| Young Sook Roh | 5 Articles |
PURPOSE
Standardized patient-based simulation is known to be a useful tool in the training of nursing students; however, few studies have examined the use of this method in oncology nursing education. This study aimed to evaluate the effects of an oncology nursing simulation program that used standardized patients on knowledge, nursing performance ability, and satisfaction among nursing students. METHODS This study used a non-equivalent control group pretest-posttest design. The experimental group (n=25) participated in an 8-hour oncology nursing simulation program that consisted of a lecture (2 hours) and a four-session simulation program(6 hours). The control group (n=29) received case-based learning (6 hours) and a lecture (2 hours). Knowledge level was assessed with a 33-item knowledge assessment multiple-choice questionnaire. Nursing performance ability was assessed with a nursing performance ability checklist. Educational satisfaction was evaluated using the 12-item Course Satisfaction Evaluation tool. Data were collected from June to July of 2012 and were analyzed using descriptive statistics, independent t-test, and repeated measures analysis of variance. RESULTS The experimental group showed significantly higher nursing performance ability and satisfaction compared with the control group. Knowledge of oncology nursing increased in both the experimental and control groups. CONCLUSION An oncology nursing simulation program was more effective than case-based learning in improving nursing student performance and was found to produce high satisfaction. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to evaluate the effects of a simulation based clinical reasoning practice program on clinical competence in nursing students. The program was based on the theoretical frameworks of simulation models and experiential learning theory. METHODS The program consisted of eight scenarios which includes three main symptoms (abdominal pain, changes in mental status, dyspnea), for improvement of clinical competencies in nursing students. A nonequivalent control group pretest-posttest design was used for evaluation of the effects of the program. Fifty-two junior nursing students in Y University participated in the experimental group (n=25) or control group (n=27). Critical thinking was measured using a self-administered questionnaire. Clinical judgment and clinical performance were measured by a rater using the Rubric. Descriptive analysis, t-test, Mann-Whitney U, Wilcoxon signed rank test was used for data analyses. RESULTS Clinical judgment and clinical performance increased in the experimental group, but there were no significant differences in critical thinking. CONCLUSION Results indicate that the program developed in this study is a useful strategy to enhance clinical judgment and clinical performance in nursing students. However, the program did not significantly enhance critical thinking disposition, and further study is needed to measure integrated clinical competence including critical thinking skills. Citations Citations to this article as recorded by
PURPOSE
The purpose of this study was to identify the effects of an exercise program on muscle strength, Activities of Daily Living (ADL), health perception, and depression among post-stroke elders. METHODS Nonequivalent control group design with pretest and posttest was used. A total of 23 post-stroke elders who met inclusion criteria were recruited. Muscle strength in upper and lower extremities, ADL, health perception, and self-rated symptoms of depression were measured. The exercise program consisted of deep breathing, range of motion, and muscle strengthening exercises using Thera-band, 30~40 min/day, three days a week, for 12 weeks. RESULTS Muscle strength of right shoulder (U=11.50, p=.001), right leg (U=13.50, p=.002), and health perception (U=24.00, p=.010) in the experimental group was significantly higher compared to the control group at 12 weeks of post-intervention. Depression scores were significantly lower in the experimental group compared to the control group at 6 weeks (U=28.00, p=.021), at 12 weeks (U=22.00, p=.006) of an exercise program. CONCLUSION By applying this program, post-stroke elders showed increases in muscle strength and a decrease in depression as well as improvement of health perception. Further study is needed to verify the effects of the exercise program on cardiovascular physiologic variables through long-term follow-up.
OBJECTIVE
The purpose of this study were to: (1) describe the individual characteristics, perceived health status, body image, and health promoting behaviors of staff nurses working in a metropolitan hospital and (2) determine the relationship of perceived health status, body image, and health promoting behaviors. METHODS: Data were collected from 311 staff nurses working at one of university affiliated hospitals using a self-administered questionnaire for perceived health status(SF 36 V2), body image(BAQ), and health promoting behaviors (HPLP-II) and using the report of year 2002 employee physical check-up results for health related characteristics. RESULTS: Most of nurses were within the normal range of BMI, total cholesterol, and liver enzymes but 42.2% had systolic BP above 120mmHg and 37.3% hemoglobin below 12g/dL. Although 96.4% of BMI score indicated 'underweight' or 'normal', 'feeling fat' showed the highest. Among health promoting behaviors the most frequently reported one was spiritual growth and the least one was engagement in physical activity. In the correlational analysis, health promoting behaviors had the positive relationships with perceived health status, vitality, mental health, attractiveness, strength and fitness (p=.000 - .004). CONCLUSION: These findings provide information that is relevant in designing interventions to enhance health promoting behaviors among nurses working in a hospital.
The purpose of this study was to develop a critical pathway for the patients following lumbar laminectomy. Development of this critical pathway was the fundamental phase to implement case management, which is a new health care delivery system. For this study, a preliminary critical pathway was developed first through a literature review and analysis of the medical records and seven critical pathways being used currently in Korea and the USA. In order to identify the health care services provided for the patients, who had lumbar laminectomiess and to draw up the conceptual framework, 30 medical records were analyzed from January, 1997 to December, 1997 at the Spinal Center in the Yonsei University Medical Center. The results of this study are as follows: 1. The vertical axis of the critical pathway included the following 7 items: test, assessment, treatment, activity, medication, diet, teaching and discharge planning; and the horizontal axis included the time frame from the pre-operative day to the third post-operative day. 2. Analysis of the 30 medical records indicated that the average length of stay was 13.7 days, including 4.8 days from admission to operation, and 8.9 days from operation to discharge. 3. According to the validity study using seven experts, 54 items, among the total of 86 items, reached over 86% agreement, while 32 items showed less than 86%. These 32 items were reviewed for deletion or modification before inclusion. A final critical pathway then was developed. On the basis of this research, it is anticipated that this critical pathway can be uesd in clinical situations to provide care for the patients following lumbar laminectomy in the most effective and efficient manner.
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