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The influence of health literacy competencies on patient-centered care among clinical nurses 临床护士健康素养对以病人为中心护理的影响
Q3 Nursing Pub Date : 2021-05-31 DOI: 10.5977/JKASNE.2021.27.2.132
Min-Young Kim, Jieun Cha
Purpose: The aim of this study was to identify the relationships between health literacy competencies and patient-centered care among clinical nurses. Methods: The participants of this study were 254 nurses working in two hospitals in the D region. The data were collected from July to August 2020. The health literacy competencies for registered nurses scale and individualized care scale were utilized. Descriptive statistics, independent t-test, ANOVA, Pearson’s correlation coefficient and multiple regression analysis were used for data analysis. Results: The mean of health literacy competencies was 3.16±0.31 points on a four-point scale, and the average of patient-centered care was 3.69±0.50 points on a five-point scale. Regarding the nurses’ general characteristics, patient-centered care showed significant differences according to age (F=4.68, p=.010), marital status (t=-2.38, p=.018), religion (F=3.03, p=.030), total clinical experience (F=2.94, p=.021) and prior health literacy knowledge (t=3.20, p=.002). As a result of a hierarchical multiple regression analysis, health literacy competencies (β=.63) were found to significantly influence patient-centered care. The explanatory power of the model was 41.0% (F=25.58, p<.001). Conclusion: The study suggests that nurse’s health literacy competencies should be developed in order to improve patient-centered care. Nursing education should include an emphasis on integrating health literacy into the nursing school curriculum.
目的:本研究旨在确定临床护士的健康素养与以患者为中心的护理之间的关系。方法:本研究的参与者是在D地区两家医院工作的254名护士。数据收集于2020年7月至8月。采用注册护士健康素养量表和个体化护理量表。数据分析采用描述性统计、独立t检验、方差分析、皮尔逊相关系数和多元回归分析。结果:健康素养能力的四分制平均值为3.16±0.31分,以患者为中心的护理的五分制平均为3.69±0.50分。关于护士的总体特征,以患者为中心的护理在年龄(F=4.68,p=.010)、婚姻状况(t=-2.38,p=.018)、宗教信仰(F=3.03,p=.030)、总临床经验(F=2.94,p=.021)和既往健康素养知识(t=3.20,p=.002)方面表现出显著差异,健康素养(β=0.63)显著影响以患者为中心的护理。该模型的解释力为41.0%(F=25.58,p<.001)。结论:研究表明,为了改善以患者为中心的护理,应该培养护士的健康素养。护理教育应强调将健康素养纳入护理学校课程。
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引用次数: 2
Effects of nursing record education focused on legal aspects at small and medium sized hospitals 中小医院护理档案法律教育的效果分析
Q3 Nursing Pub Date : 2021-05-31 DOI: 10.5977/JKASNE.2021.27.2.152
Taehee Do, Hee-Soon Kim
Nursing records provide an account of the care and treatment given to a patient, providing a way to monitor progress and develop clinical histories. They allow for continuity of care by facilitating treatment and support [1]. They are an official communication tool for medical staff and an integral part of patient care, providing evidence of care for patients [2]. Nursing records are also used as basic data for healthcare policymaking, statistical analysis, research, education, and insurance claims [3]. Therefore, nurses are responsible for maintaining accurate records of the care they provide and are accountable if information is incomplete and inaccurate [4]. As electronic medical records are becoming more widely used, nursing records are also transitioning from paper to electronic formats. The expansion of electronic nursing records (ENRs) promotes better quality, completeness, and accuracy. Furthermore, electronic nursing records have allowed nurses to spend more time nursing patients since less time is required to write nursing records [2]. On the other hand, a study criticized that ENRs often fail to reflect individual patients’ personal nursing care because the records contain repetitive, standardized text. This threatens patient safety, revealing the negative side of ENRs [2,5]. Lee [6] reported that nursing records’ accuracy in ENRs was only 61.9%. Kang [7] found that while 94.9% of ENRs contained information about patients’ conditions and status, only 65.3% recorded nursing services provided to patients. The obstacles to writing nursing records are having several ORIGINAL ARTICLE ISSN 1225-9578 e-ISSN 2093-7814 https://doi.org/10.5977/jkasne.2021.27.2.152 JKASNE Vol.27 No.2, 152-162, May, 2021
