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Nursing Professionalism, Self-Efficacy and Nurse Parent Partnership in Pediatric Nurses (아동간호사의 간호전문직관, 자기효능감과 환아부모와의 파트너십)

  • Cho, Eun-Ju;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.19 no.2
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    • pp.94-101
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    • 2013
  • Purpose: To provide basic data to improve the practice environment of pediatric nurses by identifying their recognition of nursing professionalism and self-efficacy, and to examine the pediatric nurse parent partnership. Methods: Participants in the study were 165 nurses with 6 months of work experience in a university children's hospital in Seoul. Data were collected using a self-report questionnaire. Research tools measuring nursing professionalism, self-efficacy, and pediatric nurse parent partnership were used. The collected data were analyzed using SPSS PASW statistics 19.0. Results: There were statistically significant positive correlations for nursing professionalism and self-efficacy (r=.359, p<.001), nursing professionalism and the pediatric nurse parent partnership (r=.487, p<.001), and self-efficacy and the pediatric nurse parent partnership (r=.442, p<.001).According to the general characteristics of the participants, nurses who were married, practiced religion and had children tended to have higher nursing professionalism. Higher self-efficacy was exhibited by nurses who were older, married and raising children and the pediatric nurse parent partnership tended to have higher scores for nurses who practiced religion and worked in a general ward. Conclusion: The findings indicate that higher nursing professionalism and self-efficacy result in a better pediatric nurse parent partnership which should improve the practice environment of pediatric patients.

An Effect on Recovery of Post-operative Bowel Movement on Nursing Intervention of Meridian Acupressure (경혈지압 간호중재가 수술후 장유동 회복에 미치는 영향)

  • Lee, Hyang-Yeon;Kim, Kwuy-Bun;Kim, Kwang-Joo;Wyang, Myung-Ja;Kim, Yoon-Hee;Kim, Il-Won;Kim, Ho-Mee
    • Journal of East-West Nursing Research
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    • v.6 no.1
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    • pp.46-54
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    • 2001
  • This study was conducted to identify the effectiveness of meridian acupressure for enhancement of post operative bowel movement to the patient with absolute bed rest who having surgery under general anesthesia. This study used a qusai experimental, nonequivalent control group post test only design. This subject were 44 patients, 22 for the experimental and 22 for the control group, who were admitted at KyungHee University hospital, neurosurgical unit A and B ward, assigned by matched sample by the name of operation who having microvascular decompression and laminectomy. Date were collected from May 1, 2001 to June 30, 2001 by auscultation, self report and by using 7 point face scale. The recovery of bowel sound were measured every 4 hours until gas out for 1 minute auscultation on lower abdomen after 4 hours having surgery. The time of gas out were measured by self report, the severity of nausea were measured every 4 hours for 7 point face scale and also the degree of satisfaction of nursing care were measured after 2 days having surgery with same scale. Data were analyzed with $X^2$, t-test, repeated measures ANOVA and ANOVA. The result of this study were as follows; 1. The experimental group which were implemented with meridian acupressure showed shorter time the recovery of bowel sound after having surgery than control group(t=-5.112, p=.0001). 2. The experimental group which were implemented with meridian acupressure showed shorter time of gas after having surgery than control group(t=-4.010, p=.0001) 3. The experimental group which were implemented with meridian acupressure showed decreased level of nausea score according to time interval than control group(F=21.995, p=.0001). 4. The experimental group which were implemented with meridian acupressure showed higher the degree of satisfaction of nursing care than control group(t=-4.010, p=.0001). These finding indicate that a meridian acupressure could be a effective nursing intervention for enhancement of post operative bowel movement to the patient with absolute bed rest who having surgery under general anesthesia.

