• Title/Summary/Keyword: Nursing assessment

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The Effects of Hospital Home Nursing Interventions based on the Nursing Diagnosis (간호진단중심의 퇴원계획과 가정간호적용의 효과 -만성질환자를 중심으로-)

  • Suh Moon-Ja;Kim Keum-Soon;Kim Myung-Ae;Kim In-Ja;Son Hang-Mi
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.3 no.1
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    • pp.50-67
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    • 1996
  • Home nursing interventions based on nursing diagnosis were implemented to the patient who are discharged from one hospital often the treatment for chronic neuromuscular system problem, and its effects were studied. The purpose of this study was to find out the effectiveness of hospital bouned home nursing provided by hospital nurses and to categorize home nursing diagnosis and its interventions. Data from experimental group patients were collected at three different time ; at the time of discharge, two weeks after discharge and our weeks after discharge. Data from controll group patients were collected twice ; the first one at the time of discharge, and the other one four weeks after discharge. For this study nursing assessment and intervention booklet developed by the research team. There were no significant decrease of the number of nursing problems and life satis-faction. But daily activity level of patients showed the signs of significant improvement at the time of four weeks after discharge. Results of this study indicates that home nursing intervention based on nursing diagnosis provided the patients with noticeable difference in health maintanance, impairment of physical mobility, potential for infection, impaired home marntenance management, health seeking behavior, chronic pain, disuse syndrome, impaired skin integrity.

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Cultural Capacity and Intercultural Communication of University Students in Nursing (간호대학생의 문화적 역량과 문화 간 의사소통 관계)

  • Yoo, Hyunjung;Kim, Kwanhee;Lee, Hajeong;Park, Bomi;Park, Subin;Park, Juhui;Park, Jinhui;Ban, Minjoo;Lim, Jihyun;Park, Junhoo;Lee, Yee Eun
    • Journal of Korean Academy of Rural Health Nursing
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    • v.14 no.2
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    • pp.23-29
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    • 2019
  • Purpose: This study was done to identify the cultural capacity of college nursing students and the relationship of intercultural communication. Methods: The participants were 200 students in colleges of nursing from 6 universities in C city, who understood the purpose of the study and agreed to participate. Collected data were analyzed with t-test, ANOVA, correlation analysis, and stepwise regression analysis using SPSS/WIN 22.0. Results: Cultural sensitivities in this study (r=.372, p<.001), cultural knowledge (r=.399, p=.001), cultural awareness (r=.547, p<.001), and cultural technology (r=.550, p<.001) each showed a statistically significant correlation with intercultural communication skills. Conclusion: The results of this study show that reinforcement of the cultural and intercultural communication ability of college nursing students, in-depth exploration of the cultural area and religious inspection, cultural and professional backgrounds, assessment and consideration of cultural characteristics, nursing diagnosis, and health appropriate to the cultural background. It is suggested that education such as service provision should be conducted systematically.

Validity Test of K-SKAGOAO for Korean Nursing Groups and the Relationship of Nursing Group Power and Job Satisfaction, Organizational Commitment, Organizational Performance (한국형 간호그룹파워 도구의 타당성 재검증 및 직위별 간호그룹파워와 직무만족 조직몰입, 조직성과와의 관계)

  • Sung, Young Hee;Jeong, Jeong Hee;Park, Hyun Tae;Lee, Mi Kyoung
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.1
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    • pp.110-119
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    • 2017
  • Purpose: The purpose of this study was to test validity and reliability of the Korean-Sieloff King Assessment of Group Outcome Attainment within organization in Korea (K-SKAGOAO), and also to explore the relationship of Korean nursing group power and job satisfaction, organizational commitment, organizational performance. Methods: Participants were 481 nurse managers, nurse unit managers or staff nurses with over 7 years experience. Data were collected by post mail and analyzed using descriptive statistics, ANOVA, Kruskal-Wallis test, Tukey test, and Spearman's correlation. Results: Content Validity Index was over .82 and Cronbach's ${\alpha}$ coefficient for the K-SKAGOAO was .97. The mean score for Korean nursing group power was 136.77 among the total participants, 139.89 among nurse managers, 136.74 among nurse unit managers and 132.47 among staff nurses. These results showed high nursing group power in Korea nursing organization in hospitals. There was also a significant difference according to nurse position (p=.003). Korean nursing group power was positively related to job satisfaction, organizational commitment, and organizational performance. Conclusion: Findings show that the K-SKAGOAO has validity and reliability. Nursing groups can use the K-SKAGOAO to evaluate the nursing group power of each nursing organization and to develop strategies to improve nursing power and nursing outcomes.

