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Journal of East-West Nursing Research
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Journal DOI :
East-west Nursing Research Institute,Kyung Hee University
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Volume & Issues
Volume 17, Issue 2 - Dec 2011
Volume 17, Issue 1 - Jun 2011
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A Study on Job Involvement according to Working Pattern and Daytime Sleepiness among Hospital Nurses
Hwang, Eun-Hee ; Kang, Ji-Sook ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 81~86
Purpose: The purpose of this study was to examine job involvement according to working pattern and daytime sleepiness in hospital nurses. Methods: At 2 hospitals in affiliation of university, after obtaining participant's consent form, data were collected from October to November, 2007. Twohundred fifty nurses participated in the study. Questionnaire consisted of Epworth Sleepiness Scale (ESS), Job Involvement. Collected data was analyzed with SPSS 14.0 program, which was used for frequency, percentage, mean, standard deviation, t-test and Pearson correlation coefficients. Results: Major findings of this study were as follows 1) The nurses for 3 shift work was 172 (68.8%), the nurses for 2 shift work was 3 (1.2%) and the nurses for day fixation was 75 (30.0%). 2) Mean of ESS was 5.94 (3.28), daytime sleepiness was 13.2% and Job involvement had a mean of
) There were significant differences between shift work and day fixed work on ESS (t=4.33, p<.001), job involvement (t=6.54, p<.001). Higher ESS were significantly related to lower job involvement (r=-.185, p=.003). Conclusion: The finding of this study gives useful informations about sleep and work involvement of hospital nurses. It is need to develop systemic management for shift work nurses by hospital, nurse organization, and government.
Clinical Performance Examination for Nursing Students: 2006-2009
Choi, Ja-Yun ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 87~95
Purpose: The aim of this study was to share the experience of clinical performance examinations (CPXs) using standardized patients, which was to test comprehensive clinical competence of fourth-year nursing students for four years. Methods: The assessment strategies for CPXs were developed. It included clinical scenarios, the roles of standardized patients, and appraisal criteria in the areas of fundamental and comprehensive nursing care. The CPXs were implemented to about 60-70 fourth-year nursing students of C University in G-city, South Korea, during every second semester from the year of 2006 to 2009. Results: The effects of CPXs were measured by 10 or 25-item rating checklist. Internal reliability of the checklists was distributed from .511 to .956 and interrater agreement between faculties and standardized patients was moderate (r=.250-.949). Students' satisfaction level was 4.27 out of 5 points for four years. Conclusion: The use of CPXs was an innovative educational strategy to evaluate nursing students' comprehensive performance ability including knowledge, skills and attitude. Further studies are needed to evaluate the levels of critical thinking and problem solving skills of clinical nurses who were taken CPXs as well as employers' satisfaction.
Effects of the Nei-Guan (P6) Acupressure on Nausea, Vomiting, and Pain in Geriatric Patients after Total Knee Replacement Arthroplasty
Yoo, Je-Bog ; Jang, Hee-Jung ; Na, Eun-Hee ; Kim, Sun-Young ; Shin, Dong-Soo ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 96~102
Purpose: Patient-controlled epidural analgesia (PCEA) is an effective method for controlling post surgical pain. However, it is associated with adverse drug reactions such as nausea and vomiting. In this, study we tested the effects of Nei-Guan (P6) acupressure on PCEA-associated nausea, vomiting, and pain in geriatric patients after total knee replacement arthroplasty (TKRA). Methods: Ninety-nine patients who had TKRA for the first time were randomly assigned to either, experiment group (n=50) or control groups (n=49). All patients received PCEA immediately after surgery, but acupressure on Nei-Guan (P6) point was applied to experiment group only. Ten minutes of finger acupressure on Nei-Guan (P6) acupressure point was applied twice with 15 minute-interval in the experiment group. The incidence of nausea, vomiting, and retching as well as pain intensity were assessed at 12 and 24 hours after surgery. Nausea, and vomiting were assessed by Index of Nausea, Vomiting and Retching (INVR) questionnaire. Pain intensity was measured with frequency of analgesics. Results: Vomiting both was significantly different between two groups at 12 hours (t=-2.18, p=0.03) and 24 hours (t=-2.64, p=0.01) after surgery. Total scores of nausea, vomiting and retching in experimental group was significantly lower than control group 24hours after surgery (t=-2.18, p=0.03). However, pain was not different between two groups. Conclusion: Nei-Guan (P6) acupressure may be considered as an effective nursing intervention to decrease PCEA-associated nausea and vomiting in older patients after TKRA.
