• 제목/요약/키워드: Nursing need

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서울시 보건소 방문간호 수요.공급 추계 (An Estimation on the Need and Supply for Visiting Nursing Services of Health Center in Seoul)

  • 명재일;황라일;유호신
    • 지역사회간호학회지
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    • 제14권4호
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    • pp.587-597
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    • 2003
  • Purpose: The purpose of this study was to estimate the demand and supply of visiting nursing services provided by health centers in urban area, aiming at strengthening infrastructure, which may improved the quality of life and health status of vulnerable population in the community. Methods: This study was conducted through nominal group discussion, focus group study. The demand and supply of visiting nursing were estimated by health economists based on the secondary analysis data from 25 health centers in Seoul. Result: Primary targets for the visiting nursing must be people who are homebound in the community. They can be classified into: a group of Level I: chronic patients who need visiting nursing care at least once a week: and a group of Level II: vulnerable families that need management periodically e. g. twice a month. Based on the estimation of demand for visiting nursing services in the community, the estimated supply required was $651{\sim}770$ visiting nurses including home health nurses in visiting nursing programs based on health centers in Seoul. Conclusions: The estimated demand and supply of visiting nursing are expected to provide basic data for establishing alternative policies on visiting nursing infrastructure that might be accomplished through demand-based visiting nursing programs by districts.

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병원 간호업무 전산화에 대한 평가 (Evaluation of Nursing Information Systems in a General Hospital)

  • 서남례;이명하
    • 간호행정학회지
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    • 제7권1호
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    • pp.111-126
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    • 2001
  • The purpose of this study is to provide a basic data by evaluation the problems about nursing information system and identifying the need of improvement of it. Data were collected from April 6 to 15, 2000 through questionnaires taken by 218 nurses working in a general hospital using nursing information systems. The two structured questionnaires were used for the collecting the data. The data obtained were analyzed by using frequency, percentage, mean, standard deviation, t-test, one-way ANOVA, Pearson's correlation coefficients, and Cronbach's alpha coeffcients. The results are as follows: 1. In the problem of nursing information system, ${\lceil}$There are no appropriate programs for independent nursing information systems because there are no nurse informatists in the information department${\rfloor}$ scored highest. Also, ${\lceil}$There is a lack of manual for operation of the nursing information system${\rfloor}$, ${\lceil}$There is difficulty getting help when the system is in trouble${\rfloor}$, ${\lceil}$General information about using computers and managing problems are lacking${\rfloor}$, ${\lceil}$Unsatisfactory matters about the nursing information systems are not improved quickly.${\rfloor}$ received high scores. 2. In the need for improvement of the nursing information system, ${\lceil}$Nursing education and research${\rfloor}$ was the highest area of the system. 3. The problems of the nursing information system showed high positive correlation with the need for improvement of the system(p=.00).

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간호학 전공학생의 교육과정에 대한 문화적 자각 (Cultural Awareness of Students in a Nursing Education Program)

  • 오현진;김현지
    • 한국간호교육학회지
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    • 제19권3호
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    • pp.446-454
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    • 2013
  • Purpose: South Korea is rapidly changing into a multicultural society; the nursing discipline faces the need to educate its students in cultural competence to meet the health care needs of an ethnically diverse population. However, there is little evidence suggesting that nursing programs provide this education. The purpose of this study was to measure nursing students' cultural awareness in a nursing education program. Methods: Four hundred thirty-three nursing students at 4 universities in Daejeon participated in this cross-sectional descriptive study, which was held from August to September 2012. Data collection was conducted via questionnaires based on the Cultural Awareness Scale(CAS), and demographics included general and cultural characteristics. Results: The mean cultural awareness score was 4.54, which was relatively low compared to studies completed in other countries. The highest rating was in the cognitive awareness subscale, and the lowest was in the general education experiences subscale in CAS. The level of cultural awareness was significantly different in those who had experienced overseas travel. Those students also perceived a greater need for cultural education. Conclusion: The study's finding suggest the need for a transcultural nursing education program designed to enhance the level of cultural awareness in Korea's nursing students.

만성질환자의 간호요구 사정 : 만성질환자 간호 센터 모형 개발을 위한 1차 연구 (Nursing Need of Patients with Chronic Illness - A Primary Study for Development for the Nursing Center of Chronic Illness -)

  • 이평숙;김소인;김순용;이숙자;박은숙;박영주;유호신;장성옥;한금선
    • 대한간호학회지
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    • 제32권2호
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    • pp.165-175
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    • 2002
  • The purpose of this descriptive study was to identify the nursing needs of patients with chronic illness. Method: The subjects of this study were 636 patients with chronic illness, 323 general nurses, and 106 public health nurses. The instruments used for this study were questionnaires including perceived functions of nursing from the center for chronic illness, preference to placement, intention to use, needs to receive services from the center for chronic illness, strategies management for nursing, and nursing needs of chronically ill patients. Results: The mean of perceived functions for nursing from the center were 3.1(0.5) in public health nurses, 2.9 (0.59) in general nurses, and 2.4(1.33) in chronically ill patients. Regards of needs to receive on services of the nursing centers were, the regularly physical examination, for health educational services which was perceived highest request amongst chronically ill patients. We found the means of each specific need as 2.2(0.6), for physical health, 2.1(0.7), for psychosocial health, and 1.8(0.6) for spiritual health. Conclusion: From the results of this study, it is suggested that establishing a nursing center for chronically ill patients consider physical, psychosocial, for spiritual health needs of chronically ill patients. It is also a consideration that direct care for symptom management and health education in the nursing center be implemented.

