• Journal of Korean Biological Nursing Science
• /
• v.25 no.2
• /
• pp.95-104
• /
• 2023

Purpose: The purpose of this study was to analyze the trends and characteristics of infection-related patient safety incident reporting before and during the coronavirus disease 2019 (COVID-19) pandemic in Korea, and to provide basic data for preventing infection-related patient safety incidents and improving their management. Methods: A cross-sectional analysis of secondary national data (Patient Safety Reporting Data) was conducted. In total, 517 infection-related patient safety incidents reported from 2018 to 2021 were analyzed. Changes in the number of reports before and during the COVID-19 pandemic and differences in variables related to infection-related patient safety incidents were analyzed using the chi-square test and independent t-test in SPSS 29.0. Results: This study found that infection-related patient safety incidents decreased during the COVID-19 pandemic compared to before the pandemic. Furthermore, incident-related characteristics, such as the type of healthcare organization, severity of harm, and post-incident actions, changed during the COVID-19 pandemic. Conclusion: The many changes in the infection control system and practices during the COVID-19 pandemic may have contributed to a decrease in the reporting of infection-related patient safety incidents. It is hoped that longitudinal studies on patient safety incidents related to the pandemic and analytical studies on factors influencing patient safety incidents will continue to be conducted to prevent and improve patient safety incidents.

• Journal of Korean Academy of Nursing
• /
• v.54 no.2
• /
• pp.237-249
• /
• 2024

Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

• Research in Community and Public Health Nursing
• /
• v.13 no.1
• /
• pp.182-196
• /
• 2002

The purpose of this study was to provide the basic resources for developing a parish nursing program. We did this by investigating what demands were made on the parish nursing service by the parishes or churches under review. The subjects of this study were 96 pastors located throughout the City of Busan. NP (New paragraph) $\gg$ We conducted our research by utilizing a modified version of the study created by Hwang (2000) and by using the help of prior research and professionals gathered from the parish nurse questionnaire by Djupe (1990). The data in this study were collected from July 1 to Oct. 31, 2001, using the questionnaire method. The Data were analyzed by: (a) frequency: (b) percentage: (c) mean: (d) standard deviation, and x^2-test$ with SPSS/PC program. The study has found the follows: 1. For subjects making demands on the parish nursing service, 95.8% were in need of using the services of parish nurses. On the demands of parish nursing service for the subjects, 95.8% the necessity of parish nursing services. And they answered by their intention of asking for parish nursing service practice. 2. Of the subjects under review, 71.9% were part-time workers and 28.1% were full-time employees 71.9% of part time and 28.1% of full times duty. In terms of the method of pay for work, 41.8% were pay free or freelance while 51.2% were on salary. And engagement intention of parish nurse as preacher was 88.5%. 3. The demand for nursing services in various categories were as follows. (a) hospice care: (4.02 1.11), (b) health screening: (3.98 1.09), (c) home visiting: (3.97 1.16), (d) group health education: (3.81 1.12), (e) organization of volunteer groups: (3.75 1.12), (f) individual health education: (3.75 1.14), (g) advice on choosing hospital or hospital consultation: (3.69 1.21) and (h) individual counseling: (3.51 1.31). 4. In terms of the specific services rendered by parish nurses. our study found that services were needed for the following: physical symptom management; preparation before death in spiritual preparation for death, blood pressure check in health examination, home visiting where the patient makes phone call, management of chronic disease in group health education, disease management in individual health education, advice on choosing hospital, or hospital consultation: and physical problems in individual counseling. 5. With respect to whether there was a correlation between what church a pastor came from and the types of demands made, there was NO significant difference found. 6. In relation to the characteristics of the subjects and their church and the hope demands (duty pattern and method of payment and engagement intention of parish nurse as preacher) for parish nurses, these had non significant differences. In conclusion, the perception of parish nursing service is very high. Moreover, we found that there is a great demand for well ordered parish nursing services to promote the health of each congregation. Before doing so, it would be better to make things known and to consider the relevant characteristics shown in the researched results.

