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Effects of Clinical Nurses' Grit, Social Support, Job Crafting, and Evidence-Based Practice Competency on Job Satisfaction (임상간호사의 그릿, 사회적 지지, 잡 크래프팅, 근거기반 실무역량이 직무만족도에 미치는 영향)

  • Seo, Bo Ram;Kang, Kyoungrim;Park, Kyo Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.30 no.1
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    • pp.54-64
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    • 2024
  • Purpose: This descriptive survey study aimed to examine the effects of grit, social support, job crafting, and evidence-based practice competency on job satisfaction among nurses. Methods: The participants of this study were 211 clinical nurses with experience of more than six months. Data were collected using through an online survey from February 1 to February 17, 2023. The questionnaires was consisted of general characteristics, grit, social support, job crafting, evidence-based practice competency, and job satisfaction. Data were analyzed using descriptive statistics(frequency, percentage, mean, and standard deviation), t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis with the SPSS/WIN 28.0 program. Results: The average scores of the main variables were 3.08±0.44 out of four for grits, 3.67±0.52 out of five for social support, 4.20±0.64 out of five for job crafting, 4.84±0.71 out of seven for evidence-based practice competency, and 3.72±0.55 out of five for job satisfaction. In the regression model, the factors affecting the nurses' job satisfaction were grit (β=0.66, p<.001) and social support (β=0.11, p=.046), which explained 78.7% of the variance in job satisfaction. Job crafting and evidence-based practice competency were correlated with job satisfaction; however, there was no statistically significant effects of these variables on job satisfaction. Conclusion: Based on the findings of this study, grit and social support showed the most significant effects on the job satisfaction of nurses. Therefore, active support is needed to develop a strategy to improve nurses' grit and to create a supportive work environment, which would be helpful to increase their job satisfaction.

Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial

  • Kim, Sun-Hee
    • Women's Health Nursing
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    • v.28 no.3
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    • pp.250-263
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    • 2022
  • Purpose: The purpose of this study was to develop a webtoon education program on preventive self-management related to premature labor (PSM-PL) for women of childbearing age, to evaluate its effects, and to assess the usability of webtoon education for women of childbearing age. Methods: The study design was a stratified randomized trial with repeated measures. The participants were Korean women of childbearing age (between the ages of 19 and 49 years), with 49 participants each. The preventive health management self-efficacy related to premature labor (PHMSE-PL) scale, the preventive self-management knowledge related to premature labor (PSMK-PL) scale, and usability of webtoon education were assessed. The intervention group read six episodes of the PSM-PL webtoon within 2 days after clicking an online link. The control group did not receive anything but was given the webtoon after the last measurement. To test the effect of the repeatedly measured variables, a generalized estimating equation model was used. Results: The experimental group had statistically significantly greater increases in PHMSE-PL and PSMK-PL scores from baseline to immediately after and 2 weeks later than the control group. The average score for usability of webtoon education was high (4.52; standard deviation, 0.62) on a scale of 1-5. Conclusion: This webtoon education program on PSM-PL was a feasible and acceptable program that increased self-efficacy and knowledge of preventive health management of premature labor in women of childbearing age. Future studies that adopt a webtoon format can be beneficial for childbearing women with other risk factors.

Study on the Teaching/Learning Methodology in WBI (웹 기반 학습에서의 교수-학습 방법에 관한 연구)

  • 민용식;안창훈
    • Journal of the Korea Computer Industry Society
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    • v.2 no.3
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    • pp.341-356
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    • 2001
  • In this study, we develope a WBI(Web Base Instruction) program to do the student oriented learning using WWW and analyze the result. The 127 students who took part in the experiment were divided into two groups, an experimental group of 85 subjects and a comparative group of 42 subjects. This experiment was performed for four periods, and a formative test was conducted to measure achievement for two groups. The average and the standard deviation of scores for the experimental group are 84.9 and 16.82 respectively, and the comparative group 77.5 and 14.39. Experimental results shows that the academic achievement for the experimental group is more significant than that of the comparative group at the 0.0024(P$\le$0.05)of the result "t-test" under the 91~95$\%$ confidence interval of the level of significance. This fact says that practicing the WBI programming has an effect on the improvement of the students' academic achievement.hievement.

