• Title/Summary/Keyword: Clinical Nursing Practice Research

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The Relationships among Social Support, Hope, Anxiety, and Depression in Patients Expecting to Receive Hematopoietic Stem Cell Transplantation (조혈모세포 이식 전 환자의 사회적 지지, 희망, 불안 및 우울의 관계)

  • Bae, Ka Ryeong;Kim, Sue
    • Korean Journal of Adult Nursing
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    • v.28 no.1
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    • pp.30-42
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    • 2016
  • Purpose: This study aimed to examine the relationships among social support(family support, medical team support), hope, anxiety, and depression in patients with hematologic cancers before they received hematopoietic stem cell transplantation (HSCT) to obtain baseline data for developing a nursing intervention. Methods: The participants were 70 adult patients expecting to receive HSCT from 5 university hospitals in Seoul, Gyeonggi-do, and Jeollanam-do regions. A cross-sectional survey was done using standardized instruments for social support (Tae's Family Support Scale and Professional Medical Support Scale), hope (Kim & Lee Hope Scale), anxiety and depression (Hospital Anxiety and Depression Scale). The data were analyzed by SPSS/WIN 19.0 program using frequency, percentage, item mean and standard deviation, t-test, ANOVA, and Pearson's correlation coefficient. Results: Hope was significantly correlated with social support (r=.40, p=.001), anxiety (r=-.40, p<.001) and depression (r=-.58, p<.001). Anxiety was correlated with depression (r=.54, p<.001). Conclusion: The findings of this study show greater social support for patients who expect to receive HSCT is significantly correlated to a higher level of hope, as well as low levels of anxiety and depression. In nursing practice, clinical nurses may develop a nursing intervention to reinforce social support and hope, as well as reduce anxiety and depression for patients preparing for HSCT.

A Convergence Research for Development of VR Education Contents for Core Fundamental Nursing Skills (핵심기본간호술 VR 교육 콘텐츠 개발을 위한 융복합 연구)

  • Kim, Jungki;Yu, Hye-Yon;Lee, Young-Soo
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.714-722
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    • 2021
  • In this study, intends to propose virtual reality education contents for fundamental nursing skills to develop various teaching methods in nursing education. Blood sugar test & insulin subcutaneous injection among the 20 core fundamental nursing skills is one of that frequently performed and can be used for self-management education for diabetic patients. This study designed a core fundamental nursing skill on immersive VR contents by dividing the learner's experience into three stages: guide, mission, and feedback with these skills. And it is designed by tracking the movement of the hand through finger joint recognition without using a controller for immerse in training. This study will help develop VR nursing education contents that can improve clinical practice competency and the effect of the nursing education.

Achievement Experience of Nursing Students Through Simulation Practicum (시뮬레이션 실습을 통한 간호학생의 성취 경험)

  • KUEMJU PARK
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.721-728
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    • 2023
  • This study was conducted with the aim of exploring the essence of the achievements experienced by nursing students while enhancing their problem-solving abilities through simulation practical training. The study participants included 13 fourth-year nursing students, and data were collected through individual interviews conducted after the simulation practical training. Data analysis followed the qualitative research method of content analysis, involving coding, categorization, and thematization of the data. The results of this study revealed that nursing students' achievement experiences through simulation practical training included the following processes: "confirming confidence through improvement," "acknowledging change," "experiencing nursing self-efficacy," and "getting closer to the goal of clinical practice." Furthermore, it is suggested that efforts should be made to implement efficient operation and evaluation tools through multifaceted and meticulous design to promote integrated learning through simulation practical training and to confirm the process of internalizing knowledge through reflection by nursing students.

Effects of Bispectral Index Monitoring Based Sedative Administration on Conscious Sedation, Physiological Stability and Recovery Time in Patients Receiving Endoscopic Submucosal Dissection (이중분광계수 모니터기반 진정제 투여가 내시경 점막하 박리술 환자의 의식하 진정상태, 생리적 안정성 및 회복시간에 미치는 효과)

