14 research outputs found
Global Health Project for Maternal Child Health in a Developing Country: Case Study in Tigray, Ethiopia
Purpose: The purpose of this study was to demonstrate a two-year global health project to improve maternal and child health (MCH) in Ethiopia. Methods: This is a descriptive case study. The target area is Kilte Awlaelo Woreda in Tigray Regional State, Ethiopia. A baseline survey was conducted to identify the needs of community residents and health care professionals. A MCH program was developed according to a project design matrix that included: infrastructure renovation of health centers; continuing education for midwives, nurses, and health extension workers (HEWs); and improvement of residents' MCH awareness. Project evaluation will examine the structure, process, and outcomes of the program. Results: The baseline survey showed low rates of family planning (31%) and antenatal and postnatal care use (36.1% and 69%, respectively). The institutional birth rate was 13.5%. Midwives and nurses received 2~4 educational programs about family planning and perinatal care. HEWs were also given practical education. Water and electrical infrastructure of all five health centers in the Kilte Awlaelo Woreda were
renovated. Additionally, medical supplies and equipment were provided. Community health education on perinatal care, family planning, and personal hygiene was presented. Conclusion: This study highlights the role of nursing in global health and provides basic information on the development and outcomes of the global health project.๋ณธ ์ฐ๊ตฌ๋ ํ๊ตญ๊ตญ์ ํ๋ ฅ๋จ(KOICA)์ ์ํฐ์คํผ์ ์์กฐ์ฌ์
์ ์ํ ๋ฐ์ ์ํ๋์
Development and evaluation of transitional care program for low birth weight infants and mothers.
๊ฐํธํ๊ณผ/๋ฐ์ฌ[ํ๊ธ]
๋ณธ ์ฐ๊ตฌ๋ ์ ์ถ์์ฒด์ค์ ์ดํ๊ฐํธ ํ๋ก๊ทธ๋จ์ ๊ฐ๋ฐ๊ณผ ํ๊ฐ์ฐ๊ตฌ๋ก, ํ๋ก๊ทธ๋จ ๊ฐ๋ฐ์ ์ค๋น,๊ฐ๋ฐ, ํ๊ฐ์ 3๋จ๊ณ๋ก ๊ตฌ์ฑ๋์๋ค. ์ฐ๊ตฌ์ ์ด๋ก ์ ๊ธฐํ์ ์ดํ์ด๋ก (Meleis, Sawyer, Im,Messias, & Schumacher, 2000)์ ๊ทผ๊ฑฐ๋ก ํ์๋ค.
ํ๋ก๊ทธ๋จ ๊ฐ๋ฐ ์ค๋น๋จ๊ณ๋ 2000๋
6์๋ถํฐ 8์๊น์ง ์์ธ์๋ด ์ผ๊ฐ ๋ณด๊ฑด์์ ๋ฑ๋ก๋ ํ์ฌ๊ต์ ์ฐ๋ น 12๊ฐ์ ๋ฏธ๋ง์ ์ถ์์ ์ฒด์ค 2,500g๋ฏธ๋ง๊ณผ ์ถ์์ ์ฌํ์ฐ๋ น 37์ฃผ ์ดํ์ธ ์ ์ถ์์ฒด์ค์ 19๋ช
๊ณผ ๊ทธ ๋ถ๋ชจ๋ฅผ ๋์์ผ๋ก ์ถํ๊ฐํธ ๋ํ ์๊ตฌ๋, ๋ถ๋ชจ์ ์์ก์์ ๊ฐ, ์์์กด์ค
๊ฐ, ์ฌํ์ ์ง์ง, ์์์ ์ฑ์ฅ๋ฐ๋ฌ๊ณผ ๊ฑด๊ฐ์ํ, ๊ฐ์ ์ ์์กํ๊ฒฝ์ ์กฐ์ฌํ์๋ค. ์ด ์๋ฃ์ ๋ถ์์ ๊ธฐ์ ํต๊ณ, Spearman's rho correlation coefficient, Mann-Whitney test๋ฅผ ์ด์ฉํ์๊ณ , ๋ฉด์ ์๋ฃ๋ ๋ด์ฉ๋ถ์ ํ์๋ค.
