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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 15, Issue 4 - Nov 2008
Volume 15, Issue 3 - Aug 2008
Volume 15, Issue 2 - May 2008
Volume 15, Issue 1 - Feb 2008
Selecting the target year
Knowledge Related to Disease, Awareness and Practice of Inhalers Use in Asthmatic Patients
Woo, Seung-Hee ; Kim, Kyung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 418~427
Purpose: This study was done to investigate the relationship of knowledge related to disease, awareness and practice of inhaler use in asthmatic patients. Method: The participants in this research were 124 patients with asthma who used inhalers, and were admitted to hospital or attended outpatient asthmatic clinics. Data were collected using a self-administered questionnaire which consisted of demographic characteristics, illness-related characteristics, and tools to measure knowledge of disease, awareness and practice related to inhaler use. Results: Knowledge related to disease was statistically significantly different for age (p<.001) and marital status (p=.017). The mean score for awareness of inhaler use was significantly higher than the mean score for practice in inhaler use (p<.001). There were significant correlations between awareness and practice of inhaler use (p<.001), knowledge related to disease and awareness of inhaler use (p<.001), and knowledge related to disease and practice of inhaler use (p<.001). Conclusion: Results indicate that due to the variation in degree of illness in patients with asthma, there is a need to develop appropriate education programs for people of different ages and also precise
II content for use of inhalers method of checking capacity washing and storing as well as directions about different kinds of the inhalers.
Knowledge of Oral Health and Its Predictors in Nursing Staff of Long-term Care Institutions
Mo, Hyun-Sook ; Choi, Keum-Bong ; Kim, Jin-Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 428~437
Purpose: The purposes of this study were to assess the oral health knowledge of nursing staff in long-term care institutions and to identify predictors of oral health knowledge. Method: For this descriptive correlation study, a self-administered and structured questionnaire was used. Respondents were 111 nursing staff in two long-term care facilities and two long-term care hospitals located in G metropolitan area and C province in the Southern part of Korea. Descriptive statistics, t-test or ANOVA, and stepwise multiple regression analysis were used to analyze the data. Results: Participants in this study did not have many opportunities to learn about oral health care for elders in long-term care institutions. The percentage of correct answer for oral health knowledge questionnaire was 64.5%. Predictors of oral health knowledge among nursing staffs were education on oral health in long-term care institutions, type of institution, and length of time working with elders. These three variables accounted for 24.2% of variance in oral health knowledge. Conclusions: Nursing staffs should make an effort to improve their knowledge of oral health. Moreover, oral health educational program for nursing staffs working with elders in long-term care institution is need to be developed and the effectiveness of this education needs to be evaluated.
Nursing Activities and Outcomes Related to Indwelling Urinary Catheterization from a Review of Medical Records and Interviews
Jang, Keum-Seong ; Chung, Kyung-Hee ; Choi, Ja-Yun ; Yang, Jin-Ju ; Park, Soon-Joo ; Ryu, Se-An ; Kim, Nam-Young ; Sim, Jae-Youn ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 438~448
Purpose: The purpose of this study was to identify nursing activities and to analyze patient outcomes related to indwelling urinary catheterization. Method: A review was done of 628 medical records from five units for patients admitted between January 1 and June 30, 2006. Twelve nurses who worked in the same units were interviewed. Results: In the interviews, nurses reported considering several non-invasive interventions prior to catheterization but there were no medical records of this activity. Results from the in-depth interviews showed that infection control activities such as urinary bag management were conducted but again there were no medical records. Seventy-five percent of the catheters were removed without prescription. In the medical records there were no notes for approximately 15%, on the time of first voiding and 80%, on volume of first voiding after removal of catheter. There was a significant difference in hospitalization days between the group catheterized for 5 days or less and the group catheterized for 6 days or more. Conclusion: Results indicate a need to close the gap between recorded and described activities and between current and best evidence based practice. Further study is needed to develop a standard recording system and guidelines related indwelling catheterization to decrease the gaps identified in this research.
