• Title/Summary/Keyword: Nursing assessment

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Brazelton's Neonatal Behavioral Assesment Scale

  • Sin, Yeong-Hui
    • 아동간호학회:학술대회논문집
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    • 1999.12a
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    • pp.21-24
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    • 1999
  • ${\cdot}$ Comprehensive behavioral assessment scale ${\cdot}$ Caregiving program for the parents ${\cdot}$ Quality of the parent-clinician relationship

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Approaches to Convergence Curriculum for Healthcare-Affiliated Students with Clinical Competence Assessment Program (임상수행능력 프로그램을 이용한 보건계열 학생의 융합교육과정의 접근)

  • Park, Eun-Hee;Park, Hae-Ryoung;Kim, Hye-Suk
    • Journal of the Korea Convergence Society
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    • v.6 no.3
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    • pp.79-86
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    • 2015
  • Recently, the tendency in the education system is toward the convergent curriculum to developing people of interdisciplinary abilities. This study was conducted to develop a clinical competence assessment program that assists health department students' clinical practice and to examine its learning effects. Study samples were composed 94 graduating student nurses who were from nursing dept of on M city. This study employed a one-group pre-post test design. knowledge, clinical competence and professional images were significantly higher in post test group. That was enhanced by clinical competence assessment program than that of the pretest group (p<.001). The results indicate that it will help students in clinical adaptability of the department of healthcare-Affiliated. Further study will be needed to identify the effect of a clinical competence and communication skills.

Assessment of Nutritional Status before TPN Support of Hospitalized Patients (입원환자의 TPN 투여전 영양상태 평가)

  • Park, Hyoung-Sook;Lee, Soo-Kyeong;Ha, Mi-Jeong
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.9 no.2
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    • pp.69-77
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    • 2002
  • The purpose of this study was to assessment of hospitalized patients. Nutritional assessment was performed on 353 hospitalized patients before TPN support by ideal body weight. albumin, total lymphocyte count, cholesterol. The data analysis were performed on frequency, percentage, means and standard deviation. The major findings as follows: 1. Everage NPO duration was $6.77\pm5.39$day and $\geq5$days 48.9%, >5days 51.1%. NPO duration of 1M, NL, GS, Others prolonged. 2. %IBW was everge $94.86\pm17.21%$ 43.1% normal. 37.8% low weight. There were low weight IM 44.8%. TS 47.8%, Others 44.0%. 3. Albumin was everage $2.93\pm0.51$g/dl. moderate malnutrition 45.4%, mild malnutrition 30.9%. All session were malnutrition status. 4. Total lymphocyte count was ever age $960.41\pm721.32cell/mm^2$. severe malnutrition 43.9%. moderate malnutrition 29.0%, mild malnutrition 24.4%, normal 2.7%. All session were malnutrition status. 5. Cholesterol was everage $123.02\pm45.67$mg/dl 58.4% low level. 41.2% normal. 0.4% high level. 1M, GS and TS were low level. NL, NS, DR, Others were normal. It was very poor nutritional status before TPN support of patients. The malnutrition decrease immunity, slowly cure injury, cause abnormality organs, increase the complication and obstruct the recovery. Therefore, Evaluating and correcting are very important.

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The Development of patient classification system for hemodialysis (혈액투석환자 중증도 분류체계 개발)

  • Kim, Moon-Sil;Yoon, Ji-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.4
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    • pp.633-643
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    • 2002
  • Purpose : This study was conducted to develop a patient classification system for hemodialysis and to test its validity and reliability. Method : The process of the system development was as below. The lists of hemodialysis nursing activities were collected from literature and hemodialysis practice guideline and they were classified into 10 factors and 16 elements. And then, 4 classification levels were identified for each element. The content validity and interrater reliability of developed patient classification system were tested. Result & Conclusion : 10 factors of patient classification system for hemodialysis were consisted of psychosocial support, mobility, access, teaching, assessment, stability, supportive therapy, test, general nursing during hemodialysis, hemodialysis room management. According to validity and reliability results and experts' opinions, 4 classification levels revised to 3 classification levels and 2 elements were deleted. Finally, patient classification system were consisted of 10 factors, 14 elements, 3 classification levels, 3 categories.

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Concept Analysis of Triage Competency in Emergency Nursing (응급실 간호사의 중증도 분류 역량에 대한 개념분석)

  • Moon, Sun Hee;Park, Yeon Hwan
    • Journal of Korean Critical Care Nursing
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    • v.10 no.3
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    • pp.41-52
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    • 2017
  • Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.

