• Title/Summary/Keyword: Comprehensive ward

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The Influences of Self-Leadership, Role Conflict, Nursing Work Environment on Nursing Service Quality in Comprehensive Nursing Care Service Wards (간호·간병통합서비스병동 간호사의 셀프리더십, 역할갈등, 간호근무환경이 간호서비스 질에 미치는 영향)

  • Kim, Mi Sun;Shin, Sung Hee;Seo, Eunju
    • Journal of East-West Nursing Research
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    • v.27 no.1
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    • pp.22-31
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    • 2021
  • Purpose: This study aims to examine the relationships between the self-leadership, role conflict, nursing work environment, and quality of nursing service in comprehensive nursing care service wards and identify the factors that affect the quality of nursing service. Methods: The data were collected from 158 nurses working in comprehensive nursing care service wards from three general hospitals with 200 beds or more in Seoul, Korea. The data were analyzed by descriptive statistics, t-test, ANOVA, scheffe test, Pearson's correlation coefficient, and multiple linear regression analysis of enter method using SPSS/WIN ver 22.0 program. Results: The factors of quality of nursing services were self-leadership (β=.44, p<.001), nursing work environment (β=.17, p=.014), and the work experience in comprehensive nursing care service wards (β=-.15, p=.035) explaining 32% of the total variance. Conclusions: The results indicated that self-leadership, work experience in the comprehensive nursing care service wards, and nursing work environment affect the quality of nursing services of nurses in the comprehensive nursing care service wards. It is necessary to make efforts for seeking various intervention strategies and improving nursing work environment.

Factors Influencing Nursing Care Needs of Patients in Comprehensive Nursing Care Service Wards (간호·간병통합서비스 병동 환자의 간호필요도 수준과 영향요인)

  • Jeong, Ye Sol;Lee, Youngjin;Ahn, Jeong-Ah;Seo, Eun Ji
    • Journal of Home Health Care Nursing
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    • v.31 no.1
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    • pp.44-55
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    • 2024
  • Purpose: This is a retrospective secondary data analysis study based on real-world data to analyze the level of nursing care needs of patients in a comprehensive nursing care service ward, and identify factors influencing nursing needs. Methods: Study participants included patients admitted to two comprehensive nursing care service wards at a tertiary general hospital located in Gyeonggi-do, Korea. After obtaining permission from the health and medical information team of the target hospital, data were collected from their electronic medical records. Nursing care needs were measured using seven items on nursing activity and four items on daily living activities developed by the National Health Insurance Service (NHIS). The collected data were analyzed using the SPSS version 29.0 with frequency and percentage, mean and standard deviation, minimum and maximum values, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression. Results: The level of nursing care needs of patients in comprehensive nursing care service wards was found to be higher for patients with pressure sores (β=.33), older patients (β=.26), patients who underwent procedures (β=.15), patients with present guardians (β=.15), and patients with more comorbidities (β=.10). The total explanatory power was 51.0%. Conclusion: It is necessary to accurately identify patients' nursing care needs and provide nursing care according to priority by considering the characteristics of patients in comprehensive nursing care service wards.

Impact of Maternal Uncertainty on Coping: Experiences from a General Hospital Pediatric Ward (입원 환아 어머니의 불확실성이 대처에 미치는 영향: 일 개 종합병원 소아과병동을 중심으로)

  • Lee, Sun Ok;Kim, Moon Jeong
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.364-372
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    • 2018
  • Purpose: The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping. Methods: In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children's hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model. Results: In the multivariable model, help from one's spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores. Conclusion: This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.

Climate Change Issues of Paper Manufacturing Production at Phong Khe Craft Village

  • Ha, Vu Thi Hong;Ahn, Ji Whan
    • Journal of Energy Engineering
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    • v.27 no.1
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    • pp.40-50
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    • 2018
  • Today, the development of industries and rapid urbanization has a profound impact on the human environment. It can be said that the environment in the craft village is most affected. The environment in these areas is severely degraded and depending on the type of production, the environment in the craft villages is different. In Phong Khe ward of Bac Ninh Province, Vietnam, there are over 204 small and large facilities of recycling and producing paper. The paper facilities produce about 200,000 tons of paper each year and the amount of paper produced is not less than 500 tons each day in Phong Khe. They are creating livelihoods for more than 6,000 workers and generating local budgets from VND- 50 billion to VND 60 billion per year. Despite this great contribution, the use of old machines and "backward" modes of production means that paper recycling has caused serious air, soil, and water pollution in the region. The specific objectives of this study were as follows: (1) provide an overview of paper production process in the Phong Khe paper craft village; (2) comprehensive literature review of the current status of water environment, atmosphere environment, soil environment and solid waste; (3) figure out about waste treatment in Phong Khe ward.

