• 제목/요약/키워드: nursing journal

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간호과정 용어체계를 이용한 간호기록 분석 - 군병원 정형외과 재원환자 기록 대상으로 - (Analysis on Military Hospital Nursing Records by NANDA, NIC, NOC System)

  • 김명자
    • 간호행정학회지
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    • 제16권1호
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    • pp.73-85
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    • 2010
  • Purpose: This study was to construct a useful nursing language system on military nursing field. Method: Military hospital nursing records were analyzed using NANDA(North American Nursing Diagnosis Association), NIC(Nursing Interventions Classification), and NOC(Nursing Outcomes Classification) systems. All kinds of nursing statements from 80 sets of orthopedics inpatient's records were deduced. All nursing statements were mapped to 167 NANDA diagnoses, 433 NIC interventions, and 260 NOC outcomes. Result: 14,744 nursing statements were extracted. Among the extracted nursing statements, 11.75% were linked with NANDA diagnosis, 83.62% were connected with NIC intervention, and 0.96% was tied to NOC outcome. 3.66% of nursing statements were not linked with NANDA-NIC-NOC system. In the nursing statements, 18 diagnoses of NANDA, 63 interventions of NIC, 8 outcomes of NOC were used. Conclusions: The majority of those nursing statements focused on nursing intervention of the nursing process; few nursing plans or goals were found in nursing records. Therefore, it's difficult to make the nursing process network with the nursing statements. Documenting nursing records using a nursing process will contribute to strengthen nursing practice in patient care and to develop nursing as science. Continuous further researches related to nursing records are needed to provide basic data for developing nursing language system and nursing record system.

간호실무현장에서 요구하는 간호대학 졸업생들의 간호핵심역량 (Nursing Core Competencies Needed in the Fields of Nursing Practice for Graduates in Nursing)

  • 이선경;박선남;정석희
    • 간호행정학회지
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    • 제18권4호
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    • pp.460-473
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    • 2012
  • Purpose: This study was done to provide information on issues of nursing core competencies needed in the fields of nursing practice for graduates in nursing, from the perspective of nursing managers, and to make suggestion for improving nursing education programs. Methods: Ten nursing managers participated in this study. They were in charge of clinical nursing education in the fields of nursing practice. Data were collected using focus group interviews and analyzed with the content analysis methodology of Downe - Wamboldt's. Results: Six types of nursing core competency - therapeutic nursing competency, professional nursing competency, administrative nursing competency, humanistic nursing competency, relational nursing competency, and personal nursing competency - were identified as nursing core competencies needed in the fields of nursing practice for graduates in nursing. Conclusion: Results of the study show important evidence for decision-making about nursing curriculum revision based on nursing core competency, both in the classroom and in nursing practice areas. These results should contribute to the development of evaluation indicators for nursing students or new nurses. Further research is required to measure degree of nursing core competency in graduates of nursing and to identify the effect of competency-based education for improving nursing core competency.

일반외과 간호기록에서의 중재, 지각한 간호중재의 중요도 및 수행 빈도 (Comparison among with Nursing Records, Nursing Intervention Priority Perceived by Nurse and Nursing Intervention Frequency of General Surgery Department)

  • 최은희;서지영
    • 성인간호학회지
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    • 제21권3호
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    • pp.349-354
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    • 2009
  • Purpose: The purpose of this study was to determine core nursing intervention in nursing records and to compare perceived nursing intervention priority and nursing intervention frequency of general surgery department. Methods: Subjects were 70 nurses who work in the general surgery department. Data was collected using a nursing intervention classification and analyzed by frequency and mean. Results: The most frequent nursing interventions of nursing records were orderly risk management, coping assistance, tissue perfusion management, skin/wound management and nutrition support. Important nursing interventions were tissue perfusion management, respiratory management, electrolyte acid-base management, elimination, peri-operative care. The most frequent nursing interventions were drug management, peri-operative care, risk management, tissue perfusion management, patient education. Conclusion: This study found that nursing records were different from intervention priority and nursing frequency. So further study is needed for finding focused intervention of specific subjects and differences with priority of nursing and frequency of nursing.

