Professional nurse Autonomy is an essential attribute of a discipline striving for full professional status. PURPOSE: This study was to clarify the concept of professional nurse autonomy to provide basic data needed for development of professional autonomy enhancing strategies. METHOD: This study use the process of Walker & Avante's concept analysis based on Wade's research (1999), and field data of 21 nurses. RESULTS: Professional nurse autonomy is defined as competency and creative performance of the professional nurse in practice, to decide independently or interdependently nursing activities and to be had accountable for results of decisions, that reflect advocacy and caring. It was identified that critical attributes include responsible discretionary decision making, collegial interdependence, initiative, creativity, and caring, advocacy, cooperative relationship with clients, receptive capacity to others, activeness, self confidence, and devotion and responsibility to their profession. Antecedents include personal characteristics, educational background, experience and structural characteristics that enhance professional nurse autonomy. Consequences of professional nurse autonomy are feelings of self-efficacy, empowerment, job satisfaction, reduction of intention to leave their job. CONCLUSION: According to these results, it is recommended that the curriculum provides an environment for learning professional nurse autonomy, and that is used as basic data to develope strategies to enhance professional autonomy of nurse in practice and it's effects.

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• The Effects of Professional Autonomy, Job Satisfaction, and Perceived Patient-Safety Culture on Nurses' Patient-Safety Management Activities: A Cross-Sectional Study
  Bokja Koak, Junglim Seo, Eunji Song, Haneul Shin, Jaehee Jeon
  Korean Journal of Adult Nursing.2023; 35(2): 117.     CrossRef
• The Effect of Role Conflict and Professional Autonomy on the Role Performance of Patient Safety Coordinators in Small and Medium-Sized Hospitals in Korea
  Kyo-Yeon Park, Kyoungrim Kang
  International Journal of Environmental Research and Public Health.2022; 19(15): 9392.     CrossRef
• Nurses’ Experiences of the COVID-19 Crisis
  Jung-Hoon Lee, Yeoungsuk Song
  Journal of Korean Academy of Nursing.2021; 51(6): 689.     CrossRef
• Effects of Professional Autonomy and Teamwork on Clinical Performance of Nurses in Tertiary Hospitals
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• Effects of Head Nurses' Managerial Competencies and Professional Nurse Autonomy in Nursing Performance
  Young Soon Kim, Yong Sook Eo, Nae Young Lee
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• Impact of Professional Autonomy and Nursing Work Environment on Clinical Decision Making of Clinical Nurses
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PURPOSE: This study was designed to explore the perceptions of quality nursing care among nurses.
METHOD
The data were analyzed using content analysis. The data were collected from 19 nurses who worked at diverse clinical areas in 8 general and university hospitals with over 400 beds. RESULT: 1. The attributes of quality nursing care were categorized into 7 hierarchies in the order of 'caring' (40.65%), 'specialty' (29.03%), 'nurse attainments' (15.48%), 'patient- centered nursing management' (6.45%), 'sincerity' (5.16%), 'kindness' (2.58%), 'satisfaction' (0.65%). 2. The concept of quality nursing care were defined as 'giving a satisfaction both to patients and nurses through patient-centered nursing management with specialty and caring in the ground of the kindness and sincerity'. CONCLUSION: Based on there findings, we suggest that the study results should be used for development of a quality assurance tool in nursing practice, patient care in hospital setting, education of nurses and nursing students. In addition, further repeated studies need to be conducted.

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• Revisiting The Meaning of A Good Nurse
  Go-Un Kim, Eunyoung Jung, Mikyeong Cho, Soo Y. Han, Mira Jang, Mikyung Lee, Sumi Lee, Yujin Suh, Hye Y. Yun, Sue Kim, Mi So Shim
  The Open Nursing Journal.2019; 13(1): 75.     CrossRef
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  Journal of Korean Academy of Nursing.2010; 40(6): 757.     CrossRef