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Difference of Functional Outcome and Related Factors in Patients With Stroke (일부 뇌졸중 환자의 기능변화 및 관련요인)

  • Yi, Seung-Ju;Jeong, Seong-Yeong
    • Physical Therapy Korea
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    • v.14 no.1
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    • pp.46-54
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    • 2007
  • The purposes of the present study were to determine the difference of functional outcome, and to identify factors associated with functional difference in patients with stroke. The sample consisted of 56 stroke patients who had received physical therapy at the physical therapy unit of the Dongeui Medical Center in Busan city between January 2000 and June 2002. Stroke patients were evaluated by physical therapists 3 times; The first day in physical therapy (PT) (T1), one month after the first day in PT (T2), and two months after the first day in PT (T3). Functional status was assessed with the Functional Independence Measure (FIM) instrument, a validated instrument for documenting the severity of disability and assessing the outcome of rehabilitation treatment. Functional gain was calculated over T2-T1, T3-T1, and T3-T2. SAS statistical software was used for the analysis. The Student's t-test, paired t-test, analysis of variance (ANOVA/Tukey and Scheffe), and analysis of covariance (ANCOVA) were used to examine the functional difference in variables. Repeated measures ANOVA was also used to analyze the functional difference by time (T1, T2, and T3). Multiple regression analysis was performed to determine the effects of independent variables on the difference of functional outcome as defined by the FIM score. A total of 56 stroke patients were evaluated, their average age${\pm}$standard deviation was $61.6{\pm}9.3$ years (range: 40~81 yr). The functional status of patients who received physical therapy for about 2~3 months was significantly improved (mean FIM scores, $20.5{\pm}1.8$, $28.9{\pm}1.9$, and $8.41{\pm}1.1$ points for each time period, respectively) (p<.0001). Diabetes was significantly associated with the FIM score for T2-T1 (p<.05). The type of diagnosis was significantly associated with the FIM score for T3-T1 (p<.05). Gender, smoking, and the FIM score on admission were significantly associated with the FIM score for T3-T2 (p<.05). In conclusion, gender, smoking, diabetes, the type of diagnosis, and the FIM score on admission were significantly associated with improved FIM scores. We recommend that further research should explore the functional outcome by using larger sample sizes, longer follow-up periods, and more sensitive assessment instruments.

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Research into Clinical Nurses' Knowledge, Importance and Perception of Diabetes Mellitus (임상 간호사의 당뇨병에 대한 지식, 중요도 및 인지도 조사)

  • Shin, Jeong-Sup;Park, Choon-Ja
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.95-107
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    • 2002
  • The purpose of this study is to determine the clinical nurses' knowledge of DM and diabetes patient education aptitude so as to provide a basis for clinical nurse training with respect to diabetes patient education program. The data has been collected through the questionnaires of 42 items from the Knowledge on DM and each 16 item from the Importance on the elements of diabetes patient and the Recognition for clinical nurses, respectfully. 166 nurses from a general hospital who had participated in clinical nurse training in Sep. 28 and Oct. 4, 2001 were subject to respond the questionnaires. Analysis has been done by using statistical method such as percentage, average, standard deviation, t-test, ANOVA, Duncan test and Pearson correlation coefficients. The findings are as follows: 1. Clinical nurses' knowledge levels of diabetes 1) The average level of nurses' knowledge about diabetes is 29.37 (right answer- finding rate: 70%), which is intermediate. 2) Amongst the nurses classified by their knowledge levels about diabetes, the group with less than one year career and that with more than 5 year careers are found to have higher knowledge levels. The item with the highest right answer-finding rate was 'Please find the wrong out of the following examples about foot care'. Meanwhile, the item with highest incorrect answer-finding rate was 'what does blood sugar control aims for amongst gestational diabetes?'. 2. Clinical nurses' importance and perception levels of educational training about diabetes 1) There were no differences amongst nurses' importance level about diabetes. 2) Nurses usually had high scores(4.30) in terms of the items related to the importances about educational training. 3) There were quite high recognitions of general characteristics and symptoms about diabetes, amongst the nurse cohorts working more than one year and less than 5 years, and over 5 years, the group belonging to the internal department, that having the previous experiences of dealing with diabetes, and that having their diabetic relatives and other close people. Meanwhile, strangely, the group who identified themselves as 'not good at treating diabetes' had a high recognition level of educational training about diabetes. 3. Relationship between knowledge levels and importance & perception levels of diabetes 1) The higher knowledge about diabetes nurses had, the more importance they recognized. 2) It is found that there was no relationship between knowledge and perception of diabetes. 3) The more importance about diabetes nurses had, the higher perception they obtained. In conclusion, there is an urgent need for systematic educational programs about diabetes including technical aspects, in order to upgrade and improve nurses knowledge levels. In addition, re-educational training should be provided at regular intervals. Further, we believe the nurses with high knowledge about diabetes and interests in the provision of educations for patients can be far more confident, and in return, patients can have better self-management about diabetes obtained through educations. Based on the above-mentioned findings, we would like to make the suggestion: re-evaluation about nurses' knowledge and cognition levels should be carried out after job training programs about diabetes.

