Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of Korean Academy of Fundamentals of Nursing
Journal Basic Information
Journal DOI :
Korean Academy of Fundamentals of Nursing
Editor in Chief :
Volume & Issues
Volume 14, Issue 4 - Nov 2007
Volume 14, Issue 3 - Aug 2007
Volume 14, Issue 2 - May 2007
Volume 14, Issue 1 - Feb 2007
Selecting the target year
Perception and Experience of Medication Errors in Nurses with tess than One Year Job Experience
Oh, Choon-Ae ; Yoon, Hae-Sang ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 6~17
Purpose: This study was carried out to investigate perception and experience of medication errors by nurses. Method: Data collection through a survey was performed using structured questionnaires over the period of September 1 to October 15, 2004. Questionnaire were delivered to 222 nurses from 15 hospitals; thereafter, 205 questionnaires were responded (i.e., 92% response rate). The subject in the study was a nurse who had been working in the hospital for less than one year. Results: The average perception rate was 87.5%. The perception rates of subjects in medication errors from four areas are 62% in wrong dosage form for drug administration, 61.5% in air into an IV set, 63% in crystals in an IV lines, and 83.5% in wrong time. The experience rates of subjects in medication errors from four areas are 85.5% in wrong time, 39.5% in wrong injection site, 34.5% in omission error, and 28% in wrong patient. Conclusion: The average perception rate and experience rates of medication errors were 87.5% and 23.5%, respectively. Education about the Five right in medication and knowledges about drugs would improve the perception of medication errors of nurses whose work experience is less than one year, and prevent them from medication errors.
Actual Condition, Knowledge and Attitude of Patient Controlled Analgesics(PCA) in Postoperative Patients
Park, Jeong-Sook ; Lee, Hae-Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 18~28
Purpose: This study was to identify knowledge, attitude, use and state of the Patient Controlled Analgesics (PCA) in postoperative patients. Method: The research design was a descriptive research. From December 7, 2005 to January 6, 2006, 102 postoperative patients in a university hospital at Daegu were participated in the study Results: Analgesics with PCA were mainly morphine complex 73.5% and Demerol complex 26.5%. Previous experience of using PCA was only 28.4%, and the main sources of information were other post-op patients and families(43.1%). The most common reason of choice was a recommendation from other post-op patients and families(46.1%). The most common side effects of PCA were nausea and vomiting(20.6%). About 57% of the patients were satisfied with PCA, and pain scores decreased with PCA. Mean score for knowledge about PCA was 2.55 out of a possible 6, and for attitude related to pain medication. 2.31 out of possible 5. Conclusion: To increase the score on knowledge of PCA, a structured preoperative PCA education program should be developed by nursing staff.
Development and Effect of Pain Management Protocol for Nursing Home Patients with Dementia
Chang, Sung-Ok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 29~43
Purpose: This study was done to develop a pain management protocol for nursing home patients with dementia and to examine effects of the protocol on pain assessments and interventions by the nurses and on pain relief signs in the patients. Method: The six steps in the protocol development and the examination of effect are outlined. Three rounds using the Delphi technique and one group pretest-posttest design experiment were developed. Design issues, such as sample selection and sample size, are addressed in relation to the study protocol. Results: After implementation of the pain management protocol, there were significant changes nursing actions including frequency of number of physical examinations, utilization of pain assessment tools, and request to doctors for discomfort management and there were significant changes in frequency in the number of verbal and physical expressions of pain, and emotional patterns. Conclusion: This is the first pain management protocol for patients with dementia in Korea. However, more study will be needed to determine the methodological strength and necessary revisions for the protocol.
The Effect of the Taeguk Gi-Gong Exercise on Insulin Resistance and Blood Glucose in Patients with Type II Diabetes Mellitus
Jeong, Ihn-Sook ; Lee, Hwa-Ja ; Kim, Myung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 44~52
Purpose: This study was done to investigate the effect of Tai Chi Qigong exercise program on insulin resistance and blood glucose in patients with type 2 diabetes. Method: This was a quasi-experimental study used a non-equivalent control group pretest-posttest design. Participants included 39 patients with type 2 diabetes mellitus patients (ages between 40-70)(experimental group, 19, control group, 20). The Tai Chi Qigong exercise program consisted of 5 minute warming up, 30-minute main exercise, and 5 minute cooling down, and was conducted twice a week for 10 weeks. The outcome variables were insulin resistance (proinsulin, C-peptide, insulin, insulin sensitivity index) and blood glucose (fasting, post prandial 2hr, HbA1c). Data was analyzed using ANCOVA, with pre-test values as covariates, to examine difference between pre and post measures between the two groups. Results: The Tai Chi Qigong was effective in lowering postprandial 2hr blood glucose. Conclusion: Twice a week 10 week-Tai Chi Qigong exercise seems to be too short to improve insulin excretion or resistance, and fasting blood sugar and HbA1C in patients with type 2 DM. A Tai Chi Qigong program at least 3 times per week or longer is recommended.
