Purpose: The purposes of this study were to develop an educational program to reduce the use of physical restraints for caregivers in geriatric hospitals and to evaluate the effects of the program on cargivers' knowledge, attitude and nursing practice related to the use of physical restraints. Methods: A quasi experimental study with a non-equivalent control group pretest-posttest design was used. Participants were recruited from two geriatric hospitals. Eighteen caregivers were assigned to the experimental group and 20 to the control group. The data were collected prior to the intervention and at 6 weeks after the intervention through the use of self-administered questionnaires. Descriptive statistics, $\chi^2$ test, Fisher's exact probability test, and Mann-Whitney U test were used to analyze the data. Results: After the intervention, knowledge about physical restraints increased significantly in experimental group compared to the control group. However, there were no statistically significant differences between the groups for attitude and nursing practice involving physical restraints. Conclusion: Findings indicate that it is necessary to apply knowledge acquired through educational programs to nursing practice to reduce the use of physical restraints. User friendly guidelines for physical restraints, administrative support of institutions, and multidisciplinary approaches are required to achieve this goal.
The Journal of Korean Academic Society of Nursing Education
/
v.11
no.2
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pp.206-213
/
2005
Purpose: The purpose of this study was to test the effects of clinical practice in school on clinical competence in nurse. Method: This study used a quasi experimental post-test design. Data were collected after post-test from April 1, 2005 to May 30, 2005 and from 73 clinical nurses(53 experimental group, 20 control group) who work for 4 General hospitals. Data were analyzed using SPSSWIN 11.5 with $X^2$-test, t-test, Mann-Whitney U-test, and stepwise multiple regression. The experimental group participated in treatment : 4-week consecutive clinical nursing education with preceptor in schooling, and the control group participated in treatment : traditional clinical nursing education with preceptor in schooling. Results: Clinical competence were significantly different between experimental and control groups(t=3.221, p=.002). Clinical competence in nurse is effected by satisfaction of clinical practice in schooling in experimental group(F=14.781, p=.000). Conclusion: 4-week consecutive clinical nursing education with preceptor has an effect on clinical competence in nurse. Therefore we should spread and reinforce the 4-week consecutive clinical nursing education program for improving clinical competence of nurse.
Purpose: This study was conducted to investigate the effects of problem-based learning-integrative simulation practice (PBL-ISP) on nursing knowledge, critical thinking, problem-solving ability, and immersion among nursing students. Methods: The study used a nonequivalent control group post-test design. A PBL-ISP educational program was provided to the experimental group, and hands-on practice using a high-fidelity simulator (HFS) was administered to the control group. There were 42 subjects in the experimental group and 40 in the control group. Data were collected during the fall semester of 2019. Using SPSS for Windows version 23.0, data were analyzed in terms of frequency, percentage, mean, standard deviation, the chi-square test, t-test, and Pearson correlation coefficients. Results: Significant differences between the experimental and control groups were found in nursing knowledge (t=3.67, p<.001), critical thinking (t=3.40, p=.001), problem-solving ability (t=3.52, p=.001) and immersion (t=4.44, p<.001). Conclusion: PBL-ISP was more effective in improving nursing knowledge, critical thinking, problem-solving ability, and immersion than was hands-on practice using an HFS.
Purpose: This study aimed to investigate the effects of organ donation education on undergraduate students' knowledge, attitude and practice will to organ donation. Methods: The study used a quasi-experimental design. A total of 164 students from K university, Seoul, Korea were recruited; 74 in the experimental group and 90 in the control group. The experimental group received an education on organ donation developed by researchers. A structured questionnaire was used to measure the student's knowledge, attitude and practice will to organ donation before and after the education. Data were analyzed using t-test, ${\chi}^2$-test, and ANCOVA with SPSS WIN 21.0 program. Results: After the intervention, we found that the scores of knowledge, knowledge of the definition of brain death, donation attitude, total scores of attitude, emotional attitude, and behavioral attitude were significantly higher in the experimental group than the those of control group. Total knowledge scores were positively correlated with subscales of the knowledge scale and all subscales of attitude toward organ donation. Conclusion: The results indicate that organ donation education is effective to enhance knowledge and attitude to organ donation in undergraduate students.
