• The Journal of Korean Academic Society of Nursing Education
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• v.13 no.1
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• pp.59-65
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• 2007

Purpose: The purpose of this study was to investigate the nurses' knowledge and attitudes toward the aged and geriatric nursing education needs in geriatric hospitals. Method: The research design was a descriptive study. Data was collected from 101 nurses working in five geriatric hospitals in D city using structured questionnaires. Result: The mean score of geriatric hospital nurses' knowledge toward the aged was 13.28. The mean score of geriatric hospital nurses' attitudes toward the aged was 79.14. The mean score of geriatric hospital nurses' nursing education needs was 4.00. The correlation between geriatric hospital nurses' knowledge and attitudes toward the aged showed a significant positive value(r=.396, p<.01). According to the above results, the nurses' knowledge toward the aged was high, the attitude was neutral, and the nursing education needs was high. Conclusion: There is a need to develop continuing education programs to increase knowledge and positive attitudes and to apply these programs routinely to maintain and reinforce the nurses' knowledge and attitudes.

• Journal of Korean Critical Care Nursing
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• v.12 no.1
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• pp.46-56
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• 2019

Purpose : The purpose of this study was to identify minimum data sets for oral mucous integrity-related documentation and to analyze nursing records for oral care. Methods: To identify minimum data sets for oral status, the authors reviewed 26 assessment tools and a practical guideline for oral care. The content validity of the minimum data sets was assessed by three nurse specialists. To map the minimum data sets to nursing records, the authors examined 107 nursing records derived from 44 patients who received chemotherapy or hematopoietic stem cell transplantation in one tertiary hospital. Results: The minimum data sets were 10 elements such as location, mucositis grade, pain, hygiene, dysphagia, exudate, inflammation, difficulty speaking, and moisture. Inflammation contained two value sets: type and color. Mucositis grade, pain, dysphagia and inflammation were recorded well, accounting for a complete mapping rate of 100%. Hygiene (100%) was incompletely mapped, and there were no records for exudate (83.2%), difficulty speaking (99.1%), or moisture (88.8%). Conclusion: This study found that nursing records on oral mucous integrity were not sufficient and could be improved by adopting minimum data sets as identified in this study.

• Journal of East-West Nursing Research
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• v.26 no.1
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• pp.63-70
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• 2020

Purpose: The purpose of this study was to compare the moral distress and burnout between long-term care hospital nurses and general nurses. Methods: This study was a cross-sectional survey. Participants were 193 nurses (long-term care hospital 95, general hospital 98) working in a hospital in Seoul, Daegu and Busan city. Data were collected from October 02 to November 30, 2018 using a structured questionnaires and analyzed with SPSS/PC ver 21.0 programs. Results: The scores of moral distress by nurses working in long-term care hospitals were higher than those of nurses in general hospitals. The score of burnout by nurses working in general hospitals was significantly higher than that of nurses in long-term care hospitals. There was a significant positive relationship between moral distress and burnout in both long-term care hospital nurses and general hospital nurses. Conclusion: This research shows that long-term care hospital nurses have higher moral distress and burnout than those of general hospital nurses. Therefore, nursing managers and organization should strive to raise the perception of moral distress and burnout in long-term care hospital nurses.

• Child Health Nursing Research
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• v.23 no.3
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• pp.375-384
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• 2017

Purpose: This study was done to identify the level of adjustment to hospital life, hospitalization recognition and hospital-related fear by school-aged children, and investigate the influence of hospitalization recognition and hospital-related fear on the hospital life of these children. Methods: Participants were 112 three to six grade students who were hospitalized from 3 to 7 days at one of two children's hospital. Date were collected from September 2015 to March 2016. Data were analyzed using frequency, percentage, mean, standard deviation, multiple regression. Results: The mean score for adjustment to hospital life was $3.43{\pm}0.40$ of 5, for hospitalization recognition, $2.98{\pm}0.46$ of 4 and for hospital-related fear, $1.37{\pm}0.28$ of 3. Factors affecting adjustment to hospital life were hospital-related fear (${\beta}=-.28$, p=.002) and hospitalization recognition (${\beta}=.27$, p=.003). These factors explained 17% of the variance in adjustment to hospital life. Conclusion: Results indicate that adjustment to hospital life by school-aged children is not sufficient enough for them to cope with illnesses and hospitalization. Therefore, to improve adjustment to hospital life by school-aged children, nursing interventions that focus on increasing hospitalization recognition and decreasing hospital-related fear need to be developed.

• Journal of Korean Clinical Nursing Research
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• v.22 no.2
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• pp.183-193
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• 2016

Purpose: This study was conducted to identify factors affecting nursing performance of delirium among general hospital clinical nurses. Methods: This was a cross-sectional study and conducted from July 20 to July 30 2015, with a sample consisting of 167 registered nurses in three general hospitals. Data were analyzed with SPSS 21.0. Results: Nursing performance of delirium had significant positive correlations with knowledge about delirium (r=.25, p=.001), self-confidence in caring for patients with delirium (r=.45, p<.001) and nursing work environment (r=.29, p<.001). In this study, factors affecting nursing performance of delirium were self-confidence in caring for patients with delirium (${\beta}=.33$, p<.001), nursing work environment (${\beta}=.26$, p<.001), experience in nursing education about delirium(${\beta}=.18$, p=.007) and clinical experience (${\beta}=.18$, p=.007). The factors explained 32% of nursing performance of delirium. Conclusion: This study's results can be used as basic data to develope educational programs related to delirium care through continuing education and to improve work environments in developing strategies to enhance nursing performance for patients with delirium.

