• Title/Summary/Keyword: Pediatric nurses

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An Integrative Review of Korean Nursing Studies on Pediatric Tonsillectomy (아동 편도선 절제술과 관련된 국내 간호연구의 통합적 고찰)

  • Yu, Kyoung Eun;Kim, Jin Sun
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.416-428
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    • 2017
  • Purpose: Tonsillectomy is a very common surgical procedure, particularly in children. The purpose of this study was to identify current evidence in nursing research on pediatric tonsillectomy by analyzing and evaluating Korean nursing studies related to pediatric tonsillectomy. Methods: An integrative literature review of Korean pediatric tonsillectomy research was conducted. Databases were searched to identify research that related to nursing care for pediatric tonsillectomy children. Results: Of the 115 studies identified, 13 studies met the inclusion criteria for this review. All studies were experimental studies and most of those studies had a quasi experimental design. No correlational studies or qualitative studies were found. Providing nursing information and education for children and their mothers at pre, during, and post tonsillectomy by pediatric nurses were found to be effective in reducing children's pain and anxiety and their mother's anxiety and uncertainty, and increasing children's appropriate sick role behaviors and their mother's satisfaction with nursing services provided and knowledge related to tonsillectomy. Conclusion: Although most studies reported positive effects in terms of post tonsillectomy outcomes, lack of methodological rigor limits the current evidences for pediatric tonsillectomy nursing interventions. Greater attention to improve methodological rigor for Korean research on pediatric tonsillectomy is needed.

Understanding Pediatric Cancer Patients and Their Families (소아암 환아와 가족에 대한 이해)

  • Sin, Min-Seon
    • Korean Journal of Hospice Care
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    • v.6 no.2
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    • pp.1-9
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    • 2006
  • In this thesis, Chapter I Introduction suggested the necessity of this research and defined related terms, and Chapter II defined hospice for children and examined the symptoms of pediatric cancers as well as the general characteristics of pediatric cancer patients. In particular, we surveyed the physical condition, psychological and emotional condition, financial condition, environmental aspect, educational aspect and spiritual aspect of pediatric cancer patients’ families, investigated pediatric cancer patients’ parents and siblings with regard to their understanding of the pediatric cancer patients’ death, and lastly considered spiritual care. Chapter III presented summaries and conclusions. In their developmental stage, pediatric cancer patients lack abilities to express themselves and are highly dependent on their parents, so parents who take care of cancer children have to make hard decisions and cancer children’s families are heavily burdened by the situation of preparing their children’s death and sending them away while denying their death, and for this reason they need help from specialists. That is, for pediatric cancer patients, we need highly experienced pediatricians or nurses skilful in managing young terminal patients as well as hospice counseling and family counselors for consulting on family crises. In particular, there is a keen need of child life support specialists. In addition, clergymen’s help is critical for spiritual care to ease the fear and terror of the unknown world, fear of death, etc. Moreover, in order to prevent cancer children from failing to adjust themselves to school life or peer relation after recovery, hospice service should provide cancer children with opportunities to learn school curriculums and associate with friends.

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A Study for Curriculum Development for Advanced Nurse Practitioner Program (전문간호사 양성을 위한 간호대학원 교과과정 및 운영방안 개발)

  • 조원정;이태화;김소야자;장순복;이원희;김광숙
    • Journal of Korean Academy of Nursing
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    • v.32 no.6
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    • pp.917-928
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    • 2002
  • The traditional nursing roles have become increasingly blurred. Nurses are now working in different ways and at higher levels of practice that enable nurses to adapt their roles and take on new responsibilities. The advanced role of nurses requires a different kind of master-level prepared education. Method & Result: This article describes an curriculum development process in preparing registered nurses for their advanced nurese' roles in the area of acute adult health nursing, geriatric nursing, pediatric nursing, neonatal intensive care nursing and oncology nursing. Several important issues to be solved regarding introduction of APN were also discussed. Conclusion: The curriculum that was proposed in the study will equip nurses to meet the challenges of future healthcare provision and will be a model to other areas of nursing practice and curriculum development.