๊ฐ๋ฐ๋จ๊ณ๋ ์ดํ์ด๋ก ์ ์ด๋ก ์ ํ๋ก ํ๋ฉด์ ์ค๋น๋จ๊ณ์์ ์กฐ์ฌํ ๋์์์ ์๊ตฌ๋ฅผ ๋ฐ์ํ์ฌ ์ ๋ฌธ๊ฐ ์ง๋จ์ผ๋ก๋ถํฐ ๋ด์ฉํ๋น๋๋ฅผ ๊ฒ์ฆ๋ฐ์ ํ ์ต์ข
ํ๋ก๊ทธ๋จ์ ๊ฐ๋ฐํ์๋ค.
ํ๊ฐ๋จ๊ณ๋ 2000๋
11์๋ถํฐ 2001๋
5์๊น์ง ์์ธ๊ณผ ์ธ์ฒ์ ๋ํ๋ณ์์ ์ ์์์ง์ค์น๋ฃ์ค์์ ํด์์ด ๊ฒฐ์ ๋ ์ถ์์ ์ฒด์ค์ด 2,500g ๋ฏธ๋ง, ์ถ์์ ์ฌํ์ฐ๋ น์ด 37์ฃผ ์ดํ์ธ 4๋ช
์์ ์ถ์์ฒด์ค์์ ๊ทธ ์ด๋จธ๋๋ฅผ ๋์์ผ๋ก ํด์ 2-3์ผ์ ๋ถํฐ ํด์ ํ 3๊ฐ์๊น์ง ํ๋ก๊ทธ๋จ์
์ ์ฉํ์๋ค. ํ๋ก๊ทธ๋จ์ ํจ๊ณผ๋ ์์์ ๊ฑด๊ฐ์ํ์ ์ฑ์ฅ๋ฐ๋ฌ, ์ด๋จธ๋์ ์์ก์์ ๊ฐ๊ณผ ์์์กด์ค๊ฐ, ๊ทธ๋ฆฌ๊ณ ๋ชจ์์ํธ์์ฉ, ๊ฐ์ ์ ์์กํ๊ฒฝ์ ์ธก์ ํ์๋ค. ํ๋ก๊ทธ๋จ์ ์ด์๊ณผ ํ๋ก๊ทธ๋จ ์ฐธ์ฌ๊ฒฝํ์ ๊ฒฐ๊ณผ๋ ๋์์์์ ๋ฉด์ ์ ํตํด ์๋ฃ๋ฅผ ์์งํ์๋ค. ์๋ฃ๋ถ์์ ๋์์ ์์ ์ ํ์ผ๋ก ํต๊ณ๋ถ์์ ํ์ง ์์๊ณ , ๋ฉด์ ์๋ฃ๋ ๋ด์ฉ๋ถ์ ํ์๋ค.
๋ณธ ์ฐ๊ตฌ์ ๊ฒฐ๊ณผ๋ ๋ค์๊ณผ ๊ฐ๋ค.
