• Title/Summary/Keyword: Nurses' Practice Patterns

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Clinical Decision Making Patterns of Pediatric Nurses (아동간호사의 임상적 의사결정 유형에 관한 연구)

  • Hwang, In-Ju
    • Korean Parent-Child Health Journal
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    • v.15 no.1
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    • pp.20-32
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    • 2012
  • Purpose: The purpose of this study was to identify clinical decision making pattern of pediatric nurses and analyze how it shows the differences in types of decision making pattern by nurses characters. Methods: A self-administered questionnaire was used to pediatric nurses of 4 general hospitals in Seoul from February 2004 to April 2004. The data of 251 nurses was analyzed by varimax rotation factor analysis, t-test, and ANOVA. Results: 6 decision making patterns were identified: Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, Nursing Model-oriented, Medical Knowledge-oriented, and Patient-Family-Nurse Collaborative. Individual Patient-oriented, Pattern-oriented Intuitive, Typical Nursing Knowledge-oriented, and Nursing Model-oriented decision making pattern got meaningful differences in age, marital status, total number of years in nursing practice, and number of years in pediatric nursing practice. Conclusion: We expect the result of this study can be applied for promotion of understanding the decision making of nurses that occurs in pediatric nursing practice and also can be used as foundation data for development and expansion of pediatric nursing practice.

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Patterns of Self-Directed Learning in Nurses (일 대학 종합병원 간호사의 자기주도학습 유형)

  • Oh Won-Oak
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.9 no.3
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    • pp.447-461
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    • 2002
  • Purpose: The purpose of this study was to identify and understand the self-directed learning patterns of nurses. Q methodology was used to collect the data. Method: For the research method, 43 Q-statements were collected through individual interviews and a review of related literature. The 43 Q-statements were classified by the 34 participants in the study and the data was analyzed by the PC-QUANL program with principal component analysis. Result: There were 4 different patterns of self-directed learning classified as follows : Nurses in Type I the Future Provision Type, studied to promote their own professional development and leadership qualities for the future. Nurses in Type II, the Learning Passion Type, enjoyed learning something new and had a strong learning desire. Nurses in Type III, the Self-reflective Type, continuously evaluated self and their own practice by introspection. Nurses in Type IV, the Accompanying Companion Type, studies with companion support and maintained a collaborative relationship rather than competing with each other. Conclusion: This study explains and allows us to understand self-directed learning in nurses. Thus this study will contribute to building a theoretical base for the development of a self-directed learning model in nursing practice.

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National Survey of Kangaroo Care Practice, Barriers, Knowledge, and Belief (신생아중환자실 캥거루 케어 전국 실태조사- 간호행위, 장애요인, 간호사의 지식과 신념)

  • Kim, Hee Young;Jang, Eun Kyung;Lee, Jin-Hee;Lee, Eun Jung;Oh, Seyeon;Jo, Keum Sig
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.211-221
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    • 2017
  • Purpose: A National survey was conducted to assess neonatal intensive care nurses' practice, barriers, knowledge, and belief regarding Kangaroo Care (KC). Methods: A descriptive survey was conducted. Kangaroo care questionares were sent to nurses in all hospitals in Korea whose were identified as providing neonatal intensive care services(N=263). Descriptive statistics were used to summarized the data. Results: Among 67 neonatal care units, 61.1% adapted KC in their practice. About 60% of nurses in the KC providing hospital actually practiced KC. Major barrier of practicing KC were infant safety concerns, as well as work load of nurses. Respondants who had practiced KC were more knowledgable and were more positive in their belief regarding KC. Conclusion: The findings suggest that in order to overcome barriers of practicing KC, educational programs are recommended designed for nurses. In addition, development of KC practice guideline is necessary to facilicate successful and safe KC.

Correlations among Lifestyle and Health Status -A comparative study between nurses and clients- (생활양식과 건강수준간 상관성분석 -간호사와 비간호사 비교연구-)

  • Kim, Young-Im
    • Research in Community and Public Health Nursing
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    • v.5 no.1
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    • pp.53-63
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    • 1994
  • Health could be maintained and promoted by pursuing an active healthy lifestyle. Life-style include health habits and behavior pattern such as exercise, diatry change, weight control, stress management et al. The objectives of this studies are (1) to analyze recognition and practice of lifestyle between nurses and non-nurses, (2) to analyze health status of clients which presented healthy lifestyle, (3) to analyze factors that affected healthy lifestyle. The lifestyle assessment questionnaire is divided into ten sections: competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, self-actualization, sense of purpose, relation with others, environmental control, and use of health care system. The major results are as follows : (1) The level of recognition and practice of lifestyle was not high. Nurses showed more higher score than non nurses in lifestyle area such as competence in selfcare, stress management, environmental control, and use of health care system. (2) Good health status and lifestyle presented positive relation. (3) In mutiple classifiction analysis, competence in selfcare, nutritional practices, physical activity, sleep patterns, stress management, environmental control, and use of health care system had significant relation to independent variables. (4) Change of concept for healthy lifestyle after this survey was higher in nurses group and the most concern area was stress management. To sum up, lifestyle pattern of nurses as health professional was not desirably high. Therefore nurses ownself should effort to practice healthy lifestyle prior to others, and then educate importance of lifestyle for health promotion and disease prevention. In conclusion, it will be useful to consider significant lifestyle factors that was be identified in this study to develop health promotion program.

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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.