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The Relationship between Optimal End-of-Life Care and Well Dying of Nurses (간호사의 최상의 임종간호 및 웰다잉 관계 연구)

  • Hyun, Woo-In;Kim, Miyoung
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.628-639
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    • 2022
  • The purpose of this study was to investigate the relationship between the optimal end-of-life care and well-dying perceived by nurses to provide the optimal end-of-life care for patients and their families. This subjects of the study were 121 nurses working in the ward or intensive care unit of a general hospital in Seoul, and the data collected from April 28 to May 12, 2021 were analyzed. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficients with the SPSS/WIN 27.0 program. The total average of the subjects' perceptions of the optimal end-of-life care was 4.04±0.82 on a five-point scale, indicating the overall level of 'agree' with the optimal end-of-life care. The total average of well dying perceived by the subjects was 3.63±1.14 on a five-point scale, and the most important recognized questions was to die peacefully. Of general characteristics, there was a significant differences on optimal end-of-life care according to age (t=-.97, p=.013). The nurse group in their 30s showed higher consent for end-of-life care than those in their 20s. An analysis of the correlation between the optimal end-of-life care and well-dying showed that there was no significant correlation. This study suggest that education should be provided to raise awareness of end-of-life care for young nurses with low experience.

Analysis of the Adequacy of Nurse Staffing Level through the Estimation of Nursing Activity Hours and Implementation of Focus Group Interviews in a Tertiary Hospital: Using a Mixed-Method Design (일 상급종합병원 병동간호사의 업무량 측정 및 간호사 배치수준의 적절성 연구: 혼합연구 설계 적용)

  • Kim, Hyun-Joo;Lee, Sun-Hee;Lee, Jai-Jung;Seong, Sun-Suk;Yang, Hee;Lee, Hyang-Yuol
    • Journal of Korean Academy of Nursing
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    • v.54 no.2
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    • pp.237-249
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    • 2024
  • Purpose: This study aimed to examine the adequacy of current nurse staffing levels by identifying nursing activities and workload. Methods: The study used a mixed-method design. A nursing activity survey was conducted using the work sampling method over 2 working days with 119 general ward nurses. A focus group interview was conducted with 12 nurses. Quantitative and qualitative data were analyzed using SPSS 20.0 and content analysis, respectively. Results: The most amount of time was spent on medication (in direct nursing) and electronic medical record documentation (in indirect nursing). The appropriate nurse-to-patient ratio is 1:7.7 for the day shift, 1:9.0 for the evening shift, and 1:11.9 for the night shift. However, the current nurse-to-patient ratio is 1:9.4, 1:11.0, and 1:13.8 for the day, evening, and night shifts, respectively. Therefore, the current nurse staffing level is insufficient for the workload. In the focus group interview, the main reasons cited for being unable to complete tasks within working hours were communication and coordination, and the nursing electronic medical record. The essential nursing activities of basic nursing and emotional support were overlooked owing to a heavy workload. Therefore, an adequate nurse staffing level should be higher than the measured quantitative workload. Conclusion: These results suggest the general wards of tertiary hospitals should evaluate the adequacy of their current nurse staffing and allocate sufficient nurses to improve patient safety and nursing care quality.

Development and Effectiveness of the Primary Hospice Education Program for Nurses (간호사를 위한 호스피스 기초 교육 프로그램 및 효과)

