• 성인간호학회지
• /
• 제19권2호
• /
• pp.178-190
• /
• 2007

Purpose: This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience. Methods: The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method. Results: As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world. Conclusion: With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.

• 보건행정학회지
• /
• 제29권2호
• /
• pp.228-236
• /
• 2019

Background: This study investigates the impact of weekend admission with a patient safety indicator (PSI) on 30-day mortality among long-term insurance beneficiaries. Methods: Data were obtained from the National Health Insurance Service-Senior claim database from 2002 to 2013. To obtain unbiased estimates of odds ratio, we used a nested case-control study design. The cases were individuals who had a 30-day mortality event after their last medical utilization, while controls were selected by incidence density sampling based on age and sex. We examined the interaction between the main independent variables of weekend admission and PSI by categorizing cases into four groups: weekend admission/PSI, weekend admission/non-PSI, weekday admission/PSI, and weekday admission/non-PSI. Results: Of the 83,400 individuals in the database, there were 20,854 cases (25.0%) and 62,546 controls (75.0%). After adjusting for socioeconomic, health status, seasonality, and hospital-level factors, the odds ratios (ORs) of 30-day mortality for weekend admission/PSI (OR, 1.484; 95% confidence interval [CI], 1.371-1.606) and weekday admission/PSI (OR, 1.357; 95% CI, 1.298-1.419) were greater than for patients with weekday admission/non-PSI. Conclusion: This study indicated that there is an increased risk of mortality after weekend admission among patients with PSI as compared with patients admitted during the weekday without a PSI. Therefore, our findings suggest that recognizing these different patterns is important to identify at-risk diagnosis to minimize the excess mortality associated with weekend admission in those with PSI.

• 보건의료산업학회지
• /
• 제3권1호
• /
• pp.33-46
• /
• 2009

In order to analyze possible effects of senior hospital selection factors and service satisfaction on senior hospital patients' revisit of senior hospital, this study surveyed guardians of total 204 patients hospitalized in major 4 senior hospitals in Busan. As a result, this study came to the following conclusions: First, it was found that guardians considered appropriateness of medical treatment cost as the biggest factor of choice, which was followed by kindness of doctor and hospital employees, locational accessibility (traffic convenience), and doctor's medical capacity. Second, the factor analysis about patients' satisfaction showed that the influential factors consisted of satisfaction at medical staffs, satisfaction at nursing and care, and satisfaction at facilities. Third, there was not significant difference in the overall impression of hospital and the intention of revisit depending upon sociological variables. Fourth, satisfaction at nursing and care and satisfaction at facilities had significant effects on better satisfaction at overall impression of hospital, and it was noted that the shorter admission period and the less complaint led to the higher intention of revisit. Therefore, it is necessary to improve satisfaction at medical staffs, nursing and care, and facilities rather than patients' own sociological characteristics.

• 한국간호교육학회지
• /
• 제29권3호
• /
• pp.272-280
• /
• 2023

Purpose: This study was conducted to identify the level of senior nursing students' knowledge about palliative care, meaning of life, and willingness to palliative care and to identify factors affecting their willingness to palliative care. Methods: Data were collected from 192 senior nursing students at six nursing schools in four cities in Korea from December 8, 2022 to January 5, 2023. Descriptive statistics, an independent t-test, Pearson's correlation, and multiple linear regression test were used to analyze the data. Results: The mean±standard deviation score of knowledge about palliative care and meaning of life were 8.44±2.20 and 146.48±19.32. Factors affecting senior nursing students' willingness to palliative care were the knowledge about palliative care (β=.18, p=.005), meaning of life (β=.36, p<.001), and motivation for admission into a nursing school based on aptitude and interest (β=.16, p=.020). Conclusion: It is necessary to develop a nursing education program for enhancing knowledge about palliative care and meaning of life to prepare the palliative care competency of nursing students.

