• Title/Summary/Keyword: Satisfaction of nursing needs

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Development of a Critical Pathway for the Chemotherapy of Non-small Cell Lung Cancer Patients and Its Effects (비소세포성 폐암 환자의 항암화학요법을 위한 Critical Pathway개발과 적용효과)

  • Choe, Ja-Yun;Jang, Geum-Seong;Choe, Eun-Yeong
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.85-95
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    • 2002
  • The purpose of this study was to develope a critical pathway for the chemotherapy of non-small cell lung cancer patients and to identify its effects after implementation. Critical pathway was developed through 5 steps including content and clinical validity tests with collaborative efforts of nurses, clinicians, and other allied healthcare professionals with the aim of improving the quality of patient care, while minimizing cost to the patients. This paper was described an evaluation of the impact of a developed critical pathway on complication rate, length of stay, costs, the interval of treatment and patient satisfaction by nonequivalent control group posttest-only non-synchronized research design.Results were compared between the two groups of patients. There were no significant differences in demographic variables and the occurrence of bone marrow suppression between experimental group and control group(t=-0.01, p=0.992). There were statistically significant decreases in the average length of stay(t=-10.45, p=0.000), in the average cost(t=-2.988, p=0.004), and in the interval of treatment(t=-6.75, p=0.000) after implementation of the critical pathway compared to control group. Also, there was a statistically significant improvement of the patient satisfaction after implementation of the critical pathway compared to control group(t=4.57, p=0.000). This paper concludes that critical pathway in chemotherapy for lung cancer, implemented in the context of an general hospital, is the useful tool to shorten the hospital stay, reduce treatment costs, and improve the quality of life in cancer patients. Further study needs to be conducted to identify other clinical outcomes including job satisfaction, collaboration among health professionals and potential for use in education. Also, it is recommended that nurses should revise continuously the developed critical pathway through clinical implementation and maintain their role of patient advocacy through monitoring pathway compliance.

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A Survey for Developing Strategies to Improve the Fees for Nursing Care (건강보험 간호관리료 수가체계 개선의견 조사분석)

  • Kim, Yun Mi;Nam, Hye Kyung;Sung, Young Hee;Park, Kwang Ok;Park, Hae Ok
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.1
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    • pp.5-14
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    • 2008
  • Purpose: To examine the current fees for nursing care and propose the strategies for improvement. Method: The number of subjects for this study was 86, including 36 chief executives of the nursing department, 14 of the health insurance department and 33 nursing managers. Data were analyzed by SPSS WIN 12.0 program. A researcher-developed questionnaire with 30 items was utilized. Results: 61% hospital had improved the nursing management fee grade after adoption of the differentiated nursing management fee schedules. After grade improvement, the time for direct nursing care increased. Also, the patient health outcome, nurse's job satisfaction were improved and more nurses were employed in general nursing units. Many subjects addressed that ICU and more nursing units were needed to adopt the differentiated nursing management fee schedules and "bed to nurse ratio" needed to be changed to "patients to nurse ratio" and specialized by the nursing units. Conclusion: The health policy in reference to fees for nursing care needs to get improved further in order to provide the quality-assured nursing care.

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Influence of Critical Thinking and Self Leadership on Learning Commitment of Nursing Students (간호대학생의 비판적 사고, 셀프리더십이 학습 몰입에 미치는 영향)

  • Lee, Mi-Young;Kim, So-Myeong
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.915-924
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    • 2020
  • This study was a descriptive research study to identify the influencing factors on learning commitment of nursing students. Method: Data were collected from nursing students in two different universities in D and G metropolitan city. The data collection period was from November 26 to December 7, 2018. The analyzed by descriptive statistics, t-test, Scheffe test, Pearson's correlation coefficients, and multiple regression analysis using SPSS/WIN 21.0. Results: Learning commitment of the participants showed statistical differences according to grade level, satisfaction in major and interpersonal relationship. Learning commitment was positively correlated with self leadership (r=.738, p<.001). The factors affecting learning commitment were the needs for grade level (β=-.212, p=.011), satisfaction in major (β=.248, p=.001) and self leadership (β=.598, p<.001) explaining 58% of the total variance of learning commitment. Conclusion: As a result of this study, increase learning commitment in student nurses, it is necessary to develop program promoting satisfaction in major and self leadership.