This research is a field investigation to collect basic information about the safe and efficient use of physical restraint in hospitals and for the ultimate minimization of restraint use. The objects of this study were sixty-four patients. They were restrained physically. Add their 32 family members, 24 nurses of two university hospitals in Seoul were also involved in the study. From April 16, to May 27, 1999. Research data were collected throughout the observation and interview process. Also, the data was analyzed using frequencies and field study notes that were invented by researchers.
Results
of this study were as follows: 1. According to the sex and age distinction; male's restraint use was 75%, female's was 25% and pre-schoolage children 39.1%, middle age 26.5%, and senior citizens 20.3%. According to the disease distinction; neuro-system was 35.9%, respiratory system was 21.9%. In the Ward, 40.6% of ICU patients were restrained and 39.0% of pediatric ward children were also to restraint. 70.3% of patients were restrained under 5days, while 10.9% were restrained 10days. 2. Types of physical restraints were wrist restraint (45.21%), arm board (35.62%), leg restraint (8.22%), chest restraint (6.85%), elbow restraint (2.74%) and mitten restraint (1.37%). 3. The percentage was 3.5%, which was in 64 restrained out of 1828 hospitalized people. At 1st investigation, the ratio was 3.5%, the 2nd was 3.0% and the 3rd was 3.9%. 4. The reasons of using the physical restraint were 'to protect implements' (72.84%), 'to protect patients' (18.52%), 'to protect an operative site' (8.64%). 5. The result of the patients; family and nurses' response analysis was: 'It seems to be safe', 'It uses properly', 'It is convenient for relatives and nurses', 'It is helpful to treatment', 'Objective think it is not restraint' were 79.9%. 'It is discomfort and stuffy', 'The implement is ineffective' were 21.1%. However in interview of the patients who can do verbally communication, 6 of 7 was responded that 'It is stuffy and uncomfortable'. 6. When restraint is used, the main decision is usually made by the nurses 42.2% of the time. The statistics read as thus: nurses and the physician in charge 31.3%, nurses and family 12.5%, physician's order 7.8%, only family 6.2%. Although the record of restraint was only 15.6% so that only 10 cases out of all the 26 ICU patients restrained. This study shows that physical restraints which of infringe independent-right of patients, are used without using criterion, explaining the agreement. Also, subjective decision of physician, nurses, and family make the decision of using restraint. So development of practice manuals and rules for restraint implementation is urgent.

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• Factors related to Use of Physical Restraints for Older Adults with Dementia in Long-term Care Settings
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  Journal of Korean Gerontological Nursing.2019; 21(2): 125.     CrossRef
• A Study on Caregiver's Perception of Restraints
  Hye-kyung Kang
  Journal of the Korea Academia-Industrial cooperation Society.2016; 17(5): 452.     CrossRef
• Families' Perception and Attitude toward Applied Physical Restraints in General Neurological Wards
  So-Yeon Ha, Yi-Kyung Ha, Myung-Hee Kim
  Journal of the Korea Academia-Industrial cooperation Society.2015; 16(5): 3293.     CrossRef
• Types of Physical Restraint Experience in Mentally Ill Persons: Q Methodological Approach
  Hee Sung Ko, Yang Sook Hah
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(1): 30.     CrossRef
• Effects of an Educational Program for the Reduction of Physical Restraint Use by Caregivers in Geriatric Hospitals
  Keumbong Choi, Jinsun Kim
  Journal of Korean Academy of Nursing.2009; 39(6): 769.     CrossRef
• Development and Testing of an Instrument to Measure Family's Emotional Response toward Physically Restrained Patients
  Eun-Nam Lee, Su-Jin Ha, Ji-Yeon Kang
  Journal of Korean Academy of Nursing.2008; 38(4): 629.     CrossRef

This study was designed to develop a basic plan for computerization of nursing records. The subjects were 7 nursing record forms, 58 charts, 23 nurses, 2 nurses managers, a nurse and computer specialist, 16 master course students and 3 professors. Data collection was conducted through questionnaire, observation and interview. The collected data were analyzed for problems, plan of improvement and needs for computerization. Based upon these results, it is recommended that nursing record computerization was needed a basic plan to integrate needs of nursing record computerization. The basic plan as follows: 1. To illustrate a data flow path of nursing record and data dictionary that show nurse's work and record process. 2. To establish a system in order to use multi-tasking and graphic user interface. 3. To establish hardware and software in order to embody integrated management of computer based system through structured walk through. 4. To choose effective database management system and to achieve Log as record unit.

