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1.
Int J Nurs Pract ; 28(1): e13005, 2022 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-34382279

RESUMO

AIM: If not conducted correctly, nursing handover can threaten patient safety, and so nursing students require good handover education. This study evaluated a handover education programme based on situated learning theory in a clinical practicum. METHODS: A quasi-experimental design and convenience sampling technique were used. The participants (fourth-grade nursing students recruited from a college in the C province of South Korea) were assigned to an intervention group (n = 38) or a control group (n = 39). A handover education programme that included lectures, expert observations, role playing, peer learning and reflection was received by the intervention group. The control group attended lectures and observed handovers. The handover skills of all participants were tested 2 weeks before and on the last day of the clinical practicum. Handover performance ability, handover clinical judgement ability and handover self-efficacy were outcome variables. RESULTS: Significant improvements in handover performance ability, handover clinical judgement ability and handover self-efficacy were observed in the intervention group compared with the control group. CONCLUSION: The significance of this study lies in the development and application of a programme based on situated learning theory for handover education. Application of theory-based handover education in clinical practicums is recommended to improve the handover capabilities of nursing students.


Assuntos
Bacharelado em Enfermagem , Transferência da Responsabilidade pelo Paciente , Estudantes de Enfermagem , Humanos , Preceptoria , República da Coreia
2.
J Nurs Care Qual ; 37(1): E8-E14, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34231504

RESUMO

BACKGROUND: Nursing handover is a real-time process in which patient-specific information is passed between nurses to ensure the continuity and safety of patient care. PURPOSE: The purpose of this study was to determine the effects of quality improvement (QI) projects in improving the intershift nursing handover process. METHODS: A computerized search was performed of electronic databases for articles published during 2009-2019 in English or Korean for which the full texts were available. The included studies involved QI projects, handover between nurses, and intershift handover. The QI-MQCS (Quality Improvement Minimum Quality Criteria Set) was used to appraise the quality of QI strategies. RESULTS: The handover methods used in the 22 QI projects could be broadly divided into 2 types: (1) using a standardized communication tool; and (2) involving patient-participation bedside handover. CONCLUSIONS: The published research on intershift handover-related QI projects employed standardized communication tools and the patient-participation bedside handover method to reduce adverse events and handover times and increase the satisfaction of patients and nurses. Future studies should measure the changes in patient safety-related outcomes.


Assuntos
Transferência da Responsabilidade pelo Paciente , Comunicação , Humanos , Participação do Paciente , Segurança do Paciente , Melhoria de Qualidade
3.
Stud Health Technol Inform ; 284: 39-40, 2021 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-34920464

RESUMO

This study used topic modeling to analyse key topics of nursing handoff research. Six topics were identified. The findings indicate that future studies should implement the standardization of handoff tools and the use of bedside handoff, and evaluate their effects on patient safety outcomes.


Assuntos
Pesquisa em Enfermagem , Transferência da Responsabilidade pelo Paciente , Humanos
4.
Stud Health Technol Inform ; 284: 41-43, 2021 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-34920465

RESUMO

After the COVID-19 pandemic occurred in South Korea in 2020, medical institutions have dealt with the epidemiological crisis. The institutions' strategies in response to the crisis were classified into four stages depending on the change of epidemic circumstances. Efficiently responding to the pandemic, close cooperation between the government and medical institutions is essential.


Assuntos
COVID-19 , Governo , Humanos , Pandemias/prevenção & controle , República da Coreia/epidemiologia , SARS-CoV-2
5.
Int J Nurs Sci ; 8(1): 58-64, 2021 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-33575446

RESUMO

OBJECTIVES: This study was conducted to investigate the current status of handoffs, perception of patient safety culture, and degrees of handoff evaluation in small and medium-sized hospitals and identified factors that make a difference in handoff evaluation. METHODS: This is a descriptive study. 425 nurses who work at small and medium-sized hospitals in South Korea were included in our study. They completed a set of self-reporting questionnaires that evaluated demographic data, handoff-related characteristics, perception of patient safety culture, and handoff evaluation. RESULTS: Results showed that the overall score of awareness of a patient safety culture was 3.65 ± 0.45, the level was moderate. The score of handoff evaluation was 5.24 ± 0.85. Most nurses experienced errors in handoff and most nurses had no guidelines and checklist in the ward. Handoff evaluation differed significantly according to the level of education, work patterns, duration of hospital employment, handoff method, degree of satisfaction with the current handoff method, errors occurring at the time of handoff, handoff guidelines, and appropriateness of handoff education time (P < 0.05). CONCLUSION: For handoff improvement, guidelines and standards should be established. It is necessary to develop a structured handoff education system. And formal handoff education should be implemented to spread knowledge uniformly.

