간행물

이화간호과학연구소> Health & Nursing (구 간호과학)

Health & Nursing (구 간호과학) update

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수록정보
수록범위 : 1권0호(1989)~31권1호(2019) |수록논문 수 : 351
Health & Nursing (구 간호과학)
31권1호(2019년 05월) 수록논문
최근 권호 논문
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1Centers for Medicare and Medicaid Services Hospital-Acquired Condition 점수와 연관 있는 병원, 환자 및 지역적 특성

저자 : 배성희 ( Sung-heui Bae ) , 박범섭 ( Bumsub Park )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 1-10 (10 pages)

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본 연구는 미국의 Centers for Medicare and Medicaid Service(CMS)의 지불 보상 정책에 대해 살펴보고 CMS hospital-acquired condition 점수와 연관이 있는 병원, 환자 및 지역적 특성에 대해 연구하였다. 미국 텍사스에 위치한 241개 병원을 대상으로 미국 병원 협회자료 및 Hospital Compare 자료를 사용하여 분석하였다. Hospital-acquired conditions 점수는 Doman 1과 Domain 2로 구성되어 있으며 점수가 높을 수로 부정적인 환자 결과가 높은 것을 의미한다. 병원이 간호사 배치 수준이 높았을 때 Domain 2점수가 감소하였다. 이 점수는 Medicare 환자 수와 사보험을 가입한 환자 수와 상관관계가 있었다. 또한 Medicaid와 보험이 없는 환자를 많이 돌보는 병원일수록 점수가 높은 것으로 나왔다. 이들의 결과를 통해 환자의 안전과 질을 나타내는 지표인 Hospital-acquired condition 점수가 환자와 병원 특성과 관련이 있는 것을 알 수 있었으며 저소득계층과 보험이 없는 환자에게 낮은 수준의 질이 제공되는 것을 알 수 있었다. CMS의 환자 안전과 서비스 질 향상을 높이기 위한 여러 정책이 확대 되는 가운데 이 정책이 미치는 영향이 추후 연구되어져야 한다.

2중년 남성 관상동맥질환자의 성기능, 자아존중감, 건강행위 간의 관계

저자 : 이수연 ( Sueyeon Lee )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 11-20 (10 pages)

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Purpose: This study was done to investigate the correlation among sexual function, self-esteem, and health behaviors in middle-aged men with coronary artery disease (CAD). Methods: Data were collected from 89 middle-aged men at a general hospital in Seoul between May 8th 2017 and Sep 30th 2017. A structured questionnaire was used to measure the study variables. Data were analyzed using descriptive statistics, t-test, one-way ANOVA and Pearson's correlation coefficient using SPSS 23.0 software. Results: Sexual function and self-esteem were positively correlated(r=.44, p<.001), self-esteem and health behaviors were positively correlated(r=.46, p<.001). Health behaviors and sexual function were positively correlated(r = .32, p=.001). Conclusion: The findings of this study Indicate that sexual function and self-esteem are significant variables related to health behaviors in middle-aged men with coronary artery disease. Therefore, nursing interventions should be developed and applied to promote health behaviors in patients with coronary artery disease by considering sexual function and self-esteem.

3경제협력개발기구 국가와 한국의 간호인력 및 의료테크놀로지 비교 분석

저자 : 정광석 ( Kwang Surk Jung ) , 이임선 ( Yim Sun Lee )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 21-32 (12 pages)

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Purpose: This study analyzed the current status of practicing and graduates of professional nursing compared to medical technology in OECD nations and Korea in order to suggest nursing policies in Korea. Methods: 36 OECD nations including Korea and 7 Non-OECD nations were studied in regards to their nursing practices using data from 2017, the earliest that were available. Data in relation to nursing graduates, licensed and practicing nurses and medical technology were analyzed through descriptive statistics and χ2. Results: Practicing nurses were 6.91 per 1,000 population density in Korea, whereas the same was 8.08 for other OECD nations. Practicing rates for licensed nurses were 35.1% in Korea and 55.2% for the average OECD nation. Practicing rates for professional and associate professional nurses were 35.1% in Korea and 59.4% for OECD. Professional and associate professional nursing graduates per 1,000 practicing nurses density was 153.05 in Korea and 52.97 for OECD. Rates for professional nurses, practising, from total practising nurses were 51.9% in Korea and 77.8% for the average OECD nation; professional nursing graduation rates from total nursing graduates were 42.0% in Korea and 62.7% for the average OECD nation. In number of holdings of medical technology, Korea was 23.78 parts per million in higher than the OECD average of 13.92. Comparisons of medical technology and nursing graduates between Korea and other OECD nations were statistically significance (p < 01). Conclusion: Advanced medical technology need to be improved in the nursing profession. Based on the results, applications in the future of nursing were discussed.

