International Journal of Advanced Culture Technology
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v.7
no.4
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pp.32-39
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2019
The purpose of this study was to identify the effects of visual programs on job stress and burnout in emergency room nurses. This study used a nonequivalent control group pretest-posttest design. There were 26 participants in the experimental group and 27 in the control group. Data collection took place from December 12, 2017 to February 17, 2018. The program comprised eight weekly 120-minutes sessions, which included understanding and assessing job stress and burnout. Data were analyzed using the Chi-square test, paired t-test, and independent t-test. As a result, levels of job stress (t=-20.09, p<.001) and burnout (t=-22.31, p<.001) decreased significantly in the experimental group. The results suggest that the Visual Media Program could be an effective strategy for reducing job stress and burnout. Therefore, it is deemed a useful intervention for improving the quality of nursing care provided in emergency rooms.
Journal of Korean Academy of Nursing Administration
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v.8
no.3
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pp.361-372
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2002
Purpose : The purpose of study was to identify to analysis of core nursing interventions performed by Operating Room nurses. Method : The subjects of the study were arbitrarily selected nurses(n=104) working in Operating Room. The period for data collection was 15 days from July, 15, 2002 to July, 30. 2002. The instrument for study was 486 Nursing Interventions Classification developed by McClosky & Bulechek(2000) and was translated into Korean. In 486 nursing interventions, 57 nursing interventions were selected by more than half of 47 professional nurses group of Operating Room. 57 nursing interventions were used as a secondary questionnaire. In the secondary questionnaire, labels and definitions of all 57 interventions were listed. The collected data were self reported by Operating Room nurses. The data were analysed with SPSS program. Result : In 57 nursing interventions, the 'Behavior' domain was the most frequently used. Core interventions of Operating Room were performed several times a day by more than 50% of Operating Room nurses. Core interventions of Operating Room were 16 Core interventions, 7 classes, 5 domains. In the core interventions, the 'Physiological:Complex' domain was the most frequently used. Core interventions of Operating Room were Surgical Preperation, Infection Control:Intraoperative, Surgical Precautions, Fall Prevention, Documentation, Surgical Assistance, Environmental Management:Safety, Skin Surveillance, Physical Restraint, Pressure Ulcer Prevention, Environmental Management:Comfort, Infection Protection, Presence, Emotional Support, Specimen Management, Shift Report. Conclusion : Core interventions of Operating Room have implications for nursing care practice, nursing education, nursing research, and nursing information system in Operating Room.
Purpose: The purpose of this study was to examine the effects of cold oral gargling on oral discomfort among Non-Hodgkin's lymphoma patient undergoing chemotherapy. Method: An quasi-experimental, nonequivalent control group design was used. Thirty two patients receiving chemotherapy at G hospital in P city were recruited from August 1, 2002 to October 20, 2002. Sixteen were conveniently allocated into the experimental group and 16 into the control group. Participants in the experimental group used cold oral gargling while their counterparts used room temperature oral gargling. Subjective and objective oral discomforts were measured by the instruments developed by Beck. The SPSS WIN 10.0 program was used to analyze the data with t-test, ${\chi}^2$ -test, and repeated measures ANOVA. Findings: The participants in the experimental group reported less oral discomfort and showed better oral conditions than those in the control group at the post 7th, 14th, and 21st days. Participants in the experimental group reported better oral conditions in taste, tongue, eating, and saliva than those in the control group. Conclusion: The cold oral gargling seemed to be more beneficial than room-temperature oral gargling in reducing oral discomfort for the Non-Hodgkin's lymphoma patients undergoing chemotherapy.
