• Title/Summary/Keyword: Nursing assessment

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Effects of Spiritual Nursing Care on Loneliness and Spiritual Well-Being of Terminal Cancer Patients (영적 간호가 말기 암환자의 외로움과 영적 안녕에 미치는 효과)

  • Yoon, Me-Ok
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.16 no.1
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    • pp.31-39
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    • 2009
  • Purpose: This study utilized a non-equivalent control group pre-post design to assess the effects of spiritual nursing care on loneliness and spiritual well-being of terminal cancer patients. Method: Forty-one terminal cancer patients in a general hospital, were divided into an experimental group of 20 patients and a control group of 21 patients. Those in the experimental group received four weeks of treatment three times a week for about 45 minutes each session. The treatment included nurses' spiritual care involving five instruments of spiritual nursing intervention, each of which was used according to the six types of spiritual need assessment. Data was analyzed with descriptive statistics including real number, percentage, $X^2$-test, t-test, and ANCOVA. Result: There were significant differences between the experimental and control groups in the level of loneliness and spiritual well-being. Conclusion: Spiritual nursing care was verified as an effective program that can lessen the loneliness and improve the spiritual well-being of patients with terminal cancer.

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The Effects of OSCE Application Before Clinical Practice for Nursing Students (임상실습 전 간호학생에게 적용한 OSCE 프로그램 효과)

  • Yoon, Jin;Kim, Keum Ja;Choi, Mi Suk
    • The Journal of Korean Academic Society of Nursing Education
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    • v.19 no.2
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    • pp.273-284
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    • 2013
  • Purpose: The study was done to identify the effects of OSCE program prior to clinical practice for nursing students and to find out the weakest area of fundamental nursing skills. Methods: Study design was methodological triangulation. Qualitative analysis was done to derive nursing students' OSCE experiences using OSCE reflection note. Level of basic nursing skill acquirement was identified by quantitative method. Results: Four themes and 10 sub-categories emerged: (a) confidence and interests in nursing being increased, (b) being encouraged by mentor and evaluator, (c) requiring much effort to learn nursing skill, (d) being aware of themselves and understanding others in their shoes. Results of analysis of OSCE application score record showed as followings ; Intravenous injection(92.6%), Intramuscular injection(89.5%), Foley catheterization(85.2%), Vital sign(81.5%): BP check(63.0%) Respiration check(50.0%), Health assessment: respiration sound auscultation(33.3%) heart sound auscultation(44.4%). Conclusion: OSCE program application before frist clinical nursing practice was effective in terms of fundamental nursing skills learning. It is necessary to reinforce nursing skills based on the study results.

The Nursing Record Evaluation of the Application of the Nursing Process (간호과정 적용에 따른 간호기록지 평가)

  • 이경혜;김문실
    • Journal of Korean Academy of Nursing
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    • v.10 no.2
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    • pp.87-94
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    • 1980
  • According to the provious study. it was suggested a need for improvement of nursing care through application of nursing process in Ewha Womans University Hospital With those data. it has been applied to the nursing care at maternity ward by nurses. This study was undertaken to determine the evaluation of the application of the nursing process which is an orderly. systemic min of deforming the patient's/client's nursing problems. This study involved 191 cases with patient chart and was carried out from Feb. 1979 to Feb. 1980 is Ewha Womans University Hospital. The results were as follows : 1. Actual performance of“Assessment”stage was 59%, and 45 % for the nursing diagnosis. 2. It was achieved with specific planning of nursing care for 71.6% and the plan was safely and effective implemented (97.9% ). 3. Afer“Implement”stage it was made of evaluation and feedback process (39%). 4. Nurses in Eha womans University hospital. they showed the Positive attitude toward the application of nursing process. but they saggested that there were lack of manpower and the consideration of time allocation. Recommandation are as follows : 1. All nursing staff must participate in continious education program for nursing process. 2. The results suggest a need for modification for the nursing history formeat and SOAPIER. 3. A need for improvement of physical condition for interview and effective utilization of nursing staff. 4. It will more effective when Dr's medical record replace by problem ariented aedical record( POMR).