보육시설 아동에 대한 교사의 안전교육 요구도 (The Degree of Safety Education Requirement for Younger Children in Child Daycare Center Teachers)

  • 김신정;김예영;김성희;박현정;강경아
    • 한국간호교육학회지
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    • 제19권2호
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    • pp.137-150
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    • 2013
  • Purpose: The purpose of this study was to identify the degree of safety education requirement in child daycare center teachers. Method: The data using questionnaire were collected from eight child daycare centers located in Seoul, Gyounggi-Do, and Kwangwon-Do. Final participants were 133 child daycare center teachers. Results: The degree of safety education requirement were as follows: education need of safety knowledge ($4.26{\pm}.50$), safety education need of daycare center ($3.29{\pm}.60$), recognition about safety education training ($3.94{\pm}.58$), and confidence of safety care practice ($2.75{\pm}.43$). There is significant correlation between education need of safety knowledge and safety education need of daycare center (r=.495, p<.001), education need of safety knowledge and recognition about safety education training (r=.555, p<.001), education need of safety knowledge and confidence of safety care practice (r=.201, p=.020), safety education need of daycare center and recognition about safety education training (r=.464, p<.001), and recognition about safety education training and confidence of safety care practice (r=.187, p=.032). Conclusion: On this study, child daycare center teachers' safety education requirement was relatively high. It is recommended that safety education for them should be done for children's healthy life.

독거노인의 거택환경과 기분상태, 일상생활활동 및 간호요구도에 관한 연구 (A Study of the Residential Environment, Mood States, ADL and Nursing Need of the Elderly who Live Alone)

  • 김진희;정문희
    • 한국보건간호학회지
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    • 제14권1호
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    • pp.26-40
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    • 2000
  • This study was conducted to find out residential environment, mood states, ADL(Activity Daily Living) and nursing need of the elderly who live alone. The questionnaire survey was conducted on 154 single household elderly over 65years who live n D-city, Kangwon Province. The data were collected between September 1. 1999 and October 17, 1999 and analyzed by means of SPSS package. The results were as follows; 1. The percentage of the subjects who owned their house was no were than $13\%$., which showed that they still belonged to the economically vulnerable class. As for their residential environment, the average indoor temperature and humidity level were $16.45^{\circ}C\;and\;44.62\%$ respectively during the daytime between September and October, which proved to range within the standard scope. The average indoor illumination level was, however, 43.61 Lux, which showed that their illumination environment was very poor. 2. The average score of their mood states was 3.31. which turned out to be rather low. 3. The mean score of ADL was 1.69, which showed that they didn't have any serious inconveniences in their ordinary lives. 4. The mean score of their nursing need was 275, which proved to be close to the normal level. 5. The higher the room humidity was, the higher their nursing need increased. The higher the degree of illumination level was, the lower the degree of their nursing need was and the higher the level of ADL was. 6. The major factors influencing their moon status were the frequency of their contact with children and room humidity. These two factors could account for $22\%$ of the total mood status. These results suggest that the residential environment should be necessarily considered in the psychological nursing intervention for the elderly who live alone and they should be urgently supported in terms of health policy so that they can maintain the optimum level of illumination during the daytime.

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환자 분류도구 전산 개발;간호활동 중심으로 (Development of patient classification tool using the computerizing system)

  • 강명자;김정화;김영실;박형숙;이해정
    • 간호행정학회지
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    • 제7권1호
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    • pp.15-23
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    • 2001
  • This study was a methodological research to develop computerized patient classification system. The subjects of this investigation were 435 inpatients except redundant data and outliers in P University Hospital from January 18, 2000 to January 24, 2000. The data was analyzed by discrimination analysis and adopted discriminant variables were 1) sum of frequency for the nursing activities, 2) the number of nursing activities that do not need to consider intensity of the activities, and 3) total hours of nursing activities that need to consider their intensities. Discriminant function developed by this study classified the patients into 4 groups; class I, 251 ; class II, 125 ; class III, 39 ; class IV, 20. The Hit ratio was 89.23. Based on this study, following suggestions can be made for the future research 1. Inclusive patient classification system, which includes more expanded direct nursing care factors, need to be developed and examined. 2. This developed classification system can be utilized to evaluate patient distribution and to estimate adequate numbers of nursing staffs in each nursing unit.

