• 간호행정학회지
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• 제11권3호
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• pp.335-345
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• 2005

Purpose: This study was designed to develop a computerized program for patient classification and record of basic nursing care. Method: The study was carried out from February to May 2004 at the four general wards in A university hospital using three steps; investigation of needs for program development, program design and development, and program application and evaluation. Result: Results of this study showed that users were mostly satisfied with the program and set a high value on the usefulness and performance of this program. Accordingly it was found that this program could be of help to assist nurses in classifying the patients and taking records of their nursing service. Conclusion: The program is likely to contribute to enhance the efficiency in providing appropriate and effective nursing service to the patients by easily identifying the overall particulars of patients and improving repeated manual works. And Record of basic nursing care is a part of several nursing records. As such the continual development on the computerized program for various fields of nursing service is needed.

• 대한간호학회지
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• 제19권1호
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• pp.24-39
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• 1989

This study was conducted to investigate the present situation and problems related to the use of nursing diagnosis in practice. The data were obtained from 332 subjects (27 director of nursing service, 302 staff nurses) who worked in university hospitals in Korea from July through August 1988 using a mailed questionnaire. Data were analyzed by frequency, X$^2$ test and t-test. The findings were as follows ; 1, Clinical use of nursing diagnosis by directors of nursing service and staff nurses. 1) The majority of the nursing departments (88.9%) conducted group education on nursing diagnosis during the last 5 years and 81.5% of them kept a record format for nursing diagnosis : 88.9% of them had had prior experience with the nursing diagnosis. 2) Most of nurses (97.0%) had received education on nursing diagnosis. 2. Factors related to the clinical use of nursing diagnosis in nursing service departments and by staff nurses. 1) The one factor related to the use of nursing diagnosis in the nursing service department was the existence of a record. 2) Factors related to the use of nursing diagnosis by the staff nurses were the organization style of the nursing service department, group education during the last 5 years, existence of a record, the attitude of the director of nursing service, and prior experience of the use of the nursing diagnosis as characteristics of nursing service department and educational experience of nursing diagnosis as a character of nurse. 3. Problems with the use of nursing diagnosis. 1) The primary problem was the lack of time and personnel (mean : 3.757) ; the second problem was the lack of knowledge and will to use nursing diagnosis in practice by the staff nurses(mean : 3.546). 2) There was no significant difference in problems expressed by the director of nursing services and the nurses. The majority of nurses who worked in the university hospitals expressed interest in and concern about the use of nursing diagnosis. Most of the nurses had had education about on nursing diagnosis but use in practice was limited. The primary problem was lack of time and manpower. Strategies for improving use of the nursing diagnosis in practice : 1) Strengthening the education about nursing diagnosis and a holistic approach to understanding human beings. 2) Develop protocols for the use of nursing diagnosis. 3) Eliminate the language barrier regarding nursing diagnosis by translation into in Korean. 4) Decentralization of the nursing service to promote accountability by individual nurses for use of nursing diagnosis.

• 중환자간호학회지
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• 제1권1호
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• pp.73-83
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• 2008

Purpose: Purpose of this study was to analyze the nursing focuses for standardization of ICU nursing records. Methods: The data were collected from 1,000days'nursing records of 197 ICU patients at a tertiary hospital in Seoul. Nursing focuses were unified at the consulting group meeting and they were cross-mapped with the NANDA nursing diagnoses. Results: The 62 nursing focuses in 7 NANDA categories were extracted from nursing record. Among total nursing focuses 41 correspond to the NANDA nursing diagnoses and 21 were added to ICU nursing focuses. The 10 most frequently used nursing focuses are 'Ineffective airway clearance', 'Impaired gas exchange', 'Ineffective tissue perfusion: cardiopulmonary', 'Ineffective breathing pattern', 'Ineffective tissue perfusion: renal', 'Ineffective infant feeding pattern', 'Risk for impaired skin integrity', 'Hyperthermia', 'Impaired skin integrity', 'Decreased cardiac output', Conclusion: Nursing focuses list of ICU was extracted from the result of this study. These nursing focuses might form a framework for development of research-based assessment guideline and care plans for ICU patients through standardization of nursing records.