Effects of Meatal Care in Reduction of Catheter-associated Urinary Tract Infection for Elderly Patients in the ICU
Shin, Jae-Sun ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 449~456
Purpose: The purpose of this study was to compare the effects of meatal care with 10% betadine or with normal saline on the incidence of urinary tract infection (UTI) for elderly patients with indwelling urinary catheter in the ICU. Method: A quasi experimental design with non-equivalent control group was used. The 37 patients who participated in this study were 65-year-old or older. Patients in the saline group (n=20) received meatal care with normal saline and those in the betadine group (n=17) received meatal care with 10% betadine once a day for 6 days. Urine cultures were done on the 7th day for both groups to detect UTIs. Results: No difference was observed in the incidence of urinary tract infection between the two groups, regardless of patients' gender, ability to communicate or history of operation. Conclusion: The results indicated that use of saline which is cheap and does not irritate the mucous membrane is effective in preventing UTI within the first 7 days, and can be used instead of betadine for meatal care for elderly patients with indwelling urinary catheter in the ICU.
Effects of Low Intensity Exercise Program with Telephone Coaching on Physical Fitness
Kim, Sang-Hee ; Lee, Ji-Hyun ; Koh, Kwang-Wook ; Ha, Hyun-Bo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 457~466
Purpose: The purpose of this study was to determine the effects of low intensity exercise program with telephone coaching on the physical fitness of elderly people who are receiving home visiting nursing care. Method: This study was conducted using a non-equivalent control group pretest-posttest design. The participants were 61 elders. Elders (34) in the experimental group performed low intensity exercise and of these 16 received telephone coaching. The low intensity exercise program consisted of stretching, muscle strengthening with an elastic band, massage, and ball exercise, five days a week, for sixteen weeks. Data were collected from July 2007 to December 2007.
-test, ANCOVA with SPSS WIN 11.0 program were used to analyse the data. Results: There were statistical differences in the right grasping power in the right hand (p=0.021), Raising behind of right arm (p=0.006), Raising behind of left arm (p=0.007). Conclusion: These results indicate, that a low intensity exercise program with telephone coaching can help improve physical fitness in elders receiving served home visiting nursing care.
The Effects of Tai Chi Exercise on Depression, Quality of Life and Self-efficacy in Patients with Parkinson's Disease
Choi, Dong-Won ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 467~474
Purpose: To examine the effects of Tai Chi exercise (TCE) on depression, quality of life and self-efficacy in patients with Parkinson's disease (PD). Method: A nonequivalent control-group pre and posttest design was used. Of the 30 participants 15 were assigned to the experimental group and 15 to the control group. The experimental group participated in 8 weeks of TCE which included one day of exercise with instructor on site and 3 days of self-exercise at home guided by a videotape. Results: The 8 weeks of TCE were found to be significantly effective in enhancing quality of life and self-efficacy. However there was no significant difference in the level of depression. Conclusion: These results suggest that TCE has positive effect on quality of life and self-efficacy in patients with PD. Research over an extended period with the TCE intervention is recommended to identify further effects.
Effects of an Obesity Control Program Including Rhythmical Dance Exercise for Children with Obesity
Won, Jong-Soon ; Jun, Sun-Hwan ; Han, Ae-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 475~484
Purpose: The purpose of this study was to identify effects of an obesity control program including rhythmical dance exercise, on body composition, knowledge about obesity, life habits and self-esteem among obese elementary school children. This program included obesity related health education and counseling based on behavior modification once a week, 1 hour-rhythmical dance class once a week and 40-minute jump rope classes twice a week for 8 weeks. Method: There were 29 students with obesity in the experimental and 28 in the control group. Participated was voluntary. The data were collected from April 16 to July 6 2007.
-test, Fisher's exact test, paired t-test and t-test were used to analyze the data. Results: Students in the experimental group showed significantly lower fat mass (t=-2.16, p=.036) and percent body fat (t=-2.93, p=.005) and significantly higher muscle mass (t=2.05, p=.045) and lean body mass (t=2.71, p=.009) than those in the control group. Knowledge of obesity increased significantly and eating habits changed significantly. But difference in exercise habits and self-esteem were not significant. Conclusion: This study provides evidence that an 8 week-obesity control program including rhythmical dance exercise is effective in decreasing body fat, increasing muscle mass and increasing knowledge of obesity in children who are obese.
