• Title/Summary/Keyword: care sensitivity

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The Impact of Nurses' Attitude toward Dignified Death and Moral Sensitivity on Their End-of-Life Care Performance (간호사의 품위 있는 죽음태도와 도덕적 민감성 정도가 임종간호수행에 미치는 영향)

  • Jo, Kae Hwa;Kim, Yeon Ja
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.223-231
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    • 2013
  • Purpose: This study was conducted to explore how nurses' attitude toward dignified death and moral sensitivity affect their end-of-life care performance. Methods: Study participants were 172 nurses who work at university hospitals in a metropolitan city in Korea. Data were collected from June 20 through August 13, 2012 using the Dignified Death Scale, Moral Sensitivity Scale, and End-of-Life Care Performance Scale. Data were analyzed using the SPSS/WIN 19.0 program. Results: Factors affecting nurses' end-of-life care performance included moral sensitivity, dignified death and education level. Conclusion: Moral sensitivity, dignified death and education level should be considered when developing an educational program for nurses' end-of-life care performance.

A Comparative Study between fathers and mothers on the Parenting Efficacy, Knowledge of Infant-care and Sensitivity (아버지와 어머니의 부모 효능감, 양육지식 및 민감성의 비교 연구 - 영아기 자녀를 둔 부모를 대상으로 -)

  • Yee, Young-Hwan;Oh, Mi-Yeon
    • Korean Journal of Human Ecology
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    • v.9 no.3
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    • pp.47-62
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    • 2006
  • The purpose of this study is comparing parenting efficacy, knowledge of infant-care and sensitivity, The subjects of this study were 100 parents having 12-24 monthes old child in the city of Jeonju, Korea. Parenting efficacy was developed by Shin, Suk-Jae(1997) and consisting of 16 questions. The knowledge of infant-care was assessed using Knowledge of Child Development Inventory(KCDI) by Yoon Hyung Ju, which was modified by pedology Professor and 3 graduate school students in master's or doctorate courses. In addition, by using a tool made by Gwon, Mi-Gyeong(1998) centering on the literatures on infant cue in Barnard's NCAST program, the parents' sensitivity of infant cue is investigated. The statistical analysis of the collected data is done with SPSS 10.0, and frequency, percentage, average, standard deviation, t/F test and Pearson's correlation are also used. The results of this study were as following: First, mother's parenting efficacy was higher than father's. There were significant differences in parenting efficacy by eudcational level of mothers. Second, knowledge of infant-care was higher in mothers than fathers. Areas that mothers have knowledge of infant-care in the order of the lowest areas are emotional development, sociality development, physical development and cognitive development. Third, mothers reaction to infant cue is more sensitive and positive than father's. Fourth, There were positive correlations with father's parenting efficacy and knowledge of infant-care on emotional development, and paternal parenting uneasiness has negative correlations with his sociality development and emotional development.Meanwhile, There were positive correlations with mother's parenting efficacy and knowledge of infant-care on emotional development. Maternal parenting efficacy has negative correlations with her knowledge of infant-care on emotional development.

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Effects of Age, Breast Density and Volume on Breast Cancer Diagnosis: A Retrospective Comparison of Sensitivity of Mammography and Ultrasonography in China's Rural Areas

  • Wang, Feng-Liang;Chen, Fei;Yin, Hong;Xu, Nan;Wu, Xiao-Xiang;Ma, Jing-Jing;Gao, Shen;Tang, Jin-Hai;Lu, Cheng
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2277-2282
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    • 2013
  • Purpose: Mammography has been confirmed as the only effective mode to improve the prognosis of patients with breast cancer in Western developed countries, but might not be a good choice in other areas of the world. One of the major challenges in China is to determine an optimal imaging modality for breast cancer screening. This study was designed to clarify the sensitivity of ultrasonography compared with that of mammography in rural China. Methods: We retrospectively studied the sensitivity of mammography and ultrasonography based on 306 breast cancer patients detected by the program of "screening for cervical cancer and breast cancer" performed in Chinese rural areas between January 2009 and December 2011, and analyzed the effects of age, breast density and volume on the sensitivity. Results: Stratified analysis showed that the sensitivity of breast ultrasonography was significantly higher than that of mammography in premenopausal patients (81.4% vs. 61.1%, p=0.02), in women ${\leq}$ 55 years of age (82.2% vs. 63.4%, p<0.01), in the high breast density group (American College of Radiology [ACR] levels 3-4) (85.9% vs. 60.6%, p<0.01) and in the small breast volume group (${\leq}$ 400 ml) (87.1% vs. 66.7%, p<0.01). Age had a significant effect on sensitivity of mammography (breast density and volume-adjusted odds ratio, 6.39; 95% confidence interval, 2.8-14.4 in age group > 55 compared to age group ${\leq}$ 45), but not that of ultrasonography. Neither breast density nor volume had significant effect on sensitivity of mammography or ultrasonography. Conclusions: Ultrasonography is more sensitive than mammography in detecting breast cancer in women under 55 year-old Chinese, especially in those with high-density and relatively small breasts.