1) ํ๋ก๊ทธ๋จ ๊ฐ๋ฐ ์ค๋น๋จ๊ณ์์ ํ์ธ๋ ์ ์ถ์์ฒด์ค์์ ๊ฑด๊ฐ์ 52.6๏ผ
์ ๋ถ๋ชจ๋ค์ด ์์ ์ ์๋
๊ฐ ๊ฑด๊ฐํ๋ค๊ณ ์ธ์ํ๊ณ ์์์ผ๋ฉฐ, ํด์ ํ ๊ฐ์ฅ ๋ง์ด ๊ฒฝํํ ๊ฑด๊ฐ๋ฌธ์ ๋ ํธํก๊ธฐ ๊ฐ์ผ๊ณผ ์ด์ด์๋ค. ์ด๋ค์ ์ฒด์ค๊ณผ ์ ์ฅ์ ๋์ฒด๋ก ํ์ฌ์ ๊ต์ ์ฐ๋ น์ ์ ํฉํ ์ ์๋ฒ์๋ฅผ ์ ์งํ์๋ค. ๋ฐ๋ฌ์ ํ์ฌ ๊ต์ ์ฐ๋ น 3๊ฐ์ ์ดํ ์ ์ถ์์ฒด์ค์ 9๋ช
๊ฐ์ด๋ฐ 4๋ช
์์ ์์ฌ์ค๋ฐ ๋ฐ๋ฌ์ด๋ ์ง์ฐ๋ฐ๋ฌ์ด ๋ํ๋ฌ๋ค. ์ ์ถ์์ฒด์ค์ ๋ถ๋ชจ์ ์์ก์์ ๊ฐ, ์์์กด์ค๊ฐ, ๊ฐ์ ์ ์์กํ๊ฒฝ์ ๋ชจ๋ ์์์ ๊ต์ ์ฐ๋ น์ด 3๊ฐ์ ๋ฏธ๋ง์ธ ๊ฒฝ์ฐ๊ฐ ๊ทธ ์ด์์ธ ๊ฒฝ์ฐ๋ณด๋ค ๋ฎ์๋ค. ์ ์ถ์์ฒด์ค์ ๋ถ๋ชจ์ ์ฌํ์ ์ง์ง๋ ์ ์ฒด์ ์ผ๋ก ๋งค์ฐ ๋ฎ์ ์์ค์ผ๋ก ๋ํ๋ฌ๋ค. ์ ์ถ์์ฒด์ค์ ๋ถ๋ชจ๋ค์ ์์ , ์๊ธฐ ๋ค๋ฃจ๊ธฐ, ์ง๋ณ๊ด๋ฆฌ, ์๊ธฐ์ ํน์ฑ์ดํด, ๋ชฉ์ ๋ฑ๊ณผ ๊ด๋ จ๋ ์์ก ์ด๋ ค์์ ๋ณด๊ณ ํ์๊ณ , ์ถํ๊ฐํธ์ ๋ํ ์๊ตฌ๋ ๊ต์ก๊ณผ ์ ๋ณด, ์์กฐ๋ชจ์, ์๋ดํต๋ก์ ํ๋ณด ๋ฑ์ด์๋ค.
2) ์ต์ข
์ ์ผ๋ก ๊ฐ๋ฐ๋ ํ๋ก๊ทธ๋จ์ 4ํ์ ๊ฐ์ ๋ฐฉ๋ฌธ, ๋งค์ฃผ 1ํ์ ์ ํ๋ฐฉ๋ฌธ, ๋์์์ ํ์์ ๋ฐ๋ผ ์ ๊ทผ๊ฐ๋ฅํ ์ ํ์๋ด, ๊ทธ๋ฆฌ๊ณ ์ธํฐ๋ท ์์กฐ๋ชจ์์ผ๋ก ๊ตฌ์ฑ๋์๋ค.
3) ํ๋ก๊ทธ๋จ์ ํ๊ฐ๋ฅผ ์ํด์ 4๋ช
์ ์ ์ถ์์ฒด์ค์์ ์ด๋จธ๋์๊ฒ ํด์ 2-3์ผ์ ๋ถํฐ ํด์ ํ 3๊ฐ์๊น์ง ํ๋ก๊ทธ๋จ์ ์ ์ฉํ์๋ค. ํ๋ก๊ทธ๋จ ์ข
๋ฃ ์ ์ ์ถ์์ฒด์ค์์ ๊ฑด๊ฐ์ํ๋ ๋์ฒด๋ก ์ํธํ์๊ณ , ๊ฑด๊ฐ๋ฌธ์ ๊ฐ ๋ฐ์ํ ๋์์์ ๊ฒฝ์ฐ๋ ์กฐ๊ธฐ๋ฐ๊ฒฌ๊ณผ ์ ์ ํ ์น๋ฃ๋ก ์ฐ๊ณ๋์๋ค.ํ๋ก๊ทธ๋จ์ ์ฐธ์ฌํ ์ ์ถ์์ฒด์ค์๋ ๋ชจ๋ ํด์ 3๊ฐ์ ํ ์ ์๋ฐ๋ฌ์ ๋ํ๋๋ค. ํ๋ก๊ทธ๋จ์ ์ฐธ์ฌํ ์ ์ถ์์ฒด์ค์ ๋ถ๋ชจ๋ ๋ณธ ํ๋ก๊ทธ๋จ์ด ์์ก์์ ๊ฐ, ๋ชจ์์ํธ์์ฉ, ๊ฐ์ ์ ์์กํ๊ฒฝ์ ํฅ์์ ๊ธ์ ์ ์ธ ์ํฅ์ ๋ฏธ์ณค๋ค๊ณ ๋ณด๊ณ ํ์๋ค.