  • Lee, Mi Jeong;Hwang, Moon Sook;Lim, Hyun Sook;Park, Mi Ok;Huh, Ji Won;Kang, Ki Joo;Kim, Jae Jun;Cho, Myung Sook
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.284-295
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    • 2012
  • Purpose: This study was done to clarify effects of bispectral index monitoring sedative administration, compared to MOAA/S (Modified Observer's Assessment of Alertness and Sedation), on conscious sedation, physiological stability and recovery time for patients undergoing endoscopic submucosal dissection. Methods: Participants In this study were patients who underwent endoscopic submucosal dissection because of early gastric cancer. Participants were assigned randomly to an experimental group receiving sedatives based on bispectral index monitoring or to a control group with the MOAA/S instrument. Movements, belching, memory, pain, discomfort, physiological stability (MBP, PR, $SpO_2$), and recovery time were measured during the treatment and recovery. Data were analyzed using Spearman partial correlation coefficient analysis, Mixed model and Wilcoxon rank sum test to determine differences in the parameters. Results: There were no statistically significant differences between the two groups for conscious sedation(movement, belching, memory, pain, or discomfort), physiological stability and recovery time. Conclusion: The results of this study indicate that no differences were found between the two types of monitoring. Thus, use of a bispectral index monitor in clinical practice enabling medical staff to readily assess the conscious sedation of for these patients is expected to be increasingly used as an objective assessment tool for conscious sedation for patient safety.

Perceptions and Attitudes towards Interprofessional Education in Medical Schools (의과대학에서의 보건의료 전문직 간 교육에 대한 현황과 인식)

  • Kim, Soyun
    • Korean Medical Education Review
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    • v.19 no.1
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    • pp.10-17
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    • 2017
  • Since the World Health Organization identified interprofessional education (IPE) as an important component in primary health care in the 1980s, medical and health sciences educators have continued to debate factors for implementing effective IPE in the classroom. Although IPE research is widespread internationally, few studies have been done in South Korea. This study explored the current status of IPE and examined factors that influence IPE in South Korea. A total of 30 (70%) out of 41 medical education experts in medical schools participated. Forty-seven percent of the participants reported that they allocated less than 5% of their time implementing IPE in the curriculum of their schools throughout the 4 years of medical school. Although all experts (100%) agreed that IPE is essential for medical students, they expressed practical difficulties in implementing IPE in the current education system. Factors that influence IPE are scheduling and curriculum (e.g., rigid curriculum vs. providing learning environment) and attitudes (e.g., lack of reciprocal respect vs. willingness to change). In addition, participants reported that communication skills and collaborative practice employing clinical practice or role-playing would be appropriate education methods and content for IPE in the future. The findings of this study provide a foundation for the implementation of IPE in South Korea. Future research directions for IPE in medical, nursing, and pharmacy schools are discussed.

A study on the hand washing practice of a clinical nurse in a hospital based on health belief model (건강신념모형을 적용한 일개 병원 임상간호사의 손씻기 수행도에 대한 연구)

  • Kim, Ga-Hyun;Kwon, Yong-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.2
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    • pp.532-539
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    • 2018
  • This study is a descriptive study to analyze the hand washing practice of nurses working in clinic applying health belief model. This research involved 162 clinical nurse at G city. The data were collected from Sep 1, 2017 to Oct 31, 2017. The collected data were analyzed using an independent t-test, 1-way ANOVA, pearson's correlation coefficient and multiple regression analysis, where p-values of <0.05 were considered statistically significant by using SPSS 20.0. The overall practice of hand washing by general subjects were high 3.1 in all subjects, but there was no statistically significant difference. Health beliefs about hand washing practice according to general characteristics showed significant difference in perceived benefits (p<0.05), and there was a significant difference in perceived benefits and perceived barriers in age(p<0.05). In regard to the correlation among the subfactor of health beliefs, benefits had a statistically significant negative correlation to barriers and, positively correlated to cues to action. The results of this study suggest that continuing education of infection management in hospitals considering health beliefs about proper hand washing training will enhance hand washing practice.

An Analysis on the Researches Using Biological Measurement in Major Korean Nursing Journals (국내 주요 간호학회지에 게재된 생물학적 측정법(Biological measurement)을 이용한 연구에 대한 분석)

  • Kim, Joo-Hyun;Choe, Myoung-Ae;Kim, Yun-Kyung;Kim, Jin-Hak;Kim, Hee-Seung;Park, Mi-Jung;Shin, Gi-Soo;An, Gyeong-Ju;Lee, Yun-Mi;Lee, Kyung-Sook;Jeong, Jae-Sim;Chae, Young-Ran;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.8 no.2
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    • pp.61-72
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    • 2006
  • Purpose: This study was to examine the frequency, distribution and characteristics of researches using biological measurement published from 2000 to 2004 in 10 major nursing journals in Korea, Design: Literature analysis. Method: Journals including papers using biological measurements, publishing year, research design and outcome variables were analyzed. Results: 1. Researches using biological measurement were 318(13.3%). 2. Researches using biological measurement in the Korean Academy of Nursing were highest(97papers, 17.5%) among the nursing journals. The proportion of papers using biological measurement to total number of papers was the highest in the Journal of Korean Biological Nursing Science as 77.3%(51papers). 3. The 233 papers(73.3%) were experimental researches among 318 papers using biological measurement which showed the highest proportion. 4. Patients were highest subjects of researches using biological measurement(197papers, 61.9%). 5. Blood test was most frequently used as physiological variables from 2001 to 2004. Conclusion: Researches using biological measurement of 10 Korean Nursing Journals in year 2000-year 2004 were very low. We need more researches using biological measurement to provide more objective evidence for nursing practice.

