• Title/Summary/Keyword: Emergency Nursing

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Knowledge of Stroke Symptoms and Risk Factors among Older Adults (노인의 뇌졸중 증상과 위험요인에 대한 지식정도)

  • Han, Nam-Yi;Ko, Eun-Ah;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.21 no.3
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    • pp.314-323
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    • 2009
  • Purpose: This descriptive study was conducted to identify the level of knowledge of stroke symptoms and risk factors among older adults. Methods: A total of 200 older adults over 65 years of age were conveniently recruited from out patient departments of two hospitals and a health care center from October to November 2008. The level of knowledge was assessed using both open-ended questions and a structured questionnaire based on semi-structured interviews. Data were analyzed by t-tests and ANOVA using the SPSS program. Results: 52.5% of the sample had hypertension and 30% had diabetes. The mean knowledge scores for symptoms and risk factors were $8.4{\pm}3.1$ (out of 15) and $9.5{\pm}3.9$ (out of 16), respectively. The older adults who had lower education, lower family income, and who lived in rural areas were more likely to have less knowledge of stroke symptom and risk factors (p < .05). There was no significant knowledge difference between the older adults who had at least one risk factor and those who had no risk factor for stroke. Conclusions: Educational intervention should be focused on informing older adults who are at risk for stroke about the early symptoms and management of risk factors, especially those who have low education and low social status.

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Prerequisite for Korean Advance Directives: From the View of Healthcare Providers (한국형 사전의료의향서의 구성 요건: 의료인을 중심으로)

  • Kim, Shin-Mi;Hong, Sun-Woo;Eun, Young;Koh, Su-Jin
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.486-495
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    • 2012
  • Purpose: The purpose of this study was to explore the main prerequisite for Korean Advance Directives [KAD] to ensure their better use. Methods: Data were collected from two focus group interviews and individual email responses. Study participants were 5 doctors and 6 nurses. All interview data were transcribed and analyzed using qualitative content analysis. Results: Three main themes emerged; establishing a philosophy of KAD, protocol to practice KAD, and the KAD document itself. A philosophy is needed to ensure individual needs, consensus to practice AD and identify principle agents. The core of protocol was found to be as follows; 1) process, 2) premise, 3) procedure, 4) contextual preparation, 5) timing, 6) feasibility. Component and feasibility need to be established for the document itself. Conclusion: For a positive acceptance of KAD in Korean society, a culture sensitive, reality based, and user friendly AD needs to be developed.

Difference of Physical Symptoms, PWI and JCQ according to Sasang Constitutions for Industrial Workers (사업장 근로자의 사상체질별 건강관련 신체증상, 사회심리적 스트레스, 직무 스트레스 요인과의 차이)

  • Cha, Nam-Hyun;Kim, Jeong-Ah;Lee, Ki-Nam;Wang, Myoung-Ja
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.508-516
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    • 2005
  • Purpose: This study was conducted to analyze industrial workers' stresses from physical symptoms, PWI, JCQ and tasks in classification of Sasang constitutions. Method: Data were collected from industrial workers in J Province from May 2003 to June 2003. Questionnaires were distributed and collected on the day of their physical examination. Collected data were analysed through $x^2-test$. Result: Health-related characteristics showed that most of smokers and drinkers were Taeumins and this result was statistically significant. Physical symptoms related to constitutions indicated that GI and neurologic symptoms are significantly more frequent in Soeumin. The percentage of subjects with moderate risk was high in order of Soyangin, Taeumin and Soeumin while the percentage of subjects with high risk was high in order of Soeumin, Taeumin and Soyangin. Conclusion: Through this study, Lee Jae Ma's theory was be confirmed compatible with disease characteristics. However, research with more various subjects and variables needs to be made.

