• 제목/요약/키워드: Psychological nursing practice

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A Study on the Effects of Psychiatric and Mental Health Nursing Practicum Using Storytelling

  • Kim, Su Yeon;Kim, Soo Jin;Kim, Boyoung
    • International Journal of Advanced Culture Technology
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    • 제8권3호
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    • pp.140-147
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    • 2020
  • The purpose of this study is to improve the empathy, communication efficacy, and communication skills of nursing students through a psychiatric nursing practice program using storytelling by allowing the students to immerse in the narratives and identify themselves with the main characters with mental illness. This study is a single group pretest-posttest design that applied psychological nursing practice using storytelling to 46 nursing students from a local university in Korea and evaluated its effectiveness. Data analysis was performed by a paired t-test to compare the effects of the participants' empathy, communication self-efficacy, and therapeutic communication ability using SPSS 21.0 program. The results showed that psychiatric nursing practice using storytelling had an effect on the empathy (t=3.565, p=.001) and communication self-efficacy (t=2.320, p=.025) of nursing students. Based on these results, psychiatric and mental health clinical practice curriculums should be developed to improve nursing students' understanding of mental disorders and develop their communication ability with patients.

간호대학생의 대학생활적응 예측모형 구축 (Developing a Prediction Model regarding Adjustment of Nursing Students to College Life)

  • 김은아;장금성
    • 한국간호교육학회지
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    • 제18권2호
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    • pp.312-322
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    • 2012
  • Objectives: The purpose of this study was to investigate the factors related to adjustment of college for nursing students and to develop a collective model for successful prediction and concrete paths of the factors. Methods: Data collection was conducted from May 19th 2010 to Jun 4th 2010. Five hundred thirty-one questionnaires were used for data analysis after distributing 560 sheets to senior students in 8 different locations. Data was analyzed with SPSS 18.0 Win program and AMOS 18.0. Results: Mother attachment does not have a direct effect on adjustment to college life but does effect psychological well-being and coping, which indirect adjustment to college life. In addition, the more psychological well-being and coping usage frequency, and the less stress of clinical practice, the higher score of adjustment to college life. According to the results, explanatory power of the model for the college nursing students' adjustment was 62.0%. Conclusions: To improve adjustment to college life, it is recommended to have a direct method of developing psychological well-being and coping improvement program to improve mother attachment. The research is meaningful in a sense that it explains the cause and effect relationship between adjustment to college life and relevant variables to predict comprehensive dimensional explanation of adjustment of college life for nursing students.

성(Sexuality)과 정신건강에 관한 통합적 문헌고찰 (An Integrative Review of Sexuality and Mental Health)

  • 김잔디;류재금;오상준;신유진
    • Perspectives in Nursing Science
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    • 제18권1호
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    • pp.16-27
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    • 2021
  • Purpose: Sexuality is a fundamental element of human life and is closely related to mental health. This study was conducted to understand domestic research trends on gender, mental health, and psychological well-being through an integrated review. Methods: Through four domestic databases, 15 papers were finally selected using the search terms 'sex', 'mental health', and 'psychological well-being'. Results: Fifteen papers have been published since 2000 and 10 documents have been published since 2010. A majority of the studies were basic research and reviews, and these included four qualitative studies. Depending on the subject, we classified five articles into three themes by the developmental stages (youth, married women, and the elderly), eight sexual minority studies, and two other studies (right to sexual self-determination, and dating for people with disabilities). Conclusion: A more open social concern and approach to sex, the most basic human need, is warranted. The field of nursing practice requires more attention.

국내 두경부암환자를 대상으로 한 간호연구 측정변수에 대한 고찰 (A Review on the Measurement Variables of Nursing Research for Patients with Head and Neck Cancer in Korea)

  • 이순늠
    • Journal of Korean Biological Nursing Science
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    • 제21권3호
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    • pp.161-168
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    • 2019
  • Purpose: The purpose of this paper (a literature review study) was to confirm the trend of nursing research for head and neck cancer patients in Korea. Methods: Research databases were reviewed and analyzed from 13 papers (2004 through 2019 using KISS, NDSL, RISS, DBpia, and the National Assembly Library. As a result of this paper, we found that there were many studies that used questionnaires. Results: Measurement variables related to head and neck cancer patients were physical variables related to oral condition, psychological variables related to depression and anxiety, social support, family support related to family, and quality of life as a result variable. Conclusion: Therefore, integrated nursing intervention strategies and clinical nursing research considering the physical, psychological, social, and family aspects of head and neck cancer patients are needed. Based on the results of this study, we propose qualitative research on head and neck cancer patients, development of educational programs, intervention studies to verify effects, and development of clinical practice guidelines.

