• The Korean Nurse
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• v.33 no.3
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• pp.79-91
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• 1994

The purpose of this study was to identify the meaningful nursing diagnosis in maternity unit and to suggest formally the basal data to the nursing service with scientific approach. The subject for this paper were 64 patients who admitted to Chung Ang University Hospital, Located in Seoul, from Mar. 10, to July 21, 1993. The results were as follows: 1. The number of nursing diagnosis from 64 patients were 892 and average number of nursing diagnosis per patient was 13.9. 2. Applying the division of nursing diagnosis to Roy's Adaptation Model, determined nursing diagnosis from the 64 patients were 621 (69.6%) in physiological adaptation mode and (Comfort, altered r/t), (Injury, potential for r/t), (Infection, potential for r/t), (Bowel elimination, altered patterns r/t), (Breathing pattern, ineffective r/t), (Nutrition, altered r/t less than body requirement) in order, and 139 (15.6%) in role function mode, (Self care deficit r/t), (Knowledge deficit r/t), (Mobility, impaired physical r/t) in order, 122 (13.7%) in interdependence adaptation mode, (Anxiety r/t), (Family Process, altered r/t) in order, 10(1.1%) in self concept adaptation mode, (Powerlessness r/t), (Grieving, dysfunctional r/t) in order. 3. Nursing diagnosis in maternity unit by the medical diagnosis, the average hospital dates were 3.8 days in normal delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 64.6%, (Self care deficit r/t) 13.6% in order, and the average hospital dates were 9.6 days in cesarean section delivery and majority of used nursing diagnosis, (Comfort, altered r/t) 51.6%, (Self care deficit r/t) 15.2%, (Infection, potential for r/t) 9.9%, (Injury, potential "for r/t) 8.1%, (Anxiety r/t) 5.0%, (Mobility, impaired physical r/t) 3.3% in order, and the average hospital dates were 15.8days in preterm labor and majority of used nursing diagnosis, (Comfort, altered r/ t), (Anxiety r/t), (Injury, potential for r/t) in order, and the average short-term hospital dates were 2.5days, long-term hospital dates were 11.5days in gynecologic diseases and majority of used nursing diagnosis, (Comfort, altered r/t). (Self care deficit r/t), (Injury, potential for r/t), (Infection, potential for r/t) in order.

• Journal of Korean Academy of Nursing Administration
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• v.3 no.2
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• pp.137-150
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• 1997

This study was done to evaluate patient satisfaction with nursing care. The study subjucts were 164 patients admitted in a general hospital in Incheon province. The instrument used in this study was developed by Risser (1975) and Lim Hae Kyoung (1980) based on classification of nursing care area and modified by Chow Kwang Nam (1995). The relaiability alpha of this tool was 0.93695. The survey method was applied to collect data and the period of data collection was total 30 days from April Ist to April 30th in 1997. The data was analyzed by statistical method of %, mean, t-test and ANOVA through SAS program. 1. The highest scores of satisfaction were shown in the area of reliance, area of treatment, area of environment and area of education in order. 2. The crossed analysis of patient general characteristics and satisfaction of nursing care showed a signficance in the department of patient's admission and the highest satisfaction score was found in the general surgery ward (p<0.05). 3. General characteristics of patients which influence on the satisfaction showed a significant response according to the department of patient's admission in the treatment area, education area and environment area of nursing.(p < 0.05). Recommendation The followings are deriven from the above study results. 1. Area of nursing education which showed the lowest satisfaction should be empathized by making improvement of nursing care approach because the area in the basis to achieve nursing goal. 2. The development of systematic and objective instrument is necessary for evaluation of nursing quality and the evaluation should be performed in the area of patient satisfaction, hospital facility and hospital environment as well.

• The Journal of Korean Academic Society of Nursing Education
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• v.20 no.4
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• pp.523-533
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• 2014

Purpose: The purpose of this study is to analyze how the experiences of nurses influence their role model function when they are mothers of children who in turn have become nurses or nursing students. Method: The subjects of this study were 12 nurses, 8 of their children who became nurses and another 4 children then in training to become one. Data were collected through in-depth personal interviews and subsequently analyzed through a phenomenological approach. Results: Four main themes were identified as follows; 'Persuasion and dissuasion,' 'Proud but still pathetic,' 'As mom and senior nurse' and 'Great to pass it down.' Conclusion: The results of this study show that the nurse as mother could be a positive professional role model for her children. However, they tended to stress the arduous clinical routines and poor work conditions nurses currently experience. Should such routines and conditions improve, mothers who are nurses would be more willing to recommend the nursing profession to their children. Improving the professional environment is thus important because intergeneration nursing mobility provides a reliable resource to recruit qualified and dedicated nursing personnel.

• Journal of The Korea Institute of Healthcare Architecture
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• v.19 no.3
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• pp.21-28
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• 2013

Purpose: General hospital in korea is getting large-scaled, specialized and upgraded. So, nursing unit of race track type has been advanced along with a spatial organization, building equipment and environmental approach. This study is to search the guidelines for renovation of nursing unit with race track type in the case of K university hospital in Daejeon. Methods: 9 cases of recently opened general hospital has been analyzed for spatial and environmental design solution. Questionnaires and interviews about user needs of nursing staff, patient and visitors, have been conducted for a nursing care system and facility of nursing units in K university hospital. Results: The user needs are represented as followings. Center core public zone in each floor plan and center core nursing station and supporting areas in nursing unit are good for an adjacency and separation of spatial organization. Toilet of group patient room is necessary to equip for easy, safe and infective aspects, and so toilet install will decrease the patient number and increase the nursing care service. Hall type of station front is good for visibility and observation. It is appropriate to renovate into south facing group patient room for privacy, enough space for nursing care facility and supporting area, enough width of door to move portable medical equipment, room for medical doctor and practical student, noise absorbing of day room. Implications: Upgrading the nursing care service and facility equipment is necessary to reflect the user needs and cooperate with hospital management.

