Purpose: This study was done to identify participation by home healthcare nurses in clinical decision making and factors influencing clinical decision making. Methods: A descriptive survey was used to collect data from 68 home healthcare nurses in 22 hospital-based home healthcare services in Korea. To investigate participation, the researcher developed 3 scenarios through interviews with 5 home healthcare nurses. A self-report questionnaire composed of tools for characteristics, factors of clinical decision making, and participation was used. Results: Participation was relatively high, but significantly lower in the design phase (F=3.51, p=.032). Competency in clinical decision making (r=.45, p<.001), perception of the decision maker role (r=.47, p<.001), and perception of the utility of clinical practice guidelines (r=.25, p=.043) were significantly correlated with participation. Competency in clinical decision making (Odds ratio [OR]=41.79, p=.007) and perception of the decision maker role (OR=15.09, p=.007) were significant factors predicting participation in clinical decision making by home healthcare nurses. Conclusion: In order to encourage participation in clinical decision making, education programs should be provided to home healthcare nurses. Official clinical practice guidelines should be used to support home healthcare nurses’ participation in clinical decision making in cases where they can identify and solve the patient health problems.
The clinical practice program for home care nurses was implemented in June 1994, to help to set up a hospital-based home care system in the Kwangju City area as a collaborative work between the Department of Orthopedic Surgery at Chunnam University Hospital and Chunnam University School of Nursing. Under the developed clinical practice strategy, the eight week training was given to five licensed home care nurses who had completed Part I and II of the home health care nursing practicum from June 1994. The purpose of this descriptive evaluation study was to identify the effectiveness of the clinical practice program for home care nurses specialized in the area of patient care for people with musculoskeletal function impairment. As a method in data analysis, data triangulation was used in the five home care nurse case evaluations. The variety of data analyzed include confidence score by home care nurse self-evaluation, patient and family member satisfaction scores, and competency score by preceptor evaluation. The study findings revealed that an increase rate in nursing performance didrate necessarily coincide with an increase not in competency score and also, not with the patient /family member satisfaction scores. And an order derived from the clinical performance scores of five home care nurses corresponded to those from three measurements-competency score, patient satisfaction score, and family member satisfaction score. However, it differed from the order associated with the confidence score. Consistency derived from the three objective evaluation methods may lead to the possibility that the level of competency measured by educator can be further explained by the levels of patient/family member satisfaction. The salient finding of this study was that, in case of nurse A who have had little clinical experience in the orthopedic patient care, there was a significant increase in the level of confidence and competency in subscale of professional skill with the home care clinical practice. Therefore, the effect of the clinical practice program would be successful for nurses who have had little experience in the area of specialization. The study results suggest that there might be some time difference in the development of cognitive sense (confidence) in performance and actual clinical performance (competency). In future research, relationships between the confidence and competency score, and between the confidence score and the patient satisfaction score should to be measured in different time frame to achieve a better explanation power of the study outcome.
Journal of Korean Home Economics Education Association
/
v.18
no.2
s.40
/
pp.29-45
/
2006
This study was to investigate the perception of middle school students on the management of the curriculum $\ulcorner$Technology Home Economics$\lrcorner$ according to the 7th National Curriculum. The subjects were 494 third grade students from middle schools located in Seoul, in order to inquire into their perceptions through the questionnaire. The collected data was analyzed with the descriptive statistics, Pearson Chi-Square, t-test, and one-way ANOVA by SPSS Win ver. 12.0 program. The major findings were as follows: Firstly there were gender differences on the interests for the subject of $\ulcorner$Technology Home Economics$\lrcorner$. The girls who were interested in the subject were much more numerous than the boys, but only in the technology part of it, the boys were more interested than the girls. Secondly the students recognized that the experiment & practice for learning $\ulcorner$Technology Home Economics$\lrcorner$ was important. They, however, recognized that its operation in school was not enough to understand the contents. The higher a student viewed the importance of the experiment & practice on $\ulcorner$Technology Home Economics$\lrcorner$, the higher his perception of its usefulness in real life. Thirdly the highest ranking of its usefulness for the contents of the subject $\ulcorner$Technology Home Economics$\lrcorner$ was identified as 'the Computer and Information Processing' and 'the Nutrients and Diet in Adolescence'. These findings suggest that the importance of the experiment & practice was enhanced and the gender differences on the usefulness of the experiment & practice on the each units were considered in order to increase the degree of the students' interest and usefulness of the $\ulcorner$Technology Home Economics$\lrcorner$
