• Title/Summary/Keyword: NANDA

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Validation of Major Nursing Diagnosis-Outcome-Intervention(NANDA-NOC-NIC) Linkage for Adult Surgery Patients of Post Anesthetic Care Unit (회복실 성인 수술환자의 주요 간호진단, 간호결과 및 간호중재 연계검증)

  • Cho, Eun Jaung;Kim, Nam Cho
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.141-151
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    • 2008
  • Purpose: This study aimed at applying a standardized nursing process to adult surgery patients of post anesthetic care unit, and examining the validity of linkages in the measuring index of nursing outcome by which nursing outcome was applied. Method: The subjects were 184 surgery adult patients admitted at the post anesthetic care unit of Y university hospital. This study was used the measured tool developed by Choi et al.(2004) and by Lee (2004) who had already verified a validity based on Johnson and Bulechek's study(2001). Results: The nursing diagnosis of an acute pain, an urinary retention, a nausea, a decreased cardiac output, an ineffective airway clearance and an ineffective airway clearance were used in taking care for patients. The related factors according to the main nursing diagnosis were as the following: an injurious physical factor in an acute pain, reflex are inhibition in an urinary retention, post surgical anesthesia in a nausea, stroke volume change in a decreased cardiac output, secretory stasis in an ineffective airway clearance, pain in an ineffective breathing pattern. Conclusion: The study results could be facilitated in nursing process application for nurses at post anesthetic care unit. Also this study would provide basic data to develop a computerized program for the improvement of nursing process application.

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An analysis of using trend and relationship among DRGs, Nursing Diagnoses and Nursing Interventions (DRG, 간호진단, 간호중재의 활용경향 및 관계분석;미국의 일 지역을 중심으로)

  • Jung, Myun-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.2
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    • pp.207-219
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    • 2002
  • The purposes of this research were to: a) define the changing trends of DRGs in comparison to the National Data, b) define the changing trends of Nursing Diagnoses and Nursing Interventions for the 5 most frequently occurring Diagnostic Related Groups (DRGs) across 3 years, and c) define the relationships between nursing diagnoses and nursing Interventions for the 5 most frequently occurring DRGs across the 3 years. This study was a secondary data analysis of medical and nursing data based on the United States Nursing Minimum Data Set and the Uniform Hospital Discharge Data Set retrieved from a Midwestern USA medical center. The results showed interesting comparisons with national statistics as well as practice relevant trends within the nursing data. Additionally, the results showed the possibility that nursing data can be extracted from the medical data, so they can used in the nursing productivity and cost issues etc. In conclusion, this study supports the power of minimum data sets and nursing classifications to begin to describe a more global perspective the inter-relationships and trends of nursing data within the medical diagnosis context.

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Development of a Conceptual Framework of Nursing from Selected Concepts of Nursing Diagnoses (간호진단 분류체계에 근거한 간호개념틀 개발)

  • 김조자
    • Journal of Korean Academy of Nursing
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    • v.26 no.1
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    • pp.177-193
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    • 1996
  • For the purpose of integrating nursing diagnosis into the nursing curriculum, a descriptive survey research was done using the inductive method with questionnaires and a literature review. Research subjects included nurse educators, textbooks of adult nursing published in Korea, and the course outline for adult nursing used in one college of nursing. The Results show that there was common agreement on 39 nursing diagnosis which should be in cluded in the adult nursing curriculum, textbooks of adult nursing, and patient care on the medical-surgical units. The two existing nursing diagnosis classification systems(NANDA and Gordon's Human Response Patterns) show different basic frameworks and difficulties were discovered in integration of nursing diagnosis into the curriculum. To develop a conceptual framework for a nursing diagnosis classification system, diagnosis were classified into three categories ; health promotion, high risk problem, and actual problem on the basis of the framework used in adult nursing textbooks and Gordon's 11 Functional Health Patterns. Subconcepts for actual problems were classified as ; activity and rest, nutrition and elimination, perception and coordination, stress and coping. Progress in this study supports further development of a conceptual framework of nursing based on a nursing diagnosis classification system, from which improvement in nursing education and clinical practice can be expected.

