• Title/Summary/Keyword: Active Nurse

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Attitudes, Perceptions, and Experiences toward End-of-Life Care Decision-Making among Intensive Care Unit Nurses in Korea: An Integrative Review (생애말 치료결정 과정에 대한 중환자실 간호사의 인식, 태도, 경험: 국내 연구논문의 통합적 고찰)

  • Choi, JiYeon;Son, Youn-Jung;Lee, Kyounghoon
    • Journal of Korean Critical Care Nursing
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    • v.13 no.1
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    • pp.27-43
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    • 2020
  • Purpose : This integrative review aimed to synthesize studies on intensive care unit (ICU) nurses' attitude, perceptions, and experiences toward end-of-life care decision-making. Methods : Using Whittermore and Knafl (2005)'s methods, we identified and synthesized research articles published in domestic journals between the years 2003 and 2019 and evaluated the quality of selected articles using the Mixed Methods Appraisal Tool. Results : In the 13 studies reviewed, 12 were published prior to enactment of the "The Act for Hospice and Palliative Care and Decision-Making about Life-Sustaining Treatment (2018)." All nine quantitative studies identified were based on cross-sectional descriptive survey. In four qualitative studies, content analysis (n=2) and phenomenology (n=2) were used. Overall, ICU nurses were well-aware of the necessity of communicating and limiting life-sustaining treatments. Many ICU nurses had positive attitude towards limiting life-sustaining treatments to promote patients' comfort and dignity. Although nurses were willing to take active roles, they also reported having experienced high stress in the process of decision-making and implementation. Conclusions : It is important to prepare ICU nurses with proper knowledge and attitude regarding the topic area. It is also equally important to develop systems to support nurses' emotional stress and moral distress during communication, decision-making, and implementation.

A Study on Nursing Students' Attitudes toward Complementary and Alternative Medicine (CAM) (간호학생이 지각하는 보완대체요법에 대한 태도 조사연구)

  • Kim Yeong-Hee
    • Journal of Korean Public Health Nursing
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    • v.18 no.2
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    • pp.276-285
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    • 2004
  • The purpose of this study was to help in explaining the necessity of education on complementary and alternative medicine(CAM) and opening relevant curriculums in nursing education by grasping the kinds of CAM in which nursing students want to be opened. Data were collected from September 27, 2003 through October 20, 2003. A group of 865 nursing students were surveyed using questionnaires in seven universities whose curriculums on CAM have not been available. Collected data were statistically analyzed by using SAS 8.02 system, and the study results are as follows: 1. The average of subjects' behavior toward CAM was 3.52 of the total 5 with practical affairs 3.79. medical treatment 3.79, social concerns 3.84, and communication 3.78. 2. Most nursing students $(90.6\%)$ did not precisely understand the meaning of CAM although they had heard of it. Most of them $(85.5\%)$ had no experience of applying CAM. The study also revealed that more qualified CAM lecturers in the future are needed: specialist in the relevant field $(83.2\%)$, doctor and herb doctor $(6.5\%)$, clinical nurse $(6.0\%)$ and professor of the department of nursing science $(4.3\%)$. 3. Concerning students' behavior toward CAM, there were statistically significant difference between students from agrarian and fishing villages (F=4.91. p=.007) and the others. 4. CAM courses that students want were therapeutic touch (massage) $(22.9\%)$. aroma therapy $(14.8\%)$, manual healing methods $(14.7\%)$, treatment of blood vessel $(8.3\%)$, foot reflexology $(7.9\%)$, and heart remedy $(6.8\%)$. In conclusion, the study indicated that nursing students had positive attitudes toward CAM and for this. healers should have a frank talk with patients in order to maximize symptom-relieving effects. However, the study showed that most nursing students did not understand the exact meaning of CAM. Considered the fact that improvement of both health status and quality of life will be an important issue in the future, active introduction and education of CAM in nursing curriculum are a matter of necessity.

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Survey on the Knowledge of Pain and the Pain Intervention of Clinical Nurses - focus on Daegu city and Kyoungbuk province - (임상간호사의 통증지식 및 통증중재 실태조사 - 대구.경북 지역을 중심으로 -)