The burdens faced by parents of preschoolers with type 1 diabetes mellitus: an integrative review

  • Sunyeob Choi;Hyewon Shin
    • Child Health Nursing Research
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    • 제29권3호
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    • pp.166-181
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    • 2023
  • Purpose: This study examined the literature concerning the burdens of parents of preschool-aged children diagnosed with type 1 diabetes mellitus. Methods: We employed an integrative review methodology based on Whittemore and Knafl's framework. The literature search was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines across four electronic databases: PubMed, Web of Science, the Cumulative Index to Nursing Allied Health Literature (CINAHL), and PsycINFO. Ultimately, 18 articles were included in the review. Results: The review yielded four themes: (1) parental burdens, (2) factors related to the burdens, (3) coping strategies, and (4) implications for clinical practice. Parents experienced psychological, physical, and social burdens due to the diabetes care of their children. Several factors influenced burdens, including child-related characteristics such as age, severity of diabetes, and hospitalization experience, as well as parental factors like family income, race, and residential area. Parents initially felt burdened when their child was diagnosed with type 1 diabetes, but over time, they often adapted to the situation through support and sharing of responsibilities. Parents desired education and interventions reflecting the unique characteristics of preschoolers. Conclusion: This integrative literature review revealed that parents experience numerous burdens when their child is diagnosed with diabetes. Future research should focus on developing interventions to address parents' psychological difficulties, including tracking parental psychological changes over time. Tailored nursing interventions should also be provided to parents of preschool-aged children, as opposed to the more generic nursing interventions traditionally applied across all age groups of children in clinical settings.

환자안전사건과 관련된 임상간호사의 이차피해경험이 간호실무변화에 미치는 영향: 대처의 매개효과 (Effects of Second Victim Experiences after Patient Safety Incidents on Nursing Practice Changes in Korean Clinical Nurses: The Mediating Effects of Coping Behaviors)

  • 정서희;정석희
    • 대한간호학회지
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    • 제51권4호
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    • pp.489-504
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    • 2021
  • Purpose: This study was investigated the mediating effect of coping behaviors in the relationship between the second victim experiences after patient safety incidents and the nursing practice changes. Methods: A cross-sectional survey was performed using structured questionnaires. Participants were 218 clinical nurses in general tertiary hospitals in South Korea. Data were collected through an online survey and snowball sampling from August 11 to September 6 2020. Data were analyzed using SPSS 23.0 program. A mediation analysis was performed using multiple regression and a simple mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval. Results: The mean scores of second victim experiences was 3.41/5. Approach coping (β = .55, p < .001) and the avoidant coping (β = - .23, p = .001) showed mediation effects in the relationship between second victim experiences and constructive change in nursing practice. Avoidant coping (β = .29, p < .001) showed a mediation effect in the relationship between second victim experiences and defensive change in nursing practice. Conclusion: Coping behaviors has a mediating effect on the relationship between second victim experiences and nursing practice changes. To ensure that nurses do not experience second victim, medical institutions should have a culture of patient safety that employs a systematic approach rather than blame individuals. They also need to develop strategies that enhance approach coping and reducing avoidant coping to induce nurses' constructive practice changes in clinical nurses in experiencing second victims due to patient safety incidents.

간호대학생의 혐오민감성, 임상실습스트레스, 회복력이 전문직 자아개념에 미치는 영향 (Factors Influencing Disgust Sensitivity, Clinical Practice Stress, and Resilience in Professional Self-Concept among Nursing Students)

  • 조정희;조옥희
    • 가정간호학회지
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    • 제29권3호
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    • pp.301-309
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    • 2022
  • Purpose: This study aimed to identify factors affecting nursing students' professional self-concept. Methods: A survey was conducted from August to October 2022, targeting 110 students in the 3rd and 4th grades at three universities. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation, and multiple linear regression. Results: There were significant differences in professional self-concept according to application motivation (F=5.43, p=.006), school record (F=3.24, p=.043), major satisfaction (t=-6.38, p<.001), desired occupation (F=9.30, p<.001), participant health status (F=4.31, p=.016), character (F=25.29, p<.001), clinical practice satisfaction (t=-5.36, p<.001), and change of thinking about career path after clinical practice (t=2.78, p=.006). Professional self-concept showed significant correlations with clinical practice stress (r=-0.37, p<.001) and resilience (r=0.66, p<.001). The variables affecting nursing students' professional self-concept were resilience (β=.38, p<.001), character (β=.32, p<.001), major satisfaction (β=.28, p<.001), and clinical practice stress (β=-.18, p=.007); the explanatory power was 65%. Conclusion: A professional self-concept enhancement program should be developed to promote the establishment of a positive professional self-concept in nursing students. As a strategy, it should reflect individual personality tendencies, improve major satisfaction and resilience, and reduce clinical practice stress.

