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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
Comparison of Student Nurses Graduating from a Junior College or a University on Observation and Performance of Nursing Roles
Shon, Yong-Hee ; Kang, Hyun-Sook ; Park, Young-Sook ; Han, Hye-Ja ; Kwon, Sung-Bok ; Lim, Nan-Young ; Kim, Dong-Ok ; Kim, Joo-Hyun ; Son, Haeng-Mi ; Lee, Eun-Hee ; Lee, Yeo-Jin ; Cho, Kyung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 172~181
Purpose: This study was done to identify observation and performance of nursing role activities by student nurses graduating from 3 year junior colleges or 4 year universities. Method: A descriptive design was used and the participants were 295 student nurses who were graduating. Data were collected using a structured questionnaire. Results: The average score for observation of nursing role activity was
, and for performance
. Among the college students, the mean item score for observation was highest for medication administrator and lowest for provider of spiritual & bereavement care, while for the university students the highest was for provider of care during surgery and lowest for provider of spiritual & bereavement care. The college students had higher scores for observation, and the university students for performance. Conclusion: It is concluded that standardized practice learning programs need to be designed in schools and in clinical practice areas, in order to further develop adaptability to nursing roles.
Development and Application of PBL Module Using Simulator - Focused on Simman -
Chu, Min-Sun ; Hwang, Yoon-Young ; Park, Chang-Seung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 182~189
Purpose: This research was done to identify how PBL education using a simulator affects nursing students' critical thinking, self-efficacy, and meta-cognition by applying and developing a PBL module using the Simman simulator. Method: With a one group pre-post test design, the research was conducted with a convenience sampling on 66 students in C College on Jeju Island for 8 weeks from August to October, 2005. The collected data on critical thinking, self-efficacy, and meta-cognition were analyzed using T-test. SPSS 10.0 was used to assist analysis. For study-related variables, means and standard deviations were used. Results: The finding of the research showed that most of the students were in favor of use of PBL-in the curriculum with more than 50% of the scores indicating satisfaction with content of the teaching, the teaching method, and self-confidence in nursing. The results also showed that there was an increase in interest among the students regarding campus practical education. Conclusion: As the application of the PBL module using the Simman simulator elicited more interest and satisfaction from the students, it is worth using this simulator as a the teaching method to improve the practical education in nursing.
A Study on the Pressure Ulcers in Neurological Patients in Intensive Care Units
Im, Mi-Ja ; Park, Hyoung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 190~199
Purpose: To provide basic data and to identify the risk of pressure ulcers among neurological patients in ICU. Method: The participants in the study were on 78 neurological patients in the ICU of 3 hospitals. Data were collected every other day from 24 hours after admission, for up to 40 days or until discharge. The total period of data collection was 3 months. The risk assessment scales used for pressure ulcer were the Cubbin & Jackson(1991) scale and the National Pressure Ulcer Advisory Panel(1989) skin assessment tool. Results: There was a significant relationship between having a pressure ulcers and weight, skin condition, mental status, respiration, hygiene and hemodynamic status compared to not having a pressure ulcer. The incidence rate of the pressure ulcer was 28.2%(n=22). Of these patients the mean number of hospitalization days until pressure ulcer development was 5.2 days. The most common pressure ulcer site was the coccyx(39.3%). Based on a cut-off point of 24, 9 patients with risk scores <24 on admission also showed risk score for development of pressure ulcers, 10 patients with pressure ulcer scores
were older, hospitalized for a longer time, had low serum albumin, low hemoglobin, diabetes mellitus and surgery. Conclusion: In order to make the Cubbin & Jackson risk assessment scales more useful, there is a need to determine the reliability of the upper cut-off point 24. The result also showed a need to assess other risk factors and for early identification of at-risk patients in order to provide preventive care from admission to discharge.
Factors Influencing Falls in Inpatients
Sung, Young-Hee ; Kwon, In-Gak ; Kim, Kyung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 200~207
Purpose: This study was done to identify factors influencing falls in inpatients. A comprehensive analysis of individual, disease, and environment related factors and an assessment of being in a risk factor group were included in the data. Method: The medical records of 325 inpatients were reviewed. Data were collected from January to July 2003. Frequencies, 1-test and
were used to analyze the data and the SPSS program was used. Results: Individual-related factors for inpatients falls were age, drinking and weakness. Disease-related factors for inpatients falls were diagnostic department, admission from ER or OPD, admission by wheelchair or orther method and activity status. Environment-related factors for inpatient falls were re-education and side-rails. Assessment of the risk factor group related factors were age, history of falls, body balance, depression, communication, medication, chronic disease, urinary condition and total score for risk factors. Conclusion: Experienceing a fall among Korean inpatients was associated not only with individual factors, but also with disease and environmental factors. The findings of this study suggest that broad intervention programs should be provided to prevent inpatient falls.
