• Title/Summary/Keyword: Nursing policy

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Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication (국내외 간호사 인력정책의 현황과 과제)

  • Lee, Taewha;Kang, Kyeong Hwa;Ko, Yu Kyung;Cho, Sung-Hyun;Kim, Eun-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.106-116
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    • 2014
  • Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.

Development and Performance Analysis of Elementary School Health Promotion Policy Guideline (초등학교의 학교보건정책 지침개발 및 수행정도 분석 - WHO의 건강증진학교 지침을 중심으로 -)

  • Chung, Young-Sook;Han, Joo-Hee;Lee, Chun-Ok;Kwon, In-Sook;Lee, Chung-Yul
    • Research in Community and Public Health Nursing
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    • v.14 no.3
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    • pp.457-467
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    • 2003
  • Purpose: This study examined the development and performance of the school health promotion policy guideline that is applicable to Korean school health. Methods: 1. The WHO's guideline was translated into Korean and modified by school health experts 2. A questionnaire was conducted to assess the performance of school health policy on 207 nurses in elementary schools in Seoul and Cheonbuk. Result: The Korean version of the school health promotion policy guidelines were developed including 9 components and 36 checkpoints. Compared to that of WHO, the component 'school nursing teacher' was added and three components were eliminated: 'equitable access to school resources', 'control of helminth', and 'sun protection policy'. The performance degree of first-aid, closure of school in a calamity, and control of HIV/AIDS was very low. The performance degree of a healthy diet, and regular physical examination was quite high. This study was the first that developed the school health promotion policy guideline and examined the performance. Further research is needed to validate the guidelines developed by this study.

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Utilization and Needs Assessment of Health Promotion Programs for Middle-aged Women in Public Health Centers (중년 여성의 보건소 건강증진 프로그램 이용 실태 및 요구도)

  • Choi, Eun-Jin;Yoo, Ji-Soo;Kim, Hee-Soon;Oh, Eui-Geum;Kim, Sue;Bae, Sun-Hyung;Chu, Sang-Hui
    • Journal of Korean Public Health Nursing
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    • v.21 no.2
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    • pp.193-205
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    • 2007
  • Purpose: To evaluate the current status of utilization and implementation of health promotion programs for Korean middle-aged women in public health centers. Methods: Three-phase stratified sampling was done to select 1304 middle-aged women (aged 40-64 years) from all regions of Korea. The data were collected by face-to-face interviews using a structured questionnaire for individual responses and mailed surveys to 126 public health centers. Descriptive statistics and $x^2$-test were done for data analysis. Results: Only 12 of the 126 public health centers (9.9%) implemented health promotion programs for middle-aged women, with the lack of manpower being cited as the main reason for the absence of programs. From individual responses, 11.3% had participated in health promotion programs offered by public health centers. The main reasons for not participating were inconvenient times and lack of information. Significant differences were found in the frequency of participation in programs, exercise programs and diabetes management according to the size of region. The majority of the respondents cited the need for medical services, followed by programs focused on stroke prevention and leisure time management. The responses on the willingness to participate followed a similar pattern. Conclusion: There are gaps between the utilization of health promotion programs by middle-aged women and what is offered by public health centers. The results of this study support the need to develop more health promotion programs focusing specifically on the needs of middle-aged women.

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Artificial Intelligence and Nursing: Looking Back at Florence Nightingale

  • Jeong, Suyong
    • Journal of muscle and joint health
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    • v.28 no.3
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    • pp.217-222
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    • 2021
  • Background: The reaction of nurses to the advent of artificial intelligence (AI) during the fourth industrial revolution era remains questionable. Understanding Florence Nightingale's achievements may provide valuable lessons that will be helpful to contemporary nurses. Aims: To understand Nightingale's nursing philosophy and methods and provide suggestions for future nursing practice, education, research, and health policy. Source of evidence: Literature. Discussion/Conclusion: Just as Nightingale captured the situation of her time and introduced latest scientific methods, modern nurses need to learn from Nightingale's drastic actions to meet social needs. Nursing can regain a solid humanistic foundation by returning to core values of nursing and humanities, while simultaneously adopting state-of-the-art technologies. Implications for Nursing Policy: AI-driven technologies will advance nursing services and provide greater human-centered and personalized care by eliminating iterative and labor-intensive tasks. Nursing educational policy should support the advancement of nursing curricula to develop AI competencies and specialists within the nursing field.

