• 제목/요약/키워드: Nursing Theory

검색결과 970건 처리시간 0.031초

Transitional Care for Older Adults with Chronic Illnesses as a Vulnerable Population: Theoretical Framework and Future Directions in Nursing

  • Son, Youn-Jung;You, Mi-Ae
    • 대한간호학회지
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    • 제45권6호
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    • pp.919-927
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    • 2015
  • Purpose: Effective transitional care is needed to improve the quality of life in older adult patients with chronic illness and avoid discontinuity of care and adverse events. The aim of this article is to provide an overview of the key features, broader implications, and the utility of Meleis' transition theory intended for the transitional care of older adults with chronic illnesses. We present the role of nurse in the context of transitional care and propose future directions to increase the quality of nursing care. Methods: The online databases Cumulative Index of Nursing and Allied Health Literature, MEDLINE, and Science Direct were searched for relevant literature published since 1970 along with textbooks regarding nursing theory. Results: An evaluation of the usefulness of transition theory based on transitional care in older adult patients with chronic illnesses is provided. Healthy transition should be the expected standard of nursing care for older adults across all healthcare settings. Conclusion: Nurses need to contribute to the development of transitional care for vulnerable populations; however, transition theory needs to be enhanced through additional theoretical work and repeated evaluations of the applicability in areas of transitional care.

가정간호에 대한 돌봄만족도 측정도구 개발 - Watson의 돌봄개념을 중심으로 - (Development of the Tool for Measuring the Care Satisfaction of Home Health Nursing based on Watson's Theory of Human Caring)

  • 전연숙;강경아
    • 한국보건간호학회지
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    • 제28권1호
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    • pp.57-70
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    • 2014
  • Purpose: This study is a methodological research study for development of a tool for measurement of care satisfaction of home health nursing in patients who have received care through home health nursing and to test the validity and reliability of the tool. Method: Based on Watson's theory of caring and its constituent factors, the literature related to home health nursing was reviewed, and the standard of home health nursing was compared and analyzed. For verification of the validation and reliability of the final tool which has been developed, data were collected from 166 people who were receiving home health nursing care. Result: According to results of analysis of the factors based on Kaiser and scree test, 10 factors with an eigenvalue greater than 1.0 were extracted, and they explained 72.26% of the total variance. In addition, the factor loadings of 56 questions were greater than .30. For verification of reliability, Cronbach's alpha for all 56 items was .98 and Guttman split half reliability coefficient was .90. Conclusion: This tool based on Watson's theory of caring contributed to development and application of the nursing theory through verification of the theory.

상황특이적 이론 합성을 통한 한국적 간호이론 개념 개발 (Exploring Theory Synthesis through an Analysis of Situation-specific Theories in Korea)

  • 서은영
    • Perspectives in Nursing Science
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    • 제8권1호
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    • pp.10-19
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    • 2011
  • Purpose: This article was proposed to describe and summarize the following 1) the structural hierarchy of nursing knowledge and 2) the four different methods of concept analysis and concept development, which are used most frequently in nursing literature, and 3) to demonstrate a qualitative data synthesis of situation-specific theories in Korea in order to provide an venue for developing Korean-contextualized nursing theory. Methods: A literature review and a meta-synthesis were used. An interpretive integration method for the meta-synthesis was used to incorporate incorporating the results of ten qualitative studies in Korea. Results: The normative and extended concept of the self was one of the three foremost concepts. The experiences of being detached from a group and of being unlike others were perceived with distress to Korean participants. Lastly, as a coping method, complying with a higher flow or power was used. Conclusion: Based on the three concepts elicited in this article, a substantive theory which withholds Korean nursing concepts and essences is hoped to be developed in future.