Journal of Korean Academy of Fundamentals of Nursing
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v.21
no.2
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pp.112-122
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2014
Purpose: The purpose of this study was to examine the effects on body temperature, shivering, and perceived thermal comfort of web-based evidence-based practice guideline for patients undergoing gastrectomy. Methods: Eighty patients scheduled for gastrectomy were recruited and assigned to the control or experimental group by sequential order. Before collecting data from the experimental group, a systematic educational program on evidence-based guidelines was provided to the nurses as well anesthesiologists. Data were analyzed using t-test and repeated measured ANOVA. Results: The experimental group showed higher body temperature from the induction of anesthesia until four hours after surgery compared to the control group. In addition, the levels of thermal comfort as well as satisfaction with thermal management were significantly higher in the experiment group. Conclusion: Use of evidence-based guidelines was effective in maintaining body temperature, lowering sensitivity to shivering, and promoting perceived thermal comfort. Therefore, adoption of evidence-based interventions in nursing practice is recommended.
Yang, Haewon;Kim, Heesoo;Choi, Jung Sook;Kim, Sun Hwa;Kim, Eun Kyung
Korean Journal of Family Social Work
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no.61
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pp.93-136
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2018
The purpose of this study is to find specific practice methods of single parents self-help groups in community welfare centers. A participatory action research was conducted to achieve the purpose. Six social workers and three researchers participated in the study who shared the problem of lack of specific practice methods even though a self-help group was useful for self-reliance and empowerment of low-income single-parents. Various activities such as reading articles, analysis of each self-help group, case studies, and learning facilitation methods were conducted during 10 meetings. At the same time, peer supervision proceeded at each meeting. The progress of each group was shared, the application of practice methods and plans were discussed, and applying discussed methods to group practice and reviewing the process and outcomes of the practice were repeated in the peer supervison. As a result, the following positive changes appeared: First, the goals and vision of each group became clearer. Second, initiative of the members was promoted. Third, intimacy, mutual cooperation, the attatchment to the group were strengthened. A qualitative analysis was also conducted on the content discussed. As a result, 17 practice methods were derived in four themes such as initiative/ empowerment, cohesion, leadership, and destandardization. Practice issues concerning single parents self-help groups in community welfare centers were discussed based on the results.
Journal of Korean Academy of Fundamentals of Nursing
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v.6
no.1
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pp.7-17
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1999
This study investigated the degree of knowledge achievement and self-confidence in aseptic technique as a part of the fundamental nursing practice classes. The subjects were 220 nursing students in a junior college in Chonnam and an applied Quasi-experimental research methodology was used thirty of them comprised an experimental group to examine learning according to the teaching method. Wata were collected over 80 days, from April to June 1988, analyzed using descriptive statistics, percentages, means, t-test, one way ANOVA, Pearson's correlation coefficient and stepwise multiple regression with the SAS program. The conclusions are as follows. 1. The mean score of the degree of knowledge achievement of aseptic technique of the 220 students was 0.68(possible score 1.0) before the lecture but was 0.88 after lecture(p=.000). 2. The mean score for aseptic technique of the 220 students was 3.41(possible score 5.0) before practice but was 4.27 after practice(p=.000). 3. The correlation of self-confidence before and after practice was relatively low(r=.25, p=.000). 4. The mean score of the degree of knowledge achievement of aseptic technique in the experimental group(selected 30 students) was 0.72 before the lecture but was 0.90 after the lecture. 5. The mean score of self-confidence on aseptic technique in the experimental group(selected 30 students) was 3.18 before practice but was 4.32 after practice(p=.000). 6. The mean score of learning according to the type of teaching to aseptic technique for the experimental group(selected 30 students) was 23.2(possibel score 34) after lecture and presentation, was 27.3 after learning through video tape, was 31.7 after presentation through practice, was 33.7 after first practical training, and was 34 after secondary practical training. As a result of this study, learning methods in the education of fundamental nursing skill effective for knowledge achievement and competence in practicing skill.