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• Construction of the Nursing Diagnosis Ontology in Obstetric and Gynecologic Nursing Unit using Nursing Process and SNOMED CT
  Jeong-Eun Park, Kwi-Ae Chung, Hune Cho, Hwa Sun Kim
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• Analysis of Nursing Interventions Performed by Gynecological Nursing Unit Nurses Using the Nursing Interventions Classification
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The purpose of this study was to understand how patients experience their nurses, healing relationships. The 33 participants were patients who had been admitted to a general nursing unit of a university hospital in Seoul for more than one week, understood the study purpose and agreed take part, were fully conscious, able to communicate and over 20 years of age: their health was improving and they were ready for discharge. The data for this descriptive study using ground theory approach were collected by direct interviews with patients using five main questions derived from the literature and clinical experiences about, their experiences of their nurses, healing relationships during hospitalization. Van Kaam's method was used to analyse the data audio-recorded. Interpretation was enhanced consultations with two supervisors and one head nurse with a master's degrees in nursing science, one nursing professor and one nursing docotoral candidate. Twenty-four patients said that they had formed a healing relationship with a nurse and nine said their relationship was not healing relationship. Six categories emerging from the characterizations of the healing relationships were [valuable] [gratifying] [comforting] [trusting] [close] and [sympathetic]. Descriptions of non-healing relationships were classified as [none]and [poor]. For this group of hospitalized patients nurses' healing relationships were defined as [valuable] [gratifying] [comforting] [trusting] [close] as [sympathetic]. Since the data suggest a change in the experiences during hospitalization, a gronded theory approach is recommended for further study.

The purpose of the present study is to confirm the interacting behavior between nurses and patients and other things concerned herewith. Subjects of investigation were : 42 nurses selected out of the average nurses who serve in hospital as nurses assigned to medical and surgical wards : and 42 male and female adult patients selected out of the average patients who were under the care of the nurse individuals and can make themselves understood verbally. A nurse and her patient were paired off for questioning. Materials for statistics were gathered by means of observaing interactions - - verbal and nonverbalo - - of the chosen subjects for four hours every day from 7 : 30 a.m. through 7 : 30 p.m. between on July 15, 1 988 and on Aug. 16, 1988. Classified by patterns, the materials observed and gathered were preliminarily analyzed by this researcher, and then reexamined in a full-fledged way by one professor, three nurses and three non ?nurses. The researcher depended chiefly on Frequency, ANOVA, Pearson's Correlation Coefficient attached to SPSS Computer System for the process of gathered materials. The results of this investigations are follows 1) A total of 98 times' interactions between nurses and patients were provided during observation of 16 8 hours. 2) It took them the averaged 264.8 seconds (around 4.4 minutes) per a couple of subjects to interact between nurses and patients during observation of four hours. 3) The aim of interactions between nurses and patients appear that 29 times of injection amounted to 29.6% the most, 27 times of PO around to 27.6% the next most, 25 times of vital check to 25.5% the next most, 17 times of independent nursing works and round to 17.3% the least most. 4) As a result of Qualitative analyzing the interactions between nurses and patients by the distinctive method of words were positively recognized in 19 cases with 45.2% and negatively in 23 cases with 54.8%. 5) A total of 2,193 times, interaction behaviours between nurses and patients were provided. The frequency of these interaction behaviours took place 1,3 64 times with 62.2% to nurse, and 829 times with 3 7.8% to patients. 6) The classification of verbal and nonverbal interaction behaviour between nurses and patients indicated that it is amounted to 64.9% for verbal behaviour numbered 1,423 and 35.1% for nonverbal one numbered 770. 7) The frequency of verbal behaviour between nurses and patients numbered 1,423 in total. They took place 924 times to nurses and 499 times to patients, it can be also amounted to 64.9% and 35.1% respectively in percentagewise. 8) In interactions betwen nurses and patients, it turned out that the frequency of nurses' turns, which the present research discovered averaged 16.8 times for four hours, and the verbal behaviours by numbered 9.7 on an average. 9) Nonverbal behaviours between nurses and patients numbered 770 in total, it is assigned 440 times to nurse with 57.1% and 330 times to patients with 42.9%. 10) The investigation releases in formation that the frequency of verbal behaviours between nurses and patients was very much concerned with the age of patients(r=0.422, p<.01) and the number of patients one nurse has under her care (r= -0.356, p<.01). 11) It was found that were deep relationship of the number of a nurses turn with the patients age(r=0. 377, p<.01) and the nurses burden of caring patients (r=-0.372, p<.01).