• Title/Summary/Keyword: Nursing process

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Development and Evaluation of Action Learning in Clinical Practice of Nursing Management (간호관리학 임상실습에서 액션러닝의 개발 및 평가)

  • Kim, Yun-Min;Kim, Yun-Hee
    • The Journal of the Korea Contents Association
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    • v.10 no.6
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    • pp.312-322
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    • 2010
  • The aim of this study is to find the effect of action learning on the problem solving process of nursing students during the clinical practice of nursing management. A total of 99 senior nursing students participated in this study. Data was collected from May 2006 to October 2007 and statistical analysis for paired t-test was performed on the data using SPSS/WIN 14.0. The results of the data show that there was a significant increase in the problem solving process for nursing students after the implementation of action learning(t=-4.718, p=.000). In the problem solving process, there was a significant increase in definition of problem(t=-4.123, p=.004), design of problem solution(t=-2.973, p=.002), execution of problem solution(t=-3.264, p=.000) and investigation of problem solving(t=-3.677, p=.000). The only exception in the problem solving process was detection of problem(t=-1.858, p=.066). Therefore, action learning provides nursing students a new alternative for improving the problem solving process and clinical adaptability after graduating from nursing school.

Relationship of Learning Motivation, Self-Directed Learning Ability and Problem Solving Process of Nursing Students after Practice Evaluation of Fundamentals of Nursing Course using Role Play (역할극 활용 기본간호학 실습 교육평가방법에 대한 간호학생의 학습동기, 자기주도적 학습능력 및 문제해결과정과의 관계)

  • Kim, Young-Hee;Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.1
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    • pp.147-155
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    • 2012
  • This study was to investigate the understand learning motivation, self-directed learning ability and problem solving process of fundamentals of nursing course using role play in evaluating the course. The subjects were 289 nursing students in year 1 in J college taking fundamental nursing practice course from Nov. 22 to Dec. 10. 2010. After setting hospital context and preparing scenario with patient and nurse roles, the evaluation of fundamentals of nursing practice was performed. For learning motivation and self-directed learning ability, there were significant differences by application motivation, a group intending further study and a group positive in role play evaluation. For problem solving process, there were significant differences in male group and a group positive in role play evaluation. Learning motivation had significant positive correlation between self-directed learning ability and between self-directed learning ability and problem solving process. This evaluation had correlation between learning motivation, self-directed learning ability and problem solving process.

The Process of Acceptance of Complementary and Alternative Therapies (CATs) among Nurses: Grounded Theory Approach (간호사의 보완대체요법 수용과정에 관한 연구: 근거이론 접근)

  • Kim, Ae-Kyung;Lee, Young-Shin;Kim, Hyun-Jung
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.669-680
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    • 2013
  • Purpose: This study was done to explore the process of accepting CATs among nurses who experienced CATs in Korea. Methods: Grounded theory methodology was utilized. Data were collected from 10 nurses during individual in-depth interviews. Theoretical sampling was used until the data reached saturation. Data were analyzed using the constant comparative analysis method. Results: The core category emerged as "resolving the doubt and integrating" explaining the process of accepting CATs. The nurses engaged in three stages: need awareness, look for solution and integration. Causal conditions were interest as a nursing intervention and orthodox medical limitations. Context was lack of basis for application and increase in social interest. Strategies were new knowledge acquisition, having a strong will, combined with existing knowledge, and individualized intervention. Intervening conditions were others' eye, exhaustion for nurses and physical environment. Consequences were expanding of the nursing role and improved nurse satisfaction. Conclusion: The results of the study should facilitate application of CATs in nursing practice. To help nurses who are interested in CATs, there is a need for education programs, and further research on CATs.

