• Title/Summary/Keyword: 환자간호관리

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Effects of Awareness of Patient Safety Culture, Emotional Labor and Job Stress on Patient Safety Nursing Activities by Comprehensive Nursing Care Medical Service Ward Nurses (간호·간병통합서비스 병동 간호사의 환자안전문화인식, 감정노동, 직무스트레스가 환자안전간호활동에 미치는 영향)

  • Choi, Hyo Jeong;Lee, Yun Mi;Park, Hyo Jin
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.87-98
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    • 2021
  • Purpose : This study aimed to examine the effects of the awareness of patient safety culture, emotional labor, and job stress on patient safety nursing activities by comprehensive nursing care medical service ward nurses. Methods : The participants were 112 nurses from the comprehensive nursing care service wards from six hospitals. Data were collected using structured questionnaires and analyzed using a t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using SPSS version 20.0. Results : The factors that significantly influenced patient safety nursing activities in the comprehensive nursing care medical service ward nurses included job stress (𝛽=-0.18, p<.032) and awareness of patient safety culture (𝛽=0.54, p<.001). The explanatory power of these factors was 31.0% (F=13.43, p<.001). Conclusion : This study showed that the factors that influenced patient safety management activities of comprehensive nursing care medical service ward nurses included job stress and awareness of patient safety culture.

The Convergent Development of Nursing Activity Index for postoperative patient using Patient Controlled Analgesia (자가통증조절기를 사용하는 수술 후 환자를 위한 간호 활동 목록의 융합적 개발)

  • Lee, Yoon-Young
    • Journal of the Korea Convergence Society
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    • v.7 no.5
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    • pp.43-49
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    • 2016
  • The purpose of this study was done to develop a nursing activity index for postoperative patient using Patient-controlled Analgesia(PCA). The study was developed in two steps: $1^{st}$ step) nursing activity index was developed through literature review and focus-group interview. $2^{nd}$ step) the nursing activity was ratified and Intervention Content Validity(ICV) was tested. Subjects were consisted of 5anesthesiologists, 6adult/fundamental nursing professors and 1acute pain management Clinical Nurse Specialist. We identified 12 items of nursing activity for postoperative patient using PCA. The Intervention Content Validity(ICV) score for each item ranged from 0.92 to 1.0. The nursing activity index for postoperative patient using PCA would be very useful in facilitating the nursing practice.

A Study on Knowledge, Attitude, toward Patient Safety and Patient Safety Care Activities among Long-Term Care Hospitals' Nursing Assistants (요양병원 간호보조인력의 환자안전에 대한 지식, 태도 및 환자 안전활동)

  • Kang, Hyun-Kyoung;Lee, Eun-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.194-205
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    • 2018
  • This study investigated knowledge and attitudes of long-term care hospital nursing assistants such as nursing aides and direct care workers toward patient safety and their safety care activities. This was a descriptive study that attempted to enhance the competence of nursing assistants' patient safety management, and the data were used to develop a training program for nursing assistants. A total of 230 nursing assistants working at six hospitals whose wards were over 200 participated and were assessed with a rating 1 or 2 in 2013 in B city. Data were collected using questionnaires from March 2 to March 26 in 2017. The collected data were analyzed by the SPSS/WIN 20.0 program using number, percentage, mean, standard deviation, t-test, ANOVA, $Scheff{\acute{e}}$ test, correlation coefficient, and multiple regression. In conclusion, the findings show that patient safety care activities were better performed by nursing aides than direct care workers. Higher education and a higher number of patient safety training programs and patient safety care activities were frequent. In addition, nursing assistants' knowledge of patient safety affected attitudes toward patient safety, and attitudes affected patient safety care activities. Therefore, an actual regular training program for patient safety should be executed over five times a year to improve patient safety perception. Furthermore, a hospital system including adequate working time needs to be improved. Based on the results of the study, patient safety in long-term care hospitals should be improved, and this study could be utilized as basic data to develop a training course for improvement of knowledge and attitudes of nursing assistants toward patient safety.

