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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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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
The Relationship of Core Competencies(Problem Solving Ability, Communication Ability, Self-directed Learning Ability) to Critical Thinking
Choi, Eun-Young ; Kim, Ji-Yun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 412~419
Purpose: This study was done to analyze core competencies affecting critical thinking ability of student nurses. Core competencies investigated in this study were problem solving ability, communication ability and self-directed learning ability. Method: Data were collected from a convenience sample of 322 student nurses in 2 provinces during the period from May 21 to June 8, 2007. Critical thinking, problem solving ability, communication ability and self-directed learning ability were measured using the Disposition towards Critical Thinking Scale by Park(1999-a) and the Core Competencies Scale by Lee(2003). Descriptive statistics and correlation coefficients with the SPSS WIN 12.0 program were used to analyze the data. Results: There were significant differences in the critical thinking according to grade, type of high school, experience with PBL, preference for lecture-based learning, preference for discussion and perceived logicality. The score for critical thinking showed significantly positive correlations with scores for problem solving ability(r=0.54, p=0.00), communication ability(r=0.56, p=0.00) and self-directed learning ability(r=0.54, p=0.00). Conclusion: The results of this study suggest that problem solving ability, communication ability and self-directed learning ability are significant factors affecting critical thinking in student nurses.
Changes in Nursing Values and Nursing Professional Attitudes after Practical Education Based Fundamental Nursing Practice Education
Kim, Yeong-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 420~428
Purpose: This study was to examine nursing values and attitudes toward nursing professions after fundamental nursing practice education. Method: The participants were 166 first-year students. Values and professional attitude were measured. Results: Nursing values increased to 4.49(
) after 1st semester and 4.64(
) after 2nd semester from 4.32(
) before the education(t=7.71, p= .000). Nursing professional attitude also increased to 3.95(
) after 1st semester and 4.20(
) after 2nd semester(t=9.1, p= .000). While voluntary applicants have showed a significant difference in nursing values since they started college education(t=3.34, p=.001), partially voluntarily applicants showed after finishing the 1st semester(t=-3.02, p=.002). Regarding nursing professional attitude of voluntary applicants, there was a significant difference between starting college education(t=2.35, p=.020) and finishing the 1st semester(t=-2.66, p= .008). Interest in fundamental nursing practice had a significant correlation with satisfaction(r=.301, p=.000) and nursing values(r=.163, p=.035). Nursing values had a significant correlation with nursing professional attitude(r=.590, p=.000). Conclusion: The fundamental nursing practice is effective in changing nursing values and nursing professional attitude in students taking the course.
Knowledge, Attitude and Self-Confidence of Student Nurses Regarding Nosocomial Infection Control
Park, Young-Rye ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 429~436
Purpose: This study was conducted to identify the knowledge, attitude and self-confidence of student nurses regarding control of nosocomial infections and to provide data for preparation of an efficient policy and education program regarding nosocomial infections. Method: A descriptive survey design was utilized, and, using a questionnaire, which included 15 items for knowledge, 81 items for attitude, 81 items for self-confidence, data were collected from 520 student nurses. Descriptive statistic, t-test, one-way ANOVA and Pearson's correlation coefficients, and Stepwise multiple regression analysis were used with SPSS win 12.0 to analyze the data. Results: The mean score for knowledge was 0.63, for attitude, 4.38 and for self-confidence, 3.50. There was a significant positive correlation between knowledge, attitude and self-confidence in control of nosocomial infections. Attitude, practical attitude, and education were significant factors affecting self-confidence regarding nosocomial infection control. Conclusion: These research findings should be useful in promoting continuous and repeated educational programs on nosocomial infection for student nurses.
