• 제목/요약/키워드: Nursing competence

검색결과 780건 처리시간 0.031초

남편의 산후조리 인식, 교육요구도 및 가족건강성에 관한 연구 (Husbands' Awareness of Sanhujori, Needs for Education and Family Strength)

  • 주은경;유은광
    • 여성건강간호학회지
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    • 제21권2호
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    • pp.93-105
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    • 2015
  • Purpose: We conducted a descriptive study to: 1) understand how husbands are aware of the importance of Sanhujoiri(i.e, Korean traditional postpartum care) and 2) identify their needs to learn how to take care of postpartum women and newborns and to strengthen family bonding. Methods: The subjects consisted of 123 husbands who had children under the age of 5 years. Data were analyzed with t-test, one-way ANOVA, $Scheff{\acute{e}}^{\prime}s$ test, and Pearson's correlation. Results: The mean age of subjects was $37.1{\pm}4.63$ years. The mean scores of awareness, needs for education on postpartum mother and newborn care, and family strength were $4.57{\pm}1.18$, $4.61{\pm}1.18$, $4.92{\pm}1.07$, and $4.01{\pm}0.95$, respectively, indicating higher scores. There were statistically significant differences in awareness (F=5.08, p<.05), newborn care (F=3.70, p<.05), and family strength (F=4.64, p<.05) by husband's role in Sanhujori There was a positive correlation among study variables. Conclusion: This study shows that even though husbands want to participate in Sanhujori, they do not have enough information on Sanhujori and mother/newborn care and adequate paternity leave. Realistic paternity leave system and effective Couple Centered Childbearing (from pregnancy to postpartum) Education Program CCCEP development are required to help husbands' participation in mother/newborn care with confidence and competence in home based Sanhujori.

시뮬레이션 기반 실습 교육이 간호대학생의 눈치, 문제해결 능력, 회복 탄력성에 미치는 효과 (The Effects of Simulation-based Hands-on Training on Nursing Students' Nunchi, Problem-Solving Ability, and Resilience)

  • 신승호;이정원;김창태;신소홍;송미숙
    • 문화기술의 융합
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    • 제6권2호
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    • pp.397-407
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    • 2020
  • 본 연구는 간호대학생의 핵심역량인 시뮬레이션 기반 실습 교육이 눈치, 문제해결 능력, 회복 탄력성에 미치는 효과를 알아보기 위해 시도되었다. 연구 결과 눈치의 하위변인 눈치 파악이 유의미하게 증가하였고, 문제해결 능력과 하위변인 문제 인식, 정보수집, 분석능력, 확산적 사고, 의사결정, 기획력, 실행과 모험 감수, 평가, 피드백에 유의미하게 증가하였다. 회복 탄력성과 하위변인 통제성, 긍정성, 사회성이 유의미하게 증가하였다. 이러한 결과는 시뮬레이션 기반 실습 교육이 간호 대학생의 핵심역량을 강화할 수 있다는 것이므로 현장감 있는 실습 모듈 개발을 위한 기반이 마련되어야 할 것이다.

연령에 따른 도시 지역 성인의 삶의 질 (Quality of Life in the Urban Adults by Age)

  • 최정숙;이은희;소애영;이경숙
    • 근관절건강학회지
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    • 제19권3호
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    • pp.362-372
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    • 2012
  • Purpose: The purpose of this study was to identify the predictive factors on quality of life (QOL) in the urban residents by age. Methods: A cross-sectional descriptive design was used. A total of 592 urban residents, ages of 20 to 59, completed a self-reported questionnaire including WHO QOL Scale-Brief (WHOQOL-BREF), Health Promoting Life Style Profile II (HPLP), Personal Competence of Health Care Scale (PCHC), and self-efficacy scale. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficients, and multiple regressions by SPSS 18.0. Results: The mean scores were 53.71 in QOL, and subscales were 14.41 in physical health, 13.31 in psychological, 13.87 in social relationship, and 12.12 in environment. There were significant differences by age groups, gender, education, family income, job, and present illness in QOL. QOL were significantly associated with HPLP, PCHC, and self-efficacy. The results of multiple regression indicated that HPLP, PCHC, marital state, and self-efficacy in the 20s, HPLP, self-efficacy, age, marital state, religion, and PCHC in the 30s, HPLP, PCHC, self-efficacy, and family income in the 40s, and HPLP, PCHC, self-efficacy, and gender in the 50s were statistically significant in predicting QOL. Conclusion: It is important to develop distinct programs by age for improving of quality of life for adults.

문제음주 대학생을 위한 자기결정성증진 절주프로그램 개발 및 효과 (Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking)

  • 마진경;유문숙
    • 대한간호학회지
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    • 제51권3호
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    • pp.265-279
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    • 2021
  • Purpose: This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits. Methods: This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher's exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0. Results: The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.

