Home nursing interventions based on nursing diagnosis were implemented to the patient who are discharged from one hospital often the treatment for chronic neuromuscular system problem, and its effects were studied. The purpose of this study was to find out the effectiveness of hospital bounced home nursing provided by hospital nurses and to categorize home nursing diagnosis and its interventions. Data from experimental group patients were collected at three different time ; at the time of discharge, two weeks after discharge and our weeks after discharge. Data from control group patients were collected twice ; the first one at the time of discharge, and the other one four weeks after discharge. For this study nursing assessment and intervention booklet developed by the research team. There were no significant decrease of the number of nursing problems and life satisfaction. But daily activity level of patients showed the signs of significant improvement at the time of four weeks after discharge. Results of this study indicates that home nursing intervention based on nursing diagnosis provided the patients with noticeable difference in health maintenance, impairment of physical mobility, potential for infection, impaired home maintenance management, health seeking behavior, chronic pain, disuse syndrome, impaired skin integrity.
Chronic Pain ; Diagnosis ; Home Nursing* ; Humans ; Nursing Assessment ; Nursing Diagnosis* ; Nursing* ; Pamphlets ; Skin

OBJECTIVE: Development of nursing documentation system is the first step as a way to do nursing effectiveness research and proving effectiveness of nursing care on patient outcomes to the other health care professionals as well as the public. METHODS: To develop nursing documentation system using nursing process model, the system incorporated standardized nursing terminologies of North American Nursing Diagnosis Association(NANDA), Nursing Interventions Classification(NIC), and Nursing Outcomes Classification(NOC). The system was developed under the hospital information system by TCP/IP protocol and used Oracle as DBMS under the Windows 98 environment. Power Builder 5.0 was used as a program language. RESULTS: First data model was created and served as the foundation for designing the user interface. And then the system was developed for collecting, storing, and retrieving nursing diagnoses, interventions, and outcomes and comparing the changes in patient outcomes before and after interventions performed. CONCLUSION: By developing nursing information system that includes nursing care sensitive patient outcomes, nurses can involve nursing effectiveness research and know how to improve nursing care quality provided for patients by analyzing patient outcome data. Further evaluation of this system should be followed.
Delivery of Health Care ; Hospital Information Systems ; Humans ; Information Systems* ; Nursing Care ; Nursing Diagnosis ; Nursing Process ; Nursing* ; Outcome Assessment (Health Care)

PURPOSE: The aim of this study was to explore the nursing needs and satisfaction of pediatric cancer patient families during chemotherapy. METHODS: Data collection was conducted from April to July 2016 using the questionnaire of nursing needs and satisfaction developed by the researchers in 123 families of children who were diagnosed with pediatric cancer and undergoing chemotherapy. The collected data were analyzed by descriptive statistics, t-test, and ANCOVA using the SPSS 22.0 program. RESULTS: Nursing needs and satisfaction were 4.27 ± 0.78 and 4.16 ± 0.57, respectively. Significant differences between nursing need and satisfaction were observed in the educational/informational domain (t=3.94, p=<.001) and community resources nursing domain (t=2.16, p=.032). Also, in terms of general characteristics, the nursing needs were significantly different depending on the elapsed time after diagnosis (t=1.98, p=.049), and the nursing satisfaction was significantly different depending on the type of treatment (F=4.02, p=.009). CONCLUSION: Based on the results of this study, when caring for children who are receiving chemotherapy and their family, it is necessary to develop nursing interventions that meet the individualized nursing needs of those directly and indirectly affected.
Antineoplastic Agents ; Child ; Data Collection ; Diagnosis ; Drug Therapy* ; Humans ; Needs Assessment ; Nursing* ; Pediatric Nursing ; Personal Satisfaction