ํ๋ก๊ทธ๋จ์ ์ฐธ์ฌํ ์ด๋จธ๋๋ค์ ๋ณธ ํ๋ก๊ทธ๋จ์ ๋ํด ๋์ ๋ง์กฑ๋๋ฅผ ๋ณด๊ณ ํ์๊ณ , ์ ์ถ์์ฒด์ค์๋ ๊ฑด๊ฐ๊ณผ ์ฑ์ฅ๋ฐ๋ฌ์ ์ ์ง, ์ฆ์งํ ์ ์์๋ค. ํนํ ์ด๋จธ๋๋ ์ง์์ ์ธ ์ถํ๊ฐํธ๋ฅผ ์ ๊ณตํ๋ ๊ฐํธ์ฌ์ ์์กฐ๋ชจ์์ ๋ค๋ฅธ ์ด๋จธ๋๋ค๊ณผ์ ์ง์ง์ ์ธ ๊ด๊ณํ์ฑ์ ํตํด ์ดํ๊ณผ์ ์
๊ธ์ ์ ์ผ๋ก ๊ฒฝํํ์๋ค.
์ด์์ ๊ฒฐ๊ณผ๋ฅผ ์ข
ํฉํด ๋ณผ ๋ ๋ถ๋ชจ์ ์๊ตฌ๋ฅผ ๋ฐ์ํ์ฌ ๊ฐ๋ฐ๋ ์ ์ถ์์ฒด์ค์ ์ดํ๊ฐํธ ํ๋ก๊ทธ๋จ์ ์ ์ถ์์ฒด์ค์์ ๋ถ๋ชจ์ ๊ฑด๊ฐํ ์ดํ์ ์ด์งํ์๋ค๊ณ ํ๊ฐํ ์ ์๋ค. ๋ฐ๋ผ์ ์ด๋ฌํ ํ๋ก๊ทธ๋จ์ด ๋ณ์๊ณผ ์ง์ญ์ฌํ ๊ณต๊ณต์๋ฃ๊ธฐ๊ด ์ฌ์ด์ ๊ฑด๊ฐ๊ด๋ฆฌ์ฒด๊ณ์ ์ฐ๊ณ๋ฅผ ํ๋ฆฝํ๋๋ก ํ๋ ์ ์ฉ๋ ๊ฒ์ ์ ์ํ๋ค.
[์๋ฌธ]
The main purpose of this study was to develop and evaluate the transition nursing program for low birth weight infants and their mothers. It consisted of three phases, which were needs assessment, development, and evaluation.
Needs assessment was conducted from June to August, 2000. The subjects were 19 low birth weight infants including 4 pairs of twins and their parents. The second phase was to develop the program based on the needs assessment. The conceptual framework
guided the program was the theory of transition(Meleis, Im, Messias, & Schumacher, 2000). The last phase of the study was evaluation of the program. Evaluation of the tentative program was done with 4 pairs of the low birth weight infants and mothers
from November, 2000 to May, 2001.
Data were collected during home visits by observation, interview, and a structured questionnaire. Variables included in the evaluation were maternal confidence, self-esteem, social support, home environment, mother-infant interaction, and
health status and growth and development of the infants. Data were analyzed by using Spearman's rho correlation coefficient, Mann-Whitney test and content analysis.