임상실습을 경험한 간호대학생의 감염관리 활동의 관찰과 수행을 통한 감염관리에 대한 인식 및 심리적 갈등 (Perception and Inner Struggle Experienced by Nursing Students in Relation with Infection Management through Observation and Performance of Infection Control Activities)

  • 김미영;김명준;김종원;맹지선;박수민;손지아;김지아
    • Perspectives in Nursing Science
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    • 제14권1호
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    • pp.1-9
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    • 2017
  • Purpose: To study the internal psychological conflicts among nursing students during an infection control protocol carried out in the hospital by measuring their observation skills and performance during clinical training. Methods: Investigation of both pre- and post- infection control was conducted using questionnaires for clinical infection practices. We identified and evaluated the students' observation skills, clinical performance, clinical perception, and internal conflict regarding clinical infection control. We also interviewed the students as part of our study. Results: Among parameters such as clinical performance, observation skills, clinical perception, and internal conflict, the average observation skills (t=5.49, p<.001) were significantly lower, while internal conflict among students (t=-7.23, p<.001) was significantly higher than expected prior to clinical training. Generally, there was a negative correlation between observation skills and internal conflict in every aspect of infection control practice (r=-.281, p=.031). Internal conflict was significantly higher than expected in the context of hand hygiene (t=-2.135, p=.037), personal hygiene (t=-3.48, p=.002), and ventilator management (t=-3.69, p<.001). Clinical performance of students in the context of hand hygiene (t=4.69, p<.001), personal hygiene (t=2.06, p=.044), and ventilator management (t=2.68, p<.001) was significantly lower than expected prior to clinical training. Conclusion: Our findings showed that internal psychological conflict is higher when infection control practices are observed or performed to a lesser degree. Therefore, reinforcing education regarding infection control among students, such as developing a systematic program, or consecutive training and monitoring, is suggested.

간호학생의 임상실습 스트레스 경험유형 : Q방법론적 접근 (Stress Experience of Nursing Students to Clinical Practice : Q-methodological Approach)

  • 장혜숙;김순애;김흥규
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.5-17
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    • 1999
  • This study was designed to determine the schemata and their characteristics of stress experience the subjectivity of stress experience(structure of subjectivity) would be a basic step for the effective clinical education through the stress management for characteristics of these types. Q-methodological method was used for that purpose. The research method statements were collected prior to the study through indepth interviews. For the study, 31 Q-statements were selected. There were 34 nursing students as subjects for the research. The 34 nursing students sorted the 31 statements using the principal of forced normal distribution. The principle of forced normal distribution, which has 9 scales to measure the individual opinions, was called. Q-factor analysis by using PC QUANL program supply the material. According to the outcomes of this study, there were 3 types of special opinion about the stress experience of clinical practice. The first type is called 'Influence of practical atmosphere type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The second type is called 'conflict of nursing role type'. Members of this type experienced stress by an inadequate orientation and undesirable role model of nursing. The third type is called 'Lack of confidence type'. Members of this type experienced stress because of a lack of confidence for their own nursing knowledge and skill. As a result, we now need further study to identify individual psychological aspects of stress for clinical practice. The findings will guide the development in effective approaches for clinical education. Finally, the result of the study will provide us the need for developing systematic and integrated practice education program for students and active involvement of clinical instructor.

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Factors Affecting the Participation in Leisure Activities by Elderly Women Living Alone

  • Gu, Min Kyung
    • 지역사회간호학회지
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    • 제29권3호
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    • pp.257-266
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    • 2018
  • Purpose: The study has been conducted to identify factors affecting the participation in leisure activities by elderly women living alone. Methods: Data were collected through a questionnaire survey among 150 elderly women in Seoul and Gyeong-gi Province. The measurement tools that were used include participation in leisure activities, perceived health status, Geriatric Depression Scale Short Form-Korea (GDSS-K), psychological well-being scale, and loneliness scale. The data were analyzed by using the Pearson correlation coefficients, t-test, analysis of variance ANOVA, and stepwise multiple regression with the SPSS/windows version 21.0 program. Results: The analysis shows that the affection for participation in leisure activities of the elderly women living alone who participated in the questionnaire survey is significant (F=14.6, p<.001). The value of the adjusted $R^2$ is 0.55, which accounts for the explanatory power of 55.4%. The predictor that has been found to have the greatest influence on the participation in leisure activities by the elderly women living alone include perceived health status, followed by monthly allowance (10,000 won), psychological well-being, economic status, religion, depression, family structure, and loneliness. Conclusion: The results suggest that in developing nursing interventions and practice for the participation in leisure activities by elderly women living alone, perceived health status, psychological well-being, depression, and loneliness should be considered.