• Title/Summary/Keyword: Nurse's Practice Patterns

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Health as Expanding Consciousness: Based on the Experiences of Victims of Sexual Violence (의식확장으로서의 건강 -성폭력 피해자의 경험을 중심으로-)

  • Gong Su-Ja
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.913-923
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    • 2004
  • Purpose: This study was to explore health experiences of victims of sexual violence reflected in Newman's health as expanding consciousness theory. Method: Nurse as researcher use Newman's praxis methodology because it is good for showing the process of interaction between researcher and sexual abuse victims. Results: The significant characteristics of early health experiences during negative situations were a lot of suffering. However, after a turning point in health experience, the health experiences of most of the participants evolved as expanding consciousness. Conclusion: The study has provided support for Newman's theory of health. Most of the participants recognised meanings in their patterns and trustful caring relationships with the nurse as researcher. Pattern recognition as a nursing practice was a meaningful transforming process in the participant-nurse partnership.

A Study on Health as Expanding Consciousness of the Low-income Elderly Living Alone (저소득 독거노인의 의식확장으로서의 건강연구)

  • Shim, Moon-Suk
    • Research in Community and Public Health Nursing
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    • v.16 no.2
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    • pp.157-166
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    • 2005
  • Purpose: This study was to explore health experiences of the low-income elderly living alone reflected in Newman's Health as expanding consciousness theory. Method: The researcher used Newman's praxis methodology because it is good for showing the process of interaction between the researcher and the low-income elderly living alone. Results: The significant characteristics of early health experience during a participant's lifetime were demonstrated that blamed themselves, being burden of themselves hopeless of their lives. However, after a turning point in health experience. The health experience of most of the participants evolved as expanding consciousness. Conclusion: This study has provided support for Newman's theory of health. Most of the participants recognized meanings in their patterns and authentic caring relationships with the nurse as researcher, pattern recognition as a nursing practice was a meaningful transforming process in the participant-nurse partnership. This participatory approach expands the scope of sharing health experience with the elderly living alone and with caring community people.

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Content Analysis of the Student Nurse's Critical-reflective Clinical Practice Experience (간호학생의 비판적, 반영적 임상실습 경험 내용분석 - 임상실습 지식 습득 과정 -)

  • Jo, Kae-Hwa
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.310-319
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    • 2003
  • The purpose of this study was to determine what effect reflection on clinical practice experience had students as learners and care providers. Qualitative research method was used to study a group of four-year undergraduate nursing course. Content analysis was done using the classification method of Carper's four patterns of knowing. Results of the study indicated that the use of the reflective process of clinical debriefing and journaling was impact on the aspect of nursing science, moral component of knowledge in nursing, personal knowing in nursing and the art of nursing. Especially, students moved from a passive to a more active mode of learning. The most significant finding was that over time, reflective processes resulted in the emergence of the client as the central focus of care. It was suggested that reflection was an important learning tool in professional education and that the skills required for reflection need to be developed in professional courses.

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Study on the Subjectivity about Nursing Student's Image of Professional Nurse before Clinical Practice (임상실습 전 간호대학생의 전문 간호사 이미지에 관한 주관성 연구)

  • Kim, Yun-Jeong
    • The Journal of the Korea Contents Association
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    • v.14 no.5
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    • pp.224-234
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    • 2014
  • This study designed to nursing student's image of professional nurse before clinical practice using Q-methodology. Using Q-methodology, 43 nursing student sorted 34 statements selected professional nurse type. The statement positions on the sorting continuum were scored from +4(representing the highest level of agreement) through 0(at the neutral position on the continuum) through -4(representing the highest level of disagreement). Factor analysis of the data was undertaken using PC QUANL software to determine if any patterns were discernible. The three factors extracted eigenvalues greater than 1.0 and explained approximately 53.94% of the variation in responses(41.63, 7.41 and 4.9% respectively). The categories were labeled 'Nightingale's nursing philosophy type', 'Consideration of patient type' and 'Self-development type'. Twenty-two students who located to factor 1 "Nightingale's nursing philosophy type". Eleven students who located to factor 2 "Consideration of patient type". Three students sho located to the factor 3 "Self-development type". The significant differences found in the subjective structure of nursing student's image of professional nurse. The study results can be utilized in both an effective nursing education and clinical practice.