The results were as follows:
1. The parents of low birth weight infants reported the difficulties of parenting related to feeding, bathing, infant handling, understanding of characteristics of low birth weight infants, and illness management. And education and information,
support group, and easy access to consultation were identified as areas that needed follow-up service.
2. The transitional care program consists of home visits, phone visits and counselling, and support group using internet. The program begins 2-3 days before the scheduled date discharge of the infants from NICU and continued till 3 months after discharge.
3. At the end of the program, the infants maintained the health status and growth and development appropriate to their corrected age. The mothers reported that they had increased maternal confidence, more mother-infant interaction, and better home
environment for the infants' development after participation in this program. The program facilitated smooth transition for both low birth weight infants and their mothers.
In conclusion, it was proved that transitional care program provided accessible, and appropriate services to low birth weight infants and their mothers. According to the result of this study, it is necessary to establish more efficient referral system between hospitals and public health services in order to provide a seamless service to low birth weight infants. Also, it is imperative to develop an educational training program for home health nurses on care of low birth weight infants and their mothers during the period of transition home from NICU.ope
Stages of Change, Processes of Change, and Decisional Balance for Weight Control Associated with Body Mass Index in Female Adolescents
Purpose: The purpose of this study was to compare variables related to weight control between normal weight and overweight/obese female adolescents. Methods: This study is a supplementary analysis using a total of 293 female adolescents in Seoul. Data were collected through self-report questionnaires on the topics of stages of change, processes of change, and the decisional balance pertaining to weight control. Body weight and height were also measured. Results: There was a significant difference in the stages of change between the normal weight and overweight/obese groups. Of 12 processes of change, 9 processes were significantly higher in the overweight/obese group than in the normal weight groups. Also, female adolescents who were overweight or obese had significantly higher pros and eating efficacy scores comparing to those in the normal weight group. Conclusion: The findings of this study suggest that overweight/obese female adolescents, especially those in the action stage need supports to continue their weight control behaviors. In addition, a weight control program for female adolescents should emphasize their participation in physical activities in addition to their dietary control efforts
Physical Activity and Fatigue among Pediatric Nurses in a Special Care Unit
Purpose: This study was designed to explore the levels of physical activity and fatigue among nurses and to identify the relationship between these variables. Methods: Participants were 89 nurses working at an intensive care unit and an operating room in a childrens hospital. Data were collected using self-reported questionnaires including the International Physical Activity Questionnaire and Brief Fatigue Inventory. Results: Most of the nurses physical activity was work related, and there was a significant difference according to the working unit. Nurses with higher work stress and lower job satisfaction showed higher levels of fatigue than their counterparts did. Work-related physical activity and the interference of fatigue with relationships were related positively, whereas transport and leisure time physical activity were negatively related to usual fatigue and the interference of fatigue with life enjoyment. Conclusion: The levels of physical activity and fatigue of nurses were higher than those observed among other populations. The appropriate level of physical activity for these nurses needs to be investigated carefully. Also, in the intervention for nurses' fatigue, their level of work-related and leisure-time physical activity should be considered separately, and their work environment and psychological satisfaction level should be included
Development of a Consecutive Clinical Nursing Practicum Module using Simulation
Purpose: This is a project report of the development of consecutive clinical nursing practicum modules using simulation encompassing the essentials of nursing over 4 years of university level education. Methods: The project was conducted from May to December in 2011 in a college of nursing in Seoul, Korea. Six nursing faculty members from different major subjects at the university participated in the project. The theoretical framework was sought in the first phase, resulting in utilizing Neuman's Systems Model. The principles of developing the contents of and the links between the modules were set up in the second phase, presented as complexity, diversity, and comprehensiveness. The details in the individual module were fleshed out in the third phase. Results: Eight clinical nursing modules using simulation were developed and presented in a table in detail. The complexity, diversity, and comprehensiveness of each module increased in depth and breadth in a consecutive order. Conclusion: It is hoped that this module is a decent curricular exemplar demonstrating comprehensive nursing practice education using a simulation technique