• Title/Summary/Keyword: Nursing of adult

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Analysis of Nursing Interventions and Nursing Outcomes of the Patients with Liver Transplantation (간호중재와 간호결과 분석- 간이식 환자를 중심으로 -)

  • Yoo, Je-Bog;Jang, Hee-Jung;Kim, Nam-Cho
    • Korean Journal of Adult Nursing
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    • v.15 no.4
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    • pp.509-519
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    • 2003
  • Purpose: This study was designed to investigate the survey of analyzing nursing interventions and nursing outcomes of the patients with liver transplantation. Method: The subjects of this study consisted of 83 patients and fifteen nurses who took care of them. The methods of this study were retrospective and descriptive survey. Result: The mean age of patients was 42.7 years and the subjects were 62.7% males. 56.7% of these patients were diagnosed with liver cirrhosis of B type. The mean duration of hospitalization was 48.6 days. Ninety-five nursing interventions were performed at least daily. The most frequent used interventions were "environmental management: comfort", "medication administration: parenteral", "cough enhancement", and " oxygen therapy". Even though SGOT level to identify nursing outcomes was decreased, SGOT was not within normal limits. Therefore, even after discharge of patients, There is a need to take care of them carefully. Conclusion: These findings revealed the significance and need of nurse practitioners who performed professional nursing intervention for the patients with liver transplantation. Especially, it is necessary needs to develop the nursing intervention programs for comfort.

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Behavioral Symptoms in Nursing Home Residents with Dementia: Developing a Nursing Practice Model

  • Kim, Hyo Jeong
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.488-499
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    • 2006
  • Purpose: Behavioral symptoms in dementia (BSD) are one of the most disturbing behaviors to caregivers and a major reason for nursing home placement. Behavioral symptoms are often treated with psychotropic drugs (PD), however, the effect of such drugs for the frail elderly dementia patient is not certain because of their critical adverse effects. Theoretical model applicable to nursing practice for BSD in nursing homes, which is essential in guiding and evaluating such interventions, is absent. This article presents the process of developing a theoretical model of BSD in nursing homes. Method: Using Walker and Avants' theory synthesis method, three behavior models and two system models were incorporated into the proposed model to provide the theoretical and analytical explanation of the relationships between PD usage, its determinants, and BSD. Results: Resident variables and nursing home variables related to the two focal concepts (i.e., PD usage and BSD) were identified. Resident variables include demographical characteristics such as age and gender, and dementia-compromised functions such as cognitive and functional impairment. Nursing home variables include facility characteristics such as ownership type and size, and physical and psychosocial environment. Conclusion: The proposed model suggests that fulfillment of resident unmet needs through improvement of physical and psychosocial environment may produce better health outcomes of nursing home residents with BSD. Assessment and intervening environmental triggers of such behaviors are also suggested to be prior to the PD usage.

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Effects and Development of Clinical Competency Evaluation using Standardized Patients among Nursing Students: Based on Abdominal Surgical Patients (표준화 환자를 활용한 임상수행능력 평가방법 개발 및 적용효과: 복부수술 후 환자간호)

  • Sok, So-Hyune R.;Kang, Hyun-Sook;Kim, Won-Ok;Hyun, Kyung-Sun;Lee, Ji-A;Park, Sun-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.5
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    • pp.468-476
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    • 2009
  • Purpose: This study was to develop the clinical competency evaluation, and to examine the effects of the developed evaluation by comparing it with existing evaluation on clinical competency, communication skill, and self-efficacy of nursing students. Methods: Design was a randomized control group post-test design. The subjects were 102 senior nursing students(Experimental group: 48, Control group: 54) at K university in seoul, Korea. The experimental group took the clinical competency evaluation using standardized patients and the control group took the existing evaluation using a doll. The clinical competency and communication skills were measured by evaluators, and self-efficacy was self reported by the nursing students. Results: The experimental group had higher scores in clinical competency, communication skills, and self-efficacy than those in the control group. Conclusion: Through these results, practice education of nursing education programs need to activate the clinical competency evaluation using standardized patients.

