• Title/Summary/Keyword: Nursing care activity

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Perceptions of Patient Safety Culture, Safety Care Knowledge and Activity among Nurses at an Orthopedic Hospital (중소 정형외과병원 간호사의 환자안전문화인식, 환자안전지식과 환자안전간호수행)

  • Kim, Mi Young;Eun, Young
    • Journal of muscle and joint health
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    • v.24 no.1
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    • pp.14-23
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    • 2017
  • Purpose: The purpose of this study was to identify the factors affecting the perceptions of patient safety culture, safety care knowledge, and safety care activity among nurses at orthopedic hospitals. Methods: Data were collected during Feb. 16 and Feb. 26, 2017, from 195 nurses of 9 small to medium sized orthopedic hospitals. Questionnaires about patient safety culture, safety care knowledge and activity were used. Data were analyzed by descriptive statistics, t-test, ANOVA, $Scheff\acute{e}$ test, Pearson's correlation coefficient, and stepwise multiple regression. Results: The safety care activity was positively correlated with perceptions of patient safety culture (r=.50, p<.001) and knowledge (r=.48, p<.001). Factors that had influence on the safety care activity were the patient safety culture (${\beta}=.30$, p<.001), age (${\beta}=.27$, p<.001), and knowledge of the safety activity (${\beta}=.21$, p=.004). The patient safety care activity was explained 36.6% by those factors. Conclusion: To enhance the patient safety care activity, it should be provided the environment and open communication for the perceptions of patient safety culture and the in service education program for safety care knowledge.

Functional Status of Stroke Patients among Different Long-Term Care Settings (장기요양서비스 유형별 뇌졸중 환자의 기능수준 비교분석)

  • 김은영
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.372-378
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    • 2004
  • Purpose: The purpose of this study was to measure the functional status of stroke patients cared for in different long-term care settings. Method: We assessed all stroke patients in two home health care agencies, four nursing homes and one geriatric hospital in Korea (n=171) using the Resident Assessment Instrument (RAI), which comprises Activity of Daily Living (ADL), urine incontinence, bowel incontinence, a Cognitive Performance Scale (CPS),and being understood and understanding others. Data was collected by face-to-face surveys with patients. Results: The mean ADL score, urine incontinence score, bowel incontinence score, CPS, and being understood score and understanding others score were lowest for the patients receiving home health care, and highest for the patients in nursing homes. Low scores described poor and high scores good functional status. The results showed significant differences in physical and cognitive function scores between the three groups of patients. Conclusion: This study suggests that there may be large differences between the patients in these three types of long-term care settings. These findings can be used to help develop and implement efficient long-term care programs.

Acute Ischemic Stroke: Current Management and Role of the Nurse Practitioner

  • Kang, Ji-Yeon;Coleman, Patricia;Kim, Keum-Soon;Yi, Young-Hee;Choi, Eun-Jung
    • Journal of Korean Critical Care Nursing
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    • v.2 no.1
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    • pp.26-35
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    • 2009
  • Purpose: This paper reviews current diagnostic evaluation, treatment, nursing considerations, and the nurse practitioner’s (NP) role in acute ischemic stroke care. Methods: National guidelines and extensive literature on acute stroke care were reviewed and a relevant clinical case was introduced. Results: Computerized tomography (CT) of the head without contrast is the initial brain imaging procedure for patients with an acute stroke. Magnetic resonance imaging (MRI) can be an alternative test. Restoration of cerebral perfusion to the affected area is a key therapeutic strategy for ischemic stroke. A number of treatment strategies such as thrombolysis, anticoagulation, antiplatelet, and surgical treatment can be selected to improve blood flow to the ischemic region. The NP on the stroke team is involved with immediate stroke management including neurological assessment, ensuring adequate oxygenation, blood pressure management, activity, and diet. Discharge planning with the patient, family teaching and coordination of follow up care should also be implemented early in the hospitalization. Conclusion: The nurse practitioner is one of the cardinal members on the stroke team, and must be updated with current treatment and management guidelines.