Development of a Scenario and Evaluation for Simulation Learning of Care for Patients with Asthma in Emergency Units (SimMan 시뮬레이션 학습 시나리오의 개발 및 학습 수행 평가 - 응급실 내원 천식 환자사례를 중심으로 -)

  • Ko, Il-Sun;Kim, Hee-Soon;Kim, In-Sook;Kim, So-Sun;Oh, Eui-Gum;Kim, Eun-Jung;Lee, Ju-Hee;Kang, Se-Won
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.3
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    • pp.371-381
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    • 2010
  • Purpose: The purpose of this study was to develop a scenario and evaluate students' performance in simulation learning of care for patients with asthma in emergency units. Methods: Meetings of experts were used to develop a scenario based on actual patients and textbook material. An evaluation protocol was developed to evaluate the simulation learning. The scenario was used in 2006 with six groups of 26 senior nursing students who participated voluntarily. Results: The scenario was developed according to the nursing process for 15 minutes of simulation learning. The nursing students were able to demonstrate their knowledge and skills. The results showed a need to improve problem solving ability. In the self-evaluation, the students reported that simulation learning helped them to integrate their knowledge to practice and recognize their weaknesses and strengths. However, the scores for self-confidence about patient care after the simulation learning were low (4.8/10). Conclusion: The scenario in this study gave the students the experience of providing qualified and secure nursing care under conditions similar to reality. Further development of a variety of scenarios for simulation learning is needed.

Dietary Habits and Related Factors of Adults in Urban Community (일 도시지역 성인의 식이습관 행태 및 영향 요인)

  • Lee, Chung-Yul;Lee, Kyung-Ja;Kim, Eui-Sook;Kim, In-Sook;Lee, Tae-Hwa;Kim, Gwang-Suk;Cho, Yoon-Hee;Hyun, Soo-In;Chung, Ja-Ne;Lee, Hyun-Jung;Won, So-Young
    • Journal of Korean Public Health Nursing
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    • v.22 no.1
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    • pp.5-17
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    • 2008
  • Purpose: To understand the dietary habits and factors influencing the dietary habits in adults of an urban community. Method: The data were collected via questionnaires that investigated dietary habits, health behaviors, health-related factors, and general characteristics. A total of 302 subjects were selected from those who had visited an urban public center over a 2-week period. The data of 294 subjects were analyzed using descriptive analysis, t-test, ANOVA, and multiple regression, after 8 questionnaire were excluded due to incomplete data. Results: The degree of dietary habits was in the middle range. The most positive dietary habit was 'intake fibers from vegetables, fruits, and cereals', followed by 'not enjoy salty food and salt' and 'eating breakfast everyday'. The significant predictors influencing dietary habits were age, present smoking behavior, perceived health status, and drinking frequency, and these variables accounted for 27.3% of the variance in the dietary habits score. Conclusion: Health care providers should focus on health promotion planning regarding dietary habits and other health-related behaviors in combination and use integrated strategies regarding the factors that influence dietary habits and other health-related behaviors.

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Development of Agenda Priority for Nursing Service Research and Development (간호서비스 연구개발 분야에서의 우선순위과제 도출)

  • Oh, Eui Geum;Jang, Yeon Su;Gong, Sae Lom;Lee, Yoon Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.21 no.1
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    • pp.99-110
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    • 2015
  • Purpose: The purpose of this study was to suggest agenda priorities for nursing service R&D (Research and Development) related policies development. Methods: Two steps in developing the agendas and priorities were performed in this descriptive study. First, nursing service R&D agendas were extracted through needs assessment of nursing researchers and practitioners. Then, the priority of agendas was set by Analytic Hierarchy Process by ten experts who were representatives of nursing and other healthcare professionals. Results: Six core areas and forty-six nursing service R&D agendas were developed. The priority of agendas was different according to the evaluation criteria depending on weight value of nursing services. Conclusion: In order to select and promote nursing service R&D projects within national healthcare policy, nursing service R&D policy should be proposed with consideration to the importance of the criteria in reflecting characteristics of nursing care. By strengthening R&D capabilities for quality improvement and sensitive awareness of national directions for healthcare R&D policies, nursing service R&D can be appropriately promoted.

