• Title/Summary/Keyword: Nursing outcome

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The Relationship of the Nursing Work Environment and Nursing Outcome among it's Nurses and Content Analysis of Nurses' Workload (간호근무환경과 간호결과와의 관련성 및 간호사 업무 부담에 대한 내용분석)

  • Ko, Yu-Kyung;Park, Bo-Hyun
    • Korea Journal of Hospital Management
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    • v.19 no.1
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    • pp.54-67
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    • 2014
  • Purpose: The aim of this study was to explore the relationship between nursing work environment and nursing outcome of clinical nurses. Also, the purpose of this study was to identify the nurses' workload. Method: The participants in this study were 246 nurses working at one hospital in a province. Data was collected using a structured questionnaire from October 2011 to November 2011. Open questions were subject to content analysis; closed questions were subject to descriptive statistics and Pearson correlation coefficient with SPSS 18.0 program were used. Result: The number of patients per nurse in day-duty and overtime work had a positive correlation. Nursing performance and the overtime work in night duty nurses had a negative correlation. The results of this study, with a much higher number of patients per nurse, showed an increase in overtime hours. In the nursing delivery system experience of nurses, 13 themes were identified and they were divided into five categories. Conclusion: Therefore, in order to improve nursing performance and increase job satisfaction, efforts must be made to reduce overtime, and nursing personnel placement to secure a substantial nursing staff.

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Validation of the Nursing Outcomes Classification on Cerebrovascular Patients (뇌혈관질환자에게 적용가능한 간호결과 분류체계의 타당성 검증)

  • Kim, Young-Hwa;So, Hyang-Sook;Lee, Eun-Joo;Ko, Eun
    • Korean Journal of Adult Nursing
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    • v.20 no.3
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    • pp.489-499
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    • 2008
  • Purpose: The purpose of this study was to assess the importance and contribution of 9 nursing outcomes and their indicators that could be applied to cerebrovascular patients. Methods: Data were collected from 175 neurosurgical nurses working at two university affiliated hospitals and five secondary hospitals located in Gwang-ju. The Fehring method was used to estimate outcome content validity(OCV) and outcome sensitivity validity(OSV) of nursing outcomes and their indicators. Stepwise regression was used to evaluate relationship between outcome and its indicators. Results: The core outcomes identified by the OCV were Tissue Perfusion: Cerebral, Nutritional Status, Neurological Status, and Wound Healing: Primary Intention, whereas highly supportive outcomes identified by the OSV were Oral Health, Self-Care: ADL, and Nutritional Status. All the critical indicators selected for Fehring method were not included in stepwise regression model. By stepwise regression analysis, the indicators explained outcomes from 19% to 52% in importance and from 21% to 45% in contribution. Conclusion: This study identified core and supportive outcomes and their indicators which could be useful to assess the physical status of cerebrovascular patients. Further research is needed for the revision and development of nursing outcomes and their indicators at neurological nursing area.

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An Analysis of Exercise Intervention Studies Published in Major Korean Nursing Journals (국내 주요 간호학회지에 발표된 운동 중재연구의 분석)

  • Choe, Myong-Ae;Jeon, Mi-Yang;Lee, Kyong-Sook;Chae, Young-Ran;Choo, Jin-A
    • Journal of Korean Biological Nursing Science
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    • v.8 no.1
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    • pp.61-81
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    • 2006
  • Purpose: The purpose of this study was to examine exercise program and outcome variables of exercise intervention studies from 1985 to 2004 in 9 major nursing journals in Korea. Method: From 81 articles, publishing year, research design, subjects, exercise program and outcome variables were analyzed. Results: The 57 papers(70.4%) were experimental research among 81 papers. Subjects of exercise intervention studies were demonstrated that patients were 55.6% while healthy person was 44.4%. Exercise type by the subjects which demonstrated the highest proportion was dance movement for the elderly, walking for the middle aged women and aqua exercise for the arthritis. The 40 papers(49.4%) included exercise duration, frequency and time for the exercise program which demonstrated the highest proportion. Outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index, psychological and emotional variables, cardiopulmonary function, body composition, physical symptoms, variables related to exercise and behavior in order. Conclusion: Half of the exercise intervention papers included exercise duration, frequency, time and intensity for the exercise program. Frequently used outcome variables to determine the effect of exercise intervention were demonstrated to be physical function, physiological index and psychological emotional variables.

