• Title/Summary/Keyword: Nursing Management Practice

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Updates of Nursing Practice Guideline for Enteral Nutrition (경장영양 간호실무지침 개정)

  • Cho, Yong Ae;Gu, Mee Ok;Eun, Young;Yu, Mi;Kim, Jung Yeon;Lee, Hyun Hee;Min, Ja Kyung;Song, Jung Mi
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.1
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    • pp.10-25
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    • 2020
  • Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

The Development of Nursing Education Program on Web-Based Instruction;Application to Nursing Management Practice (웹 기반(Web-Based Instruction) 간호관리학 실습교육 프로그램 개발)

  • Shim, Jun-Kyung;Kwon, Sung-Bok;Chi, Sung-Ai
    • Journal of Korean Academy of Nursing Administration
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    • v.9 no.2
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    • pp.283-295
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    • 2003
  • This study describes the development of nursing education program on web-based instruction for Nursing Management Practice of nursing school. The program has been developed based on five steps of the teaching-learning design model developed by Chung, In-Sung which is widely used in Web-Based Instruction(WBI). The objective of this study was to develop nursing education program on WEI and to evaluate its effectiveness. The subjects consisted of twenty-four senior nursing students taking the Nursing Management Practice course. Two sets of questionnaires were used for this study. They were asked to evaluate the program in terms of appropriateness of the teaching strategy, precision of the contents, easiness of use, easiness of approaching system, interface design, system management, enhancement of communication, and effectiveness of learning. The program was developed in five steps, analysis of the student, design of the contents, production of the system, implementation of the system, and evaluation of the effectiveness. It is concluded that this program was very useful in increasing the effectiveness of learning and motivation in the students. In addition to this, the web-based learning system would be one of the best qualified educational method for nursing students. Therefore, I would suggest that it can be used for other nursing courses which is available on the Web.

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The Relationship of Communication Competence, Professional Self-Concept and Stress in Clinical Practice of Nursing Students (간호대학생의 의사소통 능력, 간호전문직 자아개념과 임상실습 스트레스와의 관계)

  • Kang, Min-Ah;Lee, Soo-Kyoung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.22 no.4
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    • pp.452-461
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    • 2016
  • Purpose: This study was conducted to investigate the relationships among communication competence, professional self-concept, and stress in clinical practice of nursing students. Methods: The study participants were 308 senior year nursing students in D city and K province. Collected data were analyzed using t-tests, analysis of variance, Pearson's correlation coefficient, and stepwise multiple regression with the SPSS Version 20.0. Results: There were significant differences in participants' stress of clinical practice based on their level of satisfaction on clinical practice, self-confidence of nursing and difficulty with relationships in clinical practice. A negative correlation was detected between stress in clinical practice and the professional self-concept of nursing students. Significant predictors of the perceived stress of clinical practice were satisfaction in clinical practice and pride in nursing. These accounted for 18% of the perceived stress of clinical practice in a regression model. Conclusion: The results may serve as basic data in support of the need to the develop effective systematic stress management programs and clinical training courses in order to attenuate the stress experienced during clinical practice of nursing students.

Convergence Relationship between Clinical Practice Stress after Gerontological Nursing Practice, Clinical Practice Satisfaction and Nursing Image of Nursing College Students (간호대학생의 노인간호학 실습 후 임상실습 스트레스, 임상실습 만족도 및 간호이미지와의 융복합적 관련성)

  • Kim, Moon-Ok;Cha, Ju-Ae
    • Journal of Digital Convergence
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    • v.16 no.9
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    • pp.247-256
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    • 2018
  • The purpose of this study was to investigate the relationship between clinical practice stress, practice satisfaction, and nursing image of nursing students with experience of Gerontological nursing practice and to identify factors affecting nursing image. Data were collected from 150 nursing students from September 1 to 23, 2016 and analyzed using SPSS / Win 23.0. Results showed, practise stress was 3.13, satisfaction, 3.14 and nursing image, 3.32. Correlation analysis revealed that there was negative correlation between practice stress and practicec satisfaction, practice stress and nursing image, and a positive correlation between nursing image and practice satisfaction. Meanwhile, the factor affecting nursing image was practice satisfaction (${\beta}=.602$) and the explanatory power was 40%. Therefore, effective nursing education and practical strategies are needed to improve the nursing image and practice satisfaction of Gerontological nursing practice of nursing students.