희망의 개념 분석 -항암화학요법을 받는 암환자를 대상으로- (The Concept Analysis of Hope : Among Cancer Patients Undergoing Chemotherapy)

  • 송미순;이은옥;박영숙;하양숙;심영숙;유수정
    • 대한간호학회지
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    • 제30권5호
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    • pp.1279-1291
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    • 2000
  • The main objectives of this study were to analyze the concept of hope, so to provide basic data to develop a valid instrument to measure hope, and to develop hope enhancing nursing intervention a program for cancer patients. The hybrid model approach was applied in three phases, the theoretical phase, the empirical phase, and the analytic phase. The study was developed on universal attributes explaining generalized hope and specific hope, which were revealed in a comprehensive review of the literature. In the empirical phase, eight cancer patients undergoing chemotherapy were interviewed to reveal causes, motivation, and their resource of hope according to The Hope Assessment Guide (Farren, Herth, & Popovich, 1995). In the analytical phase, the results of the two previous stages of the study were compared. The results were as follows : In the theoretical phase, six dimensions of hope emerged; affective, cognitive, behavioral, affiliative, temporal and contextual dimension. The antecedent of hope was loss, crisis, uncertainity, and stress. The consequences were renewal, development of new methods, safety, peace and transcendental competence. In the empirical phase, these six dimensions emerged as theoretical phases were verified and specified as these descriptive terms: feeling, intention, expectation, activity, relation, future- orientation, reality and goal-setting. The antecedent factor of hope was occurrence or recurrence of cancer. The consequence of hope was ability to cope with real condition, feeling of safety and comfort, peace, development of new strategy and recovery of disease. The major content of hope in this phase was related to specific hope, but it was also influenced on by general hope. In the analytic phase, general and specific hope was renamed as trait and state hope. All attributes emerged at the empirical phases, and also emerged at the theoretical phase. However, cognitive and contextual dimensions were revised and specified. In conclusion, the concept of hope is divided into trait hope and state hope, and state hope is an anticipatory expectation that occurs at the time of a stressful stimulus, such as being diagnosed with cancer. Hope is a multidimensional dynamic energized mental state which has the dimensions of affective, cognitive, behavioral, affiliative, temporal and contextual. There should be further studies to develope the state and trait hope scale according to definition and attributes of hope investigated in this study. In addition, considering results of the empirical phase, the family is very a important factor as a resource of hope, so it is necessary to consider family in implementing a nursing intervention program to enhance hope.

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실천학습 적용에 따른 간호관리자의 공통 기본역량 변화와 반응 분석 (An Analysis of Nurse Managers's Common Fundamental Competencies Changes and Responses to the Application of the Action Learning)

  • 장금성;최영자;안순희;이숙자;심재연;임정옥;정경희;양진주;오숙희;김윤민;김은아;봉현철;백명
    • 간호행정학회지
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    • 제12권3호
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    • pp.424-433
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    • 2006
  • Purpose: This study is analyzing nurse managers's common fundamental competencies changes and responses to the application of the action learning, and promoting introduction and revitalization of action learning. Method: The research design is one group pretest-posttest design. The subjects are 40 nurse managers. The program was performed for 5 weeks. Data were collected before the program and after 5 weeks program and were analyzed with paired t-test. Result: Action learning was an effective way to develop an individual and team and to solve the problem of organization. There were more significant increases after the program than before the program on common fundamental competencies(p<.05). Conclusion: This study has us confirm that action learning is an effective education method for organization members on the spot to recognize their problem and study by themselves and solve the practical problems with various solution process.

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간호대학생의 스마트폰 동영상을 활용한 자기관찰과 QR-Code 활용 피드백 자율실습의 효과 (Effects of Self-Practice of Self-Assessment using Smartphone Videos and Feedback using QR-Code for Nursing Students)

  • 구희선
    • 한국응용과학기술학회지
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    • 제41권4호
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    • pp.1008-1019
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    • 2024
  • 본 연구는 간호대학생의 스마트폰 동영상을 활용한 자기관찰과 QR-Code를 활용한 피드백 자율실습 방법이 핵심간호술 수행능력, 수행자신감 및 자기효능감에 미치는 효과를 파악하기 위한 비동등성 대조군 전·후 설계를 적용한 유사실험연구이다. 연구 대상자는 G시 소재 U대학교 간호학과 2학년 재학생 105명이었으며, 수집된 자료는 SPSS 23.0 프로그램을 활용하여 기술통계, independent t-test, Fisher's exact test, -검정, paired t-test로 분석하였다. 연구결과, 유치도뇨 수행능력은 유의하게 증가(t=8.532, p<.001)하였으나, 근육주사 수행능력은 통계적으로 유의하지 않았다(t=1.818, p=.077). 유치도뇨 수행자신감(t=5.099, p<.001)과 근육주사 수행자신감(t=5.473, p<.001)은 통계적으로 유의하게 증가하였고, 자기효능감(t=4.332, p<.001)이 유의하게 향상되었다. 이에 스마트폰 동영상을 활용한 자기관찰과 QR-code 활용 피드백 자율실습은 난이도가 높은 핵심간호술 항목에 더욱 효과적이며, 핵심간호술 수행자신감, 자기효능감 향상에 효과적인 자율실습 교육방법이라는 객관적인 근거를 제시하였다. 아울러 핵심간호술 20개 항목의 난이도를 다양하게 포함한 반복연구를 제언하는 바이다.