Pain Management Knowledge, Attitudes, and Performance of Nurses in Long-Term Care Hospitals (요양병원 간호사의 통증관리에 대한 지식, 태도, 수행정도)

  • Cho, Hyeonju;Kwon, So-Hi
    • Journal of Hospice and Palliative Care
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    • v.19 no.4
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    • pp.322-330
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    • 2016
  • Purpose: This study investigated long-term care hospital nurses' knowledge and practice of pain management and their attitudes towards the job with an ultimate aim to provide fundamental information for development of a pain education program. Methods: A cross-sectional survey was carried out with 120 nurses from four long-term care hospitals. Nurses' knowledge of and attitudes towards pain management was measured using a tool developed by Watt-Watson. To examine their pain management practice, an instrument was developed based on the pain management guidelines used by the long-term care settings. Results: For pain management knowledge, the participants gave an average of 26.2 (${\pm}13.10$) correct answers out of 40 questions. The most frequently missed question was one about subjectivity of pain, "Patients' physiological and behavioral reactions to pain hint at the presence and intensity of pain" (89.2%), and 56.7% of the nurses believed that increasing tolerance for a narcotic analgesic means addiction. Regarding attitudes towards and practice of pain management, 80.2% of the nurses used placebos to patients who complain about pain often. Conclusion: This study revealed poor level of pain management knowledge of and attitude among long-term care hospital nurses. This might negatively affect their pain management practice. From the educational perspective, nurses should be provided with education on pain management education with emphasis on the nature of pain and misuse of placebo drugs.

Characteristics of Nursing Performance based on the Expertise among ICU Nurses (숙련성에 따른 중환자실 간호사들의 업무수행 유형)

  • Yi, Myung-Sun;Oh, Sang-Eun;Eom, Mi-Ran;Kim, Hyun-Sook;Cho, Kyoul-Ja;Choi, Jung-Sook;Lee, Kyung-Sook
    • Korean Journal of Adult Nursing
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    • v.14 no.2
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    • pp.296-305
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    • 2002
  • Purpose: The purpose of this research was to describe how nurses in intensive care units (ICU) work. Method: A total of 18 ICU nurses participated in the research. The data was collected through individual in-depth interviews and analyzed by grounded theory method using NUDIST 4.0 software program. Results: Three different patterns regarding nursing performance among ICU nurses were identified. These are 1) nursing performance of nurses who perform excellently, 2) nursing performance of nurses who do not perform well because of their lack of experience, and 3) nursing performance of nurses who do not perform well in spite of their good years of experience. These three different nursing performances were described in terms of seven different categories; 1) assessing and monitoring nursing problems, 2) clinical decision making, 3) interpersonal relationships, 4) holistic care, 5) technical skills, 6) problem solving, 7) working independently and creatively. This study also identified two intervening factors that influenced the advancement of their expertise. Conclusion: The results of this study might help nurse managers in developing continuing educational programs for inexperienced nurses or those nurses not performing well to become experts by a deeper understanding of the nature of nursing performance and the factors that influence nursing performance in ICU settings.

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A Study on the Relationship between Knowledge of Breast feeding and Practice of feeding pattern (모유수유지식에 따른 수유형태에 관한 연구)

  • Choi, So-Young
    • Women's Health Nursing
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    • v.8 no.1
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    • pp.116-123
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    • 2002
  • The purpose of this study was to investigate the relationship between knowledge of breast feeding and practice of feeding pattern. A sample of 117 mothers who have the babies between age from 1 month to 12 months were selected from one university hospital and one public heath care center in J city. The data were collected with the questionnaire during the period from the January. 5, 2002 through January. 30, 2002. Analysis was done by using frequency, percentage, t-test, analysis of variance, and scheffe test. The results of this study can be summarized as follows. Comparision of the method of feeding by general characters. Income state, rearing (p=.019), rearing supporters(p=.026), infant age(p=.03) have shown significant difference as the variables affecting Breast practice rate. Breastfeeding rate were 24.8%, mixedfeeding type, 14.5%, milkfeeding type, 60.7%. The mean of knowledge on breastfeeding by feeding patterns were the highest in the group of breastfeeding. There was statistical significance between the group of breast feeding and milkfeeding(p=.000). In the conclusion, this study revealed that knowledge of breastfeeding promoted practice of breastfeeding. Therefore, to promote practice of breastfeeding, it is necessary that nurses provide adequate information about knowledge of breastfeeding.

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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.

Factors influencing the intent to return to practice (work) of inactive RNs (유휴간호사 재취업 의향에 영향을 미치는 요인)

  • Hwang, Nami;Jang, Insun;Park, Eunjun
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.3
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    • pp.791-801
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    • 2016
  • The purpose of this study is to examine factors affecting the intent of re-employment of inactive registered nurses. This study presents a secondary analysis of data collected in 'Nurse Turnover On-line Survey' by Korean Nurses Association and Korea Institute for Health and Social Affairs in 2014. The analysis shows that 70.9% of inactive RNs has an intent to return to practice, and most of them preferred 'flexible working options' (47.8%) or 'fixed day shifts' (43.3%) as a work pattern. Main reasons for resigning from their last job have been found to be 'high work intensity' (18.8%) and 'difficulties of night shifts' (16.7%). Inactive married RNs who have working histories in a general hospital or a long-term care hospital or have preferences for traditional shift works showed a stronger intent to return to practice than their reference group. Our study shows that, for inactive RNs to return to practice, it is recommendable to adopt various non-traditional working patterns, to make a staffing distribution considering the labor intensity and to develop education programs designed to increase RNs' professional satisfaction.