• 제목/요약/키워드: patient behavior

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전원 관련 안전간호수행에 영향을 미치는 요인 (Predicting Patient Safety Behaviors of Nurses in Inter-Hospital Transfer)

  • 박선희;이태화
    • 간호행정학회지
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    • 제22권3호
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    • pp.230-238
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    • 2016
  • Purpose: The purpose of this study was to investigate predictors of nurses' patient safety behavior during inter-hospital transfer. The study was based on the Theory of Planned Behavior (TPB). Methods: A descriptive survey design was used. Data were collected with a self-administrated 39-item questionnaire completed by 111 nurses from a university hospital in Seoul, South Korea. The questionnaire was developed based on the Theory of Planned Behavior (TPB) guideline and included measure of self-reported past patient safety behaviors, intentions, attitudes, subjective norms and perceived behavioral controls. Ethical approval was granted by the hospital review board. Hierarchical regression analyses were carried out. Results: The average score of patient safety behavior was $4.21{\pm}0.63$ (5 point scale). The TPB variables explained 49.9%of the variance in patient safety behavior. Intention and subjective norm were the most significant predictors of nurses' patient safety behavior. Attitude was related to nurses' patient safety behavior. Conclusion: TPB variables predicted the nurses' patient safety behavior during inter-hospital transfer of patients except for perceived behavioral controls. The results of this study suggest that better strategies for subjective norms and intentions related to patient safety behavior will be helpful in safety culture reform.

신규간호사의 환자안전동기, 환자안전관리태도가 환자안전관리행위에 미치는 영향 (The Effects of New Nurses' Patient Safety Motivation, Patient Safety Management Attitude on Patient Safety Management Behavior Korean)

  • 문덕희
    • 한국응용과학기술학회지
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    • 제38권6호
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    • pp.1587-1595
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    • 2021
  • 본 연구는 신규간호사를 대상으로 환자안전동기, 환자안전관리태도, 환자안전관리행위 정도와 상관관계를 확인하고 환자안전관리행위에 영향을 주는 요인을 알아보고자 실시하였다. 신규간호사 127명을 대상으로 2020년 9월 11일부터 9월 30일까지 설문조사 하였으며, 수집된 자료는 SPSS 22.0 프로그램을 이용하여 t-test, ANOVA, Scheffe's test, Person's correlation coefficients, 다중회귀분석을 하였다. 환자안전동기는 환자안전관리태도, 환자안전관리행위와 양의 상관관계를 보였으며, 환자안전관리태도는 환자안전관리행위와 양의 상관관계를 보였다. 환자안전관리행위에 가장 유의한 영향을 준 요인은 환자안전동기, 환자안전관리태도, 환자안전관리 교육경험 이었다. 따라서 신규간호사의 환자안전관리행위 능력을 증진시키기 위해 환자안전동기, 환자안전관리태도를 포함한 환자안전교육 프로그램의 개발과 적용을 제안한다.

Effects of Facilitative Nurse-Patient Interaction using an Informational Leaflet on Emergency Care

  • Kim, Hyojin;Kang, Hee-Young
    • 기본간호학회지
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    • 제26권2호
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    • pp.127-135
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    • 2019
  • Purpose: The purpose of this study was to develop an informational leaflet on emergency care and to explore effects of facilitative nurse-patient interaction behavior using an informational leaflet on patient satisfaction with nurse-patient interaction behavior, patient anxiety, and patient satisfaction with use of emergency care. Methods: This study was a quasi-experimental study that applied a nonequivalent control-group posttest-only design. The participants were 81 patients who visited the emergency department of a hospital in Korea; the experimental group (n=40) received facilitative nurse-patient interaction behavior using an informational leaflet, and the control group (n=41) received care under routine protocols without an information leaflet. The effects of the two groups were analyzed using an independent t-test with SPSS computer program. Results: Patient satisfaction with nurse-patient interaction behavior and use of emergency care in the experimental group were significantly higher than in the control group. Patient anxiety related to using emergency care in the experimental group was significantly lower than the control group. Conclusion: Therefore, facilitative nurse-patient interaction behavior using an informational leaflet to the patient may be useful interventions that are easily implemented by nurses in emergency settings.

구조화된 환자교육이 혈액투석환자의 자가간호 지식과 수행에 미치는 영향 (The Effect of structured Patient Education on Knowledge and Behavior about Selfcare in Hemodialysis Patients)

  • 정영란
    • 대한간호학회지
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    • 제27권1호
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    • pp.120-127
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    • 1997
  • The purpose of this study was to identify the effect of structured patient education on knowledge and behavior about selfcare in hemodialysis patients, and to find the strategy to promote their selfcare behavior. In conclusion, structured patient education in hemodialysis patients was improved the level of knowledge and behavior about selfcare. But there was a little relationship between the knowledge and behavior about selfcare. That is ; structured patient education is the effective nursing intervention to improve their selfcare knowledge and behavior. but further research is needed to find the factor to increase selfcare behavior in hemodialysis patients.