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Effects of the Positive Psychological Capital, Professional Self-Concept and Self-Leadership on Nursing Work Outcome : Focused on the Nurses in Small and Medium Hospitals (긍정심리자본, 전문직 자아개념, 셀프 리더십이 간호업무성과에 미치는 영향 : 중소병원 간호사를 중심으로)

  • Yang, Hee-Mo
    • The Journal of the Korea Contents Association
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    • v.18 no.11
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    • pp.87-97
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    • 2018
  • The purpose of this study was to investigate factors affecting nursing work outcome of nurses in small and medium-sized hospitals. The data were collected from 131 nurses working in the four small and medium-sized hospitals located K city using self-reported questionnaires and October 3 2016 to November 1 2016. Nursing work outcome had a significant positive effect on positive psychological capital, professional self-concept and self-leadership. The multiple regression analysis shows that the factors affecting nursing work outcome were positive psychological capital and self-leadership, and their explanation was 44.5%. Based on this research, it is believed that to improve nursing work outcome of nurses in small and medium hospitals, it will be necessary to develop diverse programs to lead nurses themselves positively, responsibly and autonomously.

Validation of Nursing Care Sensitive Outcomes related to Knowledge (지식에 관한 간호결과도구의 타당성 조사)

  • 이은주
    • Journal of Korean Academy of Nursing
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    • v.33 no.5
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    • pp.625-632
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    • 2003
  • Purpose: The purpose of this study was to assess the importance and sensitivity to nursing interventions of four nursing sensitive nursing outcomes selected from the Nursing Outcomes Classification (NOC). Outcomes for this study were 'Knowledge: Diet', 'Knowledge: Disease Process', 'Knowledge: Energy Conservation', and 'Knowledge: Health Behaviors'. Method: Data were collected from 183 nurses working in 2 university hospitals. Fehring method was used to estimate outcome and indicators' content and sensitivity validity. Multiple and stepwise regression were used to evaluate relationships between each outcome and its indicators. Result: Results confirmed the importance and nursing sensitivity of outcomes and their indicators. Key indicators of each outcomes were found by multiple regression. 'Knowledge: Diet' was suggested for adding new indicators because the variance explained by indicators was relatively low. Not all of the indicators selected for stepwise regression model were rated for highly in Fehring method. The R² statistics of the stepwise regression models were between 18 and 63% in importance by selected indicators and between 34 and 68% in contribution by selected indicators. Conclusion: This study refined what outcomes and indicators will be useful in clinical practice. Further research will be required for the revision of outcome and indicators of NOC. However, this study refined what outcomes and indicators will be useful in clinical practice.

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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Influence of Alcohol Outcome Expectancy, Depression and Suicidal Ideation on Problem Drinking among College Students (대학생의 음주결과기대, 우울 및 자살생각이 문제음주에 미치는 영향)

  • Lee, Eun Sook;Bong, Eun Ju
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.121-128
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    • 2014
  • Purpose: The purpose of this study was to examine the influence of alcohol outcome expectancy, depression and suicidal ideation on problematic drinking among college students. Methods: This study was conducted using a descriptive survey design. Participants were 205 college students from two universities in Jeollanamdo. Data were collected from March 10 to March 25 in 2014 using self-report questionnaires. Data were analyzed by t-test, ANOVA, Pearson correlation coefficient and multiple regression using SPSS 19.0. Results: Of the participants, 57.6% were in problem drinking group. There were significant positive correlations between alcohol outcome expectancy, depression and problematic drinking of college students. However, suicidal ideation was not correlated with problematic drinking. It was also found that alcohol outcome expectancy, low academic performance and depression influence on problem drinking of college students. These variables did not influence on suicidal ideation. Conclusion: Based on the findings, problem drinking prevention programs should be developed to decrease alcohol outcome expectancy and regulate negative emotions such as depression, in order to prevent problematic drinking among college students.