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Factors Affecting Adherence to Self-care Behaviors among Outpatients with Heart Failure in Korea

  • Ok, Jong Sun;Choi, Heejung
    • Korean Journal of Adult Nursing
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    • v.27 no.2
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    • pp.242-250
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    • 2015
  • Purpose: To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure. Methods: Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires. Results: The mean scores for self-care adherence and heart failure knowledge were $31.98{\pm}6.81$ and $8.78{\pm}2.53$, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens. Conclusion: Nurses should focus on patient education and support to improve their adherence to self-care behaviors.

Knowledge and Prevention Activity of Osteoporosis among Care Providers in Nursing Home (노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동)

  • Shim, Haeun;Park, Miwha;Park, Myungsook
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.71-80
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    • 2019
  • This study is a descriptive research study to identify osteoporosis knowledge and osteoporosis prevention activities among care providers in nursing home. The subjects were 142 care providers in S and Y city. The Data were collected from July 1 to July 20, 2019, and analyzed SPSS 24.0 Version. The result showed that the osteoporosis knowledge of among care providers was moderate. It showed differences in educational status, osteoporosis management training experience, residents number and importance awareness of elderly bone health. And prevention activities differed according to osteoporosis management training experience and importance awareness of elderly bone health. There was a positive correlation between knowledge and prevention activities of osteoporosis. Therefore, it is necessary to develop education programs for the management of elderly osteoporosis and to raise importance awareness of elderly bone health among care providers in nursing home. Further studies are needed to evaluate the effects of the program.

Analysis of Direct Nursing Activity and Patient Outcomes Related to Graded Fee of Nursing Management for Inpatient (입원환자 간호관리료 차등제에 따른 직접간호활동 및 환자결과 비교)

  • 박성희
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.122-129
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    • 2003
  • Purpose: The purpose of this study is to examine the difference of direct nursing activity and patient outcomes as mortality rate, complication rate, readmission rate and length of stay related to graded fee of nursing management for inpatient. Method: The subjects of this study were 44 general hospitals with more than 500 beds. Data totaled to 86,044 claims provided to inpatients in Jan. 2001 requested by an electronic data interchange from a Health Insurance Review Agency. The data was analyzed by SPSS win(ver.10.0) and statistical methods used were frequency, one-way ANOVA, $X^2$-Test and regression. Result: Synthetic judgment through performance index and 95% confidence interval, direct nursing activity showed to provided adequate quality of nursing care on 2nd, 3rd, 4th and 6th nursing degree. Also, patient outcomes showed difference by graded fee of nursing management for inpatient. Mortality rate of 2nd was the lowest with P.I. 67.9, 3rd, 5th, 6th, 4th in order. In case of complication rate, 2nd, 3rd and 4th were lower than other nursing degree. Readmission rate of 4th and 5th was the lowest. Length of stay of 2nd was the shortest with P.I. 88.3, 3rd, 4th, 5th, 4th, 6th in order. Conclusion: The findings from this study showed that, the higher nurse-to-patient ratio, the greater amount of direct nursing care activity for the patient. Also, the more direct nursing activities influenced a lower mortality rate, complication rate and readmission rate, shorter length of stay.

Validation of the Nursing Outcomes Classification (NOC) to Nursing in Korea (간호결과 분류체계의 타당성 검증 - 지역사회 간호결과를 중심으로 -)

  • Lee, Eun-Joo
    • Research in Community and Public Health Nursing
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    • v.13 no.3
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    • pp.523-531
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    • 2002
  • Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of six sensitive nursing outcomes selected from the Nursing Outcomes Classification. The outcomes in this study were Self-Care: Activities of Daily Living, Self-Care: Instrumental Activities of Daily Living, Treatment Behavior: Illness or Injury, Knowledge: Health Promotion, Caregiver Performance: Direct Care, and Caregiver Physical Health. Method: Data were collected from 97 visiting nurses working in public health centers located in a province and a capital city. The Fehring method was used to estimate outcomes and indicators for content validity. Simultaneous multiple regression and stepwise regression were used to evaluate relationships between each outcome and its indicators. Results: Results confirmed the importance and nursing sensitivity of the outcomes and their indicators. Multiple regression revealed key indicators of each outcome. Self-Care: Instrumental Activity of Daily Living needed to be revised. Neither all of the indicators nor the indicators showing the highest importance and contribution ratio were selected as independent variables for the stepwise regression model. The R2 of the regression models ranged from 29 to 56% in importance by selected indicators and from 56 to 83% in contribution. Conclusion: Further research is needed for the revision of outcomes and their indicators.

