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Health & Nursing (구 간호과학) update

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수록정보
31권2호(2019) |수록논문 수 : 6
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31권2호(2019년) 수록논문
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1캄보디아 초등학교 고학년 생활안전 교육 프로그램 개발

저자 : 안보미 ( Bomi An ) , 하재영 ( Jaeyoung Ha ) , 손지희 ( Jihee Son ) , 배성희 ( Sung-heui Bae ) , 이향연 ( Hyang-yon Rhee ) , 배수현 ( Suhyun Bae ) , 양숙자 ( Sook Ja Yang )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 2호 발행 연도 : 2019 페이지 : pp. 1-11 (11 pages)

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Purpose: The purpose of this study is to develop a health education program on safety in daily life for the upper grades in an elementary school in Cambodia. Methods: The program was developed based on the three stages of ADDIE (Assessment, Design, Development, Implemenation, and Evaluation) Instructional design model. Results: In the assessment stage, eight education subjects were derived as a result of a need analysis conducted on the 15 elementary school teachers. The learning objectives, evaluation plans, and teaching methods were strategically established in the design stage based on the results from the environmental analysis on learners, teachers, and the physical environment. In the developmental stage, the educational program, consisting of “teaching-learning activities,” “reference materials,” and “study aid materials,” was developed. “Teaching-learning activities” presents learning contents and teaching methods according to learning objectives and procedures. “Reference materials” provides resources for teaching including professional information, photos, links of videos, and so on. “Study aid materials” were created for students to utilize in class and include a self-behavioral checklist, and quizzes. Conclusion: A customized health education program on safety in daily life for the upper grades in an elementary school was developed. This safety education program can be an exemplar of health education in developing countries.

2신규 간호사의 임상 경험에 대한 메타합성

저자 : 오정은 ( Jungeun Oh ) , 도지영 ( Jiyoung Do ) , 장민진 ( Minjin Jang ) , 허정미 ( Jungmi Heo )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 2호 발행 연도 : 2019 페이지 : pp. 13-23 (11 pages)

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Purpose: The purpose of this study is to provide an in-depth understanding of the clinical experience of new nurses through integrated review and synthesis. Methods: This study was performed according to the qualitative meta-synthesis method proposed by Atkins et al. The final six articles were meta-synthesized to comprehensively describe the clinical experience of the new nurse. Results: There were 44 themes derived from the collected literature, which were integrated into 8 themes. The clinical experience integrated among new nurses is as follows. New nurses struggling from immaturity in new clinical environment, physical hardship caused by working conditions at the clinical practice, feeling burdened by the increasing workload in an unfamiliar work environment and excessive role, lacking professional knowledge and skill about clinical practice. In addition, parents, caregivers, colleagues, and senior nurses make it difficult or supportive to adapt clinical practice for new nurses. However, new nurses put effort in obtaining knowledge to become a qualified nurse, and discover themselves who are adjusting to clinical practice. Conclusion: These results provide an in-depth understanding of the clinical experience of new nurses, which can be used as basic data in the development and application of educational programs to help new nurses adapt to their clinical settings.

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Purpose: The purpose of this study is to compare the NANDA-I(nursing diagnosis), NIC(nursing intervention), and NOC(nursing outcome) for musculoskeletal surgical participants between the comprehensive nursing care service ward and the general ward, and to identify the NANDA-NIC-NOC linkage to provide proper care. Methods: Data were obtained from the nursing records of participants. A total of 700 patents' records were analyzed to describe the frequency and percentage of NANDA-I diagnosis, NIC interventions, and NOC outcomes for musculoskeletal patients. Collected data were analyzed using SPSS v23.0. Results: Comparison between the comprehensive nursing care service ward and the general ward, results of a t-test showed statistically significant results for age(t=-13.628, p=<.001), and chi-square test showed for gender(x2=15.290, p<.001), underlying diseases(x2=65.728, p<.001). The result of NANDA-I-NOC-NIC linkage for musculoskeletal surgical participants is as follows: Risk for infection-Medication management-Infection severity, Acute pain-Pain management-Pain control, Deficient knowledge- Teaching:preoperative-Knowledge: disease process. Conclusion: Registered nurses in the Comprehensive nursing care service ward provided more professional nursing process using the standard nursing language system. In the future, it is necessary to develop and apply NANDA-NIC-NOC linkage for patients with specific disease, and also for providing individual nursing care in various clinical fields.