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Relationship between Gender stereotype, Major satisfaction and Self-leadership in male Nursing Students (남자 간호학생의 성고정관념, 전공만족도 및 셀프리더십과의 관계)

  • Kim, Won-Jong;Kim, Jung-Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.133-139
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    • 2019
  • This study investigated the effect of gender stereotypes, majors subject satisfaction, and self-leadership in male nursing students. Data was collected from October 1, 2018 to December 10, 2018, enrolling male nursing university students attending four nursing departments located at G-province. Data were analyzed by frequency and percentage, mean and standard deviation, correlation analysis, and ANOVA, by applying the SPSS 22.0 program. Results of this study reveal the average gender stereotype of male nursing students to be $1.31{\pm}0.17$, average of major subject satisfaction $2.95{\pm}0.51$, and self-leadership $2.98{\pm}0.43$. Analyzing the characteristics of variables according to general characteristics revealed that major satisfaction scores are higher for students who think positively about school and major, have higher grades, and choose their major after considering their aptitude. Self-leadership was higher with age and school year, and among students who selected their major after considering future employment opportunities. This study aims to provide basic data for male nursing university students to help them to adapt well in the field of nursing.

Study on the Perceived Stress Level of Mothers in Neonatal Intensive Care Unit (NICU에 입원한 미숙아 어머니의 스트레스)

  • Kim, Tae-Im
    • Journal of Haehwa Medicine
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    • v.8 no.1
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    • pp.865-878
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    • 1999
  • With advances in neonatal medicine, smaller and sicker infants are surviving premature birth. As these tiny patients battle for their lives, their parents also struggle with psychological consequences of an unexpected role. The birth of a sick infants has long been documented as stressful events for the parents. High stress levels may alter parents' interaction with their baby and impair their communication with health professionals, which can in turn affect parents' participation in care planning and decision making. Nursing interventions aimed at reducing the parental stress and anxiety levels during this crisis may have a positive impact on their ability to form an attatchment to their baby and make prudent decisions about his care. The planning of such interventions would be inhanced if the contributions of various factors to increased parental stress levels were identified. This descriptive study was conducted to understand the contents and degree of parental stress in the NICU during their premature's hospitalization, and to give a baseline data in developing nursing intervention program. Subjects were the 60 mother of hospitalized newborn in NICU of 2 University Hospital in Taejon City from April 1st, 1999 to June 30th, 1999, who agreed to take part in this study. The instrument used in this study were Parental Stressor Scales:NICU(PSS:NICU) developed by Miles et al.. and validated by 3 NICU practitioners and 3 child health nursing faculties. The questionnaire has 4 dimensions and 45 items; sight and sounds of NICU(5 items), babies' appearance and behavior nursing intervention(19 items), parental role alteration and relationship with their baby(10 items), health team communication(11 items). The questionnaire asks parents to rate each item on a five-point Likert type scale that ranges from "not stressful" (1) to "extremely stressfu1"(5). Total scores representing overall stress from the NICU environment are calculated by summing response to each item. A high score indicates high stress. A subscale score is calculated by summing the responses to each item in the subscale. Cronbach's ${\alpha}$ coefficients were .93. The data was analyzed as average, Frequency, Standard deviation, t-test, ANOVA, Pearson correlation coefficient by use of SPSS/PC+. The results of this study is summarized as follows ; 1. The total perceived stress level score of mothers of premature baby was slightly high($3.66{\pm}1.1$). The highest scored dimension was 'relationship with their baby and parental role change'($4.21{\pm}0.9$), and next were 'appearance and behavior of the baby'($3.92{\pm}1.1$), 'communication with health team'($3.32{\pm}1.3$), 'sight and sounds of NICU'($3.30{\pm}1.1$). 2. There were statistically significant correlation noted ; mother's perceived severity of the baby's condition(F=8.0012, P= .0125) and baby's gestational age(r = -.4724, P = .0500). In summary, information about physical environment of NICU, the mother's perceived severity of premature baby's state, maternal role change related variables and the knowledge of characteristics of premature baby must be included in nursing intervention program of mother's of premature baby in reducing the parental stress and anxiety level. It is suggested that each NICU needs to develop a nurse managed supportive care program for parents of premature baby. Also, it is suggested that there need to investigate the coping mechanism of mother of premature baby.

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Efficacy and Safety of Autologous Stromal Vascular Fraction in the Treatment of Empty Nose Syndrome