Relationships between Symptom Experience and Quality of Life in Patients with Atrial Fibrillation
Baek, Kyung-Hwa ; Son, Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 485~494
Purpose: In this study, relationships between symptom experience and quality of life in a cross-sectional sample of patients with Atrial Fibrillation (AF) were investigated. Methods: This descriptive study involved a convenience sample of AF patients from S university hospital, C city. One hundred and two AF patients completed psychometric validated measures of AF related symptoms and quality of life. Descriptive statistics and Pearson correlation coefficients with SPSS WIN 14.0 were used for data analysis. Results: Of 16 atrial arrhythmia-related symptoms, the patients reported 'tiredness' as the most frequent and 'shortness of breath' as the most severe. The level of overall quality of life for patients with AF was 53.92. There were significant differences in symptom frequency according to religion, New York Heart Association (NYHA) classification and left ventricular ejection fraction ; symptom severity according to monthly income and stroke ; quality of life according to age, job, alcohol intake, NYHA class and stroke. Quality of life for these patients was positively correlated with symptom frequency and symptom severity. Conclusions: This study demonstrated that patients with more frequent and severe symptoms perceive poorer quality of life than patients with less frequent and less severe symptoms. Symptom experience should be assessed early to improve quality of life for patients.
The Patients' Experiences of the Diagnosis and Pre-Treatment Period of Breast Cancer
Suh, Eun-Young E. ; Park, Yeon-Hwan ; Kim, Sung-Jae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 495~503
Purpose: To date most research related to patients with breast cancer has discriminately investigated the status within or after the treatment although the patients demand holistic nursing care from the time of diagnosis. Thus, the purpose of this study was to investigate the trajectory of breast cancer diagnosis and patients' experiences in the pre-treatment period. Method: This qualitative study used qualitative thematic analysis. Nineteen Korean women who were diagnosed with breast cancer within the last 6 month participated in the study. Individualized interviews were conducted with each participant in a cancer center in K city. The interviews were tape-recorded, transcribed, and analyzed using the thematic analysis process. Results: The overriding theme was "the scattered life in an unforeseen swirl", which illustrates the participants' unexpected crisis with confusion and emotional distress. Two subthemes included "falling into an unavoidable journey", and "staggering in a muddle with urgency". The categories were "unexpected probability", "nagging nodularity", "ominous presentiment", "emotional upheaval", "bad thought intrusion", and "a sense of urgency". Conclusion: Patients in the pre-treatment period encountered utter emotional distress and a sense of urgency after being diagnosed breast cancer. Strategies to develop nursing care for patients in this period and nursing implications are discussed.
The Effects of Self Foot Reflexology on Depression, Sleep and Low Back Pain in Community Dwelling Elderly Women
Eom,, Mi-Ran ; Kim, Eun-Kyun ; Oh, Hee-Young ; Kim, Hyun-Sook ; Kwak, Kyung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 504~512
Purpose: The purpose of this study was to identify the effects of self foot reflexology on depression, sleep, and low back pain in elderly women. Method: The study was one group pre-posttest design. Data collection was done from December 2007 to January 2008 in D city. The participants were 47 women (65 years of age and over). After two weeks of reflexology education, the women did foot reflexology themselves for approximately 40 minutes, five times a week for four weeks. To verify the effects of foot reflexology, the scores for depression, sleep, and LBP were measured at baseline, after 4 weeks of self-treatment. Repeated measure ANOVA with the SPSS WIN 14.0 program were used to analyze the data. Results: There were significant differences in depression, sleep, and LBP between baseline, after 4 weeks of self-treatment. Conclusion: These findings suggest that self foot reflexology could be utilized as an effective nursing intervention for improving depression, sleep, and LBP in elderly women.