Impact of Maternal Uncertainty on Coping: Experiences from a General Hospital Pediatric Ward (입원 환아 어머니의 불확실성이 대처에 미치는 영향: 일 개 종합병원 소아과병동을 중심으로)

  • Lee, Sun Ok;Kim, Moon Jeong
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.364-372
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    • 2018
  • Purpose: The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping. Methods: In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children's hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model. Results: In the multivariable model, help from one's spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores. Conclusion: This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.

Nurses' Perspective on Positive Attitudes to Cancer Patients in Turkey: A Qualitative Study

  • Usta, Yasemin Yildirim;Demir, Yurdanur;Yagmuroglu, Huriye
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.4
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    • pp.1225-1229
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    • 2012
  • Objective: The aim of this study was to investigate the meaning of "positive attitude" for medical surgical nurses in caring for cancer patients. Methods: A qualitative method was used in this qualitative descriptive study with data from nurses who had volunteered to participate in an in-depth interview that was conducted between January and February 2012. A total of 10 nurses in general medical and surgical wards of a district hospital were interviewed. Results: The study used three broad themes to describe this multifaceted construct: showing empathy, seeing positively and behaving positively. The nurses were aware of their attitudes towards being positive with cancer patients and its significance in support for cancer patients. Conclusions: The findings of this study can serve as a platform upon which educational and other support programmes can be developed in order to meet the needs of those general nurses working with cancer patients. Future studies are recommended to examine nurses' beliefs about cancer that are thought to affect positive attitudes toward cancer patients.

Calculation of nursing care hours in a pediatric oncology nursing unit (일개 대학병원의 소아혈액종양 간호단위의 간호업무량 측정)

  • Kim, Young-Mee
    • Journal of Korean Academy of Nursing Administration
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    • v.5 no.3
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    • pp.513-524
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    • 1999
  • The shortage of nursing personnel was become one of the most serious problems in operating pediatric oncology nursing unit which was the first pediatric oncology nursing unit in Korea. The purpose of this study was to estimate the optimal number of nursing personnel by calculating nursing care hours. The subjects were 13 staff nurses and inpatients of pediatric oncology nursing unit at Seoul National University Hospital during the period of May 20, 1996, to June 2, 1996. The number of nurses' duty was 132, the number of patients treated was 1288 for these 2 weeks. The tools used for this study were pediatric patient classification indexes and direct & indirect care indexes. Each nurse measured the time that they spent for their activities by self record under the supervision of their nurse manager. The method used to calculate the number of nursing personnel was multiplication of the average number of nursing care hours per patient per day with the number of patients. Percentage, average, t-test, F-test were used for data analysis. The results of this study were as follows : 1) The distribution of patient class : Class I & II none, Class III 86.8%. Class IV 12.9% 2) Direct nursing care hours for a patient per shift according to patient classification: Class III : 27.64 minutes, Class IV : 54.64 minutes The average direct nursing service hours for a patient per shift(3 shift) was 31.54 minutes(94.62 m/day). The average indirect nursing service hours for each patient per duty(3 shift) is 21.3 minutes (63. 91 m/day). 3) The average nursing hours for a patient per duty was 52.80 minutes(2.64h/day). 4) The group of administering medications in direct care activities showed the highest percentage (38.9%). Checking vital signs among observation took the most time am.ong each direct care activity (6.88 minutes for a patient per duty). 5) Charting took the most time of each indirect care activity(52.53 minutes/ duty/nurse). 6) The average personal time per duty is 29.40 minutes, which 'was below 30 minutes of this hospital regulations. 7) The average nursing hours that a nurse provided for a duty was 8.60 hours, which meant that a nurse worked 1.10 hours overtime. 8) Standardizing to a 33 bed to a unit, 17 nurses were needed at the present nursing level.

