This study attempts to identify attitudes of community leaders toward mental illness in order to obtain useful information concerning the planning of community mental health services. The community sample consists of 50 community leaders including, civil servants, doctors, herb doctors, school nurses, counselors, village leaders, pharmacists, and pastors. Individuals were asked to give demographic data, their personal attitudes toward mental illness' etiology & prognosis, and toward neighbors who are psychiatric patients. The interview with open questions was used to collect data. According to the study community leaders 82% believed that mental illness could be treated, 66% believed that mental illness was caused by genetic factors and environmental stress, and 76% had negative impressions about mentally ill people such as fear, seclusion, asylum, also crime. Only 28% of mentally ill people were accepted as neighbors in community. 52% of community leaders rejected opening of mental hospital, and thought that the Chunchon community needed facilities such as group homes, or day care centers (30%), however, 34% of the leaders they didn't recognize community mental health. These findings suggest that mental health professionals need to pay special attention to change the attitude of Chunchon community leaders and mental health institutions need to a develop mental health education program for community leaders.
Journal of Korean Academy of Nursing Administration
/
v.23
no.2
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pp.139-150
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2017
Purpose: The purpose of this study was to identify nursing service costs associated with all health care costs incurred by the institution. Methods: This study was an empirical case study research in which the nursing cost was separated from total medical cost. The nursing cost index was calculated through a cost allocation method after summarizing costs for personnel, raw materials and administration of each department in one public hospital. The 2014 budget plan, published in 'Public Hospitals Alert', was used as data and the data were analyzed using the Microsoft Office EXCEL 2013 program. Results: When comparing total medical costs and nursing costs, the nursing cost were 27.14% of the total medical cost. The nursing cost per nurse per hour was calculated as \29,128 The nursing cost per inpatient per day was calculated as \157,970, and the administration cost per patient was calculated as \133,710. Conclusion: The results of the research present the process of cost allocation of specific cost elements in the hospital and evidence for administrative costs which in the past have been only vaguely formulated. These are the significant implications of this study.
Purpose: A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants. Methods: Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1 week after the discharge by mail. Results: The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group. Conclusion: These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.
Cho, Ju Yeon;Choi, Jeong Myung;Kim, Hee Gerl;Lee, Jong Chul;Choi, Young Ock
Korean Journal of Occupational Health Nursing
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v.17
no.2
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pp.155-165
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2008
Purpose: The purpose of this study was to investigate the condition, recognition of breast feeding of 273 nurses. Method: Data was collected using a structured questionnaire form April to June 2007. The subjects were 273 nurses in Kyunggido. The data analysis was done with descriptive statistics, $x^2$-test procedures using SPSS/WIN 12.0 PC. Result: There are 23.9% of child day care center, 5.2% of rest room for women, 16.8% of breast feeding room in workplace. Rate of breast-feeding practice was 78.4% of nurses. The reasons why they could not perform the breast-feeding include mother's job(45.4%), lacking breast milk(25.8%). The characteristics of nurses found to be related breast-feeding include age, number of employers. Conclusion: The results showed that the rest supports of the work environment was insufficient to perform breast-feeding in the workplace. These results suggest that nursing intervention for employed mother's breast-feeding practice behavior promotion should focus on characteristics influencing factors on workplace. Also, efficient breast-feeding education program for employed mothers should be developed by continuous qualitative researches based on breast-feeding experiences of employed mothers.
Purpose: This study was to evaluate the effects on the heart rate and respiration rate of preterm infants when providing auditory stimulation on them. Methods: The design of this study was a nonequivalent control group pretest-posttest design in a quasi experimental study. Forty preterm infants were assigned to experimental and control groups : 20 in the auditory and 20 in the control group. The data were collected from May 2014 to October. The auditory stimulation was created by using an audio music tape provided 20-minute per day for 7 consecutive days. In data analysis, SPSS WIN 21.0 program was utilized for descriptive statistics, repeated measurement anova and Mann-Whitney. Results: General characteristics of the two groups showed no significant differences, thus two groups were found to be homogenous. There were no significant differences in heart rate and respiration rate between the auditory and control groups. Conclusion: The effect of auditory stimulation for 7 days was not effective in decreasing heart rate or respiration rate in premature infants. Therefore, the type and length of music therapy must be developed for the improvement of vital signs in preterm infants who were hospitalized in a neonatal intensive care unit.
Purpose: The purpose of this study was to examine the effect of preoperative education using multimedia on level of pain, uncertainty, anxiety and depression in hysterectomy patients. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The level of post operation pain, pre and post operation uncertainty, anxiety and depression of both the groups was measured. The experimental group was provided with preoperative education using multimedia on the preoperative day at the hospital. The control group was only given usual care. Data were analyzed using SPSS/WIN version 22.0 program. Results: Experimental group showed lower level of post-operation pain in 1 hour (t=-5.08, p<.001) and 24 hours (t=-5.20, p<.001) but not 48 hours (t=-0.91, p=.368). Uncertainty showed significant interaction effect of Group by Time (F=4.16, p=.018). Conclusion: Preoperative education using multimedia for patients with hysterectomy would be effective in lowering patients' level of pain, uncertainty, anxiety and depression.
