Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT

PURPOSE: This study was performed to propose an ontology methodology based on standardized nursing process as framework in obstetric and gynecologic nursing practice. METHODS: The instrument used in this study was based on the nursing diagnosis classification established by North American Nursing Diagnosis Association (NANDA) (2009-2011), fifth edition of the Nursing Interventions Classification (NIC) (2008), forth edition of the Nursing Outcomes Classification (NOC) (2008) developed by Iowa State University and systematized nomenclature of medicine clinical terms (SNOMED CT). The nursing records data were collected from electronic medical records of one hospital from August to October 2010. RESULTS: One hundred and forty-one nursing diagnosis statements used in obstetric and gynecologic nursing unit were linked standardized nursing classifications and constructed nursing diagnosis ontology including interoperability. CONCLUSION: Not only will this result be helpful to complete nurse's lack of knowledge and experience, it will also help to determine nursing diagnosis logically by using standardized nursing process. It will be utilized as the method to construct ontology including interoperability in other nursing units. It will be presented nursing interventions according to nursing diagnosis and thus will be easier to establish nursing planning. This can provide immediate feedback of the nursing process application.

A Study on Infant Temperament and Mother-Infant Attachment of Breast-Feeding Mothers / 여성건강간호학회지

PURPOSE: This study was conducted to investigate infant temperament and mother-infant attachment of breast-feeding mothers with a 5 ~ 7 month old infant. METHODS: This study was descriptive research. The subjects were 258 infants and their mothers participating in 'Year 2007 Healthy Breastfed BabyContest' on September 5, 2007 and visiting a community health service center from September 1 to December 30 in 2007. The data was gathered by structured questionnaires about the Maternal Attachment Inventory (MAI) and What My baby is Like (WBL). RESULTS: The mean score of WBL was 6.75 and that of MAI was 3.88. In addition, there was a significant positive correlation between the score of infant temperament and mother-infant attachment (r = .33, p < .01). CONCLUSION: Breast-feeding mothers perceived infant's temperament as more positive, therefore, breast-feeding should be encouraged.

A Study on the Relationship between Health Perception, Prenatal Care Behaviors and Health Promoting Behaviors in Unmarried Pregnant Women / 여성건강간호학회지

PURPOSE: This study was to examine the relationship between health perception, prenatal care behaviors and health promoting behaviors of unmarried pregnant women. METHOD: The subjects were 97 unmarried pregnant women. The data was collected through personal interviews using a questionnaire. Adjusted instruments were the health perception scale developed by Ware, prenatal care behavior scale developed by Lee, and health promoting behavior scale developed by Pender. Data was analyzed by descriptive statistics, t-test, ANOVA, and the Pearson correlation coefficient with SPSS program. RESULT: The mean score of health perception was 3.3, and Resistance-Susceptibility was the highest. The mean score of prenatal care behaviors was 2.9, while that of health promoting behaviors was 2.5. The relationship between health perception and prenatal care behaviors was significant(r=0.268, p=.008). The relationship between prenatal care behaviors and health promoting behaviors was also significant (r=0.633, p=.000). CONCLUSION: The higher the health perception of unmarried pregnant women, the more they are concerned about good prenatal care behaviors. Unmarried pregnant women did well on health promoting behaviors when they had are high degree of good prenatal care behaviors. Therefore, in order to promote positive health perceptions of unmarried pregnant women, it is necessary to develop and adjust various education and supporting programs.