• Title/Summary/Keyword: 임상실무

Search Result 271, Processing Time 0.025 seconds

The International Conference Report for e-navigation SQA and HCD Guideline (e-navigation SQA/HCD 통합 가이드라인을 위한 국제 논의 동향)

  • Kim, Hyo-Seung;Jung, Ji-Eun;Lim, Sang-Woo;Lee, Seojeong
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
    • /
    • 2015.10a
    • /
    • pp.7-8
    • /
    • 2015
  • In MSC $95^{th}$ commitee, the Guideline on software quality assurance and human-centred design for e-navigation was approved as a circular. After that, the practical guidance to apply the guidance for marine-industry is developing. This guidance presents detailed actions which is done with the software development life-cycle and it provides templates of basic outcomes of the detailed actions. In April 2015, the "e-navigation SQA and HCD Guideline Workshop 2015" was held. There was discussions about the improvement and application plans of the guideline. Also, various opinions of marine-industry about IMO SQA were gathered and how to apply to the marine-industry with harmonization of SQA and HCD was discussed. This paper subscribes the future work to improve the guideline discussed on the workshop.

  • PDF

A Literature Review for Fall-Prevention Nursing Program Development based on the Fall Information of a Rehabilitation Hospital (일 지역 재활병원의 낙상 정보에 근거한 낙상예방 간호중재 프로그램 개발을 위한 문헌분석 연구)

  • Park, Hee-Ok;Kang, Hee-Kyung
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.8
    • /
    • pp.99-107
    • /
    • 2020
  • This study is to design an effective fall-prevention nursing program. Researchers investigated the current condition and risk factors for falls in the small-medium sized rehabilitation hospital with descriptive research. We conducted integrative literature review to reflect the current approach of fall-prevention nursing program. We found that the risk factors for falls are related to the characteristics of clinical setting of the hospital. We suggested the nursing intervention with applying fall risk assessment scale that is sensitive to the elderly population and the intervention that shows maximum effect. In conclusion, this study proposed the way of selecting an effective fall-prevention nursing program based on a clinical setting and prospective of its application. This will contribute to the improvement in nursing practice with the critical view in hospital fall.

Updates of Nursing Practice Guideline for Oral Care (근거기반 구강간호 실무지침 개정)

  • Cho, Yong Ae;Lee, Seon Heui;Kim, Kyeong Sug;Im, Hyo Min;Kim, Tae Hee;Choi, Mi Young;Seo, Hyun Ju;Park, Hyo Sun;Wang, Keum Hyun;Kim, Chan Hee;Choi, Hee Kyung
    • Journal of Korean Clinical Nursing Research
    • /
    • v.26 no.2
    • /
    • pp.141-153
    • /
    • 2020
  • Purpose: This study aimed to update the previously published nursing practice guideline for oral care. Methods: The guideline were updated according to the manuals developed by National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guidelines Network (SIGN), and a Handbook for Clinical Practice Guideline Developer Version 1.0. Results: Updated nursing practice guideline for oral care was consisted of 10 domains and 79 recommendations. The number of recommendations in each domain were: 5 general issues, 2 oral care indications, 9 oral assessment, 16 general oral care, 12 oral care for critically ill patients, 16 oral care for cancer patients, 12 oral care for cancer patients with oral complications, 5 oral care education, 1 oral care referral, and 1 documentation and report. In terms of grades for recommendations, 11.4% was grade A, 17.0% was grade B, and 68.2% was grade C. Twelve new recommendations were developed and 7 previous recommendations were deleted. Conclusion: Updated nursing practice guideline for oral care is expected to serve as an evidence-based practice guideline for oral care in South Korea. It is recommended that this guideline be spread to clinical nursing settings nationwide to improve the effectiveness of oral care practice.