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위암 수술 환자의 퇴원 간호요구 (Discharge Nursing Needs of Patients having Surgery with Gastric Cancer)

  • 이종경;이미순
    • 성인간호학회지
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    • 제15권1호
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    • pp.22-32
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    • 2003
  • Purpose: The purpose of this descriptive study was to identify the discharge nursing needs of patients who received gastrectomy. Method: The subjects of this study consisted of 100 patients who had gastric surgery in 4 university hospitals in chungnam province. The instrument for this study was developed by the researcher based on literature through in-depth interviews. Data was collected from October 4 to October 30, 2000. Result: The results were as follows: Discharge nursing needs were classified in 8 main categories. The 8 categories were 'emotional and spiritual support', 'nutrition and diet control', 'medication', 'treatment planning and follow up care', 'activity level', 'symptom management' 'health seeking behavior' and 'social support'. The total mean score for nursing needs was 3.89. 'Nutrition and diet control' was the highest degree of nursing needs and 'activity level' was the lowest degree of nursing needs. There were significant differences in degrees of nursing needs between different ages(F=2.74, p=.048), level of education(F=2.91, p=.038) and period since diagnosis(F=4.46, p=.037). Conclusion: This study looked at 8 categories of discharge nursing needs. Patients identified 'nutrition and diet control' as the highest need and 'activity level' as the lowest need. Further research needs to be done to identify discharge educational needs for various age groups, educational level and for patients with varing lengths of diagnosis time to surgery.

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재가 뇌졸중 환자 가족의 주간재활간호 서비스 요구와 관련요인 (The Need for Rehabilitation Day Care Program Service of Stroke Survivor's Family)

  • 서문자;김금순;김인자;조남옥;최희정;정성희
    • 재활간호학회지
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    • 제4권2호
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    • pp.207-218
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    • 2001
  • This study was carried out to find out the basic data required to plan and develop Rehabilitation Day Care Program for the stroke survivor's family in Korea. The subjects comprised of 92 stroke survivor's family who discharged from 4 hospitals in Seoul during the past 2 years. The data were collected from August 3, 1998 to September 18, 1998, through interviews with questionnaires about general characteristics, activities of daily living, depression and service need of rehabilitation day care program at the outpatient clinics by trained nursing graduates. Data were analyzed with descriptive analysis, Pearson's correlation analysis, and Stepwise multiple linear regression analysis using SPSS/WIN 10.0 program. The results obtained are as follows; 1. The mean score of the general need of rehabilitation day care program of stroke survivor's family was 3.10(range 1-4). The highest need among the service categories of the rehabilitation day card program was self-care and restorative activities category(3.30), and health services referral category, recreation category, psychosocial activities category in order. The needs of each category are as follows. In the health services referral category, the need for dental examination and medical examination were highest, followed by the need for physical therapy and occupational therapy. In the psychosocial activities category, the need for family counselling was highest. In the self-care and restorative activities category, the need for ROM exercise training was highest, followed by bowel training, and ambulation training. 2. The need of family for rehabilitation day care program service displayed a correlation with the level of education, ADL, and the level of depression, and a reverse correlation with age, illness intrusiveness, depression, knowledge, subject and object burden and relationship with stroke survivors. 3. The stepwise multiple linear regression analysis revealed following results. For the need for rehabilitation day care program service, 22.6% of the variance was initially explained by level of family's knowledge about caring method for stroke survivors, 8.8% was the level of subjective burden and 5.4% was relationship with stroke survivors. In conclusion, above characteristics should be considered to develop stroke survivors' rehabilitation day care program.

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유료노인요양시설(Nursing Home)의 이용 결정 요인에 관한 연구 (A Study on the Determining Factors of Utilizing the Nursing Home)

  • 한승의
    • 지역사회간호학회지
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    • 제12권3호
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    • pp.582-588
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    • 2001
  • Purpose : This study is to examine the characteristics of the elderly and their family caregivers. to study the main factors affecting Nursing Home utilization, and to help frame a policy about Nursing Home's demand. management and welfare facilities. Method: Data for this present study were collected via questionnaires randomly distributed to family caregivers of the over 60-year-old patients at general hospital and university hospital in Seoul. Kyung-Ki Do and In-Chon from 26 June to 20 July, 2000. Questionnaires were issued to 512 people and 479 were returned. The data was analyzed by frequency, $x^2$-test, t-test, ANOVA. factor analysis. correlation coefficients analysis and Stepwise multiple regression analysis using SPSS 9.0. Result First. Instrumental Activities of Daily Living(IADL), duration of hospitalization, sex, marital status, behavior problems, home ownership, and cognitive disorder about elderly patients affect family caregivers burden. one of need factors. Secondly, marital status. religion. health status, sex, education and age in the family caregiver predisposing factors are main factors on Nursing Home utilization. Third, in need factors, care burden. time burden, family relation burden, physical burden and mental burden have an effect on Nursing Home utilization. Finally, the model the most important factors that affect Nursing Home utilization is composed of six of eleven totally, care burden, religion, time burden, health status, marital status and education. When the family caregivers get care burden and time burden. are highly educated, have no religion, have health problems, and have no spouse, it is possibility for them to utilize Nursing Homes. Conclusion: The government should decrease a family caregivers burden and seek to find how to support Nursing Homes. Furthermore. Social support program for the family caregivers should be required. Thus, the family caregivers need consultation and need to meet to talk about their patients. how to care them, get information, which are the crucial field in advancing the research in nursing science.

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