• Title/Summary/Keyword: Nursing approach

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Concept Analysis of Triage Competency in Emergency Nursing (응급실 간호사의 중증도 분류 역량에 대한 개념분석)

  • Moon, Sun Hee;Park, Yeon Hwan
    • Journal of Korean Critical Care Nursing
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    • v.10 no.3
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    • pp.41-52
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    • 2017
  • Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

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Family-Centered Care for Hospitalized Children: Concept Analysis (입원 아동의 가족중심돌봄 개념분석)

  • Jung, So Young;Tak, Young Ran
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.28-36
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    • 2017
  • Purpose: This paper is a report on the concept analysis of family-centered care for hospitalized children. Methods: The concept analysis approach of Walker and Avant was used. A search of multidisciplinary literature published between 1960 and 2016 was undertaken using the keyword 'family centered care' or 'family centered nursing' combined with hospitalized children. Attributes, antecedents, and consequences were inductively derived from the citations analyzed (n=19). Results: The attributes of family-centered care included (1) family respect, (2) collaboration, (3) family support, and (4) information sharing. These attributes are influenced by the 'willingness of family to participate', 'competency and willingness of staff,' and 'institution policy and system.' Additionally, family-centered care does significantly impact 'the health of the children', 'family empowerment' and 'work satisfaction and self-confidence of staff'. Conclusion: Family-centered care of hospitalized children as defined by the result of this study will contribute to the theoretical foundation for application in pediatric nursing practice.

Wishes of the Elderly (노인의 소망)

  • Kim, Eun-Sook;Kim, Kwuy-Bun
    • Korean Journal of Adult Nursing
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    • v.14 no.3
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    • pp.438-448
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    • 2002
  • Purpose: This study is aimed to search the lived experiences of the participants and to analyze the contents so that we can be assured about what the elderly wish and find the appropriate nursing intervention for them in real life. Method: This is based on a phenomenological approach. Participants of this study consist of people older than 65 years old. Data was collected from May to August in 2001. Data collection was done through in-depth interviews and observations. The time used in each interview was from 50 minutes to 2 hours. Each participant was interviewed three to five times. Giorgi's phenomenological analysis was used in data analysis. Result: The elder's wishes are 1) a respected life, 2) a happy life, 3) a peaceful life, 4) a independent life, 5) a financially independent life, 6) a satisfactory life, 7) a mind to depend on someone, 8) a serving life, 9) a historic family, 10) a happy-ending life. Conclusion: The study will contribute for the nursing intervention to enhance the quality of life and successful aging of the elderly.

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Life Experience following Suicide Attempt among Middle-aged Men (중년남성의 자살시도 후 삶의 체험)

  • Chin, Eun-Young;Kim, Hyun Kyung
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.215-225
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    • 2016
  • Purpose: This study was performed to identify the meaning of life experience following suicide attempt among middle-aged men. Methods: A qualitative research design was adopted using van Manen's hermeneutic phenomenological approach. The participants were six middle-aged men who had attempted suicide at least one time. Data were collected in 2013 through in-depth interviews. Individual interviews were recorded; and literary, art works and phenomenological literature were searched to identify the meaning of the experience. Results: The five essential themes of the life experience of middle-aged men who attempted suicide were 'Bitter reality confronted again', 'Anger buried deep inside', 'Broken family, inescapable fetters', 'Blocked relationships, closed world' and 'A step towards a new life'. Conclusion: The meaning of lived experience found in this study provides deep insight into the experience following suicide attempt in middle-aged men and crucial information to give directions to appropriate support and nursing interventions.

Mothers' Experiences of Caring for Children with Precocious Puberty: A Q-Methodological Approach (성조숙증 아동 어머니의 돌봄 경험: Q 방법론적 접근)

  • Lee, Hye Jin;You, Mi-Ae
    • Journal of Korean Academy of Nursing
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    • v.50 no.2
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    • pp.255-270
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    • 2020
  • Purpose: This study explored experiences of mothers caring for children with precocious puberty. Methods: Q-methodology was used for analyzing individual subjectivity. Seventy Q-statements were selected and scored by 50 participants on an 11-point scale. The collected data were analyzed using the PC QUANL program. Results: The following eight types of care experiences of mothers of children with precocious puberty were identified: Type I-1: hypersensitive and best-result oriented, Type I-2: treatment burden, Type II-1: treatment-oriented, Type II-2: self-blame, Type III-1: accepting and compliant, Type III-2: treatment confused, Type IV-1: serious and engaged, and Type IV-2: naturalism-oriented. Conclusion: These results can help develop specific education programs based on types of care experiences for the promotion of care among mothers of children with precocious puberty.

Study of Abilities Required to Develop for Student in Nursing Education (간호교육을 통하여 학생들에게 육성해야하는 능력에 대한 고찰 - 학제 및 일반적인 대학교육과의 차이를 중심으로 -)

  • Park, Jeong-Hye
    • Journal of Korean Academy of Nursing Administration
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    • v.17 no.1
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    • pp.74-87
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    • 2011
  • Purpose: The purpose of this study was to identify key abilities needed to develop for student nurses. Methods: A methodological research design was used in this study. The abilities for student nurses were developed through literature review and educational objectives analysis of 60 nursing colleges in Korea. Results: Finally, the abilities required to develop for student nurses in higher education were 8 cluster of abilities and 19 abilities such as problem solving ability, relationship ability, professional ability, ability in information processing, globalization, voluntary service. Conclusion: To perceive and achieve abilities for student nurses in higher education has to be needed a systematic approach in setting objectives, to improve curriculum and to develop program and educational methods.

