환자 중증도 분류를 통한 간호업무량 측정과 적정 간호인력 산정

신동순,문원희,정애란,민신홍,이윤경,황윤신,송재금,심희숙,김태숙 충남대학교 간호과학연구소 2004 충남대 간호학술지 Vol.7 No.1

Purpose : The purpose of this study is to determine the appropriate nursing personnel required for nursing units by estimating both the total hours needed for nursing care and the amount of nursing activities based on the patient classification system. Method : The subjects of this study consisted of 1122 patients and 78 nursing staff in a tertiary hospital. The data was collected through personal observations from march 3, 2003 to June 30, 2003. The data was analyzed by the SPSS(ver. 10.0) computer program. Results : The amount of nursing activities and the total hours needed for nursing care were increased, depending on the severity of the patients. The number of nursing personnel required for each nursing unit, based on a 10 bed system, was seen as 5.6 nursing personnel in the medical nursing unit, 7.4 nursing personnel in the surgical nursing unit, 20.6 nursing personnel in the ICU nursing unit. Conclusion : According to the results, it is necessary to consider both the patient classification system and the nursing workload needed for nursing care when we estimate the proper nursing manpower.

간호학사 특별학위과정 학생의 교육 만족도 및 요구도 조사

이윤정 충남대학교 간호과학연구소 2000 충남대 간호학술지 Vol.3 No.1

The purpose of this study is to investigate satisfaction and needs of the RN-BSN students. The subjects were consisted of 178 RN-BSN students in 3 universities. The data were collected conveniently by self reporting questionnaires given to the students from March to April, 2000. The instrument for this study was Jeong's(1984) educational need tool. The data were analyzes by SPSS/WIN 7.5 program using descriptive statistics, Pearson correlation coefficient. The results of this study were as follows: 1.The mean age of students was 26.70(58.8%)and mean duration of clinical experiences of students was 51.9 months. 2.The negative relationship between educational satisfaction and duration of clinical experience was statistically very highly significant(r=-.459,p=0.000). The relationship of duration of clinical experience and hope of further education was statistically highly significant(r=-.247,p=0.004). 3.The factors contributing to the problem of RN-BSN program were financial problem, curriculum, management, change of student, deficit of profession, vague of nursing concepts and problem of nursing research. 4.Prerequisite cultural studies include English or psychology, sports, computer. Major studies include advanced adult nursing, basic nursing science, advanced psychiatric nursing and nursing management.

방문간호 관리에 따른 고혈압 환자의 자가간호 행위 이행의 차이

이주영,김현리,김영희 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

Purpose : This study was to examine the difference of self-care behavior in clients with hypertension by visiting nursing service. Method : The participants in this study were 222 people with hypertension who were seen at a public health center in D city and 86 people with hypertension who were seen at a private general hospital and private clinic in D city. A tool developed by Lee(1995) was used for self-care behavior. Data collection was done for 4 weeks from May 1 to 31, 2004 in public health center and 6 weeks from August 5 to September 15, 2004 in private general hospital and private clinic using interviews with questionnaires. The collected data were analyzed with x^(2)-test and t-test using the SPSS 10.0 program. Result : The group which had the visiting nursing service had better self-care ability than the group that did not have the visiting nursing service(t=-2.414, p=0.016).

만다라 미술요법이 간호학생의 자아존중감에 미치는 효과

최영순,김현리 충남대학교 간호과학연구소 2004 충남대 간호학술지 Vol.7 No.1

Purpose : This study was to evaluate the effect of Mandala art therapy on self- esteem in practice nursing students. Method : The subjects consisted of 83 nursing students in psychiatric nursing practice. The design of this study was quasi-experimental design with one group pre - post test design. The subjects conducted mandala art therapy which was three days per week for two weeks. The qualitative data was collected by interviewing the 4 nursing students and analyzed on the basis of a method of Grounded Theory. Result : The Nursing students after mandala arts therapy showed significant improvement in self esteem scores (p<0.001). The mandala art therapy is a positive intervention of emotional supporting system. Conclusion : It was found that(The mandala art therapy) have an effect on the self-esteem of nursing students. The result provided evidence for the importance of mandala arts therapy in nursing students' practice.

