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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of Korean Academy of Fundamentals of Nursing
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Journal DOI :
Korean Academy of Fundamentals of Nursing
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Volume & Issues
Volume 13, Issue 3 - Dec 2006
Volume 13, Issue 2 - Aug 2006
Volume 13, Issue 1 - Apr 2006
Selecting the target year
Autonomy, Teaching Effectiveness, and Clinical Practice Satisfaction for Fundamentals Nursing Clinical Practice in Student Nurses
Kim Yeong-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 6~14
Purpose: The purpose of this study was to investigate autonomy, teaching effectiveness, and clinical practice satisfaction for fundamentals nursing clinical practice in student nurses. Method: The participants were 244 sophomores, who had done the practice for 8 weeks from June 17
August 23, 2005. Autonomy the Caring Perspective(ACP) devised by Boughn(1995) was used to measure autonomy, Instrument to Measure Effectiveness of Clinical Instructor(IMECL) by Reeve(1994) for measuring teaching effectiveness, and an instrument by Moon(2002) for measuring satisfaction. Results: After practice, the role model was seen as rich in knowledge and experience(48.77%). Desirable categories for instructor were full-time professors with a practice background and head nurses(31.97%). Average score for autonomy was 3.71(
), for teaching effectiveness, 3.67(
) and for satisfaction 3.51(
). Autonomy scores were high for students satisfied with their major(F=5.23, p=.006), and interested In practice(F=4.38, p=.014). Teaching effectiveness scores were high for students satisfied with practice (F=2.57, p=.038). Clinical practice satisfaction scores were high for students interested in practice(F=5.01, p=.007). Relationships between autonomy and teaching effectiveness (r=.174, p=.006), and between leaching effectiveness and satisfaction showed a positive correlation(r=.632, p=.000). Conclusion: Interest in clinical practice courses in first year affect autonomy, teaching effectiveness and satisfaction.
Nursing Needs and Satisfaction with Medications in Patients Admitted to Hospital
Yang Yeun-Jung ; Lim Kyung-Hee ; Park Yeon-Jung ; Son In-Hye ; Lee En-Nam ; Ju Hyeo-Nok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 15~23
Purpose: This study was dont: to identify the differences nursing needs and satisfaction with medications in patients admitted to hospital. Method: The participants were 258 patients admitted for 3days or more to D hospital. The data were analyzed using frequencies, percentages, means, standard deviations, t-test and ANOVA. SPSS-WIN 11.0 was used to assist analysis. Results: The results are as follow: 1. Variables effecting nursing needs were education and economic level. All scores of nursing needs were higher in the group with less than middle school education compared to those with high school education or higher. 2. The scores for nursing needs were higher than the score for satisfaction in common item and injection domains. The scores for nursing satisfaction were higher than nursing needs in the oral medication domain. 3. The item with the highest difference between the scores for nursing needs and satisfaction was 'I want to know the side effect of the drugs'. Conclusion: Patients admitted to hospital want to know the therapeutic effect, side effect and reason for their drugs. However satisfaction with medication was not equal to needs. It is necessary to emphasize clinical pharmacology in nursing education programs.
A Comparison of Efficiency between Computerized Nursing Records and the Paper-based Nursing Records - focus on patients with a stroke -
Sung Young-Hye ; Cho Myung-Sook ; Choi Bok-Yeon ; Jang Mi-Ra ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 24~32
Purpose: This study was a comparative review of the computerized nursing records and paper-based nursing records to examine effects of a nursing process documentation system focusing on patients who have had stroke. Method: First, the researchers collected all the foci from the computerized records and the paper-based records. They selected ten nursing foci, used frequently in both groups and analyzed the number of foci per patient, appropriateness of foci, the number of nursing activities per nursing focus and whether outcomes were described or not in the nursing record. Results: There was fewer errors in nursing diagnosis selection, and a larger number of activities in the records than trle paper based ones. Also, there was a better description of the nursing outcomes in the computerized records. Conclusion: This study suggests that the computerized nursing records is significantly effective in increasing accuracy of the nursing care plan and quality of the nursing record.