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정신과 입원환자의 행동변화에 영향을 주는 요소에 관한 연구 (A Study of the Factor on Behavioral Change of the Psychiatric in-patient)

  • 이소우;김태경
    • 대한간호학회지
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    • 제14권2호
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    • pp.84-92
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    • 1984
  • This article examined relationships between selected variables, such as demographic background, care, treatment variables, environmental characteristics, and patient's daily behavior and mood change. Relationship were determined between independent variabltherapeutic-rapeutie approach, demographic data, environmental management approach-,and dependent variable-patient's daily behavioral and mood change. 35 patients selected within some criteria in a psychiatric ward, were obserbed during 5 weeks by use of Wyatt's Behavior & Mood Rating Scale ac-cording to the object of the study. At the same time, the frequence of the care and treatment were collected. Criteria for sample selection and independent variables as an influential factor to the patient behavioral change, based on a literature revienw and clinical experiences. Pearson's correlation and multiple regression analysis were used to determine the influfntial factors to the patient behavioral change. Systematic reading (r=.8324), Psychiatrist's individual interview (r=.5764), tranquilizer (r=.3441) and hospitalization processing date (r=.4143) were related with patient's behavioral change. That is these 4 variables can be said to influence to the patient's behavior and mood. A stepwise multiple regression analysis of the effect of the independent varibles of systematic reading, psychintrists individual interview, tranquilizer and hospitalization processing date on the dependent variable, patient's behavioral change was carried out. Systematic reading with on R²of. 69 revealed to be the main influential factor to the patient's behavior and mood change, as the next factor psychiatrist individual interview. A total inclusion of these factors revealed a 73% prediction for the patient's behavior and mood change. But the most influential factor was the interaction of the systematic reading and psychiatrist's individual interview.

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간호사의 환자확인 행동 관련 요인 및 개인-조직 가치일치 분위기의 상호작용 효과 (Factors related to Nurses' Patient Identification Behavior and the Moderating Effect of Person-organization Value Congruence Climate within Nursing Units)

  • 김영미;강승완;김세영
    • 대한간호학회지
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    • 제44권2호
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    • pp.198-208
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    • 2014
  • Purpose: This research was an empirical study designed to identify precursors and interaction effects related to nurses' patient identification behavior. A multilevel analysis methodology was used. Methods: A self-report survey was administered to registered nurses (RNs) of a university hospital in South Korea. Of the questionnaires, 1114 were analyzed. Results: The individual-level factors that had a significantly positive association with patient identification behavior were person-organization value congruence, organizational commitment, occupational commitment, tenure at the hospital, and tenure at the unit. Significantly negative group-level precursors of patient identification behavior were burnout climate and the number of RNs. Two interaction effects of the person-organization value congruence climate were identified. The first was a group-level moderating effect in which the negative relationship between the number of RNs and patient identification behavior was weaker when the nursing unit's value congruence climate was high. The second was a cross-level moderating effect in which the positive relationship between tenure at the unit and patient identification behavior was weaker when value congruence climate was high. Conclusion: This study simultaneously tested both individual-level and group-level factors that potentially influence patient identification behavior and identified the moderating role of person-organization value congruence climate. Implications of these results are discussed.

간호대학생의 환자안전관리 지식, 태도, 수행자신감이 환자안전관리 행위에 미치는 영향 (Impact of Nursing Students' Knowledge, Attitudes, and Performance Confidence in Patient Safety Management on Patient Safety Management Behavior)

  • 이지현;김가은
    • 문화기술의 융합
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    • 제10권2호
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    • pp.149-157
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    • 2024
  • 의료기관 및 의료인의 지속적인 노력에도 불구하고 환자 안전을 위협하는 사고가 지속적으로 발생하고 있다. 환자안전사고를 줄이기 위해서는 의료인의 환자안전에 대한 올바른 지식과 태도, 수행능력을 갖추는 것이 필요하다. 간호대학생은 환자안전관리와 관련된 주요인력 중 하나로 간호대학생의 환자안전관리 행위에 미치는 영향요인을 파악하는 것은 환자안전관리 역량 향상 및 안전사고예방에 필수적이라 할 수 있다. 이에 본 연구는 간호대학생의 환자안전관리 관련 지식, 태도, 수행자신감이 환자안전관리 행위에 미치는 영향을 규명하고자 하였다. 서술적 조사연구로 연구대상 및 자료수집은 2022년 10월 25일부터 10월 28일까지 K 지역에 소재한 4학년 간호대학생 138명을 대상으로 하였고, 통계분석은 SPSS 25.0 프로그램을 이용하였다. 연구 결과, 환자안전관리 지식, 태도, 수행자신감은 환자안전관리 행위와 양의 상관관계를 보였으며, 환자안전관리 행위에 미치는 영향요인은 환자안전관리 교육경험(β=.22, p<.001)과 수행자신감(β=.66, p<.001)으로 나타났다. 본 결과를 토대로 간호대학생의 환자안전관리 행위 역량을 증진시키기 위해서는 환자안전관리 교육경험 및 수행자신감을 향상시킬 수 있는 교육프로그램이 필요할 것으로 사료된다.