Development of a Family Pattern Appraisal to Guide a Rogerian Nursing Practice (Rogers 이론에 근거한 가족양상 사정지침개발)

  • 이광옥;한영란;김희정
    • Journal of Korean Academy of Nursing
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    • v.25 no.4
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    • pp.751-773
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    • 1995
  • We, clinical nurse specialists practising and guiding student practice in a Community health nursing clinic, wanted to develop a family pattern appraisal consistent with Rogers' conceptual system, the nursing model guiding our practice. We use Rogers' model because it is harmonious with the traditional Korean view of the one human, natural and cosmic world. The purpose of our research was to contribute to science - based nursing practice, not only, one helpful model, but also a model of how to use, in guiding practice, a conceptual system which reflects nurse practitioners' philosophy of nursing, is intellectually satisfying, and enriches meaning in daily nursing life. The research objectives were to review the literature on Rogers' model and analyse it according to Kim's five - level analytical framework, to explore Rogers' definition of family, to review appraisals based on Rogers' model, and to develop a family appraisal which is culturally appropriate for use in our community. This work including the use of the appraisal and its refinement with families in our practice which was done during 1994 and 1995, in Seoul, in the Capital of the Republic of Korea. At the highest level of analysis, Rogers conceptual system emphasizes acausality and multidimentional meaning ; the world view is characterized by process, movement and wholeness. The epistemology Is one of holism and the knowledge base includes all forms of experience, from sensory to mystical, objective, and subjective. At the metaparadigm level, nursing focuses on the unitary human being and the environment. At the level of nursing philosophy, the model identifies human being, nursing, nurse, and illness and health. At the paradigm level the model assumes the irriducibility of the human to parts, noncausality and continual change. Rogers' practice methodology consists of pattern manifestation appraisal and deliberative mutual patterning. Under-standing patterns and patterning of people is the key to helping them achieve their potential. At the theory level, the basic assumptions, key concepts, and homeodynamic principles were identified. Rogers states the family energy field is an undividable, four-dimensional negentropic energy field which is in a larger envircinmental field show-ing such characteristics as cannot be predicted by knowledge of individual family members. Based on the word of Rogers scholars, we chose Rogers' correlates of patterning to understand the family unit as a whole-frequency, rhythms, motion, time perception, sleeping-waking beyond waking, pragmatic -imaginative-visionary to develop the appraisal. We, also used some of Barrel's (1988) criteria including interpersonal network and professional health care access and use, and Cordon's (1982) criteria including self perception - self concept modified to fit the family. Our family Pattern appraisal included 1. Influencirg data, 2. Professional health care access and use, 3. Family self perception-self concept, 4. Family interpersonal network, 5. Sleep-wake-be-yond waking, 6. Pragmatic-imaginary-visionary, 7. Family frequency and rhythm, 8. Family motion, 9. Family time perception. The appraisal was used with four families and modified to eliminate overlap and to make it possible for the family member to express themselves more easily. We plan to gain more experience with the appraisal toward further development of the tool.

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Health Experience of Depressive Adolescents: Reflected from Newman's Praxis Methodology (우울 청소년의 건강경험 - Newman의 실무연구방법론을 근거로 -)

  • Kweon, Young-Ran;Lee, Chung-Sook
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.217-228
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    • 2009
  • Purpose: Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. Methods: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/ she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology. Results: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. Conclusion: Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.

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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DICS Behavior Pattern and Medication Errors by Nurses (간호사의 DICS 행동유형과 투약오류)

  • Kim, Eun-Kyung;Lee, Soon-Young;Eom, Mi Ran
    • Journal of Korean Academy of Nursing Administration
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    • v.19 no.1
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    • pp.28-38
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    • 2013
  • Purpose: Human factor is one of the major causes of medication errors. The purpose of this study was to identify nurses' perception and experience of medication errors, examine the relationship of Dominance, Influence, Steadiness, Conscientiousness (DISC) behavior patterns and medication errors by nurses. Methods: A descriptive survey design with a convenience sampling was used. Data collection was done using self-report questionnaires answered by 308 nurses from one university hospital and two general hospitals. Results: The most frequent DISC behavioral style of nurses was influence style (41.9%), followed by steadiness style (23.7%), conscientiousness style (20.4%), and dominance style (14.0%). Differences in the perception and experience level of medication errors by nurses' behavioral pattern were not statistically significant. However, nurses with conscientiousness style had the lowest scores for in experience of medication errors and the highest scores for perception of medication errors. Conclusion: The results of this study show that identification of the behavior pattern of nurses and application of this education program can prevent medication errors by nurses in hospitals.