Analysis of Nursing Interventions used in Orthopedic Nursing Unit
Kim Hye-Suk ; Choi Soon-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 33~41
Purpose: This study was done to identify the Domains, Classes, labels and nursing activities of nursing interventions used with 117 patients who were admitted to orthopedic nursing units. Method: Data were collected in January and February, 2004 using a computerized nursing process program that contained nursing diagnosis-outcome-intervention (NNN) linkages. The program was developed by the researcher. Frequencies and percentages were used in the analysis. Results: Sixty-five nursing intervention labels were identified. The Domains of the nursing interventions showed higher percentages for 'physiological: basic' (75.9%), 'physiological: complex' (12.9%), 'behavioral'(7.8%) 'family'(1.3%), and 'safety'(1.1%). The Classes of nursing interventions showed higher percentages for 'activity and exercise management'(30.8%), 'physical comfort promotion'(19.3%), 'immobility management'(14.5%), 'drug management'(8.1%), and 'coping assistance'(5.6%). Nursing intervention labels showed higher percentages for 'pain management'(14.7%), 'body mechanics promotion'(8.0%), 'exercise therapy : ambulation'(7.2%), 'splinting'(5.4%), and 'positioning'(5.1%). In the comparison of numbers between performed nursing activities and nursing activities of NIC according to nursing intervention label, the mean of combined rate was 52.3%. Conclusion: These findings will help in building of a standardized language for orthopedic nursing units and enhance the quality of nursing care.
The Effects of Individualized Cardiac Rehabilitation Education for Percutaneous Coronary Intervention (PCI) Patients
Kim Nam-Cho ; Choi Kyung-Ok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 42~49
Purpose: This study was done to evaluate the effectiveness of cardiac rehabilitation education individualized to PCI patients in order to improve their knowledge of these diseases and to lessen their anxiety. Method: A Quasi experimental design with non-equivalent control group non-synchronized design was used. The experimental group had the PCI operation for ischemic heart disease and individualized cardiac rehabilitation education and counseling twice for 25 minutes each time using an educational booklet developed by the authors. The effects of the education were analyzed using a knowledge assessment tool, state anxiety inventory and anxiety visual analogue scale. Results: The experimental group who received the individualized cardiac rehabilitation education showed a high level of knowledge about diseases compared to the control group and particularly showed a significant difference in knowledge about the drugs used for treatment. However, no significant difference was observed between the two groups in the level of state anxiety and anxiety visual analogue scale. Conclusion: Individualized cardiac rehabilitation education did not reduce anxiety but it was effective in enhancing the participants' knowledge about the diseases. Thus, it can be utilized effectively in addressing risk factors in ischemic heart diseases by providing education individualized according to patients' demands and knowledge levels.
Effects of Telephone Follow-up on the Self-Care Performance for Cancer Patients Undergoing Chemotherapy and Role Stress of Family Caregivers
Jang Ok-Jeom ; Woo Seon-Hye ; Park Yeong-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 50~59
Purpose: This study was conducted from January to March, 2004 to examine the effect of telephone follow-up on the performance of self-care in cancer patients undergoing chemotherapy and on role stress of family caregivers. Method: Research design was a nonequivalent control group non-synchronized design. Seventy-two participants were assigned to either the experimental group (18 cancer patients, 18 family caregivers) or the control group (18 cancer patients, 18 family caregivers). Data were collected before and after the intervention and were analyzed with paired t-test, t-test, Mann-Whitney U Test & Wilcoxon Signed Ranks Test. Results: Performance of self-care in the experimental group undergoing telephone follow-up was significantly higher than that of the control group (t=8.016, p=0.000). Role stress of family members in the experimental group was also significantly higher than that of the control group (t=2.133, p=0.042). Conclusion: This results suggest that the telephone follow-up is effective for cancer patients undergoing chemotherapy and their family caregivers. Telephone follow-up can be recommended as an effective nursing intervention for self-care performance in cancer patients undergoing chemotherapy and to reduce role stress of family caregivers.
Medication Use as a Risk Factor for Falls among Hospitalized Stroke Patients
Sohng Kyeong-Yae ; Cho Ok-Hee ; Park Mi-Hwa ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 60~67
Purpose: To identify the relationship between medication use and falls among hospitalized stroke patients. Method: The medical records of 472 patients with strokes were reviewed using a questionnaire on falling developed by the authors. Frequencies, percentages, means, standard deviations, and t-test and
-test, multiple logistic regression analysis were done using the SAS program. Results: The rate for falls by the patients during their stay in the hospital was 14.0%. The length of stay was longer and the morbidity duration of stroke shorter in the fall group than in the non-fall group. The use of sedatives, laxatives, and antidepressants was a significant predictor of falls and was associated with increase likelihood of falling(1.82, 1.81, 1.75 times respectively). Conclusion: In hospitalized stroke patients, there was a significant association between the use of sedatives, laxatives, antidepressants and falls. The number and kinds of ingested drugs was also associated with falls. It is necessary to further analyze the causes of falls based on results of the present study.