• Journal of Home Health Care Nursing
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• v.30 no.2
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• pp.155-162
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• 2023

Purpose: This study was conducted to identify the status and risk factors for the carriage of multidrug-resistant organisms carriage in home health nursing patients. Methods: This retrospective study enrolled 122 participants who received home health nursing and analyzed the data obtained from chart review and diagnostic tests for multidrug-resistant organisms carriage from January 2019 to January 2021. Results: Multivariate analysis revealed that surgical procedures in the preceding year, injectable antibiotic use in the preceding month, pressure ulcer, and indwelling nasal tubes were significantly associated with multi-drug resistant infection. Conclusions: Infection-control strategies need to be developed and customized for use in the home health-nursing service for patients who are carriers of multidrug-resistant organisms.

• Journal of Korean Clinical Nursing Research
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• v.16 no.3
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• pp.133-144
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• 2010

Purpose: This study intended to evaluate the intermediate effects of using Electronic Nursing Record System which was introduced 4 years and 4 months ago. Methods: Participants were 65 nurses engaged in 3 shifts in a general hospital. The specific methods were identification of nursing activity times by means of nurses' self-recording in structured forms, survey of user satisfaction using questionnaires, and examination of nurses' responses to open-ended questions about using the system. Results: The direct nursing activities took more than 50% of the time during day and evening shifts. In night shift, direct nursing activities took more than 41% of the time. Comparing to the initial evaluation, measured at 10 months after the introduction, the time spent in indirect nursing activities have decreased about 10% in each shift. The user satisfaction was 3.54 points which was higher than 3.33 points measured at 10 months after the introduction. The nurses recommended some changes needed in the current system to make it better, such as speeding up the system. Conclusion: The intermediate evaluation shows reduced indirect nursing time, increased direct nursing time, and improved user satisfaction.

• Journal of Korean Clinical Nursing Research
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• v.18 no.1
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• pp.29-38
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• 2012

Purpose: The purpose of this study was to examine the accuracy of general nurses' assessments of pressure ulcers in hospitalized patients. Methods: A total of 129 nursing records of assessments on pressure ulcers were analyzed. Assessment records of pressure ulcers by general nurses were compared to those by Wound, Ostomy, Continence Nurses (WOCN) on the same pressure ulcers. A WOCN of a nursing unit was a nurse certified by the hospital after completion of a formal WOCN course and passing a cyber education course, both offered by the hospital. The formal WOCN course was taught by an internationally certified WOCN. The inter-rater reliability among WOCNs was 98.2%. General nurses in this study did not receive a structured pressure ulcer education. Results: The accuracy for nursing assessment of pressure ulcers by general nurses compared to WOCNs' were evaluated in various ways and resulted in as follows; the existence of pressure ulcer 91.4%, site of pressure ulcer 85.3%, stage of pressure ulcer 85.3%, Braden scale 36.3%, size of pressure ulcer 51.9~64.3%, details of pressure ulcer 0~100%. Conclusion: The structured education about pressure ulcer assessment is important to enhance the accuracy of pressure ulcer assessment of hospitalized patients by general nurses.

• Journal of Digital Policy
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• v.1 no.1
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• pp.21-26
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• 2022

This Study will focus the fact that large portion of inpatient treatment cost might incurred in nursing hospital and consider whether policy of allowing inpatient treatment is appropriate or not. Finally This study will suggest alternative way to make improvement based on cases from other countries. This study use data published by Health Insurance Review & Assessment Service. & National Health Insurance Service which is very reliable. This Study found biggest medical spending in allowance of medical care is inpatient treatment cost and large portion of inpatient treatment cost might incurred in nursing hospital. This Study found policy of allowing patient to get inpatient treatment is not clearly determinded. Therefore patient who don't actullay need medical service enter and stay in nursing hospital. Their inpatient treatment cost is paid by allowance of medical care and this cost is unnescessary medical cost. This study suggest policy of allowing patient need to be clear. Government should mandate nursing hospital to check whether patient's condition is appropriate to enter and stay in nursing hospital. This study suggest way to reduce unnecessary inpatient treatment cost incurred in nursing hospital

• Journal of Korean Clinical Nursing Research
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• v.16 no.1
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• pp.39-49
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• 2010

Purpose: The purpose of this study was to identify the effects of walking on discomfort and colon cleansing for patients having a colon lavage solution before colonoscopy. Methods: This study was a nonequivalent control group post test design. The participants were 89 patients (experimental group: 47, control group: 42) who underwent colonoscopy at G hospital in Incheon. The two groups put on step counter for an hour while taking the colon lavage solution. The experimental group was made up of patients who walked over 3,000 steps and the control group of those who walked less than 3,000 steps. Discomfort was measured using VAS and colon cleansing was measured by a specialist. Collected data were analyzed using $x^2-test$, t-test with SPSS/PC+ window version 15.0. Results: Walking while taking the colon lavage solution decreases abdominal pain before colonoscopy. Also one hour after taking the colon lavage solution, decreased nausea, abdominal pain and discomfort were found in the group which walked over 3,000 steps. Concluson: Based on the above findings, adequate walking can be used as a nursing intervention to increase comfort in patients undergoing colonoscopy.