• Title/Summary/Keyword: Nursing assessment

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A Study on the Cultural Competence of Community Health Practitioners (일 지역 보건진료원의 문화적 역량)

  • Lee, Eun-Jee;Kim, Yune Kyong;Lee, Hyeonkyeong
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.179-188
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    • 2012
  • Purpose: This study aimed to describe the cultural competence among community health practitioners (CHPs). Methods: A cross-sectional descriptive study design was used with a convenience sample of 257 CHPs. Data collection was conducted with a structured questionnaire, including Cultural Competence Assessment. Data were analyzed by t-test and ANOVA with the SPSS/WIN 17.0 program. Results: Most participants reported a moderate level of cultural competence (M=3.0,SD=0.41). Scores for culturally competent behaviors were high (M=3.4, SD=0.48) and cultural knowledge scores were low (M=2.6, SD=0.54). Those CHPs who were living with their family, were working in rural area, and had more opportunities to contact with multicultural patients and experience abroad showed significantly higher cultural competence. Conclusion: The findings support the need for future education and training to enhance CHPs' cultural competence.

Physical and Psychospiritual Care Need by End-of-life Stages among Non-cancer Patient at Home: Based on the Importance and Difficulty of Care Need (재가 비암 환자의 생의 말기 단계별 신체적, 영적 간호요구도 - 간호요구의 중요도와 난이도를 중심으로 -)

  • Lee, Jong-Eun;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.23 no.2
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    • pp.127-133
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    • 2012
  • Purpose: This study was conducted to assess needs at each end-of-life care stage and to analyze importance and difficulty of care needs for home care nursing among non-cancer patients. Methods: We used a retrospective design. Total eligible patients were 117 at the ages of 40 and over, who continuously received home care nursing throughout beginning, stable, and near death stages, and finally died at home from January 1, 2006 to December 31, 2006. Descriptive statistics, Cochran's Q test, Friedman's test were used for data analysis. Results: In the area of physical care, the care need for 'assistance for activities in daily life' was significantly highest in the beginning stage. The care need for 'aggravation or adverse changes in physical symptoms' was significantly increased in the near death stage. In the area of psychospiritual care, 'family's psychological burden' was revealed as having the highest rate of care needs in the every stage. Conclusion: Future intervention should consider assessing care needs in end-of-life care for non-cancer patients who are provided with home care nursing.

Survey on the Occupational Disabled Status using Functional Assessment Tools (간병요양중인 산재환자의 실태 - 산재환자 기능판정도구를 중심으로 -)

  • Choi, Jeong-Myung;Oh, Jin-Joo;Kim, Chun-Mi
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.180-189
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    • 2010
  • Purpose: The purpose of this study was to investigate the actual condition of the disabled due to Occupational accidents based on the functional evaluation tool. Method: The data were collected from 2 Workers Accident Medical Corporation, 311 subjects between February and August, 2007. The tool comprised of six components including physical function, cognitive function, communication, emotional and disturbing behavior, nursing skills and rehabilitation needs. Results: Among the disabled, the average point of physical function of 5 was found in 61.92% and to express and understand were evaluated as normal in 36.69% and 33.44%, respectively. Also, hearing and vision were evaluated as normal in 53.50% and 37.98%, respectively. 19.01% of the disabled had emotional problems and 13.78% had disturbing behavior. Most disabled were in need of nursing skills with 97.73% ROM and activities. The 78.18% and 76.90% of disabled were in need of rehabilitation because of right and left leg in full movement disorders, respectively. Conclusion: The evaluation score for the disabled caused by Occupational accidents was diverse showing 10 to 19 points and 140 to 150 points. The result means the care cost should be determined depending on the care needs of the disabled because there is such a diverse range of care needs for them.