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The Effects of the Designated Doctor System on the Health of Medical Aid Beneficiaries (선택병의원제가 의료급여 수급권자의 건강에 미치는 영향)

  • Choi, Jeongmyung;Oh, Jinjoo
    • Research in Community and Public Health Nursing
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    • v.23 no.4
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    • pp.438-445
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    • 2012
  • Purpose: Medical Aid Beneficiaries were surveyed to identify differences in health behaviors, adherence to drug regimen, and quality of life between those people in the Designated Doctor System and those who are not. Methods: A total of 1,327 study subjects were separated into three groups: those in the Designated Doctor System for 2 years, those in for 1 year, and those not in the system. Results: After the introduction of the Designated Doctor System, 55.8% and 67.9%, respectively, of the subjects in the Designated Doctor System complained of inconvenience in relation to hospital use and the patient referral process. Also, the rate of emergency room use or hospitalization guided by the Designated Doctor System was only 8.7% and 6.5%, respectively. There were no significant differences in health behaviors and adherence to drug regimens between those in the Designated Doctor System and those who are not. Conclusion: This study was carried out early in the introduction of the system. Therefore, it is necessary to monitor the positive and negative effects of the Designated Doctor System for a full reflection of its impact.

A Study on Childhood Injury (학령전개 아동의 사고실태)

  • Kim Hee Soon;Kang Kyu Sook;Lee Ean Sook
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.349-357
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    • 1999
  • Injuries are important causes of death and disability. The Purpose of this study was to determine how often preschoolers have injuries and what factors affect the injury occurrences. The sample consisted of 360 Preschoolers who were registered at eight nurseries located in Sedaemoongu. Seoul. The data were analyzed using the SAS PC statistical package. The results of the study are as follows: During last 12 months 73.1% of 360 preschoolers had accidental injuries In an analysis of the location where the injury took place, showed that the most places were in the nursery(17.3%) and around home(14.4%), and the most place inside home were in the bedroom(13.9%) and living room(13.9%). There were the diverse and injurious risks inside the home as well as around home. The most frequent type of injury was abrasion(27.5%) and most children injured their legs(28.3%). They were treated most frequently at home(52.8%) and usually emergency treatment was performed by family members with disinfection being the main type of first aid To identify factors related to injury occurrence, multiple logistic regression was performed and the main factors were the age of child, active tendency, and mother's education level.

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Factors Influencing Body Temperature in Elderly Surgical Patients (가온요법을 받은 노인 수술 환자의 체온과 영향요인)

  • Kwon, Mi Hee;Byeon, Young Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.20 no.2
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    • pp.108-117
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    • 2013
  • Purpose: The purpose of this study was to identify the factors that affect body temperature in elderly operation patients using a warming method and to examine differences in post operative body temperature by characteristics of the patients. Methods: Data were collected from 200 patients, aged 65 years or more undergoing surgery with a warming method. The data were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test and multiple regression with the SPSS 18.0 Program. Results: The mean score for body temperature of elderly operation patients using a warming method after surgery was $36.1{\pm}0.6^{\circ}C$ including 74 patients with hypothermia and 126 patients with normal body temperature. The body temperature according to general characteristics differed by age and whether the surgery was emergency surgery or not. The body temperature according to surgery-related factors differed by anesthesia type, length of operation, anesthesia time, magnitude of surgical procedure, amount of fluid, transfusion requirements, and preoperative body temperature. Factors influencing body temperature were age, BMI, transfusion requirements and preoperative body temperature. Conclusion: The results indicate that age, BMI, transfusion requirements and preoperative body temperature significantly influenced on body temperature after surgery. Thus preoperative body temperature needs to be maintained through pre-warming as a nursing intervention.

Nurses' Attitude toward Hospitalized Patients after Attempted Suicide; Integrative Review (입원 중인 자살시도 환자에 대한 간호사의 태도; 통합적 문헌고찰)

  • Ha, Yi Kyung;Lee, Yunji
    • Journal of Korean Critical Care Nursing
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    • v.14 no.3
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    • pp.37-49
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    • 2021
  • Purpose : This study aims to identify nurses' attitudes toward patients hospitalized after attempting suicide and inform directions for research and interventions to establish a therapeutic environment. Methods : For integrative review, the five stages suggested by Whittemore and Knafl were followed. Articles and theses published before February 2021 were searched using eight databases and a manual search. The search terms were suicide, self-harm, emergency department (ED), intensive care unit (ICU), nurses, and attitudes. Results : Five studies met the inclusion criteria; three of them were descriptive studies, one was a qualitative study, and one a mixed-method study. In most studies (80%), the participants were ED nurses. ED/ICU nurses showed positive or neutral attitudes toward patients. All studies suggested that suicide-related education programs are needed to increase nurses' positive attitudes such patients. Conclusion : More research is required on ICU nurses' attitudes toward patients who have attempted suicide, and efforts to identify various aspects of such attitudes are necessary. In addition, suicide education programs and support from trained psychiatric personnel should be provided to establish a therapeutic environment.

