• Title/Summary/Keyword: intensive health care program

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Educational Needs in the Development of a Simulation Based Program on Neonatal Emergency Care for Nursing Students (시뮬레이션 기반 신생아 응급간호 교육 프로그램 개발을 위한 요구도 조사)

  • Yoo, So-Young;Kim, Sung-Hee;Lee, Ja-Hyung
    • Child Health Nursing Research
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    • v.18 no.4
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    • pp.170-176
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    • 2012
  • Purpose: The purpose of this study was to identify the current status and needs in neonatal emergency training for nursing students in Korea and to obtain preliminary information to develop a simulation based educational program on neonatal emergency care for nursing students. Methods: Structured questionnaires were distributed to five hospitals and ten nursing schools during April and May, 2012. Data were collected from 59 nurses who worked in the nursery or Neonatal Intensive Care Units and 13 nursing educators who had specialized in pediatric nursing. Results: Most nurses (86.4%) reported that they had experienced an emergency situation with newborns. Most nursing educators (84.6%) claimed that more intensive training with newborns is needed for nursing students. In particular, training in neonatal resuscitation (72.2%), respiratory distress (59.7%), and neonatal seizures (18.1%) were highly recommended as simulation based training for nursing students. Conclusion: A significant need for neonatal emergency educational programs was found. More efforts should be made to provide nursing students with knowledge and skills for working with neonates. The findings of this survey will ultimately provide a basis for developing a simulation based educational program on neonatal emergency care for nursing students.

Effects of the Intensive Teaching Program on Compliance of Health Behavior for Patients with Myocardial Infarction (강화교육 프로그램이 심근 경색증 환자의 건강행위 이행에 미치는 효과)

  • Jeong Hye Sun;Yoo Yang Sook;Moon Jung Soon
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.165-175
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    • 2002
  • The purpose of this study was to examine the effects of the intensive teaching program on compliance of health behavior for patients with myocardial infarction. The subjects were 47 patients and twenty-three patients were assigned to the experimental group and twenty-four to the control. Data were collected through questionnaire surveys. As for data analyses. $\chi^2$ test, unpaired t-test. Repeated measures ANOVA were adopted using the SAS program. The results were as follows : 1. After 4 weeks 1) The compliance scores of health behavior were significantly higher in the experimental group than in the control group. 2) The experimental group was at a higher compliance score for smoking cessation. dietary health behavior, doing regular exercise, avoiding physical stress and managing mental stress than the control group. 2. After 12 weeks 1) The compliance score of health behavior was significantly higher in the experimental group than in the control group. 2) The experimental group was at a higher compliance score in smoking cessation. dietary health behavior (except abstaining from alcoholic beverages), doing regular exercise. avoiding physical stress and managing mental stress than the control group. The above findings show that the intensive teaching care program was effective In increasing compliance of health behavior in the patients with myocardial infarction.

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Effect of the Management of Infection for Methicillin Resistant Staphylococcus aureus at an Neurosurgical Intensive Care Unit (신경외과중환자실 내에서 MRSA 감염관리 효과)

  • Kim, Yun-Kyung;Lee, Ji-Min;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.11 no.2
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    • pp.114-119
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    • 2009
  • Purpose: The effectiveness of an infection control program is important to hospital quality improvement and decreases of mortality rate and prevalence. Methicillin resistant Staphylococcus aureus (MRSA) is the most common pathogen causing nosocomial infection. The aim of the study was to identify the most important risk factors for acquiring an MRSA, to evaluate the MRSA incidence rates after the nursing intervention in Neurosurgery intensive care unit (ICU). Methods: Clinical data were collected prospectively from December 2008 until July 2009 in Neurosurgery ICU. The patients were divided into preintervention and postintervention groups. An infection was defined as an MRSA if it occurred 48 hr after admission to the Unit. Infection control program including hand washing, education of health care workers about MRSA, standard precaution and contact isolation of patients were applied for three month. Results: A total of 85 patients were included in the study. Forty-five patients of S. aurerus were detected. Among 45 of S. aurerus, MRSA were isolated from 38 patients. The incidence MRSA rate of postintervention group was 26.9% while incidence MRSA rate of preintervention group was 66.7%. In total, The incidence MRSA rate was 44.7%. The incidence of MRSA have decreased in the postintervention as compared with the preintervention group. Conclusion: The infection control program for MRSA was effective to decrease the MRSA isolation rate. The health care workers regular hand washing, education of nosocomial infection control is important enough to be emphasized.