Naturopathy Theory and Mechanism of Breathing Massage for Life Care (라이프 케어를 위한 호흡마사지법의 자연치유 이론기전)

  • Kim, Meong-Ju;Kim, Hye-Jeong
    • Journal of the Korean Applied Science and Technology
    • /
    • v.34 no.4
    • /
    • pp.1104-1111
    • /
    • 2017
  • In this study, the authors aimed to give careful consideration to the circulation of bioenergy (Qi) by using cardiorespiratory massage technique. Finding enlightenment in harmony with nature thousands of years ago, our ancestors created Qi using natural breathing and tried to achieve good health and long life by controling the up and down movement. Experiencing the importance of the abdomen during the hungry times, also, grandmothers cured diseases by rubbing the abdomen, which is the ocean of life with their soft, soothing touch of hand. Naval breathing therapy was formed, based on natural breathing, emotional recognition of grandmothers' soft, soothing touch, and the Theory of Unified Reason and Energy that is the key of Oriental medicine. Natural breathing and Yakson massage are kinds of naturopathy to change body and mind, cure diseases naturally, and maintain the improvement in physical functions by taking care of the abdomen through the creation of Qi and the up and down movement and keeping dynamic balance between the natural world and the inside and outside of human body. It is anticipated that this study could contribute to the practical spread for an active application of naval breathing therapy and be broadly used in scientific clinical researches.

Updates of Nursing Practice Guideline for Enteral Nutrition (경장영양 간호실무지침 개정)

  • Cho, Yong Ae;Gu, Mee Ok;Eun, Young;Yu, Mi;Kim, Jung Yeon;Lee, Hyun Hee;Min, Ja Kyung;Song, Jung Mi
    • Journal of Korean Clinical Nursing Research
    • /
    • v.26 no.1
    • /
    • pp.10-25
    • /
    • 2020
  • Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

Updates of Nursing Practice Guideline for Pressure Injury (욕창간호 실무지침 개정)

  • Park, Kyung Hee;Kim, Jung Yoon;Park, Ok Kyoung;Park, Joo Hee;Lee, Yun Jin;Hwang, Ji Hyeon
    • Journal of Korean Clinical Nursing Research
    • /
    • v.25 no.1
    • /
    • pp.67-79
    • /
    • 2019
  • Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.

The Importance and Satisfaction of Intensive Care Unit Health Care Providers with Intensive Care Unit Clinical Nurse Expert's Role (중환자실 전담간호사 역할에 대한 중환자실 의료인의 중요도와 만족도)

  • Moon, Hyun-Jung;Choi, Hye-Ran
    • Journal of Digital Convergence
    • /
    • v.20 no.1
    • /
    • pp.379-389
    • /
    • 2022
  • This study was aimed to identify importance and satisfaction of intensive care unit health care providers for Intensive Care Unit Clinical Nurse Expert (ICU CNE) roles. A questionnaire survey was performed with 138 intensive care unit health care providers between May 3 to 29, 2021. Data were analyzed using descriptive statistics. t-test and Importance-Performance Analysis (IPA). There were statistically significant differences in importance(t=2.33, p=.024) and satisfaction(t=5.43, p<.001) between physicians and nurses. The importance and satisfaction of intensive care unit health care providers were ranked in the order of advanced clinical practice, professional activity, coordination and cooperation, education and counseling and research. In the 'concentrate' area, it was found that 'Professional activity' and 'Education' should be improved. A strategy is needed to strengthen the expertise of ICU CNE and to enhance the competency in areas that need improvement.