Effects of Music Therapy on Anxiety and Distress in Patients Taking Thoracentesis
Kim, In-Sun ; Kim, Hye-Soon ; Lee, Myung-Hee ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 103~109
Purpose: The purpose of this study was to examine the effects of music therapy on the anxiety and distress in patients taking thoracentesis. Methods: The quasi-experimental design was used with a nonequivalent control group pre-post test time series. Participatns were divided into the experimental (n=20) or control group (n=20). Music therapy was given to the experimental group with a CD that was made by the investigator by themes. The research tools included the VAS Anxiety Inventory, and the Subjective and Objective Distress Inventory. Data were analyzed using SPSS 14.0 program by
-test and t-test. Results: There were statistically significant differences in state (VAS) anxiety and subjective distress between two groups. Conclusion: The music therapy was effective in reducing the anxiety and subjective distress of patients taking thoracentesis. In the future, music therapy will be useful in the field of nursing as a nursing intervention to alleviate stress and enhance well-being.
The Effect of Education Program by Illness on Perception of Illness and Knowledge of Medication in Psychiatric Inpatients
Jun, Won-Hee ; Park, Jeong-Soon ; Jeong, An-Soon ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 110~116
Purpose: This study aimed to examine the effects of education program by illness on perception of illness and knowledge of medication in psychiatric inpatients. Methods: The research design was a non-equivalent and non-synchronized control group design. For this research, a total of 50 subjects was selected at a psychiatric unit of C university hospital in U-city. The experimental group consisted of 24 subjects and they received education program by illness 1 session per a week for 4 weeks. The remaining 26 subjects were assigned to the control group and they received standard services except the education program by illness. In data analysis, SPSS/WIN 15.0 program was used. Results: The experimental group significantly improved compared to the control group in perception of illness and knowledge of medication. Conclusion: This study results suggest that education program by illness could be effective to improve perception of illness and knowledge of medication in psychiatric inpatients.
Nurses' Organizational Commitment, Job Satisfaction and Job Stress according to their Adult Attachment Styles
Oh, Eun-Jin ; Sung, Kyung-Mi ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 117~124
Purpose: This study was done to compare organizational commitment, job satisfaction and job stress according to nurses' adult attachment styles. Methods: Data were collected by self-report questionnaires measuring Adult attachment style, Organizational commitment, Job satisfaction and Job stress from a convenience sample of 253 shift nurses in a hospital. Results: There were security style (31.2%), dismissing-avoidance (18.6%), preoccupation (17.8%) and fearful-avoidance (32.4%) among 4 attachment styles in these shift nurses. Their organizational commitment level (M=3.2), job satisfaction (M=2.7) and job stress (M=3.3) were revealed. Subjects who were in security attachment style showed significantly higher scores of organizational commitment (F=5.09, p=.002) and job satisfaction (F=13.02, p<.001) than subjects in fearful-avoidance attachment style. Meanwhile, this study showed that subjects who were in fearful-avoidance attachment style recorded significantly higher scores of job stress than subjects in any other attachment style (F=3.15, p=.026). Conclusion: This study demonstrated a relevant difference in organizational commitment, job satisfaction and job stress in accordance with the attachment style of shift nurses. These results indicate the need for attachment promotion program for shift nurses. And nurses' attachment styles should be considered in future interventions to enhance quality of nursing care.
Causes of Runaway Impulse by Gender in High School Students
Kim, Eun-Ju ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 125~131
Purpose: In an attempt to investigate causes of runaway impulse in male and female students with runaway impulse experience in high schools, this study was carried out. Methods: The subjects were 195 high school students in Gyeonggi and Incheon area. The data were collected by using the questionnaires. Results: To both male and female students, the main causes of runaway impulse were 'conflicts with parents', 'interference and excessive expectations of parents' and 'burden of study and grades'. In cases of youth with runaway experience by runaway impulse, the major causes of runaway impulse were 'want to have fun with friends' and 'conflicts with parents'. Also shelter and economic difficulties were obstacles that prevent a runaway despite runaway impulse to both male and female students. But in female, the fear and anxiety about runaway were higher barriers than those of male. Conclusion: From the above results, major causes of runaway impulses were relationships with parents, and burden of study. And barriers to prevent a runaway were shelter, economic difficulties to both male and female students.