• 성인간호학회지
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• 제18권4호
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• pp.653-659
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• 2006

Purpose: The purpose of this study was to examine internet addiction, self-esteem and loneliness in adolescents. Method: Subjects were middle and high school students in Daegu (N=486). Self-rating questionnaire included demographic data, the Korean version of Young internet addiction scale, self-rating self-esteem and loneliness scale. We have received the consent from teachers and students. Results: Among the subjects, 34% was addicted and internet addiction was significantly different according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. There were significant differences in self-esteem and loneliness according to internet addiction. Internet addiction, self-esteem and loneliness were related to each other. Conclusion: These results indicate that internet addiction would be changed according to gender, record at school, economic status, attitude of mother, father, teacher and friend about internet. Therefore, further studies are needed to generalize these results and examine widely the related variables of internet addiction.

• 한국융합학회논문지
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• 제8권5호
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• pp.69-78
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• 2017

본 연구는 전자의무기록시스템을 이용하는 간호사의 만족도가 직무스트레스에 미치는 영향을 융합적으로 규명하여 간호사의 만족도를 높여 간호사의 직무스트레스를 효과적으로 관리하는 방안을 마련하기 위해 시도되었다. 연구방법은 2014년 8월 1일부터 2014년 9월 1일까지 G 광역시에 소재한 C 대학병원에서 전자의무기록을 사용하는 간호사를 대상으로 설문 조사한 자료 377부를 SPSS 21.0 프로그램을 이용하여 분석하였다. 그 결과 전자의무기록 사용자의 만족도가 높을수록 직무스트레스는 감소하였다. 아울러 전자의무기록에 대한 간호사의 만족도를 지속적으로 향상시키기 위하여 실제적인 직무스트레스 중재 관리프로그램이 마련되어야 하며 간호기록 작성 시간이 단축되어 환자에게 양질의 간호서비스를 제공할 것으로 기대되며, 전자의무기록의 만족도를 높이기 위해서는 정기적으로 전자의무기록시스템에 관한 지속적인 간호교육 등 적절한 관리가 필요할 것으로 사료된다.

• Journal of Hospice and Palliative Care
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• 제7권2호
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• pp.200-213
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• 2004

목적: 호스피스 간호기록의 문제점을 개선하고 병원 U-Hospital 개념의 전자의무기록 시스템 개발 초기에 간호사의 입장과 요구사항과 특성이 고려된 호스피스 간호과정 데이터베이스를 개발하고자 함에 있다. 방법: 단계별로 나누어 조사하였는데 1단계로 3개 호스피스기관에서 사용하고 있는 간호 기록지를 종합. 분석하여 임상경력 10년 이상의 전문간호사 5인의 경험을 추출하여 합의한 후 정확하고 간편하고 기록 누락성이 보완된 전자형 간호기록지를 생성하였다. 2 단계는 생성된 간호기록지를 본 연구 목적을 적극 수용하고 협조하는 가정호스피스 3기관에 의뢰하여 2004년 4월부터 8월까지, 81명의 환자기록에 적용한 후 프로토콜의 적중률을 검증하였다. 3 단계는 적중률 검사 후 그 결과를 갖고 3개기관의 10년 이상의 임상전문가와, 호스피스 의사, 호스피스 전공 간호학교수들의 90% 이상 합의를 거쳐 최종 데이터베이스를 생성하였다. 결과: 1. 연계성이 있고, 간편하고, 기록누락성을 보완한 전자형 간호기록지를 생성하였다. 2. 가정호스피스 서비스의 표준화된 프로토콜의 적중률은 95.86%로 매우 높았다. 3. 최종 수정 보완된 호스피스 간호과정 연계목록표는 Table 7과 같다. 결론: 본 연구의 결과는 기록시간의 단축, 가정호스피스 서비스의 질적향상에 기여할 것이며, 호스피스 숫가화와 교육의 기초자료로 활용될 것이다. 또한 타호스피스 기관에서 적극 활용되어 호스피스 간호 지식체계 발전과 말기 암환자 삶의 질향상에 크게 기여할 것이다. 앞으로는 1) 호스피스 간호과정 결과가 보완된 연구가 진행되기를 바라며 2) 개발된 데이터 베이스를 이용하여 입원형이나 시설용 모델 등으로 다양하게 변형하여 활용할 수 있기를 제언한다.