A Study on the Structural Relations Between Infant Teachers' Career, Efficacy, Sensitivity, and the Development of Professionalism (영아교사의 경력 및 교사효능감과 민감성, 전문성 발달 간의 구조적 관계 연구)

  • Kim, Jin Kyung;Kang, Eun Young;Yun, Hye Joo
    • Korean Journal of Childcare and Education
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    • v.16 no.5
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    • pp.155-171
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    • 2020
  • Objective: The purpose of this study is to analyze the structural relations between infant teachers' career, efficacy, sensitivity, and the development of their professionalism. Methods: Data were collected from 320 infant teachers working at day care centers in Gyeonggi-do and Seoul. The collected data were applied to SPSS 22.0 program. With the data, correlation analysis and structural equation model analysis were conducted. Results: Firstly, infant teachers' career didn't influence the development of their professionalism directly, but indirectly affected their efficacy and sensitivity. Secondly, the variables that directly affected the development of their professionalism were teacher efficacy and sensitivity. Thirdly, teacher efficacy and sensitivity had full mediation between their career and the development of professionalism. Conclusion/Implications: Infant teachers' career affected the development of their professionalism through teacher efficacy and sensitivity. Based on the result, a plan for developing infant teachers' professionalism was proposed, and suggestions of follow-up research were discussed.

Moral Distress and Moral Sensitivity of Nurses Working in Long Term Care Hospitals (요양병원 간호사의 도덕적 고뇌와 도덕적 민감성)

  • Kim, Ji-Ah;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.6
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    • pp.240-251
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    • 2018
  • This study was conducted to evaluate the moral distress, moral sensitivity, and the factors that influence moral distress and the experience of moral distress among nurse working in a long-term care hospital. Overall, 180 nurses working in long-term care hospital in G Province were evaluated. Date were collected from March 21 to April 8, 2016 and analyzed using the SPSS/WIN 23.0 program. The mean of moral distress among nurses was 3.57 and the moral sensitivity was 4.82, and these factors was significantly and positively correlated (r=0.494, p<0.001). Regression analysis revealed that the factors that significantly influenced moral distress were moral sensitivity and ethical dilemmas when conducting nursing practices. Situations that caused nurses to experience moral distress included inappropriate care behavior was not guaranteed the quality of nursing care, conditions related to unethical the human rights, conditions related to the lack of nursing staff and conditions related to the lack of support at the organizational and national level. Therefore, to reduce moral distress, nursing intervention programs that improve the moral sensitivity and ability to solve ethical-problems are needed for nurses working in long-term care facilities.

Influence of Professional Self-concept, Moral Sensitivity on Elderly Care Performance of Geriatric Hospital Nurses (요양병원 간호사의 전문직 자아개념과 도덕적 민감성이 노인간호실천에 미치는 영향)

  • Do, Young-Joo;Kang, Young-Sil
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.5
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    • pp.128-136
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    • 2019
  • This study was conducted to investigate the relationship among professional self-concept, moral sensitivity and elderly care performance nurses in geriatric hospitals, as well as to clarify factors that affect nurses' elderly care performance. Participants consisted of 153 nurses working in geriatric hospital in G Province were evaluated. Date were collected from September 15 to October 15, 2018 and analyzed using the SPSS/WIN 23.0 program. The mean of professional self-concept was $2.87{\pm}0.35$ out of 4, that of moral sensitivity was $4.70{\pm}0.47$ out of 7 and that of elderly care performance $3.51{\pm}0.41$ out of 4. Elderly care performance was siginificantly positively correlated with professional self-concept (r=.48, p<.001) and moral sensitivity (r=.31, p<.001). Factors influencing elderly care performance were professional self-concept (${\beta}=.32$, p=.001), moral sensitivity (${\beta}=.18$, p=.021), educational experience of geriatric nursing (${\beta}=.17$, p=.029), which explained 31.6% of elderly care performance. The results of this study suggest that supporting systems should be arranged to provide various learning opportunities as a way to increase the professional self-concept of nurses with short career as well as intervention strategies may be necessary to make education of geriatric nursing obligatory.

