• Title/Summary/Keyword: Nursing Standards

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In Search of the Foundation of the Philosophy of Nursing Science (간호철학 정립 필요성에 관한 소고)

  • 최남희
    • Journal of Korean Academy of Nursing
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    • v.15 no.3
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    • pp.50-61
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    • 1985
  • For nursing as a science to establish a unique system of knowledge, nursing researches should include philosophical activities such as critique, analysis and synthesis. As a consequence of these activities, nursing science comes to add up more abundant content of knowledge and have a more refined scientific system. In short, nursing science can be developed in respects of tools and methods through philosophical researches, i.e., philosophy of nursing science. Traditionally, the task of supplying individual science with pertaining methodological principles has been due to philosophy, or philosophy of each Scientic discipline. Philosophy of nursing science establishes a demarcation between nursing and non-or pseudo-nursing, so that the unique natue of nursing can be revealed. Systematizing the particular knowledges or informations discovered through empirical reseal ches, philosophy of nursing science, as a part of rational activities to construct its scientific theories. Owing to philosophy of nursing science, conceptual frameworks or theories settled in various branches of nursing science can be integrated into a holistic system. Philosophy of nursing science can include arguments on standards, values, goals and intents of nursing behavior, so that their interrelational networks can be understood. Philosophical discussions can offer nursing science positive ways to more extensive development, preventing it from indulging in particular or exclusive inclination. And Philosophy of nursing science in itself should also keep a liberal attitude to overcome preconceptions concerning methodology of nursing science.

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The Development of Hemodiafiltration Treatment Compliance Indicators and Discriminant Standards, Development of Hemodiafiltration Treatment Compliance Measurement - Convergent Form(HDFTCM-CF) : Focused on On-line Hemodiafiltration (혈액여과투석 환자의 치료이행 지표와 분류기준, 융합형 혈액여과투석 치료이행 측정도구 개발 : 온라인 혈액여과투석을 중심으로)

  • Hur, Jung
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.269-282
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    • 2015
  • This study is to define the hemodiafiltration treatment compliance indicators and discriminate standards for hemodiafiltration patients and development of hemodiafiltration treatment compliance measurement-convergent form. Date was collected from 300 on-line hemodiafiltration patients. To verify the hemodiafiltration treatment compliance indicators and discriminate standards, used construct validity and content validity by clinical professional group. Discriminant ability of 3 indicators-interdialysis weight gain rate(IWGR), serum phosphate level, rate of self change of total hemodiafiltration treatment time(SCR-HEFTT)- is 95.6%(wilks ramda=.256, p=.002). And hemodiafiltration treatment compliance measurement-convergent form has 91.7% discriminant accuracy. Hemodiafiltration treatment compliance is important that nurses can aware pre-stage of complication and give appropriate nursing intervention. Also this measurement can be used for foundation data of the nursing intervention development that prevent dialysis patient's complication.

Development of Standard of Educational Equipment for Fundamental Nursing Practice in BSN Programs (4년제 간호교육기관의 기본간호학 실습 기자재 표준안 개발)

  • Kim Jong-Im;Lim Nan-Young;Kim Keum-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.3
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    • pp.415-426
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    • 2003
  • Purpose: This study was done to develop standards for educational equipment in fundamental nursing practice courses in BSN programs. Method: The participants in this study were 30 professors who taught fundamental nursing in colleges or departments of nursing. The data were gathered between December 2002 and May 2003 using a questionnaire on the present state of fundamental nursing practice and the educational equipment list for fundamental nursing practice. Result: There was variety in the content of the courses of fundamental nursing practice in BSN programs, and the environment for fundamental nursing practice was in diverse setting. A standard for educational equipment was developed consisting of 93 pieces of equipment for fundamental nursing practice. Conclusion: The standard for educational equipment for fundamental nursing practice in BSN programs provides the basics for fundamental nursing practice. Of these 72 were selected and the authors suggests establishing an educational committee of fundamental nursing practice and holding a workshop on educational equipment for fundamental nursing practice in BSN programs every 5 years.

