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      • 병원감염 예방에 대한 임상간호사의 지식과 실천

        인미숙;김옥진;김신자 중앙대학교 의과대학 간호학과 간호과학연구소 2009 중앙간호논문집 Vol.13 No.-

        Purpose: This study investigated to provide basic data that construct an efficient prevention of the hospital infection through understanding the knowledge and the perforrnance degree about preventive action of the hospital infection that nurse recognize. Method: This study collected data through research paper. We examined all nurses (181 nurses) except nurses who work in emergency room in this hospital. The period of research was September to November. 2009. The data was analyzed by SPSS 13.0 with percentage, average, standard deviation, paired t-test. Result: These are general features of the objects: The age between 25 to 30 was 48.2%. According to the degree of education, graduation of college was 61.2%, 33.5% of nurse has career between 1 to 3 years. As for position, staff nurse accounts for 94.1 %. The result of the study were summarized as follows. 1. Hospital infection prevention activity was 3.78 and the average knowledge of hospital infection is the average score of 3.66 points 2. Discipline-specific knowledge and practiæ to varying degree as follows. Handwashing (t=8.726. p<.000). Fluid therapy (t=2.99. p<.001). Catherization (t=3.37, p<.001). Respiratory system (t= 3.35. p<.001). Sterilization, Supplies (t = 2.82. p<.005), in the area of knowledge and practice, there were statistically significant differences. Conclusion: The result of this study is that the performance degree was lower than the knowledge about preventive action of the hospital infection. Therefore. the continuous education that could enhance the performance is needed

      • 수술실간호사의 임파워먼트 지각수준과 직무만족

        김현경,지성애 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

        This study was accomplished to improve nurses' official duties, job efficiency and quality and to provide the data for nursing management, as that found interrelation of empowerment perception level and job satisfaction of operation room nurses. Two instruments were used for this study. One is the structural factors of empowerment developed by Chandler based on Kanter's theory. Another is the index of work satisfaction developed by Slavitt. The data were collected from 170 operation room nurses of 7 General Hospitals from July. 6, 2001 to July. 20, 2001 and analyzed with SPSS program. The results are as following : 1. Empowerment perception level of the operation room nurses is positive and the mean score of empowerment factors is ranked by support, opportunity, resource and information. 2. Job satisfaction of the operation room nurses is positive and the mean score of job satisfaction factors is ranked by personal relationship, professional pride, autonomy, social standing management, payment, work conditions. 3. In empowerment perception level to the general character of operation room nurses, the nurses who are higher in position than charge nurse and worked for more than 10 years perceived the empowerment positively. 4. In job satisfaction to the general character of operation room nurses, job satisfaction of the nurses, higher in position than charge nurses was showed to be higher than that of the other nurses. 5. Empowerment and job satisfaction are showed to be relative each other according to the research result. In conclusion, both factors were found to be correlated each other according to the result of studying interrelation between empowerment and job satisfaction, I think we have to develop the education and the training program to empower the operation room nurses.

      • 수술직후 환자에게 수행된 회복실 간호중재분석

        박영례,최경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2002 중앙간호논문집 Vol.6 No.2

        The purpose of this study was to analysis of nursing interventions performed by the post-anesthetic care nurses practically from one university hospital in Seoul. The data were collected from the 94 people during the immediate postoperative or post-anesthesia recovery stage from one post-anesthetic care unit. The period for collected the data was July 29, 2002 to August, 16, 2002. The instrument for study was the list of 103 nursing interventions out of the post-anesthetic core nursing interventions presented by Lee, Yoon-Young(2000) selected form the 486 taxonomy of nursing interventions classification (NIC) which were translated into Korean. The data were analysed with SPSS program. The results are as follow : 1. The most frequently used nursing interventions were vital sign monitoring, touch, presence, intravenous(Ⅳ) therapy, fluid monitoring, health education, respiratory monitoring in rank. 2. The most frequently used nursing intervention domains were 'Physiological: Complex', 'Behavior', 'Safty', 'Physiological: basic', ''Health system' in rank. 3. There is little difference of the nursing interventions practiced frequently according to the operative regions. This study contributes to post-anesthetic care practice, nursing education, research and nursing information system.

