Association of Korean College of Nursing in order to survey and analyze the current state of clinical practicum for adult health nursing at four-year nursing college in Korea and to suggest improvements in the contents and methods of clinical practicum and its future direction. Method: Data were collected using a survey by mail from July to November 2004 using a structured questionnaire on the general state of clinical practicum for adult health nursing. The questionnaires were sent to 53 nursing colleges throughout the country, and 47 recovered questionnaires were analyzed. Results: The number of credits for adult health nursing practicum was 7~10(average range), and various nursing fields were used in clinical practicum. The number of students per team was 5~6 at general wards and 3~4 at intensive care units. Students also experienced practicum during daytime and in the evening. Clinical practicum for adult health nursing was led by full-time professors and field practicum directors. In clinical practicum for adult health nursing, almost every college evaluated students' attitude, skills, leadership, etc. in various forms. Conclusions: It is urgent to develope a standardized evaluation tool for clinical practicum.

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병원간호사의 가기효능감과 사회적 지지가 조직시민행동에 미치는 영향 (The Effect of the Perception of Self-efficacy and Social Support on Organizational Citizenship Behavior among Nurses in Hospital)

  • 한수정
    • 성인간호학회지
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    • 제22권6호
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    • pp.606-614
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    • 2010
  • Purpose: The purpose of this study was to identify the predictors of Organizational Citizenship Behavior (OCB) among hospital nurses. Methods: Participants in this study were 231 nurses from two hospitals. The self-reported questionnaire was used to assess the level of self-efficacy, social support and OCB. The data were analyzed using descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and multiple regression. Results: The mean score of OCB was 4.82, self-efficacy was 4.65, and social support was 4.56. The OCB was statistically significant according to position (t=-1.97, p=.049). The OCB was positively correlated with self-efficacy (r=.558, p<.001) and social support (r=.245, p<.001). The self-efficacy and social support explained 33.0% of the variance for OCB. Conclusion: The findings suggest that developing programs to improve self-efficacy and social support might be useful. Furthermore, more studies are needed to explore variables that influence nurses' Organizational Citizenship Behavior.

간호대학생의 학업적 자기효능감과 전공만족도가 진로태도성숙에 미치는 영향 (The Influence of Academic Self-efficacy and Major Satisfaction on Career Attitude Maturity in Nursing Students)

  • 한수정
    • 성인간호학회지
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    • 제25권5호
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    • pp.559-566
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    • 2013
  • Purpose: This study examines the relationships between academic self-efficacy, major satisfaction, and career attitude maturity among nursing students. The study further explored the mediating effect of major satisfaction on the relationship between academic self-efficacy and career attitude maturity. Methods: Data were collected via questionnaires from 239 nursing students in D city and P city from March 1 to March 30, 2012. Pearson's correlation and multiple regression analyses were used to assess the relationships between the variables. Results: 1. The mean scores for academic self-efficacy, career attitude maturity, and major satisfaction were 3.81, 3.67, and 3.89, respectively. 2. Academic self-efficacy was positively correlated with major satisfaction and career attitude maturity. 3. Major satisfaction had a mediating effect on the relationship between academic self-efficacy and career attitude maturity. Conclusion: Academic self-efficacy is expected to serve as a foundation for the promotion of career attitude maturity.

말기의 의료적 의사결정에 관한 임상간호사의 갈등경험 (Nurse's Conflict Experience toward End-of-life Medical Decision-making)

  • 조계화
    • 성인간호학회지
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    • 제22권5호
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    • pp.488-498
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    • 2010
  • Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.