• Title/Summary/Keyword: Nursing approach

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Intensive Care Unit Nurse's Communication Experience (중환자실 간호사들 간의 의사소통 경험)

  • Won, Youn-Hui;Kang, Jiyeon
    • Korean Journal of Adult Nursing
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    • v.26 no.3
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    • pp.352-361
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    • 2014
  • Purpose: The purpose of this study was to explore the communication experience of intensive care unit (ICU) nurses in the workplace. Methods: The present study utilized a qualitative approach using focus group interview method. A total of three focus groups of 15 ICU nurses from two university hospitals were formed. The conversations during the focus group interviews were recorded and analyzed through Colaizzi's phenomenological method. Results: As a result of analyzing participants' conversation, Five theme clusters were elicited, namely, "one-way communication", "differences in the position of senior and junior nurses", "communication crisis", "beginning of understanding", and "movement toward change" out of 15 themes and 138 significant sentences. Conclusion: ICU nurses report having experienced communication crisis because of the one-way communication of the ICU nursing environment and the hierarchical differences in junior and senior nurses' position. Systematic education and continuous training on communication skills need to be provided to improve interpersonal relationship among nurses and work environment in the ICUs.

Victims' Experiences of Wife-Abuse (아내학대 피해자의 경험에 관한 연구)

  • Lee, Eun-Joo
    • Women's Health Nursing
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    • v.3 no.2
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    • pp.250-267
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    • 1997
  • The wife-abuse is a seriously threatening factor with victim's wellbeing and health. This study was performed to analyze the victims' experiences of wife-abuse to prepare the basis of nursing intervention for them. The participants of study were 96 women who counseled with W counselling center for wife-abuse from January 1996 to August 1997 in Cheju. Data were gathered through the unstructured interviews(telephone, face-to-face and letter) by trained 3 members of the center. The collected data were analyzed to reveal the characteristics of wives and husbands, the modes of wife-abuse, the influences of abuse to wives and the coping styles of wives. The modes of wife-abuse were analyzed and classified using the power and control wheel model of Pence et al. The results of study unveiled that the wife-abuse behaviors were used to control the wife physically, sexually, economically, and psychologically and to maintain the abuse situation. We have to understand the dominant regime of our society, ie the patriarchy that controls the women's labor power, production power and personality, to approach the victims' of wife-abuse and to provide the proper nursing interventions for them.

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Development of Education & Training Programs for Senile Long-Term Care Managers (the 2nd. grade) (2급 노인장기요양보호사 교육훈련 프로그램 개발)

  • Shin, Kyung-Rim;Byeon, Young-Soon
    • Korean Journal of Adult Nursing
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    • v.20 no.2
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    • pp.251-268
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    • 2008
  • Purpose: This study aimed to develop the first standardized education & training program for education of senile long-term care managers to improve the quality of senile long-term care service. Methods: The study developed programs through literature review, specialists' conference and interview with the linear approach from February, 2007 to May, 2007. Results: Senile long-term care managers should have qualification of 51 items in knowledge, 35 items in technology and 17 items in attitude. Total 8 subjects were education & training subjects of senile long-term care managers and the study proposed targets of each subject and education & training level divided into top, middle and bottom. Total education & training hours were composed of 70 hours in theory, 50 hours in practical technique and 40 hours in social welfare practice in agencies. Conclusion: The study will contributed development of the first education & training programs for education of senile long-term care managers. Therefore, the study proposes that the study will be applied to a systematical education & training course through program verification after applying real programs to senile long-term care managers and that it is necessary to develop the standardized education & training program for higher senile long-term care managers.

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A Grounded Theory Approach on Nurses' Experience with Workplace Bullying (간호사의 직장 내 괴롭힘 경험에 관한 근거이론 연구)

  • Kang, Jiyeon;Yun, Seonyoung
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.226-237
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    • 2016
  • Purpose: The purpose of this qualitative study was to explore the workplace bullying experience of Korean nurses. Methods: Participants were twenty current or former hospital nurses who had experienced workplace bullying. Data were collected through focus group and individual in-depth interviews from February to May, 2015. Theoretical sampling method was applied to the point of theoretical saturation. Transcribed interview contents were analyzed using Corbin and Strauss's grounded theory method. Results: A total of 110 concepts, 48 sub-categories, and 17 categories were identified through the open coding process. As a result of axial coding based on the paradigm model, the central phenomenon of nurses' workplace bullying experience was revealed as 'teaching that has become bullying', and the core category was extracted as 'surviving in love-hate teaching' consisting of a four-step process: confronting reality, trial and error, relationship formation, and settlement. The relationship formation was considered to be the key phase to proceed to the positive settlement phase, and the participants utilized various strategies such as having an open mind, developing human relationships, understanding each other in this phase. Conclusion: The in-depth understanding of the workplace bullying experience has highlighted the importance of effective communication for cultivating desirable human relationships between nurses.

Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea: Secondary Analysis of National Health Data (모자동실이용에 영향을 미치는 산모와 의료기관 요인: 전국 자료를 이용한 2차 분석)

  • Kim, Yun-Mi;Kim, Eun-Young
    • Journal of Korean Academy of Nursing
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    • v.41 no.5
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    • pp.593-602
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    • 2011
  • Purpose: In this study analysis was done of utilization of rooming-in care in South Korean hospitals in order to examine the factors related to mothers and hospitals that affect rooming-in care. Methods: With the involvement of 254,414 mothers who gave birth across 953 hospitals, the analysis used the health insurance qualification data of the National Health Insurance Corporations and Health Insurance Review and Assessment Service (2006). Factors associated with rooming-in care were analyzed using a GEE logistic regression analysis to consider factors related to both mothers and hospitals. Results: Only 45.1% of the mothers used rooming-in care. The results of the regression analysis revealed that individual factors of the mothers were not associated with rooming-in care, whereas group factors of the hospitals were. Rooming-in care use was primarily related to small hospital, location of hospital, and higher nurse staffing level. Conclusion: The findings of this study indicate that the utilization of rooming-in care is not associated with factors an individual mother, but rather with the group factors of the hospitals. Thus, a policy-based approach considering both of these types of factors is required to enhance the utilization of rooming-in care.

Types of Child Rearing Behavior of Parents during Early Childhood: Q-Methodological Approach (영.유아기 부모의 양육 행위 유형: Q-방법론적 접근)

  • Park, Sun-Jung;Kang, Kyung-Ah;Kim, Shin-Jeong
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.486-496
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    • 2013
  • Purpose: The purpose of this study was to identify the awareness of child rearing among parents of children in early childhood and to provide fundamental data for parent education programs according to child rearing type. Methods: Q-methodology which provides a method of analyzing the subjectivity of each item was used. Forty Q items which were derived from a literature review and interviews with nurturing mothers were classified into a normal distribution using a 9-point scale. Collected data were analyzed using the QUANAL PC Program. Results: Four types of parents' child rearing were identified. Type I was named 'affection-respect type', type II, 'concern-rule compliant type', type III, 'solicitude-model type', and type IV, 'geniality-encouragement type'. Conclusion: For proper growth and development during early childhood, parents should have rational information and awareness of their child rearing type. Results of this study can be used as essential data to develop child rearing education programs according to parents' child rearing attitude.

Effects of an Individualized Cardiac Rehabilitation Education Program on Knowledge about Coronary Artery Disease, Compliance of Sick Role, and Vascular Health Status in Patients of Percutaneous Coronary Intervention (개별 심장재활 교육프로그램이 관상동맥중재술을 받은 환자의 질병관련지식, 환자역할이행과 혈관 건강상태에 미치는 효과)

  • Lee, Kyung Sim;Sung, Kyung Mi
    • The Korean Journal of Rehabilitation Nursing
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    • v.18 no.2
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    • pp.135-144
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    • 2015
  • Purpose: This study was conducted to examine the effects of an individualized cardiac rehabilitation education program on knowledge about coronary artery disease (CAD), compliance of sick role and vascular health status in patients with percutaneous coronary intervention (PCI). Methods: Quasi-experimental design-based nonequivalent control group pretest-posttest design was employed. Using convenience sampling, data were collected from 60 patients who underwent PCI at S Hospital in S City from September 2014 to February 2015. For examining the effects of an individualized cardiac rehabilitation education program, knowledge about CAD, compliance of sick role and vascular health status were measured. Results: The experimental group showed statistically significant differences in knowledge about CAD (t=24.21, p<.001), compliance with sick role (t=20.81, p<.001) and vascular health status (t=15.07, p<.001) compared to the control group. Conclusion: The individualized cardiac rehabilitation education program is effective in improving knowledge about CAD, compliance of sick role and vascular health status in patients who underwent PCI. Based on the findings of this study, nursing intervention programs focusing on individualized approach will be useful for patients undergoing PCI.

