• Title/Summary/Keyword: Nursing Management

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Patient Safety Management Activities of Nursing University Students: Focus on the Theory of Planned Behavior (간호대학생의 환자안전관리활동: 계획된 행위이론을 중심으로)

  • Kim, Nam Yi
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.47-58
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    • 2022
  • Purpose: This study was undertaken to present an effective plan for the development of an educational program and a strategy to promote patient safety management activities for nursing students by identifying factors that affect these activities based on the theory of planned behavior. Methods: A self-report questionnaire was distributed to 300 nursing students who had clinical practice experience at three nursing colleges in Daejeon, Gyeongbuk, and Jeonbuk. The significance of the model fit, and the path effect was confirmed by confirmatory factor analysis. Results: The hypothetical model for patient safety management activities was appropriate. Among the 5 pathways, 4 were significant. It was found that behavioral intention had a direct influence on patient safety management activities, and perceived behavioral control and attitude had an influence on behavioral intention. Conclusion: To strengthen the perceived behavioral control of nursing students' patient safety management activities, it is necessary to analyze and remove obstacles and provide education that reflects the characteristics of the subject's health problems. In addition, through self-directed learning involving simulation practice, nursing students should be exposed to patient safety accidents, so that they can recognize the risks early and solve problems through critical thinking while bringing about the necessary changes in their attitude.

The Trends of Nursing Management Research (간호관리 연구의 동향)

  • Kim, Tae-Sook;Koo, Ok-Hee;Ahn, Eun-Kyong
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.277-288
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    • 1998
  • The study was conducted to provide basic data for the development of nursing management research and suggesting the direction of the future research and the theory of nursing management. In this study, 456 pieces of articles that had been published for the last 10 years from 1987 to 1996 were analyzed based on the nursing research methodology of Lee et al. (1991). The results were as follows: 1. The whole articles were divided into two groups. that is. degree dissertations of 69.7%(307 pieces of master's and 11 pieces of doctor's) and non-degree papers of 30.3%. 2. In the light of graduate school types. the papers of the graduate school of administration formed 41.8% of the entire articles and those of the general graduate schools formed 32.4% of them. 3. In the methodology of research design. survey research held 86.8% of the whole articles. 4. In the research subject. nurses held 68.4%. others 14.6%. patients 9.4%. 5. In the data collecting method. questionnaire held 85.1%. 6. In the statistics method. 88.1% of the entire articles used inference method. 7. In the area of nursing management. direct stage formed 26.8%. control stage 21.9%. and staffing stage 20.6% of the whole articles. 8. In the light of frequency of the key concept. job satisfaction held 10.9%. nursing task 8.5%. role 7.0%. stress 4.7%, and perception 4.0%. On the basis of the results. the following suggestions were made: 1. Qualitative studies should be done to recognize the phenomena. and experimental studies to prove the intervention for the improvement of future nursing management researches. 2. For the development of nursing management. all-inclusive studies. the group or the whole organization-centered studies rather than nurse-centered, should be required. 3. In order to be valid. data should be collected by various methods. 4. For the balanced studies of nursing management. getting out of the concentrated study of just one concept, repetitive study of various concept should become the subject of them.

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A Comparison of Interventions Recorded in Nursing Notes between Actue and Subacute Stage after a Cerebrovascular Accident (신경과 병동에 입원한 노졸중환자의 간호일지에 나타난 급성기와 아급성기의 간호중재 비교)

  • Choi, Ja-Yun;Park, Soon-Joo
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.227-235
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    • 2006
  • Purpose: This study aimed to: 1) determine the core nursing interventions, and 2) compare acute interventions with subacute interventions recorded in the nursing notes of patients with cerebrovascular accidents (CVA). Methods: The nursing records covering the first 10 days of 30 patients with a CVA who were admitted from January to December 2004 at C University Hospital in Korea were examined. Data was collected using the nursing interventions classification (NIC) from January to April 2005. Finally, data analysis was carried out using mean, SD, and paired t-test according to domains, classes, and interventions. Results: The most frequent nursing intervention at both stage was 'Neurologic monitoring'. There were differences in interventions belonging to the 'Physiological: complex,' 'Behavioral,' 'Safety,' and 'Health system' domains between the acute and subacute stages. The frequency of interventions belonging to the 'Immobility management,' 'Neurological management,' 'Tissue perfusion management,' 'Patient education,' 'Risk management,' 'Health system mediation,' and 'Information management' classes at the acute stage was higher compared to the subacute stage. Conclusions: This study found out that nurses relatively recorded more nursing interventions during the acute stage hence the unsuccessful documentation of the subacute stage particularly in describing the specific nursing interventions at this stage.