Knowledge, Perception & Practice of Eye Care Nursing among Nurses in Intensive Care Units
Oh, Eui-Geum ; Chu, Sang-Hee ; Ko, Il-Sun ; Lee, Won-Hee ; Yoo, Ji-Soo ; Kim, So-Sun ; Yoo, Hae-Young ; Kang, Se-Won ; Kim, Bok-Hee ; Cho, Kyong-Mi ; Choi, Jung-Min ; Song, Eun-Kyeung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 437~445
Purpose: The purpose of this study was to identify levels of knowledge, perception, and practice of eye care as part of nursing care in the ICU. Method: A descriptive, cross-sectional study design was used. The participants in this study were 269 registered nurses working in the ICUs of five university hospitals in Seoul, Korea. Between November 2005 and December 2005, data were collected using a semi-structured questionnaire developed by the researchers, and analyzed using the SPSS Program. Results: In general, levels of knowledge of nursing care for the eyes were moderate among ICU nurses, but levels of perception of nursing care for the eyes were very high. Of the respondents, 61.7% reported that they would consult a doctor whenever they found an eye problem. Only 42.4% nurses answered that they provide eye care as part of the daily routine and 43.9% nurses responded that they cleanse the eye lids with wet saline gauze. In regression analysis, the practice of eye care as part of nursing was significantly influenced by perception of nursing care for the eyes, and knowledge of interventions for nursing care for the eyes. Conclusion: These results suggest that education on care of the eyes for ICU nurses and the development of a standardized eye care protocol should be done to improve quality of nursing care in the ICU.
Violence Episodes and Responses of Emergency Room Nurses
Kim, Su-Yon ; Oh, Hee-Young ; Ahn, Hye-Young ; Eom, Mi-Ran ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 446~456
Purpose: The purpose of study was to identify violence episodes by patients and/or their guardians and responses from emergency room nurses. Method: A convenient sample of 172 emergency nurses was selected from general hospitals with more than 200 beds. A survey design was used and data were collected from October 2 to October 11, 2006. using self-report questionnaires which were developed by the authors. Descriptive statistics, with the SPSS PC program were used to analyze the data. Results: The majority of nurses(97.1%) had experienced violence by patients or their guardians in the previous month. Violence offenders who were drunk comprised 68.6% of total offenders. Causes of violence were delays in examination and treatment(59.9%). The major coping behavior in dealing with violence episodes was ignoring(40.1%). Responses to violence experienced by emergency nurses were rated as 2.39. Response to violence according to general characteristics of the nurses showed no statistically significant differences. Conclusion: Considering the high prevalence of violence experienced by emergency nurses, hospitals must develop and manage preventive education programs and policy.
Symptom Distress and Spiritual Well-Being in Patients with Cancer according to Illness and Treatment
Bae, Su-Hyun ; Park, Jeong-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 457~465
Purpose: This study was done to analyze symptom distress and spiritual well-being in patients with cancer according cancer diagnosis, metastasis, treatment stage, number of hospitalizations and treatment modality. Method: The participants, 285 patients being treated in one of ten general hospitals either as in- or out-patients, completed the McCorkle and Young(1978) Symptom Distress Scale translated and adapted by Uhm(1986) and the Spiritual Well-Being Scale by Paloutzian and Ellison(1982) translated by Choi(1990). Data collection was done from June 19 to September 30, 2006. Results: For symptom distress, there were significant differences for cancer diagnosis(p=.018), metastasis(p=.000), treatment stage(p=.000), number of hospitalizations(p=.000), and treatment modality(p=.002). For spiritual well-being, the only significant difference was for cancer diagnosis(p=.002). Patients with ovarian/uterine cancer had the lowest spiritual well-being. Conclusion: For patients with cancer, symptom distress was significantly different for illness and treatment factors, in particular, stage of illness, while for spiritual well-being, patients with uterine ovarian cancer had the lowest spiritual level. These results indicate a need to develop nursing interventions to decrease symptom distress in patients according to treatment stage and to promote spiritual well-being, particularly in women with ovarian/uterine cancer.
Effects of Pelvic Floor Muscle Exercise on Sexual Function in Employed Middle-aged Women: A Pilot Study
Park, Hyoung-Sook ; Kim, Eun-Gyeong ; Kim, Min-Young ; Yang, Young-Ok ; Park, Kyung-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 466~473
Purpose: The purpose of this study was to identify effects of pelvic floor muscle exercise on sexual function and to present basic information on promoting sexual function for employed middle-aged women. Method: Data were collected from July to September, 2005 from a sample of 25 conveniently selected middle-aged working women from B city. For personal reasons, 10 dropped out, leaving 15 women who were treated with the exercise for 6 weeks. Outcome measures on sexual function were assessed by a self-report questionnaire based on the Female Sexual Function Index(Rosen et al, 2000 and translated by Kim, 2004). Cronbach
for the two studies were .82 and .96 respectively and for this study, .81. Descriptive statistics and Wilcoxon signed rank test were used to analyze the data. Results: The mean score for sexual function was 21.42(range 2-36). There were significant improvements in total sexual function, and 4 sub-scales of sexual function, sexual arousal, vaginal lubrication, orgasm, and coital pain. No significant improvements in sexual desire or sexual satisfaction were found. Conclusion: The small sample means findings must be interpreted with caution, but do suggest that pelvic floor muscle exercise could be an effective exercise for improvement of sexual function.