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Development and Application of Nursing Service Quality Indicators in Nursing Homes (노인요양시설의 간호서비스 질 평가 지표 개발 및 적용)

  • Chung, Ja-Ne
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.401-413
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    • 2007
  • Purpose: This study was designed to develop Nursing Service Quality Indicators(NSQIs) in nursing homes that would lead to an appropriate evaluation and improvement of nursing service quality. Methods: The preliminary NSQIs were developed through literature reviews and analysis of existing quality indicators. A content validity testing was done twice by using a panel of experts who were from academia and the clinical areas. The final NSQIs were confirmed and applied in three nursing homes to test feasibility. Results: The preliminary NSQIs had 4 domains and 31 indicators. Two content validity testings were performed. The indicators scoring over.80 CVI for each testing were selected and modified by experts' opinions. The final NSQIs consisted of 7 domains and 33 indicators. They were applied in three nursing homes and it was revealed that all the indicators were applicable. Conclusion: In this study, it is shown that this new 'Nursing Service Quality Indicators in Nursing Homes' is suitable for a holistic evaluation of nursing service quality of elderly patients in nursing homes. This NSQIs will be able to provide a basis for establishing nursing care standards and improving the nursing care quality in nursing homes.

Development of and Evaluation Tool for the Quality of Patient Care in Musculo-skeletal Disorder (${\cdot}$ 골격장애 환자의 간호질 평가 도구 개발)

  • Choi, Soon-Ook;Kim, Moon-Sil
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.2
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    • pp.338-348
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    • 1995
  • We need to continuously evaluate for nursing quality and the outcome to reflect nursing, to repair and improve of nursing. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. We need a system for quality assurance evaluation that is, development and framework of evaluation tool for nursing care quality. The purpose of this study was attempted to develop an evaluation tool for the quality of nursing care in musculoskeletal disorder patients. The approach method of nursing quality for the development of the tool in this study was process evaluation framework. The study were devided dvelopment process and reliability, validity verification process. The subjects of development process of this tool are three nursing export groups, and the subject of reliability, validity verification process are 20 samples of two university hospital in seoul, who were within discharge 3 months after admission treatment in musculo-skeletal disorder. Data for this study was collected from March 10 to April 13, 1995. The development process of the tool were as follows : 1. Make preliminary list of the tool by focal group were constituted 12 clinical nurses. 2. Modify and add preliminary list by 4 nursing expert panel. 3. Calculate content validity of the tool by 25 nursing expert panel of judge. 4. Verify reliability and validity of the tool. 5. Finalize an evaluation tool for the quality of the nursing care in musculo-skeletal disorder. The results of this study were as follows : 1) Development an evaluation tool for the quality of nursing care in musculo-skeletal disorder. (1) The evalution tool of this study was developed 5 standards, 33 criterias and 133 indicators. (2) 5 standards were divided according to Nursing Process. from standard 1 to standard 5, involved criterias were each 6(18%), 3(9%), 3(9%), 15(46%), 6(18%). 2) Verify reliability and validity of the tool. (1) Score of adequate degree for content validity of 33 criterias and 133 indicators were every average 2.82. (2) Inter-rater reliabilities(consentaneity score) of the tool by pearson correlation coefficient between three raters were : r=.7506, r=.8934, r=.6695. and Inter-rater reliabilities by single-facet crossed design were : r=.7464. (3) The alpha coefficient relating to internal consistency was .8524 over all 30 items of 33 criterias of developed tool. (4) Score of the quality of nursing care following to generaal characteristics of this study subjects were stastically significant differences according to educational level (F=2.93, p=.029)and diagnosing classification (F=2.50, p=.042). Through this study, I'm sure that the developed tool for the quality of patient care in musculo-skeletal disorder will show the way of more improvement of the quality of nursing care and effective nursing interventions.

