Effect of Virtual Reality-based Isolation Patient Infection Control Education Program

홍성정,김경미 (사)위기관리이론과실천 2024 Journal of Safety and Crisis Management Vol.14 No.2

This study aims to identify the effect of a virtual reality (VR)-based isolation patient infection control education program on nursing students' infection control knowledge, awareness, and performance confidence. This research design was a quasi-experimental pre-test and post-test research design. The participants were 55 nursing students (experimental group 28, control group 27). Data were analyzed using descriptive analysis, the independent t-tests, and paired t-tests with SPSS version 27.0. The VR content included hand hygiene, donning and doffing personal protective equipment (PPE), post-exposure prophylaxis of sharps injury, and disposal of medical waste. The experimental group showed significantly improved in infection control knowledge (t=3.117, p=.003) and performance confidence (t=3.059, p=.004) than the control group,. However, after applying the education program, awareness of the control group showed a more significant change. This VR-based isolation patient infection control education program for nursing students can help increase competency in infection control practice.

간호대학생의 SNS 중독경향성, 간호정보역량, 정보윤리 의식이 환자 개인정보 보호 인식에 미치는 영향

홍성정,이지민 한국보건기초의학회 2022 한국보건기초의학회지 Vol.15 No.2

The purpose of this study was to identify the Social Network Services (SNS) addiction tendency, nursing informatics competency, information ethics index and perception on patient private information protection of nursing student. The data were collected 105 nursing students from February to April, 2022. According to the results, the mean SNS addiction tendency was 2.33 points out of 5, nursing informatics competency was 3.50 points out of 5, information ethics index was 3.88 points out of 5, and perception on patient private information protection was 4.12 points out of 5. There was a positive relation among nursing informatics competency, information ethics index, and perception on patient private information protection. And there are a negative relation between SNS addiction tendency and perception on patient private information protection. The explaining 56.7% of the variance, and the factors influencing nursing students’ perception of patient private information protection were grade and information ethics index. Therefore, it is necessary need to develop and adapt the ethical value education program for information protection management that can help nursing students increase their awareness of patient private information protecting.

복강경 질식자궁적출술 노인 환자의 수술 후 진통제 투여 방식에 따른 통증조절 효과

홍성정,김화선,김은희 한국노인간호학회 2014 노인간호학회지 Vol.16 No.2

Purpose: This study was done to compare the effects of intermittent intravenous injection and intravenous patient controlled analgesia on the pain level, side effects, cost and satisfaction with pain management in elderly women who had laparoscopically assisted vaginal hysterectomy (LAVH). Methods: The participants were 160 patients at K hospital in D city. Data were collected during January and December, 2012. The main outcomes were level of pain, side effects, satisfaction, and cost for the two types of pain management. Data were analyzed using frequencies,percentages, means, x2-test and t-test. Results: The mean postoperative pain levels at 2, 24, and 48hours were significantly lower in patients who used patient controlled analgesia compared with those who received intravenous injection, although the former reported more side effects, such as nausea, vomiting, and dizziness. The cost of pain management was considerably higher for patients who used patient controlled analgesia. Nevertheless, the overall satisfaction with pain management did not differ significantly between the two methods,except in terms of nursing care and nurses’ explanation of pain management. Conclusion: Patient controlled analgesiawas more expensive and was associated with more complications, such as vomiting, nausea, and dizziness,than was intermittent intravenous opioid injection.

간호학생을 위한 교육용 감염관리 스마트폰 애플리케이션의 효과

홍성정,배현지,이지민 한국자료분석학회 2019 Journal of the Korean Data Analysis Society Vol.21 No.4

The purpose of this research was to evaluate the knowledge and attitudes for infection prevention and the satisfaction for education. The research design was nonequivalent control group pretest-posttest design. This study involved a random assignment of subjects to experimental and control group, and administration of the pretest and the posttest to all subjects in both groups separately. Data were analyzed using descriptive analysis, t-test with the IBM SPSS 25.0. The smartphone-based education group demonstrated significantly better knowledge (t=-10.317, p<.001) and attitude score than participants in the control group (t=-2.626, p=.005). And the scores on satisfaction was showed significantly differences between two groups (t=3.738, p<.001). This study suggests that smartphone-based education may be an effective method to use in nursing education. Thus, more advanced smartphone based education programs related with prevention and control management of hospital infection for nursing students will be developed in terms of providing evidence-based practices. 본 연구는 간호학생을 위한 감염관리 교육프로그램을 모바일 기반 애플리케이션으로 개발하여 간호학생들이 감염에 대한 지식, 태도, 교육만족도에 대한 효과를 검증하고자 시도되었다. 애플리케이션 개발은 ADDIE(analysis, design, development, implementation, evaluation) 모델을 기반으로 하였으며, 효과 검증을 위한 연구설계는 비동등성 대조군 전후 시차 설계이다. 연구 대상자는 J시에 위치한 간호대학 3학년 학생 60명이며, 실험군에게는 모바일 기반 감염관리 애플리케이션 교육프로그램을 4주간 제공하였고, 대조군은 기존의 교육방식을 적용하였다. 수집된 자료는 SPSS 25.0 프로그램을 이용하여 기술통계, t-test로 분석하였다. 연구결과 모바일 기반 감염관리 교육프로그램을 제공받은 실험군은 기존의 교육방법을 받은 대조군에 비해 감염에 대한 지식(t=-10.317, p<.001)과 태도(t=2.626, p=.005)점수에 유의한 차이가 나타났으며, 교육 만족도는 실험군에서 높게 나타나 두 군간에는 유의한 차이가 있었다(t=3.738, p<.001). 따라서 간호학생의 감염관리 지식과 감염관리 행위를 향상시키기 위해 본 연구의 애플리케이션은 추후 감염관리 교육과 관련된 프로그램 개발에 중요한 근거자료를 제공해 줄 수 있을 것으로 여겨진다.