The Male Experience in Nursing (남자간호사의 간호사 되기 경험)

  • Kim, Suol;Bae, Kyungeui
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.4
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    • pp.105-117
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    • 2019
  • Purpose : Using qualitative research and a phenomenological approach, the present study aimed to explore men's experiences of becoming a nurse. We posed the question "What has been your experience of becoming a nurse?" Methods : Eleven male nurses from three regions in Korea were selected through convenience sampling. The protocol suggested by Colaizzi was used for data analysis. Results : The principal themes were "Challenging to the stochastic stereotype of gender mechanics," "Floating outside the enclosure of multiple groups," "The male nurse's conceptualization of nursing organizations," "To stand with self-doubt, thinking of it as a stopover," and "Situations encountered by a male nurse." Conclusion : Men experience gender discrimination based on the social roles that are imposed on males and females both at school and in the workplace. They prefer to work where they have more diverse tasks that require quick responses. However, most male nurses adapt to this work by outlasting the difficulties. These nurses become accustomed to their tasks, and satisfied with their mature work performance. They often feel they are not adequately compensated for their work. They may judge the future as uncertain, and have lingering doubts about maintaining their positions, ultimately gravitating toward specialized fields that promise a brighter future and are more consistent with traditional gender expectations.

Expanding the aging self: Investigating successful aging among Korean older adults using grounded theory

  • Park, Hyung-Ran
    • Journal of Korean Public Health Nursing
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    • v.29 no.3
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    • pp.426-440
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    • 2015
  • Purpose: This qualitative study aimed to understand older adults' perspectives on successful aging and develop a model of a successful aging process, within the Korean socio-cultural context. Methods: This study used a Grounded Theory approach. Through theoretical sampling, 14 participants were selected from older adults at a public health center and a volunteer institution in Gyeonggi Province, South Korea. Results: The basic social process identified was "expanding the aging self", which was preceded by three phases, namely, adjusting to the changes, developing the valuable self, and embracing the environment. Participants used 2-3 strategies for successful aging in each phase. For adjusting to the changes, participants used strategies such as "adopting a positive attitude", "accepting the changes", and "being at the center of life". To develop the valuable self, "re-identifying capacities", "having something to do", and "advancing to a healthy lifestyle" were used. Participants embraced their environments with "sharing with others" and "embracing younger generations". The causal condition for expanding the aging self was the changes in participants' physical, mental, or psychosocial situations. Conclusion: These findings suggest a theoretical foundation for the development of potential nursing interventions to promote self-care management and the interpersonal relationship for successful aging among Korean elderly individuals.

A Concept Analysis of 'Taeoom' to Newly Employed Nurses (신규간호사 '태움(Taeoom)'에 대한 개념 분석)

  • Kim, Jiwon;Bae, Sung-Yoon
    • Korea Journal of Hospital Management
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    • v.25 no.3
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    • pp.1-13
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    • 2020
  • Purpose: This study was conducted to identify the conceptual definition and attributes of 'Taeoom' (or workplace bullying) inflicted to newly employed nurses in Korea. Method: Walker & Avant(2011)'s eight-stage process was used to perform a conceptual analysis of 'Taeoom'. Literature review of 40 studies published between Jan. 2009 and March 2018 published in Korea was followed by the in-depth interview with nine newly employed hospital nurses and the ex-post review of results by nursing experts. Findings: 'Taeoom' was associated with five attributes: (1) bullying for no reason, (2) peer rejection for no reason, (3) decreased physical function and psychological withdrawal, and (4) verbal abuse, defamation and nagging, (5) impotent feeling due to power imbalance. Four antecedents found in this study include offensive action, distrust, power imbalance, and undue workload exceeding capacity. As consequences of Taeoom, negative physical and psychological symptoms and turnover intention were increased while nursing performance was decreased. Conclusion: This study suggests the need for more qualitative researches with more comprehensive approach on Taeoom and the development of effective program to improve the organizational culture in nursing field. This study is significant in that it provides a qualitative but comparative review on the attributes, antecedents and consequences of Taeoom through literature review accompanied by focus group interview and expert review.