Effects of Disinfection According to Durations of Surgical Hand Scrub and Type of Disinfectant
Park, Jong-Nam ; Lee, Mi-Aie ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 208~216
Purpose: This study was done to identify the differences in effectiveness of disinfections for surgical hand scrubbing according to the duration of scrubbing and the type of disinfectant. Method: From June 30 to August 14, 2003, the data were collected from 30 surgical nurses and surgeons in one general hospital in P city, Korea. All participants washed their hands with two different disinfectants and four different scrubbing times, they placed both finger tips on a blood agar plate and using sterile cotton tips microbes were collected from their palms, nails and forearms. Results: The first hypothesis of this study(with same disinfectant, there will be no difference in effect of disinfection in surgical hand scrub among four time groups) was supported. The second hypothesis of this study(with same duration of surgical hand scrub, there will be no difference in effect between two disinfectants) was also supported. Conclusion: There are no differences in effectiveness of disinfection for surgical hand scrubbing according to duration of the scrubbing and the type of disinfectant. So it is concluded that the effectiveness of disinfection depends more on the exactly how the scrubbing is done rather than the duration of scrubbing or the type of disinfectant.
Pilocarpine Mouth Care for Patients with Terminal Cancer
Park, Myung-Hee ; Yoo, Yang-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 217~224
Purpose: This study was done to investigate the effects of pilocarpine mouth care on the condition and discomfort of the oral cavity in patients with terminal cancer. Method: A quasi-experimental design with a non-equivalent control group, pre- and post-test was used. The participants were 30 patients admitted to the hospice care unit of C university hospital. Fourteen patients received pilocarpine mouth care for 5 days. The other sixteen received general mouth care. Results: Improvement in the condition of the oral cavity was significantly higher in the experimental group compared to the control group. Decrease in oral discomfort scores was significantly higher in the experimental group compared to the control group. The incidence of oral candidiasis was significantly higher in the control group compared to the experimental group. Conclusion: These findings indicate that pilocarpine mouth care could be an effective intervention for relieving oral discomfort, improving the condition of the oral cavity, and decreasing the incidence of oral candidiasis in patients with terminal cancer.
Effect of Self-Foot Reflexology on Peripheral Blood Circulation and Peripheral Neuropathy in patients with Diabetes Mellitus
Jeong, Ihn-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 225~234
Purpose: This study was done to investigate the effect of self-foot reflexology on peripheral blood circulation, peripheral neuropathy and to determine the feasibility of self-foot reflexology as a nursing intervention. Method: This was nonequivalent control pretest-posttest study with 76 patients with type 2 diabetes mellitus (ages between 40-79) recruited from public health centers in Busan city. Intervention was a 6 week self-foot reflexology, and outcome variables were peripheral blood circulation and peripheral neuropathy(tactile response to monofilament, intensity of symptoms of peripheral neuropathy). ANCOVA was used to do the statistical analysis. A.05 significance level was set for evaluating the effects of self-foot reflexology. Results: The self-foot reflexology was relatively effective not only in reducing peripheral neuropathy(especially tingling sensation and pain) but also in improving ability to sense the 10-g force monofilament. Conclusion: Even though self-foot reflexology was not effective in improving peripheral circulation, it had good effect on improving peripheral neuropathy. Therefore self-foot reflexology can be used as a nursing intervention program for promoting foot care for patients with DM patients.
Effects of a Nurse Short-Message Service via Cellular Phones for People with Diabetes
Kim, Hee-Seung ; Park, Hea-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 235~241
Purpose: The purpose of this study was to evaluate the effect of a six month web-based diabetic education on plasma glucose in people with diabetes. Method: A randomized design with control and experimental groups being assessed pre- and post-intervention was used. Seventeen patients were randomly assigned to a control group and 18 to an experimental group. Participants were requested to input the blood glucose level weekly to http://www.biodang.com by cellular phone or wire Internet for 6 months. The researcher sent optimal recommendations to each patient using the short message service (SMS) for cellular phone and wire Internet. Messages were sent weekly for 6 months. Results: Glycosylated hemoglobin (
) decreased 1.5 percentage points at 3 months and 1.4 percentage points at 6 months compared with baseline in the intervention group. Patients in the intervention group had a decrease in 2 hours post meal glucose (2HPMG) of 94.3mg/dl at 3 months and 82.5mg/dl at 6 months compared with baseline. Conclusion: This web-based intervention using SMS for cellular phone improved HbAlc, and 2HPMG for six months in patients with type 2 diabetes.