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A Study of the Curriculum of Genetics Nursing Education (유전간호교육 교과과정에 관한 연구)

  • Choi, Kyung-Sook;Kim, Hyun-Jung;Jang, Eun-Sil;Park, Jung-Ae
    • Asian Oncology Nursing
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    • v.10 no.1
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    • pp.103-111
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    • 2010
  • Purpose: This study was undertaken to establish the framework for development of the curriculum of genetics in Nursing Education. Methods: The Internet search, literature review of the US system of genetic nurses, genetic graduate nursing education programs and curricula for nurse in Korea were reviewed and analyzed. Results: American Nurses genetic system consists of APNG and the GCS and all the APNG credential provided by the GNCC of ISONG. The curriculums of genetic nursing education in the US are mainly conducted in of master's program and genetically related subjects consists of basic genetics subjects, basic applied genetics subjects, genetics in nursing subjects and practical training subjects. Lastly a genetic nursing education program in Korea 44 hr of lectures and practical training of 4 hr is composed of basic genetics, genetic cancer, genetics in nursing and practicum in the computer lab and online include family history assessment, pedigree construction, breast and colorectal cancer risk calculations, and ELSI discussions. Conclusion: This study suggested that genetic nursing education course needs in master's program as detailed subjects. Also the establishment of the genetic nurse system is an urgent needed.

Trends in Nursing Research on Sexuality in Korea (국내 간호학에서 성(sexuality)에 관한 연구 경향)

  • Lee, Kyung-Hye;Kim, Sun-Hee;Lee, Sun-Hee
    • Women's Health Nursing
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    • v.14 no.2
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    • pp.83-92
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    • 2008
  • Purpose: This study aimed to analyze the trends in nursing research on sexuality in Korea and to provide guidance to the future research in sexual health. Method: Total 163 published articles in Korea from 2000 to 2007 year were reviewed using a structured analysis form which consists of the domains of nursing journal, research designs, research purpose, research subjects, and the key words. Result: Of those articles, 25.8% was published in J. of Korean Academy of Women Health Nursing and 13.5% in J. of Korean Academy of Community Health Nursing. In terms of the research design, quantitative research methods were commonly used in 88.4% of them which only 6.1% used qualitative methods. The nursing process on purpose were classified assessment(86.3%), nursing intervention(11.3%), and nursing evaluation(2.5%); Most of subjects were early adults(35.3%), adolescents(27.9%), and adults(25.6%); The most frequently reported key words were classified into socio-psychological domain(33.5%), cognitive domain(25.6%), clinical domain(12.6%). Conclusion: Research on sexuality in nursing have been continued. The major key words were founded in socio-psychological and cognitive domains. It is recommended that more various subjects, research methodology, and various key words be investigated.

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Level of Cultural Competence (CC) and Educational Needs for Cultural Competence in Nursing (CCN) in Undergraduate Nursing Students (간호대학생의 문화적 역량과 문화간호역량 교육요구 분석)

  • Lee, Nae Young;Eo, Yong Sook;Lee, Ji Won
    • The Journal of Korean Academic Society of Nursing Education
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    • v.21 no.1
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    • pp.16-27
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    • 2015
  • Purpose: This study evaluates the level of cultural competence (CC) and educational needs for cultural competence in nursing (CCN) in undergraduate nursing students. Methods: A self-report instrument was used to measure CC and educational needs for CCN. Questionnaires were completed by 330 nursing students in three nursing colleges. Descriptive statistics, a t-test, an ANOVA, Pearson correlation analyses, and multiple regression were used to analyze the data. Results: The mean CC score was 2.99 and the mean CCN educational needs score was 7.1. CC positively correlated with educational needs for CCN. The regression model explained 36% of the variance in CC. Factors affecting CC were school grades, multicultural education experience, frequency of meeting foreigners, length of encounters with foreigners, foreign-language fluency, and degree of interest in multicultural nursing. Conclusion: To strengthen the CC of students, nursing educators should develop an educational program for CCN and incorporate CCN into nursing school curricula.