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Effects of a Network Program for Preventing Obesity of Patients Taking Antipsychotics or Antidepressants (네트웍 프로그램이 항정신병약물 및 항우울제를 복용하는 환자의 체중과 식이습관에 미치는 영향)

  • Kim Soyaja;Sung Kyung-Mi;Hwang Young-Sin;Kim Sook-Ja
    • Journal of Korean Academy of Nursing
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    • v.35 no.3
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    • pp.526-534
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    • 2005
  • Purpose: This study was designed to investigate the effects of a network program to prevent obesity and improve dietary habits for patients taking antipsychotics or antidepressants. Method: Thirty-seven patients in two hospitals were assigned to a control group (21 patients) or an intervention group ( 16 patients). The intervention group was evaluated to analyze the effect of the network program for six weeks after the program. Result: There was a difference in the rate of increased body weight between the control group and the intervention group. Notably, the body weight of both groups before the intervention was significantly increased. However, after the intervention the body weight of the intervention group rarely increased, whereas, the body weight of the control group was significantly increased as expected. There was an observed difference in diet between the control group and the intervention group. After the intervention, caloric intake per day of the intervention group decreased. Also, the duration of the meal of the intervention group after the intervention was longer than before. Conclusion: The network program for preventing obesity and improving dietary habits of patients taking antipsychotics or antidepressants was effective. The study shows that a network program can be an important part of a nursing intervention in clinical practice.

Effects of the simulation on the Ego Resiliency, Self-Efficacy and Satisfaction of Major of the Nursing Students (시뮬레이션 교육이 간호대학생의 자아탄력성, 자기효능감, 전공만족도에 미치는 효과)

  • Kim, Eun-Ju;Kang, Seung-Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.1
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    • pp.324-330
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    • 2016
  • This study examined the effects of simulation training for nursing students who completed one year of basic nursing education. The study focused on effects of simulation training exercises on areas including self-resilience, self-efficacy, and satisfaction during the course of study. The raw experimental study of a single group was a pre-post design. The general characteristics and ego resilience were measured to analyze the effects of simulated training, self-efficacy, a major pre-acquisition and satisfaction. The improvements of the self-resilience (t=-7.38,p<.001) and self-efficacy (t=-4.93,p<.001), Major satisfaction (t=-5.28,p<.001) were statistically significant. Therefore, the simulation training has a positive effect on nursing students in terms of the self-efficacy, major satisfaction. The purpose of this research is significant in that it is presented before the nursing college students begin clinical practice as the starting time of simulation training.

The Effect of Warming Intravenous Fluids on Body Temperature Change under a General Anesthesia, Shivering, and Recovery (수액가온요법이 전신마취 하 체온변화와 전율 및 회복에 미치는 영향)

  • Han, Hyo Jeong;Jeong, So Ra;Lee, Seong Hee;Choe, Gyeong Ran;Cha, Na Jeong;Sin, Yu Ri
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.1
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    • pp.71-82
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    • 2010
  • Purpose: The study was aimed to investigate the effects of warm fluid used during surgery on the patients' hypothermia prophylaxis and recovery after surgery. Methods: This data were collected from Jul. 13 to Nov. 31. 2009 at S hospital in M City. 60 patients who met the selection criteria were recruited in the study and divided into two groups. The warmed fluids were used for 30 patients in the experimental group, and the fluids in room air temperature were used for the others in the control group. Collected data were statistically analyzed using SPSS/win 18.0. Results: The body temperatures of the control group were significantly lower during surgery than those of the experimental group (p<.001). Shivering was significantly less occurred in the experimental group than the control group (p=.018). The experimental group used warmed fluids recovered faster than the control group. Conclusion: Warming fluid for the patients with general anesthesia was revealed to be effective in decreasing hypothermia during surgery, reducing shivering, helping recovery from the anesthesia. Further research is warranted to refine and apply this evidence in nursing practice.