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Nnursing students experience of action learning in clinical practice of nursing management
Yong sook Eo,Hae-Ok Kim 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): The purpose of this study was to describe the nursing students’ experience of action learning in clinical practice of nursing management. Method(s): A total of 40 participants in this study were 4th grade nursing students located in C city and had experience in nursing management practice. Nursing management practice was operated by the action learning method. In order to solve nursing management problems, it consists of four steps: problem identification, cause analysis, solution development, implementation and review. Data were collected through conceptual maps, fishbone maps, interviews and reflection journals. Data analysis was done by inductive content analysis by Elo and Kyngäs (2008). Result(s): As a result of the study, the experience of nursing students by applying the action learning method to nursing management practice education was "expanding the perspective of management practice", "approaching the nursing field through practical application", "solving management problems from a flexible perspective" and " Approaching creative problem –solving". Conclusion(s): The significance of this study by applying the action learning method to the nursing management practice course is as follows. First, their perspective of understanding nursing management has changed. Second, they were solving problems in nursing management that occur in clinical settings from a flexible perspective. Finally, it was confirmed that their ability to connect the problems of nursing management practice with management theory was improved.
Yong Sook Eo 한국간호과학회 2021 한국간호과학회 학술대회 Vol.2021 No.10
Aim(s): Metabolic syndrome (MetS) is characterized by the clustering of three or more metabolic risk factors. The prevalence of MetS is increasing, not only in the urbanized world but also in developing countries. The purpose of this study was to evaluate the effects of participatory action research (PAR) on reducing metabolic syndrome risk factors among adult women living in communities in Korea. The PAR program investigated the education needs and program operation preferences of adult women participating in the health promotion program at a community health center. Method(s): To test the effectiveness of PAR intervention for adult women with MetS risk factors, the nonequivalent pretest-posttest control group design was used to verify the effects on empowerment, social support, and health-related quality of life, and the one-group pretest-posttest design was employed to verify the effects on metabolic-related indices. For participant recruitment, local residents participating in the health promotion program were set as the accessible population. Among the selected candidates, 60 women who agreed to actively participate in PAR intervention were enrolled into the experimental group, and 60 were enrolled in the control group. The adult women in the experimental group participated in a 5-week program involving weekly group sessions, and four-step PAR cycle was applied to each of the five topics derived from the preliminary interviews with participants. Outcomes were measured using self-reported questionnaires, and blood analyses. The intervention effects were analyzed using ANCOVA and paired t-test. Result(s): The experimental group showed significantly improvements in empowerment (individual F=9.75, p=.002, ηp2=.08; community F=53.55, p<.001, ηp2=.32), social support (F=5.68, p=.019, ηp2=.33), and health-related quality of life (F=7.35, p=.008, ηp2=.06) compared to the control group. Regarding metabolic-related indices, compared to the pre-test, the experimental group showed significant improvements in six out of eight metabolic-related indices, that is, waist circumference(t=7.02, p<.001), fasting blood glucose(t=2.57, p=.013), systolic blood pressure(t=3.27, p=.002), diastolic blood pressure(t=3.43, p=.001), total cholesterol(t=2.40, p=.020), and BMI(t=4.50, p<.001), after participation in the PAR program. Conclusion(s): As a result of applying the PAR, the experimental group’s empowerment, social support, and health-related quality of life increased significantly compared to those of the control group. Furthermore, the metabolic indices of the experimental group improved significantly in the post-test as compared to the pretest. Therefore, it is suggested to verify the long-term effects of PAR by applying a randomized control and longitudinal study design.