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Concept Analysis of Patient Safety
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Mi Ran Kim
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J Korean Acad Nurs 2011;41(1):1-8. Published online February 28, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.1.1
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Abstract
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Purpose
This study was conducted to investigate the clear concept of patient safety and obtain theoretical evidences.
Methods
Research was conducted using Walker & Avant's conceptual analysis process.
Results
Patient safety was defined as an activity that minimizes and removes possible errors and injuries to patients. It includes a basic desire to secure the patient's right to safety, and the legal regulations and duties of medical teams. The results of the establishment of a safety culture are patient-centered medical treatment and caring. Antecedents were found to be open and clear communications, continuous education and training for health care personnel, sufficient allocation of qualified personnel, cooperation among departments, improvements in the recognition of patient safety. Consequences were found to be the provision of high quality medical care and treatment, and increase in patient satisfaction.
Conclusion
Patient safety as defined by the results of this study will contribute to the foundation of institutionalization of the pursuit of patient safety and creation of a hospital culture focusing on patient safety as a first priority.
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Citations
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Kyung-Yi Chung Journal of Dental Hygiene Science.2018; 18(5): 288. CrossRef - Patient Safety Care Activity in Small-Medium Sized Hospital Nurses Patient Safety Care Activity among Nurses in Small-Medium Sized General Hospitals
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The Relationship between Early Neo-maternal Exposure, and Maternal Attachment, Maternal Self-esteem and Postpartum Depression in the Mothers of NICU Infants
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Young Mee Ahn, Mi Ran Kim
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Journal of Korean Academy of Nursing 2005;35(5):798-809. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2005.35.5.798
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Abstract
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Purpose
This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU.
Method
Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU.
Result
The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression.
Conclusion
The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are neededfor the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.
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Citations
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- Relationship between Maternal Touch, Maternal Self-Confidence, Infant Length, and Feeding Volume in High-Risk Infants: Touch on the Mind
Youn Jung Jang, Kuem Sun Han STRESS.2022; 30(2): 118. CrossRef - Effects of Kangaroo Care on Physical Development and Adaptation of External Environment of Prematurity, and Maternal Role Confidence who Delivered Premature Infants
Ji-Won Lee, Yong-Sook Eo, Jung Hwa Han Journal of the Korea Academia-Industrial cooperation Society.2016; 17(12): 128. CrossRef - The development and psychometric evaluation of the Chinese version of the maternal attachment inventory
Chen‐Jung Chen, Huei‐chuan Sung, Yi‐Chang Chen, Ching‐Yuan Chang, Ming‐Shinn Lee Journal of Clinical Nursing.2013; 22(19-20): 2687. CrossRef - Effects of a Breast Feeding Promotion Program for Working Women
Ji-Won Yoon, Young-Joo Park Journal of Korean Academy of Nursing.2008; 38(6): 843. CrossRef - Maternal Attachment Inventory: psychometric evaluation of the Korean version
Hyunjeong Shin, Young Hee Kim Journal of Advanced Nursing.2007; 59(3): 299. CrossRef
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The Effects of a Home-Visiting Discharge Education on Maternal Self-esteem, Maternal Attachment, Postpartum Depression and Family Function in the Mothers of NICU Infants
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Young Mee Ahn, Mi Ran Kim
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Journal of Korean Academy of Nursing 2004;34(8):1468-1476. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2004.34.8.1468
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Abstract
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Purpose
A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants.
Methods
Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1week after the discharge by mail.
Results
The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group.
Conclusion
These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.