Development of an intentional rounding protocol for nursing undergraduates to apply in clinical practice (간호대학생의 임상실습 적용을 위한 의도적 간호순회 프로토콜 개발)

  • Kim, Sueun;Ok, Jong Sun;Choi, Jin Yi;Choi, Heejung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.29 no.4
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    • pp.381-394
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    • 2023
  • Purpose: This study aimed to develop an intentional rounding protocol to enhance the clinical competence of nursing students. Methods: An intentional rounding protocol for nursing students' clinical practice was developed following the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model. A convenient sampling method was used to select 23 junior year university nursing students during their clinical practice in adult nursing. The program evaluation included a quantitative assessment (communication and relationship efficacy, empathy, and patient safety competency) and focus group interviews. Results: The intentional rounding protocol focused on the 4Ps (pain, position, potty, and possessions) and encompassed aspects such as level of consciousness, pain management, personal care needs, intravenous injection, oxygen administration, nasogastric/nasoenteric tube care, maintenance of urine collection bags, and the identification of environmental fall risks. Nursing students performed intentional rounding at least twice a day. Following the implementation of this protocol, nursing students demonstrated a significant improvement in communication and interpersonal efficacy. The focus group interviews revealed four main themes: growth of human relationships, acquiring knowledge in and about the clinical field, becoming a nurse, and barriers in reality. Conclusion: The intentional rounding protocol has the potential to enhance nursing students' communication and interpersonal skills during clinical practice and to provide them with positive experiences in nursing clinical education. Therefore, it is recommended that this protocol be incorporated into nursing clinical practice education.

A Quality Assessment of Meta-Analyses of Nursing in South Korea (국내 간호학 분야 메타분석 논문의 질 평가)

  • Kim, Jung-Hee;Kim, Ae-Kyung
    • Journal of Korean Academy of Nursing
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    • v.43 no.6
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    • pp.736-745
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    • 2013
  • Purpose: The purpose of the study was to assess the quality of meta-analyses on nursing published in South Korea. Methods: Relevant meta-analyses were identified through searches of the National Assembly Library, KISS (Korean Studies Information Service System), and the DBpia and RISS4U databases from 1990 to May 2013. Quality assessments were conducted using AMSTAR, a validated tool for assessing the quality of systematic reviews. Results: Forty-two meta-analyses were included in this study. Twenty-nine published between 1990 and 2010, and 13, between 2011 and May 2013. Two high quality studies and 11 moderate quality studies were published in the latter period. The mean score for the reviews was 5.61 (range 3-10); 11 studies were rated as low quality, 29 as moderate quality, and two as high quality. Conclusion: Although an improvement in the quality of meta-analyses conducted by nursing researchers in South Korea was observed across the study period, the study results indicate a need to use of more rigorous research methods when conducting systematic reviews or meta-analyses.

Validity and Reliability of K-SKAGOAO for Korean Nursing Groups (한국판 간호그룹파워 도구의 타당도와 신뢰도 검증)

  • Sung, Young Hee;Lee, Mi Kyoung;Jeong, Jeong Hee;Park, Hyun Tae;Kim, Seon Woo
    • Journal of Korean Clinical Nursing Research
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    • v.20 no.3
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    • pp.372-383
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    • 2014
  • Purpose: The purpose was to determine the content validity of a semantic revision of items on a reliable and valid instrument, the Sieloff-King Assessment of Group Outcome Attainment (Power) within Organizations in Korea (K-SKAGOAO). Methods: The target population for research was chief nurse officers (CNOs) of all hospital within Korea. A sample of 303 hospitals from across the Korea was selected through a stratified random sampling process. A total of 174 CNOs comprised the final sample. Psychometric evaluation of the K-SKAGOAO included: (a) criterion-related validity (b) factor analysis and (c) internal consistency reliability using Cronbach's alpha coefficients. Results: The Convergent validity and criterion-related validity were supported. Cronbach's alpha coefficient for the K-SKAGOAO was .95. Subscale alphas ranged from .60 to .86. Conclusion: The K-SKAGOAO and related subscales show validity and internal reliability. A nursing group of any size can use the K-SKAGOAO to both assess the group's level of outcome attainment and develop strategies to further improve that level.