The Effect of Stress, Social Support and Self-Efficacy on the Mental Health of Female Undergraduate Students
Park, Hyo-Jung ; Kim, Mi-Young ; Jung, Duk-Yoo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 513~521
Purpose: The purpose of this study was to investigate the effect of stress, social support and self-efficacy on the mental health of female undergraduate students. Method: Three hundred ninety-nine undergraduate students were conveniently selected from a university in Seoul. The instruments used in this study were stress, social support, self-efficacy, and mental health scales. ANOVA, t-test, Pearson correlation coefficients, and stepwise multiple regression with SPSS Win 16.0 Version were used to analyze the data. Results: Mental health was significantly influenced by stress, social support, self-efficacy, and monthly expenditures. These variables accounted for 44.2% of the variance in mental health. Conclusion: The important factor that was found to affect the mental health of undergraduate female students was stress. Therefore, future studies need to be pursued to develop various strategies, such as stress relief programs, for mental health promotion of female undergraduate students.
Risk Factors for Colonization and Acquisition with Vancomycin-Resistant Enterococci in Intensive Care Units
Han, Su-Ha ; Park, Ho-Ran ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 522~530
Purpose: In this study active surveillance culture for ICU patients, in whom the risk of VRE infection was high were conducted, and through this the VRE colonization rate and the characteristics of the colonization were examined and risk factors involved in VRE colonization and acquisition were analyzed. Method: This research was performed with 635 patients admitted to ICU between July 1 and December 31, 2006. Results: On admission to ICU, the VRE colonization rate was 2.36%, 93% identified from active surveillance culture. The VRE colonization rate was significantly higher in those patients with cancer (OR=9.43; 95% CI=1.38
62.50; P=.022), liver cirrhosis (OR=55.5; 95% CI=7.29
500; P=.005), transferred from other hospitals (OR=200; 95% CI=22.73
1000; P=.000), high APACHE II score (OR=1.107; 95% CI=1.010
1.213; P=.029), or antibiotics within the last 3 months (OR=15.87; 95% CI=2.27
111.11; P=.005). The VRE acquisition rate was 5.2%. It was significantly higher in those who were using a ventilator (OR=26.31; 95% CI=5.13
142.86; P=.000), three or more kinds of antibiotics during admission (OR=58.82; 95% CI=16.13
200; P=.000), or high APACHE II score (OR=1.16; 95% CI=1.08
1.24; P=.000). Conclusion: The results of this study show that active surveillance culture can detect VRE colonization on admission to ICU and those who have acquired VRE in ICU. The analyzed VRE colonization and risk factors of VRE acquisition are expected to be useful in establishing guidelines for preventing VRE infection in ICU.
Factors Influencing Level of Awareness and Compliance with Vancomycin-Resistant Enterococcus Infection Control among Nurses in Intensive Care Units
Park, Young-Mi ; Park, Hyoung-Sook ; Park, Kyung-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 531~538
Purpose: The purpose of this study was to identify factors influencing Vancomycin-resistant enterococcus infection control among nurses in intensive care units. Method: Data were collected from August 15 to October 14, 2007 from 188 nurses working in intensive care units. The nurses answered a 26 item-questionnaire, which included management of the cohort (14 items), hand washing (6 items) and management of the environment (6 items). Descriptive statistics, t or F test, ANOVA, and multiple regression analysis were used with SPSS PC+ 14.0 to analyze the data. Results: The participant's level of awareness of Vancomycin-resistant enterococcus infection control was 3.87; that of compliance was 3.74. Significant factors influencing the level of compliance with Vancomycin-resistant enterococcus infection control were'the level of the awareness' and 'the type of intensive care unit'. These two variables accounted for 21.0% of variance for compliance with the Vancomycin-resistant enterococcus infection control among the participants. Conclusion: In order to develop a strategy to increase the compliance with Vancomycin-resistant enterococcus infection control, it is necessary to be concerned about 'the level of the awareness', 'the type of intensive care unit;', and 'experiences of caring for patients with Vancomycin-resistant enterococcus'.