护理记录提供了对患者护理和治疗的描述,提供了一种监测进展和发展临床病史的方法。它们通过促进治疗和支持来实现护理的连续性[1]。它们是医护人员的官方沟通工具,也是患者护理的组成部分,为患者提供护理证据[2]。护理记录也被用作医疗决策、统计分析、研究、教育和保险索赔的基础数据[3]。因此,护士有责任维护他们提供的护理的准确记录,如果信息不完整和不准确,护士也有责任[4]。随着电子医疗记录的使用越来越广泛,护理记录也从纸质格式过渡到电子格式。电子护理记录(ENRs)的扩展提高了质量、完整性和准确性。此外,电子护理记录允许护士花更多的时间护理患者,因为编写护理记录所需的时间更少[2]。另一方面,一项研究批评说,ENR往往不能反映个别患者的个人护理,因为记录包含重复的、标准化的文本。这威胁到患者的安全,暴露出ENRs的负面影响[2,5]。Lee[6]报告称,护理记录在ENRs中的准确性仅为61.9%。Kang[7]发现,虽然94.9%的ENRs包含有关患者状况和状态的信息,但只有65.3%记录了为患者提供的护理服务。书写护理记录的障碍有几个原始文章ISSN 1225-9578 e-ISSN 2093-7814https://doi.org/10.5977/jkasne.2021.27.2.152JKASNE第27卷第2期,152-1622021年5月
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引用次数: 0
The mediating effect of optimism between grit and learning flow of nursing students 乐观心理对护生毅力与学习流的中介作用
Q3 Nursing Pub Date : 2021-05-31 DOI: 10.5977/JKASNE.2021.27.2.144
Y. S. Kim, Kyoungsook Lee
Purpose: The purpose of this study was to investigate the mediating effect of optimism on the relationship between grit and learning flow in nursing college students. Methods: Structured self-reported questionnaires were used to measure grit, optimism and learning flow. The study was conducted on 200 nursing students in P, U and J cities between September 1 and September 20, 2020. The data were analyzed using a t-test, one-way ANOVA, Pearson’s correlation coefficients and hierarchical multiple linear regression with SPSS/WIN 23.0. Results: Significant relationships were found between learning flow and grit (r=.60, p<.001), between learning flow and optimism (r=.42, p<.001), and between grit and optimism (r=.42, p<.001). Additionally, optimism had a partial mediating effect on the relationship between grit and learning flow (Z=3.11, p<.001). Conclusion: These results indicate that interventions to increase the level of grit along with optimism is necessary in order to increase the level of nursing college students’ learning flow.
目的:本研究旨在探讨乐观情绪对护生毅力与学习流关系的中介作用。方法:采用结构化的自我报告问卷来测量毅力、乐观情绪和学习流。这项研究于2020年9月1日至9月20日对P、U和J城市的200名护理专业学生进行。数据采用t检验、单因素方差分析、Pearson相关系数和SPSS/WIN 23.0分层多元线性回归分析。结果:学习流与毅力之间存在显著关系(r=.60,p<.001),学习流与乐观之间存在显著相关性(r=.42,p<0.001),毅力与乐观之间也存在显著相关性,乐观主义对毅力和学习流之间的关系具有部分中介作用(Z=3.11,p<.001)。结论:这些结果表明,为了提高护理大学生的学习流水平,有必要采取干预措施,在乐观主义的同时提高毅力水平。
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引用次数: 3
The intervention effect of a nursing-media studies convergence problem-based learning (PBL) program to improve nurses’ public image: Changed perceptions of program participants and students attended a PBL presentation 护理媒体研究趋同问题学习(PBL)计划对改善护士公众形象的干预效果:改变了项目参与者和参加PBL演讲的学生的看法
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.59
Seung-Chul Yoo, S. Kang, Joo-yeon Ryu
Purpose: The purpose of this study is to examine the effectiveness of Problem-based Learning (PBL) in an interdisciplinary college class. This class was run under the theme of ‘Nurse Social Content Creators’ (NSCC) in the Korean Nurses Association (KNA)’s industry-university collaborative project designed to promote a positive image of nurses among the public. Methods: Study 1 examined changes in perception about nurses among the PBL participants before and after the program. A one-group pre-post test experimental design was applied, and the data were analyzed using a Wilcoxon signed-rank test. Study 2 identified differences of perceptions of nurses between people who had observed the PBL final presentation and people who had not. A post-test-only with nonequivalent group experimental design was used, and the data were analyzed using a Mann-Whitney U test. Results: Study 1 revealed a significant increase of positive perceptions towards nurses. Study 2 revealed a significant difference between the PBL presentation audience group and the control group. Students who had observed the PBL program showed more positive perceptions of nurses than students who had not. Conclusion: This research is an important study with high practicality in the area of media studies as well as in nursing. The PBL teaching method was proven to be effective in enhancing perceptions of nurses.