      • 간호정보제공이 질식자궁적출술 환자의 심리적 적응과 자궁의미지식에 미치는 효과

        임은주;황윤영;류언나;박경숙 중앙대학교 의과대학 간호학과 간호과학연구소 2004 중앙간호논문집 Vol.8 No.1

        Purpose : The purpose of this study was to understand the effect the provision of nursing information for patients who underwent vaginal total hysterectomy had on the fear and anxiety about physical recuperation and the emblematic knowledge of uterus. Method : The study was designed for a quasi-experimental study, with nonequivalent control group non-synchronized. Subjects were 60 patients who underwent vaginal total hysterectomy with benign uterine disease. Subjects were divided into 30 for experimental group and 30 for control group. Result; 1)“the experimental group that is provided with nursing information will have less fear of physical recuperation than control group", was supported. 2) “the experimental group that is provided with nursing information will have less anxiety than control group", was supported. 3) "the experimental group that is provided with nursing information total hysterectomy will have more emblematic knowledge of uterus than control group", was supported. Conclusion : The provision of nursing information appears to be valuable for being clinically utilized as an independent nursing intervention.

      • 이식 환자 간호에 대한 윤리적 갈등

        손희진,최미혜 중앙대학교 의과대학 간호학과 간호과학연구소 2000 중앙간호논문집 Vol.4 No.2

        This is description investigational research on ethical conflicts of nurses who have the experience of nursing organ transplant patients. With the help specialists a researcher collected information through survey sheets on 171 nurses who have the experience of nursing organ transplant patients in one university hospital from 11th August 2000 to 17th August 2000. The Credibility rates of used tools are like these. Chronbach's α= 0.794 for survey sheets on ethical conflicts and Chronbch's α= 0.894 for survey sheets on decision makings. The collected information was analysed with SPSS. Investigational variables of ethical conflicts and decision makings were arranged using real numbers, percentage, averages, standard deviations, and t-test and ANOVA was used on variables influencing ethical conflicts. 1. Conclusion 1) The nurses surveyed in this research are nursing 4.4 organ transplant patients on an average per month with their families. Livers were transplant with top frequencies. Most of the nurses themselves and their families had no experience of diseases. 2) Vocational morals of the 85% nurses surveyed are shaken sometimes and changes with circumstances. 3) Ethical conflicts rates concerning nursing organ transplant patients ranged from 40 minimum to 130 maximum with an average of 94.70. The conflict rate of relationships with organ transplant patients and their families was especially high and that of brain death nursing showed a low conflict rate. 4) Nurses who had experineces of deciding against their own ethical sense of value to solve ethical conflicts problem rated 31.0%, 24.6% of them changed their moral standards. Firstly, the demands of doctors, secondly, the demands of their own protections, thirdly, the demands of supporters of families. 50% of the nurses followed the decisions with don't care attitudes when there are ethical conflicts and 40% of them developed their own opinion and sought alternatives. 5) General characters of the nurses had differences according to their religious background and disease experience. 2. Suggestion Suggest that methodological researches are needed to develope ethical conflict investigation tools for organ transplant patients nursing.

      • 간호사의 모유수유 간호활동

        현혜영,염순교,이혜경,이은애,김형애 중앙대학교 의과대학 간호학과 간호과학연구소 1999 중앙간호논문집 Vol.3 No.1

        This study examined nurses' activities concerning breast-feeding and promoting this in their work place. A questionnaire was given to 32 nurses who answered how much effort they put into breast-feeding education. The average score was 86.40 out of a possible score of 116. 1) 28.1% of nurses had experienced in-service education on breast-feeding. 2) 81.25% of nurses were involved with nursing activities related to breast-feeding. 3) 34.4% of nurses used verbal education in order to promote breast-feeding 18.75% of nurses used materials provided by companies, and 28.1% of nurses used ward protocols. 4) Promotion of breast-feeding activity by nurses was directly related with their work place. Furthermore, the study suggests that not only education about breast-feeding is needed, but the attitudes and involvement concerning breast-feeding is also needed. The study also suggests that hospital managers and nursing mangers need to be included in breast-feeding education. Secondly, the breast-feeding Specialist Program is necessary in order to promote and develop breast-feeding education programs.

