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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
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Volume & Issues
Volume 16, Issue 4 - Nov 2009
Volume 16, Issue 3 - Aug 2009
Volume 16, Issue 2 - May 2009
Volume 16, Issue 1 - Feb 2009
Selecting the target year
A Comparative Study of Blood Pressure According to Cuff Size and Measurement Site
Song, Mi-Ryeong ; Kim, Eun-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 6~13
Purpose: The purpose of this study was to identify differences in blood pressure according to cuff size and measurement sites of the participants. Method: The participants consisted of 50 women and 50 men whose upper arm circumference was
. They had no chronic illness and gave consent to participate. Blood pressure of the wrist was measured in the sitting position, the upper arm with a standard cuff, large and small cuffs were used for measurement in supine position and the thigh in prone position. The data were analyzed with paired t-test using SPSS 12.0 program. Result: The data for the upper arm showed a difference in systolic and diastolic blood pressure depending on the site of measurement. There was a significant difference between measurements with a standard cuff and measurements with large and small cuffs. The systolic blood pressure of the wrist and the thigh were significantly lower than that of the upper arm. Conclusion: These results suggest that the selection of an appropriate cuff is an essential element in ensuring accuracy when measuring blood pressure and differences in systolic blood pressure for the upper arm, wrist and thigh indicate the need to record the measuring site when measuring blood pressure.
Body Mass Index and Waist Circumference for Screening Obesity in Young Adult Women
Chaung, Seung-Kyo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 14~20
Purpose: The purpose of this study was to identify how accurately body mass index (BMI) and waist circumference (WC) detect obesity in young adult women. Method: Measurements of height, weight, WC, and percent body fat (% BF) were obtained and bioelectrical impedance analysis was used to estimate body fat in 329 female college students. The sensitivity and specificity to screen obesity by BMI and WC were determined using SPSS. Received operating characteristic (ROC) curve analysis was used to assess the appropriate BMI and WC predicting % BF. Results: % BF-defined obesity
had higher prevalence than BMI-defined obesity
and WC-defined obesity
had high specificity (both, 100%), but low sensitivity (respectively, 13.5% and 22.9%) in detecting % BF-defined obesity. The BMI and WC cutoff values corresponding to % BF-defined obesity were 21.2kg/
and 73cm, which were lower than recommended reference values for Korean women. These values decreased specificity but increased sensitivity to detect obesity. The areas under the ROC curve were good (0.84, 0.86) for BMI and WC. Conclusion: BMI and WC have good specificity but miss more than
of people with excess fat. Therefore, BMI and WC cutoff values need to be revised and body fat should be considered when screening for obesity in young adult women.
Nutritional Status and Indicators of Intensive Care Unit Patients on Enteral Feeding
Kim, Hwa-Soon ; Choi, Seo-Hee ; Ham, Young-Ju ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 21~29
Purpose: The purpose of this study was to identify the nutritional status and to compare nutritional indicators by caloric intake for intensive care unit patients, Methods: The participants for this descriptive investigation were 62 patients who were admitted to medical and surgical ICUs and started on enteral feeding. Data were collected in a tertiary hospital and the patients were followed for 7 days after enteral feeding was initiated. For analysis, patients who received 80% less calories than their required level were categorized as the underfed group and patients who received more than 80% to their required level, as the adequately fed group. Results: Compared to daily requirements, the prescribed calories and protein for patients overall were 77.39% and 64.75% respectively. The level of calories and protein given was less than their prescription. However, a comparison of the underfed group and the adequately fed group, showed that there was no significantly difference in albumin, prealbumin and transferrin. Only body weight was significantly different between the groups. C-reactive protein had a significant correlation with prealbumin and transferrin. Conclusion: Underfeeding is a common phenomenon among ICU patients. Nutritional indicators such as prealbumin, albumin and transferrin may not sensitive indicators to assess nutritional status of ICU patients.
