• Title/Summary/Keyword: Nursing approach

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Parent Participation in care of Hospitalized Children: Concept Analysis (입원 환아 간호에 대한 부모의 참여 개념분석)

  • Choi, Mi-Young
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.105-112
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    • 2014
  • Purpose: The purpose of this paper was to explore the meaning of parent participation (PP), to clarify the concept of PP as a benefit to children and their families, and to increase understanding of PP in pediatric nursing practice. Methods: Walker and Avant's approach to concept analysis was used. A search of multidisciplinary literature published between 1994 and 2012 was undertaken using the keyword, 'parent participation' combined with hospitalized children. Attributes, antecedents and consequences were inductively derived from the citations analyzed (n=30). Results: PP was identified as having three attributes: Negotiation, Performing caring activity, Providing individualized care. Antecedents of PP were 'Parents & pediatric nurses' attitudes', 'Children's age', 'Children's conditions'. Consequences of PP were 'Effective partnership', 'Mutual empowerment'. Conclusion: Parent participation as defined by the results of this study should contribute a foundation for theory development in pediatric nursing practice.

Development of Educational Materials for Management and Prevention of Chronic Hepatitis (만성 B형 바이러스성 간질환의 예방 교육매체 프로그램 개발)

  • Shin, Gye-Young;Lee, Sun-Ock;Kim, Mae-Ja
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.503-512
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    • 2002
  • Purpose: This study was conducted to develop educational materials for preventing type B viral hepatitis infection. Prior to this study, a survey had been conducted to define the educational needs of persons with hepatitis B antigen. Method: Based on the results of the former study and a review of the literature, the content of the educational materials was confined to the transmission cycle and its prevention in type B hepatitis. A professional team that consisted of writers and producers videotaped the lectures provided by professors and instructors in a nursing school. A professional graphic designer produced the leaflet to enhance the visual effects. Results: The contents of the educational materials for type B hepatitis were composed of six parts: (1) the prevalence rate (or morbidity) of type B hepatitis antigen positive and its recent trend, (2) transformation of hepatitis. (3) transmission cycle of hepatitis infection, (4) persons who are susceptible to hepatitis and need a vaccination, (5) preventive approach hepatitis vaccination and the guideline for patients' daily lives for preventing infection and (6) questions and answers. The materials were delivered in the form of lectures, visual charts, graphics, and multi-media. Conclusion: The educational materials developed in this study may provide practical information and knowledge on strategies to prevent type B hepatitis. The educational materials may be utilized in primary health care centers or school health services.

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Attitude Type about Smoking of Smoking Middle School Students (흡연 중학생의 흡연에 대한 태도 유형)

  • Moon, Sun-Young;Choi, Yang-Hee;Oh, Bok-Chang;Kim, Shin-Jeong;Han, Kyoung-Soon
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.481-492
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    • 2002
  • The purpose of this study was to understand and analyze the subjective structure of attitude The method was based on a Q-Methodological approach. The results of this study, there were four categories of smoking middle school students' attitude about smoking. The first type named Self Belief type that this type didn't sensible of their surrounding persons when they were smoking and they also were responsible for strong opinion at their behavior. The second type named Other's Awareness type that they were seen the behaviors they always have to see other person when they were smoked, but if they didn't smoke or have tobaccos they feel heavy and are restless. The third type named Solving of Anxiety type. They first used to smoke when they wanted to solve their anxiety, stress, awkwardness and angry. The fourth type named A Sense of Belonging Group type. This type followed if their friends were smoking they also did it with them. As to grasping of their motivation to smoking of middle school of students with smoking, they felt some intimacy and same quality each other. In consideration of various types of attitude about smoking, it was very necessary important to grasp the meaning because we were known about attitude, belief etc. And then Through getting hold of the meaning, we could understand with their thought and value of Students in middle school. Besides, as a substitute for the students were depending on smoking purposelessly will fix right self-confidence.