Ethnosientific Approach of Health Practice in Korea (한국인의 건강관행에 대한 민속과학적 접근)

  • 김귀분;최연희
    • Journal of Korean Academy of Nursing
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    • v.21 no.3
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    • pp.396-417
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    • 1991
  • In order that nursing care an essential quality of nursing practice be acceptable and satisfying, it is necessary that client's culture be respected and that nursing practice be appropriate to that culture. Since cultural elements are an important influence on health practices and life patterns related to medical treatment, recovery from and prevention of disease, nurses need to have an understanding and knowledge of social and cultural phenomena to aid in the planning of nursing interventions. To understand the health practices surrounding health and illness, the health beliefs and practices of both folk and professional healing systems should be ascertained. Cultural data are required to provide care of high quality to clients and to reduce possible conflict between the client and the nurse. It is nursing's goal to provide clients from various cultures with quality nursing care which is satisfying and valuable. The problem addressed by this study was to identify Korean health practices which would contribute to the planning of professional caring practice with the culture : ultimately this study was intended to make a contribution to the development of the science of nursing. The concrete objectives of this study were ; 1) to identify Korean health practices, 2) to interpret the identitial health practices through traditional cultural thought, and 3) to compare the Korean health practices with those of other cultures. The investigator used the ethnosceintific approach outlined by spradly in a qualitative study. To discover ancestral wisdom and knowledge related to traditional health practeces, the subjects of this study were selected from residents of a small rural mountain village in south west Korea, a place considered to be maintaining and transmitting the traditional culture in a relatively well -preserved state because of being isolated from the modern world. The number of subjects was 18, aged 71 to 89. Research data were collected from January 8 to March 31, 1990. Five categories of health practices were identified : “Manage one's own mind”, “Moderation in all thing”, “Live in accord with nature”, “Live in mutuality with others”, and “Live to the best of one's ability”. Values derived from these ways of thinking from Confucianism, Taoism and Buddhism help fashion a traditional way of life, examplified by the saying “Benifience to all”. Korean thought and philosophy is influenced primerily by Confucianism, Confucian principles of ethics, embedded deeply in the peoples' minds, form the idea that “heaven and human being are intimately united” based on concept that “heaven is, so to speak, reason”. Twoe Gae's theory of existential subjectivity develops the concept of self which is the basis of the spirit of reverence in modern Confucian philosophy. The human md is granted from heaven out of the idea of matter, and what control the mind is the spirit of reverence. Hence the idea of “The primacy of the mind" and provided that one should control one's own mind. The precepts of duty to parents, respect for elders and worship of ancestors, and moderation in all behavior put a restraint on life which directed that one live earnestly according to Nature's laws with their neighbors. Not only Confucianism, but also Buddism and Taoism have had an important effect upon these patterns of ideas. When compared with western culture, Korean health practices tend to be more inclusive, abstract and intuitive while westerner health practices found to be mere concrete, practical and personal. Values and beliefs based and pragmatism and existentialism infuence western civilization, Ethical values may be founded on utilitarianism, which considers what is good for the persons in their circumstances as the basis of conduct and takes a serious view of their practical lives including human aspirations rather than an absolute truth. These philosophical and ethical ideas are foundations for health practices related to active, practical and progressive attitudes. This study should be enable nursing not only to understand clients as reflections of the traditional culture when planning nursing practice, but to dovelop health education corresponding to cultural requiments for the purpose of protection against disease and improvement of health, and thus promote sound health practice. Eventually it is hoped that through these processes quality nursing care as the central idea of the science of nursing will be achieved.

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The Influences between New Nurses' Nursing Performance, Emotional Intelligence, Self-resiliency and Core Self-evaluation (신입간호사의 정서지능, 자아탄력성, 핵심자기평가가 간호업무수행에 미치는 영향)

  • Cho, Ok-Hee;Hwang, Kyung-Hye
    • The Journal of the Korea Contents Association
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    • v.14 no.7
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    • pp.291-301
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    • 2014
  • This study is a descriptive research of investigating the correlation between new nurses' nursing performance, emotional intelligence, self-resiliency and core self-evaluation. The subjects were 114 new nurses working for less than 12 months at two different hospitals with over 800 beds located in Gyeonggi-do. Between July and November, this study collected the data measured by using a structured questionnaire survey for nursing performance, emotional intelligence, self-resiliency and core self-evaluation. As a result, it was found that there was a difference in the degree of nursing performance according to new nurses' education level, job satisfaction, and working position task satisfaction, and that the higher the emotional intelligence, self-resiliency and core self-evaluation were, the better the nursing performance was. As for emotional intelligence, education level, core self-evaluation and job satisfaction, it was found that they were variables to well predict the degree of nursing performance, and explained 33% of variance in nursing performance. Accordingly, it is necessary to provide actual field-adaptive training education including emotional intelligence and core self-evaluation other than nursing performance from new nurses' orientation in consideration of education degree and job satisfaction.