4간호·간병통합서비스 병동 간호사의 노인에 대한 태도와 감성지능이 노인 간호서비스 질에 미치는 영향

저자 : 김지선 ( Jisun Kim )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 2호 발행 연도 : 2019 페이지 : pp. 37-46 (10 pages)

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Purpose: This study aimed to examine the influence of attitude toward the elderly and emotional intelligence on geriatric nursing service quality in comprehensive nursing care unit. Methods: A convenience sample of 164 registered nurses was used in this study. Data were collected from December 1 to 31, 2018, and were analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis. Results: There was a significant relationship between geriatric nursing service quality and emotional intelligence(r=.545, p<.001). Also, there were significant relationship between emotional intelligence and subfactors of geriatric nursing service quality such as tangible(r=.487, p<.001), reliability(r=.490, p<.001), responsiveness(r=.393, p<.001), assurance(r=.478, p<.001), and empathy(r=.304, p<.001). Current position(β=.335, p<.001) and emotional intelligence(β=.517, p<.001) were influencing factors of geriatric nursing service quality and the explanatory power of the variables was 37%. Conclusion: In order to improve the geriatric nursing service quality, it is necessary to enhance the emotional intelligence of the nurses working in comprehensive nursing care unit.

5북한 『로동신문』에 나타난 김정일 체제 간호와 간호교육 기사 분석

저자 : 김주영 ( Joo Young Kim )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 2호 발행 연도 : 2019 페이지 : pp. 47-55 (9 pages)

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Purpose: This research examines the nursing and the direction of nursing education in the Kim Jeong-il era through the “Rohdong” newspaper, which officially reveals the North Korean society as a party organization of North Korea. Methods: The keywords of 'nursing', 'higher education' and 'healthcare workers' and search through archive in the North Korean Resource Center under the Ministry of Unification. The data collecting period is the term of Kim Jeong-il era from July 8, 1994 to December 17, 2011. A total of 68 articles were derived and excluded 5 articles relationless nursing. Collected data was analyzed by content analysis. Results: 5 'nursing' articles, 3 'higher education' articles, 55 'healthcare workers' articles were selected. First, nursing of the Kim Jeong-il era emphasizes socialism, systematization and loyalty to the reception by giving priority to “Juche” ideology rather than establishing expertise. Secondly, the higher education policies focus on working rather than education. Thirdly, the healthcare workers maintain self-reliance on free and devotion, emphasizing the supremacy of the system. Conclusion: Nursing of the Kim Jeong-il era focus on “Juche” ideology rather than expertise itself. This study suggests the priority of the North Korea's nursing and consideration of nursing interaction in South and North Korea.

6당뇨병성 말초신경병증 환자에게 적용한 중국 한약훈증요법의 효과에 대한 메타분석

저자 : Zhang Wen

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 2호 발행 연도 : 2019 페이지 : pp. 57-66 (10 pages)

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Purpose: This study was aimed to assess the effectiveness of traditional Chinese medicine fumigation on diabetic peripheral neuropathy. Methods: China National Knowledge Infrastructure (CNKI), Wanfang Data, VIP Database, Cochrane Library and PubMed were used to search. The search term included "Diabetic Peripheral Neuropathy” AND "Traditional Chinese Medicine Fumigation” OR "Fumination” AND "Nursing” OR "Nurse”, the language was limited to Chinese and English. Meta-analysis was performed using Cochrane Review Manager software 5.3 based on Mantel-Haenszel (M-H) bandwidth, 95% Confidence interval, the quality evaluation was used by Cochrane Risk of Bias. Results: Chinese medicine fumigation was effective in improving the symptoms of lower extremity, pain, and coldness in diabetic peripheral neuropathy patients(RR=1.29, 95% CI: 1.11, 1.49). The diabetes symptom score was reduced by more than 30% before treatment(RR=1.27, 95% CI: 1.15, 1.42). The neurotransmission rate was increased by more than 2m/s(R=1.42, 95% CI: 1.24, 1.62). It was found to be ineffective in improving the quality of sleep. Conclusion: Based on the results of this study, it is recommended that Chinese medicine fumigation is applied to diabetic peripheral neuropathy patients.

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