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An Integrative Review of Home Care Service for Pregnant Women, Mothers, Infants, and Toddlers in Vulnerable Group (취약계층 임산부·어머니·영유아 대상 방문건강관리서비스에 대한 통합적 문헌고찰)

  • Kim, Dasom;Lee, Insook
    • Journal of Korean Academy of Nursing
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    • v.47 no.5
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    • pp.577-588
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    • 2017
  • Purpose: This study was intended to integrate the evidence of home care service intervention for mothers and children in vulnerable groups through an integrative literature review. Methods: We searched the MEDLINE (PubMED), EMBASE, Cochrane Central Register of Controlled Trials, CINAHL, DBpia databases. The quality of the articles was assessed by one doctoral researcher and verified by one professor of community health nursing who had participated in the systematic review of literature. A framework was developed to identify the intervention patterns in the selected papers and categorize various elements. The extracted intervention elements were grouped into potential themes, which were verified by assessors on whether they clearly reflected the interventions in the papers. Results: Among 878 searched papers, we selected 16 papers after excluding literature that does not satisfy the selection criteria and quality evaluation. The intervention elements of 16 selected papers were categorized into six themes. The extracted intervention elements were divided into the themes of Patient-specific/Situation-specific care planning and intervention, Emphasis on self care competency, Intense home visit by developmental milestone, Reinforcing and modeling mother-child attachment, Communication and interaction across the intervention, Linkage with community resource and multidisciplinary approach. Conclusion: As a result of the analysis of proper interventions of home care services for mothers and children in vulnerable groups, it was found that it is necessary to consider indispensable intervention elements that can standardize the quality of home care services, and conduct studies on developing intervention programs based on the elements.

Effects of Auricular Acupressure on Joint Pain, Range of Motion, and Sleep in the Elderly with Knee Osteoarthritis (이압요법이 퇴행성 슬관절염 노인의 관절 통증, 관절 가동범위 및 수면에 미치는 효과)

  • Jang, Minjin;Lim, Yun-Mi;Park, Hyojung
    • Research in Community and Public Health Nursing
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    • v.30 no.1
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    • pp.79-89
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    • 2019
  • Purpose: The purpose of this paper is to determine effects of auricular acupressure on knee pain, range of motion, and sleep in the elderly with knee osteoarthritis. Methods: This is an experimental study designed with randomization and single-blind in a placebo-control approach. The subjects included the elderly with knee osteoarthritis who were using an elderly welfare facility. In each of the groups, 28 subjects were assigned. For the experimental group, auricular acupressure was applied to five pressure points related to the pain caused by osteoarthritis and sleep. In the case of the placebo-control group, auricular acupressure was applied to other five points than the former. The intervention lasted eight weeks. In order to examine intervention effects of auricular acupressure, joint pain, Pressure Pain Thresholds (PPTs), and extension and flexion range of motion (ROM) were measured weekly. As for the preand post-examinations, pain, sleep quality, and the time-by-sleep stage of the patients with knee osteoarthritis were measured. Results: The VAS scores in the experimental group with auricular acupressure significantly decreased through time (p<.001) and WOMAC also significantly decreased (p<.01) compared with the placebo-control group. However, there were no significant differences in PPTs. The flexion (p<.01) and extension (p<.001) ROMs measured for eight weeks improved over time. Meanwhile, sleep quality improved significantly after the intervention termination (p<.01), but there was no significant difference found in the time-by-sleep stage. Conclusion: Auricular acupressure applied for eight weeks was found to be effective in reducing joint pain, improving knee ROM, and improving sleep quality in patients with degenerative knee arthritis.

Experiences of Ego Integrity Recovery in Elderly Cancer Patients: Grounded Theory Approach (노인 암환자의 자아통합감 회복 경험: 근거이론 접근)

  • Choi, Han-Gyo;Yeom, Hye-Ah
    • Journal of Korean Academy of Nursing
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    • v.49 no.3
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    • pp.349-360
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    • 2019
  • Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

A Systematic Review of the Studies on Organizational Socialization (간호학 분야 조직사회화 연구에 대한 체계적 문헌고찰)

  • Byun, Jinyee
    • Journal of Convergence for Information Technology
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    • v.11 no.3
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    • pp.77-86
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    • 2021
  • This study aims to systematically review literature on organizational socialization in the field of nursing. The keywords of 'organizational socialization' and 'nursing' were combined with the AND operator, and the author analyzed the total of 26 journal articles published between 2010 and 2020. The number of journal articles on organizational socialization has increased since 2016, and all the articles took an descriptive study approach. It was found that the variables of resilience, role stress, perception of justice, bullying, professional self-concept, and organizational climate could affect organizational socialization, and the variables of intention to leave, intention on retention, resilience, and organizational commitment could be affected by organizational socialization. The result of this study can be used for guiding organizational socialization research in nursing.