Effects of Tai Chi or Self-help Program on Balance, Flexibility, Oxygen Consumption, and Muscle Strength in Women with Osteoarthritis
Song, Rha-Yun ; Lee, Eun-Ok ; Lam, Paul ; Bae, Sang-Cheol ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 30~38
Purpose: This randomized study was done to compare the effects of a 6 month Tai Chi exercise and a self-help program on balance, flexibility and muscle strength in women with osteoarthritis (OA). Method: In this experimental study, 82 women with OA recruited from outpatient clinics or community health centers were randomly assigned either to a Tai Chi group or a self-help group. Thirty women (mean age = 62 years) in the Tai Chi group and 39 (mean age = 59 years) in the self-help group completed posttest measures (balance, flexibility, oxygen consumption, abdominal muscle strength, back muscle strength, and grip strength) at 6 months. Results: After the 6 month, Tai Chi participants had significantly greater balance (mean difference = 2.9 vs. 0.9 for the self-help), grip strength (mean difference = 4.6 vs. 0.9 for the self-help), and back muscle strength (mean difference = 4.1 vs. -0.3 for the self-help). However, flexibility, oxygen consumption, and abdominal muscle strength were not significantly different between the groups. Conclusion: Tai Chi increased balance, grip strength and back muscle strength in older women with osteoarthritis compared to the self-help program. Whether these changes improve physical functioning and fall prevention requires further study.
The Effects of Foot Reflexology on Self-Esteem and Vitality of the Elderly Women
Lee, Kang-Yi ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 39~45
Purpose: This study was done to verify the effects of foot reflexology on the self-esteem and vitality of elders. Method: A non- equivalent control group pre- and post-test design was used. Research instruments to measure self-esteem and vitality were used in this study. The participants were elderly women hospitalized in a hospital in Okcheon County, Chungbuk Province, Korea. The 18 patients in the experimental group performed 40 minutes of foot reflexology per time for a total of 12 times over two weeks, and the 18 patients in the control group received regular care only. Before and after the experiment, both groups were tested for self-esteem and vitality. Frequencies, percentages,
-test, t-test and Mann-Whitney U test with the SPSS/WIN 10.0 program were used to analyze the collected data. Results: Vitality of the elderly women patients improved significantly in the experimental group. However self-esteem did not increase significantly. Conclusion: Foot reflexology is effective as a nursing intervention in improving the health of elders.
The Effects of PBL (Problem-Based Learning) on the Self-Directed Learning, Critical Thinking Disposition, and Problem Solving Process of Nursing Students
Yoo, Myoung-Ran ; Choi, Yun-Jung ; Kang, Myung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 46~55
Purpose: The purpose of this research was to evaluate the effects of PBL on ability of nursing students in Self-Directed Learning, Critical Thinking Disposition and Problem Solving Process. Methods: The research design was a nonequivalent control group pretest-posttest design. For the experimental group PBL was used during one semester (14 weeks). Instruments for data collection were Self-Directed Learning Readiness Scale (Kim, 1997), Critical Thinking Disposition Scale (K won et al., 2006) and Problem Solving Process Scale (Lee, 1979). The data were analyzed by repeated measure ANOVA. Results: There were statistically significant improvements in Self-Directed Learning and Critical Thinking between the two groups after PBL. But there was no statistically significant improvement in the Problem Solving Process. Conclusion: These results suggest that PBL has a positive effect on nursing students' education. Therefore, PBL should be used for more subjects in the nursing curriculum.
A Correlation Study on Self-Efficacy, Disposition to Critical Thinking and Nursing Competency of New Nurses
Song, Young-Shin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 56~63
Purpose: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. Method: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. Results: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency, 3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. Conclusion: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.
Effects of Problem-Based Learning Combined with Simulation on the Basic Nursing Competency of Nursing Students
Lee, Woo-Sook ; Cho, Kap-Chul ; Yang, Sun-Hee ; Roh, Young-Sook ; Lee, Gyu-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 64~72
Purpose: The objective of this study was to identify the effects of problem based learning (PBL) combined with simulation on the basic nursing competency of nursing students. Method: A pretest-posttest design with a nonequivalent control group was used to examine the effects of problem based learning combined with simulation for 9 weeks in a group of 283 nursing students. The PBL group of 141 students participated in PBL classes with simulation, 4 hours a week for 9 weeks compared to control group of 142 students who received the usual fundamental nursing class. Results: The group that had PBL with simulation showed significant increases in problem solving and self-directed learning competency, although there were no significant changes in communication competency as compared to the control group. Conclusion: The findings of this study demonstrate that PBL with simulation for nursing students may increase problem solving and self-directed learning competency and suggest that utilizing this teaching-learning method may be beneficial as an effective nursing education strategy.