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Development of an Orff Musical Activity Intervention Program based on Interpersonal Care for Children from Multicultural Families (다문화가정 아동을 위한 대인 돌봄 기반의 오르프 음악 활동 프로그램 개발)

  • Su-Hee Kim
    • Journal of Industrial Convergence
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    • v.21 no.11
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    • pp.43-56
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    • 2023
  • This study aims to develop an Orff musical activity program based on interpersonal care for children from multicultural families in South Korea. The Orff music activity program based on interpersonal care consists of a program that can control ego-resilience, peer relationships, happiness, anxiety, and stress, and was developed based on the Analysis, Design, Development, and Implementation (ADDI) model. As a result, a ten-session program was developed based on the expressive area of care, theme, goal, interpersonal care technique, Orff technique. The research results of the developed program show that interpersonal care nursing can be effective for children from multicultural families, and this program can be used as an intervention to improve children's mental health.

Comparison of Frequency and Difficulty of Care Helper Jobs in Long Term Care Facilities and Client Homes (요양시설과 재가의 요양보호사 직무비교)

  • Hwang, Eun-Hee;Jung, Duk-Yoo;Kim, Mi-Jung;Kim, Kon-Hee;Shin, Su-Jin
    • Journal of Korean Public Health Nursing
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    • v.26 no.1
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    • pp.101-112
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    • 2012
  • Purpose: The purposes of this study were to identify differences of duties, tasks, and task elements of care helpers between long term care (LTC) facilities and client's home (CH), and to provide data for the development of educational programs and policies. Methods: This study was a descriptive investigation; the subjects of the study were 418 care helpers. Duties, tasks, and task elements were measured using the framework proposed by Shin et al. (2012). Data were analyzed by t-test using PASW 18.0. Results: All of the jobs were statistically significant differences between LTC and CH. Dietary assistance and Daily work assistance were more frequently in CH, and the frequency of other tasks was higher in LTC than CH. Tasks with higher-reported difficulty by those who worked in LTC were as follows: personal hygiene, position change and movement, exercise and activity assistance, safety care, communication assistance, dietary assistance, environment management, daily work assistance, emergency prevention, early detection and speedy reporting, and dementia patient care. Conclusion: These findings suggest that training for care helpers of each facility type will be differentiated. Tasks and task elements reported by care helpers were modified and added to the standard textbook.

The Analysis of Activities of Volunteers for Hospice Care (일 지역 호스피스 자원봉사자의 활동분석)

  • Choi, Sang-Soon;Hur, Hye-Kyoung;Park, So-Mi
    • Journal of Hospice and Palliative Care
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    • v.3 no.2
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    • pp.136-143
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    • 2000
  • Purpose : The purpose of this study was to identify the characteristics of hospice volunteers and care-takers and analyze activities of volunteers. Methods : First, to identify the characteristics of hospice volunteers and care-takers, 87 records that registered in for the hospice volunteer education program in Wonju C.C.C from 1997 to 2000 were analyzed. Second, to analyze activities of volunteers, 30 volunteers were participated in this study. The data were collected through a self reporting questionnaire developed by research team. Results : 1) Hospice volunteers were mostly female(93.1%) with an average age of 45 years. 32.4% of persons who completed the hospice volunteer education program has been participated hospice care continuously. 2) The care-takers average age was 50 years and mostly with cancer. The majority(13.6%) of cancers was lung cancer. 3) The mean frequency for visiting was 10 and the mean duration for offering hospice care was 49.4 days. 4) The highest score of activity was spiritual area(mean=1.97) and next activity was emotional area(mean=1.49). Conclusion : The findings in this study have an important basic data to develope program for hospice volunteers in W city.

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