A Study on the Critical Thinking Disposition of Nursing Students - Focusing on a School Applying Integrated Nursing Curriculum - (간호대학생의 비판적 사고 성향에 관한 연구 - 통합 간호교육과정을 실시하는 일 대학을 중심으로 -)

  • Yoon, Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.14 no.2
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    • pp.159-166
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    • 2008
  • Purpose: The purpose of this study was to identify the degree of critical thinking disposition of nursing students and the factors influencing critical thinking disposition. Method: The subjects were 406 nursing students attending at one university who have been taught by the integrated nursing curriculum. Data was collected by a self-administered questionnaire from Nov. 11, 2007 to Nov. 30, 2007. The survey tool developed by Yoon(2004) was used. Data was analyzed by t-test, one way ANOVA and Scheffe test using SPSS Win 12.0. Result: The mean score of critical thinking disposition was 3.57. The sub scales of critical thinking disposition were statistically significant in regard to grade, age and character of subjects. Overall mean score of critical thinking disposition and its sub scales were statistically significant according to the degree of satisfactory of majoring nursing, reason of choosing nursing as a major and satisfaction on integrated nursing curriculum. Conclusion: Critical thinking ability is very important in various nursing situations. Integrated nursing curriculum was developed to improve critical thinking ability of nursing students. It is recommended that evaluation on the goal attainment of the integrated nursing curriculum needs to be monitored continuously.

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What is meaning of internet game to the University students?

  • Kim, Jung-Ae
    • International Journal of Internet, Broadcasting and Communication
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    • v.8 no.2
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    • pp.75-80
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    • 2016
  • Objectives : The objective of this study is to examine the experiences of Internet game experience targeting to University students in Korea. Research topics was "What is meaning of internet game to the University students?" Methods : Classical phenomenology underpinned this study. Seven qualitative studies of University students were conducted between 20 and 23 years old. Semi-structured interviews were conducted. Interviews were audio recorded and transcribed verbatim. Phenomenological thematic analysis of data was undertaken. Results : The findings pivot around three interconnected themes :[Expectations for the emotional needs], [Spend time in the cyberspace], [Relieve stress throughout the game], [Instead of satisfaction from virtual reality], [Internet gaming repeat and desires]. The basic need for getting into internet game was [satisfaction from virtual reality was identified]. While internet games was eliminated stress, [Expectations for the emotional needs] and [Spend time in the cyberspace] were the catalyst that makes them repeatedly getting into Internet the game. Based on the result, I suggest that Internet gaming should be recognized as a tool to relieve stress for college students, But it is not satisfied with the reality in virtual space. Therefore, the strategy must be to recognize reality accompanying. And Using a lot of time in cyberspace make them cause of internet game addiction. Therefore, it requires a systematic strategy for the Internet using time limits. Also the emotional needs met were motivated to repeat an Internet game. So another way to meet the emotional needs to college students should be sought.

A Study about Research of Needs for Development of Sex Education Program on University Entrants (대학생 성교육 프로그램의 개발을 위한 요구도 조사연구)

  • Yeom, Gye Jeong;Kim, Il-Ok
    • Korean Parent-Child Health Journal
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    • v.21 no.1
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    • pp.11-19
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    • 2018
  • Purpose: This study aimed to explore the experiences and needs about sex education of university entrants in Korea, and to identify the relationship among the levels of sex-related knowledge, sexual attitude and reproductive health promoting behavior. Methods: Totally 188 freshman year of two different university were recruited to reply. The design of study was a exploratory research, using a cross-sectional survey. A self-administered questionnaire was used to measure the experiences and needs about sex education. The data were analyzed with the SPSS/WIN 21.0 program. Results: 95.2% of the experienced sex education but the level of satisfaction about sex education was 38.3%. The sex education methods that subjects wanted were comfortable and interesting using videos and practices. Sex-related knowledge significantly differed according to sex. Sexual attitude differed according to the experience of sex, the line of dating and the route of information about sex. There was positive correlations among sex-related knowledge, sexual attitude and reproductive health promoting behavior of female entrants. Conclusion: So sex education program, composed of knowledge, attitude and behavior should be interesting and helpful in order to fit current trends and fulfill university entrants' needs.

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A Study on the Relationship between Transformational Leadership and Organizational Commitment in Nursing Organization : Focusing on Moderating Effect of Career Characteristics (간호사의 변혁적 리더쉽과 조직몰입간의 경력특성의 조절효과)

  • Kim Myoung Sook;Park Young Bae
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.13-26
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    • 2001
  • Today's health care environment is rapidly changing and nurse administrators' transformational leadership needs to practice in nursing organization to achieve organizational objectives. Transformational leadership is related to the job satisfaction, productivity, and organizational commitment. This study investigated the effect of transformational leadership and carreer characterics on nurses' organizational commitment. The sample for this study consisted of 594 nurse from 8 large Korean hospitals. The factor analysis Cronbach's alpha analysis, Pearson correlation analysis, multiple regression analysis and hierarchical multiple regression analysis were used for the statistical method. The results of this study were found that (1) charisma dimension of transformational leadership has positive influence on nurses' organizational commitment; but another two dimensions (intellectual stimulation and individualized consideration) did not showed significant effect on organizational commitment (2) nurses' career characteristic(age, marital status, education level. work duration, status) moderated the effect of transformational leadership on organizational commitment.

