Issues in Facilitating Nursing Effectiveness Research and Developing Clinical Databases in Korea

Park Myong Hwa(박명화),Cho Hyea Myung(조혜명),Lee Hae Ran(이혜란) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  간호의 결과를 가시화하고 그 효율성을 입증하는 방법은 간호 효율성 연구를 통해서 이루어져야 하며 간호 효율성 연구의 촉진을 위해서는 대단위 임상데이터베이스의 개발과 확립이 필수적인 요소이다. 본 연구에서는 간호효율성 연구의 범위와 필요한 연구설계를 확인하고 이러한 간호 효율성 연구를 위해 필요한 데이터베이스의 종류와 필수적인 간호자료를 위한 최신 연구결과를 고찰함으로써 국내에서의 간호효율성 연구와 대단위 임상데이터베이스 구축을 위한 기초자료를 제공하고자 한다. 본 연구에서 고찰된 내용은 다음과 같다. 1) 효율성 연구와 간호효율성 연구의 개념, 2) 간호효율성 연구에 유용한 연구설계와 종류, 3) 간호 효율성 연구를 위한 데이터 및 데이터베이스, 4) 간호효율성 연구를 위한 대단위 임상 데이터베이스의 종류와 기능. 본 연구의 고찰을 바탕으로 다음과 같은 제언을 하고자 한다. 첫째, 개별 간호사 수준에서 정확한 사정과 결과평가를 통해 신뢰할 수 있는 데이터를 산출하여야 하며 또한 간호효율성 연구에 직접 관여하여 연구결과의 산출이 촉진되어야 한다. 둘째, 임상자료가 축적되어 있는 데이터베이스에 대한 정보가 제공되어 개별 연구자와 실무자들의 데이터베이스에 대한 접근성을 증진시켜야 한다. 셋째, 기존 데이터베이스의 신뢰성에 대한 지속적인 평가와 필수적인 자료와 비필수적인 자료에 대한 명확한 구분이 필요하다.

A Critical Literature Review: The Transition from In-Home Care to Institutional Care for the Elderly with Dementia in the US

박명화(Park Myong Hwa),박정숙(Park Jeong Sook),김정남(Kim Chung Nam),박경민(Park Kyung Min),권상민(Kwon Sang Min) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1

치매노인을 돌보는 가족의 간호 부담의 증가와 더불어 국내에서도 치매노인의 장기간호 시설 입원이 서구사회와 같이 증가하고 있는 실정이다. 노인을 돌보는 데 있어 가족의 역할을 중요시해온 한국의 전통적 가치관에 비추어 볼 때 최근의 사회적 변화로 인한 가족 간호의 역할 감소는 중요한 문제로 대두되고 있다. 본 연구의 목적은 일찍이 치매노인환자의 장기간호 시설로의 입원이 보편화된 미국의 치매환자 가족의 가정에서 시설로의 간호의 전환과 관련된 문헌을 고찰함으로써 한국 상황에서 의 관련 연구를 활성화시키기 위한 기초 자료로 활용하기 위함이다. 치매환자의 장기 간호시설 입원에 영향을 미치는 요인, 장기간호시설로의 입원결정과 관련된 가족의 경험, 시설 입원 후 가족이 경험하는 스트레스 및 만족도, 가족의 환자 간호에의 계속적인 참여경험 및 관련 질적 연구에 대한 문헌이 고찰 및 분석되었다. 문헌고찰의 결과로서 한국상황에서 다음과 같은 연구가 필요하다고 사료된다. 1) 한국 사회에서 치매환자의 실제 장기 간호 시설 입원률과 현황에 대한 조사가 이루어져야 한다. 2) 치매환자의 장기 시설 입원을 촉진시키는 요인에 대한 연구가 필요하다. 3) 치매환자를 장기 간호 시설로 입원시키는 가족이 경험하는 스트레스와 만족도에 대한 연구가 필요하다. 4) 가정에서 치매노인을 돌보는 가족과 시설 입원 가족의 부담감과 만족도에 대한 비교연구가 필요하다. 5) 시설로의 입원이 치매노인 본인에게 미치는 영향에 대한 연구가 필요하다.