PURPOSE: The purpose of this study was to explore educational needs of communication, focusing on how nursing students evaluate their current communication skills and what students think is most crucial in communication competency. METHODS: This cross-sectional descriptive study collected data from 276 nursing students at multiple universities from September to November 2016. Main analyses included descriptive statistics, independent t-tests, and one-way ANOVA with SPSS/WIN and R 3.2.3, as well as importance-performance analysis by Martilla and James. RESULTS: There was a difference in the perceived importance of communication depending on field experience. Students who reported excellent communication skills compared to their peers had higher perceived communication importance than those who reported similar or inferior skills. The perceived need for dominant communication of goal setting skills was the highest. After confirming the list of priorities for Borich's needs assessment, the education need for goal setting skills was the highest with 1.79. CONCLUSION: Our study findings emphasize that the highest need for education of nursing students was the dominant communication of goal setting skills. This is needed to develop an education program that can strengthen goal setting communication for nursing students with a special focus on dominant communication.
Education ; Humans ; Needs Assessment ; Nursing ; Students, Nursing

PURPOSE: The purpose of this study was to identify nurse's role through job analysis of nursing duties for nurses working on East Asia traditional medicine wards. METHODS: Major steps in the study included a literature review, description of job activities of nurses on oriental medicine wards, comparative description of the literature, expert tests of validity of derived duties and tasks, and investigation of importance, difficulty and frequency of duties on job list. RESULTS: The job of nurses on oriental medicine wards was classified into 12 duties, 59 tasks, and 295 task elements. The 12 duties were nursing assessment, nursing diagnosis, nursing planning, nursing implementation, nursing evaluation, supplies management, management of human resources, management of environment, management of documents, formation of cooperative relationships, self-development, and nursing activity in oriental medicine. 'Formation of cooperative relationships' was the duty ranked highest for importance (4.34), 'self-development' was ranked highest for difficulty (3.47), and 'Formation of cooperative relationships' was ranked highest for frequency (4.21). CONCLUSION: Basic education for nurses on an oriental medicine unit is necessary for the performance of oriental nursing to be considered as a specialized field. This study contributes to human resource management in the oriental medical hospital.
Education ; Equipment and Supplies ; Far East ; Humans ; Job Description ; Medicine, East Asian Traditional* ; Medicine, Traditional ; Nurse's Role ; Nursing ; Nursing Assessment ; Nursing Diagnosis ; Task Performance and Analysis

OBJECTIVE: This study compared the abilities of electronic nursing records, which are based on standard nursing terminology, and paper-based nursing records to support the nursing process. METHODS: The nursing records of 38 pairs of inpatients admitted to a gynecology nursing unit were selected. The data from the paper records were obtained manually by a chart review as single statement units. The electronic records were extracted from a computerized system. The statements were categorized using the NANDA diagnosis and the modified Clinical Care Classification. Based on a semantic analysis of the components of the nursing process, the completeness of the nursing records was classified into complete and incomplete patterns according to the presence and relevancy of the assessment, the diagnosis, the intervention and the outcome. RESULTS: The numbers of nursing diagnoses used and the unique nursing diagnoses were both higher in the electronic records than those in the paper records. The number of statements of nursing assessments/outcomes, and nursing interventions was 1.4-fold higher in the electronic records than that in the paper records respectively. The proportion of complete patterns of the nursing process was 3.4% in the paper records and 25.7% in the electronic records. CONCLUSION: These results suggest that electronic records are better than paper records to support the nursing process in terms of the quantitative and qualitative aspects of nursing documentation.
Electronics ; Electrons ; Gynecology ; Humans ; Hysterectomy ; Inpatients ; Medical Records Systems, Computerized ; Nursing Diagnosis ; Nursing Process ; Nursing Records ; Process Assessment (Health Care) ; Semantics ; Vocabulary, Controlled

