• Title/Summary/Keyword: Emergency Department Nurse

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Outcomes of Home Monitoring after Palliative Cardiac Surgery in Infants with Congenital Heart Disease (선천성 심질환으로 고식적 수술을 시행 받은 영아의 홈모니터링의 성과)

  • Kim, Sang Wha;Uhm, Ju-Yeon;Im, Yu Mi;Yun, Tae-Jin;Park, Jeong-Jun;Park, Chun Soo
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.228-236
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    • 2014
  • Purpose: Common conditions, such as dehydration or respiratory infection can aggravate hypoxia and are associated with interstage mortality in infants who have undergone palliative surgery for congenital heart diseases. This study was done to evaluate the efficacy of a home monitoring program (HMP) in decreasing infant mortality. Methods: Since its inception in May 2010, all infants who have undergone palliative surgery have been enrolled in HMP. This study was a prospective observational study and infant outcomes during HMP were compared with those of previous comparison groups. Parents were trained to measure oxygen saturation, body weight and feeding volume and to contact the hospital through the hotline for emergency situations. Telephone counseling was conducted by clinical nurse specialists every week post discharge. Results: Forty-one infants were enrolled in HMP. Nine hundred telephone counseling sessions were conducted. Seventy-three infants required telephone triage with the most common conditions being gastrointestinal (50.7%) and respiratory symptoms (32.9%). With HMP intervention, interstage mortality decreased from 18.6% (8/43) to 9.8% (4/41) (${\chi}^2$=1.15, p=.283). Conclusion: Results indicate that active measures and treatments using the HMP decrease mortality rates, however further investigation is required to identify various factors that contribute to hemodynamic complications during the interstage period.

Fatigue Symptoms and Its Related Factors among General Hospital Nurses (종합병원 간호사들의 피로수준 및 관련요인)

  • Park, An-Suk;Kwon, In-Sun;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.8
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    • pp.2164-2172
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    • 2009
  • The purpose of the present study was intended to assess fatigue symptoms of nurses working at special part(operating room, intensive care unit, emergency room) and ward in general hospitals, and to reveal its related factors. The self-administered questionnaires were given to 393 nurses employed in 3 participating hospitals located in Daejeon City. As a results, the special part workers had higher scores of fatigue symptoms than the ward workers. Multiple stepwise analysis revealed that the factors of influence on fatigue symptoms in the special part workers included subjective health status, age and job satisfaction, and in the ward workers, the factors of influence on fatigue symptoms included subjective health status, sleep hour, shift work and job satisfaction. In conclusion, the fatigue symptoms were higher in the special part workers than the ward workers, and its related factors were different from two worker groups.

A study on the Textbook on Nursing published in Korea in 1918 (1918년에 출판된 『간호교과서』 연구)

  • Yi, Ggodme;Yu, SuJeong;Park, Chan Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.4
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    • pp.415-428
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    • 2023
  • Purpose: The purpose of this study is to better understand nursing education in the early years of the Japanese colonial rule. Methods: We compared the 1918 Textbook on Nursing with the first Textbook on Nursing and to the original text, Grade A Textbook on Nursing, by the Japanese Red Cross Society (JRCS) using the historical research method. The background of its publication and its use in nursing education were exploring, too. Results: After Korea's annexation by Japan, the nursing textbook by the JRCS was appointed as the standard textbook in nursing education by the Government-General in Korea (GGK). Missionary nurse got the permission for the nursing textbook by JRCS and the Textbook on Nursing was published in 1918 using Korean and Chinese characters in combination. This book, an adaptation of the original text, explained the responsibilities and roles of nurses to guide them in serving patients as well as assisting in treatment or directly performing emergency medical treatment when necessary, with a focus on the treatment of the war wounded. It would have been partially used in actual nursing education among the missionary community. Conclusion: Textbook on Nursing in 1918 was published not only for the nursing students of missionary nursing schools but also for other nursing trainees of diverse hospitals, nurses and missionary volunteers and to help them to acquire the licenses. It reflects the enforcement on nursing education by GGK and the reality and resistance in terms of the content of education of nursing in Korea during that period.