Evaluation of Nursing Outcomes among Advanced Practice Nurses in a Tertiary Hospital (분야별 전문간호사의 전문간호업무에 대한 성과 평가: 일개 병원을 중심으로)

  • Seol, Miee;Yi, Myoung Sun
    • Journal of Korean Critical Care Nursing
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    • v.5 no.2
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    • pp.37-48
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    • 2012
  • Purpose: The purpose of the study was to evaluate how advanced practice nurses (APNs) recognized their work by analyzing nursing outcomes. The ultimate goal was to examine the utility of APNs by connecting their work to the outcomes. Methods: Cross-sectional survey was conducted to collect the data from 59 APNs in a tertiary hospital lovated in Seoul, Korea. The questionnaire with 84 outcome indicators for advanced practice nurses was used. Descriptive statistics were used to analyze the data. Results: Among 84 outcome indicators, 11 indicators were associated with the work of APNs. Majority of these findings were included in the categories of clinical results and satisfaction. Items identified to be associated with the work of APNs were different among oncology nursing area, surgical speciality area, emergency care area, and critical care area. Conclusion: The results of the study indicated that the works of APNs were relevant to education/counseling/training and interpersonal relationship with other health professionals. The results of the study could be helpful to delineate the work characteristics of APNs and increase the utility of APNs in Korea where roles of APNs are not yet clearly delineated in most clinical settings.

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Knowledge, Experience and Self-efficacy regarding Children's Pain Management among Nursing Students (아동 통증관리에 대한 간호대학생의 지식, 경험 및 자기효능감)

  • Ha, Young-Ok;An, Ji-Yoen
    • Korean Parent-Child Health Journal
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    • v.18 no.1
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    • pp.1-10
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    • 2015
  • Purpose: This study was to investigate nursing students' knowledge, experience and self-efficacy regarding children's pain management. Methods: A descriptive research design was used. The participants in this study were 167 senior nursing students who understood purpose of this study and accepted to participate in. The Pediatric Nurses' Knowledge and Attitude Survey regarding Pain (PNKAS) was used to measure knowledge toward children's pain management. Data were collected from December 15 to December 30, 2012. Results: The overall percentage of correct answer was 56%. The pain assessment scale and non-pharmacological pain intervention which senior nursing students used in most were face pain rating scale (94.6%, n=158/167) and emotional support (93.4%, n=156/167). Significant differences were found in self-efficacy scores between above-average group of knowledge score. Conclusion: This study showed that undergraduate nursing students had a lack of knowledge for children's pain management. There is a need for more detailed educational program in the area of children's pain management.

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An Inquiry on the Coping about Anxiety in Mothers of Children with Nephrotic Syndrome (신증후군 환아 어머니의 불안에 따른 대응양상)

  • Ji Eun-Sun;Cho Kyoul-Ja;Wang Myung-Ja
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.188-195
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    • 2004
  • Purpose: This study was to identify and to search the related disposition of the pattern of anxiety and coping in mothers of children with nephrotic syndrome through the use of Q-methodology. Method: 34 Q-samples were finally selected in the concept of anxiety and coping. A P-sample of 35 was selected the mothers of children with nephortic syndrome. The result of the Q-sorting was coded and analyzed using QUANL PC program. Result: There were 3 types of special opinion. The first type is called ' Pursuit of hope type.' Members of this type were cope with the anxiety by spiritual behavior like a pray, positive thinking. The second type is called 'Worry about reality type.' Members of this type were to be filled with apprehension like an indigestion, insomnia. The third type is called ' Solving problem type.' Members of this type were cope with the humanity effort by conversation. Conclusion: The mothers of children with nephrotic syndrome were used various coping patterns to cope with the anxiety conditions that their child were result from admission to hospital and treatment of the disease. Therefore, nursing assessment and nursing intervention skills have to develop in consideration of the subjectivity of coping about anxiety in each individual.

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Effects of Meridian Massage on Weight in Infants and on Mother-Infant Interaction (경락마사지가 신생아의 체중과 모아상호작용에 미치는 효과)

  • Cho Kyoul-Ja;Paik Seung-Nam
    • Child Health Nursing Research
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    • v.11 no.3
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    • pp.340-347
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    • 2005
  • Purpose: This study was done to develop a new nursing intervention, Meridian Massage, and to investigate its effect on weight in infants and mother-infant interaction. Method: This study was conducted using a quasi experimental non equivalent control group pretest-posttest design. Thirty-one newborn infants from a postpartum Management Center were selected and assigned to two groups, experimental and control. Data were collected from February 1 to September 30, 2004. Infants in the experimental group (16) were given Meridian massage for 15 minutes daily for 6 days and weighed every day at 10 am. Using the Nursing Child Assessment Feeding Scale(1978), mother-infant interaction was determined before the treatment, after 1 week and 1 month after the massage. Results: Infants in the experimental group had a higher average weight than those in the control group and the difference was significant (Z=-2.29, p=.022). For mother-infant interaction, the experimental group had higher scores tHan the control group, and the difference was significant between both the two groups, and the 3 measurement times. Conclusion: The Meridian Massage in this study showed positive weight gain and positive mother-infant interaction. This study shows that meridian massage is an effective nursing intervention in improving infant development.

