• Title/Summary/Keyword: Nursing Theory

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A Critical Review of Literature: Mid-Range Nursing Theory of Uncertainty in Illness (중간범위 간호이론인 Mishel의 질병에서의 불확실감에 관한 문헌고찰)

  • Kang, Younhee
    • Korean Journal of Adult Nursing
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    • v.15 no.1
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    • pp.146-153
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    • 2003
  • 연구목적: 본 연구는 대표적인 중간범위 간호이론인 Mishel의 Uncertainty in Illness모델에 관한 연구문헌 고찰이다. 기존의 간호이론에 근거해서 새로운 간호연구가 시행되고 있으며, 이러한 연구들의 결과는 또한, 근거이론을 지지 및 수정보완을 통해서 간호이론의 타당성과 유용성을 강화해왔다. Mishel의 모델에 근거한 불확실감에 관한 연구의 수행에 앞서, 근거이론에 관한 현지식의 상태와 부족한 영역을 탐구하여, 이에 기여할 수 있는 연구계획을 수립하는데 문헌고찰의 주요한 목적이 있다. 연구방법: 본 문헌고찰은 중간범위 간호이론인 Mishel's Uncertainty in Illness에서의 주요 개념간의 관계에 대해서 선행연구 결과를 토대로 분석하였다. 연구결과: 불확실감의 선행요소들(antecedents)과 불확실감, 불확실감의 평가(appraisal of uncertainty), 불확실감 모델내에서 건강 통제위(health locus of control)의 역할, 및 불확실감의 결과, 적응(adaptation)에 관하여 고찰하였다. 결론: 문헌고찰 결과로서, 불확실감 이론에 관한 현지식의 상태를 확인하였고 이 이론의 타당성과 유용성을 확인하기 위한 추후연구에 대한 방향도 제언되었다.

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Clinical Nursing Competency for New Graduate Nurses - A Grounded Theory Approach - (신규 임상간호사에게 요구되는 임상실무수행능력)

  • Byeon Young-Soon;Lim Nan-Young;Kang Kyu-Sook;Sung Myung-Sook;Won Jong-Soon;Ko Il-Sun;Chang Sung-Ok;Jang Hee-Jung;Yang Sun-Hee;Kim Hwa-Soon
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.10 no.1
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    • pp.47-56
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    • 2003
  • Purpose: This study was done to provide information about issues of clinical competency from the perspective of new graduate nurses and to make suggestions for improving undergraduate education programmes. It was also done to clarify learning experiences between fundamentals of nursing and the other major areas of nursing. Method: For this study, 7 new graduates and 8 experienced nurses participated. The data were collected through in-depth interviews and analysed in terms of Strauss and Corbin's grounded theory methodology. Result: Core category and main categories, were delineated. Clinical nursing competency was found to be a dynamic process with each participant actively engaged in acquiring problem solving ability in diverse clinical settings. These findings have value in understanding the embedded meaning of clinical nursing competency. Conclusion: Therefore, the educational programs reflecting the experience of new nursing staff should be developed.

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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness (만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과)

  • Park, Chorong;Song, Misoon;Cho, Belong;Lim, Jaeyoung;Song, Wook;Chang, HeeKyung;Park, Yeon-Hwan
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.192-201
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    • 2015
  • Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

Factor Associated with the Intention of Human Papillomavirus Vaccination with Nursing Students: Based on the Theory of Planned Behavior (간호대학생의 인유두종바이러스 접종 의도 및 영향요인: 계획된 행동이론을 기반으로)

  • Lee, Yoon-Hee;Park, Keum-Ok
    • Journal of the Korea Convergence Society
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    • v.12 no.9
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    • pp.343-350
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    • 2021
  • The purpose of this study was to apply Ajzen's theory of planned behavior to identify factors that affect nursing students decisions to receive Human Papilloma Virus(HPV) vaccination. Data collection was done using self-report questionnaires with 195 nursing students in D city. Data were analyzed using percentage, mean, standard deviation, t-test, Pearson correlation analysis and hierarchial regression with the SPSS Win 25.0 Program. The mean score of intention to receive HPV vaccine was 5.24±1.66 out of a possible 7. In the hierarchial regression analysis, attitudes (β=.446, p<.001), perceived behavior control (β=.321, p<.001) subjective norm (β=.132, p=.041), to receive HPV vaccine were significant predictors and explained 54.4% of intention to receive HPV vaccine. it is suggested that promotion programs and social environment to encourage to think it positively and perceive it easy and convenient should be developed, with nursing students' educatinon for sex education and public relations activitiesas as a nursing educators.

Validity and Reliability of an Instrument for Predictive Nursing Intention for SARS Patient Care (SARS 환자간호 의도예측 도구의 타당도 및 신뢰도 검증 연구)

  • Yoo, Hye Ra;Kwon, Bo Eun;Jang, Yon Soo;Youn, Heun Keung
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1063-1071
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    • 2005
  • Purpose: This study was done to develop and test validity and reliability of on instrument for predicting nursing intention for SARS patient care. Method: The psychometric properties of a SARS patient care attrition prediction tool, based on the Theory of Planned Behavior, were examined in this study. The Three-phase design involved a) salient beliefs generated from clinical nurses (n=43) b) content validation by expert panel evaluations(n=5) c) face validation by plot testing (n=10) d) and instrument validation in a cross sectional survey (n=299). Psychometric analysis of survey data provided empirical evidence of the construct validity and reliability of the instrument. Result: Principal component analysis verified the hypothesized 6-factor solution, explaining $68.2\%$ of variance, and Alpha coefficients of .7538 to .9389 indicated a high internal consistency of the instrument. Conclusion: The instrument can be used by nurse administrators and researcher to assess clinical nurses' salient beliefs about caring for SARS patients, guide tailored intervention strategies to effective caring, and evaluate the effectiveness of interventions.