The Effects of Suction Care Self Video-based Debriefing-assisted Learning in the Fundamentals of Nursing Practice (자가동영상을 활용한 디브리핑 학습의 효과: 흡인간호 실습교육을 중심으로)

  • Kim, Hyun-Ju
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.1
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    • pp.88-97
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    • 2015
  • Purpose: This study was conducted to identify the effects of a suction care self video-based debriefing-assisted learning in the fundamentals of nursing practice for nursing students on clinical performance, self-efficacy and problem-solving process. Methods: A nonequivalent control group non-synchronized design study was used and included 97 junior nursing students at P University as participants, 48 of whom were assigned to the experimental group, and 49 of whom were assigned to the control group. The outcome measurements were clinical performance for suction care, self-efficacy, and the problem-solving process. Results: The scores of clinical performance were 23.75 in the experimental group who used the materials and 21.55 in the control group, and the difference was statistically significant (p<.000). Self-efficacy was 4.30 in the experimental group and 4.18 in the control group, which was a statistically significant difference (p=.000), and the pre-to-post differences of self-efficacy was statistically significant as well (p<.001). However, there were no significant differences in the pre-to-post differences of the problem-solving process (p<.802). Conclusions: Self video-based debriefing-assisted learning may be more effective in enhancing clinical performance and self-efficacy than that of conventional practice. Whether self-efficacy will contribute to enhanced learning motivation for nursing students needs further examination.

Family Caregivers' Experiences Utilizing a Nursing Home for Their Elderly Family Members (장기요양 노인환자의 노인전문요양시설 입소를 결정한 돌봄제공자의 경험)

  • Hong, Sun-Woo;Son, Haeng-Mi
    • Journal of Korean Academy of Nursing
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    • v.37 no.5
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    • pp.724-735
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    • 2007
  • Purpose: The purpose of this study was to explore and describe the experiences of the family caregivers using a nursing home for their elderly family members. Method: Participants for this study were 1 man and 9 women caregivers. Data was collected through in-depth interviews from October, 2005 to April, 2006 and analyzed using Strauss and Corbin's grounded theory methodology. Results: "Finding a way to live together" emerged as a core category and it reflected expanding consciousness allowing them to see each other in a more positive view. The basic social process of "finding a way to live together" includes 3 phases: 1) recognizing the problems, 2) finding solutions to the problems, and 3) accepting the changes in their surrounding. Lack of privacy, family troubles, extreme distress, and unavailable caregivers are reflected in the process of recognizing the problems. The process of finding solutions was making a decision, obtaining family agreement, choosing the best nursing home, and enduring the financial burden. Possible outcomes of the last phase include recovering peace of mind and continuing conflict. Conclusion: Findings from this study offer suggestions for developing a strategy to help not only the elderly but also the family caregivers.

The Coping Experience of Family Caregivers for the Industrial Disaster Victim (산재 환자를 간병하는 가족원의 대처경험)

  • Kim, Chun Mi;Oh, Jin Joo;Choi, Jeong Myung
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.2
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    • pp.119-129
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    • 2007
  • Purpose: The purposes of this study were to understand the coping experience that family caregivers undergo during the process of care, to grasp coping behaviors used to solve problems and, finally, to develop a substantive theory by analyzing the coping process. Method: The methodology of collecting and analyzing data used in this study followed the ground theory. Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences. The survey was conducted between May 2006 and August. The subjects of this study were 10 women. Result: The result of the study is as follows. Core category of This Study was "Self-Sacrifice". And The coping process of family caregivers while taking care of the industrial disaster victim was found to have five stages: shocked stage; undertaking stage of new role; skilled stage; exhausted stage; and desiderating stage. Seven coping behaviors were found to reduce the stress of role and anguish resulting from care. Conclusion: The result of this study is helpful for developing effective industrial nursing strategies suitable for each coping stage. It is necessary to practice nursing mediation and to analyze the change about nursing effect and family caregivers' adaptation.

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The Experience of Service-Learning in Connection with the Major of Nursing (간호학생의 전공연계 봉사학습 경험)

  • Kwon, Young-Mi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.2
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    • pp.208-217
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    • 2011
  • Purpose The purpose of this study was to explore the experience of service-learning in connection with the major of nursing. Method: This is qualitative research based on the application of a focus-group research method and Glaser's grounded theory. The nine participants of the research participated in the process of developing a service-learning program to promote health in the elderly. They operated the program by acting as instructors for more than 12 months. Results: The basic socio-psychological problems hared by the participants of the research is 'burden'. The basic social process required to solve the problem is 'self-realization' which has been successively shown in the order of the stage of experiencing a surge of will, the stage of recognizing the occurrence of internal and external changes, the stage of being confident, and the stage of obtaining self-respect. Throughout the process, the participants solved 'burden' in a positive way through reflections and reciprocity, developing and strengthening their capabilities. Conclusion: Based on the results, it is necessary to consider the development of a service-learning program in connection with the nursing major in order to provide the students studying nursing with the opportunity to have various learning experiences.