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Differences of Upgrading Nurse Staffing in Nursing Care Activity, Work Performance Outcomes, and Job Satisfaction (간호등급 상향에 따른 직접간호활동, 간호업무성과와 직무만족 비교)

  • Kim, Ju Yeun;Lee, Young Whee;Chung, Mi Kyoung
    • Korean Journal of Adult Nursing
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    • v.28 no.3
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    • pp.256-265
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    • 2016
  • Purpose: This study examined differences in nursing care activity, work performance outcomes, and job satisfaction associated with upgrading nurse staffing of a nurse-to-patients ratio. Methods: Descriptive design was used in this study. In total, 148 medical and surgical nurses were recruited from one university hospital. Three instruments were used for data collection: Scale of Nursing Care Activity, Nurses' Work Performance Outcome Measurement Scale and Nurses' Job Satisfaction Scale. Data were analyzed by using descriptive statistics, t-test, ANOVA, and paired t-test. Results: There were significant differences in nursing care activity (t=-5.06, p<.001), in work performance outcomes (t=-5.46, p<.001) and in job satisfaction (t=4.61, p<.001) when the grading for the nursing staff was changed from three to two indicating increasing number of nurses. Conclusion: The findings from this study showed that there were more nursing care activities, better work performance outcomes, and higher job satisfaction when numbers of nurses were increased. The changes in the scale to evaluate nursing staff influence nursing activities, work performance and job satisfaction.

Effect of Adult Attachment, Attribution of Responsibility, and Self-esteem on Psychological Violence from Intimate Partner in Women (성인여성의 성인애착, 책임귀인, 자아존중감이 친밀한 관계의 심리적 폭력에 미치는 영향)

  • Kwak, Sung-Jung;Woo, Chung-Hee;Kim, Nam-Yi
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.75-84
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    • 2018
  • The purpose of this study was to investigate the effects of adult attachment, responsibility attribution, and self - esteem of adult women on psychological violence in intimate relationships. For the study, we analyzed the data of 137 women collected using self - report questionnaires. The results of the study showed that the higher the level of Age(over 36 years old), love experience(more than 4 times) and attribution of responsibility, the higher the victim of psychological violence. The higher the age (over 36 years old), the love experience(more than 4 times) and adult attachment, the higher the harms of psychological violence. On the other hand, self-esteem showed no effect. Therefore, efforts should be made to reduce the psychological violence of adult women by developing intervention strategies for secure adult attachment enhancement and hostile attribution reduction.

Factors Influencing Learning Satisfaction for Real-Time Online Classes in Adult Nursing (성인간호학의 실시간 온라인 수업에 대한 학습만족도 영향요인)

  • Ham, Mi-Young;Lim, So-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.3
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    • pp.80-87
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    • 2021
  • This study examined the influencing factors of learning satisfaction for real-time online adult nursing classes to provide basic data for the design and operation of online lectures in nursing subjects and help prepare a new educational paradigm. The subjects of the study were 105 3rd graders taking real-time online adult nursing classes, and data collection was conducted through structured online questionnaires from June 20 to July 30, 2020. The subjects were analyzed using a t-test, one-way ANOVA by Scheffe test, Person's correlation coefficients, and Hierarchical multiple regression analysis. The results showed that the learning flow was 3.07, academic engagement was 3.46, and learning satisfaction was 3.88. Learning satisfaction showed a positive correlation with learning flow (r=.41, p<.001) and academic engagement (r=.56, p<.001). In addition, the factors influencing the learning satisfaction of the subjects of this study were academic engagement (��=.47), very high in the level of interest in adult nursing classes (��=.21), and high (��=.20) followed by 34% (F=14.53, p<.001). Therefore, the learning outcomes of nursing students and the effective achievement of their learning goals are expected by developing plans and teaching methods for active participation in classes.

Standardization and Validity study of Korean Nomenclature of NOC (Nursing Outcomes Classification(간호결과 분류체계)의 한글 명명화에 대한 타당성 연구)

  • Park, Hyeoun Ae;Cho, In Sook;Hwang, Jee In;Keun, Hyo Keun
    • Korean Journal of Adult Nursing
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    • v.12 no.2
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    • pp.256-266
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    • 2000
  • The purpose of this study was to develop and test the validity of the standardized Korean nomenclature of Nursing Outcomes Classification (NOC), developed by Johnson & Maas at the University of Iowa. The four phases of the study were: (1) translation of the NOC into Korean by the research team, (2) four nursing professors and eight nurses with various clinical backgrounds reviewed each nomenclature taking into consideration definitions and nursing activities. The modified Delphi method was used to determine the most appropriate nomenclature for each term; (3) Twenty four academic and clinical experts in nursing were given a questionnaire to rate each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) the team determined the most appropriate Korean nomenclature for each class of the NOC. The mean validity score of 190 items was 4.54, but several nursing outcome had a score lower than 4.0. They included 'adherence behavior(3.3)', 'ambulation : walking(3.57)', 'transfer performance (3.57)', 'caregiving endurance potential(3.57)'.

