• 재활간호학회지
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• 제19권2호
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• pp.118-127
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• 2016

Purpose: This study was to develop an evidence-based clinical practice protocol of physical restraints by adaptation process for patients with a geriatric hospital. Methods: Protocol adaptation process was conducted in accordance with manual for guideline adaptation version 1.0 by ADAPTE collaboration. Results: The adapted physical restraint protocol was consisted of 3 domains and 37 recommendations. The number of recommendations in each domain were: 7 nursing assessment, 19 nursing intervention, and 11 nursing evaluation. More than half (56.8%) of the recommendations were rated as grade B, 37.8% as grade C, and 5.4% were rated as grade D. Conclusion: The adapted physical restraint protocol is expected to contribute as an evidence-based clinical practice protocol for healthcare workers in geriatric hospitals for reducing and improving efficiency of appropriate physical restraints use.

• 성인간호학회지
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• 제20권2호
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• pp.219-230
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• 2008

Purpose: The purpose of this study was to discover the recovery process of those having had myocardial infarction. Methods: 15 participants with myocardial infarction were recruited by theoretical sampling methods. The data were retrieved through in depth interview, participant observation, and medical records of the patients. Collected data were analyzed through grounded theory approach of Strauss and Corbin(1998). Results: 63 concepts, 27 subcategories, and 11 categories were deduced from the open coding process. The recovery process of myocardial infarction showed to be a process of 'Controling healthy track', and chronological recovery process was a four-step process of recognizing disruption of healthy track, making efforts for controlling the disrupted healthy track, reconstructing the new healthy track, and adapting to the new healthy track phase. 'Controling healthy track' had three types of self-initiation, contention of reality, and fateful acceptance. Conclusion: The results provided basic information for nursing intervention strategies depending on 'Controling healthy track' process by each phase and different types.

• 지역사회간호학회지
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• 제16권3호
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• pp.249-259
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• 2005

Purpose: The purpose of this study was to understand the coping process that family caregivers experience 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 of Strauss and Corbin(1998). Data were collected through in-depth interviews with open-ended and descriptive questions about the subjects' coping experiences, which were audio-taped and transcribed. The survey was conducted between February 2000 and February 2001. The subjects of this study were 17 women. Result: The result of the study is as follows. The coping process of family caregivers while taking care of the demented elderly was found to have six stages: problem recognition: undertaking care: struggling: mental control: burden mediation; and acceptance. These stages proceed with reciprocal action and in cycle. Conclusion: The result of this study is helpful for developing effective and individual nursing strategies suitable for each coping stage. It is necessary to develop an assessment tool that can judge caregivers' coping stage based on the result of this study. Moreover, we need continuous study to practice nursing mediation and to analyze the change about nursing effect and family members' adaptation.

• 임상간호연구
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• 제15권1호
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• pp.133-147
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• 2009

Purpose: This study was conducted to construct evidence based clinical guidelines and to develop nursing process based performance measures for prevention and management of pressure ulcers, falls and pain. Method: Clinical guidelines were drafted through a comprehensive review of relevant literature, national guidelines and hospital protocols. The proposed guidelines were reviewed by a panel of experts and 90 hospital nurses, and refined on the basis of their suggestions. Nursing process based performance measures were developed based on the clinical guidelines and content validity was examined by surveys from 90 hospital nurses. Results: All items, except timetable for position change and pressure ulcer nursing record, in the guidelines for prevention and management of pressure ulcer were appropriate. Most items, except fall risk assessment tools, were appropriate for the guidelines of fall prevention. All other items, except the purpose of pain management, were appropriate for the guidelines of pain management. Performance measures developed in this study were acceptable as a tool to evaluate quality of nursing care. Conclusion: Nursing process based performance measures provide important indicators to monitor whether necessary nursing care is implemented and can be used as the primary resources to improve quality of nursing services.

• 대한간호
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• 제25권1호통권134호
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• pp.19-23
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• 1986

• 한국보건간호학회지
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• 제18권1호
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• pp.103-118
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• 2004

The purpose of this study was to understand the process and investigate basic theory of fatigue experience of shift work nurses. The present study adopted grounded theory methodology on fatigue of shift work nurses. The participants for this study were 15 shift work nurses who were in the age of 25 to 35, the clinical experience of 2 to 14 years and the work department of ICU. ER. ward and delivery room. The data were collected from 2000 to 2003 by using interviews and observations. The contents of the interviews were tape-recorded and were drawn through repeated method. And then were analyzed into the concept, subcategories, and categories with the open coding process and axial coding was done to identify the relationships of the concepts and categories according to the paradigm models. The core category generated, which was a central phenomena of the exhaustion process. The causal condition is change events. The central condition of exhaustion were sorted as physical discomfort, decreasing vigor, psychological instability, feeling of sleeping desire, changing face impression and being heavy body. The intervening condition were discovered as social$\cdot$ psychology$\cdot$physical resist and positive$\cdot$negative interaction strategies. The consequences of the fatigue process is the short term exhaustion relief and long term residual exhaustion. The fatigue process of this study was 'break through exhaustion' of change event-exhaustion-resist-resolve intervention-adaptation. This study offers better understanding on fatigue process of shift work nurses and may facilitate more appropriate interventive strategies to support, information and knowledges according to fatigue process.