  • In, Sook-Jin
    • 한국호스피스완화의료학회:학술대회논문집
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    • 2004.07a
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    • pp.100-102
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    • 2004
  • Under the current medical system, a terminal patient and his/her family who are neglected inevitably face various aspects of crises including not only physical, but also psychological, social, economic, spiritual and legal problems. Nurses often look after many terminal patents with these types of complicated problems. Therefore, educating the nurses who will take care of such patents would greatly reduce stress so the patents end could their lives in peace and without losing their dignity. This research is a quasi experimental study of nonequivalent control group. A pretest-posttest design where a basic education program is developed for nurses, who frequently treat terminal patents, to understand the importance of the role of hospice and to apply their understandings to treat terminal lancer patents. A sample of the nurses were taken from those who were working in general wards at two general hospitals in Seoul during October, 2003${\sim}$December 2003. The study was composed of 46 experimental group and 43 control group. A basic hospice education program was developed by taking emphasized and overlapping parts from advanced practice hospice nurses education course, short-term education course, an extensive literature survey and by consulting three professionals as well. With the group of 5 professors with vast experiences in oncolgy, 5 nursing administrator, 3 nursing practitioner, the tentative first version of the program was developed and reviewed. Afterwards, by utilizing person to person interviews with 2 head nurses experienced with terminal patients, 1 nurse in charge of hospice, 1 nurse on the contents of the program, and a person to person rating on the educating medium by a nurse were performed. The final version of a basic education program was developed after the second revision. The hospice basic education program consists of introduction to hospice, hospice and commucation, management of pain for terminal cancer patients, physical management for terminal cancer patients, socio-psycological caring of terminal cancer patients and management of death and separation. Total education time was four hours organized into 50 minutes of instruction and 10 minutes of break. $Powerpoint^{(R)}$ software was used as the education medium. As research tools, "Knowledge on Hospice" was developed by the author after receiving a review from one expert. "Attitude of Hospice Nursing" was revised Kim(2001)'s attitude measuring tool which was based on Wang(1998), Kwon(1989), Park and Sung(1991)'s tool. "Liability on nursing terminal patients" was used as developed by Zarits(1980) and Mongomory(1985) translated by Lee(1985). For collecting data, preliminary investigation prior to 1 week of the hospice basic education program and post-investigations after 1 week and 4 weeks of the education were carried out for the nurses at a general ward who understood and agreed on the purpose of the program. Collected data were analyzed throughout t-test, $x^2-test$, Manova test and Bonferroni correction in $SAS^{(R)}$ program. The summary of the investigation is as follows: Hypothesis 1: "Educated experimental group would possess more knowledge on hospice compared to the un-educated control group" was supported after 1 (F=12.14, p=.00) and 4 (F=5.3, p=.02) weeks of education. Hypothesis 2: "Educated experimental group would take a positive attitude toward hospice nursing compared to the un-educated control group" was supported after 1(F=3.92, p=.05) and 4(F=5.05, p=.02) weeks of education. Hypothesis 3: "Educated experimental poop would feel less liability compared to the un-educated control group in nursing terminal cancer patients' was rejected. In this study, it was found that knowledge on hospice was significantly important. By applying hospice basic education programs to nurses, the education program helped nurses to take a positive attitude toward terminal patients. It was, however, seen that the education program had no effect on alleviating liability in nursing terminal patients. Therefore, it is expected that this educational program would help hospices and nurses at general wards to understand the concept and the role of hospice so that terminal patents, now neglected under current medical system, would be able to end their lives in peace.

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Study on Change of Algae Occurrence Before & After Gangcheon and Ipoh Weir Construction at Namhan River (남한강 강천보와 이포보 건설 전·후 조류 발생의 변화에 대한 연구)

  • Chae, Soo-Kwon;Oh, Seung-Eun;Chun, Seung-Hoon;Ahn, Hong-Kyu
    • Journal of Wetlands Research
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    • v.18 no.4
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    • pp.394-403
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    • 2016
  • This study was carried out to verify change and relationship between the concentration of chlorophyll-a and environmental factors including weather, water quality and discharge at before & after Gangcheon and Ipoh weir construction at Namhan river, based on the weather and water quality data provided by the measuring network. We classified the period of before & after weir construction by the cluster analysis with Ward's method, and also through the correlation analysis between the concentration of chlorophyll-a and environmental factors, the influence factors related with algae occurrence(Chlorophyll-a) were analyzed. The result by cluster analysis based on data of the total 12 factors (water temperature, rainfall, daylight, pH, DO, BOD, COD, T-N, $NH_3-N$, $NO_3-N$, T-P, $PO_4-P$) from 2005 to 2015 indicated a clear classification into two periods, before(2006-2007) & after (2012-2013) weir construction. After weir construction, class of BOD at Gangcheon weir was better than before, changed from II class to Ia class, and likewise class of BOD at Ipoh weir was improved from II-III class to Ia-IIclass. Also T-P and T-N concentration also were to be improved in general after weir construction. Concentraion of Chlorophyll-a afterGangcheon and Ipoh weir construction was to be decreased. However, frequency of algae warning was increased from 9 to 15 after Ipoh weir construction due to increasing of HRT and water temperature. After weirs construction, the result of correlation analysis between weather, water quality and discharge and concentration of chlorophyll-a indicated a positive correlation, order of BOD(0.579) > COD(0.413) > temperature(0.237), and a negative correlation, order of $NO_3-N$(-0.344) > T-N(-0.293) at Gangcheon weir. And there were likewise positive correlation, order of BOD(0.795) > pH(0.581) > Water temperature(0.422), and negative correlation, order of $NO_3-N$(-0.457) > T-N(-0.371) > $NH_3-N$(-0.326) > $PO_4-P$(-0.288) > Discharge(-0.213) after Ipoh weir construction. Although water quality after Ipoh weir construction was generally improved, increase of frequency of algae warning occurrence was influenced by change of water conditions such as reduction of the velocity, increase of HRT and water temperature, etc impacted strongly by change of the stream flow more than change of water environments after weir construction.