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Development and Effects of a Simulation-based Education Program for Newborn Emergency Care (시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발 및 효과)

  • Yoo, So Young
    • Journal of Korean Academy of Nursing
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    • v.43 no.4
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    • pp.468-477
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    • 2013
  • Purpose: This study was conducted to develop a simulation-based education program for newborn emergency care based on most needed topics found from the needs assessment. This study consisted of two phases: developing the program and evaluating its effectiveness. Methods: The effectiveness of the program was tested in July, 2012, with 49 junior nursing students from C Nursing College in Seoul, who did not have any clinical experience in newborn care. The experimental group was given a three-hour lecture, three hours of clinical training, and a two-hour simulation program, whereas the control group only had the three-hour lecture. Results: There was significant improvement in knowledge in both groups, but no significant differences according to educational methods. The experiment group was more confident of their care ($4.32{\pm}.29$) than the control group ($3.60{\pm}.29$) with the difference being significant (t=8.85, p<.001), and the experimental group was also more satisfied with the program (${\chi}^2$=4.60, p=.032). Conclusion: As the results indicate 'the neonatal emergency care program' increased learners' knowledge, confidence and satisfaction with the program, it should be integrated into clinical training in pediatric nursing curriculum and in-service programs for nurses. To increase generalization further verification studies with various learner groups are needed.

Development and Evaluation of a Child Health Care Protocol for Child Day Care Center Teachers (보육교사를 위한 아동 건강관리 프로토콜 개발 및 평가)

  • Kim, Shin-Jeong;Yang, Soon-Ok;Lee, Seung-Hee;Lee, Jung-Eun;Kim, Sung-Hee;Kang, Kyung-Ah
    • Child Health Nursing Research
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    • v.17 no.2
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    • pp.74-83
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    • 2011
  • Purpose: The purpose of this study was to develop a child health care protocol for teachers in child day care centers. Methods: The ADDIE model with 10 Kid Keys was applied to develop this child health care protocol. All contents were developed through content validity test by 7 professionals and need assessment and evaluation by child day care center teachers. Results: This protocol consisted of 10 keys, as follows: "Health Examination/Growth & Development", "Practice of Health Life", "Management of Communicable Disease", "Negligent Accident", "Coping with Emergency and Transference", "Child Abuse", "Nutrition/Obesity", "Quality Assurance of Staff", "Parent Education", "Guidance & Supervision of Child Day Care Centers". The contents contained goals, objectives, teaching content, suggested activities for children, writing forms related to each subject, and self-evaluation sheet. Conclusion: This protocol can be practical and effective for child health care in child day care centers and it is hoped that it will be utilized in more child day care centers.

Assessment of Vitamin E Status of Female Nursing-Home Residents (양로원 거주 여자 노인들의 비타민 E 섭취 상태 조사)

  • Kim, Hee-Seon;Kim, Ji-Sun;Song, Rha-Yun
    • Korean Journal of Human Ecology
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    • v.10 no.4
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    • pp.411-419
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    • 2001
  • This study was peformed to assess the nutritional status of female nursing home residents by dietary intake. The subjects were 60 nursing home residents aged over 60 from 3 different nursing homes in Seoul, Cheonan and Chunchon. Dietary intake was assessed by 24-hr recall and nutrient intake was calculated using CAN-Pro and database for vitamin E established by authors. To establish vitamin E database, we analyzed vitamin E concentration using HPLC in several foods consumed frequently by nursing home residents. The results of nutrient intake were as follows; 1) Average daily intakes of energy, protein, phosphorous, iron, vitamin $B_1$ and niacin were higher than RDA, but calcium, vitamin $B_2$ and niacin of Chunchon were lower than RDA. 2) Intakes of protein, sodium and niacin of Cheonan residents were significantly higher than those of Seoul. 3) Intakes of phosphorous, potassium, vitamin $B_1$ and dietary fiber of Cheonan residents were significantly higher than Seoul and Chunchon. 4) Intakes of sodium and cholesterol of Seoul residents were higher than Cheonan and Chunchon. 5) Average daily intake of vitamin E was lower than RDA. Especially vitamin A intake of Cheonan residents was significantly lower than other two cities.

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