Nursing Care of Arteo Venous Fistula for the Patient Undergoing Hemodialysis

  • Vasuki, R;Kim, Jeongmi
    • International Journal of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.188-195
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    • 2020
  • Purpose: This study aimed to review the recent scientific literature regarding nursing care of arteriovenous fistula (AVF) for the patients with Chronic Renal Failure (CRF) undergoing hemodialysis. Methods: An integrative review was conducted and articles were searched from Cochrane library, Medline, PubMed, Science direct and CINAHL databases by using the terms "nursing", 'Chronic Renal Failure', 'Haemodialysis', renal failure', 'or 'AV Fistula' nursing care', 'self-care'. The inclusion criteria were articles published in English in the year of 2015-2020 with availability of free full text. Reviewed data were carefully analyzed and charted regard to the nursing care of the patient with AVF. Results: 12 articles papers met the inclusion criteria. Three themes were derived from the data: (a) Intervention (b). Patient and nurse education (c) KPA Assessment of (Knowledge, Practice and Attitude) Conclusions: This review indicates the challenges that nursing care of AVF patients undergoing hemodialysis. The identified themes can be used in the development of more effective educational- programs. Future studies should focus on the development and evaluation of educational programs that include these selected themes.

Mediating Effect of Self-efficacy in the Relationship between Anger and Functional Health of Homeless Men (남자 노숙인의 분노와 건강기능과의 관계에서 자기효능감의 매개효과)

  • Park, Su In;Kim, Sunah
    • Journal of Korean Academy of Nursing
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    • v.44 no.4
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    • pp.361-370
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    • 2014
  • Purpose: The purpose of this study was to examine the mediation of self-efficacy in the relationship between anger and the functional health of homeless men in order to provide a basis for planning nursing interventions to improve the functional health of homeless persons. Methods: The participants were 137 homeless men who lived in homeless shelters or visited one center serving free meals for homeless persons in Seoul. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 20.0 program. The instruments were the Functional Health Pattern Screening Assessment Tool (FHPAST), Self-efficacy Scale (SES), and State-trait Anger Expression Inventory-Korean version (STAXI-K). Results: The mean score for functional health was 2.41. Overall self-efficacy was 70.82. state anger was 16.53, trait anger was 19.54, and anger expression was 25.31. There were signigicant correlations among the 3 variables, functional health, self-efficacy, and anger. Also, self-efficacy had a complete mediating effect in the relationship between anger and functional health. Conclusion: Based on the findings of this study, health management programs focusing on anger management and self-efficacy improvement are highly recommended to promote functional health in homeless persons.

A Study for Evaluating the Performance of a Community-based Home Care Services Model (일개 지역사회 중심 가정간호시범사업소의 성과평가 연구)

  • Kim, Se-Young;Park, Sung-Ae
    • Research in Community and Public Health Nursing
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    • v.19 no.4
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    • pp.673-683
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    • 2008
  • Purpose: This study was aimed to evaluate the performance of a community-based home care services model. Method: The subjects were 138 patients who have been enrolled during a 6 month's period, nursing records and nursing service bills. The data was collected by self report and chart review. The mean cost per visit was compared with those of hospitalization & clinic visit in the data from National Health Insurance Corporation. Result: A significant number of patients were bed ridden(63.8%) and unconscious (27.5%), and most of the patients had complex chronic diseases. Except nursing assessment, bed sore care was the most frequent nursing treatment(25.1%) in home care services. The mean cost per visit of home care services was 34,665 won, which was lower than those of hospitalization & clinic visit for medical aid. The patients were highly satisfied with the services by visiting nurse specialists. Conclusion: Community-based home care services provided cost-effective and satisfied services. Community-based home care services needs systematic supports to expand it's domain for promoting community health.

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A Study on the Types of Pain Identification by Nurses for Nursing Home Patients with Dementia (노인요양시설 간호사의 치매환자 통증확인 유형)

  • Lee, Su-Jung;Chang, Sung-Ok
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.4
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    • pp.508-519
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    • 2010
  • Purpose: This study was done to identify the types of pain identification made by nurses caring for patients with dementia in nursing homes. Method: To collect the Q-population, 12 nurses working in nursing homes were interviewed. From the collected data, 69 statements were derived and eight patterns of pain identification were categorized. Thirty statements were derived as the Q-sample. Thirty nurses were sampled as the P-sample. The 30 Q-cards with Q-statements were Q-sorted by the P-sample. The results of the Q-sorting were coded and analyzed using the PC QUANL program. Results: Five types of pain identification were identified by nurses for patients with dementia living in nursing homes; Type 1 was named "estimating based on verbal expressions". Type 2 was named "reasoning through physical symptoms". Type 3 was named "confirming pain based on nonverbal expressions being consistent with conditions of physical function". Type 4 was named "empathizing with vocal expressions". Type 5 was named "confirming by comparison with objective pain indicators one by one". Conclusions: The results of this study indicate that comprehensive understanding of pain identification by nurses could help improve the assessment of pain in patients with dementia.