• Korean Journal of Adult Nursing
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• v.19 no.2
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• pp.178-190
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• 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.

• Health Policy and Management
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• v.29 no.2
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• pp.228-236
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• 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.

• The Korean Journal of Health Service Management
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• v.3 no.1
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• pp.33-46
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• 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.

• The Journal of Korean Academic Society of Nursing Education
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• v.29 no.3
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• pp.272-280
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• 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.

• Journal of Digital Convergence
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• v.15 no.11
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• pp.317-327
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• 2017

This study examined convergence effects of nursing professionalism and critical thinking disposition on patient safety attitude of nursing students. The subjects were 172 senior nursing students in S city. The data were collected from May 15 to May 25, 2017. The data collected were analyzed using SPSS Statistics version 23.0. Nursing students showed 3.76, moderate level in patient safety attitude. Nursing professionalism and critical thinking disposition were positively correlated with patient safety attitude. The variables that have significant influence on the patient safety attitude were 'recommendation' among motivation of admission, academic score, satisfaction with nursing major and nursing professionalism. These factors explained 17.8% of variance. In conclusion, to improve the patient safety attitude of nursing students, it is necessary to systematic management for developing motivation of admission, academic score, satisfaction with nursing major and nursing professionalism.

• Journal of Korean Public Health Nursing
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• v.37 no.2
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• pp.205-217
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• 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.

• Journal of Oriental Neuropsychiatry
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• v.20 no.3
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• pp.237-247
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• 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
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• v.21 no.3
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• pp.204-215
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• 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.

• The Journal of the Korea Contents Association
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• v.19 no.11
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• pp.132-143
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• 2019

The purposes of this study are to identify how university's entrance examination system is related to private education, and to explore how to improve the university of education entrance system in order to reduce private education costs. For these purposes, 116 teachers of senior students in high school in Daegu and Gyeongbuk and 107 pre-service teachers who had experienced the entrance of the university were surveyed in order to find out the perception of the relationship between admissions elements and private education. As a result, it is possible to concentrate more on school education by strengthening high school grades in the entrance examination. However, there was other opinion that the strengthening high school grades in the university entrance could lead to the further increase in the cost of private education. As there are big differences in the perception of the screening factors between rural areas (Gyeongsangbuk-do) and large cities (Daegu), it is necessary to introduce the entrance examination system considering the characteristics of each region. Third-year teachers in high schools argued that university admissions should reduce the rate of the College Scholastic Ability Test (CSAT) and increase the rate of interviews. The results of this study suggest that the improvement of the university entrance examination system to reduce the cost of private tutoring requires securing fairness of document evaluation, strengthening interviews, and opening interview questions.

• The Journal of the Korea Contents Association
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• v.14 no.3
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• pp.328-336
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• 2014

The purpose of this study was to identify levels of fatigue and self-efficacy of clinical practice among nursing students and to examine the relationship of fatigue and self-efficacy. A cross-sectional descriptive study was conducted with 207 senior nursing students. Self-administered questionnaires were used to collect data during the period from 1st to 30th of June, 2013. Data were analyzed by descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficient using SPSS 18.0 program. At the results, the average levels of fatigue and self-efficacy were 3.52/5($SD={\pm}.52$) and 3.29/5($SD={\pm}.47$) respectively that meant above moderate. Study participants having motive of admission to nursing school voluntarily and having high satisfaction with nursing major were shown higher self-efficacy. There were correlated negatively between fatigue and self-efficacy(r=-.315, p<.001). By the findings of this study, it is necessary to develop a nursing practice education program to reduce the level of fatigue and improve the self efficacy of nursing students.