      • 노인의 영적 간호요구

        최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

        This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

      • 초산모와 경산모의 분만시 간호요구

        남선숙,최미혜 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

        The purpose of this study was individual taking good care of primiparas and multiparas from comparison analysis of their nursing need. The subject of this study was a total of 133 puerpera who was within 3days from childbirth of three university hospitals in seoul. The data collected from questionnaire during the period from the first september to October 30, 2000, which were composed of during labor and delivery nursing need 27 item 5 point, puerpera self care nursing need and newborns care nursing need 38 item 5 point concerning puerpera's degree of nursing need on delivery room. The instruments used in this study were Ahn, H S(1993), Yeo, J H(1999), Kwang, Y H(1996), Jun, Y J(1997) it is modified The data were analyzed by t-test, ANOVA, x^2-test, Duncan's Multiple Range Test with SPSS Program The result of this study were as follows 1. The more nursing need wanted group were catholic group than the other religion group of during labor and delivery(F=3.001 p=.033), puerpera's self-care and newborns care(F=4.588 p=.004). 2. No different nursing need of primiparas and multiparas during labor and delivery, they were the mean score primiparas 4.04, multiparas 4.07 with a range of 1 to 5. 3. The more newborns care nursing need wanted group were primiparas than multiparas(t=4.688 p=.000). Therefore delivery room nurse think twice of a trend carelessly taking care of multiparas by reason of experienced one more delivery, puerpera self-care, newborns care. In order to start on effective education delivery nurse have to give lession in puerpera self-care, newborns care to primiparas and multiparas before they leave delivery room

      • NIC간호중재분류체계를 이용한 회복실 핵심간호중재분석

        이윤영,지성애 중앙대학교 간호과학연구소 2001 중앙간호논문집 Vol.5 No.2

        The purpose of study was to survey to analysis of core nursing interventions performed by Post Anesthetic Care Unit nurses. The subject of the study were arbitrarily selected 59 nurses in 3 general hospitals located in Seoul, working for the Post Anesthetic Care Unit. The period for collected the data was 47 days from July, 15, 2000 to August, 30. 2000. The Instrument for study was the Korean translation of 486 Nursing Intervention Classification, developed by McClosky & Bulechek in 2000. In the 486 nursing interventions, 217 nursing interventions were selected by 50% or more of the 34% professional nurses group in post-anesthetic care unit. The 217 nursing interventions were used secondary questionnaire. In the secondary questionnaire, all 217 intervention labels and definitions were listed. The collected data were self-report by post anesthetic care nurses. The dada were analysed with SPSS program. The result of this study is as follows. 1. The most frequently used nursing intervention domains were 'Behavior', 'Physiological: Complex', 'Safety'. 'Physiological: Baasic', 'Health system', 'Family' 'community' 2. Post-anesthetic core nursing interventions were performed several times a day by 50% or more of the post anesthetic care nurses. Post-anesthetic core nursing interventions were 4domain('Behavior', 'Physiological: Complex', 'Safety' 'Physiological: Basic', 'Health system'), 19 class, 112 core nursing intervention. The most frequently used Post-anesthetic core nursing intervention domains were 'Physiological: Complex' The most frequently used Post-anesthetic core nursing interventions were medication : intravenous, airway management, oxygen therapy, anesthesia administration, fall prevention, fluid management, airway suctioning, aspiration precaution, airway insertion and stabilization, fluid monitoring, intravenous(IV) therapy, ventilation assistance, infection control: intraoperative, cough enhancement, temperature regulation, vital signs monitoring, documentation, analgesic administration, temperature regulation: intraoperative, emotional support, medication administration, artificial airway management, physician support, fluid/electrolyte management, mechanical ventilation. Post-anesthetic Core Nursing Interventions have implications for post-anesthetic care practice, education, research. and nursing information system.

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