Fatigue Associated with Kidney Disease Symptoms in Female Patients Undergoing Hemodialysis
Song, Hyo-Jeong ; Kim, Hyeon-Ju ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 474~482
Purpose: This study was done to provide fundamental data for nursing interventions to prevent and reduce fatigue and to identify fatigue and kidney disease symptoms in female patients on hemodialysis and evaluate factors associated with this fatigue. Method: A cross-sectional study design was used with self-administered questionnaires which included general characteristics and the fatigue scale developed by Brown, Dittner, Findly, & Wessely(2005)(Cronbach's
and for present study
) and a review of laboratory data. From eight dialysis units, 84 women were enrolled. Data were analyzed using the SAS program. Results: Mean score for fatigue was 49.4(range
) and fatigue by research variables was significantly different by age(0.046), employment status(0.041), menopause(0.009), hypoalbuminemia(0.022), length of time on dialysis(0.48) and kidney disease symptoms(0.000). Correlations between fatigue and lack of strength, dizziness, and cramps after dialysis were significantly higher. Factors affecting fatigue were kidney disease symptoms and length of time on dialysis, explaining 49.2% of fatigue. Conclusion: A comprehensive approach considering kidney disease symptoms, length of time on hemodialysis, age, menopause, and hypoalbuminemia are required for interventions to reduce fatigue in female patients on hemodialysis.
Anxiety, Depression and Quality of Life of Married Women with Urinary Incontinence Living in the Community
Song, Young-Shin ; Hong, Sung-Kyung ; Song, Ju-Eun ; Cho, Hye-Kyung ; Son, Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 483~492
Purpose: The purpose of this study was to compare anxiety, depression and quality of life according to the severity of urinary incontinence in married women. Method: The participants were 168 married women aged 30-65 years who experienced urinary incontinence. The data were collected from May to July, 2006 using a structured questionnaire. Frequencies, percent, means and standard deviation, t-test, ANOVA,
and Scheffe test with SPSS win 14.0 program were used to analyze the data. Results: The distribution of urinary incontinence severity was mild 87.5%, or moderate 12.5%. Significant differences in the severity of urinary incontinence were found for the general characteristics of age, education level, having a job and having a spouse and for the obstetric characteristics of type of delivery, and menopause. Differences in the score for anxiety(t=-2.41, p=0.001) and quality of life(t=5.50, p<0.001) according to the severity of urinary incontinence were statistically significant. Conclusion: Women with moderate to severe urinary incontinence should be screened for psychosocial factors. Severity of urinary incontinence in married women negatively affects their quality of life. Further research is needed to determine factors predicting the quality of life for incontinent women.
A Study on Health Promotion Behavior in Elderly People
Song, Mi-Ryeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 493~499
Purpose: This study focused on identifying health promotion behavior of older adults, and factors affecting this behavior. Method: The participants in this survey analysis were Koreans aged 65 or over who had the ability to communicate and could do cognitive thinking, and who consented to participate in the survey. The survey questionnaire included items on demographic characteristics, level of depression, social support, activities of daily living, self-efficacy, and health promotion behavior. Data were analyzed using the SPSS Windows 14.0 program. Results: There were significant differences in health promotion behavior according to religion, economy and health status. Levels of depression, social support and self-efficacy had strong correlations with health promotion behavior. The factors that had the greatest effect on health promotion behavior were social support and self-efficacy. Conclusion: As social support and self-efficacy have been found to affect health promotion behavior in older adults, programs developed to enhance health of older adults should include activities to enhance both social support and self-efficacy.