  • Kim, Do-Youn;Hong, Hye Ran;Choi, Eun Wook;Yoon, Sang Won;Jang, Yong Ju
    • Clinical and Experimental Otorhinolaryngology
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    • v.11 no.4
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    • pp.281-287
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    • 2018
  • Objectives. Regenerative treatment using stem cells may serve as treatment option for empty nose syndrome (ENS), which is caused by the lack of turbinate tissue and deranged nervous system in the nasal cavity. We aimed to assess the efficacy and safety of the autologous stromal vascular fraction (SVF) in the treatment of ENS. Methods. In this prospective observational clinical study, we enrolled 10 ENS patients who volunteered to undergo treatment of ENS through the injection of autologous SVF. Data, including demographic data, pre- and postoperative Sino-Nasal Outcome Test-25 (SNOT-25) scores, overall patient satisfaction, and postoperative complications, were prospectively collected. Nasal secretion was assessed using the polyurethane foam absorption method, and the levels of biological markers were analyzed in both ENS group and control group using enzyme-linked immunosorbent assay. The SVF extracted from abdominal fat was diluted and injected into both inferior turbinates. Results. Among the 10 initial patients, one was excluded from the study. Subjective satisfaction was rated as "much improved" in two and "no change" in seven. Among the improved patients, the mean preinjection SNOT-25 score was 55.0 and the score at 6 months after injection was 19.5. However, the average SNOT-25 score of nine participants at 6 months after injection (mean${\pm}$standard deviation, $62.4{\pm}35.8$) did not differ significantly from the baseline SNOT-25 score ($70.1{\pm}24.7$, P>0.05, respectively). Among the various inflammatory markers assessed, the levels of interleukin $(IL)-1{\beta}$, IL-8, and calcitonin gene-related peptide were significantly higher in ENS patients. Compared with preinjection secretion level, the nasal secretions from SVF-treated patients showed decreased expressions of $IL-1{\beta}$ and IL-8 after injection. Conclusion. Although SVF treatment appears to decrease the inflammatory cytokine levels in the nasal mucosa, a single SVF injection was not effective in terms of symptom improvement and patient satisfaction. Further trials are needed to identify a more practical and useful regenerative treatment modality for patients with ENS.

A Study of Impacts on Students' Scientific Attitude by Specialized Thematic Science Club Activities (지역 특화 주제형 과학동아리 활동이 학생들의 과학적 태도에 미치는 영향)

  • Kim, Sang Woo;Lim, Sung Man;Wee, Soo Meen
    • Journal of the Korean earth science society
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    • v.38 no.6
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    • pp.438-447
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    • 2017
  • The purpose of this study was to investigate the effect of specialized thematic science club activities on the students' scientific attitudes. The subjects of this study were ninety students from two high schools in Korea. The study group consisted of forty experimental groups and forty six science clubs with no special topics. The mean, standard deviation, t-value, and significance were compared with the corresponding sample t-test. First, specialized thematic science club activities showed positive effects on students' scientific attitude. Although the average scores of the scientific attitudes of the experiment group and the control group were improved before the operation of the club, the increase of the experimental group which operated the specialized topic was larger than that of the control group and there was a statistically significant difference. In the analysis of sub-elements of scientific attitude, the increase of the experimental group was larger than that of the control group. There were no statistically significant results in the control group, but the experimental group showed significant differences in openness, creativity, and cooperativeness among the subordinate factors of scientific attitude. Second, to investigate the effects of the specialized thematic science club activities on the scientific attitude in school, family, and social situations solving the problems of daily life as well as solving the science problems, there was no significant difference within the group, but there was a statistically significant difference between the experimental group with the specialized topic and the home and school situation. This result indicated that the scientific attitudes required to solve problems in the home and school have improved positively.

A Study on Sexual Violence Consciousness and Cognition of Sexual Violence in University Students (대학생의 성폭력 인식 및 의식에 관한 기초조사)

  • Kim, Hui-Yeong;Na, Se-Hee;Nam, Kyoung-Min;Nam, Sun-Hyo;Noh, Ju-Hee;Doo, Song-Ee;Moon, Ji-Ye;Kim, Eun-Hee;Kim, Jin-A;Ahn, Seong-Ah
    • Journal of Korean Clinical Health Science
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    • v.1 no.1
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    • pp.63-74
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    • 2013
  • Purpose. The purpose of this study was to contribute to the development of the sexual education program by examining status of Sexual Violence Consciousness and Cognition of Sexual Violence of University students Methods. The subjects were 240 University students located in J-city. Data were collected during the period from Nov. 12, 2012 to Nov. 13, 2012. For the data analysis, SPSS 12.0 K program was utilized to get frequency number, percentage, average, standard deviation and t-test. Results. The results present different degrees of man and women's cause of sexual violence cognition and consciousness were as following ; The several scores of women higher more than man parts were 'Think of the woman as a sexual target(t=3.86, p<0.001)','Men's sexual urges(t=3.98, p<0.001)', 'The low status of women in society (t=3.85, p<0.001)', 'Male-dominated society and culture(t=5.62, p<0.001)', 'Acceptance of men aggression and activism(t=5.19, p<0.001)','Weak punishment (t=7.25, p<0.001)'and Man higher more than women parts were 'overexposure of women(t=3.88, p<0.001)'. Conclusion. Results suggest that sexual education program should strategies to increase a positive Consciousness and Cognition of Sexual Violence in their education programs in order to improve Consciousness and Cognition of Sexual Violence in University students.

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