• Journal of Digital Convergence
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• v.17 no.11
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• pp.241-249
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• 2019

The purpose of this study was to develop a TBL program in the nursing Hematopoietic disorder in adult nursing, to apply nursing students to confirm the effects of academic self - efficacy, learning attitude and learning satisfaction and attempts have been made to identify perceptions of team-based learning. The study was conducted as a one-group pre-post test design study, and was conducted after the TBL class for the in the nursing students 3grade at B city from April 5 to May 17, 2018. The collected data were analyzed using SPSS/WIN 20.0 program. The results of this study showed that the improvement of both academic self-efficacy, learning attitude, and learning satisfaction after team-based learning showed statistically significant difference, and the participants' perception of TBL was positive. Therefore, it is suggested that if the TBL is actively extended to nursing education, it will contribute not only to the improvement of self-directed learning ability but also to the quality of nursing education and I suggest to research later in comparison with other teaching methods.

• Proceedings of the KAIS Fall Conference
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• 2010.05b
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• pp.837-840
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• 2010

본 연구는 급변하는 의료환경에 대비하여 간호의 질 향상 및 증진을 통한 환자 만족도 증진을 위해 간호전달체계를 기능적 간호방법에서 팀간호제 방법으로 전환을 하면서 이에 따른 간호활동 및 직무 만족도를 조사하였다. 간접간호 수행률 조사를 살펴보면 기록간호, 확인업무, 물품관리, 간접소통, 전달 업무 등 모두에서 유의한 차이를 보이지 않았다. 영양간호, 전적인 식사보조 등은 간호직무만족도가 영향을 미치는 것으로 나타났다. 간호사 직무만족도는 어려움이 있을 때 동료나 상사에게 의논하는 것으로 나타났다. 안전간호, 화재예방 등이 영향을 미치는 것으로 나타났다. 간호사 업무성과 병동의 시설과 기구를 적절히 관리한다. 간호사 업무성과, 환자에게 적절한 휴식 및 안정을 위한 간호를 제공하는 것으로 나타났다. 본 연구 결과 간호사들이 역할을 명확히 규명하고 세분화하여 이를 수행하는 직무내용을 명확하게 파악하고 작업표준 지침서를 작성하여 활용한다면 간호사들의 자가 관리 증진은 물론 환자와 보호자에게도 만족감을 높여 줄 수 있는 계기가 될 것이며, 이를 통한 다양한 팀제 운영이 될 것이라 생각된다. 또한, 향후 다양한 업무 개선 활동이 가능할 것이라 생각된다.

• The Journal of the Korea Contents Association
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• v.22 no.1
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• pp.629-645
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• 2022

The purpose of this study is to investigate the educational needs of virtual reality(VR)-based communication and teamwork skills for patient safety intended for nursing students and nurses. For this study, mixed method design was used with surveyed data collected 60 nursing students and 123 nurses. And fourteen nurses was conducted focus group interview. SPSS/WIN 25.0 and inductive content analysis for focus group interviews were utilized for data analysis. The results indicated that the awareness of VR and educational needs of team communication, and teamwork skills were above average, and nursing students required higher educational needs than nurses. Teamwork knowledge was moderate, and there was no significant difference between the two groups. Regarding nurse's communication in hospital, 4 themes of contributing factors and 2 themes of result factors that cause communication difficulties among nurses were derived from the qualitative data. Therefore, it is necessary to develop a virtual reality-based simulation program reflecting the educational needs of nursing students and nurses in order to improve team communication and teamwork skills for patient safety required for nursing students and nurses.

• Journal of Korean Clinical Nursing Research
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• v.26 no.3
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• pp.395-406
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• 2020

Purpose: The purpose of this study was to analyze nurse staffing according to patients' acuity and dependency by measuring nursing hours. Methods: The study sample included patients who visited the adult emergency departments (EDs) of three tertiary referral hospitals and nurses who worked on shifts for 48 hours from October 24 to 26, 2019. Hourly patient census and nurse staffing were analyzed. Patient acuity was measured using the Korean Triage and Acuity Scale (KTAS), ranging from Level 1 (highest) to Level 5 (lowest). Patient dependency was measured using six items (e.g., clinical attention and communication) and classified into four groups. Nursing activities were observed every 10 minutes and nursing hours per patient and nurse staffing were analyzed according to acuity and dependency. Results: Nurse-to-patient ratio ranged from 1:1.8 to 1:4.2 during the 48 hours of observation. The average work hours of nurses, excluding breaks and meals, was 8.57 hours; 42.5% of which was spent providing direct care. Higher acuity and dependency were associated with higher nursing hours and staffing level. Patients with KTAS Level 1 were provided 74.3 minutes per hour, 5.02 times higher than Level 5 (14.8 minutes). Patients in the highest dependency group were provided 87.4 minutes per hour, 5.75 times higher than the lowest group (15.2 minutes). Newly arrived patients received more nursing hours than continuously stayed patients within the same KTAS Levels. Conclusion: Large variations were found in hourly patient census, acuity, and dependency. Nurse staffing in EDs should be determined based on patient acuity and dependency.