The home health care industry has grown rapidly and can be expected to continue to grow in the foreseeable future. Home health care refers to the practice of nursing applied to clients with a health condition in the clients place of residence. clients and their designated care givers are the focus at home health nursing practice. The goal of care is to initiate. manage and evaluate the resources needed to promote the clients optimal level of well-being and function. Nursing activities necessary to achieve this goal may warrant preventive maintenance and restorative emphases to prevent potential problems from developing. Many project program were suggested home health care model for Korea's health care system and policy direction for expansion and establishment of home health care .But the aim of this paper is to provide on overview for theoretical frame work in home health care. Theories and conceptual frameworks or models are important nursing because they define and guide the boundaries of professional practice and identify key nurse-patient-caregiver relationships that emerge with caring. Following is the research with an investigation of the literature review in the University of Arizona international medline database, In conclusion, are as followers: First, many nursing theorists have had a tremendous impact on nursing practice. the following highlights those nursing theorists that are particularly helpful in understanding home health care. 1. Florence Nightingale : Our earliest theoretical legacy. Nightingale's believes are reflected in basic infection control practice such as hand washing and infectious waste disposal and are key nursing interventions in home care. 2. Martha Roger's :Science of unitary human beings theory. Rorger's believed that the focus of shared. non invasive healing modelities is the human environmental field rather than direct physical care. These modelities continue to evolve as our awareness (reflecting greater diversity, faster rhythms, motions, and ways of knowing) transcends time and space, allowing individuals to get in touch with their integral nature of unbroken wholeness. On people as ever changing energy fields have special relevance in home care especially with hospice and palliative care applications. 3. Madeline Leininger's; Transcultural nursing theory. Home care nurses move through a variety of communities and often care for patients from different cultural back grounds. Therefore Leininger's work has a good that with home care because home care nursing practice is very culturally focused. 4. Dorothea Orem's : Self care deficit theory. Orem's theory views care as something to be performed by both nurses and patients. The role of the nurse is to provide education and support that help patients acquire the necessary activities to perform self-care. Orem's theory is foundational to have care because it begins to truly acknowledge the role of the patient in managing his or her own health. which is referred to as self-care. 5. Margaret Neuman's; Health as expending consciousness theory. Neuman believes that health compasses disease and reflects an underlying pattern of person-environment interaction. A key application of 'Neuman's work to home care is for nurses to understand that health and illness do not necessarily exist at opposite ends of a continuum. 6. Jean Watson's: Theory of human caring. Watson's theory of human caring in nursing proposes human caring as the moral ideal of nursing. Nurses participate human caring to protect, enhance and preserve humanity by assisting individuals to fing meaning in illness. pain and existence and to help others gain self knowledge. self control. and self healing such thinking lends richness to theory development. as well as clinical practice in home care. Second, Robin Rice : Dynamic self determination for self care. (A theoretical framework for home care) Dynamical self determination for self care can be useful to home care nurses in a variety of ways. As research tool it can be reflected in the interview process when the home visit. The home care nurse's role is that of facilitator of patient self-determination for self care through numerous strategies. including patient education and case management.
This study was conducted to develop a home care nursing management system based on the validated and useful data base found through literature review. The contents and structure according to a development procedure for a computer system were as follows. 1. A data base on home care nursing patients was accumulated by putting data respectively in both steps and fields - from selection criteria. basic information. prescription. plan of home visits. to application of nursing process. 2. Accumulated data was classified and designed to search by basic information. drug/injection prescription. examination prescription, treatment prescription. supply. and a record of the nursing process. 3. Various forms of retrieval including graphs were elaborated in terms of diagnosis and intervention aspects.
This study explores the critical reflection process experienced by home economics preservice teachers during practicum. Data were collected in a critical analysis of class, practicum review, and journals written by sixteen preservice teachers. Text material were composed of 188 transcripts on A4 paper and 36 page of mini-notes. The collected data were analyzed by a thematic coding method in qualitative research and proceeded in the order of three steps of transference, coding, and subject discovery. The emerging themes were: 1) Observing class 2) Practicing class 3) Growth of class practice 4) Reflecting class. First, the observing class was an exploration process through the viewing of daily classes that involved the process of recognizing the classroom situation and various classroom contexts. Second, the practicing class was to strengthen the consideration of the class to form a relationship that could lead to learning in educational situations. Third, the growth of class practice was intended to recognize the orientation of the subject matter with pedagogical content knowledge. Four, the reflecting class was the process of experiencing practice with a continuous understanding of the class, class reflection, and changing the perspective from the current status. There is a part where critical reflection is difficult to be promoted deeply during 4 weeks; however, there was a possibility of a reflection practice that could promote achievement through the experience of a practicing class.