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Citations
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- Factors Associated with Postpartum Maternal Functioning in Black Women: A Secondary Analysis
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Yuping Lin, Xiangchun Zhang, Tianchun Zhou, Feng Xu, Xinli Zhu, Huixin Zhou, Xiao Wang, Yan Ding Early Intervention in Psychiatry.2023; 17(10): 947. CrossRef - Home Visiting as an Equitable Intervention for Perinatal Depression: A Scoping Review
Karen M. Tabb, Brandie Bentley, Maria Pineros Leano, Shannon D. Simonovich, Nichole Nidey, Kate Ross, Wen-hao David Huang, Hsiang Huang Frontiers in Psychiatry.2022;[Epub] CrossRef - Promoting infant mental health in the neonatal intensive care unit (NICU): A review of nurturing factors and interventions for NICU infant-parent relationships
Soudabeh Givrad, Georgina Hartzell, Melissa Scala Early Human Development.2021; 154: 105281. CrossRef - Development and evaluation of a newborn care education programme in primiparous mothers in Nepal
Sharmila Shrestha, Kumiko Adachi, Marcia A. Petrini, Sarita Shrestha, Bina Rana Khagi Midwifery.2016; 42: 21. CrossRef - The Correlation between Maternal Adult Attachment Style and Postpartum Depression and Parenting Stress
Sung Yong Park, Sun Mi Kim, Baik Seok Kee, Doug Hyun Han, Churl Na, Gwang Jun Kim, Min Young Park, Na Mi Lee Journal of Korean Neuropsychiatric Association.2015; 54(4): 515. CrossRef - Effects of Music Therapy and Phone Counseling on Postpartum Depression and Maternal Identity in High Risk Women
Hae Won Kim, Sun OK Kim, Hye Gyung Kim, Hyang Ran Jeon Perspectives in Nursing Science.2014; 11(1): 63. CrossRef - The Still-Face Paradigm and bidirectionality: Associations with maternal sensitivity, self-esteem and infant emotional reactivity
Ann M. Mastergeorge, Katherine Paschall, Sophie R. Loeb, Ashley Dixon Infant Behavior and Development.2014; 37(3): 387. CrossRef - The development and psychometric evaluation of the Chinese version of the maternal attachment inventory
Chen‐Jung Chen, Huei‐chuan Sung, Yi‐Chang Chen, Ching‐Yuan Chang, Ming‐Shinn Lee Journal of Clinical Nursing.2013; 22(19-20): 2687. CrossRef - Non-specialist health worker interventions for the care of mental, neurological and substance-abuse disorders in low- and middle-income countries
Nadja van Ginneken, Prathap Tharyan, Simon Lewin, Girish N Rao, SM Meera, Jessica Pian, Sudha Chandrashekar, Vikram Patel Cochrane Database of Systematic Reviews.2013;[Epub] CrossRef - Maternal Attachment Inventory: psychometric evaluation of the Korean version
Hyunjeong Shin, Young Hee Kim Journal of Advanced Nursing.2007; 59(3): 299. CrossRef
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Assessment of Neonatal Hyperbilirubinemia Using a Transcutaneous Bilirubinometry
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Young Mee Ahn, Mi Ran Kim, Sang Mi Lee, Yong Hoon Jun
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Journal of Korean Academy of Nursing 2003;33(1):51-59. Published online March 28, 2017
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DOI: https://doi.org/10.4040/jkan.2003.33.1.51
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Abstract
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Purpose
The purpose of the study is to investigate the relationship between total serum bilirubin(TSB) and transcutaneous bilirubinometry(TcB) in neonates with jaundice.
Method
TcB from various sites(forehead, sternum, abdomen, buttock, hand, dorsalis-pedia) was measured using a JM-102 in a total of 102 neonate, 42 female and 60 male, with the mean 37.5 gestational week and the mean 2,903 gram of birth weight, as well as TSB from capillary punctures.
Result
The mean bilirubin was 11.73 in serum, 20.55 on the forehead, 17.23 on the sternum, 16.19 on the abdomen, 18.22 on the buttock, 15.83 on the hand and 15.49 on the dorsalis-pedia. The relationship between TSB and TcBs were formulated by simple regression with 0.406 < r < 0.668(p < .000). A higher relationship was revealed between TSB and TCB at the forehead in infants of full-term, ABO incompatibility, and Hb greater than 16 mg/dl(r = 0.725, 0.790, and 0.717, retrospectively). Phototherapy altered the measurement of TcB per site.
Conclusion
TcB on the forehead is a reliable, noninvasive and convenient measurement of TSB in normal infants(Institutions need to establish quantitative equations representing the specific relationship between TSB and TCB according to the hemodynamic problems of infants such as ABO incompatibility, or low Hb).
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Citations
Citations to this article as recorded by 
- Transcutaneous bilirubinometry versus total serum bilirubin measurement for newborns
Charles I Okwundu, Abiola Olowoyeye, Olalekan A Uthman, Johan Smith, Charles S Wiysonge, Vinod K Bhutani, Michelle Fiander, Kanekal S Gautham Cochrane Database of Systematic Reviews.2023;[Epub] CrossRef - Transcutaneous Bilirubinometery Compared with Serum Level of Bilirubin in Icteric Neonates in Zahedan
Imani Mahmood ., H.T. Mohammad Taghi ., Mohammadi Mehdi . Journal of Medical Sciences.2005; 5(4): 239. CrossRef
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