Carbon monoxide(CO) poisoning has been one of the major environmental problems because of the tissue hypoxia, especially brain tissue hypoxia, due to the great affinity of CO with hemoglobin. Inhalation of the pure oxygen$(0_2)$ under the high atmospheric pressure has been considered as the best treatment of CO poisoning by the supply of $0_2$ to hypoxic tissues with dissolved from in plasma and also by the rapid elimination of CO from the carboxyhemoglobin(HbCO). Hydrogen peroxide $(H_2O_2)$ was rapidly decomposed to water and $0_2$ under the presence of catalase in the blood, but the intravenous administration of $H_2O_2$ is hazardous because of the formation of methemoglobin and air embolism. However, it was reported that the enema of $H_2O_2$ solution below 0.75% could be continuously supplied $0_2$ to hypoxic tissues without the hazards mentioned above. This study was performed to evaluate the effect of $H_2O_2$ enema on the elimination of CO from the HbCO in the recovery of the acute CO poisoning. Rabbits weighting about 2.0 kg were exposed to If CO gas mixture with room air for 30 minutes. After the acute CO poisoning, 30 rabbits were divided into three groups relating to the recovery period. The first group T·as exposed to the room air and the second group w·as inhalated with 100% $0_2$ under 1 atmospheric pressure. The third group was administered 10 ml of 0.5H $H_2O_2$ solution per kg weight by enema immediately after CO poisoning and exposed to the room air during the recovery period. The arterial blood was sampled before and after CO poisoning ana in 15, 30, 60 and 90 minutes of the recovery period. The blood pH, $Pco_2\;and\;Po_2$ were measured anaerobically with a Blood Gas Analyzer and the saturation percentage of HbCO was measured by the Spectrophotometric method. The effect of $H_2O_2$ enema on the recovery from the acute CO poisoning was observed and compared with the room air group and the 100% $0_2$ inhalation group. The results obtained from the experiment are as follows: The pH of arterial blood was significantly decreased after CO poisoning and until the first 15 minutes of the recovery period in all groups. Thereafter, it was slowly increased to the level of the before CO poisoning, but the recovery of pH of the $H_2O_2$ enema group was more delayed than that of the other groups during the recovery period. $Paco_2$ was significantly decreased after CO poisoning in all groups. Boring the recovery Period, $Paco_2$ of the room air group was completely recovered to the level of the before CO Poisoning, but that of the 100% $O_2$ inhalation group and the $H_2O_2$ enema group was not recovered until the 90 minutes of the recovery period. $Paco_2$ was slightly decreased after CO poisoning. During the recovery Period, it was markedly increased in the first 15 minutes and maintained the level above that before CO Poisoning in all groups. Furthermore $Paco_2$ of the $H_2O_2$ enema group was 102 to 107 mmHg and it was about 10 mmHg higher than that of the room air group during the recovery period. The saturation percentage of HbCO was increased up to the range of 54 to 72 percents after CO poisoning and in general it was generally diminished during the recovery period. However in the $H_2O_2$ enema group the diminution of the saturation percentage of HbCO was generally faster than that of the 100% $O_2$ inhalation group and the room air group, and its diminution in the 100% $O_2$ inhalation group was also slightly faster than that of the room air group at the relatively later time of the recovery period. In conclusion, the enema of 0.5% $H_2O_2$ solution is seems to facilitate the elimination of CO from the HbCO in the blood and increase $Paco_2$ simultaneously during the recovery period of the acute CO poisoning.
This study was designed to evaluate the prevalence and significant features of accidental patients and to evaluate the degree of satisfaction on emergency care who visited emergency room. The subject of this study was a total of 243 accidental patients and 249 patients with disease visiting emergency room of 4 university hospitals in Seoul. The data was collected from guestionnaire during the period of January to february 1999. The results were summarized as follows. 1. Distribution of the general characteristics (age, sex, educational status, marrital status and job) in the accidental patients were significantly different from that of the control group. The most common group of age was 20-30 years of age and males predominated over female. 2. CD Fourty two $\%$ of accidental patients arrived within 30 mins. (2) Fifty seven $\%$ of patients was first-aided one. (3) An ambulance was the most frequently used transportation. (4) The time interval from arrival to initial emergency care was 10 mins. (5) Admission rates of the patients after treatment was $72.0\%$. (6) Time interval from arrival to completion was 3-4 hours. 3. The Mean score of the accidental patents' degree of satisfaction on emergency services was $3.26\pm0.64$ which was not significantly different from that of control group.
Park, Sung Ae;Park, Kwang Ok;Kim, Myung Suk;Yoon, Gae Suk;Lee, Yoon Young
Journal of Korean Clinical Nursing Research
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v.14
no.1
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pp.71-84
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2008
Purpose: The purpose of this study was to develop a performance tool to evaluate operating room nurses. Method: In the first stage, 59 preliminary items were selected after two focus group meetings were carried out using as background a reference review. At this stage 59 items were developed. Next, the selected preliminary items were modified by an expert group of nurses with over 10 years experience, nurses holding doctoral degrees and professors in nursing. In the third and fourth stage, these items were analyzed by the expert group to determine validity and tested by hospital nurses with over 10 years experience to determine reliability Results: For the final tool, the 59 items, 47 items for the performance evaluation dimension and 12 items for the competence evaluation dimension were found to be valid and reliable. Cronbach's $\alpha$ was .9622, a promising alpha value for the total instrument. Conclusion: This tool is an efficient performance evaluation instrument providing meaningful feedback for operating room nurses.