Adaptation of the Evidence-Based Nursing Practice Guideline: Prevention and Management of Moisture Associated Skin Damage (근거 기반 간호 실무지침 수용개작: 습기 관련 피부 손상의 예방과 관리)

  • Baek, Kyu Won;Park, Joo Hee;Kim, Min Kyung;Kim, Kyung Sun;Jeon, Kyoung Ok;Park, Su Hyun;Yang, Weon Ji;Hwang, Ji Won
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.3
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    • pp.263-272
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    • 2018
  • Purpose: This study was done to develop an evidence-based nursing clinical practice guideline for Moisture associated skin damage (MASD) prevention and management for patients in Korea. Methods: The guideline adaptation process was used and conducted according to the guideline adaptation manual developed by the Korean Hospital Nurses Association. It consists of three main phases and 9 modules including a total of 24 steps. Results: The adapted MASD clinical practice guideline consisted of 4 sections, 8 domains and 28 recommendations. The number of recommendations in each section was: 7 on MASD assessment, 14 on MASD prevention and management, 4 on education, and 3 on organizational policy. Of the recommendations, 3.6% were marked as A grade, 28.6% as B grade, and 67.8% as C grade. Conclusion: This MASD clinical practice guideline is the first to be developed in Korea. The developed guideline will contribute to standardized and consistent MASD prevention and management. The guideline can be recommended for dissemination and utilization by nurses nationwide to improve the quality of MASD prevention and management. Regular revision is recommended.

Influencing Factors on the Practice of Medical Waste Management of Nurses in Tertiary General Hospitals after COVID-19 (코로나 19 이후 상급종합병원 간호사의 의료폐기물 관리 실천에 미치는 영향요인)

  • Oh, Da In;Cho, Gyoo Yeong
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.327-336
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    • 2023
  • Purpose: This study aimed to identify the factors affecting the practice of medical waste management of nurses in tertiary general hospitals after the coronavirus disease 2019 (COVID-19). Methods: The participants were 154 nurses working in two tertiary general hospitals. Data were collected using structured questionnaires and analyzed using an Independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Factors significantly influencing the subject's practice of medical waste management include medical waste education(β=.18, p=.013), recognition of infection control organizational culture (β=.26, p=.007), and attitudes toward medical waste management (β=.23, p=.011). The explanatory power of these variables for medical waste management practice was 29.0% (F=7.34, p<.001). Conclusion: To improve the practice of medical waste management, a strategy to provide positive attitudes toward medical waste management should be needed when developing medical waste management training programs, and various measures are necessary to make the organizational culture positive for the implementation of infection control guidelines at the organizational level.

The Effects of Disaster Nursing Simulation on Attitudes toward Disaster Management, Disaster Preparedness, Learning Self-efficacy, and Nursing Practice Satisfaction in Nursing College Students (간호대학생을 위한 재난간호 시뮬레이션이 재난관리에 대한 태도, 재난 준비도, 학습 자기효능감, 실습 만족도에 미치는 효과)

  • Hyun-Ye, Lee;Yeongmi, Ha
    • Journal of the Korean Society of School Health
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    • v.35 no.3
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    • pp.104-112
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    • 2022
  • Purpose: The study aimed to examine the effects of disaster nursing simulation training on attitudes toward disaster management, disaster preparedness, learning self-efficacy and nursing practice satisfaction in nursing college students. Methods: The study is based on a one-group pretest-posttest design. A total of 95 nursing students were recruited from a nursing college. Disaster nursing simulation training for fire and earthquake situations were provided for 8 hours in one day. Results: There were significant differences in nursing students' attitudes toward disaster management (t=2.20, p=.030), disaster preparedness (t=7.88, p<.001), learning self-efficacy (t=3.69, p<.001), and nursing practice satisfaction (t=5.28, p<.001). Conclusion: Based on our findings, it is necessary to implement disaster nursing simulation training to improve disaster nursing competency of college students.