目的:本研究的目的是检验基于问题的学习(PBL)在跨学科大学课堂上的有效性。该课程以“护士社会内容创造者”(NSCC)为主题,是韩国护士协会(KNA)的产学研合作项目,旨在在公众中推广护士的积极形象。方法:研究1调查了PBL参与者在项目前后对护士的认知变化。采用一组测试前后的实验设计,并使用Wilcoxon符号秩检验对数据进行分析。研究2确定了观察PBL最终演示的人和没有观察的人对护士的看法存在差异。仅使用非等价组实验设计的后验,并使用Mann-Whitney U检验对数据进行分析。结果:研究1显示,对护士的积极认知显著增加。研究2显示PBL演讲观众组和对照组之间存在显著差异。观察过PBL项目的学生比没有观察过的学生对护士表现出更积极的看法。结论:本研究是一项在媒介研究和护理领域具有较高实用性的重要研究。PBL教学法被证明能有效地提高护士的认知能力。
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引用次数: 1
The development of nurses’ core competencies and the analysis of validity and importance-performance 护士核心能力的发展及其效度、重要性-绩效分析
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.16
GyeongAe Seomun, K. Bang, H. Kim, C. Yoo, Woon Kyung Kim, Jinkyun Park
1) Professor, BK21FOUR R&E Center for Learning Health Systems·College of Nursing, Korea University 2) Professor, College of Nursing·The Research Institute of Nursing Science, Seoul National University 3) Professor, College of Nursing, Kyungpook National University 4) Chief Manager, Seoul National University Hospital 5) Master's student, College of Nursing, Korea University 6) Research Professor, College of Nursing, Korea University
1)韩国大学护理学院BK21FOUR健康系统学习研究中心教授2)首尔大学护理学院教授3)庆北大学护理学院教授4)首尔大学医院院长5)高丽大学护理学院硕士生6)高丽大学护理学院研究教授
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引用次数: 8
The relationship among academic achievement, clinical competence, and confidence in clinical performance of nursing students 护生学业成绩、临床能力和临床表现信心的关系
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.49
Hyewon Kim, Myo-Gyeong Kim
Purpose: The purpose of this study was to determine relationships between academic achievement, clinical competence, and confidence in the clinical performance of nursing students, and to identify factors that influence them. Methods: This was a descriptive correlation study. Data were collected from 118 nursing students at a nursing college in Seoul. One-way variance analysis, Pearson's correlation coefficient, and multiple linear regression analysis were used to examine relationships between academic achievement, clinical competence, and confidence in clinical performance. Results: Clinical competence was related to academic achievement in students’ previous semester and to students’ academic scores in a fundamental of nursing course. Clinical competence showed a weak positive correlation with academic achievement in students’ previous semester and academic scores in a fundamental of nursing course in both evaluations by the professor and students’ self-evaluations. However, confidence in clinical performance had no significant correlation with academic achievement. The factor affecting the clinical competence was academic scores in a fundamental of nursing course, and factors affecting confidence in clinical performance were health status, personality, major suitability, and class satisfaction in a fundamental of nursing skills course. Conclusion: These findings indicate that students with high academic achievement have better clinical performance, but confidence in clinical performance is not related to academic achievement.
