• Title/Summary/Keyword: nursing skill

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A Study of Nursing Activities Performed by Nursing Personnel in Postanesthetic Room (회복실의 간호업무에 관한 조사 연구)

  • 최경숙
    • Journal of Korean Academy of Nursing
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    • v.7 no.2
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    • pp.22-30
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    • 1977
  • An analysis of the Nursing activities was carried out during the period of October 6 - 10, 1975 for five days, at postanesthetic room in Seoul National University Hospital. Continuous Time Study method was applied to this study by Observing and checking the activities performed by 8 nursing personnel at head nurse, staff nurse, and nurse aide level. Six nursing Students and 6 staff nurses observed and recorded all activities during the day and the evening for 5 days after certain process of training. Following results were obtained I 1. Percentages of nursing activity os were identified at each level of nursing personnel according to the skill Level 1) Thirty three point forty two Percent of the total head nurse's activities were spent by administrative activities, 21,33% by Clerical activities, 10.63% by Nursing activities, 6.54% by Messenger activities, 4.0% by Housekeeping activities, and 24. 08% by Unclassified activities, 2) Forty point forty two percent of the total staff nurses'activities were spent by Nursing activities, 12.7% by Administrative activities, 8.03% by Housekeeping activities, 3.08% by Clerical activities, 2.03% by Messenger activities, 0.08% by Dietary activities, and 34.19 o/e by Unclassified activities. 3) Thirty six point sixty three percent of the total nurse aide's activities were spent by Messenger activities, 14.4% by Housekeeping activities, 2.2% by Nursing activities, 1.0% by Clerical activities, 0.83% by Administrative activities, and 44.94% by Unclassified activities, 2. Percentages of nursing activities were identified at each level of nursing personnel according to area of activity. 1) Thirty three point ninety six percent of the total head nurse's activities were spent by Unit - Centered activities, 30.26% by Patient - Centered activities, 8.69 % by Personnel - Centered activities and 24.09 o/o by Other - Centered activities. 2) Fifty two point seventy four percent of the total staff nurses' activities were spent by Patient - Centered activities, 11.5 % by Unit -Centered activities, 1.68 % by Personnel -Centered activities and 34.02% by Other - Centered activities. 3) Forty nine point sixty seven Percent of the total Nurse aide's activities were spent by Unit -Centered activities, 5.13% by Patient -Centered activities, 0.27% by Personnel -Centered activities and 44.93%by Other -Centered activities. 3. Percentages of staff nurses' activities were identified at each skill Level according to their shifts. 1) Forty four point eighty one percent of the total day time activities were spent by Nursing activities, 13.62% by Administrative activities, 6.37% by Housekeeping activities, 2.08% by Clerical activities, 1.74 % by Messenger activities, 0.07% by Dietary activities and31.31 o/o by Unclassified activities. 2) Thirty three point eighty seven percent of the total evening time activities were spent by nursing activities, 10.51% by Housekeeping activities, 10.0% by Administrative activities, 4.58% by Clerical activities, 2.46% by Messenger activities, 0.09% by Dietary activities and 38.49% by Unclassified activities, 4. There was no great difference among activities of 5 days.

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Helping Health Care Providers Recognize and Respond to Sensitive Issues

  • Choi, Hee-Seung;Mayahara, Masako;Rasamimari, Amnuayporn;Norr, Kathleen F.
    • Perspectives in Nursing Science
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    • v.8 no.2
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    • pp.121-128
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    • 2011
  • Sensitive issues are both common and problematic for health care providers because sensitive issues may interfere with the future provider-client relationship and effective care. Most current training for providers focuses on a particular issue, but this is inadequate because many issues may be sensitive, and which issues will be sensitive is unpredictable. We argue that issues become sensitive when they activate one or more of three common triggers, fear, stigma, and taboo. A cycle of negative internal and interpersonal responses to the sensitive issue often leads to unresolved health issues for clients and stress and feelings of inadequacy for providers. We recommend integrated pre-service and in-service skill building to help individual health care providers respond appropriately to a wide variety of sensitive issues. We also identify specific policies and procedures to strengthen organizational support for caregivers so that providers can address these sensitive issues effectively with their clients.