Effects of an Information Protocol on Anxiety and Nursing Satisfaction for Family Caregivers of Cerebrovascular Accident Patients in the ICU
Cho, Kyung-Jin ; Jun, Eun-Mi ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 53~61
Purpose: The purpose of this study was to investigate the effects of an information protocol for anxiety and nursing satisfaction of family caregivers. The caregivers were caring for a family member who had a CVA (cerebrovascular accident) and who had been admitted to the ICU (intensive care unit). Method: The research design was a non-equivalent control group non-synchronized design. Data were collected from April 1 to October 31, 2005 at D hospital in Busan City The participants were 40 family caregivers of patients with a CVA admitted to the ICU. Caregivers in the experimental group participated in the information protocol for 30 min. Both groups were pre-tested before the intervention for two variables, anxiety and nursing needs. The post-test of both groups included anxiety and nursing satisfaction. The instruments used in this study were the Spielberger's state anxiety inventory (1976) and the nursing satisfaction scale developed by Molter (1979). Results: Anxiety scores were significantly lower and nursing satisfaction scores were significantly higher for caregivers in the experimental group compared to those in the control group. Conclusion: The information protocol was effective in reducing anxiety and increasing the level of nursing satisfaction of family caregivers caring for an ICU patients with a CVA.
Comparison of Sleep Pattern, Factors of Sleep Disturbance and Sleep Enhancement Behaviors between Sleep Disturbance and Non-Sleep Disturbance Aged Patients
Han, Suk-Jung ; Lee, Eun-Young ; Kim, Kyung-Mi ; Park, Sun-Nam ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 62~71
Purpose: This study was done to compare sleep patterns, factors of sleep disturbance and sleep enhancement behaviors between sleep disturbance and non-sleep disturbance elderly patients. Method: The participants were 117 patients over 65 years old who were hospitalized at 5 general hospitals in Seoul. There were 83 patients in the good sleeper group and 34 in the poor sleeper group. The survey questionnaires included questions on general characteristics, sleep patterns, sleep disturbing factors, and sleep enhancement behaviors of the patients. Results: For sleep patterns and environmental factors of sleep disturbance, the poor sleepers was significantly higher than that of the good sleepers. Significant differences between good sleepers and poor sleepers were also found on the following variables: Environmental factors of sleep disturbance -'Sound of other patient's or care-giver's', 'Discomfort of bed, linen, pillow and patient's gown', 'Light in the room', 'Emergency situations', 'Temperature of patients rooms too hot or too cold'. The significant physical factor of sleep disturbance was 'Hard to breath even without moving' and for sleep enhancement behaviors: 'Use of ear plugs or eye covers' Conclusion: Consequently it is necessary to develop positive and differentiated programs for sleep enhancement for the inactive and poor sleeper among the elderly patients.
The Relationship between Trait Anger, Life Style and Physical Symptoms in Elderly People
Park, Young-Rye ; Yoo, Moon-Sook ; Son, Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 72~82
Purpose: The purpose of this study was to identify relationships among trait anger, life styles and physical symptoms in elderly people. Method: The participants were 348 elderly persons over 65 years of age who lived in Seoul, Geonggi Province, South Chungcheong Province and South Jeolla Province. The data were analyzed using descriptive
, t-test, one-way ANOVA and Pearson's correlation coefficient with SPSS win 12.0. Results: Physical symptoms of the participants correlated with trait anger and life style. Trait anger in the elderly people had a significant positive correlation to cardiovascular symptoms. Smoking showed a significantly positive correlation to alcohol drinking and cardiovascular symptoms. Regular diet showed a significantly negative correlation to general symptoms, cardiovascular symptoms and gastrointestinal symptoms. Caffeine intake significantly negative correlation to general symptom and cardiovascular symptom. Conclusion: These results suggested that elderly people with a high degree of trait anger are likely to be high in perceived physical symptoms. Therefore nursing interventions to reduce levels of trait anger and change life style should be provided for elderly people.
BMI, Depression, and Fluid Deficit in Hospitalized Elders
Shin, Dong-Soo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 83~91
Purpose: This study was done to examine the differences in the fluid volume deficit according to levels of depression and BMI. The results of this study will provide fundamental information for developing nursing interventions for hydration management. Method: The participants were 51 hospitalized elderly people in K province. Data were collected from September 4 to 30, in 2006. A structured questionnaire was used for the data collection. Frequencies, Percentages, Means, Standard Deviation, t-test, Mann-Whitney U test, and Kruskal-Wallis test were used with the SPSS Program to analyze the data. Results: There were significant differences in the fluid volume deficit between elders in the depressed and normal groups. Participants who had a BMI of less than
had the highest fluid volume deficit. Conclusion: Water is an essential part of the human body although it is least studied in elderly people. Health care providers need to increase awareness of the importance of hydration status among hospitalized elderly people with chronic illnesses.