Correlation Study on Physiological Stress from Drinking, Alcohol Abstinence Self-efficacy and Outcome Expectancy in Youths
Kim, Kyung-Hee ; Kim, Jong-Im ; Kim, Jong-Sung ; Jeon, Hyen-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 73~82
Purpose: The purpose of this study was to identify the relationships among distress from drinking, alcohol abstinence self-efficacy and outcome expectancy in youths. Method: The participants in this study were 174 university students who were enrolled by convenience sampling. The data were collected from March to August, 2005. Descriptive statistics and Pearson's correlation coefficients with SPSS 12.0 were used to analyze the data. Results: There were significant differences in the physical distress from drinking according to gender, age, residence, drinking frequency and drinking capacity. There were significant differences in alcohol abstinence self-efficacy by drinking frequency and drinking capacity. There were significant differences in drinking outcome expectancy according to gender, drinking frequency and drinking capacity. The physical distress from drinking showed a significant positive correlation with alcohol abstinence self-efficacy (r=.312, p=.000) and negative correlation with drinking outcome expectancy (r=-.353, p=.000). Alcohol abstinence self-efficacy showed a significant negative correlation with drinking outcome expectancy (r=-.387, p=.000). Conclusion: There were relationships among physical distress from drinking, alcohol abstinence self-efficacy, and drinking outcome expectancy. These findings provide the basis to prevent problems of drinking by developing alcohol control program for university students.
Fatigue and Fatigue-Regulation Behaviors of Undergraduates in Courses Related to Public Health and Undergraduates in Courses not Related to Public Health
Choi, Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 83~91
Purpose: The purpose of this study was to compare fatigue and fatigue-regulation behaviors in undergraduates courses related to public health (group A) and undergraduates in courses not related to public health (group B). Method: Using a structured questionnaire, data were collected from 236 undergraduates. Descriptive statistics, Pearson correlation coefficient, t-test with SAS package were used for data analysis, Results: There was a statistically significant difference between group A and group B in t-test comparison by group for fatigue, and all subcategories of fatigue and fatigue-regulation behaviors. The frequency of fatigue-regulation behavior of group A was 12.23 and the mean for total efficiency of fatigue-regulation behavior was 2.17, while the frequency of fatigue-regulation behavior for group B was 10.47 and the mean for total efficiency of fatigue-regulation behavior was 1.75. Finally, total fatigue and all subcategories of fatigue were positively related to fatigue-regulation behaviors. Conclusion: It is necessary to develop an intervention program for regulating fatigue in undergraduates courses related to public health.
Experiences on Transfer of Critically Ill Patients from Intensive Care Units to General Wards - Focus Group Interview on Nurses' View -
Son, Youn-Jung ; Suh, Yeon-Ok ; Hong, Sung-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 92~102
Purpose: Relocation stress is a common phenomenon in patients discharged from an intensive care unit(ICU) to a ward. Therefore, nurses need to be aware of the problems that can arise during the transfer process. The aim of this study was to identify nurses' experiences in transferring critically ill patients from the ICU to a ward. Method: Focus group interviews were done with 13 nurses from wards and ICU, which participated in receiving and sending of ICU patients. The debriefing notes and field notes were analyzed using the consistent comparative data analysis method. Result: Seven major categories were identified in the analysis of the data. These were 'mixed feeling about transfer', 'lack of transfer readiness', 'increase in family burden', 'uncertainty with unfamiliar environment', 'difficulty in decision making', 'difference of perception of the relationships between patients and health care providers', 'need for continuity of nursing care'. Conclusion: Transferring out of the critical care area should be presented to the patient and family as a positive step in the recovery process. However, a more universal method of passing information from nurse to nurse is needed to assist in a smooth transition.
Relationship between Violence Response, Coping, and Burnout among Emergency Department Nurses
Yang, Jin-Hyang ; Jung, Hye-Youn ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 1, 2009, Pages 103~111
Purpose: The purpose of this study was to identify relationships between violence response, coping, and burnout among emergency department nurses. Method: This descriptive study using self report questionnaires was conducted from October 1 to October 20, 2008. Participants were 147 general nurses working in emergency departments in hospitals having over 500 beds and located in Busan. ANOVA and Pearson's correlation coefficients with SPSS PC+ WIN 14.0. were used to analyze the data. Results: Scores for violence response, coping, and burnout were 3.08 (1-5 scale), 2.57 (1-4 scale), and 3.22 (1-5 scale) respectively. There were significant differences in violence response and burnout by education, clinical careers, clinical careers in ED, and plans to work in the future, and no significant differences in coping by general characteristics. There was a significant and highly positive relationship between violence response and burnout. Conclusion: The degree of violence response and burnout was comparatively high, while that of coping was average. Therefore, it is necessary to develop effective programs related to prevention and coping with violence for nurses in emergency departments. Institutional measures by hospital authorities are also needed to improve the nursing quality by providing a safe workplace.