The Analysis of the Korean Nursing Research Trends on Complementary and Alternative Therapies for Cancer Patients (암환자에게 적용한 보완.대체요법 관련 국내 간호연구 분석 - 간호학술지를 중심으로 -)

  • Jun, Myung-Hee;Uhm, Dong-Choon;Jeong, Seong-Hee
    • Asian Oncology Nursing
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    • v.9 no.1
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    • pp.67-75
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    • 2009
  • Purpose: The purpose of this study was to analyze nursing research trends on the complementary and alternative therapies (CAT) for the cancer patients in Korea. Method: Thirty eight articles published in 17 nursing-related journal from 1987 to 2008 were analyzed. Results: Nursing Researches on CAT for the cancer patients have increased since 2000. Among the 38 studies, 34 studies used Quasi-experimental design and 13 studies (33%) were conducted for the breast cancer patients. Mind-body therapy (53%), manual healing therapy (42%), and pharmacologic and biological therapy (5%) were the often used CAT types. Nausea, vomiting, vital signs, immune cell, pain, and fatigue were measured as physiologic outcome variables; anxiety, depression, and hope as psychological outcome variables; and quality of life as social outcome variables. Conclusion: More CAM studies are needed targeting the patients with various cancer types and home-based cancer patients.

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Correlation Study on Physiological Stress from Drinking, Alcohol Abstinence Self-efficacy and Outcome Expectancy in Youths (청년기의 음주로 인한 신체적 고통, 음주 결과기대, 금주 자신감과의 관계)

  • Kim, Kyung-Hee;Kim, Jong-Im;Kim, Jong-Sung;Jeon, Hyen-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.1
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    • pp.73-82
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    • 2009
  • Purpose: The purpose of this study was to identify the relationships among distress from drinking, alcohol abstinence self-efficacy and outcome expectancy in youths. Method: The participants in this study were 174 university students who were enrolled by convenience sampling. The data were collected from March to August, 2005. Descriptive statistics and Pearson's correlation coefficients with SPSS 12.0 were used to analyze the data. Results: There were significant differences in the physical distress from drinking according to gender, age, residence, drinking frequency and drinking capacity. There were significant differences in alcohol abstinence self-efficacy by drinking frequency and drinking capacity. There were significant differences in drinking outcome expectancy according to gender, drinking frequency and drinking capacity. The physical distress from drinking showed a significant positive correlation with alcohol abstinence self-efficacy (r=.312, p=.000) and negative correlation with drinking outcome expectancy (r=-.353, p=.000). Alcohol abstinence self-efficacy showed a significant negative correlation with drinking outcome expectancy (r=-.387, p=.000). Conclusion: There were relationships among physical distress from drinking, alcohol abstinence self-efficacy, and drinking outcome expectancy. These findings provide the basis to prevent problems of drinking by developing alcohol control program for university students.

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Impact of Advanced Maternal and Paternal Age on Perinatal Outcome (분만여성과 배우자의 출산연령이 산모와 신생아 합병증에 미치는 영향)

  • Lee, Min-Kyung;Shin, Hye-Sook;Lee, Yun-Jung;Kim, Ju-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.1
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    • pp.95-101
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    • 2012
  • Purpose: This study aimed to analyze the impact of advanced maternal and paternal age on perinatal outcome in Korea. Methods: We conducted a retrospective study involving 1,622 Korean women who delivered at M Woman Hospital from January to December 2010 and their spouses were included. We obtained obstetrics database which included demographic characteristics, medical and obstetrics history, course of the current pregnancy and advised perinatal outcome. Multivariable logistic regression was used to adjust for potential confounding variables. Results: Women giving birth age 35 or older were statistically significant in paternal age, gravidity, spontaneous abortion experience, method of conception, method of delivery, and multiple gestation compared to women aged <34 years. After adjusting for the confounding effects of maternal characteristics, women aged 35 or older were at increased risk for cesarean section delivery (adjusted OR 1.6, 95% CI 1.22-2.13) and preterm birth (adjusted OR 2.2, 95% CI 1.03-4.63). Conclusion: In this population of Korean women, advance maternal and paternal age is independently associated with specific adverse perinatal outcome, especially preterm birth and cesarean section delivery.