Job Analysis of Coordinator Working in the Regional Cardiocerebrovascular Center (권역별 심뇌혈관질환센터 코디네이터 직무분석)

  • Cho, Kyung-Sook;Kwon, Sung-Bok;Lee, Kun Sei;Son, Haeng-Mi
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.153-163
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    • 2014
  • Purpose: This study was to analyze the job of coordinators working in the regional cardiocerebrovascular center. Methods: Using Developing a Curriculum (DACUM) method, the role of coordinators was defined and their duties and tasks were identified. The developed duties and tasks were classified and validated according to importance, difficulty, and frequency of the job. Results: A coordinator is defined as a clinical nurse specialist affiliated in a cardiocerebrovascular center. The coordinator is responsible for managing the major critical pathway to provide adequate medical service and providing education to the patient with myocardial infarction and cerebrovascular attack admitted via emergency room for prevention and management of disease. Ten duties and sixty-nine tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks showed as A, B, C respectively. Based on determinant coefficient of the task, the highest ranked task was 'analysis for variation of CP' and the lowest was'investing the articles in stock'. Conclusion: The results of study showed that coordinators were doing various duties and tasks and they felt burden from their work and were in confusion. The results of this study can be used to develop training programs for coordinators and evaluation-scale of the coordinators' job performance as the basic data.

Development and Evaluation of Injury Prevention Education Proposal for Elementary School Children (학령기 아동의 사고예방 교육안 개발 및 평가)

  • Lee Jung-Eun;Kim Ji-Hyun;Kim Shin-Jeong
    • Child Health Nursing Research
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    • v.8 no.4
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    • pp.365-380
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    • 2002
  • This study was to develop and evaluate injury prevention education proposal which will helpful and can be utilized directly on the first line spot for elementary school children. Education proposal development and evaluation process was 1) Construction of 10-times education proposal contents proper to schooler 2) Testify validity through 3 pediatric nursing professor and 4 elementary school nurse 3) Pretest was done from March, 2002 to July on 3-6th grade 313 elementary school students 4) Through correction and revision after pretest evaluation meeting, final injury prevention education proposal was developed 5) After 10-times injury education, evaluation was carried out about the degree of help in education contents and general constitution of injury education to total subjects of educated children. Injury prevention education proposal consists of 10 times and each subjects are followings. 1st is 「introduction of injury prevention education and the importance of injury prevention」 2nd is「safety in and around home」, 3rd is 「injury prevention in school」, 4th is 「prevention of violence」, 5th is 「motor vehicle safety」, 6th is 「water safety」, 7th is 「prevention of fire and burns」, 8th is 「toy and product safety」, 9th is 「sports and recretional activities safety」and the final 10th is 「injury prevention caused by animals」. In the evaluation, the degree of help in education contents showed it helped to children averaged 1.66 and general constitution showed averaged 2.17 that children satisfied about developed injury prevention proposal. This study expected to provide systematic and concrete guidance in injury prevention education for elementary school children.

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Predictors of Caregivers' First Aid Confidence (요양보호사의 응급처치 수행자신감 예측요인)

  • Soon-Ok Kim;Mi-Hee Kim
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.4
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    • pp.811-824
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    • 2023
  • The purpose of this study was to investigate the communication confidence, self-efficacy, and self confidence in first aid and to identify the predictors of self confidence in first aid. Subjects were 202 caregivers and data were collected by questionnaires from march 1 to 31, 2023. Data were analyzed using t-test, ANOVA, Scheffe's test, Pearson correlation coefficients and Multiple regression analysis using the SPSS 29.0 program. Self-efficacy was a positive correlation with communication confidence (r=.54, p<.001), and self confidence in first aid was a negative correlation with communication confidence(r=-.18, p<.05) and self-efficacy(r=-.31, p<.001). Predictive factors for self confidence in first aid were absence of nurse's aide(β=-.18, p=.009) and self-efficacy(β=-.30, p<.001), and explanatory power was 11.0%(Adj R2=.110, p<.001). Based on the results of this study, to develop and apply an educational program focusing on emergency problems.

Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest (심정지 현장 시뮬레이션에서 일반 간호사의 비기술적 술기와 심폐소생술 수행 간의 관계)

  • Kim, Eun Jung;Lee, Kyeong Ryong
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.146-155
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    • 2015
  • Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.

A Study on the Home Health Care Need of Postpartum Mothers (산욕기 산모의 가정간호 요구도 조사)

  • Yang, Young-Ok;Choi, So-Young
    • Journal of Home Health Care Nursing
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    • v.10 no.2
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    • pp.148-157
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    • 2003
  • The purpose of this study was to provide the basic data for developing a program for effective intervention for home health care need of postpartum mothers and newborn babies. The subjects were 104 women. The data were collected from march, 2003 to June, using a 81 item questionnaire and analyzed by SPSS program for frequency, Mean, ANOVA. The results were as follow. 1. The mean of care needs of newborn babies was higher than that of physical demand of Postpartum mothers. The mean of physical demand of Postpartum mothers was $3.99\pm.42$. The mean of care needs of newborn babies was $4.11\pm.50$. 2. The most highest mean of physical demand of Postpartum mothers was wound care for caesarean section and episiotomy($4.53\pm.66$), and then breast engorgement care($4.38\pm.71$). The most highest mean of care needs of newborn babies was emergency care methods($4.58\pm.52$), and then infection control $4.51\pm.56$). 3. 66.3% of postpartum mothers positively desired consultation hospitals centered home care need during postpartial periods. 4. Influential variables of home health care need was postpartial periods. they wanted the first week after delivery, more freqently visiting of home care nurse. 37.5% of postpatial mothers wanted visiting within 1 weeks after delivery. 31.7% wanted 2 times/week. In conclusion, it is necessary to study to make a program in nursing of home health care for postpartum mothers, and to keep on studying repeatedly in order to raise the number of objects and to find related variables.