A Study of Health Concerns, Health Behavior, and Related Factors in Elders in Senior Centers
Joo, Ae-Ran ; Park, In-Hyae ; Choi, In-Hee ; Ryu, Hyun-Sook ; Kim, Youn-Kyoung ; Kang, Seo-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 500~506
Purpose: This study was conducted to analyze the health concerns, health behavior, and related factors for elders taking part in activities at senior centers. Method: A total of 811 elders were selected through conveniently sampling. Data were collected from November 21, 2006 to December 20, 2006. Data analysis included frequency, t-test, ANOVA, Duncan test, and Stepwise Multiple Regression using SPSS Win 15.0. Results: For health concerns statistically significant differences were found for gender, age, family, pockety money, sleeping time, regular health check-ups, and exercise. For health behavior statistically significant differences were found for gender, age, family, pocket money, religion, medical insurance, perceived health status, sleeping time, regular health check-ups, chronic illness, regular breakfast, exercise, and drinking. Perceived health status was identified as a variable influencing the health behavior. Conclusion: The results suggest that perceived health status can be considered as factor for significant nursing interventions to help single elders and older elders in senior centers.
Effects of Husband and Wife Compatibility and Self-Efficacy on Health Promotion Behavior in Middle Aged Women
Choi, Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 507~514
Purpose: The purpose of this study was to identify the effects of husband and wife compatibility and self efficacy on health promotion behavior and define the main factors influencing health promotion behavior in middle aged women. Method: Using a structured questionnaire, data were collected from 311 middle aged women. Descriptive statistics, Pearson correlation coefficient, Stepwise multiple regression with SAS package were used for data analysis. Results: The mean score of husband and wife compatibility was 3.55(
), self efficacy was 3.51(
), and total health promotion behavior was 2.91(
), with scores for subcategories as follows: interpersonal support 2.86(
), self-actualization 2.74(
), nutrition 2.56(
), health responsibility 2.32(
), stress management 2.28(
), and exercise 1.87(
). Husband and wife compatibility, and self efficacy were positively related to health promotion behavior and all subcategories of health promotion behavior. Also husband and wife compatibility were positively related to self efficacy. The major factors that affect health. promotion behavior in middle aged women were husband and wife compatibility, self efficacy, economic level, and religion, which explained 32.6% of health promotion behavior. Conclusion: The results indicate that health promotion behavior may be increased through interventions directed at improving the husband and wife compatibility.
Effects of Discussion Centered AIDS Education on Knowledge, Prejudice, Social Interaction, and Intention for Prevention in College Students
Song, Jung-Tae ; Kim, Hyeon-Mi ; Lee, Eun-Joo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 515~523
Purpose: The purposes of the study were to determine the effects of AIDS education which includes discussion on knowledge, prejudice, social interaction, and intention for AIDS prevention in college students. Method: A convenience sampling method was used to collect data, and 136 university students participated in the study. One group pretest-post test design was used and questionnaire for measuring knowledge about AIDS and attitude to AIDS were administered before and after 100 minutes of AIDS education, The education program consisted of a 50-minute lecture with video aids and 50 minutes of small group discussion. Means, SD, and paired t-test with the SPSS program were used to analyze the data. Results: There were significant increases in knowledge(p= .000) and social interaction(p= .002) after the education, but no significant changes in prejudice(p= .832) nor in intention for AIDS prevention(p= .074). Conclusion: AIDS education including discussion was found to be an effective method for improving knowledge and social interaction of college students. The results suggest that education which includes discussion sessions should be used with college students to improve social interaction with people who are HIV positive and enhance knowledge about AIDS.
A Study on the Risk of Drug Use by Male Adolescents
Kim, Hyeon-Mi ; An, Hyo-Ja ; Son, Jung-Tae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 14, issue 4, 2007, Pages 524~535
Purpose: The purpose was to identify the risk of drug use by adolescents. Method: The participants were 933 male students in the first grade of a high school in D city. The data were collected from Aug. 5th to Oct. 30th, 2004. The instrument was the High Risk Group Adolescent Drug User Screening Test(HIRIGADUST) developed by the Korea Adolescent Society(1996). The data were analyzed using SPSS. Results: For substance use, 64.5% of the students answered that they had drunk, 40.3% that they had smoked, and 2.0% that they had tried drug use. For scores on HIRIGADUST regarding socio-demographic characteristics, there were significant differences depending on school type, personality, academic performance, economic status, and ability to talk with parents. For scores on HIRIGADUST regarding drug using-related characteristics, there were significant differences depending on drinking experience, frequency of drinking, amount of alcohol intake, smoking experience and number of cigarettes smoked. Of the students 27.2% students were in the high risk group. Conclusion: In schools, systematic and intensive assessment of drug use should be done, and if needed, a service system connected to clinics specializing in drug addiction should be established. Prevention education should be carried out continuously.