  • Kwon Youn-Suk
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.1
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    • pp.6-13
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    • 2003
  • Purpose: A survey was done on knowledge of pain and pain interventions by clinical nurses in Deagu city and Kyoungbuk province. Method: The participants in this study were 209 nurses who worked in Daegu city, and 190 nurses who worked in Kyoungbuk province. The data were collected from August 5, to September 15, 2002. The data were analyzed with SPSS WIN 10.0 program using numbers, percentages, averages and standard deviation with t-test and ANOVA. Result: Out of a total of 30 points on general knowledge of pain, the clinical nurses had a high score of 28, and a low of 10. The average was 18.6 (SD=3.14). Of the participants, 57.9% reported not having had any pain education and 67.9% agreed that education is a necessity. Of pharmacological interventions, Tylenol had the highest score at 3.44 out of a possible 4 points. The most frequent route for giving medication was intramuscular injection (42.6%) and for 62.7%, there was a decision by the physician for routine medication or prn. On reactions after medication, moderate relief had the highest frequency (41.9%), and for side effects after the medication, feeling of nausea was most frequent (70.4%). Of the nonpharmacological approaches to pain relief, ice bag had the highest score with 2.95 out of a possible 4. Judgement to give medication was made by the nurse for 50.1% of the participants and 647% reported a little relief from pain. Conclusion: Based upon the results, continuing education and developing a better education programs (including pain mechanism, pain assessment, pharmacological interventions and nonpharmacological interventions) are needed for systematic pain management. Nurses need a high level of knowledge of pain, to be active in pharmacological interventions and nonpharmacological interventions.

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Convergent responses and impacts of verbal abuse during clinical training practice of Paramedic students (병원(임상) 실습 시 응급구조학과 학생이 경험하는 언어폭력에 대한 융합적 반응 및 영향)

  • Ahn, Hee Jeong
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.183-190
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    • 2018
  • This study was conducted to investigate experiences, convergent responses and expected negative impacts of verbal abuse of 253 paramedic students when they were doing clinical training practice. The results were as follows. First, 34%(86 people) experienced verbal abuse, the most frequently verbal abuse was done by Patients and Patient's family. Second, the most frequently contents of verbal abuse by Patient and Patient's family, Paramedic, Doctor and Nurse was 'Talking down or rude talk to me'. Third, the most frequently emotional responses of the students was 'Angry' and coping was 'Tolerate'. Fourth, the most frequently expected negative impacts was 'Practice productivity will be compromised'. Fifth, when experiencing verbal abuse by Paramedic was correlated with emotional responses(r=.458 p=.000), emotional responses was correlated with stress and expected negative impacts(r=.553 p=.000, r=.540 p=.000). In conclusion, it will be necessary to provide preventive education on verbal abuse before clinical training practice and to take active measures that have been protocolized.

Factors Associated with Weight Control Behaviors Among High School females with Normal Body Weight (정상체중 여고생들의 체중조절행위와 관련된 요인에 관한 연구)

  • 김옥수;윤희상
    • Journal of Korean Academy of Nursing
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    • v.30 no.2
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    • pp.391-401
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    • 2000
  • This descriptive study was designed to identify the factors associated with weight control behaviors among 273 high school girls with normal body weight. The objectives of the study were ⅰ) to evaluate subjective obesity and satisfaction with the body shape, ⅱ) to describe the weight control behaviors and the motivation, ⅲ) to reveal the relationships between the weight control behaviors and BMI (Body Mass Index), iv) to investigate the relationships between the weight control behaviors and subjective obesity and satisfaction with the body shape, and v) to investigate the relationships between the weight control behaviors and family support. The results showed that 62.6% of the adolescent girls with normal weight perceived that they were fatty and 9.9% thought they were obese. Seventy-five percent of them were not satisfied with their body shape. Eighty percent of the participants reported the main motivation of weight control was to have an attractive appearance. In this study, self-reported weight control methods included dieting (64.8%, skipping or reducing meals), exercise (36.6%), and special dieting (20.1%) such as eating an increased amount of juice or vegetables. It was shown that the subjects who were not satisfied with their body shape and perceived themselves as fatty or obese were active in exercise, diet, and other special diets. Subjects who were on diets and special diets had a higher level of BMI than who were not on diet and special diet. Subjects who exercise had a lower level of BMI than who did not exercised. Family support was significantly related to exercise behavior. The research suggested that there is a increasing responsibility for school nurse to instruct on the body shape and weight control behaviors through health education and consultation. Also, the results suggested that it is important to develop proper diet and exercise methods for adolescents girls to maintain their weight and health.

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Design and Implementation of RFID based Tree History Information System for Cultural Heritage Restoration (RFID 기반 문화재 복원용 임목 이력 정보 시스템의 설계 및 구현)

  • Kim, Sam-Geun;Moon, Il-Hwan;Park, Jae-Pyo
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.9B
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    • pp.1360-1368
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    • 2010
  • Recently, as the development of Radio Frequency Identification (RFID) technology becomes active, the demand for services which can electronically manage the history and location information of major trees, including trees for cultural heritage restoration and nurse trees, has been increased. This information has been managed by separated drawings and documents or storing its information into PDAs and then structuring data files through input and computation. But, these methods imply limitations in terms of its extensibility and scalability. This paper has designed and implemented an RFID based Tree History Information System (THIS) for cultural heritage restoration. The purpose of the proposed system is to support to be able to effectively and consistently manage historical information of major trees and improve working processes by implementing mobile RFID services through wireless Internet or Local Area Network (LAN) as mobile communication networks. Through implementation, it is confirmed that the proposed system can manage the historical information of major trees more effectively than conventional methods and also improve previous field working conditions.