Purpose: The purpose of the study was to identify degrees of parenting stress, parenting efficacy, parenting behavior and parental satisfaction, and to identify factors influencing parenting satisfaction of mothers who had preschool children. Methods: The research participants were 176 mothers. All of mothers had preschool children, aged 2 to 6 years old, and attended one of 3 day care centers or 2 Kindergartens located in J city. Data were collected by convenience sampling using self-report questionnaires which contained items on general characteristics, parenting stress, parenting efficacy, parenting behavior, and parenting satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The average level of parenting satisfaction of mothers with preschool children was $5.38{\pm}0.79$. Positive parenting behavior and affective parenting efficacy were verified factors influencing parental satisfaction. These factors accounted for 41.4% of parental satisfaction. Conclusion: The results indicate that positive parenting behavior and affective parenting efficacy have the biggest impact on parental satisfaction. The results of this study provide the basic data for the development of parental education program aimed at improving parental satisfaction of mothers who have preschool children.
Purpose: This study investigated the practices of preventing infectious diseases by daycare center teachers. The focus was on the mediating effects of self-efficacy in the relationship between communication skills and practices of preventing infectious diseases. Methods: This study used a descriptive correlational design. The participants were 164 daycare center teachers. Hierarchical regression was used to test the mediating effect of self-efficacy in the relationship between communication skills and practices of preventing infectious diseases. Data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical regression. The mediation effect was analyzed using an SPSS Macro program, PROCESS. Results: Significant relationships were found between communication skills and practices of preventing infectious diseases (β=.19, p<.001), self-efficacy and practices of preventing infectious diseases (β=.59, p<.001), and communication skills and self-efficacy (β=.27, p<.001). Self-efficacy had a significant mediating effect (β=.17, 95% confidence interval=0.07~0.29) on practices of preventing infectious diseases. Conclusion: In order to improve practices of preventing infectious diseases among daycare teachers, it is necessary to develop and apply interventions and methods that can increase effective communication skills and self-efficacy.
Objective: This study was conducted to examine the significant factors affecting media device addiction using the data mining technique for large-scale data from the Panel Study on Korean Children Survey (PSKC). The PSKC data of this study were gathered from the elementary school students in their 10th survey (1,286 3rd grade students). Methods: The SPSS 21.0 program was used for data mining decision tree analysis, and the results are as follows. Results: First, the most important predictor of media device addiction was planning-organization which was among the sub-factors of executive function. Second, as a result of the decision tree analysis, the children with the highest probability of addiction to media devices were ones that had difficulties in planning and organizing, had mothers with a permissive parenting attitude felt difficulties in controlling behavior, and were alone at home for more than two hours a day without any adult supervision. Conclusion/Implications: The results of this study can help guide the direction of future research related to children's addiction to media devices by exploring and analyzing factors that significantly affect children's addiction to media devices.
Journal of Korean Academy of Fundamentals of Nursing
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v.4
no.2
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pp.229-243
/
1997
Especially in NICU(Neonatal Intensive Care Unit), handwashing is an important factor in decresing nosocomial infections due to reduced immunity, prematurity and various invasive procedures. The purpose of this study was to investigate the basic characteristics related to handwashing by NICU nurses. It was composed of three parts ; questionnaire survey I (genoral characteristics of handwashing), questionnaire survey II(the awareness degree of handwashing importance) and actual performance. This study was performed from Oct. 8 to 14 in 1994. The results of this study were as follows ; 1. Frequency of handwashing were different by shift of working about 47.1% of the respondents. They were washing most frequently during day-shift about 75% of above. According to self evaluation to handwashing frequency, 64.7% of the respondents said their frequency of handwashing was inadequate, because of being too busy.(45.1%), bothering caused by detergent or disinfectant(17.6%), and too far from handwashing facilities(17.6%). 2. The most common handwashing agent was soap(88.2%), 52.9% of the subjects experienced adverse effects after handwashing ; rough hand(44.5%), dryness(33.3%) All subjects washed their hands with running water, and 70.6% of the subjects washed upto wrist. In duration of handwashing, 52.9% of subjects washed hands 5 to 10 seconds, 29.5% of them did 11 to 15 seconds. 3. 29.4% among subjects had participated to take in the handwashing educational program. About 60% responded they would like to take the course of handwashing if possible. 4. The important nursing activities that need handwashing were chaning of caring ostomy, suctioning, chaning IV dressing site. On the other hand, they responded handwashing was not essential before dealing with omitus, before and after transfering machine, before chaning diaper(stool) 5. Handwashing performance was 61.7%. Among seven nursing activities, suctioning(73.4%) was the highest, the next was dealing with discharge or sampling(71.1%), the lowest was bathing(34.6%). The performance was better after(70.2%) nursing activities that before(52.5%), and day(63.6%) or evening(68.3%) shift than night(56.7%)
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