The Effect of Comfrey on Enoxaparin-Induced Bruise in Patients with Acute Coronary Syndrome: A Randomised Clinical Trial

  • Bagheri, Zahra;Azizi, Azim;Oshvandi, Khodayar;Mohammadi, Younes;Larki-Harchegani, Amir
    • Journal of Pharmacopuncture
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    • v.24 no.4
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    • pp.196-205
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    • 2021
  • Objectives: Bruising is an important side effect of enoxaparin injection. Comfrey (Symphytum officinale) is used to treat different types of wounds, bone fractures, and bruising in traditional medicine in many countries for centuries. This study aimed to determine the effects of the Comfrey ointment on the bruise size and color following enoxaparin injection. Methods: This double-blind randomized clinical trial was conducted on 80 patients with acute coronary syndrome (ACS). The participants were randomly divided into two groups of 40, namely Comfrey and Placebo. Changes in bruise size and color in both groups were assessed daily before and after the intervention. Results: The Comfrey and Placebo groups were homogeneous in demographic and clinical variables. A downward trend was observed in the bruise size in both groups throughout the study. However, the bruise size was smaller in the Comfrey group than the Placebo group on day 2-5 of the intervention. Moreover, there was a significant difference in bruise color between the groups, with a shorter healing course in the Comfrey group. Conclusion: The Comfrey ointment accelerated the healing process of enoxaparin injection-induced bruising in patients with ACS. It is recommended as a safe and simple approach for these patients.

Barriers to the practice of fall prevention by nurses and nurse assistants at geriatric hospitals (요양병원 간호사 및 간호조무사의 낙상예방활동 실천의 방해요인)

  • Park, Yunhee
    • 한국노년학
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    • v.40 no.2
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    • pp.311-323
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    • 2020
  • Older adults are at a high risk of falling, causing severe injuries and increased hospital stays and treatment costs. This can be a burden not only on the family but also on the national economy. Thus, fall prevention is very important in nurses' and nursing assistants' work. This study intended to grasp the real situation faced by nurses and nursing-assistants working at geriatric hospitals in J province, Korea. The researcher interviewed thirty-six nurses and nursing-assistants in four geriatric hospitals and performed four focus group interviews. Data were analyzed through an inductive content analysis based on Elo & Kyngäs's approach. Three categories and five subcategories were identified. Categories were patients, environmental, and personal factors. Patient factors included patients' impaired cognitive function. Environmental factors included lack of personnel support and assignment of inpatients without regard to fall risk. Personal factors included hopelessness regarding improvement and fear of being blamed. Promotion of fall prevention practice needs a gradual increase in nursing staff at geriatric hospitals, a system for assigning hospital room according to fall risk, and education and support system to reduce nursing burden.

The Influence of Task Value on Class Participation in Nursing Students: Mediating Effect of Academic Self-efficacy (간호대학생의 과제가치가 수업참여도에 미치는 영향: 학업적 자기효능감 매개효과)

  • Jin, Hye Kyung;Yun, Mi Jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.543-551
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    • 2022
  • The purpose of this study was to investigate the mediating effect of academic self-efficacy in the process that nursing students' task value affects class participation. The subjects of this study were 161 second-year students of the Department of Nursing at K University located in G city, and the data collection period was from October 5 to October 14, 2020. The mediating effect of academic self-efficacy in the relationship between task value and class participation was analyzed using Baron and Kenny's 3-step mediating effect verification procedure using simple and multiple regression analysis and the statistical significance of mediating effects was verified by the Sobel test. As a result of this study, task value and academic self-efficacy were major factors influencing class participation, and academic self-efficacy was found to be a significant partial mediating variable in the relationship between task value and class participation. These factors explained 55% of class participation. In order to increase learners' class participation, an integrated approach that can improve task value and academic self-efficacy is needed.