계명대학교 간호과학연구소 규정 외

편집부 계명대학교 간호과학연구소 2009 계명간호과학 Vol.13 No.1

생행동 간호연구(Biobehavioral nursing research) 분석 - 대한간호학회지를 중심으로 -

박정숙(Park Jeong Sook),최귀윤(Choi Gui Yun),권상민(Kwon Sang Min) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1

This study examined all the articles published in the Journal of Korean Academy of Nursing for the last 33 years, from its beginning year to 2003, based on the objective frame of analysis. The purpose of this research is to analyse the biobehavioral nursing researches in Korea, and to provide a direction of biobehavioral research for the future. One thousand four hundred one articles published in the Journal of Korean Academy of Nursing from the beginning year to 2003 were analyzed. 1. The prevailing type of measurement was behavioral measurement in 823(58.7%), And then, articles using biological measurement were 100(7.1%), articles using biobehavioral measurement were only 96(6.9%). Others including qualitative research and methodological research were 379(27.1%). 2. Trend of biobehavioral nursing research was 2.2% in 1970s, 1.6% in 1980s, 7.1% in 1990s, and 10.5% in 2000s. 3. PNI articles were only 3, 1 in 1980s and 2 in 1990s. 4. Research designs of biobehavioral articles were experimental design 70.8%, survey 18.8%, and correlational design 10.4%. 5. Research subjects according to life cycle were 66.7% for adult, 18.8% for elderly, 8.3% for children, 4.2% for maternity, and 2.1% for others. 6. Research subjects according to health status were 61.5% for patients, 30.2% for healthy person, 3.1% for medical personnel, and 5.2% for others.

정신과 간호사의 지역사회 정신보건에 대한 견해 조사 연구

이경희(Lee kyung Hee) 계명대학교 간호과학연구소 1997 계명간호과학 Vol.1 No.1

The purpose of this study was to investigate the psychiatric nurses' opinions about the community mental health. In research, psychiatric nurse means who is working at the psychiatric ward. The subjects were 62 psychiatric nurses distributed in Seoul, Taegu, Kyungki, Kyungpuk, Choongpuk, Kangweon Do. Data were obtained using a convenience sample technique. Data were analyzed using the SAS program for Frequencies were Factor Analysis. The results were summarized as follows. 1) Most of the respondents agreed the severity of the mental health problems. 2) Sexual abuse, alcoholism, drug addiction were ranked highly in order for socially approval "very severe". 3) They showed negative opinions about the Question "Problems in psychiatric mental health were prevented and resoluted" 4) Socially negative attitudes were major factors which prevented the problems solving and prevention in the psychiatric mental health area. 5) They provided the patients who have psychopathy or emotional disorders with treatment first of all 6) Early detections of psychiatric patients were needed first of all when conducting mental health services. 7) Most of all respondents wished that another independent mental health center was established and psychiatric nurses must have major role conducting for community mental health. 8) Most of all respondents showed that they were willing to receive psychiatric mental health training. Most of them wanted to receive training in counselling and educational methodology. 9) The opinions about psychiatric nursing homes shows very negative results at most of areas. 10) The opinions about psychiatric patients showed very empathetic and generous attitudes. Generally, the respondents got it right the cause of psychiatric mental illness. 11) It showed that the respondents had a good vision about the psychiatric therapeutic prospect. And they had also positive attitudes in social rehabilitation of out-patients.

방광경검사 환자를 위한 간호프로토콜이 통증 및 불안에 미치는 효과

박정민(Park Jeong Min),이병숙(Lee Byoung Sook) 계명대학교 간호과학연구소 2016 계명간호과학 Vol.19 No.3

Purpose: This non-equivalent control group pretest-posttest study was performed to examine the effects of nursing protocol which included provision of information before, during, and after cystoscopy with emotional support and relaxation. Methods: Dependent variables of this study were state-anxiety before cystoscopy and pain during and after cystoscopy. The nursing protocol was composed of assessment, intervention and evaluation phases based on nursing process for patients under whole process of cystoscopy. Subjects were 26 cystoscopy patients for experimental group and 24 cystoscopy patients for control group. Data were collected at a university hospital in D Metropolitan City and analyzed using SPSS/Win 19.0. Results: The experimental group on which nursing protocol was applied experienced less state-anxiety than control group (t=-2.45, p=.018). The experimental group experienced less pain than control group. Conclusion: According to the results, the effects of nursing protocol for cystoscopy patients were identified in reducing anxiety and pain. This nursing protocol is expected to be widely applied to other invasive endoscopic procedures as well.

