• Title/Summary/Keyword: 전환간호

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The Moderating Effect of Emotional Intelligence on the Relationship between Transition Shock and Adaptation on Clinical Practice among Nursing Students (간호대학생의 전환충격과 임상실습적응의 관계에서 감성지능의 조절효과)

  • Lee, Oi Sun;Kim, Eun Jae
    • Journal of Digital Convergence
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    • v.17 no.11
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    • pp.387-394
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    • 2019
  • The purpose of this study was to identify the moderated effects of emotional intelligence on the relationship between transition shock and adaptation on clinical practice among nursing students. Subjects were 185 associate nursing students associate nursing students(3rd). The data were collected using self -report questionnaire from May 1 to June 14, 2019. Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation and hierarchical multiple regression with SPSS/WIN 23.0. Mean point of transition shock(4 point scale) was 2.32. Mean point of emotional intelligence(5 point scale) was 3.61, and adaptation on clinical practice(5 point scale) was 3.40. Transition shock were significantly negative correlation with emotional intelligence(r=-.26. p <.001) and adaptation on clinical practice(r=-.43. p <.001) in nursing students. Emotional intelligence were significantly positive correlation with adaptation on clinical practice(r=.36. p <.001). Emotional intelligence has been shown to modulate the relationship between transition shock shock and adaptation on clinical practice(${\Delta}R^2=0.21$, p <.001). Therefore, to decrease the transition shock and to increase the adaptation on clinical practice of nursing students, It is necessary to develop the program for increase emotional intelligence of nursing students.

The Effects of Transitional Shock and Incivility Experienced by Nursing Student on Nursing Professionalism (간호대학생의 간호전문직관 영향요인: 전환충격과 무례함 중심으로)

  • Park, Hye-Ryeon;Jun, HyeJung;Ban, Min Kyung
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.78-86
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    • 2021
  • Purpose: The purpose of this study was to understand the correlations between transitional shock, incivility and nursing professionalism among nursing students. Methods: A total of 143 nursing students completed transitional shock, incivility and nursing professionalism, using structured questionnaires. The collected data were analyzed using the t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis. Results: The results showed that nursing professionalism was significantly correlated with gender (β=.20, p=.001), major satisfaction (β=.44, p=.007), clinical practice satisfaction (β=.45, p<.001), transitional shock (β=-.20, p=.012), and incivility experienced (β=-.18, p=.021) among nursing students. Conclusion: It is necessary to develop a plan for reducing individual satisfaction with clinical practice and the transitional shock of nursing students. It ultimately may increase nursing students' nursing professionalism. In addition, a strategy is needed to reduce incivility among nursing students by creating positive educational environment in clinical practice through cooperation between schools and training institutions, and to strengthen desirable nursing professionalism.

The Experiences of Transition to Non-face-to-face Lecture in Nursing Professors (간호학과 교수의 비대면 강의 전환 경험)

  • Chung, Seung Eun
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.3
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    • pp.613-621
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    • 2022
  • The purpose of this study is to understand the transition experience from face-to-face lectures by nursing professors to non-face-to-face lectures. In this study, 17 nursing professors who have conducted non-face-to-face lectures for at least two semesters were collected through in-depth individual interviews according to the empirical phenomenological research method and analyzed according to the qualitative topic analysis method. The research results described the transition experiences of non-face-to-face lectures, focusing on the topics of change and development process according to non-face-to-face lectures, relationship with students, self-relationship, social context and sociality. In conclusion, nursing professors are expected to receive sufficient support to autonomously select non-face-to-face lectures using advanced technologies according to the trend of social change.

Development and Effects of the Collaborative Transitional Care Program for Continuity of Care in Patients Transferred to General Wards from ICUs (중환자실 환자의 간호지속성 유지를 위한 중환자실-병동간 연계형 전환간호 프로그램 개발 및 효과)

  • Son, Youn Jung
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.143-155
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    • 2009
  • Purpose: This study was conducted to develop and evaluate the collaborate transitional care program for improving continuity of care in patients transferred to general wards from ICUs. Methods: 18 years and older who were hospitalized in adult intensive care units at A university affiliated medical center was recruited for the study. The experimental group for patients transferred from an ICU consisted of 33 patients and family caregivers; 34 patients and family caregivers for the control group. This study was utilized a quasi-experimental research design. The collaborative transitional care program was administered in transfer process. Data were collected two times by interviews, medical records, and telephone using questionnaires. Results: There were statistically significant differences between the two groups on relocation stress (p<.001), perceived health status (p<.001), satisfaction of caring (p=.011), physical domain (p=.022) and mental domain (p<.001) of the QOL. There were significant differences between the families of the two groups on burden (p<.001) and satisfaction of caring (p<.001). Conclusion: The collaborative transitional care programs administered in transfer process to general wards from an ICU have positive effects on patients and families' intrinsic and extrinsic factors. This program will be able to be utilized in clinical fields to improve continuity of care for patients and families between ICUs and general wards.