Positive and Negative Determinants for Pain Management in Both Cancer Patients and their Nurses
Kim Hye-Kyung ; Lee Ho-Sook ; Hwang Kyung-Hye ; Lee Sun-Mi ; Yoo Yang-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 68~75
Purpose: This study was carried out to obtain basic data for developing effective pain management by identifying the positive and negative determinants for pain management in both cancer patients and their nurses. Method: The participants were 85 cancer patients and 78 nurses at C university hospital in Seoul. Data were collected from December 2004 to March 2005 using structured questionnaires. Results: The level of pain peaked at 5.02 when going into the hospital, and was then lowered to 2.08. The waiting time for analgesics was less than 30 minutes in 81.1% of the patients and for 68.2% answered that they reported their pain when the pain was no more endurable. Just over eighty percent (80.6%) of the patients were satisfied with the pain management. Only 10.3% of the nurses used a standardized tool for assessing patients, pain and 64.1% gave analgesics whenever patients complained of pain, while 19.2% did not when patients complained too frequently. Nurses who were unsatisfied with pain management accounted for 85.4% of the participants. Patients showed higher levels of barriers to pain management than nurses. Conclusion: There is a need to give cancer patients and nurses appropriate information on effective cancer pain management.
Relationship between Psychosocial Factors and Symptom Experience in Patients with Cardiovascular Disease: Over a Six-month follow-up Period
Kim Cho-Ja ; Kim Gi-Yon ; Roh Young-Sook ; Song Eun-Kyeung ; Kang Seok-Min ; Yoo Myung-Sook ; Son Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 76~85
Purpose: The purpose of this study was to identify the relationship between psychosocial factors and symptom experience of patients with cardiovascular disease over a 6-month follow-up period. Method: Baseline data for each of the 138 patients were collected. Eighteen patients were dropped for a final total of 120 patients in the present study. To monitor patients' symptom experience after discharge, each patient was interviewed by telephone, and interviewed directly with a questionnaire at each clinic visit. Results: Mean scores for hostility, anger, anxiety, and depression were 51.63, 22.87, 48.95, and 41.21, respectively. Mean scores for the level of symptom experience at discharge, 3 months and 6 months after discharge were 32.83, 24.79, and 26.70, respectively. There were significant differences in the level of hostility by gender, BMI, job, and monthly income. Also the differences in the level of anxiety and depression were statistically significant according to gender and existence of spouse. In the regression analysis, depression was identified as the significant factor associated with symptom experience at discharge, 3 months, and 6 months after discharge. Conclusion: This study presented baseline data to elucidate whether psychosocial factors were associated with the progression of cardiovascular diseases. Accordingly, it suggests that nurses need to take into consideration psychosocial factor as well as physiological factor in symptom management for patients with cardiovascular disease.
A Study of the Relationship of Chronic Pain, Pain Coping, Fatigue, Self-esteem, and Depression in Elders
Chang Hae-Kyung ; Sohn Jung-Nam ; Cha Bo-Kyoung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 86~95
Purpose: This study was done to investigate the relationship among the variables, chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Method: Data were collected by self-reported questionnaires from 270 older adults. Data analysis was done with SPSS 10.1 for descriptive statistics and a PC LISREL program for covariance structural analysis. Results: According to modified model, chronic pain was found to have a significant direct and total effect on pain coping. Chronic pain and pain coping were found to have a significant direct and total effect on fatigue. Chronic pain, pain coping and fatigue were found to have a significant direct and total effect on self-esteem. Chronic pain, pain coping, and self-esteem were found to have a significant direct effect on depression. Conclusion: This modified model is considered appropriate for explaining the relationship among chronic pain, pain coping, fatigue, self-esteem, and depression in elders. Also, the findings support the development of an intervention strategy to relieve chronic pain in elders.
Analysis of Factors Influencing Secondary Traumatic Stress, Burnout, and Physical Symptoms in Firefighters
Oh Jin-Hwan ; Lim Nan-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 96~106
Purpose: This study was dont: to evaluate the factors that influence secondary traumatic stress, burnout, and physical symptoms experienced by firefighters. In addition, a hypothetical model was developed. Method: The data were collected using self-reported questionnaires from 410 field service firefighters. Data analysis was done with the SPSSWIN 10.0 program for descriptive statistics and Windows LISREL program to determine the causal relationship between the measurement variables. Results: The hypothetical model which was developed fits well with actual data(
=3.16, p=0.99, GFI=1.00, AGFI=0.99, NFI=0.99, and NNFI=1.06). The variable, personality type, social support, and impact mobilization frequency had a significant effect and accounted for 7% of the secondary traumatic stress in firefighters. The variables, career, social support, and secondary traumatic stress had a significant effect and accounted for 24% of the burnout in firefighters. Social support, impact mobilization frequency, and secondary traumatic stress were important variables and accounted for 31% of the physical symptoms in firefighters. Conclusion: It is necessary for firefighters to manage themselves according to their personality types. Strategies that can increase the firefighters' social support and decrease their perceived secondary traumatic stress also need to be developed to minimize or prevent a negative effect on their health.