PURPOSE: This study developed a web-based wound care course for undergraduate nursing students and evaluated the course's content, system, and student-satisfaction. METHODS: This study was done in three stages, the development of the web-based wound care course, the implementation and evaluation of the course. The course was developed based on the ARCS model. 80 undergraduate nursing students to Y University in Korea used the web-based wound care program during four weeks. After that, they completed questionnaires, evaluating the contents, system, and their satisfaction. RESULTS: Eighteen learning objectives were used to create the web-based wound care course and the course was developed with 7 chapters and 20 subsections. The analysis of the questionnaires showed a mean score for content and system-related items of 3.04 each, out of a possible 4 points. Student satisfaction items had a mean score of 2.89. CONCLUSIONS: The web-based course allowed students access to the course anytime and anywhere, and according to their own learning abilities. However this advantage would only be possible when nurse educators develop qualitative web-based course to meet the demand of a complex health care system as well as the needs of the students and the effectively incorporate it into traditional lectures.
*Attitude of Health Personnel ; Attitude to Computers ; Causality ; Computer-Assisted Instruction/*methods ; Curriculum ; Education, Nursing, Baccalaureate/*organization & administration ; Humans ; Internet/*organization & administration ; Korea ; Models, Educational ; Needs Assessment ; Nursing Assessment ; Nursing Diagnosis ; Nursing Education Research ; Patient Care Planning ; Practice Guidelines as Topic ; Program Development ; Program Evaluation ; Questionnaires ; Skin Care/nursing ; Students, Nursing/*psychology ; Wound Healing ; Wounds and Injuries/etiology/*nursing

Oral mucositis continues to be a major complaint of patients who have chemotherapy for the acute leukemia. An innovative and inexpensive remedy which produces favorable results for those afficted is not yet introduced. So we tried to develop two oral care protocols for reducing the level of oral mucositis during cytotoxic therapy through literature review and our clinical experience. The one is sodium bicarbonate-normal saline gargling, and the other consists of chlorhexidine gargling. This quasi-experimental study was performed to compare the efficacy of these two different oral care protocols. Twenty subjects were assigned to one of the two specific diagnosis of leukemia, aim of the chemotherapy. The Oral Assessment Guide(OAG), the Beck's perception of oral comfort, WHO Grading system fot mucositis and the discomfort of oral gargling solution were used to assess oral status and subject's oral discomfort during chemotherapy. Each subjects were observed daily from the start of the chemotherapy until Absolute Neutrophil Count(ANC) reached 1,000. It continued about 2-4 weeks. The data analyzed by Mann-Whittney U test and ANCOVA. The result was follows as: The patient who used sodium bicarbonate-normal saline gargling showed significantly higher mean score of the discomfort of oral gargling solution than chlorhexidine gargling. The other scores were not significantly different between two groups. However the subjects using the sodium bicarbonate-normal saline gargling showed a lower level of oral mucositis. We concluded that oral using sodium bicarbonate-normal saline gargling was between to reduce the level of oral mucositis during chemotherapy and nursing assessments of the oral cavity seemed to promote patient's compliance with the oral care regimen.
Chlorhexidine* ; Compliance ; Diagnosis ; Drug Therapy ; Humans ; Leukemia* ; Mouth ; Mucositis ; Neutrophils ; Nursing Assessment ; Sodium* ; Stomatitis*

The purpose of this Quasi-experimental design was to assess the effects of a hysterectomy on women's emotional response and ultimately, to develop a nursing protocol recommending nursing education for women undergoing a hysterectomy. The subjects at D university hospital receiving a hysterectomy,( for benign gynecological disease) were invited to participate in the study. Subjects who agreed to participate were allocated into control or experimental groups. Each group consisted of 30 women. The subjects emotional adaptation was surveyed through mood questionnaires. The data were analyzed using SAS program. The findings of the study are as follows: In the post test, the "experimental group" reported higher emotional adaptation than the "control group". Between pre and post testing, the "experimental group" showed significant improvement in emotional response; the "control group" did not. In conclusion, allocating nursing information to women both before and after undergoing a hysterectomy was confirmed as an effective nursing intervention for promoting women's emotional adaptation. Therefore, we propose a nursing protocol should be adapted recommending nursing education for women undergoing a hysterectomy.
Education, Nursing ; Female ; Humans ; Hysterectomy* ; Nursing Assessment ; Nursing* ; Surveys and Questionnaires

The authors declare that in the above article requires changes in following sections which is reproduced in this article.
Education* ; Financial Management* ; Needs Assessment* ; Nursing Research* ; Nursing*