The Competency in Disaster Nursing of Korean Nurses: Scoping Review (국내 간호사의 재난간호 역량: 주제범위 문헌고찰)

  • Lee, Eunja;Yang, Jungeun
    • Journal of East-West Nursing Research
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    • v.27 no.2
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    • pp.153-165
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    • 2021
  • Purpose: The aim of study was to identify ranges of Korean nurses' competency in disaster nursing. Methods: A scoping review was conducted using the Joanna Briggs Institute methodology. The review used information from four databases: RISS, ScienceON, EBSCO Discovery Service, and CINAHL. In this review, key words were 'disaster', 'nurs*', 'competenc*', 'ability' and 'preparedness'. Inclusion and exclusion criteria were identified as strategies to use in this review. The inclusion criteria for this review focused on the following: Korean nurse, articles related to disaster nursing competency, peer-review articles published in the full text in Korean and English. Review articles were excluded. Results: Nineteen studies were eligible for result extraction. A total of 10 categories of disaster nursing competency were identified: Knowledge of disaster nursing, crisis management, disaster preparation, information collection and sharing, nursing record and document management, communication, disaster plan, nursing activities in disaster response, infection management, and chemical, biological, radiation, nuclear, and explosive management. Conclusion: It is necessary to distinguish between Korean nurses' common disaster nursing competency, professional disaster nursing competency, and disaster nursing competency required in nursing practice. Therefore, future research will be needed to explore and describe disaster nursing competency.

A Comparison between Importance of Nursing Management Clinical Practicum and Practical Experience recognized by Nursing Students (간호대학생이 인식한 간호관리학 실습 중요도와 실습경험도 비교)

  • Hwang, Sung-Woo;Koo, Ok-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.351-361
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    • 2019
  • Importance recognition of the nursing management(N. M.) clinical practice contents and the actual practical experience were studied against 289 students of 3 nursing schools who had undergone the senior N. M clinical practice. The most important item they considered from the practical evaluation was responsibility followed by interpersonal relationship, trust, communication, and ethic. For the importance of the N. M. contents, nursing unit management was considered as the most important(4.37/5). Abilities they could actually experience from the clinical practice were nursing unit management(22.0%), understanding of nursing management(20.7%), and human resource management(19.8%). And, abilities they could never experience were marketing(52.4%) and financial management(44.0%). Since there was an inconsistency between the importance of contents students recognized and the actual experience, I suggest a completion of standardized protocol of N. M. clinical training and implementation of management training exclusive preceptor system.

Development and Applicability Evaluation of an Emergent Care Management Simulation Practicum for Nursing Students (간호학생을 위한 응급상황관리 시뮬레이션 실습 교과목 개발 및 적합성 평가)

  • Hur, Hea Kung;Park, SoMi;Shin, Yoon Hee;Lim, Young Mi;Kim, GiYon;Kim, Ki Kyong;Choi, Hyang Ok;Choi, Ji Hea
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.2
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    • pp.228-240
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    • 2013
  • Purpose: This study was to evaluate the applicability of an emergent care management simulation practicum which is for enhancing nursing students' emergent care management competency based on the Nursing Education Simulation Model. Methods: One group pre-post experimental design was conducted for evaluation of the applicability of the simulation practicum. A convenient sample of 60 senior nursing students was participated. The simulation practicum was provided for 26 hours per student at the end of the first semester of senior year. Educational practices in simulation scale, simulation design scale and learning outcomes were measured. Higher positive correlations between variables represent applicability. Descriptive analysis, paired t-test and Pearson correlation coefficient were used for data analyses. Results: Among contractual components of nursing education simulation model, educational practices in simulation and simulation design (r=.80, p<.010), learning outcomes (r=.71-.28, p<.050), simulation design and learning outcomes (r=.72-.30, p<.050) were significantly correlated. Critical thinking (t=-3.63, p<.050) and problem solving competence (t=-2.55, p<.050) were significantly increased by this simulation practicum. It represents the applicability of an emergent care management simulation practicum. Conclusion: This emergent care management simulation practicum was appropriate to enhance the nursing students' emergent care management coping competency.