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Structure elucidation of a newly isolated saponin from Clerodendrum serratum (L) Moon

  • Bhujbal, Santosh S.;K.Nanda, Rabindra;S.Deoda, Ramesh;Kumar, Dinesh;Kewatkar, Shailesh M.;S.More, Laxmikant;J.Patil, Manohar
    • Advances in Traditional Medicine
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    • v.10 no.4
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    • pp.319-321
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    • 2010
  • Plant saponins are widely distributed amongst plants and have a wide range of biological properties. Icosahydropicenic acid, $C_{51}H_{80}O_{19}$ ((4S,6bS)-8a-((4,5-dihydroxy-6-methyl-3-((3R)-3,4,5-trihydroxy-6-methyl-tetrahydro-2H-pyran-2-yloxy)-tetrahydro-2H-pyran-2-yloxy)carbonyl)-2-hydroxy-4, 6a, 6b, 11, 14b-pentamethyl-11-(2-methylprop-1-enyl)-3-(3,4,5-trihydroxy-6-(hydroxymethyl) - tetrahydro-2Hpyran-2-yloxy)-1, 2, 3, 4, 4a, 5, 6, 6a, 6b, 7, 8, 8a, 9, 10, 11, 12, 12a, 14, 14a, 14b-icosahydropicene-4-carboxylic acid), a new saponin was first time isolated from the roots of Clerodendrum Serratum (L) Moon (Verbenaceae). The structure elucidation of the compound was carried out by $^1H$ NMR and DART-MS studies.

Autotransplantation: A biological treatment alternative for a patient after traumatic dental injury

  • Vishwanath, Meenakshi;Janakiraman, Nandakumar;Vaziri, Hamed;Nanda, Ravindra;Uribe, Flavio
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.125-130
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    • 2018
  • Traumatic dental injury is considered a public dental health problem because of a high childhood incidence, high treatment costs, and prolonged treatment time. Although management guidelines for traumatized teeth have been outlined, tooth loss following trauma is occasionally unavoidable. Here, we describe the successful interdisciplinary management of a traumatized central incisor in an 11-year old boy that was extracted because of a poor prognosis and restored by the autotransplantation of an immature donor tooth into the site. The patient underwent orthodontic treatment in order to close the donor site space and bring the autotransplanted tooth to an ideal position. Postorthodontic treatment radiographs and photographs revealed an esthetic and functional natural tooth replacing the lost tooth. The findings from this case suggest that autotransplantation offers unique advantages as a treatment modality for the restoration of missing teeth, particularly in growing children.

Effect of graphite particulate on mechanical properties of glass fibre reinforced composite

  • Bhattacharjee, Antara;Roy, Kanchan;Nanda, B.K.
    • International Journal of Aerospace System Engineering
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    • v.7 no.1
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    • pp.16-20
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    • 2020
  • The recent trend is increasing towards the usage of polymer matrix composites since they have a wide variety of applications. They have applications in the field of aircraft and space industry, sporting goods, medical devices, marine and automotive applications and also in commercial usage. The most commonly used fibre-reinforced polymer matrix composite is Glass fibre reinforced epoxy (GFRE) composite which is used in aviation, sports and automotive industries. However, the strength of GFRE composites is not adequate for structural applications. Therefore, the current research focuses on increasing the strength of GFRE composites by reinforcing with micro Graphite (Gr) particulates. The Gr used is an ultra-fine powder with particle size 250 ㎛. Gr is known to have good wear resistance, thermal conductivity and can operate at high temperatures. Gr particulates are mixed with the epoxy matrix in various weight ratios. Hand-lay technique is used for fabricating the composites. Mechanical properties such as tensile strength, elongation, compressive strength and flexural strength are obtained experimentally to study the effect of change in Gr content (0-5 wt. %). The tests were done as per ASTM standards.