Effects of Sowing Date on Grain Filling and Related Traits in Winter Barley (파종기 차이가 보리의 등숙과 등숙관련 형질에 미치는 영향)

  • 류용환;이창덕;하용웅
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.37 no.1
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    • pp.93-103
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    • 1992
  • Experiments were conducted in the research field of the Wheat and Barley Research Institute with three barley cultivars, Olbori, Kangbori and Suwon 18, which showed different growth characteristics. The highest rates of daily dry matter accumulation in grains were 1.03 1.94 mg / grain / day in early and optimum sowings and 0.88 1.88 mg / grain / day in late sowings, which occurred around 20~30 days after heading in early and optimum sowings and 15~20 days after heading in late sowings. Grains reached their maximum weight by 40 days after heading in early and optimum sowings and 35 days after heading in late sowings. Total sugar content in grains followed a pattern of linear increase immediately after heading, but it started to decrease around 20 days after heading. On the other hand, starch content continued to increase until maturity. The contents of both components were high in the order of &apos;Olbori&apos; &gt; &apos;Kangbori&apos; &gt; &apos;Suwon 18&apos;, but they did not respond in a regular pattern to different sowings. 1,000 grain weight showed highly significant positive correlation(r=0.767$^{**}$) with the duration of grain growth, but it had negative correlations with the average (r=-0.548$^{**}$) or the sum (r=-0.595$^{**}$) of post-anthesis daily mean temperature.ature.

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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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Flowering and Pod Setting Characteristics of Peanut Varieties as Affected by Planting Date (파종기에 따른 땅콩 품종의 개화 및 결협 특성)

  • 정영근;오윤섭;김종태;오명규;박기훈;박문수
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.42 no.4
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    • pp.410-415
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    • 1997
  • To investigate the flowering and pod setting characteristics of peanut, Dae-kwangtangkong and Shinnamkwangtangkong were planted on April 20 and May 10 in 1994 at National Honam Agricultural Experiment Station. Number of days from planting to the maximum flowering in Daekwangtangkong were shorter than those of Shinnamkwangtangkong by 6 days in April 20 planting and by 13 days in May 10 planting. Flowering durations of Daekwangtangkong and Shinnamkwangtangkong in April 10 planting were 73 and 71 days, respectively, while those of both varieties were 64 days in May 10 planting. The rates of matured pods on cotyledonary, primary or secondary, and third branches were 58∼78, 6∼15 and 0∼2%, respectively. The rates of effective flowers in Daekwantangkong and Shinnamkwangtangkong were 10% and 8%, respectively, in April 20 planting. The rates of matured pods were 100% in Daekwangtangkong and 97% in Shinnamkwangtangkong when pods were set within 15 days after the initial flowering, while the rate was decreased markedly when pods were set later than 35 days after the initial flowering.

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Effect of Foliar Application of Boron on Growth and Yield in Sesame (붕소 엽면시비가 참깨가 생육 및 수량에 미치는 영향)

  • 정병관;김동관
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.41 no.4
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    • pp.441-449
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    • 1996
  • This study was conducted to find the changes of growth, seed yield and several characteristics of sesame by leaf spray of boron as a solution which is likely to be lack in the soil. It is carried out at low land developed 5 years ago. The amount of 200l /l0a boron as boric acid is sprayed in each treatment at the 11 node stage of sesame in main stem. The spraying concentrations of boric acid are 0.0, 0.2 and 0.4% in each treatment of the level low plot and the ridge height 15cm plot. The result shows that leaf area is increased in proportion to the concentration of boric acid in each treatment of the level low and the ridge height 15cm, and the degree of increase of each node order is remarkable in lower leaves and is more remarkable in the treatment of level low plot. The effects of leaf spray of boric acid are not only the increase of leaf area but also dry weight, no. of capsule per plant, 1,000 grains weight of capsule setting under middle position. As a result, the amount of seed is increased in 53% in the treatment of level low. The change of major characteristics according to leaf spray of boric acid is generally great in the treatment of level low. Especially the increase of leaf area in the part of upper leaves and low leaves is effective to improve other characteristics.

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