• 임상간호연구
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• 제16권3호
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• pp.123-132
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• 2010

Purpose: This study was done to analyse nursing records to identify the nature of pain and actual conditions of pain management in patients hospitalized in one university hospital. Methods: The participants in this study were 783 patients with a length of stay of 3 to 30 days who were discharged from medical wards between June 1 and June 30, 2009. Data on nursing records related to pain management from these patients were reviewed using the Electronic Nursing Records (ENRs) system. Results: Over 30 percent of 10,702 nursing records related to pain assessment had no record on region, severity, nature or frequency of pain. About 30 percent of 13,638 nursing records related to pain intervention showed non-drug pain management techniques. Conclusion: Accurate and complete records on pain assessment including region, severity, nature and frequency of pain are essential to effectively manage patients' pain. Improvement in ENRs system for better assessment and management of pain is required as well as education programs on a standardized measuring tool for both nurses and patients.

• Child Health Nursing Research
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• 제15권4호
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• pp.392-400
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• 2009

Purpose: The purpose of this study was to identify influences of child-rearing attitude and parent-school age communication on self-efficacy of 5th and 6th graders. Methods: Data were collected using questionnaires from 460 5th and 6th graders in S city. The data were analyzed using SPSS WIN program. Results: There were significant differences in child-rearing attitude according to gender, mother's level of education, perceived atmosphere and religion. Self-efficacy was significantly correlated with school record, family income, mother's level of education, father's level of education, and perceived atmosphere. There were significant differences in communication with father according to father's level of education, and perceived atmosphere. Communication with mother was significantly correlated with father's level of education, mother's level of education and perceived atmosphere. The relative influence toward the children's self-efficacy shown in the order of importance was as follows; child-rearing attitude, school record, communication with mother, communication with father, father's level of education, family income. Conclusion: From the study, self-efficacy appears to be influenced by multiple factors such as child-rearing attitude, school record, communication with mother, communication with father, father's level of education, and family income.

• 대한간호학회지
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• 제45권4호
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• pp.523-532
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• 2015

Purpose: The usability, user satisfaction, and impact of electronic nursing record (ENR) systems were investigated. Methods: This mixed-method research was performed as a time-motion (TM) study and a survey which were carried out at six hospitals between August and November 2013. The TM study involved 108 nurses from medical, surgical, and intensive care units at each hospital, plus an additional 48 nurses who served as nonparticipating observers. In the survey, 1879 volunteer nurses completed the Impact of ENR Systems Scale, the System Usability Scale, and a global satisfaction scale. Qualitative and quantitative analyses were performed. Results: The mean scores for the ENR impact, system usability, and satisfaction were 4.28 (out of 6), 58.62 (out of 100), and 74.31 (out of 100), respectively, and they differed significantly between hospitals (F=43.43, p<.001, F=53.08 and p<.001, and F=29.13 and p<.001, respectively). A workflow fragmentation assessment revealed different patterns of ENR system use among the included hospitals. Three user characteristics-educational background, practice period, and experience of using paper records-significantly affected the system usability and satisfaction scores. Conclusion: The system quality varied widely among the ENR systems. The generally low-to-moderate levels of system usability and user satisfaction suggest many opportunities for improvement.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.774-785
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• 2018

본 연구는 간호 대학생들의 임상실습 전 후의 삶의 질에 영향을 미치는 요인을 평가하고자 수행되었다. 자료는 H대학 및 G대학의 3,4학년에 재학 중인 간호 대학생들 256명으로부터 2018년 2월 19일에서 6월 29일까지 설문지를 통하여 수집하였다. 수집한 자료는 SPSS/WIN 18.0 통계프로그램을 이용하여 Paired t-test, ANOVA, Spearman rho Correlation, Kendall Correlation, Multiple Linear Regression으로 분석하였다. 임상실습 전 후의 간호 대학생들의 삶의 질에 유의한 설명력을 갖는 요인은 지원 동기(t=5.268, p<.001), 성적(t=4.771, p<.001), 우울(t=-4.600, p<.001), 월 소득(t=3.383, p=.001), 학과 만족도(t=3.344, p=.001)순이고,이들 요인의 결정계수인 $R^2$은 .685로 68.5%의 설명력을 보여주었다. 이는 적성이 맞아 간호학과를 선택하여 학과 만족도도 높고 성적도 일정하게 유지하며, 경제적인 어려움과 우울의 정도가 낮은 간호 대학생들의 삶의 질이 높다고 유추된다. 따라서 간호 대학생들의 지원동기와 월 소득은 통제할 수는 없으므로 통제 가능한 성적과 학과 만족도를 향상시키고, 우울을 감소시켜 임상실습 전 후의 삶의 질을 향상시킬 수 있는 프로그램을 개발함이 필요한 것으로 사료된다.