• Journal of the Korean Applied Science and Technology
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• v.40 no.4
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• pp.773-785
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• 2023

This study is a descriptive research conducted to identify the factors influencing patient safety management activities of geriatric hospitals nurses and use basic data to prevent patient safety accidents. Subjects were 220 nurses and data were collected by questionnaires from february 1 to 28, 2023. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and Multiple regression analysis using the SPSS 29.0 program. Patient safety motivation was positive correlated with degree of patient safety(r=.41, p<.001), and degree of patient safety was positive correlated with patient safety nursing activity(r=.18, p<.01). Degree of patient safety(𝛽=.21, p<.001) and patient safety guidelines(𝛽=.16, p<.001) were main factors that affect patient safety nursing activity, and its explanatory power was 7.5%(Adj R²=.075, p<.001). For patient safety nursing activity, it is proposed to develop and apply a education program that strengthens practical training for effective coping after safety accidents along with risk prediction training to prevent before safety accidents.

• Research in Community and Public Health Nursing
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• v.15 no.3
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• pp.450-459
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• 2004

Purpose: The purpose of this study is to grasp the welfare service for the demented people staying at home and the service that caregivers want to use. Therefore, we are going to develop a Korean senile dementia-care management model. Method; It analyzed the data of 185 demented people and caregivers, who registered in 16 public dementia care centers in B city since June 2002. Results: 1) The types of services used by the aged people with dementia staying at home were, in the order of frequency of use, the day-care center(26.5%), and home-help service (21.6%). 2). The types of services according to the degree of dementia were as follows; mild cases: home care service (5.4%), moderate cases: day-care service (40.0%) and severe cases: day-care service (26.0%). 3). The caregivers who want to use senile welfare institutions accounted for 23.3%, and the major reason they could not use the institutions was due to their economic situation. 4) The Korean senile dementia care management system must be excuted, considering caregivers' economic state and severity of dementia. Since the system was actively operated, many small sized welfare service institutions showed development. Conclusion: The welfare services appropriate to the severity of dementia should be provided. With the model developed in this study, the dementia management requires sufficient care and should be achieved to reduce the caregivers burden.

• Journal of Korean Academy of Nursing
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• v.33 no.1
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• pp.122-129
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• 2003

Purpose: The purpose of this study is to examine the difference of direct nursing activity and patient outcomes as mortality rate, complication rate, readmission rate and length of stay related to graded fee of nursing management for inpatient. Method: The subjects of this study were 44 general hospitals with more than 500 beds. Data totaled to 86,044 claims provided to inpatients in Jan. 2001 requested by an electronic data interchange from a Health Insurance Review Agency. The data was analyzed by SPSS win(ver.10.0) and statistical methods used were frequency, one-way ANOVA, $X^2$-Test and regression. Result: Synthetic judgment through performance index and 95% confidence interval, direct nursing activity showed to provided adequate quality of nursing care on 2nd, 3rd, 4th and 6th nursing degree. Also, patient outcomes showed difference by graded fee of nursing management for inpatient. Mortality rate of 2nd was the lowest with P.I. 67.9, 3rd, 5th, 6th, 4th in order. In case of complication rate, 2nd, 3rd and 4th were lower than other nursing degree. Readmission rate of 4th and 5th was the lowest. Length of stay of 2nd was the shortest with P.I. 88.3, 3rd, 4th, 5th, 4th, 6th in order. Conclusion: The findings from this study showed that, the higher nurse-to-patient ratio, the greater amount of direct nursing care activity for the patient. Also, the more direct nursing activities influenced a lower mortality rate, complication rate and readmission rate, shorter length of stay.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.415-426
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• 2016

With a rapidly increasing number of foreign patients in Korea, it is necessary to manage and enhance the quality of nursing care for foreign inpatients through the promotion of studies on practical nursing care experience. This study is a qualitative study conducted to understand and describe the care experiences of nurses responsible for non-English speaking foreign inpatients. There were 10 nurses with a clinical career of more than two years included in this study for analysis. Data were collected through in-depth individual interviews and analyzed using qualitative content analysis. Five themes emerged from the analysis. 'Aware of cultural differences', 'establish trusting relationships through all my heart', 'additional nursing task', 'empathy for genuine nursing', 'sorriness and relieved'. The results of this study provided the understanding on the experiences of nurses, who do not speak English, but still responsible for providing care to foreign inpatients. Despite the language barrier, cultural differences, and work overload, nurses caring for foreign patients struggled with authenticity in nursing. On the other hand, as there was a lack of system resources, such as manuals and training materials in various languages other than English, institutions should put forth greater effort and resources to be prepared to care for foreign inpatients.

