• Title/Summary/Keyword: 임상실무

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The Effects of Video Exercise Education on Range of Motion, Pain and Quality of Life for Shoulder-joint Patients (동영상 운동교육이 견관절 환자의 관절가동범위, 통증 및 삶의 질에 미치는 효과)

  • Lim, Semi;Yeom, Young-Ran;Lee, Jeong-Hwa
    • Journal of Convergence for Information Technology
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    • v.10 no.9
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    • pp.43-52
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    • 2020
  • The purpose of this study is to develop video exercise education for patients with shoulder-joint and evaluate the effects on range of motion, pain and quality of life. This study was conducted in 30 experimental groups and 26 control groups among shoulder-joint patients who were admitted to orthopedic outpatient clinics at university hospitals in G city from January to June 2020. For data analysis, SPSS was used to analyze the general characteristics of the two groups and the pre-homogeneity test for the dependent variables by 𝑥2-test and t-test. As a result of the study, the subject's pre-post score change was found to have a significant difference in the degree of internal rotation of the range of motion and pain score, but there was no significant difference in the flexion, abduction degree of the range of motion and quality of life. In this study, clinical application of video education can be suggested as a way to improve nursing practice as it saves time spent on patient education of nurses not only in outpatients but also in wards.

A Study on the Content of Fundamentals of Nursing in Korea -Focused on Nursing Professors and Clinical Educators- (기본간호학 교과내용 개선을 위한 일 조사연구-간호학 교수와 임상실무교육 간호사를 중심으로-)

  • 강규숙;공은숙
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.83-95
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    • 1997
  • This study analyzed the necessity of detailed items of fundamentals of nursing education in college by soliciting answers from clinical nursing educators in hospitals and nursing professors. The questionnaire consisted of four parts. The first part included questions about the general demographic characteristics of respondents, the second part. questions about the general necessity of fundamentals of nursing, the third part, questions about the necessity of 26 items in fundamentals of nursing in knowledge education and about the necessity of 81 items in fundamentals of nursing in practice education, the fourth part solicited free description of ideas about the problems education in fundamentals of nursing in Korea. Thirty professors from universities, 30 professors from community. and 30 clinical nursing educators were randomly sampled and the questionnaires were sent by mail. Seventy people returned completed questionnaires. Ninety three percent evaluated fundamentals of nursing as necessary for nursing not only in knowledge education but also in practice education. They also generally agreed on what items are necessary for fundamentals of nursing. However. opinions about some items were split between nursing scholars and clinical nursing educators. Clinical educators wanted fundamentals of nursing to be more practical and to incorporate recent developments and changes in clinical settings. They described several problems in fundamentals of nursing. One was that some the content of fundamentals of nursing overlaps with other subjects, especially with adult nursing. Some respondents also thought that fundamentals of nursing included too many topics. These problems make it difficult for students, scholars, and nurses identify what fundamentals of nursing is. This causes an identity problem in fundamentals of nursing. Some disparity between clinical nursing and knowledge education in fundamentals of nursing was also reported. This was also related to problems lack of clinical experience in teachers of fundamentals of nursing. Some respondents suggested requiring clinical experience for professors or establishing a system of clinical professorship. Problems of teaching material were also pointed out. Fundamental nursing skills and knowledge in teaching materials are often old or not appropriate for the Korean nursing situation. The respondents urged the development of teaching materials appropriate for Korean nursing. In order to solve these problems, the authors suggest forming an ad hoc committee which can reformulate and standardize education in fundamentals of nursing in Korea.

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Development of OSCE by Nurse Managers of One University-Affiliated Hospital for Skill Test of Nurse Recruitment Process (간호사 채용을 위한 간호관리자의 OSCE 개발)

  • Han, Mi-Hyun;Choi, Joo-Soon;Park, Seok-Gun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2625-2631
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    • 2012
  • To recruit nurses with skills, the hospital must evaluate the skills of the applicants. But objective evaluation of the skills is a difficult. Many hospitals are using written examination or oral test only and are not testing the nursing skills directly when they recruit new nurses. OSCE(Objective Structured Clinical Examination) is a method developed for the evaluation of clinical skills objectively. In this study, 16/20 nurse managers of one university-affiliate hospital were assembled for the project of developing 7 OSCE modules by themselves, and then they ran OSCE using those modules for 40 nursing students. They scored nursing skills of the students using checklists they designed. The whole process was proceeded phase by phase using step-wise approach model. The project was successful; inter-personal consistency of the scores were high; nurse managers became confident in objective skill evaluation; subjective responses for this project were favorable. The hospital adopted OSCE in recruitment process thereafter. This experience might be applied to other hospitals who want to recruit nurses with skills.