Experience of Adaptation to Work In Comprehensive Nursing Service Units of Nurses (간호·간병통합서비스병동 간호사의 업무 적응 경험)

  • Suhyun Park;Seohyun Won;Bosun Kim;Jinhyang Yang;Seonhye Heo
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.3
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    • pp.69-88
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    • 2024
  • Purpose : This study was conducted to examine the Experience of Adaption to Work in Comprehensive Nursing Service Units of Nurses. Methods : Empirical data were collected from 8 nurses through in-depth interviews. Eight participants who had more than 6 months of clinical experience in the general ward and had more than 6 months of work experience in Comprehensive Nursing Service Units were selected as participants. The main question was what does it mean to work in Comprehensive Nursing Service Units? All interviews were recorded and transcribed, and then analyzed using Giorgi's interview. Results: As a result of the analysis, five topics were derived. 'Facing a changed work environment', 'A sense of unexpected heterogeneity in work', 'Evaluation of immediate reality.', 'Finding strategies and promoting balance', 'Growing up as a professional nurse.' Conclusion: Based on these findings, There is a need to build a system that can adapt to work and continue to develop programs for capacity building in Comprehensive Nursing Service Units of Nurses.

STUDY OF THE EFFECT OF COMPREHENSIVE NURSING CARE ON THE ADJUSTMENT OF CHILDREN TO HOSPITALIZATION (유.소아를 위한 포괄적 간호가 그들의 병원생활 적응에 미치는 영향에 관한 연구)

  • 이자형
    • Journal of Korean Academy of Nursing
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    • v.3 no.3
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    • pp.97-110
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    • 1973
  • The goal of modern nursing is to provide comprehensive nursing care to patients. If comprehensive nursing care to children (within the hospital setting) is to be provided, consideration of the stage of growth and development of the child is especially important. From clinical observation, it appeared that nurses often disregarded individual requirements of children in giving nursing care. Therefore, the purpose of this study is to show that comprehensive nursing care which is based on an understanding of the growth and development of the child contributes to both the child and the mother's adaptability to the child's hospitalization. Method: Sixty children, three to three year of age, hospitalized at the Yonsei University Pediatric Ward ware studied. From April 1, 1973 to May 5, 1973, children admitted to the hospital were assigned to either an experimental or a compare groups. There were 30 children in each group. The sex and age of the children in each group was similar. In both groups were more male than female children. In the experimental group, each mother stayed with hot child continuously during his hospitalization. In the compare groups, the mother or some other member of the family stayed with the child. Each day on the child's admission the investigator visited the ward from 1-2 P.M. to 9-10 P.M., in order to provide comprehensive care for the experimental -group. The assistance given the nurses by the investigator was in the form of conferences regarding care and in giving direct care to the child and his mother. The compare group of children received nursing care as usually provided by the hospital. The instruments used to obtain the data for analysis were as follows: 1. The fear and anxiety reaction of the child was recorded by observation of the investigator for four areas: 1) separation from parent and relatives 2) reaction to Doctor and Nurse with white gowns 3) reaction to nursing care 4) reaction to injection and tests, etc. 2. Regression in area of eating, sleeping, and elimination were recorded by the investigator by questioning the mother and by observation. 3. Adaptability to the hospitalization was recorded by direct questioning of the children for areas of emotional and social adjustment. For children older than 3 years of age or children not seriously ill, using the simple I. Q. test this was possible for only 35 of the total 60 children. Result: 1. 55 percents of the total 60 children had been prepared by their parents for hospitalization. The children who had received prior preparation accepted hospitalization more readily than those who had received no preparation. (χ²=4.6 Ρ<0.05) 2. On admission 31.7 percent of the children expressed verbal fear of their discase or treatment. 25 percent felt that the disease was due to their mistake. 3. There was a significant difference in the reaction of the child to separation from the parent or relatives between the two groups. The experimental groups showed less anxiety due to separation than the compare group. (χ²=4.34 Ρ<0.05) In both groups there was less anxiety due to separation among school age (6-12 years) children than among preschool age (3-5 years) children. (χ²=9.22 Ρ<0.05) 4. More than half of the children in both groups reacted with fear and avoidance to doctor and/or nurses wearing white gowns. (χ²=0.06 Ρ<0.05) 5. The experimental group reacted more favorably to nursing in general than the compare group. (χ²=4.8 Ρ<0.05) 6. There was no difference in the fear and refused reaction to special tests and/or such as X-rays and injections, etc. between the groups. (χ²=3.77 Ρ<0.05) 7. More children in the compare group showed regressive tendencies in eating, sleeping, and elimination habits than in experimental groups. (χ²=2.3 Ρ<0.05 χ²=3.88 Ρ<0.05 χ²=4.9 Ρ<0.05) 8. There was a significant difference in the adaptability to hospitalization between the two groups. The experimental groups adapted more readily. (χ²=2.02 Ρ<0.05) 9. For children who had higher I.Q. s the adaptability to hospitalization was better regardless of the group. (χ²=5.03 Ρ<0.05) However, because of the small number of cases (60), this finding cannot be extrapolated without further verification. The date demonstrates that there was a greater adaptability to hospitalization by the child when comprehensive nursing care was given. By planning care and applying knowledge of growth and development to meet, nurses are in a position to prevent some of the psychological trauma associated with hospitalization.