Purpose: This study was to develop a cost-effective and efficient curriculum for advanced practice nurse (APN) programs in home health care and hospice. Method: The process was to: (1) compare and analyze the present curriculum in home health care and hospice programs, (2) identify the needs of 7 expert nurses in home health care and hospice, and (3) develop a common curriculum structure and contents between home health care and hospice specialty courses. Result: Out of the 10 credits constituting the home health care and hospice specialty courses respectively, 6 credits were identified the common courses, Common content areas included introduction to hospice, communication skills, pain control. symptom control. teaching methods, and agency management. Conclusion: These results can be utilized in the development of APN programs for home health care and hospice in terms of qualified and cost-effective aspects of education.
From the students' point of view, this study was carried out to find out barriers to environmental conservation practice of secondary school students. According to the questionare and interview with secondary school students on barriers to environmental conservation practice at home, school, society and fellow-relation conditions and in personal psychology, the following findings were resulted. The major barriers to environmental conservation practice are (1) not doing environmental conservation practice of parents, friends and neighborhood, (2) having no interest in environment and environmental problems, (3) dirty and laboriousness of environmental conservation practice, (4) lack of environmental equipments, (5) the shortage of chance and time for environmental conversation practice, (6) lack of the inducement for environmental conservaton from school, (7) little effects of individual environmental practice, (8) a busy life, (9) shortage of the voluntary courage to practice for environmental conservation, (10) lack of compensation on the environmental conservation practice, (11) anti-environmental behavior among friends, (12) urging on edcation of parents. Those barriers related with home, school, society and fellow-relation anti-environmental conditions hold back environmental conservation practice of secondary school students. Those barriers are divided into three closely correlated tipes, (1) unpleasant traits of environmental conservation practice such as cleaning, recycling were linked with personal psychology, (2) lack of the social interest and practice for environmental conservation were linked with personal psychology, (3) the social atmosphere to urge on education was linked with students' busy life and the shortage of chance and time for environmental conversation practice. According to the results, attractive environmental education programs, home environmental education, cooperative environmental conservation programs, and inducements for environmental conservation are reguired of secondary school students to promote environmental conservation practice.
The purpose of this study was to investigate the relationship between the awareness of gender equality and practice of housing education contents in Technology Home Economics Subject of university students. Subjects were 488 university students located in JunBuk province. In this statistical analysis, SPSS 11.5 for Windows program was utilized to analyze frequency, t-test, one-way Anova, Duncan test, Ward's method, Pearson's correlation coefficient. The results of this study were follow: First, the university student's gender equality appeared a little above the middle level. Female student's gender equality was higher than male. Second, the university students' practice of housing education contents appeared at the middle level. Male students appeared to be higher than female at 'support and repair of housing' unit. Third, the higher university students have awareness of gender equality, the better they practice of housing education contents. Group one recording where the gender equality is high 'Living quarter application', 'Indoor environment and equipments' units the practice of housing education contents was high. Forth, correlation of variables differed significantly between university students' practice of housing education contents and the awareness of gender equality. As a conclusion, university students' awareness of gender equality play an important role in practice of housing education contents in their real life. These results should be provide fundamental information for improving of housing education contents in Technology Home Economics Subject.
The purpose of this study is to develop a meditation application to promote home practice in a meditation-based intervention program and test its effects. In most cases, meditation-based intervention programs put an emphasis on home practice, which means it is an important matter to increase motivation for home practice and encourage people to do home practice more. The investigator administered an eight-week Korean Mindfulness-based Stress Reduction (K-MBSR) program to college students participating in a liberal arts course at A University. While the experiment group (N = 22) received a meditation application, the comparison group (N = 19) received no meditation application. The amount of home practice was measured based on the practice logs kept by the participants. The difference in psychological effects between the groups was checked by measuring mindfulness, subfactors (noticing and return to body) of body awareness, life satisfaction, acceptance action, and sleep quality before and after the experiment. The findings show that the experiment group recorded significantly greater amounts of home practice than the comparison group. As for the effects of meditation, the experiment group recorded higher points in mindfulness, body awareness, life satisfaction, acceptance action, and sleep quality than the comparison group. These findings demonstrate that a meditation application can be useful as a means of assistance to promote the effects of a meditation-based intervention program. The study also discussed proposals for a follow-up study.
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