근주용 진통제와 자가 통증조절장치에 대한 효과 비교

홍성정,이은주 경북대학교 간호혁신연구소 2011 경북간호과학지 Vol.15 No.1

Purpose: The purpose of the study was to compare the efficacy of intravenous patient-controlled-analgesia with intermittent intramuscular morphine for TAH patients in the first 24 hours. Methods: A randomized control design was used. The main outcomes were level of pain and satisfaction for the two types of pain management. Participants indicated their level of pain on a 10 mm Visual Analogue Scale within 24 postoperative hours. Data were analyzed with frequencies, percentages, means, t-test and χ² test using SPSS/PC 17.0. Results: A total of 134 women participated in the study. Mean pain level post operation 1 hr in the patient-controlled-analgesia group was significantly lower than in the intramuscular group (P < 0.05). Women in the patient-controlled analgesia group had significantly greater satisfaction with nurse-explanation, nurse-coping, and waiting time than those in the intramuscular group(P < 0.05). Conclusions: As mentioned above, it suggest that patient-controlled analgesia is not effective for postoperative pain relief than intramuscular injection in patients.

노인의 IoT 기반 스마트 건강관리서비스 이용의도에 미치는 영향

홍성정,이성현,김경미 한국융합학회 2020 한국융합학회논문지 Vol.11 No.3

본 연구는 기술수용모델을 기반으로 IoT 기반의 스마트 건강관리 서비스에 대한 노인들의 이용의도를 알아보고 자 시도되었다. 본 연구에서는 전문적 지원, 개인화, 상호작용, 사용편의성을 외생변수로 하고, 매개 내생 변수로 인지된 유용성, 사용의도를 최종 내생변수로 선정하였다. 본 연구의 대상자는 노인복지센터를 이용하는 220명의 65세 이상 노인이었으며, 수집된 자료는 AMOS 25.0을 활용하여 분석하였다. 본 연구결과 전문가 지원, 개인화는 인지된 유용성에 유의한 영향을 나타내지 않았고, 상호작용, 사용편의성과는 유의한 차이가 있었다. 또한 인지된 유용성은 사용의도에 영향을 미치는 것으로 나타났다. 본 연구는 노인의 IoT기반 스마트 건강관리 서비스 이용의도를 구조적으로 검증함으로 써 노인들의 이용의도를 높이기 위한 전략 마련에 기초자료로 사용될 수 있을 것으로 생각한다. The purpose of this study was conducted to explain the intention of use of IoT (internet of things) healthcare service for elderly using TAM (Technology Acceptance Model). The exogenous variables were professional support, personalization, interaction, and convenience, The endogenous variables were usefulness and intention. Data were collected from 220 elderly residents aged 65 over in welfare center and were analyzed using structural equation modeling using AMOS 25.0. The result of this study showed that professional support and personalization did not significantly difference perceived usefulness, and there were significant differences interaction, and convenience. Futhermore, perceived usefulness influence intention of use of IoT healthcare service for elderly. IoT health care service for elderly is affected by perceived usefulness. This study systematically verified the elderly’s intention of using IoT-based smart healthcare services. The result of this study would be able to be used as basic data for preparing strategies to enhance their intention to use the services.

가온요법이 위암수술 환자의 활력징후와 체온불편감에 미치는 효과

홍성정,이지민,김윤경 기초간호학회 2010 Journal of korean biological nursing science Vol.12 No.2

수술 중 저체온은 마취로 인하여 정상적인 체온조절 기전 이 억제되고 수술실 내의 낮은 온도 노출, 차가운 수액, 혈액 의 정맥 내 주입, 과다한 신체부위 노출과 차가운 복강세척액 사용으로 발생하며(Cereda & Maccioli, 2004; Cooper, 2006; Insler & Sessler, 2006), 전신마취유도 후 1시간에서 2시간 이내에 개복수술환자의 50% 정도에서 36℃ 이하의 저체온이 발생된다(Eberhart et al., 2005; Kongsayreepong et al., 2003).