Effects of a BeHaS(Be Happy and Strong) Exercise Program on Pain, Health Status and Weight in Middle Aged Women with Osteoarthritis of the Knee
Kim, Jong-Im ; Kim, Sun-Ae ; Kim, Ji-Hyun ; Song, Hyang-Young ; Moon, Young-Sin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 242~248
Purpose: The purpose of this study was to identify the effects of a BeHaS exercise program on pain, health status, body weight in middle-aged women who have osteoarthritis in their knees. Method: The participants in this study were eighteen women whose mean age was 56.22years and who had osteoarthritis in the knees. The BeHaS exercise program consists of approximately one and half hour of exercise, two days per week, for twelve weeks. Data were gathered from September 2005 to December 2005 using a questionnaire and measuring VAS for pain, KWOMAC for health status, body weight for scale. Data were analyzed with the SPSS Win 11.0 using frequency and paired t-test for differences between pre-exercise and post-exercise. Results: The results of this study are as follows: Scores for pain on post test were statistically lower than pre test(t=4.202, p=0.001), health status was statistically improved after exercise program (t=3.479, p=0.002). But body weight did not change(t=-.774, p=0.222). Conclusion: From these results, it is concluded that the BeHaS exercise program can be effective in decreasing pain and increasing health status in middle-aged women with knee osteoarthritis.
Influence of Clinical and Demographical Variables on Depression, Instrumental Activities of Daily Living, and Cognitive Function in Patients with Parkinson's Disease
Sohng, Kyeong-Yae ; Choi, Dong-Won ; Park, Hea-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 249~256
Purpose: To investigate the influence of clinical and demographical variables on depression, instrumental activities of daily living (IADL), and cognitive function in patients with Parkinson's disease. Method: Using a structured questionnaire data were collected from 100 participants registered in the neurology department of C university hospital. Duration and stage of disease, fall history, vision impairment, duration and quality of sleep, orthostatic hypotension, ambulation impairment, and use of walking aid were included in clinical variables. Depression, IADL, and cognitive function were assessed using Kee's GDSSF-K, Cho's scale, and K-MMSE. Collected data were analyzed using the SAS program. Results: The depression score for the participants was 7.78, higher than cut-off score(5). Participants who were male, living with spouse, above high school education, high economic status, with no vision impairment, and no ambulation impairment revealed high cognitive scores. Average IADL score were significantly higher for participants who were male, who had high economic status, low stage of disease, and no ambulation impairment. Depression IADL & cognitive function scores were significantly different according to ambulation impairment. Scores for ADL and cognitive function were positively correlated. Conclusion: It is recommended that make programs for patients with Parkinson's disease, clinical and demographic variables should be considered according to their individual needs.
Effects of an Integrated Stress Management Program(ISMP) for the Elders in a Rural Community
Kim, Joo-Hyun ; Park, Mi-Jeong ; Kim, Hyun-Sook ; Oh, Jin-Joo ; Han, Kyu-Ryang ; Yu, Su-Jeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 257~268
Purpose: This study was done to develop and evaluate the Integrated Stress Management Program (ISMP) for elders in rural communities. Method: ISMP consists of 6 educational programs to improve self-management behavior and therapeutic recreational activities and was developed by analyzing the published reports and through multidisciplinary cooperation. Effectiveness of the ISMP was evaluated by implementing the program with 53 rural elders living at home, one session a week of, 2 hours per session over, 6 weeks from March 14 to April. 22, 2005. Results: After participating in the program, participants' perceived levels of stress decreased(t=2.940, p<.05), and mood state (t=4.229, p<.001), life satisfaction(t=-4.911, p<.001), and perceived social support (t=-2.891, p<.05) increased significantly. Conclusion: The results of this study demonstrated that the ISMP is an effective program for relieving stress level, and increasing positive mood, life satisfaction, and social support for elders in a rural community.
Factors Influencing Health Promotion Behavior of Korean Students in China
Park, Sung-Ju ; Choi, Soon-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 269~274
Purpose: This study was done to examine the level of performance and predictors influencing health promotion behavior of Korean students in China. Method: The participants were 160 Korean students who have lived in Beijing, China. Data were collected by self reporting questionnaire from september to november, 2001 and t-test, ANOVA, Person's correlation coefficients, and stepwise multiple regression were used to analyze the data. Results: The health promotion behavior score showed a positive correlation with perceived health status(r=.17, p=.025), social support(r=.29, p=.0001), and self-efficacy(r=.41, p=.0001). By use of stepwise multiple regression analysis, it was determined that the main factors influencing health promotion behavior were self-efficacy 17.0%(F=32.56, p=.0001) and social support 2.2%(F=4.11, p=.044). These variables explained 19.2% of the variance in the health promotion behavior scores. Conclusion: Self-efficacy and social support were the main factors influencing health promotion behavior. These findings showed that we need to develop nursing strategies to promote self-efficacy and social support for Korean students in China.