Relations among Suicidal Ideation, Parental Attachment, and Self-Identity of College Students
Kim, Hyo-Jeong ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 132~138
Purpose: The purpose of this study was to explore the relationship among suicidal ideation, parental attachment, and self-identity of college students. Methods: This study was designed as a descriptive correlational research. The participants were 314 college students in Gyeongbuk province. Data were collected from September 23 to Oct 5 in 2009 using a structured questionnaire. Data were analyzed by t-test, ANOVA, and Pearson correlation coefficient using SPSS WIN (Version 12.0). Results: Suicidal ideation showed negative correlations with maternal and paternal attachment (r=-.20, p<.001; r=-.24, p<.001, respectively) as well as self-identity (r=-.37, p<.001). Self-identity had positive correlations with maternal and attachment (r=.16, p=.006; r=.23, p<.001, respectively). Conclusion: The findings suggest that suicidal ideation may be decreased when college students have higher parental attachment and self-identity. Strategies to improve parental attachment and self-identity are needed in near future.
The Conflicts in Nurses Caring DNR (do-not-resuscitate) Patients
Kim, Hyeon-Ah ; Kim, Kwuy-Bun ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 139~148
Purpose: The purpose of the study was to explore the meaning of conflicts in nurses caring DNR (do-not-resuscitate) patients. Methods: The participants were 7 nurses caring DNR patients. Data were gathered using in-depth interviews. The interviews were recorded and transcribed verbatim. Colaizzi method was used to analyze the data. Results: The significant results can be categorized into 7 concept descriptions and 5 theme clusters by analyzing the interviews. The major theme clusters for the experiences of nurses were 'Pity about exceptional nursing actions', 'Pity about the unilateral decision making', 'Pity about halfhearted family love', 'Pity about unprepared circumstance for deathbed', and 'Pity about the absent guideline for DNR'. Conclusion: The finding of this study will help nurses resolve conflicts in caring DNR patients and provide a scientific basis for developing nursing intervention strategies for DNR patients.
The Effect of Depression and Self-efficacy on Health Promotion Behavior among the Elderly Living Alone in Rural Area
Choi, Hee-Jung ; Yoo, Jang-Hak ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 149~155
Purpose: The purpose of this study was to examine the effect of depression and self-efficacy on health promotion behavior in elders living alone in rural area. Methods: This was a descriptive study. The survey participants were 369 elders living alone in rural area. The period of time for data collection was from June 23 to August 7, 2008. Data were analyzed by descriptive statistics, independent-samples t-test, ANOVA, pearson's correlation coefficient, and stepwise multiple regression. Results: Depression was found to have a statistically negative correlation with health promotion behavior. Self-efficacy was found to have a statistically positive correlation with health promotion behavior. Stepwise multiple regression analysis revealed that the most powerful predictor of health promotion behavior was depression. Depression, self-efficacy, number of chronic disease, and economic status accounted for 35.2% of the variance. Conclusion: It is necessary to prepare health promotion programs that can reduce depression level and improve self-efficacy in elders living alone in rural area.
Influences of Stress, Loneliness and Self-Control on the Addiction of Cell Phone Use among University Students
Lee, Young-Mee ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 156~163
Purpose: The purpose of this study was to examine the influences of stress, loneliness, self-control on the addiction of cell phone use among university students. Methods: Data were collected through questionnaires from 467 students and were analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficients and Stepwise multiple regression analysis with SPSS/WIN 19.0 program. Results: Out of the subjects, 1.5% were found to be addiction group, 89.9% at potential risk group, and 8.6% at non-addiction group. Addiction of cell phone use was significantly correlated with stress, loneliness and self-control. The influential factors affecting addiction of cell phone use over use problem, self-control, health problem, main using method and stress, which explained about 25.6% of the variance. Conclusion: The results of this study indicate that nursing intervention are needed to improve addiction of cell phone use, and that such variables should be carefully considered in intervention for university students.
Affecting Factors of Nurses' Communication
Jung, Gwang-Ha ; Shin, Sung-Hee ;
Journal of East-West Nursing Research, volume 17, issue 2, 2011, Pages 164~170
Purpose: The aim of this study was to examine the factors that affect nurses' communication. Methods: This study employed a descriptive survey design. The sample of this study consisted of 174 nurses at hospital in Korea from June 1st to 18th, 2009. The data were analyzed SPSS/WIN 17.0 program and factors affecting nurses' communication were analyzed by multiple regression. Results: 1) Level of nurses' communication was average of 3.44, ego strength 0.36, self-image 3.53, ego distribution 2.92, interpersonal relations 3.52, and family function 3.39. 2) Nurses' communication had significant positive correlation with interpersonal relations, self-image, family function, and ego strength. On the other hand, it had not significant correlation with ego distribution. 3) Interpersonal relations (t=9.68, p<.001), ego strength (t=3.11, p=.002), and family function (t=2.26, p=.025) significantly predicted the level of nurses' communication (Adjusted
=.418, p<.001). Conclusion: The study finding suggested to develop hospitals' management program for increasing nurses' communication.