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Effects of Core Fundamental Nursing Skills Education on Self-efficacy, Clinical Competence and Practice Satisfaction in Nursing Students (핵심기본간호술 실습교육이 간호학생의 자기효능감과 임상수행능력, 실습만족도에 미치는 효과)

  • Jho, Mi Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.3
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    • pp.292-301
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    • 2014
  • Purpose: The purpose of this study was to contribute to the development of efficient methods of nursing practice education by evaluating effects of core fundamental nursing skills education on self-efficacy, clinical competence and practice satisfaction in nursing students. Method: The research design was a one group pretest-posttest design and it was done to assess changes in self-efficacy and clinical competence from pre to the post-test which was given after the core fundamental nursing skills education was completed. Data were collected from September 5 to December 20, 2013 from 156 nursing students who were taking the 12-hours core fundamental nursing skills education at one university in Gyeonggi-do. This practicum was composed of 6 core fundamental nursing skills. Results: Self-efficacy and clinical competence scores improved. There was no significant difference in self-efficacy but there was a significant difference of clinical competence. In the subscales of clinical competence, the domain of nursing skill was scored the highest. The score for practice satisfaction was also high. Conclusion: The results indicate that the core fundamental nursing skills education is effective in improving clinical competence and practice satisfaction in nursing students. But new strategies are needed to improve self-efficacy.

Effects and Development of Clinical Competency Evaluation using Standardized Patients among Nursing Students: Based on Abdominal Surgical Patients (표준화 환자를 활용한 임상수행능력 평가방법 개발 및 적용효과: 복부수술 후 환자간호)

  • Sok, So-Hyune R.;Kang, Hyun-Sook;Kim, Won-Ok;Hyun, Kyung-Sun;Lee, Ji-A;Park, Sun-Hee
    • Korean Journal of Adult Nursing
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    • v.21 no.5
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    • pp.468-476
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    • 2009
  • Purpose: This study was to develop the clinical competency evaluation, and to examine the effects of the developed evaluation by comparing it with existing evaluation on clinical competency, communication skill, and self-efficacy of nursing students. Methods: Design was a randomized control group post-test design. The subjects were 102 senior nursing students(Experimental group: 48, Control group: 54) at K university in seoul, Korea. The experimental group took the clinical competency evaluation using standardized patients and the control group took the existing evaluation using a doll. The clinical competency and communication skills were measured by evaluators, and self-efficacy was self reported by the nursing students. Results: The experimental group had higher scores in clinical competency, communication skills, and self-efficacy than those in the control group. Conclusion: Through these results, practice education of nursing education programs need to activate the clinical competency evaluation using standardized patients.

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Analysis of the Communication Education in the Undergraduate Nursing Curriculum of Korea (간호대학 학부과정 의사소통 교과목 현황 및 분석)

  • Son, Haeng-Mi;Kim, Hyun-Sook;Koh, Moon-Hee;Yu, Su-Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.424-432
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    • 2011
  • Purpose: This study was done to investigate the current conditions with communication-related education in the nursing undergraduate curriculum, and to develop effective strategies for communication education. Methods: We collected 48 syllabi of communication-related courses from the nursing college or nursing department of a university and analyzed the syllabi using the content analysis method. Results: First, in the knowledge domain, 'Theories of communication', 'Characteristics of human relationship, understanding the importance, and building philosophical foundations' were covered. Second, the skill domain covered 'Application of communication for nursing care' as a main concept. Third, 'Building human relationships for nursing care' was mainly covered in the attitude domain. On the other hand, topics and content were different depending on instructors. Although the courses covered the same educational content, they were categorized under different names and concepts. Conclusion: These findings have implications for how to standardize a communication course in the nursing curriculum.

The Effect of the Convergence Learning on Self-Oriented Learning Skill, Problem Solving Ability and Major Satisfaction in Social Customized Curriculum (융합수업 운영이 사회맞춤형교육과정 간호대학생의 자기주도적 학습능력, 문제해결 능력과 전공만족도에 미치는 효과)

  • Kim, Hye Sook;Song, Hwan
    • Journal of Industrial Convergence
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    • v.18 no.3
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    • pp.99-107
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    • 2020
  • This study is a comparative study before and after a single group to identify the effect of convergence class operation on the self-directed learning ability, problem-solving ability and major satisfaction of nursing students in the social-tailored curriculum. The survey was conducted on 79 nursing students from C University. Self-directed learning ability, problem-solving ability and major satisfaction level have been improved since application before applying convergence class. Through this study, we hope to open and operate various curricula in nursing colleges that meet the needs of the community, provide students with various opportunities, cultivate self-directed learning skills, problem-solving skills, and major satisfaction so that learners can solve problems themselves in order to maximize their effects, and develop various contents in the university.

