Knowledge Discovery in Nursing Minimum Data Set Using Data Mining

Myonghwa Park,Jeong Sook Park,Chong Nam Kim,Kyung Min Park,Young Sook Kwon 한국간호과학회 2006 Journal of Korean Academy of Nursing Vol.36 No.4

장기요양 가족지원 정책의 추진현황과 과제

Myonghwa Park 한국노인복지학회 2017 한국노인복지학회 학술발표논문집 Vol.7 No.1

Study on the Changes in Enzyme and Insulin-like Growth Factor-1 Concentrations in Blood Serum and Growth Characteristics of Velvet Antler during the Antler Growth Period in Sika Deer (Cervus nippon)

Park, Jaehyun,Jeon, Byongtae,Kang, Sungki,Oh, Mirae,Kim, Myonghwa,Jang, Seyoung,Park, Pyojam,Kim, Sangwoo,Moon, Sangho Asian Australasian Association of Animal Productio 2015 Animal Bioscience Vol.28 No.9

This study was conducted to investigate changes in blood enzyme parameters and to evaluate the relationship between insulin-like growth factor-1 (IGF-1), antler growth and body weight during the antler growth of sika deer (Cervus nippon). Serum enzyme activity and IGF-1 concentrations were measured in blood samples collected from the jugular and femoral veins at regular intervals during the antler growth period. Blood samples were taken in the morning from fasted stags (n = 12) which were healthy and showed no clinical signs of disease. Alfalfa was available ad libitum and concentrates were given at 1% of body weight to all stags. The experimental diet was provided at 9 am with water available at all times. There were no significant differences in alkaline phosphatase, aspartate aminotransferase, and alanine aminotransferase during antler growth, but alkaline phosphatase concentrations increased with antler growth progression, and the highest alkaline phosphatase concentration was obtained 55 days after antler casting. Serum IGF-1 concentrations measured from blood samples taken from the jugular vein during antler growth, determined that levels of IGF-1 was associated with body weight and antler growth patterns. Serum IGF-1 concentrations were higher at the antler cutting date than other sampling dates. Antler length increased significantly during antler growth (p<0.001), and there was a similar trend to between right and left beams. Body weight increased with antler growth but was not significant. Consequently it appeared that serum alkaline phosphatase concentration was related to antler growth and both antler growth and body weight were associated positively with IGF-1 concentrations during antler growth.

Patient- and family-centered care interventions for improving the quality of health care: A review of systematic reviews

Park, Myonghwa,Giap, Thi-Thanh-Tinh,Lee, Mihyun,Jeong, Hyun,Jeong, Miri,Go, Younghye Elsevier 2018 International journal of nursing studies Vol.87 No.-

<P><B>Abstract</B></P> <P><B>Background</B></P> <P>Patient- and family-centered care interventions are increasingly being implemented in various settings for improving the quality of health care. However, the huge amounts of information coming from both primary studies and reviews on patient- and family-centered care interventions have made it difficult to identify and use the available evidence effectively.</P> <P><B>Objectives</B></P> <P>This review aimed to synthesize and evaluate the evidence from published systematic reviews on the effects of patient- and family-centered care interventions. It also aimed to assess the quality of the systematic reviews in order to formulate recommendations for improving the quality of future systematic reviews.</P> <P><B>Design</B></P> <P>Review of systematic reviews.</P> <P><B>Data sources</B></P> <P>Six databases were searched for relevant published reviews that assessed patient- and family-centered care interventions and were reported on in English in peer-reviewed journals up to September 18, 2017. The reference lists of all selected publications were also used to identify additional eligible studies.</P> <P><B>Review methods</B></P> <P>Reviewers independently selected reviews, extracted data, and assessed the methodological quality of the included reviews using A MeaSurement Tool to Assess Systematic Reviews (AMSTAR) checklist. These results were presented and discussed among researchers to resolve disagreements and reach a consensus. A narrative approach was adopted to pool the constituent elements of interventions. The review protocol was registered with PROSPERO (registration number CRD42017080427).</P> <P><B>Results</B></P> <P>Twenty-eight reviews published between 2011 and 2017 met the inclusion criteria. The interventions targeted the patients, their family members, and the health-care. The interventions involved the following core outcomes: Regarding patients, they were improving knowledge about their health, increasing skills to manage self-care behaviors, enhancing satisfaction, increasing quality of life, and reducing admissions, readmissions, and length of the hospital stay. Regarding family members, they were reducing the intensity of stress, anxiety, depression, and increasing the satisfaction and relationship with health-care providers. Regarding health-care providers, the interventions could improve job satisfaction and confidence, quality of care, and reduce stress and burnout. The overall methodological quality of the 28 reviews was moderate, with a mean AMSTAR score of 6.79 (SD 1.45).</P> <P><B>Conclusion</B></P> <P>This review has provided evidence for the effects of patient- and family-centered care interventions applied to diverse patients, family members, and health-care providers. The evidence indicates that patient- and family-centered care could be a critical approach for improving the quality of health care. Additionally, the quality of future reviews needs to be improved in order to produce reliable evidence in the current era of evidence-based practice.</P>