• Journal of Haehwa Medicine
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• v.6 no.1
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• pp.469-492
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• 1997

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.111-120
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• 2020

This study examined the factors affecting the readmission of patients with liver cirrhosis, and focused on self-care, social support, and drinking refusal self-efficacy. The subjects were 75 cirrhosis patients who were admitted to medium-sized hospitals at S-city for two months from May 2019 to June 2019. The data was analyzed with the SPSS (Version 25) program, and logistic regression analysis was performed on the factors affecting readmission. The results were self-care (27.49±0.53 out of 60), social support (52.80±16.44 out of 90), and drinking refusal self-efficacy (42.39±22.76 out of 80). The readmission method was classified into planned and unplanned admissions. Unplanned readmission was found to differ depending on the drinking experience (OR: 4.16) and the presence of complications (OR: 5.11) within a month of discharge rather than that of the planned readmissions, accounted for 19.7%. It will be very important to reduce the occurrence of complications by early management of patients with cirrhosis, and increase the drinking refusal self-efficacy, and so reduce unplanned readmission and prevent the progression and deterioration of cirrhosis. The drinking experience and the occurrence of complications can be reduced through interventions that increase self-care, social support, and drinking refusal self-efficacy. Nursing interventions are needed to prevent patients with cirrhosis from drinking and to manage the complications due to relapse into alcoholism.

• The Korean Journal of Rehabilitation Nursing
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• v.17 no.1
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• pp.27-37
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• 2014

Purpose: The purpose of this study was to understand nurses' experience of managing diet and fluid in hemodialysis patients and to provide helpful information in improving care of hemodialysis patients. Methods: Data were collected through in-depth interviews with ten nurses who had experience of providing care to hemodialysis patients. Colazzi's phenomenological method was used to analyze data. Results: Twenty themes were identified in the first stage of data analysis and were later categorized into ten theme clusters, of which four categories were derived. The four categories were 'developing a strong feeling of responsibility for management', 'acknowledging limits in performing duties', 'providing patient-centered education' and 'becoming a guide for the long treatment process'. Conclusion: The study results will be useful for improving nursing curriculum to ensure more effective and successful diet and fluid management in hemodialysis patients.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.599-609
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• 2010

Purpose: The purpose of this study was to develop and evaluate a transitional care program for patients discharged from military hospitals. The study consists of two phases: developing the program and evaluating its effectiveness. Methods: The conceptual framework used to guide the development of the program was Meleis's transition theory. A quasiexperimental design was employed for this study. Participants were recruited from patients discharged from one military hospital, 72 in the control group and 56 in the experiment group. Data were analyzed using SPSS WIN 12.0 program with chi-square, Fisher's exact test, independent t-test, and mixed model. Results: Participants in the transitional care program reported promoting a positive personal condition, and more healthy patterns of response in the first week after being discharged and a smoother discharge transition. Conclusion: The transitional care program developed for discharge patients from military hospital promoted discharge readiness and promoted smooth discharge transition.

• Proceedings of the Korea Information Processing Society Conference
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• 2022.11a
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• pp.980-982
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• 2022

본 연구는 와상환자에게 자주 발생하는 낙상, 욕창, 불면증을 영상기술을 통해 인식하여 섬망의 조기진단 모형을 구현한다. 실시간 모니터링을 통해 섬망 잠재환자를 선별하고 집중적인 관리와 치료로 이어질 수 있도록 간호인력을 보조하는 데 주된 목적을 두고 있다. 과활동형 섬망은 파생위험 중 하나인 낙상과, 저활동형 섬망은 원인 요소인 욕창과 묶어 자세인식을 통해 판정한다. 또한 주로 밤에 악화되는 섬망의 특성을 고려해 눈 깜빡임을 통한 불면증 검사를 추가로 반영하였다. 낙상과 욕창을 섬망과 묶어 융복합적인 위험예측 시스템을 구축함과 동시에, 기존의 섬망 사정도구들이 지니는 시공간적 제약을 개선함으로써 간호인력의 부담을 덜어줄 것으로 기대된다.