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The Development and Application of Core Fundamental Nursing Skills Improvement Education Program for New Nurses in Comprehensive Nursing Care Ward (간호·간병통합서비스 병동 신규간호사 대상 핵심기본간호술기향상 교육프로그램 개발 및 적용)

  • Choi, Eun Young;An, Kum Hee;Oh, In Ohg;Park, Ai Hee;Park, Min Hyun;Son, Jae Lee;Hong, Na Suk;Yoon, Ho Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.4
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    • pp.419-429
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    • 2017
  • Purpose: The purpose of this study was to investigate the effect of the development and application of the new nurses' core skill program on the clinical skill, confidence, knowledge and performance of new nurses. Methods: This study was a nonequivalent control group post-test design on 46 new nurses with 3 to 6 months work experience in a general hospital. Data were collected from August 2015 to August 2016. A training program of core fundamental nursing skills was applied on 23 new nurses from 2016 in the experiment group, and an existing training method was applied on 23 new nurses from 2015 in the comparison group. The collected data were analyzed using SPSS/WIN 23.0. Results: The experimental group ($89{\pm}4.29$) showed higher score in practical skill assessment compared to the control group ($85.09{\pm}3.99$) and showed a statistically significant difference (p<001). Conclusion: A training program of core fundamental nursing skills for new nurses proved effective in improving practical skills. Further research on the development of a systemic training program that can improve clinical nursing knowledge and work ability for new nurses according to the extended enforcement of a Nursing Care Integrated Service ward is needed.

A Comparative Study on Statistical Clustering Methods and Kohonen Self-Organizing Maps for Highway Characteristic Classification of National Highway (일반국도 도로특성분류를 위한 통계적 군집분석과 Kohonen Self-Organizing Maps의 비교연구)

  • Cho, Jun Han;Kim, Seong Ho
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.29 no.3D
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    • pp.347-356
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    • 2009
  • This paper is described clustering analysis of traffic characteristics-based highway classification in order to deviate from methodologies of existing highway functional classification. This research focuses on comparing the clustering techniques performance based on the total within-group errors and deriving the optimal number of cluster. This research analyzed statistical clustering method (Hierarchical Ward's minimum-variance method, Nonhierarchical K-means method) and Kohonen self-organizing maps clustering method for highway characteristic classification. The outcomes of cluster techniques compared for the number of samples and traffic characteristics from subsets derived by the optimal number of cluster. As a comprehensive result, the k-means method is superior result to other methods less than 12. For a cluster of more than 20, Kohonen self-organizing maps is the best result in the cluster method. The main contribution of this research is expected to use important the basic road attribution information that produced the highway characteristic classification.

A study on the actual condition of practical apprenticeship training for university(college) nursing education and developing reform measure in Korea (우리나라 간호교육기관의 현장실습교육 실태 파악 및 개선방향 모색에 관한 연구)

  • Lee Sung-Eun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3 no.2
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    • pp.226-245
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    • 1997
  • The practical apprenticeship training is important and takes part in one fourth of the curriculum in university(college) nursing education. The quality and quantity of practical training influence the quality of nursing student ability. This study have planed to find out actual condition of practical apprenticeship training for university(college) nursing education and develop the reform measure in Korea. The questionnaires were sent for directors of nursing department in university(college) and the directors of nursing in hospitals which were chosen by systemic sampling and have over 500 beds. The response rate was 48.4% in total. The results were as follow : 1. There were 2 kinds of training system ;subject training and comprehensive training. The comprehensive training was done frequently in college education. There were gaps of subject between the lecture and the practical training education for professor, part time lecturler and assitant. 2. There was the shortage of training fields especially in college education. 3. The training content by university(college) personnel were care conference, orientation, ward rounding. The content by hospital nursing pernnels were bedside nursing skills and nursing process application. The headnurse acted the important role in training education. For improving the actual condition of training apprenticeship in university(college) nursing education, it is necessary that the Ministry of Education should make the accreditation system on the preparation of training hospitals for university(college) nursing education. The Academy Society for Nursing Education can do the central and coordination role to improve the training apprenticeship for nursing education in Korea.

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The Experience of Hospice Nurse on Caring for Terminal Cancer Patients in the Era of Convergence. (융복합시대에 말기 암 환자를 돌보는 호스피스 병동 간호사의 경험)

  • Yeo, Hyeong-Nam
    • Journal of Digital Convergence
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    • v.18 no.9
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    • pp.307-315
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    • 2020
  • The purpose of this study is to understand and describe in depth the meaning of the hospice nurse's experience in caring for terminal cancer patients through phenomenological methods. Participants of this study were selected from 9 nurses who have been working for more than 1 year in the hospice palliative ward of a kind hospital located in C city. Data were collected from July 2019 to September 2019 by using in-depth interview. Interview data were analyzed by Giorgi's phenomenological method. The analysis revealed the following constituents; Burden of work, Become mature, Forming a close relationship, Lack of support for hospice. Conclusion, It is thought that the experience of hospice nurses who care for terminal cancer patients will be provided with a comprehensive and comprehensive understanding from their point of view, thereby contributing to the development of effective support system and administrative support system based on their experience.