The Study for a Model Development of School Health Diagnosis (학교건강진단모형 개발을 위한 연구)

  • Im Mee Young
    • Journal of Korean Public Health Nursing
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    • v.11 no.2
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    • pp.131-140
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    • 1997
  • School health aims to guide and manage growing students in order to grow healthily through the formation of healthy life habits, the self-control health management guide and the making of pleasant school health environments. The purpose of this study is to clarify the concepts, to draw common features, and develop a new approach for school health diagnosis through literature review. School health diagnosis is defined as the identification of actual and potential health problems in school health problems in population. It is a label that both describes a situation and implies an ethiology. Although it is widely acknowledeged that school health diagnosis is an essential precursor to school health nursing intervention, it still has ambiguous definition, unmeasurable goal. and a tenuous structure. In addition, the eclipse of school health diagnosis theory in the literature is so complete that some texts even exclude diagnosis as a stage of the nursing theory has not developed sufficiently to guide school nurses in the application of the nursing diagnosis with in the school. The Neuman's systems model provided the conceptual framework for this study and offered school health nursing the sort of clear structure that will assist them to clarify their work to nursing colleges and also to the client group with whom they will work. The Neuman model is fully congruent with today's health care philosophy by taking a wellness-orientaed approach, involving clients III their health care with prevention as intervention.

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A Study of nursing process by Neuman's systems model in Primary Health Care (Neuman 모델에 의한 일차보건의료에서의 간호과정 적용연구)

  • Han Myung Hwa
    • Journal of Korean Public Health Nursing
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    • v.12 no.1
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    • pp.90-102
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    • 1998
  • The primary health care(PHC) movement officially began in 1977 when the 30th World Health Oranization(WHO) Assembly adopted a resolution accepting the goal of attaining a level of health that permitted all citizens of the world to live socially and economically productive lives. As a WHO member nation, Korea has endorsed primary health care as a strategy for achieving the goal of Health For All by the Year 2000. However, PHC, with its empasis on broad strategies, community participation, self reliance, and a multidisciplinary health care delivary team, is not the primary strategy for improving the of Korean. The Neuman's systems model has been described as a grand nursing theory. A grand nursing theory consists of a comprehensive conceptual framework that defines broad perspectives for practice. This model is an example of a conceptual framework that provides structure for development and analysis of an individual or group of patients in the community or in an oranization. One of the model's strength is that it can be useed ina variey of setting. So The Neuman's model is used a nursing process format for community health nursing. The Neuman's model is fully congruent with concept and philosophy of today's PHC.

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Research Trends on Parent-Child Relationships from the Perspective of Nursing (간호학 관점에서의 부모-자녀 관계 연구동향)

  • Kim, Mi-Ran;Park, Young-Hee;Park, Eun-Sook
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.249-258
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    • 2010
  • Purpose: This study was done to provide a basis for future theory development by analyzing the phenomenon of parent-child relationships based on the 4 areas described by Kim (2000). Methods: A descriptive research design was used to identify research trends in nursing related to the phenomenon of parent-child relationships. Results: Before 1990, the trend in research design was quantitative designs, but since 1990, qualitative research has also been done. Mothers were the most popular research target for these studies followed by mothers and children together. In analyzing the 4 areas outlined by Kim (2000), it was found that most of the research was done on client domain and parents. The research concepts relevant to the essentialistic concept of research target, were 'child rearing', 'breast-feeding' and 'attachment'. For problematic concepts, the concept of 'stress' was continuously dealt with over the period and for the health-care experiential concept, 'adjustment' and 'coping' by parents were the main focus of research. Conclusion: The results show that parent-child relationship research was mainly concentrated on research participants and concepts. In the future, improvements should be made in research development of nursing practice programs and development of theory, to address the complete phenomenon of parent-child relationships.

Family Caregivers' Experiences Utilizing a Nursing Home for Their Elderly Family Members (장기요양 노인환자의 노인전문요양시설 입소를 결정한 돌봄제공자의 경험)

  • Hong, Sun-Woo;Son, Haeng-Mi
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.724-735
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    • 2007
  • Purpose: The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home for their elderly family members. Method: Participants for this study were 1 man and 9 women caregivers. Data was collected through in-depth interviews from October, 2005 to April, 2006 and analyzed using Strauss and Corbin's grounded theory methodology. Results: "Finding a way to live together" emerged as a core category and it reflected expanding consciousness allowing them to see each other in a more positive view. The basic social process of "finding a way to live together" includes 3 phases: 1) recognizing the problems, 2) finding solutions to the problems, and 3) accepting the changes in their surrounding. Lack of privacy, family troubles, extreme distress, and unavailable caregivers are reflected in the process of recognizing the problems. The process of finding solutions was making a decision, obtaining family agreement, choosing the best nursing home, and enduring the financial burden. Possible outcomes of the last phase include recovering peace of mind and continuing conflict. Conclusion: Findings from this study offer suggestions for developing a strategy to help not only the elderly but also the family caregivers.