• 대한간호학회지
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• 제20권3호
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• pp.368-380
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• 1990

A central issue in the development of nursing practice is to describe the phenomenon with which nursing is concerned. To identify the health problems which can be diagnosed and managed by the nurse is the first step to organize and ensure the development of nursing science. Therefore the academic world has been discussing the application of the nursing diagnosis in nursing practice as a means of improving quality of care. The objectives of this study were to develop a standardized nursing care plan for ten selected nursing diagnoses to form a database for computerized nursing service. The research approach used in the study was (1) the selection of the ten nursing diagnoses which occur most frequently on medical-surgical wards, (2) the development of a standardized nursing care plan for the ten selected nursing diagnoses, (3) application of the plan to hospitalize patients and evaluation of the content validity by the nurses, and (4) evaluation of the clinical effects after the use of the standardized nursing care plans. The subjects were 56 nurses and 395 hospitalized patients on two medical and two surgical unit. The results of this study were as follows ; 1) The ten selected nursing diagnoses for the development of the standardized nursing care plans were “PAIN, SLEEP DISTURBANCE, ALTERED HEALTH MAINTENANCE, ALTERATION IN NUTRITION, ANXIETY, CONSTIPATION, ALTERED PATTERNS OF URINARY ELIMINATION, DISTURBANCE IN BODY IMAGE, POTENTIAL FOR ACTIVITY INTOLERANCE AND ACTIVITY INTOLERANCE”. 2. The developed standardized nursing care plans included the nursing diagnosis, definition, defining characteristics, etiologic or related factors that contribute to the condition, recording pattern, desired outcomes and nursing orders (nursing interventions). 3. The plan was used with hospitalized patients on medical - surgical wards to test for content validity. The patient's satisfaction with the nursing care and nurses' job satisfaction were investigated to evaluate the clinical effects after the use of the standardized nursing care plans. A comparison of patient satisfaction with nursing care before and after the introduction of the standardized nursing care plans showed a statistically significant higher level of satisfaction with the standardized care plans. There was no difference in the level of job satisfaction expressed by the nursing staff before and after the standardized nursing care plans were introduced. However, when opinions about the use of the standardized nursing care plans were examined it was found that there was a positive effect on clarity in defining the nursing problems, determining nursing cost, more feasible goal setting, effective and systematic nursing records and indications for nursing research. The results of this study suggest that in order to increase the use of nursing diagnoses in the clinical area, it would be effective to select some wards as a pilot project, give the nurses training in the use of nursing diagnosis and develop and use the standardized nursing care plans. In addition to the ten diagnosis used in this study it is recommended that continual development of nursing diagnoses be done using diagnoses that are appropriate to Korea and testing them for validity through standardized care plans.

• 간호행정학회지
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• 제14권1호
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• pp.51-62
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• 2008

Purpose: Integrated curriculum has been considered as a desirable method in health related school course. The present study was conducted to develop practice curriculum which integrates nursing management and community health nursing and measure the education effect. Method: Literature review and scores of professional meeting were carried out to generate main educational goals, contents, operating principle, and evaluation item. Student evaluation was done by survey and in-dept interview in right after practicum and three months respectively. Results: Six concepts were derived as main component of the integrated curriculum. From 2 to 3 sub-categories were matched to each main component as well. Subsequently, practice contents were suggested on the basis of sub-categories. Attainment of practicum goal scores ranged from 2.82 to 3.54 in four points index. Students expressed that they found nursing manager's role in the community setting. Conclusion: This new approach encouraged students to ascertain relationship between hospital oriented and community based practice. Additionally, they can be prepared to comprehend diverse health care environment.

• 대한간호학회지
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• 제34권1호
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• pp.35-44
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• 2004

Purpose: This article explored issues arising from secondary analysis of qualitative data and analyzed the results of qualitative secondary analysis studies published in English, focusing on the methodological aspects. Method: A total of 29 studies were identified as qualitative secondary analysis studies, retrieving from the CINAHL database from 1982 to 3rd week of April 2003. These studies were analyzed by publication year, research method, and type of approach to secondary analysis. Result: The year that the qualitative secondary analysis study first published was 1992 and the number of the studies using secondary analysis has increased after the middle of 1990s. Grounded theory was the one the most frequently used(n=11, 37.9%) and phenomenological study the second most(n=6, 20.7%). In terms of types of approach, fifteen studies(51.7%) focused on the specific concepts that were not explored in the primary studies. Nine(31.0%) focused on the specific types of participants. Six were aimed to integrate contexts or perspectives to generate more general and abstract analysis of qualitative data. Conclusion: The results of this article will stimulate methodological discussion of qualitative secondary analysis and activate qualitative studies using secondary analysis.

• 한국간호교육학회지
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• 제14권2호
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• pp.224-231
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• 2008

Purpose: The purpose of this study was to analyze the types of the causal perception of preterm labor. Method: The research design was a Q-Methodological Approach. Thirty four selected Q-statements from 32 participants were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. Result: Three types of causal perception for research subjects were identified. Type I is negligence of causality; Type II is recognition of causality by preceding factors. Type III is recognition of causality by psychological stress. Conclusion: This study found that there are differences in perceiving causes of preterm labor. Therefore, it is necessary to develop a tailored nursing intervention depending on these types.