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Analysis of Smoking and Smoking Cessation Related Nursing Research in Korea and its Future Direction (국내 흡연과 금연관련 간호 연구동향 및 미래 방향)

  • Shin, Sung-Rae
    • Journal of Korean Academy of Nursing
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    • v.36 no.2
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    • pp.415-425
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    • 2006
  • Purpose: The purpose of this study was to analyze the contents and trend of smoking and smoking cessation related nursing research in Korea and to suggest the directions for future research. Method: Eight nursing professional Journals published by the Korean Academic Nursing Society and by 7 - adult, community, psychiatric, fundamental, obstetrics, pediatrics, administrative- nursing societies from beginning edition to October 2005 were selected. They were examined for the proportion of published research, participants, research designs, key words, measurement tools, and the intervention outcomes in the case of the experimental research. Result: Of the research analyzed, 87 studies were smoking and smoking cessation related research. The Journals, which had published the most number of smoking and smoking cessation research were J of Korean Academic Society, J of Korean Adult Nursing Society, J of Korean Community Nursing Society. The most popular research design was an descriptive design. The major concepts studied were related psychosocial variables. Among 87 studies, only 11 were experimental research. Conclusion: Research on smoking and smoking cessation in the nursing discipline are increasing. However more research to test the effectiveness of nursing intervention programs are needed.

The Effects of Adult Nursing Education on the Critical Thinking Disposition, Learning Commitment, and Learning Satisfaction of Nursing Students Using the Havruta Learning Method (하브루타 학습법을 활용한 성인간호학 교육이 간호대학생의 비판적 사고성향, 학습몰입 및 학습만족도에 미치는 영향)

  • Lim, So-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.547-554
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    • 2019
  • Havruta is the best teaching and learning method for developing the process of thinking, and it is a method of education centered on a range of student activities. This study examined the effects of adult learning nursing education using the Havruta learning method on the critical thinking disposition, learning commitment, and learning satisfaction. Data collection was carried out from September to December, 2017 in 96 second grade nursing college students attending a university in U city. The data were analyzed using descriptive statistics, ${\chi}^2-test$, t-test, and two-way repeated ANOVA using the SPSS WIN 23.0 program. The critical thinking disposition, learning commitment, and learning satisfaction were similar in the experimental group, who performed the adult nursing education using the Havruta learning method, and the control group. On the other hand, after the adult nursing education using the Havruta learning method, the critical thinking tendency (md=.14, p=.045), learning commitment (md=.27, p=.025), learning satisfaction (md=.30, p=.031) increased significantly. Therefore, adult nursing education using the Havruta learning method is an effective program to improve the critical thinking disposition, learning commitment, and learning satisfaction of nursing college students.

Attitude, Role Perception and Nursing Stress on Life Sustaining Treatment among Intensive Care Unit Nurses (중환자실 간호사의 연명의료에 대한 태도, 역할인식 및 간호 스트레스)

  • Lee, Su Jeong;Kim, Hye Young
    • Korean Journal of Adult Nursing
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    • v.29 no.2
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    • pp.131-142
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    • 2017
  • Purpose: The aims of the study were to investigate relationships among intensive care unit (ICU) nurses' attitude, role perception, and nursing stress related to life sustaining treatment (LST), and secondly, to identify factors influencing nursing stress about LST. Methods: Participants were 202 conveniently sampled ICU nurses from general hospitals in Korea with over 300 beds. From December 1, 2015 to January 31, 2016, data were collected using structured questionnaires. The questionnaire was designed to measure nursing stress related to LST. Content validity and reliability was established for the instrument. Results: Relationships were found between attitude and role perception, and between role perception and nursing stress about LST. Participants' role perception, gender, education level, and the experience of dealing with family members of patients receiving LST accounted for 13% of variance in nursing stress about LST. Conclusion: Results confirmed that ICU nurses' role perception affects nursing stress about LST. Accordingly, the nursing education programs related to LST should aim to enhance role perception of nurses, and strategies to reduce the nursing stress about LST of the nurses in ICU need to be further developed.