Functions & Activities PHN (보건간호원의 기능과 직책)

  • 대한간호협회
    • The Korean Nurse
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    • v.5 no.5 s.25
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    • pp.77-80
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    • 1966
  • 보건 간호 사업은 독특하고 중요한 공헌을 하는 보건 간호원이 그 기관의 조직체 내에서 조화되어야 한다. 보건 간호원의 기능은 교육 정도와 경험에 의해서 선정된다. 어떤 보건 간호원은 다른 보건 간호원들이 보건 기관에서 관리자나 감독 혹은 강사 자격으로 일할 때 평 직원으로 기능할 수도 있다. 보건사업을 실시함에 있어서는 좋은 건강을 통하여, 보다 나은 생활수준을 향상시키기 위하여 팀으로서 목표 달성을 위하여, 계획을 세우고 그 발전과정을 평가함에는 계획서가 필요하다. 제한된 인원으로서 중요한 건강사업을 실행해야 되는 보건 간호원은 조직된 집단과 같이 일해야 된다. 당면한 보건 간호원의 기능 중 중요한 것은 환자의 건강 지도 및 훈련과 행정이 포함되고 있다.

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Patient Safety Management Activities of Nursing University Students: Focus on the Theory of Planned Behavior (간호대학생의 환자안전관리활동: 계획된 행위이론을 중심으로)

  • Kim, Nam Yi
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.47-58
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    • 2022
  • Purpose: This study was undertaken to present an effective plan for the development of an educational program and a strategy to promote patient safety management activities for nursing students by identifying factors that affect these activities based on the theory of planned behavior. Methods: A self-report questionnaire was distributed to 300 nursing students who had clinical practice experience at three nursing colleges in Daejeon, Gyeongbuk, and Jeonbuk. The significance of the model fit, and the path effect was confirmed by confirmatory factor analysis. Results: The hypothetical model for patient safety management activities was appropriate. Among the 5 pathways, 4 were significant. It was found that behavioral intention had a direct influence on patient safety management activities, and perceived behavioral control and attitude had an influence on behavioral intention. Conclusion: To strengthen the perceived behavioral control of nursing students' patient safety management activities, it is necessary to analyze and remove obstacles and provide education that reflects the characteristics of the subject's health problems. In addition, through self-directed learning involving simulation practice, nursing students should be exposed to patient safety accidents, so that they can recognize the risks early and solve problems through critical thinking while bringing about the necessary changes in their attitude.

삶의 과정으로 당뇨를 받아들여야 당뇨병관리에 성공한다 - 노인 당뇨병환자의 간호요령

  • 권영은
    • The Monthly Diabetes
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    • s.132
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    • pp.46-47
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    • 2000
  • 혈당이 조절되지 않음에 따라 좌절하고, 우울하게 되고 합병증에 대한 두려움을 갖게되며 반복되는 입원과 평생동안 조절해야 되는 질병에 대한 부담감, 노동력 상실, 경제적 부담 등은 당뇨환자의 삶의 질에 부정적인 영향을 초래한다. 당뇨 관리의 주체가 노인 환자 자신인 만큼 당뇨교육 역시 필수적이며 지속적인 교육 참여가 중요하다. 삶의 과정 속에서 꾸준한 교육을 통하여 새로운 관리 방법들을 하나씩 배워가며 실천한다면 합병증 발생이 줄어들고 질 좋은 노후 생활을 보장받을 수 있을 것이다.

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A Study on the Efficiency of Imbalanced Data Processing Techniques for Exercise Prediction in COPD Patients (COPD 환자 운동 예측을 위한 불균형 데이터 처리 기법의 효율성에 관한 연구)

