• Title/Summary/Keyword: Nursing Services

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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.

Factors Influencing on Prehospital Emergency Nurses' Activities and Procedures in the Field (병원 전 응급간호사의 응급 처치 수행 능력과 영향 요인)

  • Kim, Bog-Ja;Kang, Kyung-Hee;Lim, Yong-Su
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.1
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    • pp.64-71
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    • 2009
  • Purpose: This study shows the prehospital emergency nursing practices, and analyzes them associated with their individual characteristics and job conditions. Method: Based on a survey of the National Emergency Medical Center in Korea(2008), principal components were extracted from 7 prehospital emergency nursing practices by factor analysis, and some regression analyses of principal components(CPR-AED and V/S-I.V.) were executed on individual characteristics and job conditions. Results: The PENs gave themselves higher order ratings for vital sign check, airway management for loss of consciousness patients, CPR for suspicious cardiac arrest, keeping vein open for shock patients, AED for abnormal pulse rate, AED for suspicious cardiac arrest, and AED for loss of consciousness. Age and duty periods were statistically significant influential factors on the CPR-AED component. Conclusion: The results indicate that the PENs were competent in overall prehospital emergency activities and procedures even some weak self-evaluations, and that the standard curriculum and practice standard for prehospital nursing should be developed in order to increase nursing leadership in prehospital emergency settings.

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Effects of Self-efficacy, Health Attitudes, and Healthy Lifestyle on Recovery of People with Mental Disorders in the Community (지역사회 거주 정신질환자의 자기효능감, 건강태도, 건강생활습관이 회복에 미치는 영향)

  • Kwak, Yun Bok;Kim, Ji Young;Lee, Myung Ha
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.303-312
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

Gerontological Nursing in the Era of the Fourth Industrial Revolution (4차 산업혁명시대 노인 간호)

  • Tak, Sunghee H
    • Journal of Korean Gerontological Nursing
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    • v.20 no.sup1
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    • pp.160-165
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    • 2018
  • Purpose: There is a need to examine changes in the health care environment and the impact on gerontological nursing care in the era of the Fourth Industrial Revolution. In this article recent healthcare paradigm changes, gerontechnology, high tech and high touch, person-centered approaches are discussed. Methods: A narrative review was used. Results: Cyber physical system, artificial intelligence, advance and convergence of bioengineering, and information communication technology are changing the health care paradigm to "precision", "prediction" and "personalization". Entry into the global aging society and the surge in the elderly population worldwide has led to searches for a new means to prepare for projected demands of this growing population. Thus, efforts such as gerontechnology have been made to apply and utilize recent innovative science and technology in order to promote the health and life of elders. There is a great emphasis on the convergence of high tech and high touch, in which humanistic and artistic approach are critical in order to assure that technology is beneficial to human beings rather than harmful. Conclusion: Positive healthcare experiences among patients and their families are emphasized by utilizing new technology and employing high touch while providing personalized care with a person-centered approach.

The Influence of Human Rights Sensitivity and the Nursing Work Environment on Workplace Bullying Victimization among Nurses in Small- and Medium-Sized Hospitals (중소병원 간호사의 인권감수성과 간호근무환경이 직장 내 괴롭힘 피해에 미치는 영향)

  • Cho, Eun-Kyung;Kim, Moon-Jeong
    • The Korean Journal of Health Service Management
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    • v.13 no.3
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    • pp.27-38
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    • 2019
  • Objectives: The purpose of this study was to examine the influence of human rights sensitivity and nursing work environment on workplace bullying victimization among nurses in small- and medium-sized hospitals. Methods: The participants were 255 nurses from 5 general hospitals in Busan. A dataset was collected using a structured self-reporting questionnaire during the month of July 2018. The data were analyzed with SPSS WIN 23.0 software (IBM Corp., Armonk, NY, USA) using independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Nursing work environment showed negative correlation with workplace bullying victimization. Being a witness to bullying, organizational support, head nurse's leadership, and relationships with peers were found to influence workplace bullying victimization, and these 4 variables explained 37% of workplace bullying victimization. Conclusions: Formal procedures for cases of bullying and improvements in the leadership of head nurses and peer relationships are crucial to reducing workplace bullying victimization among nurses in small- and medium-sized hospitals. Hospital executives' efforts to provide sufficient physical and human resources for nursing services and to improve the welfare of nurses are also needed.

Factors Influencing Professional Quality of Life in Intensive Care Unit Nurses of University Hospitals (간호·간병통합서비스병동 간호사의 직무스트레스가 소진에 미치는 영향: 감성지능의 조절 및 매개효과 )

  • Lee Yu Lim;Lee Yun Mi;Jang So Eun
    • Journal of Korean Critical Care Nursing
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    • v.16 no.1
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    • pp.44-55
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    • 2023
  • Purpose : This study aims to identify job stress, emotional intelligence, and exhaustion of the nurses in comprehensive nursing service units and then verify the moderating and mediating effects of emotional intelligence on the relationship between job stress and exhaustion. Methods : Participants are 118 nurses working in two general hospitals. The collected data are analyzed using the SPSS WIN 27.0 and AMOS 18.0 programs by assessing frequency and percentage, mean and standard deviation, independent t-test and one-way ANOVA, Scheffé test, Pearson correlation coefficient, and hierarchical multiple regression analysis and bootstrapping. Results : Exhaustion has a statistically significant positive correlation with job stress (r=.40, p <.001) and a statistically significant negative correlation with emotional intelligence (r=-.26, p =.004). A partial mediating effect of emotional intelligence is found between job stress and exhaustion, however, there is no moderating effect. Conclusion : It is expected that to reduce the exhaustion of nurses in comprehensive nursing service units, it is necessary to assess job stress and emotional intelligence, and strengthen emotional intelligence along with job stress intervention.

