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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 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
The Nursing Needs of Post-Surgical Colon Cancer Patients at Discharge
Ju, Ae-Ra ; Yeoum, Soon-Gyo ; Park, Kyung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 392~401
Purpose: This study was a descriptive survey of nursing needs for post surgical colon cancer patients at discharge. Method: A survey was done utilizing questionnaires about the nursing needs a target sample of 61 patients who had colon cancer surgery during April May 2006 in a general hospital in Seoul. Results: Levels for treatment & prognosis were the highest in all domain, high in order of psychological support & stability, complications & discomfort, diet, daily life style, recovery & health promotion, and support system. Patient factors affecting nursing needs were age, job, duration of colon cancer and handling of stoma. Conclusion: Using discharge education for colon cancer patients based on the results of this study, nurses should focus on the domains of treatment & prognosis, psychological support & stability and complication & discomfort, and should tailor teaching content to be specified for age, job, duration of colon cancer, and handling of stoma.
A Study on Chronic Pain, Pain Coping, and Depression according to Attributions of Somatic Symptoms among Elderly People
Chang, Hae-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 402~411
Purpose: This study was done to examine differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms among the elderly. Method: Data were collected by self-report questionnaires from 195 persons age 65 or over. Descriptive statistics, ANOVA, and Scheffe's test were used to analyze the data. Results: There were statistically significant differences in chronic pain among the elders according to educational level and duration of pain, and in passive coping according to gender, physical function and duration of pain. There were statistically significant differences among the elders in active coping according to amount of spending money, in depression according to age, educational level, amount of spending money, and physical function. There also were statistically significant differences in chronic pain, pain coping, and depression according to attributions of somatic symptoms. Conclusion: The results of this study indicate that elders who have somatic attributions are incline to complain more severe chronic pain, to cope passively, and to manifest more severe depression than elders who have normalizing attributions. Continuous research is needed to improve effective nursing interventions for attributions of somatic symptoms among elders.
The Relationship between Empowerment and Performance of Infection Control by Emergency Department Nurses
Yoon, Jong-Mi ; Sung, Mi-Hae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 412~420
Purpose: The purpose of this study was to identify the relationship between empowerment and performance of infection control by emergency department nurses. Method: Participants were 190 nurses working in emergency departments in 14 hospitals located in Busan. Descriptive statistics, t-test, ANOVA, and Pearson's correlation coefficients with SPSS PC+ WIN 12.0 were used to analyze the data. Results: There were significant differences in empowerment by years in ED (emergency departments) and position. There was a significant differences in performance of infection control by position. There were significant differences in empowerment by infection control-related characteristics and by regular conference for infection control. There was a significant and positive relationship between empowerment and performance of infection control in ED nurses. Conclusion: The results of this study indicate that improvement in the level of ED nurse's empowerment would lead to an increase in the performances of infection control.
Adolescents' Knowledge and Attitudes towards Antibiotic Use
Kim, So-Sun ; Moon, Seong-Mi ; Lee, Eun-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 421~429
Purpose: The aim of this study was to identify knowledge and attitudes on antibiotic use held by adolescents (middle and high school students) in Korea. Methods: Data were collected from a convenience sample of 651 students residing in 5 major cities in Korea. The questionnaire was developed after an extensive literature review and professional advisory meetings. Descriptive statistics, t-test, chi square test, ANOVA, and Pearson correlation coefficients with the SPSS program were used to analyze the data. Results: Respondents correctly answered 6.23 antibiotic-related questions out of 15 questions. Two thirds of the respondents knew viruses caused most colds and coughs, but 80% did not know that antibiotics do not work against viruses. High school students' attitudes towards antibiotics were somewhat negative. More middle school students than high school students asked doctors for antibiotics for a cold. High school students did not check if antibiotics were included in their prescription for a cold. There was no significant correlation between knowledge and attitudes towards antibiotic use. Conclusion: Education programs on appropriate antibiotic use need to be developed for these students. Continual reinforcement and repetition of the contents are required to change attitudes.
Analysis of Nursing Students' Knowledge, Attitude and Ability to Perform Cardiopulmonary Resuscitation
Kim, Hye-Suk ; Kim, Mi-Sun ; Park, Mi-Hwa ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 430~437
Purpose: This study was designed to provide a systematic understanding of nursing students' knowledge, attitude and ability to perform cardiopulmonary resuscitation (CPR). Fundamental data regarding CPR education was processed in order to analyze factors influencing knowledge, attitude and ability. Methods: A total of 663 nursing students from G city and South Jeolla Province participated in this study during March and April 2009. Questionnaires were used to gather the data. Descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients with SPSS WIN 12.0 were used for data analysis. Results: The mean score for knowledge regarding CPR was 7.84 of a total possible score of 15, for attitude, 39.90 of a total possible score of 55 and for performance ability, 40.17 of a total possible score of 75. There was a positive correlation between CPR knowledge, attitude and performance ability. As knowledge increased so did attitude and performance ability. Conclusion: In order to develop positive attitudes in nursing students toward the performance of CPR, we need to strengthen education related to CPR and create effective education programs which are focused particularly on practical training for the students.