6.
Contemp Nurse ; 52(4): 421-429, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27267242

RESUMO

BACKGROUND: Nursing handoffs are communicative routines in most nursing units. The handoff is critical to the continuity and safety of patient care. Negative perceptions of handoffs could hinder efficient communication between nurses. AIMS: This study identified the perceptions of nurses' handoffs in Korea. DESIGN: A descriptive survey was employed. The population included nurses who worked in a general ward in 201 hospitals with more than 300 beds. RESULTS: 27.9% responded that the current handoff method needed to be changed and 75.8% had no handoff-related guideline. "Handoffs are frequently interrupted by outsiders' visits" was the most frequent problem expressed. Variables associated with a perceived need for change in handoff methods were age, handoff method, and preparation time for handoffs. CONCLUSION: Nurses recognized that handoffs were frequently interrupted by external factors and consumed too much time. Therefore, a standardized handoff method is needed to ensure the accuracy of information.


Assuntos
Atitude do Pessoal de Saúde , Comunicação , Recursos Humanos de Enfermagem no Hospital/psicologia , Transferência da Responsabilidade pelo Paciente , Adulto , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , República da Coreia , Inquéritos e Questionários
8.
J Korean Med Sci ; 24 Suppl: S143-7, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19194544

RESUMO

A successful transplantation, across a positive crossmatch barrier, is one of the most persistent long-standing problems in the field of kidney transplant medicine. The aim of this study was to describe seven consecutive living renal transplantations in recipients with positive crossmatch for donors or positive for donor specific antibodies (DSAs). A preconditioning regimen including plasmapheresis and intravenous immunoglobulin was delivered three times a week until the crossmatch and/or DSAs became negative. Mycophenolate mofetil and tacrolimus were started two days before the plasmapheresis. The protocol was modified to include administration of anti-CD 20 antibody (rituximab, 375 mg/m(2)) from the patient number 3 through the patient number 7. All seven patients achieved negative conversion of the crossmatch or DSAs, and the kidney transplantations were successfully performed in all cases. Acute cellular rejection occurred in two patients, which were subclinical and controlled with high dose steroid treatment. Antibody-mediated rejection occurred in one patient, which was easily reversed with plasmapheresis. All recipients attained normal graft function during the 7-24 months of follow up. Our study suggests that sensitized patients can be transplanted successfully with desensitization pretreatment.


Assuntos
Transplante de Rim/métodos , Adulto , Anticorpos Monoclonais/farmacologia , Anticorpos Monoclonais Murinos , Antígenos CD20/biossíntese , Biópsia , Feminino , Rejeição de Enxerto , Sobrevivência de Enxerto , Teste de Histocompatibilidade/métodos , Humanos , Imunoglobulinas/química , Masculino , Pessoa de Meia-Idade , Plasmaferese , Rituximab , Condicionamento Pré-Transplante
9.
Stud Health Technol Inform ; 122: 718-21, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17102357

RESUMO

The purposes of this study were to identify nursing-phenomena-related statements and nursing-action- related statements for use in nursing records, to link nursing statements for the nursing process, to develop integrated nursing terms using the ICNP, to identify new terms for inclusion, and to group statements using the HHCC in a user interface. We extracted 5,133 nursing-phenomena-related statements and 3,844 nursing-action-related statements, with the former including 233 nursing diagnoses. A total of 2791 nursing terms were mapped and 287 new terms were developed. Synonyms of 827 standard nursing terms were extracted. We developed trees of nursing statements using the HHCC for the user interface in an electronic nursing record. The quality of nursing documentation and the nursing performance improved with the standardization process.


Assuntos
Sistemas Computadorizados de Registros Médicos , Cuidados de Enfermagem/classificação , Terminologia como Assunto , Humanos , Coreia (Geográfico)
10.
Stud Health Technol Inform ; 122: 989-90, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17102503

RESUMO

This study analyzed the usage of nursing statements and the frequencies of mapped nursing statements using the ICNP in electronic nursing records. A total of 9,200 statements were analyzed, comprising 5,135 related to nursing assessments, 215 related to nursing diagnoses, and 3,850 related to nursing interventions. Nurses used 3,744 (72.9%) of the respective statements in assessments, 149 (69.3%) in diagnoses, and 2,641 (68.6%) in interventions. There were 11,499 (56.8%) completely mapped nursing statements, 7,548 (37.3%) partially mapped statements, and 1,203 (5.9%) unmapped statements.


Assuntos
Comunicação , Sistemas Computadorizados de Registros Médicos , Enfermeiras e Enfermeiros , Coleta de Dados , Humanos , Coreia (Geográfico) , Diagnóstico de Enfermagem
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