• Journal of Korean Biological Nursing Science
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• v.17 no.1
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• pp.78-87
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• 2015

Purpose: The purpose of this study was to investigate the effects of case-based learning (CBL) on learning motivation and learning satisfaction of nursing students in a human physiology course. Methods: The development and application of CBL scenarios was conducted from February to June, 2013. Nursing students (n=142) who registered for a human physiology course were assigned into either a control or CLB group. The control group received traditional lectures for 14 weeks. The CBL group received the same 14-week lectures and an additional 5 CBL sessions. The learning motivation and satisfaction were measured by questionnaires at the beginning and the end of the semester. Seven students in the CBL group were randomly selected for a focus-group interview. Quantitative data were analyzed by ${\chi}^2$-test and t-test, and qualitative data were analyzed by content analysis. Results: The learning motivation and learning satisfaction were not significantly different between the two groups. However, 59% of the CBL group answered with a positive impression on the CBL approach as it helped them to feel a sense of achievement, excitement, to form their identity as nursing students, and so on. Conclusion: These findings suggest that the CBL could be a challenging but useful learning method in a physiology course for nursing students. Further studies with guidance, such as instructors' questions and feedback design are needed to utilize CBL more effectively.

• Journal of the Korea Convergence Society
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• v.11 no.5
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• pp.381-389
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• 2020

Patients, particularly elderly patients, need nursing appropriate to their characteristics and pace, whereas 'fast nursing' is actually emphasized in Korea. Hence, this study attempts to identify the characteristics of 'slow nursing' in Korea. Walker & Avant's approach to concept analysis was performed through a literature review on the concept of 'slow nursing.' A literature search and concept analysis, using the keywords of 'slow,' 'slow nursing' and 'slow prescription' in Pubmed, Riss, NDSL, DBPIA, and Google Scholar from 2000 to 2019, yielded the following attributes of 'slow nursing': 'respect for the speed of the subject,' 'carefulness,' 'comfort in the process,' 'participation' and 'consideration of the meaning of life.' Model cases were derived based on these attributes. Predisposing factors involved in 'slow nursing' include patient malfunction, psychological deflection, indifference, fear of treatment, and lack of willingness to live. The outcomes were a discovery of patients' potential capacities, recovery of confidence, health promotion, improved communication with medical staff, confidence, and self-integrity. It is expected that the development of measurement tools using the attributes of 'slow nursing' would contribute to patient nursing and research in the future.

• Women's Health Nursing
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• v.26 no.2
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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.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.3
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• pp.362-373
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• 2021

This is an action research study of mixed methodology design to confirm the implementation process and effects of applying visual thinking and window paning on improving nursing ethics and professional courses. Based on the conceptual model for action research, a quantitative and qualitative approach was taken. The data was collected and analyzed in an integrated manner. The survey analysis was done using the SPSS WIN 23.0 program. The participants were interviewed after experiencing the techniques in class and content analysis was used on the answers. As a result of applying visual thinking and window paning, ethical decision-making confidence (t=6.748, p<.001) and nursing professional intuition (t=-3.52, p<.001) showed statistically significant changes. There was, however, no significant change in biomedical ethics consciousness (t=1.291, p=.199). Qualitative analysis found that they had fresh experience, an unfamiliar but comfortable feeling, feeling of being mine, insufficient time, systematic case study approach based on theory, were able to cultivate cooperation and coordination ability through discussion and experience in various professional fields, pride, ethical responsibility consciousness and were able to apply learning content in the field. Visual thinking and window paning foster diverse competencies in nursing education and help integrative learning. Therefore, based on the results it is proposed that visual thinking and window paning are applied to the improvement of instruction in other courses to develop core nursing competency.

• Journal of Korean Academy of Nursing
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• v.44 no.6
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• pp.617-629
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• 2014

Purpose: The purpose of the study was to identify and explain the essences and structures of maternal conflicts in Vietnamese married immigrant women in Korea. Methods: A phenomenological methodology was used for the study. Eleven Vietnamese married immigrant women participated in the study. Verbatim transcripts were analyzed using Colaizzi's method. Results: Four categories, 10 clusters and 26 themes emerged from the data for the experience in maternal conflicts of Vietnamese married immigrant women. The four categories were 'An unprepared young motherhood in another culture', 'Feeling left out of the mother's place along the bands of Nap tai tradition', 'My image is like not-being able to stand alone/be independent' and 'Finding hope in motherhood despite of conflicts and stigmas'. Conclusion: Vietnamese married immigrant women experienced not only the negative aspects but also sublimation of maternal conflicts. Based on the results, health professionals need to develop effective nursing interventions toward a positive maternal identity and approach with interculturalism for the Vietnamese married immigrant women in Korea.

• Journal of Korean Academy of Nursing
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• v.48 no.3
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• pp.335-348
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• 2018

Purpose: The purpose of this study was to identify parental coping strategies in the face of early infant and toddler injury, and to provide basic data for a parental education program and the most desirable directions it should take. Methods: A Q-methodology to analyze the subjectivity of each item was used. Thirty-four Q-statements were derived from a literature review and interviews. Forty-seven parents were classified into a shape of normal distribution using a 9-point scale. Collected data were analyzed by the pc-QUANL program. Results: Five types of parental coping in early infant and toddler injury were identified. Type I was "hospital treatment focused", type II was "Improving the safety of the child's environment", type III was "expression of negative emotion", type IV was "taking the lead in problem solving", and type V was "Interrogating the person in charge of the situation in which the injury occurred". Conclusion: The results of this study indicate that different approaches to educational programs can be used for parents in early childhood injury.