• Journal of Korean Academy of Nursing
• /
• v.24 no.2
• /
• pp.157-174
• /
• 1994

Women’s experience of abortion are not only widespread but also significant event in their lives. But this experience has not been a concern for professional care by health care providers, especially nurses. As professional nurses should have holistic approaches to clients, need to understand the lived experience of abortion from women’s perspectives. These Nurses must identify unique means for improving the quality of life of women. This study identified the meaning and structure of the lived experience of abortion. The participants were residents of Seoul and Kwang ju who were recruited through personal recommendation. Colaizzi’s method was used for the phenomenological analysis. The research question was aimed at revealing the covert meaning of abortion. The 14 women who had a spontaneous abortion and /or an artificial abortion and who argeed to participate in the study were informed of the purpose of the study, the possible risks and benefits of participation, the data generation method and they were assured of privacy and confidentiality. The investigator conducted in-depth unstructured interviews which were audiotaped with the permission of the participants. The investigator read the data repeatdly to identify and categorize themes and basic structural elements. Eight themes of abortion as experienced by these participants were : 1) complicated feelings about the anticipated abortion 2) feelings of fear and anxiety about the operation and complications 3) grieving related loss and injury 4) feelings of lonliness in perceiving no supportive person, 5) attributing the cause of the abortion to siginificant others or to self, 6) guilt feelings and resentment, 7) vacillating between regretting and not regretting, 8) struggling to a responsible person. Five basic structures identified were : 1) Complicated feelings 2) Feelings of loss and need for caring 3) Attributings to cause to significant others 4) Paradoxical emotion 5) Struggling to be a responsible being The significes of this study for nursing are : 1) It enables nurses and other health care providers understand more clearly the lived experience of abortion 2) It provides information which can be used in for women who experience abortion.

• Journal of East-West Nursing Research
• /
• v.3 no.1
• /
• pp.27-38
• /
• 1998

This study was carried out to understand the general conditions about management of hypertension and the differences in opinions between the Eastern-Western Nursing Sciences. In this context, this study was aimed to find out a possible integration of the Eastern-Western Nursing Sciences for the management of hypertension and to suggest a distinct frame of Korean nursing intervention method which is unique for the hypertensive patients by combining two hypertensive management systems originated from the Western type, "mainly classified by stage", and the Eastern type, "typically classified by form" as they are identified in the literature. From the research literature including both domestic and foreign, this study identified that exuberance of Yang of the Liver form mainly appeared to the patient who is at a border hypertension or the first stage of hypertension, Deficiency of Yin of the Liver and Kidneys form mostly appeared to the first stage and the second stage of Hypertension and Deficiency of the both of Yin and Yang form appeared to the third stage of Hypertension. These unifications of the types of Hypertension classified by stages and forms suggest the possibility not only of integration of the Eastern-western Medicine but also of establishment for the intervention of specific nursing management which is the united Eastern-western Nursing Science for the Hypertension. Hence, the new frame for the nursing management of Hypertensive patient is suggested as follows : 1) In case of the exuberance of Yang of the Liver form, as classified by form which is categorized to the border Hypertension or the first stage of Hypertension, nursing intervention should include general therapy, cooking meal and neutral care to restrain the condition of the exuberance of Yang of the liver. 2) In case of the deficiency of Yin of the liver and the Kidneys form, as classified by form which is categorized to the second stage of Hypertension, nursing intervention should include both the general and drug therapy and their use in combination with cooking meal and neural care to restrain the condition of the deficiency of Yin of the Li ver and Kidneys. 3) In case of the deficiency of both of Yin and Yang form, as classified by form which is categorized to he third stage of Hypertension should include both the general therapy and drug therapy and their use in combination with cooking meal and neural care to restrain the condition of deficiency of the both of Yin and Yang. In addition, using this basic frame of Hypertensive management, a specific way of nursing intervention, which is suitable for exuberance of Yang of the Liver form, deficiency of Yin of the Liver and Kidneys form, and deficiency of both of the Yin and Yang form and classified by Korean herbal medicine related to hypertension, should be pursued continuously in the future.

• Journal of Korean Academy of Nursing
• /
• v.29 no.2
• /
• pp.248-257
• /
• 1999

The purpose of this study was to identify basic data for the health fare of normal pregnant women. The number of subjects was 779 pregnant women who received prenatal care in two University hospitals. The data, which were collected from June to October, 1998. and used the questionnaire “Symptom Table on Fatigue Perception” designed by the Research Committee of the Industial Fatigue in Hygienic. Association of Japan Industry. The collected data were scored by use of means and standard deviations according to the subjective symptoms of fatigue and each item as an independent variable was analysed by t-test and ANOVA test. The results are as follows : 1) Degree of subjective fatigue showed as an average of 1.81. Fatigue as physical symptoms had the highest score with 2.09. followed by neuro-sensory symptoms, 1.69 and psychological symptoms had the lowest score 1.66. 2) With the respect to the general characteristics of the subjects. there were statiscally significant difference in experience of pregnancy(t＝-2.286, p＝.023). wanted pregnancy(t＝-2.935, p＝.004), parity(t＝-2.429, p＝.015), sleeping time(F＝3.478, p＝.031). and presence of other child(t＝2.347, p＝0.19).