Effect of Self-Directed Learning Ability, Ego Resilience, Critical Thinking Disposition on the Competency of Nursing Students's Basic Nursing Skills (간호대학생의 자기주도적 학습, 자아탄력성, 비판적 사고성향이 기본간호술기 수행능력에 미치는 영향)

  • Park, Jin-Ah;Hong, Ji-Yeon
    • The Journal of the Korea Contents Association
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    • v.16 no.1
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    • pp.342-351
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    • 2016
  • Basic nursing, the course for the nursing students to experience nursing practice before going on to th clinical practice, and is crucial for solving health-related problems of patients. This study is a descriptive research study to analyze the impact factors associated with nursing students' basic nursing skill competency. In this study, total 181 subjects participants, and by using a structured questionnaire. Data were collected by self-written questionnaire method. The collected data were analyzed using the SPSS WIN 22.0 program. Of the general characteristics of the subjects, the difference in basic nursing competency was found according to admission motive, major satisfaction, and interest in practice. Critical thinking disposition and the degree of self-training aid influenced performance of basic nursing skills by nursing students, and these variables explained 23.8% of the total variance of basic nursing skills performance. These findings suggest, in order to improve performance of basic nursing skills in nursing students, it is necessary to use various teaching methods that help improve critical thinking and relevant curriculum that promote self-practice.

A University Hospital Nurses' Knowledge and Attitude about Cancer Pain Management (일개 대학병원 간호사의 암성통증관리에 대한 지식과 태도)

  • Kim, Seon-Hwa;Park, Sang-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.254-263
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    • 2012
  • This study was performed to investigate a hospital nurses' knowledge and attitude about cancer pain management and to make use of base material for education. The research design was descriptive survey study, and the data were collected from 303 nurses who were working at a university hospital. A instrument study was the inventory consisting 107 questionnaires for cancer pain management. The data were analysed by SPSS WIN 18.0. The study showed that the percentage of correct answers for general knowledge about pain was 79.6%, for knowledge about cancer pain was 82.2%, for knowledge about analgesics use was 55.6%, for attitude about pain management was 65.2%, and the percentage of correct answers for each item was 70.7%. The knowledge about analgesics use was significant difference in age, education level, position, years of nursing practice, present place of working, years of present working place, pain education program experience, the attitude about pain management was significant difference in gender, education level and present place of working. Consequently it needs the persistent educational programs development and the clinical application to improve of nurses` knowledge and attitude about cancer pain management.

Effects of Holistic Hospice Nursing Intervention Program on Self Esteem and Spiritual Well-being for Inpatients of Hospice Palliative Care Unit (전인적 호스피스 간호중재 프로그램이 호스피스완화의료병동 입원 환자의 자아존중감과 영적안녕에 미치는 효과)

  • Choi, Sung-Eun;Kang, Eun-Sil
    • Journal of Hospice and Palliative Care
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    • v.12 no.4
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    • pp.209-219
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    • 2009
  • Purpose: This study was to testify the effects on self esteem and spiritual well-being of holistic hospice nursing intervention program ("Rainbow program") for inpatients of hospice palliative care unit. This was designed as a preliminary experimental study with one-group pre-post test. Methods: A total of 27 patients who were over 18 years old, and admitted in hospice palliative care unit of S hospital in P city, submitted informed consent for this study, participated in holistic hospice nursing intervention program(total 10 sessions and 1,200 minutes for 2 weeks) from April 6, 2004 to April 20, 2005. To test the effects of this intervention, Self Esteem Questionnaire (SEQ) and Spiritual Well-being Questionnaire were used. The collected data were analyzed by Paired t-test with SPSS/WIN 12.0 program. Results: (1) Hypothesis No. 1 "The experimental group which received Rainbow program will have a higher degree of self esteem than before" was supported (t=11.554, P<0.001). (2) Hypothesis No. 2 "The experimental group which received Rainbow program will have a higher degree of spiritual well-being than before" was also supported (t=6.387, P<0.001). Conclusion: This Holistic Hospice Nursing Intervention Program was effective in increasing self-esteem and spiritual well-being of patients in hospice palliative care unit. Therefore, it can actively be used and also applied to hospice palliative care practice, research, and education as a useful model of interdisciplinary team approach by hospice professionals.

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Models for Spiritual Care in Hospice and Palliative Care

  • Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.41-50
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    • 2018
  • Spirituality is an essential part of human beings. Spiritual care, designed to meet the spiritual needs of terminally ill patients and their families, is one of the most important aspects of hospice and palliative care (HPC). This study reviewed and analyzed literature utilizing the most commonly used Korean and international healthcare databases to identify care models that adequately address the spiritual needs of terminally ill patients and their families in practice. The results of this study show that spirituality is an intrinsic part of humans, meaning that people are holistic beings. The literature has provided ten evidence-based theories that can be used as models in HPC. Three of the models focus on how the spiritual care outcomes of viewing spiritual health, quality of life, and coping, are important outcomes. The remaining seven models focus on implementation of spiritual care. The "whole-person care model" addresses the multidisciplinary collaboration within HPC. The "existential functioning model" emphasizes the existential needs of human beings. The "open pluralism view" considers the cultural diversity and other types of diversity of care recipients. The "spiritual-relational view" and "framework of systemic organization" models focus on the relationship between hospital palliative care teams and terminally ill patients. The "principal components model" and "actioning spirituality and spiritual care in education and training model" explain the overall dynamics of the spiritual care process. Based on these models, continuous clinical research efforts are needed to establish an optimal spiritual care model for HPC.