The weaning practice of infants from 5 to 12 months of age in the area of Chunchon, Kangwon-do was studied. Subjects were divided into 2 groups depending on residential area, monthly family income and mother's educational level. Parents of group 1 (n=90) received higher education and more monthly family income than those of group 2(n=32). The family income was significantly higher in group 1 than in group 2. Mother's educational level has been markedly improved over 10 years, which affected the feeding methods before weaning in both groups(P<0.05). Group 1 appeared to be bottle-fed. Bottle-and mixed-feeding were mainly due to lack of breast milk. 95.6% of group 1 and 71.9% of group 2 started weaning before the age of 6 months and only 16.4% were completely finished regardless of the groups. Commercially prepared foods were used more than home-made for first given-supplementary food. 82.2% of group 1 received fruits and 84.4% of group 2 cookies/crackers as their main supplementary foods. As the motivation of onset of weaning, 'for baby's health and nutritional status' was the most common. These results demonstrate that there are distinct differences between these 2 groups in 1) the feeding methods prior to weaning, 2) time of onset of weaning, and 3) main supplementary foods, influenced by mother's educational level, economic purchasing power, or subjects birth order.
The Journal of Korean Academic Society of Nursing Education
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v.7
no.1
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pp.54-67
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2001
This study was tried to investigate the effectiveness of assertive training on the state anxiety and assertive behavior which nursing students had experienced during clinical practice training from April 29, to June 5, 2000. Subjects for this study were thirty-six nursing students of practicing in a general hospital. Eighteen nursing students were assigned for the experimental group and trained by assertive training program during 4 weeks and eighteen nursing students were assigned for the control group. The assertive training program was composed of cognitive, behavioral and emotional assertive training. Post- test assessment was administrated to all subjects on a week later after the last session. The data were analyzed with SPSS PC programs. The results of this study were summarized as follows: 1) There were no significant differences between the experimental group and the control group on post- intervention comparisons of the state anxiety score (p=0.230), but in the experimental group, the anxiety score more decreased after the assertive training than that in the control group with significant differences(p=0.019). 2) There were no significant differences between the experimental group and the control group on post- intervention comparisons of assertive behavior (p=0.530). However, after the assertive training, the experimental group became more assertive than the control group with no significant differences(p=0.721). 3) The hypothesis that the more the assertive behavior, the less the state anxiety experienced by nursing students of clinical practice training was supported(r=-0.397, p=0.017). On the basis of this study results, the assertive training is effective for the reduction of the state anxiety experienced by nursing students of clinical practice training.
The purpose of this study was to examine the self-perceived fatigue among 262 dental hygiene students, who have recently experienced clinical practice. In this study, a structured self-reported questionnaire was used to assess and analyze the severity of fatigue among the population. This study was performed from January to September in 2013 to effectively encompass clinical practice. The results are as follows: The self-perceived fatigue of the subjects was significantly higher in a subjective unhealthy group than a subjective healthy group (p=0.000), in a group that was unsatisfied with their program than a group that was satisfied with it (p=0.000), in a group that had dissatisfaction in clinical practice than a group that had satisfaction with it (p=0.000), in a group that had over five weekly of clinical practice than a group that didn't (p=0.000), in a group that had more than 100 patients a day than a group that didn't (p=0.000), in a group that had conflicts between fellow staff than those who didn't (p=0.000), in a group that did not exercise regularly than a group that did (p=0.016). The result of using multiple regression analysis revealed that the variable factors affecting the degree of the self-perceived fatigue were; subjective health status, satisfaction with a clinical practice, the length of clinical practice, the number of patients, and staff conflicts. These variable factors have the explanatory power of 44.5%. In conclusion, to decrease fatigue and allow students in clinical practice to perform effectively, clinical practice educators need to actively participate as a community and develop programs that will decrease the fatigue of students. In addition, in-depth research is needed on the effects of outside factors and variables affecting fatigue.
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