노인 당뇨환자에서 당뇨 자가관리 지식, 자신감, 행위 및 삶의 질과 당화혈색소 조절의 관련성 (The Relationship between HbA1c Control and Diabetes Self-care Knowledge, Competence, Behavior and Quality of Life on Diabetes elderly)

  • 이송흔
    • 한국산학기술학회논문지
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    • 제18권11호
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    • pp.357-366
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    • 2017
  • 본 연구는 제2형 당뇨노인을 대상으로 당화혈색소 조절군과 비조절군의 당뇨 자가관리 지식, 자가관리 효능감, 자가 관리 행위와 삶의 질을 비교분석하기 위한 연구이다. 자료수집기간은 2015년 4월 20일부터 8월 31일까지로 D시에 소재한 시민건강증진실을 주기적으로 방문하는 60세 이상의 당뇨노인 205명을 대상으로 하였다. 수집된 자료는 SPSS Statistics 23.0의 기술통계, t-test, chi-square 및 ANCOVA를 이용하여 분석하였다. 연구결과, 연구 대상자의 자가관리 지식은 $6.99{\pm}2.17$점, 당뇨 자가관리 자신감은 $71.27{\pm}10.21$점, 당뇨 자가관리 행위는 $62.78{\pm}1.29$점, 삶의 질은 $0.86{\pm}0.11$점으로 조사되었다. 당화혈색소 조절군과 비조절군간에 당뇨 자가관리 지식, 자신감, 삶의 질에는 차이가 없었으나 당뇨 자가관리 행위는 두 군간 유의한 차이가 있었고(t=2.17, p=.031), 자가관리 행위는 교육수준(t=2.17, p=.031), 시민건강증진실 방문횟수(t=16.497, p=.001) 및 BMI(t=.01, p=.012)에서 유의한 차이가 있었다. 그러나, 앞 선 세 변수를 공변량 처리하여 분석을 시행한 결과, 당화혈색소 수치와 당뇨자가간호 행위와의 관계는 유의하지 않았다. 본 연구의결과를 근거로, 당뇨 노인의 지식수준과 노인의 특성을 반영한 자가관리 교육프로그램이 개발되어 적용될 것을 제언한다. 아울러, 지역사회 당뇨 환자들이 바람직한 당뇨 자가관리를 꾸준히 시행할 수 있도록 지도하고 관리할 수 있는 접근성이 높은 건강관리 기관이 도처에 마련될 필요가 있다.

소아암 환아의 건강문제와 사회심리적 적응 (Health Problems and Psychosocial Adaptation of Children with Cancer)

  • 오가실;심미경;손선영
    • 대한간호학회지
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    • 제33권2호
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    • pp.293-300
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    • 2003
  • Purpose: The purpose of this study was to describe health problems and psychosocial adaptation in children with cancer and to determine the relationship between these two variables. Method: The data were collected from parents of 61 children with cancer, aged 4-11 years at one university hospital in Seoul. The instruments for this study were the Korea Child Behavior Check List (KCBCL) and a physical symptom checklist developed by the researchers. Result: The major health problems were coughing, sleeping disturbances, fatigue and weakness. The total behavior problem score for children in the cancer group was higher than the score for those in the norm group. The scores on the scales for withdrawal, somatic complaints, social immaturity, and internalizing problems were higher in the children with cancer compared to normative findings. Scores on social and school competence in the cancer group were lower than the norms for healthy children. The relationship between health problems and psychosocial adaptation was significant in the subscales of withdrawal, anxiety/depression, internalizing problems and social involvement in the off therapy group. Conclusions: This study shows the various areas that need further study in caring for children with cancer.

Family Caregivers of Korean Patients on Ventilators at Home: A Penomenological Study

  • Kim, Ki-Ryeon;Kim, Young-Soon
    • 한국임상보건과학회지
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    • 제3권1호
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    • pp.290-298
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    • 2015
  • Purpose. This study aimed to explore family caregivers' experiences with ventilator-dependent patients at home. Methods. The number of patients using mechanical ventilators at home is expected to increase and family caregivers must be able to care for them. However, few studies focus on the experiences of family caregivers. We conducted in-depth interviews with 11 family caregivers who cared for a ventilator-dependent patient at home in South Korea. Data were analyzed using phenomenological method of enquiry. Results. Statements generated from the interviews on the meaning of the family caregiver's experiences were organized into 27 themes, 5 theme clusters, and 2 categories. The theme clusters included endurance under the burden situation, role strain as a caregiver, separation from others, trying to find coping methods, and oriental ethnical customs. Family caregivers of patients using domestic mechanical ventilators need systematic education and emotional support to cope with the challenges of managing ventilator equipment and learning new ways of communicating with patients on the ventilators. Conclusion. These findings may contribute to family caregivers' knowledge and competence, thereby allowing them to better support their ventilator-dependent family members.