• 디지털융복합연구
• /
• 제15권11호
• /
• pp.317-327
• /
• 2017

본 연구는 간호대학생의 간호전문직관과 비판적 사고성향이 환자안전에 대한 태도에 미치는 융 복합적 영향을 규명하고자 시도되었다. 연구 대상자는 S지역 소재 2개 대학의 4학년 학생 172명이며 자료 수집기간은 2017년 5월 15일부터 5월 26일까지이다. 수집된 자료는 SPSS 23.0 Version을 이용하였으며 t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient와 Hierarchical regression analysis를 실시하였다. 연구 결과 연구대상자의 환자안전에 대한 태도는 3.76점으로 중간 정도이었다. 간호전문직관과 비판적 사고성향은 환자안전에 대한 태도와 양의 상관이 있는 것으로 나타났다. 환자안전에 대한 태도에 유의한 영향을 미치는 변수는 간호학과 지원동기의 '주변권유'와 학업성적, 전공만족, 간호전문직관으로 이들 변수의 설명력은 17.8%로 나타났다. 따라서, 간호대학생의 환자 안전에 대한 태도를 향상시키기 위하여 학과 지원동기, 학업성적, 전공만족도 및 간호전문직관 확립을 위한 체계적인 관리가 필요하며, 향후 환자안전에 대한 태도에 영향을 미치는 설명력 있는 변수에 대한 추가연구가 필요하다.

• 한국보건간호학회지
• /
• 제37권2호
• /
• pp.205-217
• /
• 2023

Purpose: This study sought to identify the levels of coronavirus disease 2019 (COVID-19) knowledge, anxiety, nursing professionalism, and clinical practicum stress, and the factors influencing this stress in nursing students. Methods: A cross-sectional and descriptive study was conducted with the participation of 140 junior and senior nursing students recruited from three nursing colleges in Busan and Gyeongsangnam-do. Data analysis was performed using independent t-tests, Pearson's correlation coefficient, and multiple regression using the SPSS/WIN 26.0 program. Results: The study arrived at a mean score of 63.18±13.89 for clinical practicum stress, which showed a significant difference based on the perceived health status and reasons for admission to nursing school. Anxiety and professionalism exhibited a noteworthy correlation with clinical practicum stress. The significant predictors of clinical practicum stress among nursing students were perceived health status (β=.39, p<.001), anxiety (β=.25, p=.033), and the reasons for admission to nursing school (β=.17, p=.012). The total explanatory power of these variables was 23.0% (F=6.28, p<.001). Conclusion: The results of this study suggest that it is necessary to provide effective education to promote nursing professionalism during a pandemic. It is also necessary to develop and include various programs in the curriculum that strategically intervene to prevent anxiety in pre-service nurses. This would reduce the stress in the clinical practice of nursing students when faced with new infectious diseases in the future.

• 동의신경정신과학회지
• /
• 제20권3호
• /
• pp.237-247
• /
• 2009

Objectives : Tremor is increasing recently especially among senior citizens. In this case, the patient who had mandibular tremor caused by trauma, was not improved by western medicine. We tried to apply Oriental medical treatment. Methods : We treated the patient with acupuncture therapy and herbal medication and measured the frequency of the tremor, Jaw expression of Abnormal Involuntary Movement Scale(AIMS) and Visual analog scale. Results: After treatment symptom of mandibular tremor was decreased significantly and other symptoms such as insomnia disappeared. Conclusions : During the admission days symptoms are decreased in contentment. This result suggests that Oriental medical treatment has good effect on tremor.