Updates of Nursing Evidence-Based Practice Guideline for Indwelling Urinary Catheterization (근거기반 유치도뇨간호 실무지침 개정)

  • Park, Kyung Hee;Choo, Hee Jung;Seo, Hyun Ju;Hong, Hae Kyung;Lee, Joohyun;Lim, Kyung Choon
    • Journal of Korean Clinical Nursing Research
    • /
    • v.29 no.3
    • /
    • pp.211-222
    • /
    • 2023
  • Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline for indwelling urinary catheterization (IUC). Methods: The guideline have been revised in 22 steps based on international standards. The quality of the practice guidelines to be used for revision was evaluated using the Appraisal of Guidelines for Research and Evaluation II. The evaluation of the content appropriateness and applicability of the draft recommendations of the revised practice guidelines was performed using the RAND/UCLA Appropriateness Method, a decision-making method developed by the RAND Corporation. Four guidelines were used for the revision. Results: The updated nursing practice guideline for IUC consisted of 9 domains and 134 recommendations. The numbers of recommendations in each domain were: 4 Assessment, 20 Equipment, 11 Catheter insertion, 52 Catheter maintenance, 4 Catheter and drainage bag change, 9 Catheter removal, 22 Complications management, 5 Education and consult, and 7 Hospital support. The recommended grade was 8.2% for A, 38.1% for B, and 53.7% for C. Among these, the major revision was done in 11 recommendations (8.2%). A total of 29 recommendations (21.6%) were newly added. 30 (22.4%) recommendations had minor revisions such as changes or addition for some words or sentences, and 13 (9.7%) recommendations were deleted. Conclusion: Revised nursing practice guideline is expected to serve as an evidence-based practice guideline for IUC in Korea. This guideline will provide health care providers, patients, and caregivers with information to help manage IUC, leading to improved patient outcomes.

A study of the continuing education of 119 paramedics: Focusing on the Satisfaction and Educational needs of continuing education (119구급대원의 보수교육에 관한 연구 : 만족도 및 교육요구도를 중심으로)

  • Yeong-Ho Myoung;So-Eun Park;Byoung-Gil Yoon;Jung-Hee Park
    • The Journal of the Convergence on Culture Technology
    • /
    • v.9 no.5
    • /
    • pp.237-244
    • /
    • 2023
  • The aim of this study was to explore the satisfaction and needs of 119 paramedics with regard to continuing education and to develop and implement a continuing education program that can enhance their competence in accordance with the purpose of continuing education. The differences in satisfaction with continuing education according to general characteristics were significantly different depending on age, qualification, and clinical experience, and in terms of continuing education topic needs, 'Advanced Trauma Life Support' was the highest need among all groups, and additional desired continuing education topics were the management of mentally ill patients and various field case-based education, indicating a high preference for practical topics that are helpful in emergency patient care work. Therefore, it is believed that efforts should be made to improve the operation of continuing education from various angles, taking into account the general characteristics of continuing education recipients, and improving the quality of continuing education by reflecting the needs of continuing education recipients and selecting practical topics for continuing education.

The Impact of Nursing Students' Learning Satisfaction on Motivation to Transfer in the Practicum of Psychiatric Nursing Convergence Simulation Using Standardized Patients: Mediating Effect of Self-Efficacy in learning (표준화환자 활용 정신간호학 융합시뮬레이션 실습에 대한 간호학생의 학습만족도가 전이동기에 미치는 영향: 학습자기효능감의 매개효과)

  • Oh, Hyun-Joo;Kim, Mi-Ja;Park, Kyung-Mi
    • Journal of the Korea Convergence Society
    • /
    • v.11 no.9
    • /
    • pp.375-383
    • /
    • 2020
  • The study was to examine the mediating effect of self-efficacy in learning in the relationship between the learning satisfaction and motivation to transfer of nursing students who received the psychiatric nursing convergence simulation practicum using standardized patients. Participants were 144 third grade nursing students. Data were analyzed descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient analysis, and multiple regression following the Baron and Kenny's method and Sobel test for mediation. There were significant correlations between learning satisfaction and self-efficacy in learning(r=.686, p<.001), learning satisfaction and motivation to transfer(r=.633, p<.001) and self-efficacy in learning and motivation to transfer(r=.804, p<.001). Self-efficacy in learning showed partial mediating effects in the relationship between learning satisfaction and motivation to transfer(Z=7.63, p<.001). To increase the motivation to transfer, strategies to enhance the self-efficacy of nursing students are required.