A Study on the Dental Hygienists' Image Perceived by Health Allied College Students (보건계열학생이 인식하는 치과위생사의 이미지 조사연구)

  • Kim, Mi-Jeong;Lee, Hye-Kyung;Kim, Young-Im
    • Journal of dental hygiene science
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    • v.11 no.6
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    • pp.481-487
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    • 2011
  • The purpose of this study was to examine the perception of health-related majors in their third year of college about the image of a dental hygienist as prospective dental personnels. The findings of the study were as follows: 1. Concerning perception of the image of a dental hygienist by geographic region, the college students from large cities gave 89.07 to that, and the college students from small and mid-sized urban areas gave 85.03. The former gave higher marks to the image of a dental hygienist, and the gap between the two was statistically significant. By department, the students who majored in physical therapy gave the highest score of 88.93, dental technology and radiology gave the second highest score of 86.91. The clinical pathology gave the third highest score of 83.28, and the gaps among them were significant. 2. As for their perception of the four subfactors(qualifications, roles, social participation and interpersonal relationship) of the image of a dental hygienist by geographic region, there were statistically significant gaps in their way of looking at the qualifications, roles and interpersonal relationship of a dental hygienist. By department, the physical therapy majors gave the highest marks to all the four subfactors. 3. When they were asked to give one or more answers to the question what affected their image building about a dental hygienist, the largest number of the students that accounted for 67.9 percent replied that the looks of dental hygienists whom they saw in dental clinics or hospitals impacted on their image of a dental hygienist.

Integrative Review on Nursing education Adopting Virtual Reality Convergence Simulation (간호교육에 적용한 가상현실 융합시뮬레이션 연구에 대한 통합적 고찰)

  • Kang, Sujeong;Kim, Chunmi;Lee, Hung Sa;Nam, Jae-Woo;Park, Myung Sook
    • Journal of Convergence for Information Technology
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    • v.10 no.1
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    • pp.60-74
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    • 2020
  • Nursing education using virtual reality simulation (VRS) has emerged as a new teaching method for improving nursing student's knowledge as well as of competency for clinical nursing skill. The purpose of this study was to analyze the effects of nursing education using VRS through an integrative analysis on quantitative and qualitative research. Through quality assessment on the total 382 studies, 17studies (12 quantitative and 5 qualitative) were finally selected. Contents of the 17 studies were reviewed and those with respect to four aspects were gathered: the condition, knowledge, and attitude for effective education using VRS, and the effects of nursing education using VRS on the practice. Readiness of the use of virtual reality device, mastsering of the platform, and interesting scenario were required condition for effective education. The effects of nursing education adopting virtual reality convergence simulation oin terms of knowledge, attitude, and practice included enhancement of the knowledge and extension of the knowledge, improvement in memorizing the process and sequence of the practice through repetitive education, and development of empathy ability and formation of rapport. Hence, adopting virtual reality to convergence simulation of nursing education can maximize the effect of the education.

Adaptation of Isolation Guidelines for Health Care Settings (수용개작방법을 활용한 의료기관의 격리주의지침 개발)

  • Ryu, Jae Geum;Jeong, Jae Sim;Jeong, Ihn Sook;Kim, Jeong Hye;Hong, Eun-Young;Kim, Hyang Sook;Jung, Young Sun;Kwon, Jeong Soon;Lee, Ji Young;Choi, Ji Youn;Kim, Kyung Sug;Kim, Eun Hyun;Cha, Gyeong Suk;Kim, Eun Jin;Park, Kyung Hee;Seo, Hyun Ju
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.2
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    • pp.209-226
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    • 2018
  • Purpose: This purpose of this study was to develop evidence-based practice guideline for isolation in health care settings to prevent transmission of infectious diseases utilizing guideline adaption process. Methods: The process of guideline adaptation was performed according to the Korean hospital nurses association's guideline adaptation manual which consisted of three main phases, 9 modules, and 24 steps. Results: The adapted isolation guideline consisted of introduction, overview of isolation guideline, summary of recommendations, recommendations, references, and appendices. The guideline includes 224 recommendations in 4 sections which are organizational administration, standard precautions, transmission-based precautions, and education/counselling. Conclusion: The adapted isolation guideline is recommended to be disseminated and utilized by nurses and clinicians nationwide to improve the isolation practices for infected or colonized patients with communicable diseases and to decrease the transmission of infections in the healthcare settings.