시뮬레이션 기반 결핵환자 간호교육이 간호대학생의 지식, 임상추론역량, 임상수행능력, 교육만족도에 미치는 효과

홍성정,이지민 한국보건기초의학회 2023 한국보건기초의학회지 Vol.16 No.2

The purpose of this study was to identify the effects of simulation-based education for tuberculosis patient care on nursing students’ knowledge about tuberculosis, clinical reasoning competency, clinical performance, and satisfaction on nursing students. This study used a nonequivalent control group posttest design. The study participants included 54 nursing students(27 in the intervention group and 27 in the control group) from K city. Data were analyzed χ²-test, Fisher’s exact test, and t-test. The level of nursing knowledge (t=-7.920, p<0.001), clinical judgment ability (t=-5.063, p<0.001), and clinical performance ability (t=-2.326, p<0.001), and learning satisfaction (t=-4.850, p<0.001) were significantly higher than that of the control group. The nursing simulation-based education for tuberculosis patient-care is more effective than the classic education of increasing students’ knowledge, clinical reasoning competence, clinical competence, and satisfaction. Therefore, it is necessary to develop various simulation-based learning module and apply to the nursing curriculum for improving the clinical reasoning competency, clinical competency for nursing students.

고위험 임부 대상 모바일 기반 건강관리 교육프로그램 개발

홍성정 사단법인 인문사회과학기술융합학회 2019 예술인문사회융합멀티미디어논문지 Vol.9 No.9

본 연구는 고위험 임부의 건강관리를 위한 교육프로그램을 모바일로 개발하였다. 본 연구의 프로그램 개발은 ADDIE 모형을 따라 분석, 설계, 개발, 실행, 평가의 5단계 과정으로 진행하였다. 분석단계에서 고위험 임부 12명에게 교육요구도 조사를 위한 면담을 시행하였다. 이후 문헌고찰과 전문가 집단 면담을 통해 교육프로그램 내용과 어플리케이션 컨텐츠를 선정하였다. 실행단계에서 전문가 10명, 고위험 임산부 5명에게 개발된 고위험 임산부를 위한 임신건강관리 어플리케이션을 일주간 사용 후 사전 평가를 실시하여 최종 프로그램을 확정하였다. 최종 개발된 애플리케이션을 고위험 임산부 15명에게 2주간 사용한 연구결과 어플리케이션 사용자 만족도에서는 5점 만점에서 4.14점으로 나타났으며, 시스템의 질은 3.71점, 정보의 질은 4.21점, 서비스의 질은 4.17점, 활용 만족도는 4.44점으로 고위험 임부에게 도움이 되는 것으로 나타났다. 따라서 고위험 임부를 대상으로 본 연구에서 개발된 어플리케이션을 지속적으로 이용하여 임신관련 지식, 임신건강관리 자기 효능감, 임신건강 관리 실천과 관련된 효과를 입증하는 추후 연구가 필요하다. This study was conducted to develop a mobile pregnancy heath care educational program for mothers who were at an high risk pregnancy status. This program was developed using a ADDIE process of analysis, design, development, implementation, and evaluation. In the analysis phase, interviews were conducted on over 12 high risk mothers. Moreover, related applications and literatures were reviewed to develop application contents, For the implementation phase, the pre survey was conducted on 10 experts and 5 mothers who were at an high risk pregnancy status using a smartphone application for 1 week and determined application. The total satisfaction of high risk mothers showed 4.14 out of 5 and sub categories were as followed; quality of system 3.71, quality of information 4.21, quality of service 4.17, and satisfaction 4.44. We determined that a mobile application for high risk pregnancy educational program that is helpful. Therefore, a future study is necessary to test and verify the effects of using this application on high risk pregnancy knowledge, self efficacy, and action change.

통증관리 근거중심 가이드라인의 국내 타당성 검증 : 복부수술 환자를 대상으로

홍성정,이은주 병원간호사회 2012 임상간호연구 Vol.18 No.1

Purpose: This study was designed to examine the validity of the evidence-based guideline on pain developed by Registered Nurses Association of Ontario(RNAO) translated into Korean based on the experts' opinions. Methods: The panel consisted of experts of 60 registered nurses in surgical units, medical doctors and nursing managers who were experts in pain assessment and management. The validity of translated RNAO guideline was evaluated in terms of appropriateness, applicability, and utilization in current practice. Appropriateness and applicability of each recommendation were measured with 9 point scale, whereas utilization was measured by yes/no question. Data were analyzed by mean, standard deviation, and percent. The experts' opinions were analyzed by content analysis method. Results: In general, most of the recommendations in the guideline received above 7 point in appropriateness and applicability. However, above 20% of recommendations showed less than 50% of utilization rates in current practice. Conclusion: The reasons for low utilization of recommendations in current practice are in need for investigation. This study can be used for the development of guideline more acceptable in Korean health care settings and improve the quality of care for the abdominal surgery patients suffering from pain in Korea.