A Review of Key Performance Indicators Using a Balanced Scorecard in the Nursing Department of Hospitals (균형성과표를 이용한 병원 간호조직의 핵심성과지표 문헌분석)

  • Lim, Ji Young;Ok, Seung Eun;Ko, Gug Jin;Lee, Hyun Hee;Park, Yeon Hong;Jang, Jin Hui;Yun, Soo Mi
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.21 no.1
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    • pp.14-25
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    • 2014
  • Purpose: The purpose of this study was to analyze key performance indicators using a balanced scorecard in the nursing department of hospitals, and to find useful suggestions for future research. Methods: Before starting the literature search clear inclusion and exclusion criteria were determined. After that, were viewed 41 studies from the RISS, KISS, National assembly library, and NDSLDB. Data were collected on October 17, 2013. Researchers developed an analytic framework for the literature review using a balanced score card development process and construction steps of previous studies. This framework had 10 steps related to the balanced score card development process. Results: A total of 10 studies met the inclusion and exclusion criteria. We identified 234 key performance indicators for the nursing department. The average number was 6.6 in finance perspective, 8.6 in perspective, 11.9 in internal process perspective, and 6.2 in learning and growth perspective. We found that 173 indicators had been cited only once. 61 indicators were cited over twice. Further, 8 indicators employed different perspectives on different studies. Conclusion: The results of the present study summarize useful information on recent trends on key performance indicators using a balanced score card in the nursing department of hospitals. These results will help develop key performance indicators and provide directions for future research.

Threats to Identity: A Grounded Theory Approach on Student Nurses' Experience of Incivility during Clinical Placement (정체성 위협: 임상실습 중 간호대학생의 무례함 경험에 관한 근거이론적 접근)

  • Kang, Jiyeon;Jeong, Yeon Jin;Kong, Kyoung Ran
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.85-95
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    • 2018
  • Purpose: This qualitative study aimed to explore the experience of incivility among nursing students. Methods: Sixteen nursing students who had experienced incivility during their clinical placement were invited for one-on-one interviews until the point of theoretical saturation. The grounded theory approach of Corbin and Strauss was adopted to analyze transcribed interview contents. Results: Incivility occurred in the context of a hierarchical organizational culture, due to nursing students' position as outsiders, non-systematic clinical education, and poor nursing work environment. The experience of incivility was identified as "being mistreated as a marginal person," and nursing students responded to this phenomenon in the following three steps: reality shock, passive action, and submissive acceptance. This process caused students to lose self-esteem and undergo role conflict. Furthermore, nursing students' experience of incivility could eventually lead to workplace bullying in nurses. Conclusion: The results of this study suggest that nursing students' experience of incivility can be a process that threatens their identity. It is necessary to develop educational programs and provide appropriate counseling services so that nursing students can actively cope with the incivility. In addition, institutional plans are needed to ensure safe and supportive clinical learning environments.

Development and Evaluation of the Computerized Nursing Diagnosis/Intervention System for Nutritional and Eliminative Problem (영양과 배설기능장애와 관련된 간호진단과 중재 전산시스템 개발 및 평가)

  • Lee, Ji-Yeon
    • Journal of Korean Academy of Nursing
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    • v.30 no.4
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    • pp.1078-1087
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    • 2000
  • The purpose of this study was to develop and to evaluate the Computerized Nursing Diagnosis/ Intervention System for Nutritional and Eliminative Problems for clinical application. Each stage was processed based on the System Development Life Cycle. At the Strategy Planning Stage, valid nursing diagnoses and interventions were chosen. At the System Analysis Stage, a nursing diagnosis and intervention flowchart was drawn up. At the System Design Stage, a system was developed based on the flowchart and named the Nursing Diagnosis/Intervention System. The Nursing Diagnosis/Intervention System consisted of the Patient's Basic Information, Patient's Nursing Process, Nursing Process, and Code Registration. Each element in flowchart was coded and made into a database. The System was used and evaluated. A total of 30 cases were collected. After the application, the nurses evaluated the System using a 5 point Likert scale. Every item was scored at three points or more and 13 out of 17 items were scored at four points or more, thus the Nursing Diagnosis/Intervention System that was developed in this study was regarded as a useful one.

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