4알코올사용장애자의 회복에 관한 개념분석: 혼종모형

저자 : 박규희 ( Gyu-hee Park ) , 김석선 ( Suk-sun Kim )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 33-42 (10 pages)

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Purpose: This study aimed to define and clarify the concept of alcoholics recovery. Methods: This study employed Hybrid model, which is composed of three phase: theoretical phase, fieldwork phase, and analysis phase. In the fieldwork stage, data were collected from interviews of 13 alcoholics' recovery experience. Results: Concept of recovery of alcoholics was identified as three dimensions: individual·psycological, social relationl, and spiritual. In the individual·psycological dimension, creation of positive self concept, Have hope and aspiration for his/her life, and be confident. In the Social relationl dimension, accept and understand others and active participation activities, and creating new close relation. In the spiritual dimension, knowing mean and purpose of life, the attributes were rely on Almighty, appreciating one's life and pursuing the meaning of existence. Conclusion: This concept analysis could be used as preliminary data to meet the nursing needs on the alcoholism intervention.

5노인 간호에 대한 종합병원 간호사의 지식, 태도, 수행에 관한 연구

저자 : 차정연 ( Jungyeon Cha ) , 정덕유 ( Dukyoo Jung )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 43-52 (10 pages)

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Purpose: The purpose of this study was to compare Emergency Department (ED) and ward nurses' knowledge, attitude and practices in geriatric nursing. Method: The subjects were ED and ward nurses working at three general hospital in Seoul. The research instruments was translated, modified and used as part of the older patients in acute care survey. Result: In terms of knowledge about geriatric nursing, ED nurses were more knowledgeable than ward nurses in a knowledge item that the joints of older patients are stiff(t =-2.353, p =.020). In terms of attitude about geriatric nursing, ED nurses agreed more than ward nurses that older patients could make decisions about their treatment(t =-1.991, p =.049). ED nursed agreed more than ward nurses that too many older patients receive life-sustaining treatments(t =-2.162, p =.032). In terms of practice about geriatric nursing, ward nurses thought it was more difficult than ED nurses to care older patients(t =-1.983, p =.049) and spent more time to prepare and older patients for discharge(t =-2.992, p =.003). In addition, there were differences in other 9 items between ED and ward nurses. Conclusion: Current findings support a need to develop strategies for ED nurses to raise the knowledge, attitudes and practices of geriatric nursing.

6투석실 간호사의 환자식이 자가간호 교육 경험

저자 : 송현영 ( Hyunyoung Song ) , 황원선 ( Wonsun Hwang ) , 김원정 ( Won Jeong Kim )

발행기관 : 이화간호과학연구소 간행물 : Health & Nursing (구 간호과학) 31권 1호 발행 연도 : 2019 페이지 : pp. 53-62 (10 pages)

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Purpose: This study describes experiences of nurses on self-diet education for hemodialysis patients and understandings of the role of nurses' on the education.. The results of this study will provide understanding for hemodialysis nurses and patients. Method: Research data were collected from interviews with five nurses and each interview was conducted separately. Five participants were interviewed until the data reached saturation point. Data were analyzed using van Manen's hermeneutic phenomenological analytic method. Result: Eight themes were identified in the first stage of data analysis and finally categorized into four essential themes. Each title of 4 essential themes are 'Awareness of educational limitations', 'Understanding the individual differences among patients', 'Partner role in the tedious and isolated disease process', and 'The role of nursing guide by providing personalized educationto help self-care'. Conclusion: The results will be helpful for improving education skills for nurses at hemodialysis centers and provide in-depth information about the self care diet therapy for hemodialysis patients.

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