Analysis and Application of Nursing Management Practicum Case Simulation for Developing Performance-Centered Education (성과중심 교육과정 개발을 위한 간호관리실습 사례시뮬레이션 적용 및 내용 분석)

  • Lim, Ji Young;Ko, Gug Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.9
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    • pp.235-254
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    • 2017
  • The purpose of this study was to develop a nursing management case simulation (NMCS) framework based on the five components of nursing management process and to apply it to clinical nursing practice of nursing college students. The subjects of this study were NMCS reports submitted by the 4th grade 105 nursing students of an university. The research tool is a simulation framework for nursing management practice. It reflects the brainstorming and debriefing process used in the previous simulation exercise based on the five elements of planning, organization, human resource management, directing and control of the nursing management process respectively. As a result of the study, 32 nursing management cases were found to have 79.6% correct rate, 11.6% concept error rate, and 5.6% classification error rate in the first brainstorming and debriefing process for the five components of nursing management process. On the other hand, in the second brainstorming and debriefing process, 94.6% correct rate, 0.0% concept error rate, and 4.4% classification error rate. Based on these results, the NMCS framework developed in this study can be applied to the nursing management theory and practice course of nursing college students as well as simulation based job training and maintenance educations for clinical nurses. Therefore, we propose follow-up studies in various clinical nursing settings and a longitudinal cohort study to investigate the effect of nursing management job skills of nursing college students after graduation.

Psychometric Properties of the Korean Version of the HIV Self-Management Scale in Patients with HIV

  • Kim, Gwang Suk;Chu, Sang Hui;Park, Yunhee;Choi, Jun Yong;Lee, Jeong In;Park, Chang Gi;McCreary, Linda L.
    • Journal of Korean Academy of Nursing
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    • v.45 no.3
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    • pp.439-448
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    • 2015
  • Purpose: The purpose of this study was to examine validity and reliability of Webel and colleagues'HIV Self-Management Scale when used with a Korean sample. Methods: The original 20-item HIV Self-Management Scale was translated into Korean using translation and back-translation. Nine HIV nurse experts tested content validity. Principal component analysis (PCA) and confirmatory factor analysis (CFA) of data from 203 patients was used to test construct validity. Concurrent validity was evaluated using correlation with patients'self-rating as a "mart patient"measured using a visual analogue scale. Internal consistency was tested by Cronbach' alpha coefficients. Results: All items were rated as having satisfactory content validity. Based on PCA and consideration of conceptual meaning, a three-factor solution was selected, explaining 48.76% of the variance. CFA demonstrated the adequacy of the three-domain structure of the construct HIV self-management: daily self-management health practices, social support and HIV self-management, and chronic nature of HIV self-management. Goodness-of-fit indices showed an acceptable fit overall with the full model (${\chi}^2/df_{(164)}=1.66$, RMSEA=0.06, SRMR=0.05, TLI=0.91, and CFI=0.92). The Korean version of the HIV Self-Management Scale (KHSMS) was significantly correlated with patients'self-rated smart patient (r=.41). The subscale Cronbach' alpha coefficients ranged from .78 to .81; alpha for the total scale was .89. Conclusion: The KHSMS provides a valid and reliable measure of self-management in Korean patients with HIV. Continued psychometric testing is recommended to provide further evidence of validity with this population.

Applying the Case Management in the Occupational Health Nursing (산업간호에서 Case Management의 활용)

  • Kim, Yun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.10 no.1
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    • pp.110-119
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    • 2001
  • This study was performed to review applying the case management to the occupational health nursing as a cost-effective way for injured workers. The case management for injured workers is a comprehensive management system, which is composed of planning and implementing in cooperation with employee, employee' family, medical service provider team, employer and case manager, to provide high quality health services to employee and their family. The case management process for injured workers is similar to the nursing process. It thus appears that the occupational health nurse is best personnel to perform the role of case manager for injured workers in workplace. As a case manager in workplace. the occupational health nurse would be expected to get both knowledge and experiences, to get trusted from the employee and employer, and to expand professional domain in changing health care environment.

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A Model Development of Oriental Nursing Management System Through a Comparative Study of Korea & China (${\cdot}$ 중 비교연구를 통한 한방간호 관리체계 모형개발)

  • Park, Shin-Ae;Kim, Kwang-Joo;Kim, Il-Won;Moon, Heui-Ja
    • Journal of Korean Academy of Nursing Administration
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    • v.10 no.1
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    • pp.121-140
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    • 2004
  • Purpose: This study is to analyse and observe the college of oriental medicine related with nursing investment contents, its conversion process and output to get good qualified oriental nursing result, thus developing a matrix of oriental nursing management system on the basis of that project. Method: This study was nursing management system of matrix developmental study for Korea was performed to the objectives of 11 college of oriental medicine nursing directors and 328 nurses with more than three-year experiences in Korea. Result: We found difficulties to utilize knowledge obtained through the regular curriculum to the practice of oriental nursing because only me or two subjects were running or even no syllabus. Therefore, we recommend that oriental nursing in-service education program as well as oriental nursing practice preceptorship should be administered en site. The evaluation of oriental nursing and its feedback, duty related multiple evaluation, aggressive QI activity and feedback of the performance evaluation oriental nurse's role and duty manual also should be essentially organized. Conclusion: We urgently request that the consensus of nursing school and nurse association to be made about oriental nursing activity as a basic curriculum of compulsive subject.

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