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Factor Affecting on Recognition and Performance of Peripheral Intravenous Infusion Management among Pediatric Nurses (아동간호사의 말초정맥주입 관리에 대한 인지 및 수행 관련 영향요인)

  • Kim, Jeong-Hwa;Jung, In-Sook
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.104-114
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    • 2019
  • This study was to find factors affecting on recognition and performance of peripheral intravenous infusion management among pediatric nurses. In analysis using SPSS/Win 24.0, the average scores of recognition and performance were 3.34±0.39, 3.42±0.37 out of 4 each. 'Maintenance and exchange' and 'education' were the lowest each among subdomains. There're significant differences in recognition and performance according to working departments et. al.(p=.039, p<.001), and there's a positive correlation between recognition and performance(r=.591, p<.001). Factors affecting on recognition were performance(β=.57) and working department(β=.22), and on performance were recognition(β=.57) and educated experience(β=.19). And explanation rate were 41.2%, 41.4% each in stepwise multiple regression. In conclusion, recognition and performance were mutually influencing factors. Therefore, it is needed to increase performance by preparing measures to improve recognition of peripheral intravenous infusion management.

Factors Related to Organizational Socialization of New Nurses (신규간호사의 조직사회화 관련요인 탐색)

  • Yoo, Cheong Suk;Kim, Ju Hee;Kim, Mi Yeon;Kim, Sung Jae;Kim, Young Soo;Kim, Jeong A;Park, Seung Hyun;Cho, Eun Ju;Choi, Eun Ha;Choi, Hee Kang
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.2
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    • pp.239-250
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    • 2012
  • Purpose: The purpose of this study was to explore and describe the factors related to new nurses' organizational socialization (OS) process and to find out the strategic information for successful organizational socialization. Methods: The qualitative data were gathered from three focus group discussions with 13 new nurses and 5 experienced nurses. All interviews were recorded and transcribed. The transcript analyzed according to qualitative content analysis processes. Results: The factors related to new nurses' OS derived from new nurses' focus groups were 'burdens related to the characteristics of nursing duties', 'emotional and psychological characteristics' and 'facilitating factors to OS'. Two factors at the forepart were interfering factors to new nurses' OS. The factors related to new nurses' OS derived from experienced nurses' focus group classified to 'facilitating factors to OS', 'interfering factors to OS' and 'supports to facilitate new nurses' OS process'. Conclusion: The findings of the study revealed the facilitating and interfering factors to organizational socialization of new nurses. The main factors to interfere new nurses' OS were individual factors such as professional incompetency and psychological characteristics. On the other hand, Interactional factors within the organization were important to facilitate new nurses' OS. The findings can be applied for developing a special program to help new nurses adjust to the nursing organization successfully.

Relationship between Job Stress and Compassion Satisfaction, Compassion Fatigue, Burnout for Nurses in Children's Hospital (어린이병원 간호사의 업무 스트레스와 공감만족, 공감피로, 소진 간의 관계)

  • Choi, Heekang;Park, Jisun;Park, Mijeong;Park, Bobae;Kim, Yeseul
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.459-469
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    • 2017
  • Purpose: Nurses experience burnout related to various factors. For this descriptive research job stress, compassion satisfaction, and compassion fatigue were examined as to their relationship to burnout in nurses from children's hospital. Methods: The participants were 305 nurses working in children's hospital. Self-report questionnaires were used to measure job stress, compassion satisfaction, compassion fatigue and burnout. Results: Nurses in children's hospital experienced a greater than moderate degree of job stress, compassion satisfaction, compassion fatigue and burnout, whereas differences existed according to general characteristics. Job stress, compassion fatigue and burnout showed a significant positive correlation and results of compassion fatigue and burnout were similar. Also, job stress, compassion satisfaction and compassion fatigue were associated with burnout in nurses working in children's hospital. Conclusion: Findings indicate that as longer work experience is accompanied by higher job stress and burnout, it is necessary to develop intervention programs to reduce burnout among career nurses exposed to greater job stress in children's hospital.