Suffering and Spiritual Care (고통(suffering)과 영적 간호)

  • Kim, Myung-Ja;Yang, Nam-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.16 no.1
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    • pp.40-48
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    • 2009
  • Although the general concept of suffering care includes palliative care for the terminally ill that is designed to alleviate pain, it is much more holistic and encompasses emotional, spiritual and other life dimensions. Human suffering is multi-dimensional including spiritual and religious aspects, which diverge from the concept of pain understood in the context of materialistic medical approach. In this caring perspective, the body, mind and spirit are integrated so that objectivity and subjectivity can merge. The extended awareness with inner source or energy, and positive thinking about the personally-relevant God can be meaningful the dying person, family members and the caring team. Despite the importance of an inclusive understanding of human suffering, actual nursing practice still does not fully embrace the full understanding of human suffering. A more fundamental meaning of human suffering from the nursing perspective may fruitfully adopt a more inclusive view of human suffering.

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Perception of precocious puberty among school-aged children in South Korea with the experience of treatment for precocious puberty: a Q methodological approach

  • Sun Jung Park;Hye Ri Nam;Eun Ju Choi
    • Child Health Nursing Research
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    • v.29 no.3
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    • pp.195-206
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    • 2023
  • Purpose: This study aimed to investigate the perceptions of precocious puberty and elucidate the distinct characteristics of each type of perception related to precocious puberty among school-aged children who had undergone treatment for the condition. Methods: This study applied the Q methodology to identify and classify the perceptions of precocious puberty among school-aged children who had undergone treatment for the condition. The analysis involved 34 questions from the Q sample and data from 35 individuals in the P sample, using the PC-QUANL Program for analysis. Results: The perceptions of precocious puberty among school-aged children who had undergone precocious puberty treatment were classified into the following four types: "shyness - passive self-management," "resentment - suppression," "anxiety - fear," and "adaptation - acceptance." Conclusion: This study investigated the experiences and perceptions of children who have undergone treatment for precocious puberty. Through the identification of four types of perceptions, we can see that there is a need to develop an intervention program for nursing that is tailored to the specific type of precocious puberty.

Knowledge and Diffusion of Knowledge for Nursing Care of Patients with Diabetes Mellitus among Clinical Nurses (우리나라 임상간호사의 당뇨병 지식 및 지식 확산도 조사연구)

  • Hong, Myeong Hee;Yoo, Joo Wha;Kim, Soon Ai;Lee, Jeong Rim;Roh, Na Ri;Park, Jeong Eun;Gu, Mee Ock
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.61-74
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    • 2009
  • Purpose: In order to increase the quality of nursing care for patients with diabetes mellitus, it is important for clinical nurses to accept changes in diabetes knowledge and correct their approach immediately. This approach will also contribute to effective nursing practice. Methods: The study was designed to investigate the level of knowledge and diffusion of knowledge for nursing care of patients with diabetes mellitus among clinical nurses. It was conducted with nurses from 29 general hospitals in Korea from November 3 to December 5, 2008. The questionnaire consisted of 129 items and it was sent to the participants by mail. Of the 1,060 questionnaires returned, only 930 were valid for use in the statistical analysis. Results: 1) The average score for clinical nurses' knowledge of diabetes mellitus was 0.67 out of 1.0. 2) The level of persuasion of knowledge for nursing care of patients with diabetes mellitus averaged 0.64 out of 1.0 3) The level of practical application of knowledge for nursing care of patients with diabetes mellitus averaged 1.05 out of 2.0, indicating that they applied their knowledge 'sometimes'. 4) The level of diffusion of knowledge for nursing care of patients with diabetes mellitus was 2.37 out of 4.0 and level was estimated as the stage of 'persuasion'. 5) There were significant differences in nursing knowledge of diabetes mellitus, according to experience in practical education for diabetes mellitus. Conclusion: The results indicate that nurses with a lower level of knowledge of diabetes mellitus have a lower level of persuasion of knowledge for nursing care of patients with diabetes mellitus and lower practical application. To improve the level of nurses' knowledge of diabetes mellitus, practical training programs are needed for areas in which knowledge level is low, such as 'diagnosis and management of diabetes mellitus', 'oral diabetes medication', and 'glucose control in special conditions'.

The Effect of Job Stress on Health Promotion Behaviors of Nurses in a Regional General Hospital: The Mediating Effects of Positive Psychological Capital and Nursing Work Environment (지역 종합병원 간호사의 직무 스트레스가 건강증진행위에 미치는 영향: 긍정심리자본과 간호근무환경의 매개효과)

  • Jang, You Min;Park, Ju Young
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.3
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    • pp.160-170
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    • 2018
  • Purpose: The purpose of this study is to provide preliminary data for alleviating nurses' job stress and support health promotion behaviors. Further, the study reviews the mediating effects of positive psychological capital and nursing work environment in relation to job stress and health promotion behaviors among nurses in a regional general hospital. Methods: A study survey was conducted from June 9 to 16, 2017. The subjects were current nurses working at a regional general hospital in D city. Analysis of a survey questionnaire from 147 participants was conducted. Results: Upon reviewing the mediating effects of positive psychological capital and nursing work environment in relation with health promotion behaviors and job stress, it was found that positive psychological capital (Z=-4.78, p<.001) and nursing work environment (Z=-4.17, p<.001) were significant mediators. Conclusion: As demonstrated through the results of this research, it is necessary to build programs to strengthen individual positive psychological capital and increase the practice of health promotion behaviors among nurses. It is also evident that a systematic approach is needed to improve the nursing work environment.