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동서간호를 위한 이론 및 지식개발 (Theory and Knowledge Development for the East-West Nursing)

  • 강현숙
    • 동서간호학연구지
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    • 제19권2호
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    • pp.195-200
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    • 2013
  • Practice evidenced by reliable knowledge is essential for professionals and practical studies. Because nursing is a human science and practical science, theory and knowledge development is an indispensable task to improve nursing. Nursing is a very special paradigm not exactly correlated to Western medicine and Oriental medicine. However, nursing was influenced by on Western medicine at the beginning, and most nursing theories were established western philosophies. Caring is the essence of nursing. To provide qualitative care which satisfies clients, it is required to respect cultures of the clients. Western and Eastern approaches of thinking are coexisting in Korea no, so the needs for developing a nursing model, East-West Nursing, which blends two approaches are increasing. In this paper, concepts of the East-West Nursing, differences between Oriental and Western medicines, and comparison of nursing metaparadigm in prospects from and Western Philosophies were briefly covered to define the East-West Nursing. Strategies and directions to develop the East-West Nursing were also discussed.

한.중 간호교육제도 및 교육과정 비교연구 (Comparative Study on Nursing Education System of Korea and China)

  • 문희자;김광주;박신애;김일원;박화순
    • 동서간호학연구지
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    • 제7권1호
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    • pp.32-47
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    • 2002
  • This study is a descriptive comparative investigated one to analyze nursing education system and curriculum of Korea and China trans-culturally. 1) Education System The basic level of nursing education in Korea consisted of 65 3-year- junior college of nursing (7379 students) and 48 4-year-bachelor of nursing college (2345 students) in 2000 showing more 3-year-junior college of nursing and its students. In China, western nursing as well as Chinese nursing education system were operating. In 2000, 501 western school of middle technical nursing, 29 school of middle technical nursing of middle level education, and 89 3-year western and 24 Chinese junior college of nursing, and 42 4-year western bachelor of nursing college and 10 Chinese of high level education have been established. The presence of Chinese school of middle technical nursing system seemed to be in slower development in nursing than Korea, but that of Chinese nursing education seemed to be advanced with its national identification prior to Korea. Post graduate continuous education for RN-Diploma and RN-BSN program has been opened as in Korea. The Hosa(護士) system in school of middle technical nursing in China reflects lower level of education than Korea. But it can be a merit, other than in Korea, without nurses aids, when they are acting under supervision of nurses and led by them, and there presents a special course for promotion up to high level education. Graduate school in Korea is divided into general type opening a curriculum for MS in 1960 and as of 2000, 21 general types for majoring in nursing. The PhD course in Korea was established in 1978, and after that the PhD courses have been opening in 14 universities at present. China established master degree course in 1991 and as of 7 colleges are ongoing, and the doctoral course is now under planning, resulting slower development than Korea. 2) Education of theory and clinical practice in Korea and Chine (1) Korea's 3-year junior nursing college have 51 subjects, 49 subjects in China, which was not different. China was following education of ideology and medical. 4-year Bachelor of Science College has 92 subjects in Korea with cultural subjects and essential major studies/elective in theory education in Korea, while 63 subjects in China, showed wider selection in Korea's education. (2) Korea's 3-year and 4-year nursing colleges performed clinical practice education parallel with theoretical education for a certain period, block or theory/practice system. While China's 3-year and 4 or 5-year-colleges educated the theory first and then practice for one year in the last grade, integrating each situation of the departments and the theory. (3) Korea's oriental nursing theory in nursing education was performed in 28 colleges of 65 nationwide ones of 3-year junior nursing colleges, but only one school was educating clinical practice. In 4-year bachelor of nursing colleges, the oriental nursing theory was done in 14 among 48 investigated. And 1-4 subjects of them were doing, and 4 schools performed of clinical practice, showing more reinforced than the junior colleges. China's 3-year and 4-5-year western nursing colleges taught two subjects of Chinese medicine nursing. China's 3-year & 4-5-year College of Chinese medicine nursing, theory of Chines medicine nursing education taught eight subjects. (4) 5-year colleges of Chinese medicine western integrated nursing, theory of Chinese medicine nursing education consisted of twelve Chinese medicine nursing subjects and two of Chinese medicine western integrated nursing subjects. China was tempting a new development of a pattern of Chinese medicine nursing subjects reinforced. 3) The verification of Korean and Chinese nurse's license. The verification test of Chinese nurses license is differentiated at the level of education other than in Korea. Expire date is 2 years and a qualified test must be done to a renewal. And the continuing education hours are 72 per year, which is more enforced than Korean nurses (10 hours a year). In accordance with WTO regulations, we should prepare for opening foreign hospital, educating oriental nursing subjects. And on this, it is recommendable to settle a basic frame research to run the oriental nursing practice ongoing. 1. It is desirable to develop the oriental nursing subjects to apply its idea to the western nursing and differentiate Korean nursing. 2. It is desirable to certify oriental nurse's characters, to expand and develop the nursing areas to practice it, and to establish the oriental nursing system. 3. It is expectable to promote Korean nursing specialization to develop the oriental nursing as a professional and to create its demand.