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A Study of the Relationship of Nurses' Personality Type and Job Satisfaction Level, according to the Career (근무경력별 간호사의 성격유형과 직무만족도와의 관련성(MBTI이용))

  • Park Young Sook;Park Kyung Min;Park Jeong Sook;Koh Hyo Jung;Kwon Young Sook;Kim Myung Ae;Kim Chung Nam;Park Cheong Ja;Shin Yeong Hee;Lee Kyung Hee;Lee Byung Sook
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.301-313
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    • 2001
  • This study was to explore the relationship between nurses' personality type and their job satisfaction level. The subjects of the study were the 364 nurses who were serving at the general surgical department, psychiatric department, pediatric department and emergency room. The hospitals for which they were working were four university hospitals in Daegu and Busan, and six other university hospitals in Seoul were selected as sample hospitals. For data collection, questionnaires were self-reported to the subjects, under their agreement, from May to June, 2000. The following two instruments were used in the study: One was MBTI Test whose Korean version designed and verified to reliability and validity by Kim Jung Taek and Shim Hae Sook(1990): the other was the Nursing Job Satisfaction Instrument, 'The Index of Work Satisfaction' developed by Slavitt, et al.., (1978). The data were analyzed by frequency, t-test, one-way variance analysis, scheffe's post hoc contrast, and Pearson correlation coefficient with SPSS Win 10.0 program. The results this study were as follows ; 1. As a result of testing nurse's personality type by function at each career, it's found that the most personality type was expressed by the ST-type$(37.3\%)$ at 1-5 years, the SF-type$(29.4\%)$ at 6-10 years, the ST-type$(43.3\%)$ at more than 11 years. 2. As a result of testing the disparity in job satisfaction according to career, it appeared that the 6-10 years group showed higher job satisfaction, followed by the 6-10 years$(119.6\%),\;1-5 years(118.6\%)\;and\;more\;than\; 11 years(117.7\%)$ groups. 3. As a result of testing job satisfaction level according to nurse's personality type by function at each career, it's found that the most job satisfaction was expressed by the SF-type(F=8.50, p=0.00l) at 1-5 years. the ST-type(F=30.61, p=0.001) at 6-10 years. the SF-type(F=4.98, p=0.003) at more than 11 years groups. 4. As a result of testing a significant correlation between nurse's personality type by function and job satisfaction level. the SF(r=0.279, p=0.001) and ST(r=0.222, p=0.001) types showed significant positive correlation. and the NF(r=-0.201, p=0.001) and NT(r=-0.402, p=0.001) types revealed significant negative correlation. The nursing management is likely to be done more effectively, if managers in charge of nursing administration carefully reflect nurses' personal opinions in posting and personnel management, keeping in mind that there is a specific personality type that serves to raise job satisfaction at a specific career.

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An Integrative Review on Nursing Studies Related to Humor (유머와 관련된 국내 간호연구의 통합적 고찰)

  • Kim, Shin-Jeong;Kim, Sung Hee;Lee, Jung-Eun;Kim, Hye-Young;Yoo, So Young;Oh, Jina
    • Child Health Nursing Research
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    • v.20 no.1
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    • pp.58-66
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    • 2014
  • Purpose: The purpose of this paper was to describe the attributes of nursing with humor based on an integrative review and to present basic information for developing humor intervention programs for children. Methods: Using combinations of the terms 'nursing' and 'humor' as key words, the researchers searched four electronic databases to relevant identify studies. Thirteen studies were selected through full text screening of related research published in academic journals from January 1993 to April 2013. Results: Through in-depth discussion and investigation of the relevant literature, three components emerged; 1) using instruments of coping for stress relief, 2) symptoms relief through pleasant feeling, and 3) job satisfaction and work improvement of nurse using humor. Conclusion: The results of this study suggest that humor is valuable as a nursing intervention for children and the possibility of bringing about positive results in nursing care if nurses utilize the sense of humor as fully as they can. Therefore, it is critical for nurses to develop a diversity of humor interventions for children as well as measurements to test quality and quantity of humor used in clinical pediatric settings.