A Preliminary Report on the Differences in the Perceived Impacts of Undergraduate Bioscience Knowledge on Clinical Practice Among Korean RNs

  • Choe, Myoung-Ae;Kwon, Smi Choi;Song, Kyung Ja
    • Journal of Korean Academy of Nursing
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    • v.33 no.4
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    • pp.464-470
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    • 2003
  • Purpose. Nursing has evolved as a unique and independent field over the last decades. Unfortunately, many nurses in Korea express concern that they lack appropriate background knowledge in bioscience necessary to practice nursing competently. To determine the reasons of their concerns, we examined the perceptions of RNs regarding bioscience courses in their undergraduate (Baccalaureate and 3 year diploma program) and their perceived relations to the practice of nursing. Methods. The structured questionnaires were sent to 3 university-affiliated tertiary hospitals in Seoul, Korea. Results. The responses given by the nurses in the two groups were similar. The nurses in this study reported that the bioscience courses they took as undergraduates had little relation to their professional tasks. This lack of link between bioscientific knowledge and nursing practice may be partly due to the fact that the courses are taught by non-nursing faculties who are not familiar with nursing tices. It also appears that bioscience knowledge deficit was most prominent during nursing assessment regardless of the program they attended or the unit they are currently working. Conclusion. Bioscience courses should be integrated into the nursing curriculum properly and taught by nursing faculty who have a strong background in biological sciences.

Analysis of Performance on Activities in Critical Pathway of Total Hip Replacement Surgery (고관절 전치환술 환자의 임상관리도 수행 정도)

  • Lim, You Jin;Jeong, Kyung In;Jeong, Ha Yun;Sun, JeongJu;Kim, Yun Kyung;Choi, Ji Kyung;Lee, Kum Lae;Kim, Jeong Suk;Yang, Jin Ju;Kim, Hye Ja;Jang, Keum Seong;Choi, Ja Yun
    • Korean Journal of Adult Nursing
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    • v.18 no.5
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    • pp.819-827
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    • 2006
  • Purposes: The purpose of this study was to evaluate the extent of performance on activities in critical pathway (CP) according to eight domains and six admission days on nursing records of patients who received total hip replacement surgery. Methods: We reviewed 90 nursing records of patients who received total hip replacement surgery from June, 2004 to July, 2005 at C University Hospital. Data were collected using Hong's CP (2002) and were analyzed using ANOVA. Results: The domain of diet was valued the highest in CP performance scoring, followed by the domains of assessment, activities, and test. There were differences in the performance scores according to the period of admission in all of the domains. Among 132 activities in the CP, 18 activities were completely performed, of which most included activities belonging to the domain of assessment on the admission day. Twelve activities were never performed, of which most included activities belonging to the domain of treatment on the day of operation and the first day after operation. Conclusions: Therefore, further studies on the development of a new system to increase CP utilization and on updating the contents of CP from the best practice based on evidence is recommended.

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Analysis of Research Papers Published in the Journal of Muscle and Joint Health on Research Trends, Nursing Intervention and Quality Assessment of Intervention Studies (2013~2015년 근관절건강학회지 게재 연구의 동향, 실험중재 및 연구의 질 평가)

  • Jeon, Mi Yang;Eun, Young;Lee, Eun Nam;Min, Hye Sook;Bak, Won-Sook;Choi, Mi-Kyung;Song, Rhayun;Lee, Inok;Choi, Hee Kwon;Shin, Gyeyoung;Kim, Minju;Lee, Kyung-Sook;Lee, Myung Sook;Cho, Kyung-Sook;Kim, Ju Sung;Chung, Yeo Sook
    • Journal of muscle and joint health
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    • v.23 no.3
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    • pp.214-224
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    • 2016
  • Purpose: This study aimed to analyze recent trends in nursing research published in the Journal of Muscle and Joint Health by focusing on the content of nursing interventions and their quality. Methods: A total of 80 studies published between 2013 and 2015 were reviewed using analysis criteria developed by the researchers. Results: Quantitative studies accounted for 98.7% while qualitative studies accounted for 2.3%. Most frequently used research designs were quasi-experimental (92.9%) for experimental research and survey (89.4%) for non-experimental research. Patients (43.8%) were the most frequent study participants. Elderly was the most frequently used keyword. Most frequent nursing interventions were exercise (35.7%). Self-efficacy (35.7%), flexibility (28.6%) and pain (28.6%) outcomes for dependent variables were used. Quality assessment of experimental studies by SIGN were high quality (25%), acceptable (50%), low quality (25%). Conclusion: The results suggest that further expansion of randomized controlled trial and qualitative studies. To enhance the quality of research, It is needed to try the intention to treat analysis in experimental research.

Behavioral Symptoms in Nursing Home Residents with Dementia: Developing a Nursing Practice Model

  • Kim, Hyo Jeong
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.488-499
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    • 2006
  • Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.

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