Effect of Clinical Practice Orientation Program on Anxiety, Self-Esteem and Self-Efficacy in College Students in Nursing
Lee, Sook-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 539~547
Purpose: This study is done to identify how a clinical practice orientation program would affect anxiety, self-esteem and self-efficacy in college students in nursing. Method: Data was collected from 127 nursing students in February, 2008. The collected data were analyzed with the SPSS/Win 12.0 program, using t-test, ANOVA, paired t-test and Pearson's correlation coefficients. Results: The total mean scores were; anxiety 53.22/80, self-esteem 29.51/40 and self-efficacy in 59.76/85. Self-esteem and self-efficacy level were significantly different according to the level of Fundamentals practice and satisfaction with nursing as a major satisfaction(p=.001). The effect of the orientation program on clinical practice were a significantly increased in self-esteem and self-efficacy (p=.000). But in terms of anxiety, the effect was the opposite. So study to identify other factors causing anxiety and strategies to reduce the anxiety need to be considered. Conclusion: It is important to improve self-esteem and self-efficacy and the study results indicate that an orientation program is one strategy that needs to be developed to meet these needs for college students in nursing.
Development of a Korean Problem Solving Process Inventory for Adults
Lee, Woo-Sook ; Park, Sun-Hwan ; Choi, Eun-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 548~557
Purpose: The purpose of this study was to develop a Korean problem solving process inventory (K-PSPI) for adults. Method: A conceptual framework for the adult problem solving process, and 40 preliminary questions were developed based on references and expert consultations. After a pilot test, preliminary questions were further refined. The final inventory of 30 items was tested with 1,500 adults. The validity and reliability of the K-PSPI were tested by factor analysis using the SPSS Windows 12.0 program. Results: Through factor analysis on the final 30 questions, 5 factors were identified and cumulative variant of the factors was 52.15%. For the test of reliability of the 30 questions on the problem-solving process, The Cronbach alpha was .93. Conclusion: This study showed that the K-PSPI is a systematic method with verifies reliability and validity. It is not only adequate for the actual circumstance and culture of Korean adults, but is also a useful instrument to test post-action problem solving ability.
Comparison of Key Words of the Journal of Korean Academy of Fundamentals of Nursing with MeSH (2003-2007)
Chaung, Seung-Kyo ; Sohng, Kyeong-Yae ; Kim, Kyung-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 558~565
Purpose: The purpose of this study was to analyze how accurately authors of the Journal of Korean Academy of Fundamentals of Nursing used MeSH terms as key words. Method: A total of 724 key words used in the 225 papers of Journal of Korean Academy of Fundamentals of Nursing from 2003 to 2007 were compared with MeSH terms. Results: Fifty nine point eight percent of total key words were completely coincident with MeSH terms, 13.5% were entry terms, and 21.8% were not MeSH terms. The coincidence rates for 2003 and 2007 separately were 38.5% and 70.9%. Also, 25.3% of papers precisely used MeSH terms as key words and 8% did not use any MeSH terms. Conclusion: The results show that the coincidence rate of key words with MeSH terms was at a moderate level and gradually increased according to year. However, there is a need for us to understand MeSH more specifically and accurately.
Job Description of the Nurses Who Work in Operating Room Using DACUM Technique
Cho, Kyung-Sook ; Son, Haeng-Mi ; Kang, Hyun-Sook ; Kim, Joo-Hyun ; Lim, Nan-Young ; Yoon, Kye-Sook ; Han, Hye-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 15, issue 4, 2008, Pages 566~577
Purpose: Developing a curriculum(DACUM) is a method of analyzing job focused competency, which is obtained from the data of an expert belonging to a certain career. In this study the DACUM method was used to analyze the jobs of operating room nurses. Method: Through the DACUM workshop which was arranged by two DACUM facillitators, a definition of the role of operating room nurses was developed and then duties and tasks of operating room nurses' were identified. For the workshop, a DACUM committee with 10 operating room nurses was organized. Finally, the duties and tasks which were identified were validated by 422 nurses for importance, difficulty and frequency. Results: Thirteen duties and 105 tasks were identified on the DACUM chart, where importance, difficulty, and frequency of tasks were represented by alphabet letters A, B, and C as higher degree of importance. The determinant coefficient(DC) showed that the most important duty was assisting with operations(DC=6.61), and the least, managing operating materials(DC=4.22). For tasks, the most important ones were assisting in orthostatic surgery(DC=7.60), and assisting in thoracic surgery(DC=7.38), and the least important making gauze ball(DC=2.39), and saving of operation site((DC=3.27). Conclusion: The results suggest a need to develop an education program using the DACUM chart as a basis for the development and as a clinical career ladder and for curriculum of operating room nursing.