인공신장실 간호사의 임파워먼트, 직무스트레스 및 소진의 관계

허영주(Youngju Hur),이병숙(Byoungsook Lee) 계명대학교 간호과학연구소 2011 계명간호과학 Vol.15 No.1

Purpose: This study was designed to find out relationship between the empowerment, job stress and burnout of nurses in hemodialysis units. Method: Subjects of this study were 280 nurses working at 51 hemodialysis units located in Daegu metropolitan city and Kyeongbuk province. Three scales were used to measure the subjects’ empowerment, job stress and burnout. The data were analyzed using descriptive statistics, t-test, ANOVA with Scheffe’s test, Pearson correlation and stepwise multiple regression in SPSS. Result: The salary level, the pattern of the shift, and the intention to work in the hemodialysis unit were affecting empowerment and job stress in the subjects. Age, marital state, clinical experience, career experience at hemodialysis unit, present position, the pattern of the shift, the intention to work in the hemodialysis unit were affecting burnout in the subjects. There were significant negative relations between empowerment and job stress, and empowerment and burnout in the subjects. Conclusion: The results showed that the more job stress the nurses have, the higher burnout they could feel. Additionally, the results showed nurses’ higher empowerment could decrease their job stress and burnout. Based on the results, strategies to strengthen the empowerment of the nurses in the hemodialysis units are recommended to decrease their job stress and burnout.

정신과적 문제를 가진 대상자의 사례관리시 간호진단 이용분석

최정임(Choi Jeong Im),이경희(Lee Kyung Hee) 계명대학교 간호과학연구소 2004 계명간호과학 Vol.8 No.1

The purpose of this study was to clarify the use of nursing diagnoses on the case management for clients who have mental health problems. The subjects of this study were 19 clients with mental health problems. when the preliminary mental health nurse practitioners visited home to give nursing interventions, nursing diagnoses were used frequently among nineteen cases of nursing management records who were registered at public health center, sanatorium, mental hospital or community mental health center during the period of March 2003 to March 2004. The diagnoses choosen from psychiatric mental nurse practitioner's records include knowledge deficit, social isolation, ineffective family coping, altered health maintenanse, altered thought processes, low self-esteem, powerlessness, and noncompliance. The diagnoses applied were the nursing intervention protocol developed by Kim, Sunah in 1997. The results were shown the distribution of the nursing diagnoses at the facilities and characteristics according to the socioeconomic variables.

뇌졸중환자 가족간호제공자의 역할스트레스와 우울

박영숙(Park Yeong Sook),박선영(Park Sun Young) 계명대학교 간호과학연구소 2006 계명간호과학 Vol.10 No.1

  Purpose: The purpose of this study was to examine role stress and depression of primary family caregivers caring stroke patients and to develop an effective nursing intervention method for them. Method: This study was conducted with 139 primary family caregivers caring stroke patients hospitalized in K and D University hospitals in D city from Jun 10 to November 5, 2005. The measuring instrument of role stress and depression used the questionnaires method. Data analysis was consisted of frequency, percentage, mean, SD, Pearson Correlation, t-test, ANOVA, using SPSS WIN Version 11.0. Results: Mean score of role stress of primary family caregivers was 85.30, indicating a middle level. For characteristics of primary family caregivers, the factors significantly influencing family caregiver role stress were age, sex, marital status, educational level, types of family, relationship between patient and primary family caregiver, days after attack, total care days. Mean score of depression of primary family caregiver was 16.58, indicating higher level than the middle. For characteristics of primary family caregivers, the factors significantly influencing primary family caregiver depression were age, sex, marital status, educational level, job, monthly income, relationship between patient and primary family caregiver, days after attack, total care days. Role stress of primary family caregivers caring stroke patient was significantly correlated to their depression. Conclusion: To develop nursing strategies to decrease role stress and depression of primary family caregivers caring stroke patients must be considered the factors significantly influencing primary family caregivers.

혈액종양 환자에 있어 스토리텔링 간호프로토콜의 심리적 효과

이아름(Lee, A Reum),이병숙(Lee, Byoungsook) 계명대학교 간호과학연구소 2013 계명간호과학 Vol.17 No.2

Purpose: This study, as a pilot study, aimed to explore psychological effects of a storytelling nursing protocol in hemato-oncology patients. As the psychological variables, self-esteem, powerlessness, and hope of hemato-oncology patients were examined for this purpose. Methods: This study was a non-equivalent control group pre and post test quasi-experimental study. The storytelling nursing protocol was developed based on the literature and screened from the experts of oncology nursing and the stroytelling. Data were collected from eight patients of an experimental group and another eight patients of a control group among hemato-oncology patients who agreed to participate in this research. Three scales were used to measure self-esteem, powerlessness, and hope. Data analysis was done with SPSS WIN 15.0 using Mann-Whitney U to test hypotheses, and Krskal-Wallis to identify the differences of dependent variables by periods. Results: The hypotheses to verify the effects of storytelling nursing protocol on self-esteem, powerlessness, and hope of the subjects were supported. Conclusion: The storytelling nursing protocol was revealed as an effective nursing intervention for self-esteem, powerlessness, and hope of hemato-oncology patients. Based on this research, storytelling can be suggested as one of the effective nursing interventions to improve the patients' psychological problems.