A Study of Predictors of Smoking in Middle School Boys'
Kim Kyung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 107~118
Purpose: This study was done to identify the predictors of smoking in middle school boys'. A comprehensive analysis of individual, family and social environment-related factors was done. Method: The participants in this descriptive survey on causal relations were 318 students enrolled in middle schools who were selected by convenience sampling. The data collected from June to July 2003 were put in to logistic regression analysis to build a prediction model. Results: 1) Individual-related factors for smoking in middle school boys' were participation in drinking and deliilquent behavior 2) Family-related factors were ill-treatment physically of the types of ill-treatment and mother being unemployed. 3) Social environment/peer-related factors were friends' attitudes towards delinquency. Conclusion and Recommendations: The experience of smoking among Korean middle school boys was associated not only with individual factors, but also with family and social environmental factors. The findings of this study suggest that broad intervention program should be provided to prevent adolescent smoking. It is also recommended that a program be developed that can help control the variables identified in this study along with a follow up study to verify the model.
Predictors of Pre and Post Preparation in Stages of Change of Smoking for Adolescent Smokers and Adult Smokers
Chang Sung-Ok ; Kim Eun-Ju ; Seomun Gyeong-Ae ; Lee Su-Jeong ; Cha Bo-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 119~128
Purpose: This study was done to identify predictors differentiating the preparation stage, which is the stage that the smoker is ready to quit smoking, between adolescent smokers and adult smokers. Method: A survey was conducted with 376 adolescent smokers in 4 high schools and 451 adult smokers in community settings in South Korea from August 2003 to April 2005. To identify the predictors before and after preparation in stages of change of smoking, logistic regression was done. Results: The predictors for before preparation in stages of change of smoking were process of change for smoking abstinence for adolescent smokers and depression for adult smokers. The predictors for after preparation in stages of change of smoking were self-efficacy for smoking abstinence for adolescent smoker and self-efficacy for smoking abstinence and smoking temptation for adult smokers. Conclusion: For each group, adolescent smokers and adult smokers, specific smoking intervention methods need to be developed based on the different ways individuals make the decision to quit smoking within their contexts.
A Comparison of Disease-Related Knowledge between Hearing Impaired and Normal Hearing Persons
Yom Young-Hee ; Yee Jung-Ae ; Kim Eun-Ju ; Lee Kyu-Eun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 129~139
Purpose: The purpose of this study was to compare the levels of knowledge on 5 diseases between persons in hearing impaired and normal hearing groups. Method: The participants consisted of 44 people who are hearing impaired and 47 who are not. An instrument developed by the research team was used for data collection. The questionnaire consisted of 90 items including demographics and items on 5 diseases, hypertension, cancer, diabetes, pulmonary tuberculosis, and hepatitis. Results: The level of knowledge on the 5 diseases, hypertension, cancer, diabetes, pulmonary tuberculosis, and hepatitis in normal hearing group was significantly higher than hearing impaired group. Conclusion: More attention and comprehensive educational programs are needed for people with hearing impairment.
Analysis of the Concept of Sensibility
Park Hyun-Ju ; Choi Jin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 1, 2006, Pages 140~149
Purpose: The concept of sensibility as sensitive perception is a part of the most important elements in human relations and nursing. However, sensibility has not been a focus of nursing research and it seems important to clarify the meaning of sensibility. Therefore, in this study the meaning of sensibility as a cognitive faculty of humans was explored. The results will contribute to the development of nursing science and art. Method: The process described by Walker and Avant to analyze concepts was used to define the concept of sensibility. Results: Attributes of sensibility were defined as 'emotional ability to feel', 'delicate, sensitive awareness of emotion' 'appreciative, tender hearted about oneself and others', 'awareness of intellectual, moral values', 'liability to be vulnerable', 'direct interrelation with individual'. Conclusion: The sensibility mentioned above included the attribute of caring within nurses intrinsic disposition which is achieved through the process of interrelational communication. Therefore continuous study and development of this concept should not only provide resources for nursing but also have a positive effect in therapeutic personal relationships.