Effects of Lifestyle and Depression on the Nutritional Status of Elderly People
Kim, Chun-Gill ; Chaung, Seung-Kyo ; Park, Hyea-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 92~102
Purpose: This study was conducted to evaluate nutritional status, and the effects of lifestyles and depression on nutritional status of elderly people (NSE). Method: The participants were 280 elders who visited the Y city Senior Welfare Center between August 2006 and October 2006. Data were collected using a structured questionnaire that included general characteristics, lifestyle checklist, depression scale, and nutritional risk index. Also, Body Mass Index (BMI) was calculated from height and weight. T-test, ANOVA, Duncan test, Pearson coefficients correlation and stepwise multiple regression were used to analyze the data using the SPSS Win 12.0 program. Results: The NSE mean score was mid level at 5.03 BMI was 23.42 which indicates overweight. Depression was the factor that influenced the nutritional risk index most strongly, accounting for 17.3% of the total variance in the NSE. A combination of significance of health, concerns about health, housing, condition of teeth, activity, and smoking pattern accounted for 29.8% of the variance in the NSE. Condition of teeth accounted for only 3.8% of the variance in BMI. Conclusion: It is necessary to be aware that variance in the NSE can be affected by several factors including depression and lifestyle and that depression is strongly related to poorer NSE.
A Study on Aging Anxiety, Depression, and Self-esteem of Middle-aged People
Kim, Soon-Yi ; Lee, Jung-In ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 103~109
Purpose: The purpose of this study was to investigate the relationship among aging anxiety, depression, and self-esteem of middle-aged people. Method: The study was designed as a descriptive correlation study Data were collected using a structured questionnaire which included general characteristics, and measures of aging anxiety, depression, and self-esteem. Data collection was done between March 15 and June 10. 2006 with 184 middle-aged participants. Results: The average score of the participants for aging anxiety was 48.38, for depression 16.49, and for self-esteem 29.08. There were positive correlations between aging anxiety and depression, aging anxiety and self-esteem. There was a negative correlation between depression and self-esteem. The correlations were statistically significant. Conclusion: Therefore, nursing program should be developed to improve the mental health and increase the qualitative life of middle-aged people.
Professional Self-Concept and Self-Efficacy according to the Need for Advanced Practice Nurse among Korean Nurses
Jang, Hee-Jung ; Yang, Soon-Ok ; Lee, Myung-Ok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 110~119
Purpose: The purpose of this study was to identify the need for advanced practice nurse and explain the relationship between self-efficacy and professional self-concept among Korean nurses. Method: The participants were 511 Korean nurses who were recruited in hospitals or public health centers in Korea. The instruments used in this study were Sherer et al's self-efficacy instrument, Arthur's professional self-concept instrument, and a structured questionnaire on the need for advanced nurse practitioners. Cronbach alpha, mean, SD,
, t-tests, ANOVA, Pearson correlation coefficient were used to analyze the data using SPSS PC+ ver 12.0 for Windows. Results: Of the nurses, 57.9% of wanted to be advanced practice nurses. The mean of professional self-concept and self-efficacy scores for the nurses were at the medium level. Professional self-concept and self-efficacy of nurses showed significant differences according to age, working location, marital status, level of education, and length of clinical experience. A significant positive correlation was found between professional self-concept and self-efficacy. Conclusion: Before planning to develop the role of Advanced practice nurse, there is a need to measure self-efficacy and professional self-concept among nurses. Politically, strategies to increase self-efficacy and professional self-concept among Korean nurses will be necessary in order to prepare good advanced practice nurse.
The Study on Stress, Hardiness, and Professional Burnout of Intensive Care Unit Nurses
Lim, Duck-Sun ; Cho, Bok-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 1, 2007, Pages 120~127
Purpose: This study was done to identify the level of stress, hardiness, and professional burnout of intensive care unit (ICU) nurses and to provide basic data for the qualitative improvement of nursing work achievement in the workplace. Method: The data were obtained from 129 ICU nurses through a questionnaire. Results: Stress showed positive correlation with the level of professional burnout and there was negative correlation between hardiness and professional burnout. Nurses in the group with a high level of stress, and a high level of hardiness reported a low level of professional burnout compared to those in the group with a lower level of hardiness (t=-2.60, p= .012). Nurses in the group with a low level of hardiness and a low level of stress showed a lower level of professional burnout than those with a high level of stress (t=3.51, p= .001). Conclusion: The results show that the high level of stress when coupled with a low level of hardiness of ICU nurses results in a high level of professional burnout. For this reason, it is important for nursing administration to support nurses to reduce levels of stress and the resulting burnout in ICU nurses.