Nursing Student's Experiences on Simulation Practice focusing on Cardiac Arrest (간호대학생의 심정지 시뮬레이션 실습 경험)

  • Song, Mi-Sook;Jae, Kyung-Sung
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.119-128
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    • 2018
  • In this paper, The purpose of this qualitative research was to explore the experience of a nursing simulation practice focused on patients with cardiac arrest with 50 4th-year nursing students who participated the simulation practical education. The data collection period was from 12/4/2017 to 12/6. Subjects were asked to write a self-reflection journals with a narrative style in order to explore the cardiac arrest simulation practice experience. Data were analyzed using Thematic Analysis by Braun & Clarke. The results were "Expectation for types of simulation education", "A great deal of regret", "Pre-experience in cardiac arrest situation", "Cognition in the importance of team interaction", "Active reaction", "Extended role from a nursing student to a nurse." The results indiate that understanding the experience of a nursing simulation education for nursing students will be able to be used as baseline data which is needed to manage the method of the simulation education effectively.

Awareness, Job Stress, Turnover Intention, Safety Management Perception Change of Nurses in a General Hospital -Before and After Medical Institution Certification System- (일개 종합병원 간호사의 의료기관 인증평가 인지, 직무스트레스, 이직의도, 안전관리 인지 변화 -의료기관 인증평가 전·후 비교-)

  • Kim, Mi-Ran;Kim, Myung-Sook
    • The Journal of the Korea Contents Association
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    • v.19 no.1
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    • pp.385-395
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    • 2019
  • The purpose of this study was to compare the perception of medical institution certification evaluation, job stress, turnover intention, safety management cognition of a general hospital nurse before and after the medical institution certification system. Data were collected from June 1, 2016 to July 17, 2016. The collected data were analyzed by mean, standard deviation, and paired t-test using SPSS 21.0. The results of this study showed that there was no significant difference between before and after certification of medical institution recognition, turnover intention, and safety management awareness, but mean score was high and job stress showed significant difference before and after certification.(t = 2.825, p = <. 005). That is, the job stress was higher than that after the authentication. Therefore, in order to reduce job stress of nurses preparing for certification, active and diverse human and physical support of medical institutions that can reduce work burden is needed.

Mediating Effects of Role Perception of Life-sustaining Treatment in the Relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among Nursing College Students

  • Park, Youngmi;Nam, Keumhee;Bae, Joohee
    • Journal of Hospice and Palliative Care
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    • v.24 no.1
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    • pp.36-45
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    • 2021
  • Purpose: This study examined the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment among nursing college students, and attempted to identify the mediating effect of Role Perception on Life-sustaining Treatment in that relationship. It is hoped that the findings will ultimately contribute to the development of active nursing strategies. Methods: The participants were 142 nursing college students in the third and fourth years of study who had experienced clinical practice at two universities in cities Y and C. Data were collected from November 1 to 30, 2019. For data analysis, SPSS for Windows version 22.0 was used to calculate descriptive statistics, the t-test, Pearson's correlation coefficients, and multiple regression. To analyze the mediating effect, the Baron and Kenny bootstrapping method was used. Results: Attitudes toward Withdrawal of Life-sustaining Treatment of nursing college students had a significant positive correlation with Knowledge of Life-sustaining Treatment Plans (r=0.34, P<0.001) and Role Perception on Life-sustaining Treatment (r=0.44, P<0.001). Role Perception on Life-sustaining Treatment partially mediated the relationship between Knowledge of Life-sustaining Treatment Plans and Attitudes toward Withdrawal of Life-sustaining Treatment (95% CI, 0.446~1.055). Conclusion: Based on the results of this study, improving nursing college students' Role Perception on Life-sustaining Treatment could be used as a coping strategy to establish positive Attitudes toward Withdrawal of Life-sustaining Treatment.

Validity of the Korean Interpersonal Caring Behavior Scale (ICBS) for Clinical Nurse (임상간호사를 위한 한국형 대인돌봄행위 측정도구의 타당성)

  • Lee, Sook;Choi, Ae-Sook;Yim, So-Youn;Chun, Yeol-Eo
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.89-101
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    • 2022
  • This study attempted to develop a scale that Interpersonal Caring Behavior Measurement Tool, based on Kim's Interpersonal caring theory, and confirmed its reliability and validity. The items were used as 50 items of 10 concepts based on the Su-ji Kim's interpersonal care theory in Korea developed by Seon-hee Yun. Subjects were nurses working at a general hospital or higher, who agreed to participate in this study. As a result of the study, 50 questions in 10 concepts of the first were derived from active listening, accepting, complimenting, noticing, and companioning through exploratory and confirmatory factor analysis, and criterion validity and reliability were verified. This tool is meaningful in that it can measure Caring Behavior from the perspective of the subject and family, and can be used as an index to visualize the quality improvement of nursing care by quantifying it.