당뇨교육이 당뇨환자의 역할행위 이행에 미치는 영향 (The Effect of Patient Teaching on Compliance with Sick Role Behavior of diabetic Patients)

  • 박오장;홍미순;소향숙;장금성
    • 대한간호학회지
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    • 제18권3호
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    • pp.281-288
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    • 1988
  • This study examined the effect of patient teaching on Compliance with sick role behavior in diabetic patients. The purpose was to improve diabetic patients Compliance by D. M. patient teaching. The study objectives were to determine the effect of patient teaching on Compliance with sick role behavior, and factors influencing compliance with sick role behavior of diabetic patients. The Subjects, consisting of 52 diabtic patients diagnosed in the C. and Other hospitals in K. city were divided into experimental and Control groups. Data were gathered from July 25th to September 3rd, 1988 through interviews by questionnaires, measurment of blood sugar level by Reflolux. D. M. Patient teaching was defined as informational intervention of social support by the nurse. A booklet representing patient education and questionnairs were developed by the investigator, and were tested for Content validity, and reliability by Item Analysis: Cronbachs $\alpha$ for any instrument to measure variables was patient Compliance .83, perceived health belief .65, diabetic knowledge .70. Analysis of data were done by paired t-test, t-test, Anova, Pearson correlation and Stepwise multiple regression, The results of the study may be summarized as follows : 1. The effect of patient teaching on Compliance with sick role behavior, on diabetic Knowledge and health belief was Confirmed by significant differences between the experimental and the control group before and after the experiments. (P=000 P=006, P=004). 2. Factors influencing compliance with sick role behavior of diabetic patient were diabetic patient teaching (P<.005), perceived health belief(r=.5597, P<.005), blood sugar(r=.3205, P<.01), diabetic knowledge(r=.2876, P<.05).

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환자가 있는 농촌가족의 식행동과 건강행동 - 환자가 없는 농촌가족과 비교 - (The Patient Families' Diet and Health Behavior Living in Rural, Korea - Comparison of Non-Patient Families Living in Rural -)

  • 이승교;정금주
    • 한국지역사회생활과학회지
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    • 제16권3호
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    • pp.25-36
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    • 2005
  • Recent trends in agricultural globalization have brought on a crisis to our already impoverished Korean farmers. This study was proposed to assist in comparing the health and dietary characteristics of farmer families that have chronic disease patients to farmer families that do not have chronic disease patients. For the study, 1870 families were selected from 9 rural Korean provinces. Trained evaluators interviewed farmer housewives to collect demographic, health behavior, and dietary relative information about family members. Statistical analyses were performed using SAS (ver 8.2). Chi-square tests and General Linear Models were also used. In general, patient family members were older than non-patient family members. For patient families, the mean age was 70.4 for husbands and 64.3 for wives. For non-patient families, the mean age was 64.2 for husbands and 57.3 for wives. Therefore we analyzed the data after we stratified the subjects based on the wife's age of 65. Patient families snacked less and 'dined out' less than non-patient families. However, they consumed cookies more frequently, and milk and fruits less frequently, when compared to non-patient families. There were no significant differences in nutrient supplementation, and/or instant food intake frequencies between patient families and non-patient families. Sixty-two percent of patient family members complained about health problems such arthritis, lumbago, numbness, shoulder pain, dizziness, and others, whereas 52olo of non-patient family members complained about Farmers' syndrome. Husband cigarette smoking was not significantly different among groups. However, the smoking patterns of the wives was significantly higher in patient families. Alcohol consumption was also higher in patient families. In summary, it was determined that rural patient families had poorer dietary behavior and poorer health in general, when compared to non-patient families, and accordingly, diverse community-level health and nutritional support are suggested to solve the farmers' health problems and to improve their quality of life.

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간호대학생의 환자 프라이버시 보호행동 영향요인 (Factors Influencing Patient Privacy Protection Behavior among Nursing Students)

  • 이은주;신현숙;하은채
    • 한국간호교육학회지
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    • 제24권3호
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    • pp.225-234
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    • 2018
  • Purpose: The purpose of this study was to identify factors influencing patient privacy protection behavior among nursing students and examine the relationships between these factors. Methods: Participants in this study were 144 nursing students who have experienced clinical practice. The data were analyzed using descriptive statistics, one-way ANOVA, Scheffe test, Pearson's correlation coefficient, and multiple regression with IBM SPSS Win 23.0 program. Results: Professional self-concept and ethical values were factors influencing patient privacy protection behavior among nursing students. These variables explained 21.9% of the variance for patient privacy protection behavior. A higher level of patient privacy protection behavior was associated with higher levels of professional self-concept and ethical values. Conclusion: The findings demonstrate that strategies for enhancing patient privacy protection behaviors of nursing students should include methods for forming images of positive nurses and firming ethical values.