目的:本研究旨在探讨护生学业成绩、临床能力与临床表现信心之间的关系,并探讨影响因素。方法:采用描述性相关研究。调查对象是首尔某护理学院的118名护理专业学生。采用单因素方差分析、Pearson相关系数分析和多元线性回归分析来检验学业成绩、临床能力和临床表现信心之间的关系。结果:临床能力与学生上学期学业成绩及护理基础课成绩相关。在教授评价和学生自我评价中,临床能力与学生上学期学业成绩、护理基础课学业成绩均呈弱正相关。然而,对临床表现的信心与学业成绩没有显著的相关性。影响临床能力的因素是护理基础课程的学习成绩,影响临床表现信心的因素是护理基础课程的健康状况、性格、专业适合度和班级满意度。结论:学业成绩高的学生临床表现较好,但对临床表现的信心与学业成绩无关。
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引用次数: 3
Factors influencing dementia prevention behaviors in older Koreans enrolled in senior welfare centers 老年福利中心韩国老年人痴呆预防行为的影响因素
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.39
Kyung-Choon Lim, Myoungsuk Kim, H. Ko
Purpose: This study aimed to explore factors influencing on the preventive behaviors of dementia in older Koreans enrolled in senior welfare centers to provide basic information on dementia prevention. Methods: A total of 182 older Koreans participated in this study, which employed a cross-sectional design. Data were collected using questionnaires with items related to general characteristics, depression, self-esteem, knowledge and attitudes about dementia, preventive behaviors of dementia, dementia management self-efficacy, and anxiety about dementia. Using SPSS WIN 23.0, data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe ́ test, Pearson's correlation coefficient, and multiple regression. Results: Living with a spouse (p=.013), a higher monthly income (p=.018), better nutrition (p=.010), not having a sleep disorder (p<.001), and higher number of participating programs (p=.001) were associated with better dementia prevention behaviors. Attitudes about dementia (β=.18, p=.006) and the number of programs older Koreans were participating in (β=.17, p=.006) influenced positively on the preventive behaviors of dementia, while depression (β=-.41, p<.001) and sleep disorders (β=-.17, p=.006) influenced negatively on dementia preventive behaviors. Overall, approximately 35% of the variability in dementia preventive behaviors was explained by these four variables in this study (F=24.97, p<.001). Conclusion: The findings of this study suggest that depression reduction, good attitudes about dementia, program participation, and good sleep should be encouraged to promote dementia prevention. In addition, effective and structured educational programs should be developed for older Koreans to encourage dementia preventive behaviors to reduce the risk of dementia.
目的:本研究旨在探讨韩国老年福利院老年痴呆预防行为的影响因素,为老年痴呆预防提供基础信息。方法:采用横断面设计,对182名韩国老年人进行研究。通过问卷调查收集数据,问卷内容涉及痴呆症的一般特征、抑郁、自尊、对痴呆症的知识和态度、痴呆症的预防行为、痴呆症管理自我效能感和对痴呆症的焦虑。采用SPSS WIN 23.0软件对数据进行描述性统计、t检验、方差分析、Scheffe检验、Pearson相关系数和多元回归分析。结果:与配偶同住(p= 0.013)、较高的月收入(p= 0.018)、较好的营养(p= 0.010)、无睡眠障碍(p< 0.001)和较多的参与项目(p= 0.001)与较好的痴呆症预防行为相关。对痴呆症的态度(β=。18, p=.006),老年人参加的项目数量(β=. 006)。17, p=.006)对痴呆预防行为有正向影响,而抑郁对痴呆预防行为有正向影响(β=- 006)。41, p<.001)和睡眠障碍(β=-。17, p=.006)对痴呆预防行为有负向影响。总体而言,本研究中约35%的痴呆预防行为可变性可由这四个变量解释(F=24.97, p<.001)。结论:本研究结果表明,应鼓励减少抑郁,对痴呆症的良好态度,参与项目和良好的睡眠,以促进痴呆症的预防。此外,为了减少老年痴呆症的风险,应该制定有效的、有组织的教育计划,鼓励老年痴呆症预防行为。
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引用次数: 0
A systematic review and meta-analysis of flipped learning among university students in Korea: Self-directed learning, learning motivation, efficacy, and learning achievement 韩国大学生翻转学习的系统回顾与元分析:自主学习、学习动机、学习效能与学习成就
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.5
S. Kim, J. Lim
Purpose: This study aimed to provide a systematic review and meta-analysis of research on flipped learning effects applied to university students. Methods: The random effect model was applied to 21 papers to calculate the effect size. To verify the moderation effect, a meta regression analysis and meta ANOVA were performed. Publication bias was verified through a funnel plot, and then an Egger's regression test was conducted. Results: The overall average effect size was .69 (95% CI: .51-.87), showing a median effect size, which was statistically significant. The outcome variables were in the order of learning motivation (Hedges’ g=.83), self-directed learning (Hedges’ g=.78), learning achievement (Hedges’ g=.66), and efficacy (Hedges’ g=.50), which were statistically significant. Conclusion: Flipped learning was found to be statistically significant in improving self-directed learning, learning motivation, efficacy, and learning achievement amng university students. It is suggestd that this method be actively applied in university education.