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Theory Construction in Nursing of Uncertainty (불확실성의 간호이론 구성)

  • Oh, Hyun-Sook
    • Korean Journal of Adult Nursing
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    • v.13 no.2
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    • pp.200-208
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    • 2001
  • The purpose of this study was to understand the nature and structure of "uncertainty of chronically ill patients" by explaining it more scientifically. This study is based on the unique experiences, which individual uncertainty experiences differ from others. In this sense, Q-methodology which includes self-psychology and abductive logics is applied to the study. The results indicate that there are six types of uncertainty of chronically ill patients : my own fault, self-esteem loss, self-care determination, cure-doubt, reality-restructure, and past-tenacity reality-absence. Thus, "uncertainty of chronically ill patients" is defined from the study as the process in which continuous transition and evaluation of possibility cause changes in human recognition, attitude, action, etc.. The significance of the study is threefold : (1) discovery of six types of uncertainty of chronically ill patients in Korean people, (2) the better understanding of "uncertainty of chronically ill patients", (3) possible developments of nursing concept and assessment and intervention technique based on the new dimension of the understanding in uncertainty for nursing of chronically ill patients from this research.

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Development of Educational Components of Managerial Cost Accounting for Nurses

  • Lim, Ji Young;Noh, Wonjung
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.26 no.1
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    • pp.81-90
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    • 2019
  • Purpose: In accordance with changes in the healthcare environment, it is necessary to understand managerial cost accounting for nurses. This study aimed to develop educational components of managerial cost accounting for nurses. Methods: This study is comprised of a comprehensive literature review, nominal group technique using focus group interview, audit by an expert group, and priority analysis. Results: The comprehensive literature review identified 15 educational components of managerial cost accounting. In the nominal group technique, the participants finally agreed on eight educational components of managerial cost accounting for nurses. The average content validity index of these components was 0.99. "Activity-based costing" scored the highest for relative importance (15.7%). Conclusions: These results can be used to develop an education program to strengthen nurses' managerial cost accounting competencies. Furthermore, it will be helpful to use a basis for the development of cost management curricula for nursing students and on-the-job training courses of nurse managers and executives.

Changes in Fatigue and the Quality of Life of Cancer Patients Receiving Radiotherapy (방사선치료를 받는 암환자의 피로와 삶의 질 변화)

  • 이은숙;조루시아
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.489-502
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    • 1997
  • Quality of life(QOL) and fatigue in cancer patients receiving the radiotherapy was assessed. The subjects were 46 cancer patients who daily attended the radiotherapy department. Assessment was done on four occassions : the first assessment was done on the treatment simulation visit, the second one was four weeks after treatment started, the third one at the completion of treatment and the last assessment was done between six and eight week following treatment. The results are as follows : The fatigue scores of the patients at each stage of assessment ranged from 5.49 points to 7.67 points and highest score was recorded at the third assessment that is, at the completion of treatment. The fatigue points showed an increase from the 1st. to 3rd. stage. However, at the 4th. stage, fatigue points decreased to the level at the first stage of assessment. QOL were assessed in three areas namely, physical, emotional and social /functional. The QOL scores in the physical area showed the highest score, followed by social /functional and emotional areas. The QOL scores decreased gradually to the third. stage of assessment thereafter recovered to the level of the first. stage. Correlation between QOL and fatigue scores during the treatment indicated that the level of QOL decreased as the level of fatigue increased. In particular, fatigue persisted after completion of the treatment and showed a significantly negative correlation with QOL. The present study strongly suggests that a strategy to restore the emotional well being level of the patient should be devised in order to improve QOL and reduce fatigue of patients receiving radiotherapy.

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A Methodological Quality Assessment of South Korean Nursing Research using Structural Equation Modeling in South Korea (국내 간호학 학회지에 출판된 구조방정식모형 연구의 방법론적 질 평가)

  • Kim, Jung-Hee;Shin, Sujin;Park, Jin-Hwa
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.159-168
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    • 2015
  • Purpose: The purpose of this study was to evaluate the methodological quality of nursing studies using structural equation modeling in Korea. Methods: Databases of KISS, DBPIA, and National Assembly Library up to March 2014 were searched using the MeSH terms 'nursing', 'structure', 'model'. A total of 152 studies were screened. After removal of duplicates and non-relevant titles, 61 papers were read in full. Results: Of the sixty-one articles retrieved, 14 studies were published between 1992 and 2000, 27, between 2001 and 2010, and 20, between 2011 and March 2014. The methodological quality of the review examined varied considerably. Conclusion: The findings of this study suggest that more rigorous research is necessary to address theoretical identification, two indicator rule, distribution of sample, treatment of missing values, mediator effect, discriminant validity, convergent validity, post hoc model modification, equivalent models issues, and alternative models issues should be undergone. Further research with robust consistent methodological study designs from model identification to model respecification is needed to improve the validity of the research.