Reliability based partial safety factor of concrete containing nano silica and silica fume

  • Nanda, Anil Kumar;Bansal, Prem Pal;Kumar, Maneek
    • Computers and Concrete
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    • v.26 no.5
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    • pp.385-395
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    • 2020
  • The influence of combination of nano silica and silica fume, as partial cement replacement materials, on the properties of concrete has been studied through the measurement of compressive strength. The compressive strength of concrete in terms of mean, standard deviation and with-in-test coefficient of variation related to the variation in the nominated parameters have also been developed. The compressive strength data developed experimentally has been analyzed using normal-probability distribution and partial safety factors of composite concretes have been evaluated by using first order second moment approach with Hasofer Lind's method. The use of Nano silica and silica fume in concrete decreases the partial safety factor of concrete i.e., increase the reliability of concrete. The experimental results show that the properties of concrete having nano silica and silica fume in combination were better than that of a plain concrete. The SEM test results showing the level of Ca(OH)2 in plain concrete and consumption level Ca(OH)2 of concrete containing nano silica & silica fume have also been presented.

Development of an Evidence-based Nursing Process System to Improve Clinical Decision Making with Colorectal Cancer Nursing Diagnosis (임상의사결정 향상을 위한 근거 기반 간호과정 시스템 개발-대장암 간호진단을 중심으로-)

  • Park, Hyun Sang;Cho, Hune;Kim, Hwa Sun
    • Journal of Korea Multimedia Society
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    • v.19 no.7
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    • pp.1197-1207
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    • 2016
  • The purpose of this study was to develop an evidence-based Nursing Process System on Nursing Diagnosis, Nursing Outcomes, and Nursing Interventions Classification targeting nurse students. We use standard classification-focused research data on the basis of Nursing Diagnosis Classification established by NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification) and NIC (Nursing Interventions Classification) mainly developed by Iowa Sate University. The existing research methods are difficult to be applied the consistent nursing process, since such methods need to repeatedly enter the same nursing process without systematic guidelines. But, this study was coded data of standardized nursing process in accordance with the 10 clinical condition in order to implement the nursing process macro, and developed a system that reflects the needs of nursing educators. Therefore, nurse students can improve clinical decision-making ability, and naturally learn the nursing process through a system developed.

Competing Market, Bureaucratic and Professional Work Logics in the Design and Implementation of IT on Professional Work : The Case of Medicine

  • Chiasson, Mike;Kumar, Nanda
    • Journal of Information Technology Services
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    • v.15 no.1
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    • pp.39-66
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    • 2016
  • There is growing evidence that professional work is changing as a result of the application of information technology (IT). However, the impact of information technology on professional work has produced mixed results. Our paper considers the source of these mixed results through a greater analytical attention paid to the nature of professional work. Defined as work involving expertise expressed through abstract and formalized knowledge as well as extensive working knowledge, the professional work logic assumes the greatest autonomy and discretion for workers in collectively controlling work characteristics-division of labor and its permanence, control over education, and control over new entrants and the monitoring and disciplining of existing members. The impact of IT on professional work will be difficult to control and predict without considering the assumptions and tensions within and across the three major types of work logics (Professional, Market and Bureaucratic). Using healthcare as an example, the paper provides various propositions for researching the initiation and effects of ICT design through these three work logics. These propositions illustrate the active role that IS researchers can take in researching an important economic and work-related topic, professional work, and in understanding how ICT affects work-related expertise.

The Validity of Nursing Diagnosis in Rehabilitation Nursing (재활간호단위에 적용되는 간호진단의 타당도)

  • Kang, Hyun-Sook;Lim, Nan-Young;Suh, Moon-Ja;Kim, Kuem-Soon;Yang, Kwang-Hee;Lee, Myung-Hwa;Cho, Bok-Hee;Oh, Hye-Kyung
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.1
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    • pp.45-60
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    • 1999
  • This study was conducted to investigate the nursing diagnosis applying to rehabilitation unit. The subject of this study was consisted of 101 nurses who have been working over 1 year in rehabilitation unit. The clssification of nursing diagnosis used NANDA's system and analysis of the validity was based on Fehring's model. In summury of this study. some dirrerences were found in related factors in nursing diagnosis between rehabilitation and general unit. Major related factors of nursing diagnosis were physical factors associated with neuromuscular disorder. Valid related factors in altered nutrition more than body requirements was not found for rehabilitation unit. It is helpful for the nurses who work at rehabilitation unit to apply the nursing diagnosis validated in this study. This finding can be used as the database for accomplished nursing diagnosis appropriate for improving the rehabilitation nursing practice.

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