Evaluation Research on the Application of Problem-Based Learning Program in Community Health Nursing (지역사회간호학의 문제중심학습(Problem-Based Learning) 평가)

  • Cho, Won-Jung;Seo, Mi-Hye;Kim, Eui-Sook;Lee, Kyung-Hee;Bae, Sun-Hyoung;Kim, Gwang-Suk;Seo, Ku-Min;Ham, Ok-Kyung;Storey, Margaret J.;Lee, Chung-Yul
    • Research in Community and Public Health Nursing
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    • v.14 no.4
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    • pp.579-586
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    • 2003
  • The goal of community health nursing courses is to prepare student nurses so that they become able to perform a variety of nursing roles in community. To achieve this goal, programs for community health nursing must develop students' abilities to function independently as community health nurses. This study evaluated the effectiveness of Problem-based Learning(PBL) as a teaching method in programs for community health nursing at four-year colleges of nursing. The subjects of this study were senior students at Y University. The study was designed as a descriptive & comparative survey. To determine the effectiveness of PBL, the author analyzed the process and results of teaching. The PBL teaching method was found to be significantly effective in building critical thinking abilities and increasing knowledge. The results also showed that the 43 students who were taught by both PBL and lecture teaching methods got a significantly higher' knowledge score than the other 28 students who were taught only by lectures. As for the future direction of community health nursing courses, a teaching strategy involving both PBL and lectures is recommended.

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Factors Affecting Nursing Students' Perception on Pediatric Patient Safety Culture and Nursing Activity (간호대학생의 입원아동 안전간호활동 인식 영향 요인)

  • Park, Eunsook;Oh, Won-Oak;Kim, Mirim
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.534-542
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    • 2017
  • Purpose: The purpose of this study was to identify the factors that affect nursing students' perception of pediatric safety nursing activities for children during hospitalization. Methods: The study sample included 304 nursing students who had participated in pediatric nursing practice. Data were analyzed using SAS 9.3 program. Results: Regression analysis showed that the model's explanatory power was 37%. Safety policy and procedure, safety priority, disaster experience, and knowing a place of refuge were factors affecting the perception of safety nursing activities for children during hospitalization. Conclusion: Findings show that safety policy and procedures and safety priority are major factors that affect the perception of safety nursing activities and indicate that effective education programs on safety policy and procedure and safety priority are necessary to improve the perception of safety nursing activities.

An Analysis on the Nurse Expansion Policies through Policy Network (정책네트워크 이론을 이용한 간호사 확보를 위한 정책과정 분석)

  • Ko, Yu-Kyung;Park, Bo-hyun
    • Health Policy and Management
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    • v.25 no.2
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    • pp.129-139
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    • 2015
  • Background: Policy network theory was proved to be an appropriate analytic tool for the current social welfare policy making process. This study aimed to analyze policy making process related to the nurse expansion and policy output while focusing on the interactions and activities among various policy actors. Methods: In this study, we used reports related to the need for expansion of nursing personnel journals, dissertations, newspaper articles, for hearings and debate policies for securing nurse data, and interviews. We examined three components of policy network, that is, policy actors, interactions, linkage of interest. Results: For that to expand the nurse before the 2000s in expanding the supply of medical supplies have been conducted without much disagreement among policy actors under the government's initiative. However, there was lacked a close relationship between the expanding supply of nurses and inaccurate analysis of supply and demand. As the policy is applied between the various policy actors' needs and claims, conflict was intensified and many policy options had been developed. Government only took a role as a coordinator among policy actors in the 2000's. Also, it was difficult to find sufficient and clear evidence that policy-making process based on fair judgment. Conclusion: Therefore, it is urgently required to determine the policy through a social consensus to address the appropriate policy means and the process by correct analysis of the policy issues.