• The Korean Nurse
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• v.15 no.6 s.86
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• pp.42-60
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• 1976

1.행동특성별 제언 1 기본 지식면 첫째, 간호원리, 법칙에 관한 지식을 갖게 한다. 둘째, 간호학의 용어, 기호, 단어 및 개념에 대한 지식을 갖게 한다. 셋째, 간호원리, 의견, 활동을 검증하고 판단하는 기준에 관한 지식을 갖게 한다. 넷째, 간호현상의 과정, 경향, 원인, 순서에 관한 지식을 갖게 한다. 다섯째, 간호문제 요구를 처리하는데 필요한 수단 형식, 체제, 용법에 관한 지식을 갖게 한다. 여섯째, 학설에 관한 지식을 갖게 한다. 일곱째, 간호학 분야에서의 특수한 문제나 현상을 다루는데 쓰이는 탐구방법에 관한 지식을 갖게 한다. 여덟째, 간호 문제나 자료의 분류에 관한 지식을 갖게 한다. 아홉째, 특수한 사실의 성질, 특징, 정확성에 관한 지식을 갖게 한다. 제언 2 이해능력면 첫째, 간호문제를 창조적으로 해결하고 연구, 발전 시킬 수 있는 능력을 기른다. 둘째 간호현상을 정확하게 추리하고 검증하여 결론을 추출하며 진술하는 능력을 기른다. 셋째, 간호문제를 해석하고 자료를 재정리, 재배열, 또한 새로운 견지에서 해설하는 능력을 기른다. 넷째, 관찰된 간호현상을 설문화 또는 도표화 하는 능력을 기른다. 제언 3 태도면 첫째, 정서적 안정감을 유지하면서 환자와의 인간 관계를 원만하게 유지할 수 있는 태도를 기른다. 둘째, 확신을 갖고 간호활동에 임하는 태도를 기른다. 셋째, 한국사회가 필요로 하는 간호원의 역할을 스스로 감지 적응하고 간호활동 개선에 이바지하는 태도를 기른다. 넷째, 약품을 신중히 다루는 태도를 기른다. 다섯째, 새로운 직을 배워 개척하고자 하는 의욕을 갖게 한다. 제언 4 기능면 첫째, 환자를 이해하고 안정시킬 수 있는 능력을 갖게 한다. 둘째, 간호를 포괄적으로 수행할 수 있는 능력을 기른다. 셋째, 간호문제를 창의적으로 처리할 수 있는 능력을 기른다. 넷째, 새로운 간호지식이나 기술에 대해서 자율적으로 연수, 학습할 수 있는 능력을 기른다. 다섯째, 간호 문제에 대한 흥미와 호기심을 갖게 한다. 여섯째, 병실기구를 과학적이고 합리적으로 관리하는 기능을 기른다. 일곱째, 의료(진료)기구를 조작할 수 있는 능력을 기른다. 제언5 비판능력면 첫째, 간호문제나 현상 방법에 있어서 그 가치를 논리적 또는 주관적 기준에 의해 자료를 평가하는 능력을 기른다. 둘째, 일반적인 이론, 학설, 표준 사실에 입각해서 자료를 평가할 수 있는 능력을 기른다. 제언 6 분석능력면 첫째, 요소 및 부분들간의 관련과 상호작용 또는 인간관계를 관찰하고 분석할 수 있는 능력을 기른다. 둘째, 복잡한 간호문제를 부문별, 요소별로 분석하는 능력을 기른다. 셋째, 자료의 형태, 구조, 형식의 특징과 조직을 분석하는 능력을 기른다. 제언 7 종합 능력면 첫째, 간호계획 절차를 창안할 수 있는 능력을 기른다. 둘째, 자기의 생각을 효율적으로 전달하는 능력을 기른다. 셋째, 특수한 간호 현상이나 기본적 명제에서 어떤 추상적 관계를 연역해 낼 수 있는 능력을 기른다. 제언 8 응용능력면 첫째, 간호문제를 해결하는데 실제로 응용 할 수 있는 교육을 시킨다. 둘째, 간호이론을 구체적인 상황에 효율적으로 응용할 수 있는 능력을 기른다. 셋째, 지역사회의 특성에 알맞은 간호기술이나 간호절차를 창안할 수 있는 능력을 기른다. 넷째, 간호방법을 모색하고 이용하는 능력을 기른다. 다섯째, 조사를 통해 합리적이고 논리적인 결론을 내릴 수 있는 능력을 기른다.