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A Study on the Clinical Practice Experiences on Nursing Activities of Nursing Students (간호학생의 임상실습 중 간호활동 경험 정도)

  • Cho, Mi-Hye;Kwon, In-Soo
    • The Journal of Korean Academic Society of Nursing Education
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    • v.13 no.2
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    • pp.143-154
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    • 2007
  • Purpose: The purpose of this study was to identify the clinical practice experiences of nursing students who completed the courses of nursing curricula in college. Method: The data was collected using a questionnaire with 191 task elements in 8 nursing standards specified by the Korean Nurses Association(2003), from December 2004 to January 2005. Three hundred thirty-three nursing students from five three-year and five four-year colleges of nursing were selected for respondents. Result: The nursing activities which over 70% of the students had performance experiences with were 23 items(12.04%) practiced frequently in clinical settings, simple, low in malpractice risk and noninvasive in characteristic. In addition, the nursing activities which under 30% of students had performance experiences with were 87 items(45.55%). The nursing activities which over 70% of students had only observation experiences with were 20 items(10.47%). Also, the nursing activities that over 30% of students didn't have any experiences with were 19 items(9.95%) not frequently seen in the clinical setting. Conclusion: It is concluded that the students are not fully qualified as the new nurses of the future. Therefore, every effort to develop a more effective clinical nursing education in school, clinical settings and in students themselves is needed.

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The Perceived Importance and Performance Frequency of Nursing Interventions in the Oncology Units in a Tertiary Hospital (종양내과병동에서의 간호중재 중요도 및 수행 빈도에 관한 연구 - 일 종합요양 전문기관을 중심으로 -)

  • Kwon, In Gak;Cho, Myung Sook;Shin, Hee Yeon
    • Korean Journal of Adult Nursing
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    • v.19 no.2
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    • pp.260-273
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    • 2007
  • Purpose: This study was performed to understand the perceived importance and performance frequencies of nursing interventions and identify the core and major interventions in oncology units. Methods: Questionnaires using 151 nursing interventions were given to 45 nurses. The performance frequency was measured through the database of the nursing process recording system for 1 year. Results: The perceived importance of the nursing interventions averaged out to be 3.5 among 4 and on average 36.5 times of nursing interventions were performed on each patient. Fifteen core nursing interventions including 'pain management' were identified and they made up 82.7% of the entire performance frequency rate. And 26 interventions including 'drug administration: Amphotericin-B' were identified as major nursing interventions and occupied 10.6% of the entire performance frequency rate. Conclusion: Since the core and the major nursing interventions were identified and these occupied 93.3% of the all nursing interventions, these results can be utilized as baseline data for establishing the guidelines and standards of nursing interventions and providing systematic education for oncology nurses in Korea.

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The Process Evaluation of Community Home Nursing Program (미국 CHAP 인정도구에 의한 지역사회 가정간호 시범사업의 평가)

  • Yi, Sung-Eun;Kim, Sung-Sil;Kim, Chun-Gil;Ahn, Yang-Heui;Yang, Soon-Ok;Park, Gyung-Suk
    • Journal of Home Health Care Nursing
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    • v.13 no.1
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    • pp.46-53
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    • 2006
  • Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

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A Comparative Study on National and International Hospital Accreditation Systems Focusing on Korea, the U.S., and Australia (의료기관인증제도의 국내외 비교 연구 -한국, 미국 및 호주 중심으로-)

  • You, Sun-Ju;Kim, Myo-Gyeong;Kim, Yoo-Mi;Choi, Yun-Kyoung
    • Journal of Convergence for Information Technology
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    • v.7 no.4
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    • pp.27-38
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    • 2017
  • The purpose of this study was to ascertain new policies fo the development of the Korean Hospital Accreditation Program (HAP) by comparing and reviewing the domestic HAP of Korea, the U. S. and Australia as well as the International Accreditation Program of the International Society for Health Care Quality. The results of this study are as follows. First, it is necessary to improve the standards of the HAP such as 'patient and community centered standards' and 'staffing related standards'. Second, it is necessary to strengthen patient safety through the HAP. Third, the linkage among the HAP, clinical indicators and patient experience evaluation should be strengthened. Fourth, the competencies of surveyors should be improved. Fifth, the HAP of small and medium hospitals also needs to be vitalized. Sixth, it is necessary to improve the disclosure of the healthcare quality evaluation results. The findings of this study can be used as a basis to improve the Korean HAP.