1.Analysis of the Core Nursing Interventions Used in the Medical and Surgical Units in a Tertiary Hospital.
Young Hee SUNG ; Hee Yeon SHIN
Journal of Korean Academy of Adult Nursing 2006;18(4):632-641
PURPOSE: The purposes of this study were to analyze the core nursing interventions that are used in the medical and surgical units, and to present the basic data that can be applied in clinical fields. METHOD: The data was collected from 353 nurses of the medical and surgical units from Jan. 2005 to Dec. 2005, using the database of nursing process record system used at a tertiary hospital. RESULTS: 190 interventions were performed in the medical units, with 21 core nursing interventions. 198 interventions were performed in the surgical units, with 16 core nursing interventions. There were 11 common core nursing interventions. CONCLUSION: The results revealed that the ratio of physiological interventions and the interventions related to safety were high. The interventions were classified according to one's field of specialization, together with the common interventions were also being performed. According to the changes in the demands of consumers, there was also increases in the performance of 'pain management' and 'fall prevention.' We expect that this study will allow for the performance of standardized interventions, and that it will be helpful in the role of the experienced nurse, and in the approach to the nursing specialty.
Nursing Process
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Nursing*
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Specialties, Nursing
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Tertiary Care Centers*
2.The Experiences of Transplantation Coordinators' Practice.
Haeng Mi SON ; Moon Hee KOH ; Chun Mi KIM ; Myung Sun YI
Journal of Korean Academy of Nursing 2006;36(6):1012-1022
PURPOSE: The purpose of this phenomenological study was to understand the experiences in the transplantation coordinators' practice. METHOD: Data was collected through a tape-recorded in-depth interview from nine participants who were transplantation coordinators of their hospitals. It was analyzed using the phenomenological method proposed by Colaizzi(1978). RESULTS: From significant statements, six categories of themes were integrated into the essential structure of the experiences of transplantation coordinators. Six categories of themes were 'continue to be professional during dash this way and rush that', 'burden due to persistent heavy work', 'the uniqueness in family care of the brain-dead patients', 'support of family and a professional group', 'worthiness and achievement of the patients' recovery', and 'establishment of self-confidence as a coordinator'. CONCLUSION: Although the transplantation coordinators played various roles, they had a conflict in role identity due to poor working environments. The results of this study suggested that development of an educational program, an increase in understanding for the coordinators' role, and institutional support for better working conditions are needed to get professional acknowledgement for transplantation coordinators.
Adult
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Humans
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Interviews as Topic
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Mental Health
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Middle Aged
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Role
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*Specialties, Nursing
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*Transplantation/nursing
3.Effects of Telephone Intervention as Supportive Nursing on Self-Care Practices and Qualify of Life for Gynecological Cancer Patients under Chemotherapy.
Ae Sook KIM ; Eun Sook LEE ; Sung Hyo KIM
Journal of Korean Academy of Nursing 2007;37(5):744-753
PURPOSE: The effects of telephone intervention on self-care practices and quality of life for gynecological cancer patients under chemotherapy was investigated. METHODS: A non-equivalent control group pre-test post-test quasi-experimental design was used. The subjects were women cancer patients who had received less than two chemotherapy sessions at C university hospital of Chonnam province(26 in the experimental group: 25 in the control group). The patient's self-care practices(Na & Lee, 1999; Jang, 2004) and quality of life(Lee & Jo, 1997) were measured three times. using a questionnaire. The data was analyzed by Repeated Measures ANOVA, the Friedman test, and the Mann-Whitney test using the SPSS window version 12.0 program. RESULTS: This study showed that the score of self-care practices and quality of life for the experimental group under telephone counseling were higher than those of the control group. CONCLUSION: This study revealed that a telephone intervention as supportive nursing care for women cancer patients under going chemotherapy was effective for self-care practices and qualify of life during the recovery period. Futhermore, this study also suggests that telephone counseling can serve as a continuing nursing supportive intervention for women cancer patients for the upcoming stages of further chemotherapy.
Adult
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Female
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Genital Neoplasms, Female/drug therapy/*nursing/radiotherapy
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Humans
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Middle Aged
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Models, Nursing
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Patient Education as Topic
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*Quality of Life
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*Self Care
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Specialties, Nursing
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Telephone
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Time Factors
4.Educational Issues and Strategies to Improve APN Education.
Kasil OH ; Kang Mi Ja KIM ; Keum Soon KIM ; Jee Won PARK ; Myung Sook SUNG ; Eui Geum OH ; Myung Ha LEE ; Chae Weon CHUNG ; Dong Sook CHO ; Young Ran TAK ; Jee In YOO
Journal of Korean Academy of Nursing 2007;37(5):801-809
PURPOSE: This study was aimed at exploring the current status of graduate programs for an advanced practice nurse(APN) to recommend future directions of APN education. METHODS: A total of 142 students enrolled in seven APN specialty programs, 67 professors who were involved in APN education, and nine nurse administrators participated in the study. Data was collected by questionnaires and focus group interviews. RESULTS: The current definition of APN was found not to be specific enough to represent expected roles of APN in regards to knowledge, attitudes, roles, and skills. Standard curricula employed regardless of the area of APN specialty, lack of qualified clinical practice settings, as well as prepared instructors were found to be problematic. CONCLUSION: The following needs to be addressed: 1. redefining of APN roles, 2. tailoring specialty areas of APN, 3. consolidating educational programs, and 4. ensuring APN role models and faculty. Suggesting a CNS role in Korean APN, areas of APN should be rearranged toclarify their roles and educational programs need to be further developed to meet the expectations and quality of APNs. It is necessary to ensure APN's employment in the health care system by laws and policies to perform advanced nursing roles.
Adult
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Curriculum
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Education, Nursing, Continuing
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Education, Nursing, Graduate
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Educational Measurement
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Focus Groups
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Humans
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Interviews as Topic
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Middle Aged
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Nurse Clinicians/*education
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Nurse Practitioners/*education
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Nursing Evaluation Research
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Questionnaires
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Societies, Nursing
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Specialties, Nursing/*education