ABSTRACT
PURPOSE: This study was intended to understand relevant factors by observing phenomena and characteristics of family nursing based on ICNP. METHODS: The subjects of this study were nurses and 80 reports were prepared by 680 students for the data. RESULTS: The results are as follows: The average number of the family problems the subjects were faced with was 3.5, while the majority (70%) had 3 problems. The most frequently occurred family problem was 'lack of or improper communication,' followed by 'inappropriate family coping,' 'unhealthy life style,' 'inadequate care management of sick members,' and 'wrong parental role.' Married women showed high APGAR score in the family function. The problems they were experiencing were 'lack of or improper communication,' 'inadequate care management of sick members,' and 'wrong parental role.' CONCLUSION: As a conclusion, the following is advised. First, intervention strategies are required for the women workers at medical institutions as their family problems revealed to have occurred frequently. Second, in order to alleviate family problems of married working women with various tasks and roles they play, necessary measures and concern in the aspect of industrial nursing are needed.
Subject(s)
Female , Humans , Apgar Score , Family Nursing , Occupational Health Nursing , Parents , Women, WorkingABSTRACT
PURPOSE: This study was intended to understand relevant factors by observing phenomena and characteristics of family nursing based on ICNP. METHODS: The subjects of this study were nurses and 80 reports were prepared by 680 students for the data. RESULTS: The results are as follows: The average number of the family problems the subjects were faced with was 3.5, while the majority (70%) had 3 problems. The most frequently occurred family problem was 'lack of or improper communication,' followed by 'inappropriate family coping,' 'unhealthy life style,' 'inadequate care management of sick members,' and 'wrong parental role.' Married women showed high APGAR score in the family function. The problems they were experiencing were 'lack of or improper communication,' 'inadequate care management of sick members,' and 'wrong parental role.' CONCLUSION: As a conclusion, the following is advised. First, intervention strategies are required for the women workers at medical institutions as their family problems revealed to have occurred frequently. Second, in order to alleviate family problems of married working women with various tasks and roles they play, necessary measures and concern in the aspect of industrial nursing are needed.
Subject(s)
Female , Humans , Apgar Score , Family Nursing , Occupational Health Nursing , Parents , Women, WorkingABSTRACT
OBJECTIVES: The objective of this study is to find out what nurses wrote in narrative nursing notes. METHODS: Forty-six patients' nursing notes were analyzed based on the nursing process. Eight patterns were extracted depending on the different combinations of the nursing process components. RESULTS: Of the 8 patterns, assessment only pattern was the most frequent comprising 45.8% and assessment or diagnosis-intervention-outcome patterns accounted for 25.9% of the total nursing phrases. The content of nursing notes was also classified into 15 categories. Out of these 15 categories, nursing outcomes were recorded more frequently in nursing care mainly driven by doctor's order such as diseases related symptom management, insomnia care, respiratory care and pain control than in independent nursing care such as education and emotional care. According to the survey on nurses' attitude toward nursing record, nurses did not document nursing outcome as much as they reported they did. The main reasons for this discrepancy were insufficient time for recording and lack of knowledge about why, how and what to evaluate. CONCLUSION: Even though there is room for improvement, nursing notes can be used a source for nursing contribution to patient outcomes.
Subject(s)
Humans , Education , Nursing Care , Nursing Process , Nursing Records , Nursing , Outcome Assessment, Health Care , Sleep Initiation and Maintenance Disorders , Thoracic SurgeryABSTRACT
The purpose of this study was to seek the approach structuring the descriptive nursing documents and using the terminology as controlled vocabula ry in elec tronic nursing r ecord through the analysis of contents re corded in paper-based nursing documentation forms with the International Classification for Nursing Practice(ICNP). Sixty three patients'nursing re cords, corresponding to documents of 395 days of a teaching Hospital in Seoul were used. From the chart review of the 5 nursing record forms; Nurses'note, Deliver y Floor Nur sing Record I, II, Nur sing History Record(Mate rnity), Nur sing Discha rge Plan(Maternity), na rrative da ta and formatted data wer e collecte d and analyzed separately. Na rrative data were broke down semantically into single sentences and classified according to the semantics. Formatted data were summarized by concepts from the nursing forms'items. Fourteen thousand seven hundred twenty-seven statements and sixty-three items were analyzed. In the process of decomposing the narrative data into single statements, a constant pattern of contents like the nursing process and some contextual information, such as the other health professions'behaviors or plans which were not classified in nursing phenomena or actions, were found. The 14,727 statements were represented into 237 unique statements and decomposed into 259 unique concepts. Among those 39.8%(103) were identified as local vocabulary, which represents the concrete concepts in detail in the maternity nursing field. In the analysis of 48 formatted items, 23(47.9%) concepts were local vocabulary. These study findings implied the effective method of structuring the narrative nursing documents and supported the importance of identifying the local vocabulary in terminology of ICNP based approach to improve and complement the expressiveness of clinical practice in detail enough.
ABSTRACT
The purpose of this study was to develop and test the validity of standardized Korean nomenclature of the International Classification for Nursing Practice (ICNP), developed by the International Council of Nursing (ICN). The four phases of the study were: (1) Two professors and 15 graduate students translated who were taking a nursing intervention course, translated nursing phenomena and nursing action of the ICNP into Korean; (2) 12 nurses with various clinical backgrounds reviewed the nomenclature taking into consideration of the definition, and contents for each Korean nursing terminology, and the Delphi method was used to determine the best appropriate nomenclature for each terminology; (3) 20 academic and clinical experts in nursing were given a questionnaire to rate the validity of each Korean nomenclature using a 5 point Likert scale ranging from very inappropriate to very appropriate; (4) five members of the Korean Nurses Association Research Committee reviewed the survey results and determined the most appropriate Korean nomenclature for each nursing phenomena and activity of the ICNP. Most nomenclature of the ICNP had a score of more than 4.0, but four nursing phenomena had a score between 3.5 and 4.0: Unilateral neglect(3.86), Care Giver strain (3.86), Health denial(3.86), Health Adjustment (3.86) and draining(2.63) . In nursing activity 726 items, except for twelve items, had a score of over 4.0: Drainage(2.63) Weaning(3.13), Caring(3.75), Cold Wrapping(3.63), distraction Technique(3.57), drawing(3.88), Establishing Report with(3.5), Heating Wrapping(3.5), Manipulating(3.75), Performing(3.88), Reading material(3.75) and Restricting(3.75).