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위암환자를 위한 간호 데이터베이스 개발 (Development of the Nursing Database for Gastric Cancer Patients)

  • 정귀임;이병숙
    • 간호행정학회지
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    • 제7권3호
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    • pp.571-588
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    • 2001
  • Purpose : This study was to develop the nursing database for gastric cancer patients for clinical application. Method : Nursing data that development of this data base is comprehensive connected with gastric cancer patient nursing process frame to foundation as classification. Result : Each stage was processed based on the System Development Life Cycle. At the Strategy Planning stage, gastric cancer patient nursing process were analyzed. At the system Analysis Stage, database flowchart was drawn up based on frame of nursing process was drawn up. At the system Design Stage, a system was developed based on the flowchart and named the Nursing Database. The Nursing Database consisted of the patient's Basic Information, Patient's Nursing History, Discharge summary, Nursing Assessment, Nursing Diagnosis, Nursing Intervention/activity, Nursing Evaluation, Statics, Code Registration. Each element in flowchart was coded and made into a database. Nursing Assessment classified according to Gorden's Health Pattern Typology, and nursing diagnosis draws the standard 27 name of Hanguls and connected with nursing assessment. Nursing intervention and nursing activity draw 192 of thing that present in NIC, connected this with nursing assessment. Nursing evaluation is linked with nursing assessment, diagnosis and intervention by achievement availability of nursing goals. Conclusion : The biggest advantage of this database nursing process that can manage nursing information exactly and rapidly to foundation be.

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영양과 배설기능장애와 관련된 간호진단과 중재 프로토콜 개발 (Development of Standardized Nursing Diagnosis/Intervention Protocol for Nutritional and Eliminative problems)

  • 김조자;이지연
    • 성인간호학회지
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    • 제13권1호
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    • pp.148-158
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    • 2001
  • The purpose of this study was to develop a standardized Nursing Diagnosis/ Intervention Protocol through a literature review and validity testing. Seven nursing diagnoses were selected as major nursing diagnosis in the field of Nutritional and Eliminative problem. The nursing intervention list was made by an expert group's review of Nursing Intervention Classification(NIC) suggested nursing interventions. Nursing activities which were included in each nursing intervention were sorted to follow the nursing intervention process after review and revision. The expert group's validity testing was done twice using the Likert scale. As a result the Nursing Diagnosis/ Intervention Protocol for Nutritional and Eliminative Problems was made to include 7 Nursing Diagnoses, 51 Nursing Interventions and 631 Nursing Activities.

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Factors Influencing Disaster Nursing Competency of Nursing Students

  • 송은주;박숙경;양야기
    • 한국보건간호학회지
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    • 제33권3호
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    • pp.420-432
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    • 2019
  • Purpose: This study examined the relationships among disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency among nursing students by identifying the predictors of disaster nursing competency. Methods: The study participants were 306 nursing students in the nursing departments of 3 universities located in G City and J Province. The data was analyzed using descriptive statistics, t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression analysis. Results: The participants' scores for disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency were 5.41±1.68, 4.29±0.46, and 2.84±0.78, respectively. Disaster nursing knowledge, disaster preparedness attitudes, and disaster nursing competency exhibited positive correlations. The factors influencing disaster nursing competency among nursing students included disaster nursing knowledge, disaster preparedness attitudes, year level, disaster training experience, first-aid training experience, disaster area experience, medical service experience, and disaster severity awareness. These variables explained 17% of the variance in disaster nursing competency. Conclusion: Disaster nursing knowledge and disaster preparedness attitudes was positively related to disaster nursing competency. The findings of this study indicate that it is important to develop and apply education programs aimed at increasing disaster nursing knowledge and enhancing disaster preparedness attitudes among nursing students to improve nursing students' disaster nursing competency.