• Journal of Korean Academy of Nursing
• /
• v.32 no.3
• /
• pp.406-415
• /
• 2002

This study measures the subjectivity on stressful life events of middle- aged women. Method: Q-Methodological method was used for that purpose. As for the research method, Q-statements were collected preliminary to the study of through in-depth interviews and a literature review. For the study 38 Q-statements were selected. There were 28 middle aged women as subjects for the research. Q-Factor Analysis by using PC Quanl Program to supply the material. Result: Through the result of this study, the stressful life events of middle-aged women could be identified by 4 types. The type I is called the conflict in relationship with husband's family members. The type II is called lack of marital intimacy. The type III is called low self-esteem. The type IV is called changing life cycle itself. Conclusion: Therefore, identifing the subjectivity on the stressful life events of middle-aged women would be a basic step for the understanding of middle aged women.

• Journal of the Korea Convergence Society
• /
• v.7 no.3
• /
• pp.59-69
• /
• 2016

The purpose of this study was to provide basic materials on establishing convergence oriented respiratory infection management system in nursing students attending clinical training by analyzing anxiety, knowledge, possibility of infection, possibility of prevention, and compliance level of preventive behavior. Data were collected from 222 nursing students experienced clinical practice from June 15th to 30th in 2015 using questionnaire. Characteristics relative to variables were measured, and analyzed using SPSS 18.0 program. The results are as follows. The anxiety was 42.70(max 80 points), but possibility of infection was 22.55(max 100 points). Also, knowledge(11.73 out of 16 points), possibility of prevention(7.37 out of 10 points), and compliance level of preventive behavior(34.55 out of maximum 48 points) were slightly above average. The influencing factors on compliance of preventive behavior were anxiety and possibility of prevention. It is needed to lead convergence oriented approach on enhancing compliance of preventive behavior through providing information and educating possibility of prevention during MERS outbreak.

• Journal of Convergence for Information Technology
• /
• v.10 no.10
• /
• pp.100-108
• /
• 2020

The purpose of this study is to identify the differences in self-efficacy, clinical performance ability, and critical thinking disposition after applying education integrated educational virtual reality simulation to training and outside school clinical practice to nursing college students and to provide them as basic data for effective practical education. This study was conducted from June 8 to July 3, 2020, and enrolled in the 3rd year of university in G city, and 30 subjects who did not receive virtual reality simulation training or outside school clinical training at all. Data were analyzed by Paired t-test. As a result of the study, the result of pretest and posttest to each group showed statistically significant improvements in self-efficacy, clinical performance ability, and critical thinking disposition. As a results of the study, education integrating virtual reality simulation training and clinical practice for nursing students to improves clinical performance ability, improves critical thinking, and self-efficacy, so it is thought that various virtual reality simulation training must be suitable for clinical situations before practice is necessary.

• Journal of Korean Academy of Nursing
• /
• v.28 no.4
• /
• pp.992-1002
• /
• 1998

This study measures the subjectivity(opinions·attitudes)of college women. Identifying the schemata(structure of subjectivity) would be a basic step for the women's health education and the promotion to alternative strategies of women's health nursing. More concretely, these following research questions are focused. 1) The subjective schemata : find out typologies based on the opinions and attitudes toward the health lifestyle. 2) Applications : describe the characteristics of each type. 3) Alternatives : provide suggestion of the promotion to alternative strategies for women's health nursing. Q- Methodological method was used for that purpose. As for the research method, Q-statements were preliminary collected in the study from through in-depth interviews and a literature review. For the study 36 Q-statements were selected. 33 college women were used as subjects for research. The 33 college women sorted the 36 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were three categories of special opinions about the health lifestyle in college women. The first type is called Initiatived Health Management Type. The second type is called Social Activity Centered Type. The third type is called Positive Outlook Type. Through the result of this study, the health lifestyle could be identified by 3 types, therefore the nurses needed to understand each women's meaning to health lifestyle so they could develop the appropriate nursing intervention based the typology of the health lifestyle this study explored. Finally, The result of the study will provide clues for developing a nursing interventional program and alternative strategies for the health promotion lifestyle in college women.