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Development and Effects of a Comprehensive Web-Based Nursing Process for Nursing Students (간호학생을 위한 웹 기반 간호과정 프로그램의 개발 및 만족도 평가)

  • Hong, Sung-Jung;Kim, Hwa-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.18 no.4
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    • pp.497-505
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    • 2011
  • Purpose: This study was conducted to develop a comprehensive web-based nursing process program to assist nursing students and to evaluate the effects of the program. Methods: The system provides nursing students with guidelines based on NNN (NANDA, NOC, NIC) when the nursing students conduct a series of nursing procedures on diagnosis-outcome-intervention for a specific symptom. It also maintains and manages nursing processes actually conducted by students for clinical practices, and provides an environment where the patient information and nursing process can be converted into a formatted document for printing. This web-based program was used to surgical patients from April to June 2011. Results: The overall satisfaction rate was 3.64. The item with the highest score was, 'Do you think a web-based nursing process program is necessary?' (3.87), followed by 'Do you want to use this program when you become a nurse and implement the nursing process?' (3.33). Conclusion: These results indicate that implementation of web-based programs needs to be continued as an effective tool, but more research is needed on the best way to implement web-based programs in various clinical setting.

Convergence Factors Influencing Learning Satisfaction of Nursing Students on Non-face-to-face mixed classes during the COVID-19 Pandemic (코로나19 상황에서 성인간호학 비대면 혼합수업이 간호대학생의 학습만족도에 영향을 미치는 융복합적 요인)

  • Park, Seurk
    • Journal of the Korea Convergence Society
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    • v.13 no.5
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    • pp.401-411
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    • 2022
  • The purpose of this study was to identify the convergence factors influencing learning satisfaction of nursing students in the COVID-19 pandemic after applying non-face-to-face mixed classes consisted of both real-time and non-real time distance educations. The participants were 109 nursing students who attended in a university and completed the self-report questionnaire. Data were analyzed using the SPSS 23.0 program. The results showed that the learning flow was 3.41, self-regulated learning ability was 3.75, and learning satisfaction was 3.98. Learning satisfaction showed a positive correlation with learning flow (r=.42, p<.001) and self-regulated learning ability (r=.75, p<.001). In addition, the factors influencing the learning satisfaction of the subjects of this study were self-regulated learning ability (𝛽=.662) followed by 60.6% (F=25.63, p<.001). Therefore, to enhance learning satisfaction of nursing students, it is necessary to increase their self-regulated learning abilities and to develop and apply training program considering the needs of the educational environment change in the post-COVID-19 era.

Experience of Nurses Participating in Comprehensive Nursing Care (간호·간병통합서비스를 적용한 병동 간호사의 환자간호 경험)

  • Park, Kwang-Ok;Yu, Mi;Kim, Jong-Kyung
    • Journal of Korean Academy of Nursing Administration
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    • v.23 no.1
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    • pp.76-89
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    • 2017
  • Purpose: This study was conducted to examine the experience of nurse in comprehensive nursing care. Methods: Experiential data collected from 9 nurses through in-depth interviews. Participants were selected from nurses working in the comprehensive nursing care unit at general hospital. The main question was "Can you describe your experience in the comprehensive nursing care unit?" All interviews were recorded and transcribed, then analyzed using Colaizzi's method. Results: Nine themes were derived from the analysis: 'Practice nursing care', 'Feel thankful of the client', 'Difficulty in nursing due to absence of patients' guardian', 'Tired of over-demanding patient and distrust of guardian', 'Confusion regarding one's identity as a nurse', 'Not enough to support system', 'Insufficient pre-training for nurse and client', 'Requirement of work establishment for nurse and nurse aid', 'Concerns about low rewards and high safety accidents'. Conclusion: As a comprehensive nursing service, the nurses provided total patient care, and patient satisfaction and expression of appreciation increased. However, disadvantages were identified, such as patients' excessive needs, communication difficulties, lack of support systems, low compensation, and a high number of safety accidents. Therefore, systematic comprehensive nursing will be achieved if these shortcomings are addressed.