Knowledge and Practice Level of Infection Management for Child Guardians with Respiratory Infections after H1N1 Diffusion (2009) (신종플루 확산(2009년) 이후 호흡기감염 아동 보호자의 감염관리 지식정도 및 수행정도)

  • Park, Mi-Kyung;Ko, Young-Sook;Park, Kyung-Im
    • Child Health Nursing Research
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    • v.17 no.1
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    • pp.1-9
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    • 2011
  • Purpose: The purpose of this study was to investigate the knowledge and practice level of infection managements in child guardians with respiratory infections after H1N1 diffusion of 2009. Methods: The data were collected during February and March 2010 using a self-report questionnaire. The participants were 228 child guardians. Data were analyzed using frequency, percentage, means, SD, t-test, F-test, Pearson correlation coefficients, and Cronbach's alpha with the SPSS 17.0 program. Results: Mean age of the guardians and children were 37.8 years, 4.1 years respectively. For knowledge level of respiratory infections, hand washing method had the highest score and snuffles prevention method, the lowest. For practice level for respiratory infections, environmental hygiene management had the highest score and symptom management, the lowest. Infection management knowledge and practice level had a positively significant correlation in every area. Conclusion: The results indicate the necessity of continual education on infection management, and that the most efficient timing for the education appears be for participants during their first pregnancy or after the woman has delivered her child.

An Evaluation Study of the Practical Application of Preceptorship in an Ordered Elective Clinical Nursing Practice (실습지도자를 활용(preceptorship)한 주문식 선택실습의 평가연구)

  • Kim Chung-Youb
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.12 no.2
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    • pp.195-205
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    • 2005
  • Purpose: This study was done to use preceptorship in an ordered elective clinical nursing practice and to evaluate the effects on student nurses, nurses managers and preceptors. Method: The participants in this study were 208 students who were majors in the department of nursing, G college located in Inchon Metropolitan City, 54 nurse managers and 187 preceptors from 11 general hospitals. The instrument was a questionnaire which included general characteristics of participants, and 21 items to evaluate the ordered elective clinical nursing practice on a scale of 1 to 4. Data were collected from October 23 to November 7. 2004. Data analysis was done using SPSS WIN with the following statistics: frequency, percentage, mean, standard deviation, and ANOVA. Results and Conclusions: The results of data analysis were as follows: There were meaningful differences in the evaluation scores of the ordered elective clinical nursing practice with preceptors between students ($3.33{\pm}.39$) and nurse managers ($3.33{\pm}.28$) and preceptors ($3.23{\pm}.38$). Evaluation scores for the ordered elective clinical nursing practice with preceptors were categorized as follows: necessity and appropriateness, practice control and management, material for practice, practice report assignment and evaluation, practice ability improvement and connection with getting a job, and contribution to the hospitals.

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The Effect of Laughter Program on the Stress of Nursing College Students in Clinical Practice (웃음프로그램이 간호대학생의 임상실습 스트레스에 미치는 효과)

  • Jung, Kyung-Hwa;Park, Sang-Youn
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.163-172
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    • 2012
  • The purpose of the study were to investigate the effect of laughter program on the stress of nursing college students in clinical practice. The research design is one group pretest-posttest survey. Thirty-eight nursing college students took part in the study. Laughter program was carried out for 1hour 6weeks. Laughter program showed significant change on the state anxiety, mood-emotion, laughter index, subjective stress and self esteem. The acquired data were analyzed with SPSS/win 15.0 using descriptive methods paired t-test, Pearson correlation coefficient. The research producted following results: Laughter program can be effective to decrease the clinical practice stress; anxiety, mood-emotion and subjective stress index. Laughter program can be effective to increase laughter index and self esteem of nursing college students. Based on the study, It is necessary to repeat studies and considering to develop proper methods of clinical practice stress of nursing college students. This study recommends that laughter program coupled with cognitive approaches could affect ways of nursing college students coping with stress and contribute to the improvement from increasing their satisfaction.