Factors Influencing Nurses' Performance of Care in COVID-19 Wards (감염 전담 병동 간호사의 COVID-19 환자 간호업무수행에 영향을 미치는 요인)

  • Kim, Yoon Sun;Kim, Mi-Ae
    • Journal of Korean Academy of Nursing
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    • v.51 no.6
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    • pp.678-688
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    • 2021
  • Purpose: The purpose of this study was to identify factors influencing nurses' performance of care in COVID-19 wards. Methods: The participants were 132 nurses who worked in COVID-19 wards at three hospitals, and were recruited from April 1 to May 31, 2021. Data were analyzed using descriptive statistics, t-test, ANOVA, and multiple regression analysis with SPSS/WIN 24.0 program. Results: Nursing performance was significantly and positively correlated with ethical sensitivity (r = .75, p < .001), nursing professionalism (r = .67, p < .001), and social support (r = .67, p < .001). Nursing professionalism was positively correlated with ethical sensitivity (r = .64, p < .001) and social support (r = .55, p < .001). Multiple regression analysis for nursing performance revealed that the most significant factor was ethical sensitivity (β = .47, p < .001). Ethical sensitivity, nursing professionalism, and social support explained 66.0% of total variance in nursing performance. Conclusion: Ethical sensitiviy, nursing professionalism, and social support significantly influence nurses' performace of care in COVID-19 wards. It suggests that intervention programs should be directed at improving nurses' ethical sensitivity, bolstering social support, and enhancing nursing professionalism.

The Effects of Infant Child Care on Infant-mother Attachment (타인양육 영아의 어머니에 대한 애착)

  • Yang, Yeon Suk;Cho, Bok Hee
    • Korean Journal of Child Studies
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    • v.22 no.1
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    • pp.51-66
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    • 2001
  • This study investigated whether infant child care experience, alone or in combination with mother/child factors, is associated with attachment security. Participants were forty 12-to 18-month-old infants and their mothers. Infants were observed in the Strange Situation to assess the pattern of infant-mother attachment; the Observational Ratings of the Caregiving Environment was used to assess the caregiving environment. Mothers were interviewed with the questionnaires and observed in the laboratory "living room". There were significant main effects of maternal sensitivity and responsiveness and of stability of care on attachment security and on insecure/avoidance. Significant interaction effects revealed that infants were more likely to be secure when high maternal sensitivity/responsiveness was combined with good quality child care, non-maternal care initiated prior to six months of age, or care by close relatives.

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Infant-Child Care Teacher Interaction : Infant Development, Teachers' Sensitivity and Early Home Environment (보육시설에서의 영아-교사 상호작용과 영아의 발달수준, 교사의 민감성 및 초기 가정환경 간의 관련성에 관한 연구)

  • Choi, Eun-Jung;Ha, Ji-Young;Seo, So-Jung
    • Korean Journal of Child Studies
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    • v.30 no.2
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    • pp.71-95
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    • 2009
  • This study investigated relationships among infant development, teacher's sensitivity, home literacy environment, and infant-teacher interaction in the child care setting. Verbal and behavioral interactions between 30 2-year-old infant-teacher pairs were video-recorded during free play activities; teachers' sensitivity was observed by trained observers; infant development was assessed by teachers; data on the early home literacy environment were gathered through maternal self-reported questionnaires. Data were analyzed by descriptive statistics, t-tests, and correlation analyses. Results indicated that boys showed more naming; girls showed more physical contact with teachers. Infants high in overall developmental level showed more behavioral interaction with teachers. Teacher's sensitivity correlated positively with behavioral imitating and negatively with questioning and nodding. Verbal interaction in the home correlated positively with nodding.

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Factors influencing nursing students' care intentions toward emerging infectious diseases patients: A descriptive-predictive study

  • Park, Seungmi;Jang, Insun;Yu, Soo-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.28 no.4
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    • pp.421-432
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    • 2022
  • Purpose: As coronavirus disease 2019 (COVID-19) and other emerging infectious diseases continue to threaten health security, a strategy is required to increase nursing students' care intention for patients with such diseases. This study aimed to identify factors influencing Korean nursing students' care intentions in regard to patients with emerging infectious diseases. Methods: The care intention, COVID-19 knowledge level, ethical sensitivity, beliefs, attitudes toward the care intention, subjective norms, and perceived behavioral control were investigated using the theory of planned behavior. An online survey was completed from December 2020 to January 2021 by 227 nursing students who had complete a clinical practicum. Descriptive statistics, correlation, and hierarchical regression analyses were conducted on the data. Results: The care intention was higher in men than in women nursing students and in junior than in senior students. Behavioral and normative beliefs, attitude toward the behavior, and perceived behavioral control significantly predicted care intention. Ethical sensitivity increased the predictability of nursing students' care intentions for emerging infectious disease patients. Conclusion: The theory of planned behavior predicted nursing students' care intentions for emerging infectious diseases. Therefore, an experience-based response program on emerging infectious diseases is required for nursing students.