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.

Korean Family Caregivers’ Perceptions of Care in Dementia Care Units

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

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>

Effects of Interactive Pictorial Education on Community Dwelling Older Adult’s Self Efficacy and Knowledge for Safe Medication

Park, Myonghwa 한국간호과학회 2011 Journal of Korean Academy of Nursing Vol.41 No.6

Purpose: The purpose of this study was to examine the effects of interactive pictorial education on community dwelling older Korean adults’ self-efficacy and knowledge for safe medication. Methods: A quasi-experimental, three-group pre- and post-intervention design was used in this study. The interactive pictorial education was designed to suit the learning patterns and psychomotor skills of older adults. The education content, dealing with safe medication, was delivered over three sessions. A total of 136 older adults from local senior centers were assigned to one of the three groups: a) interactive pictorial education plus information booklet (experimental); b) education only with information booklet (conventional); or c) no intervention (control). Results: Participants receiving interactive pictorial education had significantly higher self-efficacy (F=24.32, p

Applying e-learning for Multicultural Healthcare Education

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

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.

Implementing Evidence into Practice for Best Dementia Care

Park, Myonghwa 한국간호과학회 2015 Journal of Korean Academy of Nursing Vol.45 No.4

Purpose: The purpose of this paper was to discuss the need for translation studies in dementia care and current translational endeavors, and to provide recommendations for evolving evidence-based dementia care. Methods: A literature review yielded current evidence and translational efforts. Results: Dementia care interventions need to be implemented at various service levels. Barriers to translation include evidence gaps, lack of the use of a conceptual framework to explain the implementation process, and unsupportive funding mechanisms for applying innovations. Conclusion: There is clear evidence of the need for and benefits of evidencebased dementia care for patients with dementia, family caregivers, and care professionals. The urgent need now is finding ways to advance translational activities and facilitate future research into translation science.

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.