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노인간호학 교과과정 모형개발 (Development of Gerontological Nursing Curriculum Model)

  • 송미순;김귀분;김주희;김희경;신경림
    • 대한간호학회지
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    • 제33권3호
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    • pp.376-385
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    • 2003
  • Purpose: This study was conducted to develop gerontological curriculum model which reflects the need of Korean society. Method: Three round Delphi survey method was applied to find consensus of gerontological nursing competencies (knowledge, attitudes and skills) for graduates of nursing schools from the panel of gerontological nursing practice experts. Important concepts in gerontological nursing were delineated from literature review and discussions of gerontological nursing educators. Based on these results the gerontological nursing curriculum model was developed and course structure outlined by the researchers as a group. Result: As the result of delphi survey, 32 items of knowledge, 29 items of attitude, and 21 items of skill were identified. The curriculum model constructed around a cube with three plane- functional capacity levels, settings, and nursing practice. Specific knowledge, attitudes and skills for gerontological theory and practicum course were suggested. Competency items were assigned to theory and/or practice. Conclusion: A curriculum model for gerontological nursing has been developed by a group of gerontological nursing educators. The curriculum model should be further tested and developed with detailed theory and practicum course outline and textbooks.

한방간호 이론구축을 위한 연구 : Q방법론적 접근 (Theory Construction of oriental Nursing : A Q-methodological Approach)

  • 신혜숙
    • 대한간호학회지
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    • 제24권3호
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    • pp.327-344
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    • 1994
  • It is needed that nursing scholars in Korea should understand the philosophy and perspectives of oriental medicine, and then explore the possiblities of theory building which can be a Korean’s unique nursing theory. With the assumption of this kind of work can be achieved by cooperation of oriental medicine and nursing areas, this study measures the subjectivity -opinions, attitudes, and values-of professional from these two areas. Identifing the schemata(structure of subjectivity) would be a basic step for the strategies and construction of oriental nursing theory. The Q-sorts of 57 professionals were combined into five distinctive factors, namely, Q-types. The five factors were named as follows : Type I, Fundamentalist, consistently insists that the understanding of oriental medicine should be a basic step for the development of oriental nursing model, because ororiental medicine's theories and practices in curing are very unique and different from the western. Type Ⅱ, Pessimist, denies the uniqueness of oriental nursing field and its independency, because of lack of scientific evidences and professionalism. Type Ⅲ, Harmonist, believes the basic concepts in two different medic관 spheres are identical, but, at the same time, accept the uniqueness of the two. They try to propose Korean Nursing Model which accomodates local culture and conventions, and the way of Nurturing Life(Yang-sang), based on the traditional western nursing. Type W. Needy Follower, merely expects the Korean Nursing Model which considers the characteristics of Koreas culture and physical constitution and, thus, is more suitable to them. Some-times, they experience the discontent and conflict when they need more qualitative and culture-oriented nursing interventions. Type V, Alternative Giver, actully clarifies the concept of Oriental Nursing, and provides specific program as a alternative of universal western nursing. Various ways of Nurturing Life (mental, life, and diet Yang-sang) were introduced as a guideline for the specification of the nursing area and its con-tent. Throughout the study, the five different Q-factors were identified, and the concept of Oriental Nursing and aspects of its theory construetion were discussed.