간호강도에 근거한 간호인력관리정보모델 개발

문원희 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

Objective : The purpose of this study was to develop a Nursing Resources Management Information Model(NRMIM) based on nursing intensity in a hospital. Methods : This study was a theoretical study on proposing a nursing information model that can manage nursing resources effectively. The 2-steps of the systematic software development methodology was adapted to this study ; Analysis and Design. A hospital information system operated in a hospital of over 1,000 beds has been analyzed focusing on usable databases to support evidence-based nursing resource administration. Results : This study derived necessity of a nursing staff scheduling system, a patient classification system, personnel management system, and an optimal nursing manpower estimating system from the analyzing step. Then a NRMIM was developed to integrate with this hospital information system. This NRMIM based on nursing intensity is a synthesized new nursing information model of Thomas(1986)'s nursing management process and this analyzed results of the hospital information structure. Conclusion :This nursing information model is expected to be useful to effective and flexible decision making of nursing resource administration. The main challenge is how we realize this information model to support evidence-based nursing resource administration.

뇌졸중과 척수손상 환자의 가정간호요구

소희영,송애랑 충남대학교 간호과학연구소 2000 충남대 간호학술지 Vol.3 No.1

This survey research was conducted to identify the needs of Home Health care from Cerebrovascular accident and Spinal cored Cored Injury clients. The level of Activity of Daily Living and the needs of HHC were evaluated by using the questionnare. The subjects for the study were 196, 112 CVA from out patient department of C general hospital and 84 SCI from industrial accident insurance hospital at Daejon. Data collection was done from January to February 2000. The collected data were analysed utilizing SPSS, and the results are as follows: 1.Comparison of HHC needs by demographic characteristics There were statistically significant difference in level of HHC needs between two groups according to age, educational level, paralysis, speech, perception, vision, defecation, urination, and swallowing in CVA, and speech, defecation, and urination in SCI clients. 2.ADL There were statistically significant difference in transfer, toileting, bathing, gait, stair climbing, dressing, defecation, urination and IADL between two groups. The level of dependence of SCI was higher than that of CVA. 3.The relationship beween HHC needs and ADL There were statistically significant corelations between HHC needs and ADL, in CVA(r=.802, p=.000), and in SCI(r=.716, p=.000) 4.The needs of HHC of two groups The SCI groups were greater than CVA groups. The greatest was educational needs in CVA group and physical needs in SCI group. In conclusion, the above results indicate the demands of SCI were greater than those of CVA. There was need to develop various service program and audiovisual resource or leaflet for education in CVA group. For physical needs of SCI group were higher than CVA group, HHC nurse should consider to expand to kinship, friends, volunteer, and respite center instead of main caregiver to prevent from burn out.

간호대학생들의 노인복지관 봉사경험

노승옥,박인숙 충남대학교 간호과학연구소 2004 충남대 간호학술지 Vol.7 No.1

The purpose of this study was to examine what service experiences at elderly welfare agency meant for nursing students in an effort to enhance their nursing practice The data submitted by 70 students were chosen for analysis, except for incomplete ones, and researchers looked for any significant expressions in their diary-like statements and tried to find what their descriptions really meant. The materials were analyzed in Van Kamm method. Experience on the first day of service activity were selected : 'Burden of elderly care', 'Feel like my grandmother', 'Realized the meaning of nursing', 'Realized the meaning of volunteering', 'Respect toward the volunteers', 'Ambivalence toward the elderlies, 'Self-confidence and resolution' Experience on the last day of service activity were selected 'Heartached', 'Fruitful', 'Thought over my parents'. 'Realized the essence of elderly care', 'thought over one's future', 'Meaning of volunteer works', 'Meaning of nursing'. Students could neither be afraid of the elderly nor have a hard time communicating with them. In addition, service experience will help them realize what nursing basically means and increase their understanding of the elderly with dementia, which is expected to improve their nursing practice.