Analysis of Research Trends in Physiological Variables in Complementary and Alterative Therapy(CAT) in Korean Nursing
Byeon, Young-Soon ; Oak, Ji-Won ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 275~284
Purpose: The purpose of this study was to analyze tile trends in physiological variables in CAT research in nursing in Korea. Method: Of studies published in Korea between January, 2000 and December, 2005, 227 studies were analyzed according to the criteria of type, theme, and patterns in physiological variables related to CAT. Results: There were 72 articles on CAT research in which physiological variables were examined. The most frequently researched type of CAT was massage and in particular, foot massage. The most frequently used physiological variables in CAT research were blood pressure, pulse, and body temperature. Patients with high blood pressure were the most frequent subjects for CAT research. As to the effect of physiological variable by CAT type, foot massage showed a decline in blood pressure in all six research studies involving patients with high blood pressure. Conclusion: There is a need to describe accurately the mechanism by which CAT affects physiological variables. There is also a need for repetitive analysis to verify the effect, and meta-analysis for the effect on physiological variables according to type of CAT.
Spiritual Care and Spiritual Wellness of Hospice Team Members
Yoo, Yang-Sook ; Han, Sung-Suk ; Lee, Sun-Mi ; Seo, Min-Jeong ; Park, Chai-Soon ; Hong, Jin-Ui ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 285~293
Purpose: This study was conducted to identify the spiritual well-being and spiritual care of hospice team members. Method: Between December 2005 and February 2006, a questionnaire was given to 192 hospice team members. The instruments used in this study were the Spiritual Well-Being Scale(SWBS) developed by Paloutzian, & Ellison(1984), and a Spiritual Care Performance Scale developed by the authors. Results: The levels of spiritual well-being were relatively high: significantly lower in the 25-29 years old, in the unmarried, and in the 1-2 million won income groups, and significantly higher in Protestants, Catholics, clergy, and volunteers. The levels of performance of spiritual care were intermediate; significantly higher in clergy, and those with 10 or more years of experience. There was a positive correlation between: levels of spiritual well-being and age; levels of spiritual well-being and performance of spiritual care; and levels of performance of spiritual care and age. The factors affecting the levels of spiritual well-being included religion, age, and performance of spiritual care. The factors affecting the levels of performance of spiritual care were the years of hospice experience and spiritual well-being. Conclusion: Because there was a positive correlation between levels of spiritual well-being and performance of spiritual care, there is a need to develop a strategies to increase the spiritual well-being of hospice team members.
Attitudes to Smoking Cessation Interventions and Importance of Participation in Tobacco Control Policy Among Clinical Nurses
Shin, Sung-Rae ; Kim, Aee-Lee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 294~303
Purpose: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. Method: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation, Results: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. Conclusion: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.
The Relation of Self-reported Adult Attachment Style, Perceived Parental Rearing Style and Anger in Undergraduate Students
Park, Young-Joo ; Park, Eun-Sook ; Chang, Sung-Ok ; Choi, Myung-Sook ; Song, Jun-Ah ; Moon, So-Hyun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 13, issue 2, 2006, Pages 304~311
Purpose: This study was done to examine the relation of self-reported adult attachment style, perceived parental rearing styles and anger in undergraduate students. Method: The six hundred and fifty undergraduate students participating in this descriptive correlational design study were conveniently sampled from K University and S College located in Seoul, Korea. The instruments were Spielberger's state-trait anger expression inventory - Korean version(Chon, Han, Lee & Spielberger, 1997), the instrument for measuring attachment styles by Hazen and Shaver (1987), and Hong's instrument for measuring parental rearing style(2001). Data were analyzed by descriptive statistics, t-test,
, ANOVA, and cluster analysis using pc-SAS(version 8.0e) program. Results: The mean scores for trait anger and anger-in were higher in undergraduate students with insecure and ambivalent attachment style compared to students with a secure attachment style. The mean score for anger-control was highest in undergraduate students with a secure attachment style. The parental rearing styles by cluster analysis were grouped as Neglect, Permissive, Democratic, and Protective-control. The mean scores for trait anger, anger-in, and anger-out were higher in undergraduate students with 'Neglect' parental rearing style than in those with 'Democratic' and 'Protective-control' rearing styles. Conclusion: Trait anger and anger expression might be related to an attachment style and/or a parental rearing style.