Literature Review on the Stress Management Programs throughout Life - span: By foreign research for 1993-1996 (생애주기에 따른 스트레스 관리 프로그램에 대한 고찰 -1993년부터 1996년까지의 외국문헌을 중심으로-)

  • Yun, Soon-Nyoung;Choi, Jeang-Sook;Lee, Kyung-Sook
    • Research in Community and Public Health Nursing
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    • v.8 no.2
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    • pp.178-196
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    • 1997
  • The purpose of this study is to identify the kind, the frequency, and the type of Stress Management Program(SMPs) throughout life-span used foreign, recent research. The period of this study was from July 1 to Dec. 10, 1997. The data were collected through Medline using two concepts: stress management programs and life-span. The number of these research were 106 and thirty-one experimental researches that were tested the effectiveness of SMPs throughout life span were selected. The data were analysed by the kind, frequency, and life-span. The results were as follows: 1. The kind and frequency of SMP : The total number of the kind of SMP were twenty-two. The most used SMP was relaxation therapy, 22 out of 31. The second biofeedback was 10, the third, cognitive behavior program was 9, the fourth, nutrition and diet, and education were 7. The others were coping skill(4), cognitive therapy(4), breathing(4), imagery(3), autogenic training(3), sleep and rest(2), meditation(2), information(2), desensitization(2), hypnosis(2), behavior therapy(1), time management (1), visualization(I), yoga(I), diversion(1), and problem solving skill. 2. Throughout life-span: Most SMPs were applied to adolescents, young adults, and middle-adults. Other subjects could not be found under the schooler. 3. The type of SMPs : 28(90.3%) out of 31 research used combined-SMP : two-combined SMP, 5: three-combined SMP, twelve: four-combined SMP, seven: five-combined SMP. 4. Afterward, further study such as meta-analysis are needed in order to identify effective ness of the SMPs.

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The Effects of a Cognitive Behavior Program on Cognition, Depression, and Activities of Daily Living in Elderly with Cognitive Impairment (인지행동 프로그램이 인지기능저하 노인의 인지기능, 우울, 일상생활 수행능력에 미치는 효과)

  • Chu, Su-Kyong;Yoo, Jang-Hak;Lee, Chung-Yul
    • Journal of Korean Academy of Nursing
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    • v.37 no.7
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    • pp.1049-1060
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    • 2007
  • Purpose: This study was conducted to investigate the effects of a cognitive behavior program on cognition, depression, and activities of daily living in elderly with Cognitive Impairment. Method: The research design was a nonequivalent control group pretest-posttest design. There were 21 subjects in the experimental group and 19 in the control group among 40 senior residents in a Hall for the elderly in the city of S. The subjects scores ranged from 15 to 23 on the MMSE-K(Korean Version of Mini-Mental State Examination) over age 65. The length of time for data collection and intervention was from Jun 26 to September 1, 2006. The cognitive behavior program consisted of 'Facing problem behavior', 'Searching for a coping skill', and 'Training in the coping skill'. It was applied to the experimental group twice a week, fifty minutes per session for six weeks. Result: Cognition(t=-4.232, p< .001) and IADL(t=-2.939, p< .01) in the experimental group were significantly higher than those of the control group. Depression in the experimental group was significantly less than the control group(t=3.870, p< .01). However, ADL in the experimental group was not significantly higher than the control group. Conclusion: These findings confirmed that a cognitive behavior program contributed to improving cognition and IADL, and to reducing depression in the elderly with Cognitive Impairment.

The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students (남자중학생 대상 플립드러닝 적용 생활기술훈련 금연 프로그램의 효과)

  • Seo, Eun Hee;Choi, Eun Suk
    • Research in Community and Public Health Nursing
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    • v.32 no.3
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    • pp.268-280
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    • 2021
  • Purpose: The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students. Methods: The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x2 test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program. Results: The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences. Conclusion: These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

Issues and Challenges of Nurse Workforce Policy: A Critical Review and Implication (국내외 간호사 인력정책의 현황과 과제)

  • Lee, Taewha;Kang, Kyeong Hwa;Ko, Yu Kyung;Cho, Sung-Hyun;Kim, Eun-Young
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.1
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    • pp.106-116
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    • 2014
  • Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.