• Journal of Korean Clinical Nursing Research
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• v.25 no.2
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• pp.179-188
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• 2019

Purpose: The purpose of this study was to develop a valid Adult Fall Assessment Scale Korean version (FAS-K) for inpatients in general hospitals in Korea. Methods: This a 14 item FAS-K was developed based on a review of national and international research and expert opinions in related field. Interrater reliability of FAS-K was analyzed using the ICC (Intraclass Correlation Coefficients). To examine the validity of FAS-K, a CVI (Content Validity Index), the Pearson correlation coefficients between FAS-K and two widely used scales, the Morse Fall Scale (MFS) and the Johns Hopkins Hospital Fall Risk Assessment Tool (JHFRAT), and the Mann-Whitney test were used. Results: The ICC was .958. The CVI ranged from .70 to 1.00. The FAS-K was significantly associated with the MFS (r=.74, p<.001) and with the JHFRAT (r=.87, p<.001), verifying the concurrent validity of FAS-K. As for the construct validity of FAS-K, significant differences between the fall and non-fall groups were found not only in the MFS (Z=-3.23, p=.001) but also in the FAS-K (Z=-3.10, p=.002). Conclusion: The findings indicate that the FAS-K is a reliable fall risk assessment tool with high validity.

• Quality Improvement in Health Care
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• v.25 no.1
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• pp.2-10
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• 2019

Purpose: The purpose of this study was to share program and/or resource on patient safety education for patients and families conducted overseas agency. This study will help the patient safety officer establish and implement an educational plan for patients and families. Methods: We searched the Internet for patient safety related organizations. We chose an institution that provided education for patients and families. Results: Most of the program and/or resource was about patient and family involvement; Taking Care of Myself, My Questions for This Visit, Patient Prep Card, 20 Tips to Help Prevent Medical Errors, Ask Me 3(R), Health and Safety Passport, My Medication log etc. Conclusions: It is necessary to distribute educational materials for patients and families in the country through the results of this study. For patient safety, education and publicity are needed so that developed educational materials can be actively used.

• 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.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.18 no.3
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• pp.392-400
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• 2011

Purpose: This study was done to provide fundamental data to develop a simulation application working practice module and to develop a strategy that would improve team efficacy of students, as well as interpersonal understanding, and proactivity in problem solving after using the team based learning simulation. Methods: The participants were students in fourth year in C University and they participated in the simulation learning for 8 weeks from October to December 2010. The variables of team efficacy, interpersonal understanding, and proactivity in problem solving were measured and data were analyzed using SPSS WIN 17.0 program. Results: After applying the team based simulation learning, students' team efficacy, interpersonal understanding, and proactivity in problem solving improved significantly. Conclusion: The results indicate that the simulation module in this study gave the students experience in providing available and safe nursing care under conditions similar to reality and also underlined the importance of team competency for student nurses in caring for patients.

• Journal of Korean Clinical Nursing Research
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• v.15 no.3
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• pp.171-182
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• 2009

Purpose: The purpose of this study was to find out the research trend and analyze the evidence of research on massage interventions for patients in Korea. Methods: Literature database search from 2003 to 2008 was carried out including KSTUDY, RICHIS, RISS4U, and NANET using the following MeSH terms: massage and patients. Results: A total of 51 articles registered in Korea Research Foundation were reviewed for analysis. Major participants of the studies were patients with cancer, surgery patients, stroke patients, and preterm babies. The outcome variables most commonly measured were blood pressure, state anxiety, and pain. While massage intervention was reported having a significant effect on lowering anxiety and pain, the other effects of massage in patients were inconsistent. Conclusion: Massage intervention has evidence-based effects on reducing anxiety and pain in patients. A larger body of methodologically sound research is needed to verify the multidimensional effects of massage.

• Journal of Digital Convergence
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• v.13 no.9
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• pp.409-418
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• 2015

This study was performed to develop and evaluate the effects of Team-Based Learning(TBL) on cardiac problem in adult nursing. The study measured problem-solving ability, critical thinking disposition, academic achievement and, class satisfaction for learning outcomes of course. Pretest-posttest design with nonequivalent control group was utilized to analyze the effects of TBL. Experimental group and control group each consisting of 52, 54 participants was picked from the junior students. The experimental group was given the TBL for 6 hours and control group was given a lecture and case-based announcement class. In results, significant improvements were found in problem-solving ability(F=5.92, p=.017), and class satisfaction(F=5.80, p=.018). Critical thinking disposition and academic achievement of experimental group were improved than those of control group, but there were not statistically significant difference.