• 한국간호교육학회지
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• 제23권2호
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• pp.135-145
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• 2017

Purpose: The purpose of this study was to develop a program outcomes assessment system based on Course Embedded Assessment for nursing education. Methods: This study was conducted in accordance with the procedures of the developmental research method. Results: The major results are as follows. 1) The program outcomes were measured according to the Analytic Hierarchy Process. 2) The Course Embedded Assessment matrix was made according to program outcomes' weight, the curriculum-organizing principle, and achievement levels. 3) The Course Embedded Assessment rubric was developed in logical process, and consisted of a performance criterion, and rating scale. The content validity index of the Course Embedded Assessment rubric was 0.85. 4) An evaluation guideline and 12 documents were developed to facilitate the performance of the assessment system. 5) The average content validity index of the Course Embedded Assessment-based program outcomes assessment system was as high as 0.89. Conclusion: A Course Embedded Assessment-based program outcomes assessment system is more suitable for accreditation of nursing education than previous studies. Because this system evaluates the process of achievement as well as program outcomes, the results can also serve as immediate feedback to improve the educational process. Above all, this system facilitates that students check their achievements and strive to acquire core competencies in nursing.

• 임상간호연구
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• 제16권1호
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• pp.177-196
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• 2010

Purpose: This study was conducted to develop the nursing process based performance measurement tool and the evidence based care standards for nursing care in medication management and blood transfusion. Methods: The care standards and performance measurement tool were drafted through comprehensive review of relevant literature, national guidelines, hospital protocols, and standards of recognized international accrediting bodies. The proposed care standards and performance measurement tool were reviewed by the panel of experts and refined based on the panel's suggestions. Final care standards and performance measurement tool were validated by surveying the hospital nurses. Results: All items of the performance measurement tool for medication management and blood transfusion were evaluated appropriate. All contents of care standards and the measurable elements except the evaluation of discharge education were appropriate. The performance measurement tool developed in this study was found to be acceptable as a tool to evaluate quality of nursing care in medication management and blood transfusion. Conclusion: The outcomes of this study including the performance measurement tool and evidence based care standards would be the important indicators to monitor whether necessary nursing care is implemented and be the useful primary resources to improve quality of nursing care services.

• 대한간호학회지
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• 제37권6호
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• pp.883-890
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• 2007

Purpose: The purpose of this study was to identify the entity of critical care nursing practices through analyzing nursing statements described by electronic nursing records in a MICU. Methods: 176,459 nursing statements of 188 patients during a 6 month-stay were analyzed statement by statement according to the nursing process(nursing phenomena, nursing diagnosis, & nursing activity) and 21 nursing components of Saba's Clinical Care Classification. Results: Among 176,459 single statements, the statements of nursing activity ranked first in number. The contents of the statements were analyzed and categorized by main themes. Among 489 categorized themes, the number of themes of nursing phenomena statements was the highest. When analyzed by Saba's clinical Care Classification, the nursing statements mainly included a physiological component. Among 21 components, the respiratory component ranked in the first position in nursing phenomena, nursing diagnosis and nursing activity. The extra statements not included in the 21 components were 9,294(15.1%) in nursing phenomena and 21,949(22.7%) in nursing activity. Most are statements related to tests and the doctor. Conclusion: The entity of MICU nursing practice expressed by electronic nursing records was mainly focused on physiological components and more precisely on respiratory components.

• 한국콘텐츠학회논문지
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• 제17권9호
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• pp.235-254
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• 2017

본 연구는 간호관리과정의 5요소에 기반을 둔 간호관리실습 사례시뮬레이션 구성틀을 개발하고, 이를 실제 간호 대학생의 간호관리실습에 적용한 후 내용 분석을 실시함으로써, 향후 간호관리실습 교육에서의 성과중심 교육과정 개발에 필요한 기초 자료를 마련하고자 한 것이다. 본 연구의 대상은 일 대학의 간호학과 4학년 105명 학생이 간호관리실습 과제로 제출한 간호관리실습 사례시뮬레이션 보고서이다. 연구도구는 간호관리실습 사례시뮬레이션 구성틀로 본 연구자가 간호관리과정의 기획, 조직, 인적자원관리, 지휘, 통제의 5요소에 기반하여 기존 시뮬레이션 실습에서 활용된 브레인스토밍과 디브리핑 과정을 반영하여 개발하였다. 연구 결과 32개의 임상 간호 사례에 대해 간호 대학생은 간호관리과정 5요소별 간호관리 문제해결에 있어 1차 브레인스토밍과 디브리핑 과정에서는 79.6%의 적절률과 11.6%의 개념 오류율, 5.6%의 분류 오류율을 보인 반면, 재추론 과정인 2차 브레인스토밍과 디브리핑 과정에서는 94.6%의 적절률 상승과 0.0 % 의 개념 오류율, 4.4%의 분류 오류율 감소를 보였다. 이는 본 연구의 간호관리실습 사례시뮬레이션 구성틀이 간호 대학생의 간호관리과정 적용에 필요한 사고력과 논리적 추론 역량을 증진하는 효과적임을 보여주는 결과라 할 수 있다. 본 연구는 간호 대학생의 간호관리실습과 간호관리 이론 교과목에 활용할 수 있을 뿐 아니라, 향후 임상간호사의 간호관리 역량 강화를 위한 시뮬레이션 기반 직무교육 또는 보수교육으로도 활용할 수 있을 것이다. 아울러 향후 다양한 간호관리 임상 현장에서의 후속 연구와 간호 대학생의 졸업 후 간호관리 직무 능력에 미치는 영향을 파악하기 위한 종단적 코호트 연구도 필요함을 제안한다.