The purpose of this study is to unveil the characteristics of residential space organizations in dementia units. Observation, interview, and drawing analysis of the sample units were used to collect the data for new dementia unit plans. The findings revealed the lack of minimum requirement of residential spaces per person in some sample units, the necessity of consideration of group units, and the change of units based plans to each floor based plans. However, insufficient recreation rooms and the lack of caregivers' resting spaces in the sample units were uncovered. Thus, various recreation rooms such as a reading room, flower room, pottery room, bakery room, or game room should be provided in the sample units. The conclusion is that asylum oriented residential types should be changed to each floor based units having privacy and high satisfaction of residential life. The study of floor oriented residential units focusing on minimum spaces of the floor, space numbers, number of elderly persons on each floor should be studied in the near future.
This research aims to establish the size standard of university library's user space, and present the standard and method to calculate total area required in the planning of new building construction and remodeling. Nine university libraries newly constructed or remodeled since 2000 were selected among the libraries of large scale universities with more than 10,000 enrolled students as the target libraries in this research. The target libraries were classified into A group (five cases partially remodeled) and B group (four cases newly constructed or fully remodeled) on the basis of the change of times. A university library can be divided into three spaces (user space, administration space and public space). This research classified the reading room in the user space into bookshelf zone, reading zone, information/office zone and hall/other zone, and analyzed area ratio according to each zone. B group's bookshelf zone decreased 12% more than A group, and B group's reading zone increased 10% more than A group. However, there was no big change in the area ratio of information/office zone and hall/other zone. This can be interpreted that university library changes from book and archive preservation-oriented space to user-oriented space. This research presented a proper reading room area calculation method, based on the capacity of books, by reflecting such a change. Each zone's standard was set up through classification of domestic and international standards, based on which, the calculation method of university library's total floor area required was presented. The reason why there was difference in university library's total floor area required according to domestic standard and international standard was that the number of enrolled students per seat in the reading room was different. The area calculation methods presented in this research can be utilized as useful data upon planning university library construction or remodeling.
The number of one-person households has increased because of social and economic changes in Korea. The purpose of this study is to figure out the need for different types of furniture plans, based on life styles, that minimize undesired dead spaces for those individuals who live by themselves in a one-room studio. Residents of Busan, who are in their 20 to 40 s, answered questionnaires provided by the researchers. 156 questionnaires were analyzed through a statistical process by using SPSS Win 18.0K. The major findings are as follows: (1) The subject's lifestyles were classified into five lifestyle factors: the self-actualizing lifestyle factor, the well-being pursuing lifestyle factor, the open and sociable lifestyle factor, the stable and convenient lifestyle factor, and the information-oriented lifestyle factor. (2) These factors contributed to five lifestyle groups with common characteristic: the 'self-actualizing group' has a positive attitude about self-improvement and most subjects in this group are professionals. The 'well-being pursuing group' has a positive attitude about comfort living. The 'open and sociable lifestyle group' mostly consisted of students who are very positive in regards to accepting new trends. The 'stable and convenient lifestyle group' values stability and convenience in their life. The 'information-oriented group' pursues a lifestyle substantially depending on obtaining online and off-line information.
A quasi-experiment, repeated measures design with non-equivalent control group was used to test the influence of cold therapy on the perineal discomfort and the healing state of the postpartum women undergoing vaginal delivery with episiotomy. Experiment was carried out from July 28, through October 2, 1996 with 40 postpartum women conveniently sampled from one university hospital located in Seoul. The 40 postpartum women undergoing vaginal delivery with episiotomy were as signed to experimental and control groups evenly(20 each). The instrument of measurement of perineal discomfort was 0-10 rating scale that was made by researcher and that of perineal healing state was Davidson's REEDA tool. The perineal discomfort and the healing state level were measured before and after each treatment. The treatment using ice glove that was given for the only experimental group was carried out at three points ; as soon as returning to the recovery room, 3 hours after returning to the recovery room and 6 hours after returning to the recovery room. The data was analysed by using t-test, chi-square test to determine the similarity between experimental and control groups. The hypotheses were tested using repeated measures ANOVA. The results of this study are summarized as follows; 1. The first hypothesis that the perineal discomfort level of the experimental group will be significantly lower than that of the control group(df(1,38), F=24.12, p=.0001) was supported. 2. The second hypothesis that the perineal healing state of the experimental group wil be better than that of the control group(df(1,38), F=0.48, p=.49) was not supported. Based on the results of this study, could therapy was turned out to have significant effect on the perineal discomfort of the postpartum women undergoing vaginal delivery with episiotomy.
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