Comparison of Topics Related to Nurse on the Internet Portals and Social Media Before and During the COVID-19 era Using Topic Modeling (토픽 모델링을 활용한 COVID-19 발생 전후 간호사 관련 토픽 비교: 인터넷 포털과 소셜미디어를 중심으로)

  • Yoon, Young Mi;Kim, Seong Kwang;Kim, Hye Kyeong;Kim, Eun Joo;Jeong, Yuneui
    • Journal of muscle and joint health
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    • v.27 no.3
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    • pp.255-267
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    • 2020
  • Purpose: The purpose of this study is to compare topics through keywords related to nurses in internet portals and social media Pre coronavirus disease (COVID-19) era and during the COVID-19 era. Methods: For six months before and during the outbreak of COVID-19 in Korea, "nurse" was searched on the internet. For data collection, we implemented web crawlers in programming languages such as Python and collected keywords. The keywords collected were classified into three domains of topic Modeling. Results: The keyword 'nurse' increased by 15% during COVID-19 era. Keywords that ranked high in Term Frequency - Inverse Document Frequency (TF-IDF) values were before COVID-19, such as "nurse" and "C-section". during COVID-19, however, they were not only "nurse" but also "emergency" and "gown" related to pandemics. Conclusion: Various topics were being uploaded into the internet media. Nursing professionals should be interested in the text that is revealed in the internet media and try to continuously identify and improve problems.

Analysis of research on interventions for the prevention of safety accidents involving infants: a scoping review

  • Kim, Mi Yeon;Lee, Han Na;Lee, Yun Kyeong;Kim, Ji Soo;Cho, Haeryun
    • Child Health Nursing Research
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    • v.28 no.4
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    • pp.234-246
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    • 2022
  • Purpose: This study aimed to conduct a scoping review of studies on interventions for the prevention of safety accidents involving infants. Methods: The scoping review method by Arksey and O'Malley was used to conduct an overview based on information spanning a wide range of fields. Multiple electronic databases, PubMed, CINAHL, RISS, and KISS, were searched for articles written in English or Korean published from 2012 to the present on safety accident prevention interventions. A total of 2,137 papers were found, and 20 papers were ultimately analyzed. Results: Most studies were conducted in the United States (55.0%) and in the medical field (45.0%), and most were experimental studies (35.0%). The results were organized across five categories: 1) preventive precautions, 2) characteristics of children's developmental stages, 3) encouraging voluntary participation, 4) continuity of interventions, and 5) teaching methods. Conclusion: Safety accident prevention interventions should cover the establishment of a safe home environment, include voluntary participation, and provide routine follow-up interventions. Additionally, practical training and teaching methods that incorporate feedback rather than a lecture-oriented approach should be adopted.

The COVID-19 Correspondence Work Experience of Community Health Practitioners (보건진료 전담공무원의 코로나19 대응경험)

  • Ha, Jae-Hyun;Lee, Hyun-Ju
    • Research in Community and Public Health Nursing
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    • v.33 no.2
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    • pp.139-152
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    • 2022
  • Purpose: This study aims to describe and understand the meaning and nature of community health practitioners' coping with COVID-19. Methods: In-depth interviews were conducted with 12 community health practitioners from August to October 2021, to describe and understand the nature of their coping with COVID-19. The collected data were examined and described based on Colaizzi's phenomenological method. Results: 16 theme clusters and five categories were derived from the community health practitioners' experience of coping with COVID-19. The categories derived were: a war that began without notice, a variety of correspondence tasks assigned, struggling to fulfill given roles, correspondence tasks becoming more systematic, and a fight that has not yet ended. Conclusion: Community health practitioners handled various response tasks related to COVID-19, and faithfully fulfilled their professional roles while performing the primary task of medical care. Hence, attention is required on issues related to the establishment of the national emergency healthcare system and improvement of professional competence of community health practitioners even after the COVID-19 pandemic is over. Furthermore, it is necessary to make ceaseless efforts to address those issues and, in order to do so, social interest and institutional support are needed.