Analysis of Problem Based Learning Based on the Self-reflection Journals and Class Evaluation of Nursing Students
Kim, Keum-Ja ; Yoon, Jin ; Hyoung, Hee-Kyoung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 438~448
Purpose: To examine the results of PBL classes for sophomore nursing students during one semester. Method: Self-reflection journals and class evaluation questionnaires were collected from 121 nursing students and analyzed. Results of class evaluation questionnaires were analyzed using mean scores, SD, frequencies and percentages. Significant statements were derived by repeated review of the self-reflection journals by the researchers. Results: The statements, 'Understanding of PBL' 'Improvement of human relationships' 'Expansion of nursing knowledge' 'Excellency in nursing class and application of nursing skills in nursing practices' and 'Improvement of learning ability and attitude during classes' were derived from the self-reflection journals. Analysis of class evaluation questionnaires showed the following scores: prerequisite of PBL (3.0/4), role of facilitator (3.48/4) and satisfaction with PBL learning (3.31/4). Also some complaints such as lack of adequate references in the library, and confusion in at the beginning of PBL were noted. Conclusion: PBL was effective. Using the results of the study for planning a more effective PBL class syllabus is recommended.
The Adaptation Process of Male Students in Colleges of Nursing
Park, Young-Rye ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 449~458
Purpose: The purpose of this study was to understand the adaptation process of male students in colleges of nursing. Method: The data were collected by individual in-depth interview with 12 male students in their final year of nursing and were analyzed using grounded theory methodology. Results: Male nursing students were experienced a process of 'Come into the world again through overcoming gender differences'. 'The adaptation process advanced in 4 stages, 'introduction period' 'shaking period' 'meditation period' and 'adjustment period' Conclusion: Specific strategies should be developed to aid the adaptation of male students in colleges of nursing.
Critical Thinking of Clinical Nurses
Chang, Sung-Ok ; Shin, Nah-Mee ; Khim, Soon-Yong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 459~471
Introduction: Critical thinking involves identifying problem(s), assessing resources, and generating possible solutions and allows clinical nurses to decide which solution is the most reasonable under the given circumstances, taking into consideration the "hat ifs" and how they will affect the end result. This research was conducted to further understanding and identification of subjective factors in critical thinking in clinical nurses. Methods: The research design was a Q-Methodological Approach. Q-population was formulated from a non-structured questionnaire and interviews from 17 experienced clinical nurses. Thirty selected Q-statements were sorted by 30 experienced clinical nurses. Results: Four factors for critical thinking were identified: (1) Deductive reasoning based on causal relation, (2) Construction of an effective model based on patients' responses, (3) Formulating categories based on priorities for effective interventions, and (4) Judging validity of the situational significance on clinical performances. Conclusion: Critical thinking is an attitude and reasoning process. From this study, the frame of reference for clinical nurses in formulating critical thinking within the context of clinical settings is identified and indicates the way nurses utilize thinking skills when they care for patients and areas that need further exploration as nurses and faculty develop education systems to advance clinical performance competency.
Differences in Health Belief by Compliance Level with Breast Self-Examination and Predictors of BSE among Women
Park, Kyung-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 472~480
Purpose: The purpose of this study was to explore differences in health belief by compliance level with breast self-examination (BSE) and the predictors of BSE compliance among women. Method: Using a convenience sampling method, 163 women were selected for the sample. Data were measured for each participant during the period between December 2008 and February 2009, and analyzed by chi-square test, t-test, Kruskal-Wallis test with post hoc, and logistic regression analysis. Samples were categorized into three groups by the compliance level of BSE for the last 6 months: Never-performers (i.e, women who had never performed BSE), irregularly-performers (i.e, women who performed BSE at least once), and regularly-performers (i.e, women who performed monthly BSE). Result: Significant differences were reported among never-performers, irregularly-performers and regularly-performers correlated to age, level of education, mammography, ultrasonography, clinical examination, benefit, and confidence. There was no significant difference between irregularly-performers and regularly performers. The significant factor influencing compliance with BSE was 'confidence', which explained 33.7% of the variance in compliance with BSE. Conclusion: Women who had more confidence in their ability to perform BSE were more likely to practice BSE. It is necessary to develop the strategy to enforce woman's confidence in complying with BSE.
Health-Promoting Lifestyle Patterns and Health Perception in Elders Using Welfare Service Centers
Kim, Nam-Hee ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 481~489
Purpose: The purpose of this study was to identify health promoting lifestyle patterns (HPLP) and health perception (HP), and related factors, in elderly people using welfare service centers. Methods: Three hundred elders were interviewed using a structured questionnaire through convenience sampling at two welfare centers. Data were analyzed using the SPSS WIN 12.0 program. Results: Most of the elders had some kind of diseases, such as hypertension, diabetes, or osteoarthritis. The mean HPLP score was 2.53, and significant differences were found according to the elders' general characteristics. The sub-domain nutrition had the highest mean score, and stress management and exercise, the lowest. The mean HP score was 3.38, and significant differences were found according to education level and number of underlying diseases. HPLP showed a correlation with HP. Conclusion: The results indicate that elders have poor practices in stress management and exercise reflecting need for community based stress management programs for welfare service centers elderly clients.