태도에 관한 국내 간호관련 학위논문 분석

이정섭,김금자,이금재,박인숙,이미향,김영희,홍정주,김진경,김진희,김용분 충남대학교 간호과학연구소 2003 충남대 간호학술지 Vol.6 No.1

The ultimate goal for nursing discipline is to promote health of the human. Understanding the attitude of human is considered to be the prior to understanding the human health behavior in order to discuss the promotion of health of the human. The purposes of this study were to identify the tendency of studies of the Korean nursing scholars and to provide a direction of the future nursing research relating to the human attitude. The analysis was done by reviewing 190 theses of masters and doctors in nursing from 1970 to 2000, which used an 'attitude' in the title. All of the original theses from the National Central Library were reviewed for this study. The results of the study were as followings: 1. The number of theses that covered 'attitude' has gradually increased: 4(2.1%) from 1970 to 1975, 48(25.3%) from 1991 to 1995, and 42(22.1%) from 1996 to 2000. 2. The most research was a survey(n=110, 57.9%). An experimental research that used 'attitude' for a main concept was done in 1986 for the first time, and the number of experimental studies seemed to be increasing. Since 1996, there were three theses which used Q methodology as a qualified study. 3. The most subjects was general public(n=120, 63.2%). The research for the community health nursing(n=36, 18.9%) was the most frequent study in terms of the area of nursing. The attitude toward sex was the most frequent(n=33, 17.4%) topic among the main topic of the study. 4. The result of analysis of the contents of 'attitude' from the abstracts and the research tools has revealed that the number of studies including all of cognitive, emotional, and behavioral attitude was 84(44.2%). The suggestions of the study are as followings: 1. An experimental study for driving positive and desirable behavioral changes for health promotion is needed. 2. Development of the tools for the measurement of cognitive, emotional, and behavioral attitude is needed.

국내의 치매관련 간호연구논문 분석

김혜영,홍춘실,오경옥,이선영,정현숙,이지혜,남미라 충남대학교 간호과학연구소 2002 충남대 간호학술지 Vol.5 No.1

The purpose of this study was to analyze the trends of korean nursing research on dementia and to suggest the direction of future research. A total of 52 nursing research articles published from 1992 to 2001 were selected for this study. These articles were analyzed in a systematic way including time and source of publication, design of research, type of subjects, variable and tool of measurement, intervention outcome of experimental research, and theme of qualitative research. The results were as follows : 1. The nursing research about dementia has appeared since 1992 and increased rapidly since 1998. 2. Eighteen of 52 studies were composed of dissertation of graduate school, and the research designs were mostly quantitative. There were 36 nonexperimental research, 11 experimental research, and 5 qualitative research designs. 3. The subjects of studies were mostly the caregivers of dementia patients as 33 of 52 studies. 4. Most measurement instruments used for research were developed by researcher him/herself, or redesigned and translated into korean as the original foreign version was used. 5. In correlational research, the trend was to study physical conditions in relation to activities of daily living and functional status in dementia patients and psychological conditions in relation to burden, quality of life, depression, and stress in their families. 6. 2 methodological research were development of assessment tool of dementia patients in community, and assessment of burden of caregiver. 7. In experimental research, subjects were all dementia patients, and interventions were music therapy(5), light therapy(2), education program, cognitive stimulation training, validation therapy, hand massage, reminiscence, horticultural therapy, and art therapy. 8. Theme of qualitative research was all caring experience of family. There were 3 phenomenologic methodology, l ethnography and l case study. Based on these findings, the following recommendations were made: 1. It' s necessary to develop a reliable and valid instrument to measure the characteristics of dementia patients and family caregivers of dementia patients. 2. Experimental study should be repeated to prove the effect of intervention for dementia patients and their family.

일개도시 남성 노인의 삶의 만족도와 자가간호역량

신동순,김금숙 충남대학교 간호과학연구소 2006 충남대 간호학술지 Vol.9 No.1

This study was conducted to investigate the relationship between self-care agency and life satisfaction of man elderly. The subjects of this study were 77 elders, man, over 65, who were sampled in Daejeon city. The measurement tools were Self-As Carer Inventory developed by Geden and Taylor and translated by Park for self-care agency, and LSI-A(Life Satisfaction Index-A) developed by Havighurst and others for life satisfaction. The relationships between the self-care agency and life satisfaction were investigated by the use of t-test ANOVA and Pearson Correlation Coefficient. The result of this study were summarized as follows: 1. The mean of self-care agency was 103.71(SD=l8.36) and the mean of life satisfaction was 50.44(SD=10.52). 2. The degree of self-care agency according to demographic characteristics was significantly different in married and economic status. 3. The degree of lif satisfaction according to demographic characteristics was significantly different in married, family types, and having a job now. 4. There was a significant positive correlation between self-care agency and life satisfaction.