• Child Health Nursing Research
• /
• 제21권3호
• /
• pp.204-215
• /
• 2015

Purpose: This descriptive research was conducted to identify educational needs in pediatric nursing handoff training to improve students' handoff skills. Methods: Data were collected using a survey with 188 senior nursing students and 48 pediatric nursing professors and clinical nurses. The survey included items on general information as well as experiences in handoff training, necessity, training content, and items for a handoff training program in pediatric nursing. Results: Of the nursing students, 30.5% reported receiving handoff training during their clinical hours. After their handoff training, the students' confidence index was only 3.78 out of 10. Significantly, 98.3% of the respondents said that pediatric handoff training is necessary. In addition, participants reported that simulation practice (26.5%) is an appropriate educational method, and the time required for handoff training should be 8.16 hrs. Admission process was placed first as the most critical circumstance for handoff (56.8%). High demands were observed for the necessity of training content for patients with respiratory problems. Conclusion: The results of this study show the various educational needs for developing a patient safety pediatric handoff training program to promote nursing students' skills in handoff.

• 한국콘텐츠학회논문지
• /
• 제19권11호
• /
• pp.132-143
• /
• 2019

본 연구는 교육대학의 입시 제도가 사교육과 어떤 관련성이 있는지를 알아보고, 사교육 경감을 위한 교육대학 입시 제도의 개선 방향에 대해서 탐색하고자 하였다. 이를 위해 현장에서 대학 입시를 담당하는 대구·경북 지역의 고등학교 3학년 담임교사들과 교육대학 입시를 실제적으로 경험한 D 교육대학 1학년 재학생을 대상으로 교육대학 입학 전형 요소와 사교육과의 관련성에 대한 인식을 알아보았다. 연구 결과, 교육대학 입시에서 내신 강화가 공교육을 강화하는 효과도 있지만, 내신이 중요하다는 인식이 강하게 작용하여 오히려 사교육을 강화하는 역작용이 발생할 여지가 있다는 의견이 많았다. 농촌 지역인 경상북도와 대도시인 대구 지역의 전형 요소별 인식 차이가 커서 지역 사회의 특성을 고려한 전형과 각 교육대학이 위치한 지역별 특성을 반영한 입시 제도의 도입이 필요하다. 정시 전형의 요소별 점수 반영 비율에 대해서 3학년 담임교사들은 수능 점수 반영 비율을 낮추어야 한다는 의견을 제시했으며, 이와 함께 면접 반영 비율의 상향을 주장하였다. 본 연구의 결과를 통해 사교육 감소를 위한 교육대학 입시제도의 개선 방향에 대한 시사점은 서류 평가의 공정성 확보가 요구되며, 면접의 강화와 함께 나타날 수 있는 사교육 문제의 해결을 위해서 면접의 방향 및 문항에 대한 공개가 뒤따라야 한다는 것이다.

• 한국콘텐츠학회논문지
• /
• 제14권3호
• /
• pp.328-336
• /
• 2014

본 연구는 간호학생의 임상실습에 대한 피로와 자기효능감 정도 및 상관관계를 파악하고 간호교육 향상을 위한 기초자료를 제공하고자 수행되었다. 연구대상은 D시에 소재하는 2개 대학 3학년 여학생 207명이었고, 자료수집은 구조화된 설문지를 사용하여 2013년 6월 1일부터 30일까지이었다. 수집된 자료의 분석은 SPSS 18.0 프로그램을 이용하여, 빈도와 백분율, 평균과 표준편차, t-test, ANOVA 및 Pearson's correlation coefficient로 분석하였다. 본 연구의 결과, 피로정도는 3.52($SD={\pm}.52$)점, 자기효능감 정도는 3.29($SD={\pm}.47$)점으로 임상실습 시 중상정도의 피로와 자기효능감을 경험하는 것으로 나타났다. 건강상태가 좋을수록 피로가 낮았으며, 자의에 의한 입학동기와 전공만족도가 높을수록 자기효능감이 높게 나타났다. 피로가 낮을수록 자기효능감이 높게 나타나 부적인 상관관계를 나타내었다(r=-.315, p<.001). 이상의 연구결과로 효율적인 임상실습교육을 위해 간호학생의 피로 예방과 자기효능감 증진 프로그램 개발이 요구된다.