The Validity of a Single Item Scale - Health Related Quality of Life in Heart Failure Patients -
Kim, Yong-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 490~496
Purpose: The purpose of this study was to examine the validity of a single item scale by comparing a single item scale of health related quality of life to subscopes of the multi-item scales in the Medical Outcome Study Short Form-36 (SF-36), and Minnesota Living with Heart Failure Questionnaire (MLHFQ). Method: The data from 103 patients with heart failure were analyzed. The statistics program SPSS 12.0 used for descriptive statistics. Results: Significant correlations were found between the single item scale and subscopes of SF-36, for physical functioning (r= .42), role physical (r= .22), general health perception (r= .46), vitality (r= .40), social functioning (r= .20) and mental health (r= .51), but not for body pain (r= .12) and role emotional (r= .06). Physical (r= -.41), emotional (r= -.49) and total scores (r= -.49) of MLHFQ were significantly related to the single item scale. Conclusion: The single item scale of health related quality of life showed low to moderate correlation with multi-item scales. Even though the single item scale was correlated with several subscopes of multi-item scales, the correlation was not high, so we have to use caution when using the single item scale instead of multi-item scales.
Gender Differences in Factors Influencing Quality of Life among Patients with Coronary Artery Disease
Park, Soo-Kyeong ; Kim, Hwa-Soon ; Cho, In-Sook ; Ham, Ok-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 497~505
Purpose: The purpose of this study was to identify the level of quality of life and gender differences in predictors of quality of life among patients with coronary artery disease. Methods: Participants for this descriptive survey were 67 men and 65 women who signed informed consents. They were patients who had undergone coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty, or were on medication therapy after a heart attack. The Short-Form Health Survey (SF-36), Personal Resource Questionnaire-part (II), and the Center for Epidemiologic Studies Depression Scale were used to measure quality of life, social support, and depression respectively. Gender and age were controlled because they were reported as influencing factors in previous studies. Results: There were significant differences in depression and quality of life between men and women however, social support was not significantly different by gender. In multiple regression analysis, depression was a significant predictor and explained 51.9% of quality of life for men. In women, depression and social support were significant predictors and explained 50.9% of quality of life. Conclusion: Factors influencing quality of life for men and women were different, and therefore, nurses need to consider their patients' gender and use specific strategies to improve quality of life for patients with coronary artery disease.
Psychosocial Adaptation and Related Factors in Patients with a Permanent Colostomy
Cha, Bo-Kyoung ; Baek, Eun-Seon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 506~514
Purpose: This study was conducted to define factors influencing psychosocial adaptation of patients with a permanent colostomy. Independent variables including perceived stress, stoma care self-efficacy, self-care behavior, self-esteem and family support were used to predict psychosocial adaptation. Method: The data was analyzed using the SPSS pc program window version 12.0 for descriptive statistics, Pearson correlation coefficients and stepwise multiple regression. Ninety patients with a permanent colostomy were recruited between September 2007 and May 2008. The reliability of the instruments was tested with Cronbach's alpha which ranged from .78 to .92. Result: The results were as follows: The mean psychosocial adaptation score was 3.05. There were significant correlations between all the predictive variables and psychosocial adaptation (r= .63~ -.43, p<.001). Stepwise multiple regression analysis showed that self-esteem (40%), stoma care self-efficacy (7%), perceived stress (2%), and self-care behavior (2%) accounted for 51% of the variance in psychosocial adaptation. Conclusion: These findings indicate that to improve psychosocial adaptation of patients with permanent colostomy, the major related factors identified in this study should be considered.
The Relationships of Work-Family Conflict, Social Support, Job Satisfaction, and Organizational Commitment in Korean Married Hospital Nurses
You, Mi-Ae ; Son, Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 16, issue 4, 2009, Pages 515~523
Purpose: The purpose of this study was to examine the relationship between work-family conflict, social support, job satisfaction, and organizational commitment which are closely linked to staff turnover from the perspective of married hospital nurses. Method: A survey was conducted using self-report structured questionnaire from 220 married nurses. Data analysis included descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression with SPSS Win 17.0 program. Results: Job satisfaction, social support, work-family conflict and age were strong predictors of organizational commitment. These variables explained 46.5% of the variance of the organizational commitment. Higher levels of organizational commitment were associated with greater job satisfaction and social support. Nurse with lower levels of work-family conflict and older age reported a high level of organizational commitment. Conclusion: These results show that improving job satisfaction has the best effect on enhancing nurses' organizational commitment. Also supportive relationships, reduction of work-family conflict and older age were significantly correlated with organizational commitment. Organizations should design more family-friendly policies and provide opportunities for career development to health professionals to induce organizational commitment.