Community Based Nursing Service As An Alternative Background Forces and Current Practice (지역사회에 기반을 둔 간호사업 그 배경과 실태에 관한 고찰)

  • Hong Yeo-Shin;Rhee Seon-Ja
    • The Korean Nurse
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    • v.19 no.1 s.104
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    • pp.68-84
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    • 1980
  • 간호사업은 1970년대 후반부터 이제까지의 병원중심-환자중심의 간호사업을 수행해 오다가 지역사회에 기반을 둔 간호사업인 건강간호사업으로 전환되기 시작하였다. 세계보건기구에서도 지역사회에 기반을 둔 간호사업인 일차건강관리사업을 중점적으로 지원하기 시작한 것이다. 이러한 역사적 전환의 배경과 실태에 관하여 문헌고찰을 하여 앞으로 국민건강사업 체계에 대한 논의에 참고자료가 되게 하고자 본 논문을 시도하였다. 본 논문에서 얻어진 결과를 다음과 같이 요약한다. 고도의 과학문명의 발달과 물질적 풍요로 특징짓는 현대사회속에서도 인류의 건강문제는 영원히 충족되지 못한 상태로 대두되고 있는 실정이다. 전통적으로 60년대 중반까지는 의료지식 및 기계공업의 발달과 이를 뒷받침할 재정적 지원속에 세계적으로 치료의학분야에 획기적인 발전을 가져왔다. 다른 한편으로는 건강을 태생의 권리라고 규정하여 여러나라에서 사회보장제대로써 의료시해의 균점을 위한 각가지 방도를 마련하기에 이르렀다. 그리하여 60년대말기부터 70년대로 넘어오면서 치료의학의 발달만으로는 의료수가가 앙등되어 모든 국민이 이용할 수 없을 뿐만 아니라 나아가서는 모든 국민의 건강문제를 해결하기는 어렵다는 사실을 발견하기 시작하였다. 또한 지역사회의 건강문제를 요인별로 따져보면 복잡하여 사회경제적, 문화적, 환경적, 유전적 제요인과도 밀접한 관계를 맺고 있기 때문에 신체적인 질병의 치료만이 지역사회 건강문제를 해결하는 길이 아님을 알게 되었다 그리고 지역사회의 건강문제를 해결하기 위해서는 일차보건의료사업에 중점을 두어 노력하는 것이 가장 합리적인 개선방안이라는 의견이 경험적으로 이론적으로 뒷받침되기 시작하였다. 이러한 사조는 지역사회 건강문제가 복잡한 것과 같이 그 접근방법에 있어서도 여러보건요원이 팀이 되어 임해야만 하며 그중에서도 간호팀의 활동이 중추적인 역할을 담당해야 한다고 여러 전문가들은 주장하고 있다. 따라서 앞으로의 간호사업의 방향은 지역 사회에 기반을 둔 간호사업이 실시되어야만 국민건강문제 해결에 기여하게 될 것으로 고찰되었다.

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A Systematic Review on Nurse-Led Transitional Care Programs for Discharged Patients from Hospital to Home (퇴원환자를 위한 간호사 주도 전환 프로그램의 내용과 효과에 관한 체계적 문헌고찰)

  • Lee, Hyun Joo;Kim, Yukyung;Oh, Eui Geum
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.3
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    • pp.376-387
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    • 2017
  • Purpose: This study was to systematically review the contents and effects of nurse-led transitional care programs for discharged patients from hospital to home. Methods: Randomized controlled trials published between 2005 and 2015 were searched in Pubmed, Embase, Cochrane(Central Register of Controlled Trials) and CINAHL. Data were analyzed using Cochrane Review Manager(Revman) software 5.3. Results: Nine studies were selected and analyzed. Patient assessment, education and discharge planning were included in pre-discharge phase. Referring, communication and care planning were performed by nurses in transition phase. Home and phone visits, monitoring and multidisciplinary advices were included in post-discharge phase. Various outcome measures such as hospital utilization(30 days readmission and emergency department visit), quality of life, and cost were used to identify effectiveness of nurse-led transitional care programs. 30 days readmission(OR=.73, 95% CI 0.54, 0.98; p=.03) and emergency department visit(OR=.67, 95% CI 0.50, 0.88; p=.005) were statistically significant in meta-analysis. However, participant blinding was not done in seven studies which put at the risk of performance bias. Conclusion: The results indicated that nurse-led transitional care program is effective in reducing unnecessary hospital utilization. Nevertheless, small sample size and risk at performance bias are the limitation of this study. Thus, we suggest that well-designed randomized controlled trials need to be conducted.