目的:本研究旨在对大学生翻转学习效果的研究进行系统回顾和meta分析。方法:采用随机效应模型对21篇论文进行效应量计算。为了验证调节效应,我们进行了meta回归分析和meta方差分析。通过漏斗图验证发表偏倚,然后进行Egger回归检验。结果:总体平均效应量为0.69 (95% CI: 0.51 - 0.87),显示中位效应量,具有统计学意义。结果变量依次为学习动机(Hedges’g= 0.83)、自主学习(Hedges’g= 0.78)、学习成就(Hedges’g= 0.66)、学习效能(Hedges’g= 0.50),差异均有统计学意义。结论:翻转学习对提高大学生自主学习、学习动机、学习效能和学习成就有显著的统计学意义。建议在大学教育中积极应用这种方法。
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引用次数: 3
Educational needs for the development of a simulation module of home visiting care for the frail elderly 弱智长者上门照顾模拟模组发展的教育需要
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.68
J. Ahn, Youngran Yang
Purpose: This study aimed to identify the educational needs of nurses and nursing students for the development of a simulation module of home visiting care for frail, elderly people. Methods: Focus group interviews were conducted with 15 home visiting nurses working in public health centers and 14 nursing students who experienced home visiting from September 10 to October 10, 2018. Results: Bloom’s taxonomy of learning objectives, namely, cognitive, affective, and psychomotor domains was used as a framework for data analysis. The defined educational needs for each domain were as follows: “understanding frail, elderly people” for the cognitive domain; “intervention for mental health” and “building a therapeutic relationship” for the affective domain; and “nursing skills”, “health education for healthy lifestyles”, “referral to the community resource connection”, “protection for visiting nurses” for the psychomotor domain. Conclusion: Based on the findings of this study, a simulation module of home visiting care for frail, elderly people can be developed and used for nursing students and nurses to strengthen the capacity for home visiting care.
目的:本研究旨在了解护生及护士对弱体长者家访护理模拟模组之教育需求。方法:于2018年9月10日至10月10日对15名在公共卫生中心工作的家访护士和14名经历过家访的护生进行焦点小组访谈。结果:使用Bloom的学习目标分类,即认知、情感和精神运动领域作为数据分析的框架。每个领域的教育需求定义如下:认知领域为“理解体弱多病的老年人”;情感领域的“心理健康干预”和“建立治疗关系”;“护理技能”,“健康生活方式的健康教育”,“转介到社区资源连接”,“对来访护士的保护”在精神运动领域。结论:基于本研究结果,可开发体弱老年人家访护理模拟模块,用于护生和护士加强家访护理能力。
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引用次数: 1
The effect of achievement motivation on learning agility of nursing students: The mediating effect of self-leadership 成就动机对护生学习敏捷性的影响:自我领导的中介作用
Q3 Nursing Pub Date : 2021-02-28 DOI: 10.5977/JKASNE.2021.27.1.80
Kyun-Hee Yim, Insook Lee
Purpose: This study aimed to investigate nursing students’ learning agility and confirm the mediating effect of self-leadership in the relationship between achievement motivation and learning agility. Methods: The study design was a descriptive survey design. The subjects were thirdand fourth-year nursing students attending three universities in one region. Data were collected from November 28, 2019, to May 25, 2020, and a total of 202 data were collected using the scale of achievement motivation, self-leadership, and learning agility. Data analysis included frequency analysis, descriptive statistics, and Pearson's correlation coefficient using SPSS 25.0 statistics 25.0 software. The mediating effect of self-leadership was analyzed through regression analysis and bootstrapping using process macro ver. 3.4.1. Results: Self-leadership’s partial mediating effect was confirmed in achievement motivation and learning agility. Achievement motivation was found to affect directly learning agility, with an indirect effect through self-leadership. Conclusion: The study results showed that nursing students could increase their learning agility through self-leadership improvement. Future research should focus on identifying the factors influencing nursing students’ learning agility and develop and apply programs to improve learning agility.
目的:本研究旨在调查护生的学习敏捷性,并证实自我领导在成就动机和学习敏捷性关系中的中介作用。方法:研究设计采用描述性调查设计。受试者是在一个地区的三所大学就读的护理专业三年级和四年级学生。数据收集于2019年11月28日至2020年5月25日,使用成就动机、自我领导和学习敏捷度的量表共收集了202个数据。数据分析包括频率分析、描述性统计和Pearson相关系数,使用SPSS 25.0统计学25.0软件。通过回归分析和自举分析,使用过程宏观版本3.4.1.分析了自我领导的中介作用。结果:自我领导在成就动机和学习敏捷性方面具有部分中介作用。研究发现,成就动机直接影响学习敏捷性,并通过自我领导产生间接影响。结论:研究结果表明,护生可以通过自我领导能力的提高来提高学习敏捷性。未来的研究应侧重于确定影响护生学习敏捷性的因素,并制定和应用提高学习敏捷性方案。
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引用次数: 2
期刊
Journal of Korean Academic Society of Nursing Education
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