  • Hyeonseok Jin;Sehyun Cho;Jayun Choi;Kyungbaek Kim
    • Proceedings of the Korea Information Processing Society Conference
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    • 2024.05a
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    • pp.652-655
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    • 2024
  • COPD(Chronic Obstructive Pulmonary Disease)는 장기간에 걸쳐 기도가 좁아지는 폐질환으로, 규칙적 운동은 호흡을 용이하게 하고 증상을 개선할 수 있는 주요 자가관리 중재법 중 하나이다. 건강정보 데이터와 인공지능을 사용하여 규직적 운동 이행군과 불이행군을 선별하여 자가관리 취약 집단을 파악하는 것은 질병관리 측면에서 비용효과적인 전략이다. 하지만 많은 양의 데이터를 확보하기 어렵고, 규칙적 운동군과 그렇지 않은 환자의 비율이 상이하기 때문에 인공지능 모델의 전체적인 선별 능력을 향상시키기 어렵다는 한계가 있다. 이러한 한계를 극복하기 위해 본 연구에서는 국민건강영양조사 데이터를 사용하여 머신러닝 모델인 XGBoost와 딥러닝 모델인 MLP에 오버샘플링, 언더샘플링, 가중치 부여 등 불균형 데이터 처리 기법을 적용 후 성능을 비교하여 가장 효과적인 불균형 데이터 처리 기법을 제시한다.

Attitude and Confidence on Patient Safety of Undergraduate Healthcare profession students (보건의료전공 대학생들의 환자안전에 대한 태도와 수행자신감)

  • Wie, Seoung-Uk
    • Journal of Digital Convergence
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    • v.17 no.2
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    • pp.265-273
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    • 2019
  • The Purpose of this study was to investigate the attitude and confidence of patient safety in undergraduate healthcare professions students. The subjects consisted of 145 grade 3,4 students who have had clinical practice in nursing and emergency medical technician schools in a J province from June 1st to 30th in 2016. Data were analyzed with SPSS 21.0 using descriptive statistics. The results of the study showed that the attitude of nursing students were more positive, but there was no difference in patient safety self-confidence and patient safety education experience, and the students who had experienced medical errors saw positive attitude and self-confidence. Based on the results of this study, I propose case-based multidisciplinary contents development to nurture emergency healthcare professions

The Effects of Patient and Family Education Guideline on Knowledge and Attitude toward Cancer Pain Control (암환자용 통증관리 지침서 교육이 환자 및 가족의 암성 통증관리에 대한 지식과 태도에 미치는 효과)

  • Yi, Ji Eun;Park, Myong Hwa
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.123-132
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    • 2009
  • Purpose: This study was conducted to identify the effects of provision of a cancer pain guideline and education for patients with cancer and their families on their knowledge and attitude toward cancer pain control. Method: A nonequivalent control group pre-post test design was used. The participants were selected according to a selection criteria from patients and their families on the medical ward at K university hospital in D city. Both the experimental group for patients with cancer and control group consisted of 16 patients and their families. Results: The first hypothesis, which assumed that there was a difference between the patients in the experimental group and the control group on knowledge (t=-20.006, p=.000) and attitude (t=-13.492, p=.000), was accepted. The second hypothesis, which assumed there was a difference between families in the experimental group and the control group on knowledge (t=-16.087, p=.000) and attitude (t=-10.262, p=.000), was supported. Conclusion: Education for cancer related pain control with a patient guideline had a positive effect on knowledge and attitude of patients with cancer patients and their families suggesting that there is a need to developed this type of guidelines.

The Effect of Uncertainty and Fatigue Perceived by Patients with Systemic Lupus Erythematosus on Resilience (루푸스 환자가 지각하는 불확실성과 피로가 극복력에 미치는 영향)

  • Cho, OK-Hee;Lim, Jong-Mi
    • Journal of Digital Convergence
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    • v.19 no.11
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    • pp.615-623
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    • 2021
  • The purpose of this study was to identify the factors influencing resilience of patients with systemic lupus erythematosus. The subject(N=118) was a systemic lupus erythematosus patient who visited the E hospital in D city. The collected data were analyzed by descriptive statistics, t-tset, ANOVA, pearson correlation, and multiple regression. As a result of the study, impact domain of uncertainty, fatigue, self-management domain of uncertainty, trust in doctors domain of uncertainty significant effects on resilience. Based on this study, in order to improve the resilience of patients with systemic lupus erythematosus, a multifaceted approach is needed to reduce the uncertainty perceived by the patient and control fatigue. In addition, it is required to develop an effective nursing intervention program to enhance resilience reflecting influencing factors.