Factors Influencing Adaptation on Clinical Practice in Nursing Students (간호대학생의 임상실습 적응에 미치는 영향요인)

  • Kim, Soo Yeon;Shin, Yong Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.9
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    • pp.234-242
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    • 2018
  • This descriptive study aims to examine the factors that influence nursing students' adaptation to clinical practice. Data was collected from 180 nursing students between April 26 and May 4, 2018. A self-reporting questionnaire was employed, which comprised of 17 questions regarding transition shock, 24 questions about social support, two questions regarding the levels of preparedness for clinical practice, and 14 questions about the degree of adaptation to clinical practice. Collected data was analyzed using t-test, one-way analysis of variance, and stepwise multiple regression, as well as by calculating the Pearson correlation coefficient. Subjects' degree of adaptation to clinical practice had a negative correlation with their transition shock. The degree of adaptation had a positive correlation with the levels of preparedness for clinical practice (r = 0.35) and the sub-variables of social support in the domains of friends (r = 0.24), parents (r = 0.32), and professors (r = 0.38). The smaller the transition shock (B = -0.409) and the greater the levels of preparedness (B = 0.766), professorial support (B = 0.228), and parental support (B = 0.163), the higher the degree of adaptation to clinical practice. Transition shock had the greatest influence on the degree of adaptation to clinical practice felt by subjects, followed by their level of preparedness for clinical practice and professorial support. Hence, to increase the degree of adaptation to clinical practice, not only should individual nursing students be better prepared to conduct clinical practice and professors provide greater support, but also there needs to be measures implemented to reduce transition shock.

Distraction Techniques for Children Undergoing Procedures: A Critical Review of Korean Intervention Research (아동기 처치관련 관심전환요법: 국내 아동 중재연구의 비평적 고찰)

  • Im, Eun Seon;Kim, Jin Sun
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.340-349
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    • 2014
  • Purpose: The purpose of this study was to provide a critical assessment of evidence-based Korean pediatric research that can inform clinical practicability of, and future research on distraction interventions for pediatric procedural pain management. Methods: A critical review of evidence-based Korean pediatric research was conducted. Databases were searched to identify research that included an evaluation of a distraction intervention as an intervention for pediatric procedural pain management. The search yielded 68 studies. Results: From these studies, 14 were included for this review and all were recently published (2003-2014). Quasi experimental designs were most frequently used (n=12) and for 71.4% the focus was preschoolers. Audiovisual techniques were the most common form of distraction. In most studies clinical utility of the distraction intervention was not examined. Fairly consistent reductions in behavioral measures of pain in association with the distraction intervention were found but less consistent results were found for physiological measures. Conclusion: Lack of methodological rigor limits the evidence for distraction interventions to reduce pain and fear experienced by children during painful procedures. Further research to analyze the cost and time-effectiveness and to identify consumer and provider satisfaction with distraction interventions is needed to determine whether distraction interventions are clinically relevant.

Factors influencing the transition shock of newly-graduated nurses (신규졸업간호사의 전환충격 영향요인)

  • Moon, Kil Je;Cho, Moo Yong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.2
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    • pp.156-166
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    • 2022
  • Purpose: The purpose of this study was to identify factors that can affect transition shock in newly-graduated nurses. Methods: The first descriptive written survey was conducted on 450 graduate students from five nursing colleges. After their employment, the second survey was conducted on 316 participants who had responded to the first survey. A total of 158 respondents were used for the final analysis. Data were analyzed using an independent t-test, ANOVA, Tukey test, Pearson's correlation coefficient, and hierarchical multiple regression analysis with the SPSS Win 25.0 Program. Results: The average age of the participants was 24.25±4.47. Of the participants, 126 (79.8%) were satisfied that they had majored in nursing. The average score for transition shock was 2.61±0.55 points. Factors influencing the transition shock of newly-graduated nurses were the working department, working period, and working environment. The more positively the newly-graduated nurses perceived the nursing work environment, the less of a transition shock they experienced. Grade point average, clinical competence, confidence in performing core nursing skills, and nursing professionalism did not affect their transition shock. It could be confirmed that there is a gap between college nursing education and the clinical field. Conclusion: In order to reduce the transition shock of newly-graduated nurses, it is necessary to improve the nursing work environment and apply educational and emotional support strategies according to the characteristics of each work department and the period of work.