Invited review: Enabling shared decision making in gerontological nursing: Barriers and facilitators

Myonghwa Park 한국노인간호학회 2024 노인간호학회지 Vol.26 No.2

Shared decision making is globally recognized as an important concept in healthcare research, policy, education, and practice that enhances person-centered care. However, it is becoming increasingly evident that shared decision making has not been successfully translated into healthcare practices, especially in gerontological nursing. Central to person-centered and shared decision making is the need to recognize the importance of life experiences to inform decision-making processes. With the world’s aging population and older adults facing more complex decisions and transitions in care, it is important to integrate shared decision making into person-centered care for older adults. This invited paper reviews the key issues in shared decision making in the context of older persons and the role of nurses. The review was divided into three parts. The first describes and comments on the main theoretical frameworks, while the second and third deal with barriers and facilitators to shared decision-making of older persons and issues related to their practice. There is a critical demand for focused research on older individuals with intricate needs and family-centered approaches to shared decision making. The tools and resources that support shared decision-making such as adequate time, consultation services, culturally appropriate decision aids, and systems that track patient progress, are essential for effective decision-making. As shared decision making involves various community resources, nurses must not only educate patients about these resources, but also provide patients with advice and support to ensure that the patients can effectively access and utilize these resources.

Korean Family Caregivers’ Perceptions of Care in Dementia Care Units

Myonghwa Park 한국간호과학회 2002 Journal of Korean Academy of Nursing Vol.32 No.7

Applying e-learning for Multicultural Healthcare Education

Myonghwa Park,Moonhee Gang 보안공학연구지원센터 2013 International Journal of Multimedia and Ubiquitous Vol.8 No.6

Developing a Hybrid Decision Support Model to Discover Evidence Based Knowledge of the Elderly with Depression

Myonghwa Park,Chang Sik Son,Sun Kyung Kim 보안공학연구지원센터 2013 International Journal of Bio-Science and Bio-Techn Vol.5 No.4

Nursing Staff Stress From Caregiving and Attitudes Toward Family Members of Nursing Home Residents With Dementia in Korea

Myonghwa Park 한국간호과학회 2010 Asian Nursing Research Vol.4 No.3

Purpose The purpose of this study was to examine nursing staff stress with their caregiving roles and attitudes toward family members of nursing home residents in Korea. Methods The sample consisted of 267 nursing staff members from 10 long-term care facilities. Participants completed the Caregiver Stress Inventory and the Attitudes About Family Checklist. Results The mean score on the total Caregiver Stress Inventory was 4.34 for nurses and 4.53 for nursing assistants (t=−1.42, p = .161). Nursing assistants reported higher stress levels than nurses from caring for the residents with aggressive behaviors (t=−2.28, p = .040). In contrast, nurses reported higher stress levels regarding resources deficiency (t = 2.18, p = .045). The mean score on the data from the Attitudes About Family Checklist was 4.45 for nurses and 3.56 for nursing assistants (t = 2.52, p = .025), indicating that nursing assistants reported more negative attitudes toward family members of residents with dementia. Conclusions The findings in this study showed a need for systematic educational programs for staff to enhance their dementia care knowledge, alleviate their stress, and finally change positively their attitudes toward family. As the number of dementia patients in long-term care facilities increases, it will be important for staff members to develop individually satisfying and mutually acceptable caregiving roles.

Patient Centered Leadership: A New Paradigm of Leadership Education

Myonghwa Park 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.1

Recently, healthcare systems are responding to the emphasis on patient centeredness in a variety of ways. Patient-centered care is based on the concept of shared decision making by establishing a patient partnership through sharing information and acknowledging patient preferences and values, and discussing decisions. At patient-centered organizations, patients and families participate to ensure that patients play an active role and enable patients to help frontline teams redesign services according to patients’ needs. One new concept – patients as leaders – is beginning to gain attention in contrast to the old-fashioned view of patients as passive supplicants. The innovation in traditional leadership can be achieved if the importance of patient-centered leadership is rediscovered. Leadership and leadership development education need to be innovated, with greater emphasis on nursing leaders engaging in a meaningful way with patients and families to improve the patient experience and the quality of care. Experiential learning is particularly important, including providing opportunities for future leaders to make time listening to patients, families, and staff. It is also believed that patient-centered leadership is not a value held by one profession or the responsibility of one healthcare professional, but rather is a change that occurs throughout a patient’s care experience under the team-based healthcare. Interprofessional collaboration and education are strongly encouraged to enhance patient-centered leadership. Interprofessional education includes team-based healthcare, team values and ethics, interprofessional communication practices, and defined roles and responsibilities for interprofessional collaboration. Within the team based practice, patient centered leadership becomes a competency expected of all healthcare professionals who must recognize the necessity of situational leadership dependent on patient needs and the professional competencies to meet those needs.