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Factors related to the Management of MultiDrug-Resistant Organisms among Intensive Care Unit Nurses: An Application of the Health Belief Model (건강신념모델에 근거한 중환자실 간호사의 다제내성균주 감염관리 수행에 영향을 미치는 요인)

  • Kim, Suyoung;Cha, Chiyoung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.22 no.3
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    • pp.268-276
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    • 2015
  • Purpose: The purpose of this study was to identify factors which influence the management of MultiDrug -Resistant Organisms (MDROs) by nurses in Intensive Care Units (ICUs). Methods: Data were collected from December 8 to 20, 2013 and participants were 163 ICU nurses working in one general hospital. The Health Belief Model tool and knowledge and management of MDROs infection tools were used in the study. Descriptive statistics, t-test, analysis of variances, Pearson correlation coefficients and multiple regression were used to analyze the data. Results: Knowledge, perceived susceptibility, and perceived benefits had a significant influence on MRSA (Methicillin Resistant Staphylococcus Aureus,) and MDRAB (Multidrug Resistant Acinetobacter Baumannii) infection management when all the other variables were considered. Significant variable which had influence on VRE (Vancomycin Resistant Eenterococci) infection management were perceived susceptibility and perceived benefits. Conclusion: Perceived susceptibility and perceived benefits had significant influence on MDROs infection management. Emphasis needs to be on the perceived susceptibility and perceived benefits of MDROs infection management when providing an educational program for ICU nurses.

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home (재가암 환자 통합건강증진 프로그램 개발 및 효과)

  • Yoon, Hee Sang;Hwang, Eun A
    • Research in Community and Public Health Nursing
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    • v.32 no.1
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    • pp.51-63
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    • 2021
  • Purpose: This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a χ2 test, Fisher's exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors' comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

Development and Operation of an Education Program for HIV/AIDS Counseling Nurses (HIV/AIDS 상담간호사를 위한 교육 프로그램의 개발과 적용)

  • Han, Jong-Sook;Yoo, Yang-Sook;Han, Hye-Ja;Hwang, Kyung-Hye
    • Journal of Home Health Care Nursing
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    • v.20 no.2
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    • pp.113-123
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    • 2013
  • Purpose: This aim of the present study was to assess a newly developed education program for HIV/AIDS counseling nurses. Methods: An education program was developed based on literature reviews, previous project analysis, focus group interview and expert meetings. The program comprised of 3 levels: basic, advanced, and intensive, which included 80, 70, and 60 hours of education, respectively. From May to December in 2012, 17 counseling nurses completed the program and we evaluated their learning achievements, attitudes towards AIDS, confidence in consultation, empathic ability, and training sessions. We also measured the nurses' satisfaction with the program before and after completion. Results: After completing a monthly education program lasting 12-15 hours, the nurses' mean learning achievement was 88.5%, 88.3% and 91.4% out of the basic, advanced, and intensive levels, respectively. Although the nurses' attitudes towards AIDS did not change, their confidence and empathic abilities increased following the basic and intensive components of the programs. Satisfaction with the educational sessions and program operation was 4.23 out of 5.0. Conclusion: This newly developed education program for HIV/AIDS counseling nurses promoted learning achievements as well as, confidence and empathic ability in consultation. HIV/AIDS counseling nurses should receive continuous education opportunities to enhance their potential.

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Relationship Among Nurses' Knowledge, Attitude Towards Palliative Care and Perception of Death in Neonatal Intensive Care Units (신생아중환자실 간호사의 완화간호에 대한 지식과 태도 및 죽음에 대한 인식 간의 관계)

  • Wi, Da Hee;Kang, Sook Jung
    • Child Health Nursing Research
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    • v.22 no.4
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    • pp.257-264
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    • 2016
  • Purpose: The purpose of this study was to investigate the relationship among knowledge and attitude toward palliative care and perception of death for Neonatal Intensive Care Unit (NICU) nurses. Methods: A cross-sectional descriptive study was conducted with 110 nurses who work in NICUs in South Korea. The participants filled out a questionnaire regarding their knowledge, attitude towards palliative care and perception of death. The attitude scale was divided into 3 subscales: comfort level, nurses' role and nurses' involvement with family. Results: Comfort level regarding attitude towards palliative care was positively correlated with knowledge (r=.220, p=.016) and the perception of death (r=.194, p=.042). Nurses' role showed a positive correlation with perception of death (r=.395, p=.001). Conclusion: NICU nurses' knowledge of palliative care was below standard across the board, implying that there is a definite need for palliative care education for nurses. The education program for palliative care should include a section that focuses on fostering a positive perception of death as well as defining and delineating the role of nurses.

