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지역사회 독거노인의 건강관리 및 일상생활지원 서비스 경험: 포커스 그룹을 활용한 주제 분석 연구
박연환(Park, Yeon-Hwan),임경춘(Lim, Kyung-Choon),조비룡(Cho, Be Long),고하나(Ko, Hana),이유미(Yi, Yu Mi),노은영(Noh, Eun-Young),류소임(Ryu, So-Im),장선주(Chang, Sun Ju) 한국노인간호학회 2019 노인간호학회지 Vol.21 No.3
Purpose: The purpose of this study was to describe the experiences and needs for healthcare and daily life support services in community-dwelling elders living alone. Methods: A focus group interviewing approach was adopted for this study. From November 13 to 14, 2018, three focus groups with a total of 22 elders living alone were interviewed using semi-structured research questions. The collected data were analyzed using thematic analysis. Results: From the analysis, three main themes and six sub-themes emerged. One main theme was “complaints about lack of information”. Another theme was “pros and cons of service experiences”. The other theme was “needs for recipient-centered services”. Conclusion: The findings of the study provide deep understanding on the experiences of healthcare and daily life support services for elders living alone. Healthcare providers should be aware of these experiences and the needs of elders living alone when they develop elder-tailored integrative programs.
응급실 중증도 분류 간호사의 의사결정과정에 나타난 사고전략: 소리내어 생각하기
문선희,박연환,Moon, Sun Hee,Park, Yeon Hwan 한국중환자간호학회 2016 중환자간호학회지 Vol.9 No.1
Purpose: The aim of this study was to identify thinking strategies in the complicated decision-making process based on real patient-based data of triage nurses in the emergency department (ED). Methods: This study used the 'think aloud' method to collect data from 8 triage nurses from one general hospital ED in South Korea. The data were analyzed with protocol analysis using thinking strategies. Results: The triage process was divided into three stages. The first stage consisted of 8 thinking strategies, including searching for information. They used intuition based on directly observed concepts for identifying a crisis. The second stage consisted of 17 thinking strategies related to the decision-making process. They assessed patients and generated a hypothesis to try to understand their health problems through analytic thinking. The third stage consisted of 10 thinking strategies, including qualifying. They considered the situation of the ED and properly triaged the patients. During the triage process, they frequently used judging the value and searching for information on 17 thinking strategies. Conclusions: Triage nurses demonstrated various connected thinking strategies for each stage. Based on our results, further studies should be done to develop a triage education program.
코로나19 확진 간호사의 롱코비드(long COVID) 증상과 관련 요인
박가은(Park, Ga Eun),박연환(Park, Yeon-Hwan) 한국간호교육학회 2024 한국간호교육학회지 Vol.30 No.1
Purpose: The coronavirus disease 2019 (COVID-19) pandemic has had significant physical and psychological impacts on registered nurses (RNs). This study aimed to identify long COVID symptoms and their associated factors specifically among RNs. Methods: This descriptive correlational study’s sample comprised 189 nurses (31.57±5.98 years, 93.7% female) in Korea. Self-reported long COVID symptoms were assessed using the COVID-19 Yorkshire Rehabilitation Scale. Data were collected from December 31, 2022, to January 13, 2023, using the online survey method and were analyzed using independent t-test, Wilcoxon signed-rank test, one-way ANOVA, Pearson’s correlation, and a multiple linear regression analysis with the IBM SPSS Statistics 26.0 program. Results: A total of 179 participants (94.7%) experienced one or more long COVID symptoms. The most prevalent symptoms were weakness (77.8%), fatigue (68.3%), breathlessness (67.7%), cough/throat sensitivity/voice change (50.3%), and sleep problems (50.3%). The factors related to long COVID symptoms were marital status, type of institution, working time, acute COVID-19 symptoms, and vaccination status. The quarantine period (β=.26, p<.001) and the nursing workforce after COVID-19 (β=-.17, p=.018) were significantly associated with long COVID symptoms (Adjusted R²=.33). Conclusion: Providing comprehensive recognition is necessary for the understanding of long COVID symptoms and their associated factors among nurses and could promote a long COVID symptom management education program targeted at nurses. Moreover, it could facilitate effective nursing care and education plans for long COVID patients.
문선희,박연환,Moon, Sun Hee,Park, Yeon Hwan 한국중환자간호학회 2017 중환자간호학회지 Vol.10 No.3
Purpose : This concept analysis identified attributes and defined triage competency among emergency nurses. Method : Walker and Avant's approach was used to guide the concept analysis. A literature review was completed including 26 studies, 5 reports of related associations, and 5 books. Results : The concept of triage competency in emergency nurses was identified as five attributes: clinical judgment, expert assessment, management of medical resources, timely decision, and communication. Antecedents of the concept were triage education and emergency room experience. The consequences of the concept were efficiency of care, patient rating, and safety. Triage competency in emergency nurses was defined as the comprehensive ability to prioritize patients' urgency and allocate limited medical resources. Conclusion : This study is meaningful since it clarified triage competency among emergency nurses. The attributes and empirical indicators of this study will likely lay the foundation for development of triage competency metrics.