우리나라에서의 간호연구 우선순위 (Priorities of Nursing Research Areas in Korea)

  • 오의금;김조자;유지수;고일선;김미자
    • 대한간호학회지
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    • 제32권6호
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    • pp.803-811
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    • 2002
  • This study was to identify priority areas of nursing research in Korea. Method: A data analysis was done for the PhD subjects (n=133) who responded at the national level two-rounds delphi survey. Subjects were asked to assign a score from 1 to 7 for 29 nursing research areas regarding 3 aspects: the degree of nurses research leadership; the degree of contribution to nursing professions; and the degree of contribution to health and welfare of patients/clients. Result: For the overall three aspects, research area on clinical nursing practice was identified as the first priority, followed by nursing education, home health nursing, nursing research, and chronic disease. For nursing research leadership, research area on clinical nursing practice, nursing education, home health nursing, nursing research, and nursing diagnosis were identified. Concerning contribution to the nursing profession, the first priority was nursing education, followed by clinical nursing practice, nursing research, nursing policy, and home health nursing. Concerning contribution to the health/welfare of patients, clinical nursing practice, home health care, geriatric nursing, chronic disease, and symptom management were ranked as top 5 research priorities. Conclusion: The findings of this national survey will assist in building insights into the research needs of nurses practicing in Korea.

일반간호단위의 환자 분류군별 간호원가 산정연구 (Estimation of nursing costs by Patient Classification System(PCS) in general nursing units)

  • 박정호;송미숙;성영희;심원희
    • 간호행정학회지
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    • 제9권3호
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    • pp.379-389
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    • 2003
  • Purpose: The objective of our study was to figure out costs of nursing services in general nursing units based on the PCS in order to determine an appropriate nursing fee schedule. Method: The data were collected from 8 hospitals from September 9 to October 8, 2002. The costs of nursing services in general nursing units was analyzed by nursing hours based on the nursing intensity. The inpatient in the general nursing units were classified by Park's PCS tool(2000). Results: The distribution of patients by PCS ranged from class I to Class III in general nursing units. The higher PCS in general nursing units consumed more nursing hours. As a result, the higher nursing intensity, the more the daily average nursing costs in general nursing units. Conclusion: We found that the higher PCS, the more the daily average nursing costs in general nursing units. In conclusion, our study provides the evidence to refine the current nursing fee schedule that it does not differentiated from the volume of nursing services based on the nursing hours.

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임상특수분야 간호원가 산정;응급실, 수술실, 외래를 중심으로 (Estimation of nursing cost for selected special nursing services;operative nursing, emergency nursing, and ambulatory nursing)

  • 박정호;성영희;김을순;박광옥;박정숙;성일순;송미숙;조문수
    • 간호행정학회지
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    • 제8권2호
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    • pp.309-321
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    • 2002
  • Purpose: A cost analysis for nursing services in operative nursing unit, emergency nursing unit, and ambulatory nursing unit was performed using patient classification system by nursing intensity in order to determine an appropriate nursing fee schedule. Method: The data were collected from 4 secondary hospitals and 5 tertiary hospitals from November 14th 2000 to January 15th 2001. The study was conducted through four phases as follows: 1) Nursing hours of each nursing service in special nursing units were measured using three kinds of patient classification systems by nursing intensity. 2) The nursing cost of nursing services in operative nursing unit, emergency nursing unit, and ambulatory nursing units was estimated based on patient classification system by nursing intensity. Results: As a result, nursing hours by nursing intensity of each special nursing unit were measured, and every nursing cost by nursing intensity in operation room and emergency room was estimated, meanwhile, the cost of nursing services in ambulatory care units was estimated only per visit as shown in chapter 4. Conclusion: Future research on nursing cost should be extended to other special nursing units such as various intensive nursing care units, delivery room, and so on. In addition, the patient classification system should be refined for its appropriateness to apply all levels of medical institutions.

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