Application of a Documentary about High-risk Newborns in Nursing Education: An Exploratory Study (고위험신생아 간호교육에서의 다큐멘터리 활용에 대한 탐색적 연구)

  • Kang, Hyun-Ju;Yu, Juyoun
    • Child Health Nursing Research
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    • v.26 no.2
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    • pp.173-180
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    • 2020
  • Purpose: The purpose of this study was to explore nursing students' recognition and understanding of the clinical environment of high-risk neonatal nursing care after watching a documentary about the neonatal intensive care unit (NICU), where high-risk newborns are treated. Methods: This study was a qualitative content analysis. In total, 151 nursing students' personal essays describing their reactions to a documentary about the NICU were analyzed using the NVivo 12 program. Results: Nursing students' experiences of engaging with a documentary about the NICU were structured into four thematic categories: 'actual observations of the imagined NICU', 'observation and recognition of nursing knowledge', 'empathy with people related to the baby', and 'establishing attitudes and values as a nurse'. Conclusion: Based on the results of this study, it is suggested that documentaries can be applied in nursing education about high-risk newborns.

Stress due to End-of-Life Care, Coping Strategies, and Psychological Well-being among Nurses in Neonatal Intensive Care Units (신생아집중치료실 간호사의 임종간호 스트레스, 대처방식 및 심리적 안녕감)

  • Kwon, Eun Hee;Ju, Hyeon Ok;Jeung, Eun Ok;Han, Chun Hee;Im, Jin Ju;Lee, You Ri;Jung, Min Seung;Park, So Yeon
    • Child Health Nursing Research
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    • v.24 no.4
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    • pp.475-483
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    • 2018
  • Purpose: This study aimed to identify stress levels due to end-of-life care, coping strategies, and psychological well-being among nurses in neonatal intensive care unit, and to investigate the effect of stress levels and coping strategies on their well-being. Methods: A total of 128 nurses in the neonatal intensive care units of general hospitals in B city participated. The data were collected using a self-report questionnaire. The collected data were analyzed using descriptive statistics, the t-test, ANOVA, the Pearson correlation coefficient, and hierarchical regression with SPSS version 22.0. Results: The coping strategy that nurses most often used was seeking social support. The factors affecting the well-being of the participants were wishful thinking, problem-focused coping and seeking social support, in order. Those 3 variables explained 21 % of the total variance in psychological well-being. Problem-focused coping and seeking social support were positively associated with psychological well-being, while wishful thinking showed a negative association. Conclusion: In order to improve the psychological well-being of nurses in neonatal intensive care units, it is necessary to provide nurses with a program to build a social support system and to improve their problem-based coping skills.

Patterns of Impatient's Families In the Intensive Care Units (중환자실 입원환자 가족 유형)

  • Kim Kyoung Seon
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.1-12
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    • 2002
  • This study, aimed to categorize pattern of impatient's families in the ICU and to provide useful data for development of family-supportive program was conducted from June, 12 to Aug., 28, using Q-method. After reviewing the literature the researcher proceeded to interview 4 impatient's families in the ICU, developed the statement from consisting of 38 items, and then 30 impatient's families in the ICU were sampled. The collected data were coded after having been scaled from 1 to 9 points, and analyzed using the PC QUANL program. Three types were identified; The first type focused on self-regret about the impatient, the second type of families had some concerns for their health, and the third type was thinking of preparing for their future-lives, such as insurance and savings. It was common to feel powerlessness, regret, compassion, grief and anxiety in all types. They wanted to be given some information, the prognosis of patient and the way to overcome. The study will offer better understanding for family-centered approach and be useful for the system of orientation about impatients and their families.

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