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Theoretical evaluation of Cox's interaction model of client health behavior for health promotion in adult women

  • Kim, Youlim;Lee, Hyeonkyeong;Ryu, Gi Wook
    • 여성건강간호학회지
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    • 제26권2호
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    • pp.120-130
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    • 2020
  • This study aimed to evaluate Cox's interaction model of client health behavior (IMCHB) as used in studies on women's health. Using keyword combinations of "women" and "IMCHB" or "interaction model of client health behavior," we searched the PubMed, MEDLINE, Embase, and RISS databases for studies on the promotion of women's health published from January 2009 to April 2019. Finally, 11 studies were selected and evaluated according to seven criteria for theory evaluation, which combined Fawcett's theory evaluation criteria and Chinn and Kramer's criteria. We found that the IMCHB corresponds to a verifiable practical level of a middle-range theory, although it may be partially abstract. It contains all four concepts of the metaparadigm of nursing, in terms of a holistic philosophical approach. A theoretical evaluation demonstrated that the IMCHB has significance, generality, testability, empirical adequacy, and pragmatic adequacy for nursing practice and research. However, the lack of clear conceptual definitions and the presence of complex relationships among concepts resulted in a lack of internal consistency and parsimony. According to an in-depth verification through a review of the literature, the IMCHB has been used as a health promotion intervention strategy for various populations of women and has led to useful results in nursing practice. The IMCHB was confirmed to be a suitable theory for experimental and clinical research. Future research can build on this middle-range theory for women's health research and practice.

'상담이론과 실제' 온라인 수업에서 간호대학생의 자기인식 경험 (Experience of Nursing Students' Self-awareness in 'Counseling Theory and Practice' Online Class)

  • 김미화;최고야;서지영
    • 사물인터넷융복합논문지
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    • 제7권4호
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    • pp.43-50
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    • 2021
  • 본 연구의 목적은 간호대학생을 대상으로 비대면 수업 중 '상담이론과 실제' 교과목을 통한 자기인식 경험의 본질과 의미를 탐색하는 데 있다. 참여자는 E군 대학의 '상담이론과 실제' 교과목을 온라인으로 수강한 40명의 간호대학생이다. 자료분석은 Colaizzi의 현상학적 분석 방법을 적용하였다. 연구결과로 숨겨진 내면의 발견, 건강한 내적 자기 만들기, 자신에 대한 숙고, 서로의 다른 관점을 인식함, 포부와 영향력의 형성인 5개의 범주가 도출되었다. '상담이론과 실제' 교과목을 인터넷으로 수강한 후, 자기인식 경험에 대한 분석을 통해 간호대학생의 올바른 자기인식이 형성됨을 볼 수 있었다.

근거이론적 접근방법을 적용한 간호학생들의 임상실습 경험 (The Study on the Experience of Clinical Nursing Practice among Nursing Students using Grounded Theory Approach.)

  • 서문숙;김명희;전미영
    • 기본간호학회지
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    • 제3권1호
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    • pp.128-140
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    • 1996
  • This study is to understand and to explain how nursing students experience in the clinical nursing practice using grounded theory approach. Ten nursing students were participated in the study. Seven of them were junior students at the junior college of nursing, and the rest were the senior students at the university. The data were collected by in-depth individual interviews by investigators during May and June in 1995. The results of the study were as follows ; Twenty-eight concepts and 9 categories were emerged by the constant comparative analysis. The 9 categories include 'the need of role model', 'non-educational practical setting', 'knowledge deficit', 'emotional changes', 'the attitudes of clinical practice', 'fatigue', 'skepticism', 'pride', and 'the product of clinical practice'. The core category which encompasses all 9 categories was emerged as 'the process of formulating the nursing view'. Five hypotheses were derived from the analysis. 1) The desirable role model would enhance to pride of nursing in students. 2) Non-educational practical setting would increase skepticism of nursing in students. 3) Knowledge deficit would negatively affect on experience of clinical practice. 4) The pride of clinical practice would formulate a positive nursing view. 5) The skepticism of clinical practice would formulate a negative nursing view. The results of this study are to use as basic data for students attending clinical experience.

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