• 성인간호학회지
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• 제21권6호
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• pp.603-616
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• 2009

Purpose: The purpose of this study was to examine the subjective opinions of first-generation Korean-Americans about survival. Methods: The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 34 selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL/WIN program. Results: Four types of survival attitudes from 38 first-generation Korean-Americans were identified. Type I was a satisfaction type based on belief, Type II was an effort type based on purpose, Type III was an isolation type based on ethnicity, and Type IV was a compromise type based on adaptation. Results of this study indicate that approaches to a minority's survival strategies need to be differentiated taking this typology and various subject characteristics into account. Conclusion: This information may provide a basic understanding for healthcare providers who work with first-generation Korean-Americans.

• Asian Pacific Journal of Cancer Prevention
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• 제13권9호
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• pp.4789-4792
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• 2012

Aims: The purpose of this study was to investigate complementary and alternative medicine use among breast cancer survivors in Taiwan. Materials and Methods: This study employed a descriptive research design approach to detail the CAM use among the target population. Convenience sampling was used along with a structured questionnaire. Results: A total of 230 breast cancer survivors completed the use CAM scale. Prayer, reading books, taking antioxidants, eating various grains, and maintaining a vegetarian diet proved to be the five most frequently used CAM practices among patients in our study. More than 50.0% of the participants reported praying occasionally. More than 40.0% of participants read books occasionally, and 38.7% stated that they occasionally take antioxidants. Conclusions: These results provide more insight into CAM use for nurses who care for breast cancer patients.

• 한국보건간호학회지
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• 제11권1호
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• pp.1-13
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• 1997

A systematic health promotion project had been carried out for 3 months (from May 13 to August 4, 1996) in collaboration with nurses of a health center, professors and students of colleges of nursing, and members of senior centers in the community. The outcome was fairly positive : new techniques of public health nurses for health promotion services were developed and those, among the members of senior centers, who had a power of mobility made much progress in their maintenance and enhancement of health through the active use of health equipment. Through this project, we could reconfirm that desirable policies were fundamental tactics for the promotion of health : comprehensive approach to health promotion services, if provided with more or less financial support, would contribute greatly to the activation of public health services by the local administrative organizations.

• Child Health Nursing Research
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• 제15권1호
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• pp.53-60
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• 2009

Purpose: The purpose of this study was to analyze metacommunicative episodes comprised of nurses' metacommunicative behavior and children's responses occurring in the dyads of nurse-child within the context of an inpatient pediatric unit. Methods: Twelve dyads of nurses and children were videotaped for four hours each day over a two-day period as they interacted with each other on the inpatient unit. The metacommunicative episodes were recorded from the videotapes. The metacommunicative behavior was categorized within Shin's metacommunicative behaviors. Results: The total number of episodes between the nurses and children included in this study was 242. The most frequently used metacommunicative behavior was 'reflection', followed by tagging, baby talk, approaching, mediating eye level, friendly demand, encouraging, description of acts, symbolization, turnabouts, touching, and mimic voice, respectively. The most common response to the nurses' metacommunicative behavior was agreeing, followed by tension release. Conclusion: Young children responded positively to metacommunicative behavior by the nurses. Understanding metacommunicative behavior may help nurses approach their young patients more easily and with confidence.

• 대한간호학회지
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• 제37권6호
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• pp.823-834
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• 2007

Purpose: The purpose of this study was to analyze types of nurse's attitudes toward the aging process. Methods: A Q-methodology which provides a method of analyzing the subjectivity of each item was used. Thirty-four selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. Results: Five types of attitudes towards the aging process from research subjects in Korean nurses were identified. Type I is a positive acceptance type, Type II is a negative acceptance type, Type III is a passive coping type, Type IV is an active coping type, and Type V is an ambiguous acceptance type. Conclusion: The results of the study indicate that different approaches of educational programs for elderly care are recommended based on the five types of nurse's attitude toward the aging process.

• 보건의료산업학회지
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• 제7권2호
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• pp.1-9
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• 2013

The purpose of this study was to investigate the relationships between interpersonal relations and parenting attitudes in nursing college students. The participants were 317 nursing college students. Data were collected from September 5 to 12, 2012 and analyzed using the SPSS 18.0. Findings of the study can be summarized as follows. First, parenting attitudes and interpersonal relations were significantly different according to economics status. Second, interpersonal relations were significantly different according to parenting attitudes. Third, the correlation between the parenting attitudes and the interpersonal relations show positive correlation in all areas. Forth, the predictors that affect the interpersonal relations were the achieving parenting attitudes of father. Consequently, if the parents approach their children who have difficulty in interpersonal relationships with their achievement parenting attitudes, the children will have harmonious interpersonal relationships and furthermore get personal growth and be socialized well.