The Effects of the Short Message Service Informing Patients' Operation Status on the Family Members' Nursing Satisfaction (SMS를 활용한 수술진행 정보제공이 간호요구 만족도에 미치는 효과)

  • Yun, Jae Hyoen;Kim, Yeong Kyeong
    • Journal of Korean Clinical Nursing Research
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    • v.16 no.2
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    • pp.85-93
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    • 2010
  • Purpose: The purpose of this study was to investigate the effect of the SMS(Short Message Service) informing patients' surgical operation status to his or her family members on their nursing satisfaction. Methods: A non-equivalent control group non-synchronized design was used. The subjects were the family members of patients underwent spine surgery operation at a general hospital in B city. Twenty five subjects in the experimental group received SMS services whereas the other twenty five subjects in the control group received no intervention. Results: There was a significant difference in the level of nursing satisfaction in the experimental group compared to that of the control group(t=7.14, p=.001). Conclusion: The result above indicates that the level of nursing satisfaction of family members of the patients under surgical operation can be raised by providing SMS informing surgical operational status during the operation. This finding leads to the conclusion that such information service can be used as one of the efficient interventions for improving patient and family satisfactions with nursing care in a surgical unit.

Geriatric Health Problems and Directions for Nursing Improvements (노인건강문제와 간호의 방향)

  • Kim, Hee-Ja
    • Research in Community and Public Health Nursing
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    • v.9 no.1
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    • pp.89-103
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    • 1998
  • The elderly population will increase from 5.8% in 1996 to 12.5% in 2020. The related problems of health will also become a very important issue in the future. Therefore it is important to address the problems of geriatric nursing and geriatric health. 87.6% of the aged were ill with chronic degenerative diseases in 1994. In 1995, hospital admission rates (86.8) for those aged 60 or older were higher than that (56.3) of the total age group. Such high medical utilization will increase national health costs. For the development of geriatric nursing, active nursing intervention in various settings combined with education and research should be developed. Considering the health and welfare of the aged and the present status and views in Korea, I suggest the following: First, the health needs of the elderly in the institution, must be met by a plan that fosters geriatric nurses and programmed service development. Second, health service for the residential elderly must be provided in day care centers, short stays, nursing homes and geriatric hospitals. Geriatric nursing services should be provided in home residential areas, public health centers, public health subcenters as well as having, community health practitioners in primary health care posts and home health nurses. Third, geriatric nursing curriculum must be developed adjust to situations and culture of Korea and be included in the nursing curriculum. And gerontological nurse practitioner or geriatric specialist must be fosteraged to provide the professional care for the aged. Geriatric nursing research should be also achived for geriatric nursing improvements.

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A Study about Compassion Fatigue, Compassion Satisfaction and Burnout in Comprehensive Nursing Care and General Ward Nurses (간호·간병통합서비스 병동과 일반병동 간호사의 공감피로, 공감만족, 소진 비교)

  • Lee, Young Mi;Lee, Hyun Hee;Jung, Jin Hee;Yang, Jin Kee;Lee, Ji Eun;Kim, Sun Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.2
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    • pp.188-196
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    • 2018
  • Purpose: The purpose of this study was to compare the differences in compassion fatigue, compassion satisfaction and burnout between nurses working at comprehensive nursing care unit and general ward. Methods: The subjects were 35 nurses in general ward and 42 nurses in the Comprehensive Nursing Care unit in one hospital. Measurement instrument included the Stamm's professional quality of life (ProQOL) version 5-Korean. Descriptive statistics, t-test, paired t-test, ANCOVA, and Pearson correlation were used to analyze the data. Results: Nurses working at the Comprehensive nursing care unit demonstrated significantly lower compassion fatigue (F=17.00, p<.001), higher compassion satisfaction (F=14.39, p<.001), and lower levels of burnout (F=40.07, p<.001) than control group. Conclusion: Compassion fatigue and burnout were lower and compassion satisfaction was higher among nurses working at comprehensive nursing unit than general ward. In order to improve quality of the comprehensive nursing care services, there is a need to be concerned with the nurse's compassion fatigue, compassion satisfaction, and burnout.

Development of Performance Measures Based on the Nursing Process for Prevention and Management of Pressure Ulcers, Falls and Pain (욕창, 낙상예방 및 통증간호의 간호과정 적용 평가도구 개발)

  • Kim, Keum Soon;Kim, Jin A;Kim, Moon Sook;Kim, Yu Jeong;Kim, Eul Soon;Park, Kwang Ok;Song, Mal Soon;Yi, Young Hee;Lee, In Ok;Jung, Yoen Yi;Choi, Yun Kyoung
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.1
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    • pp.133-147
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    • 2009
  • Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.