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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 17, Issue 4 - Nov 2010
Volume 17, Issue 3 - Aug 2010
Volume 17, Issue 2 - May 2010
Volume 17, Issue 1 - Feb 2010
Selecting the target year
A Study on Concepts of Health in Older Korean Women - Q Methodological Approach -
Shim, Hyung-Wha ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 6~15
Purpose: This paper is a basic study done to establish a theory of health according to Korean culture. The focus is on identifying perceived concepts of health in older Korean women. Method: The Q-method, which is effective in measuring individual subjectivity, was used in this study. Results: Perception of the concept of health was found to have 4 independent types, as follows. 1. Type I : natural & couple-oriented type. Women with this type not only have a naturalistic view of health but also put weight on being couple-centered. 2. Type II: oriental & children-oriented type. These women have traditional oriental views of the world, and are strongly dependent on their children. 3. Type III: western & altruistic type. These women do not agree with oriental concepts of health. They are positive altruists, pursuing the meaning of life. 4. Type IV: modern & self-oriented type. Women with this type not only interpret the concepts of health within western medicine, but also positively accept oriental views of the world. Conclusions: Health concepts of older Korean women are complicated, not only with western-medical concepts of health, but also more strongly complicated with concepts from oriental medicine.
Health Behavior and Influencing Factors in Patients with Coronary Artery Disease Admitted to Hospital
Kang, Kyung-Ja ; Yu, Su-Jeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 16~25
Purpose: The purpose of this study was to identify the impact that health motivation, stage of change and cardiac risk factors have on health behaviors in Korean patients with coronary artery disease(CAD) admitted to hospital. Method: The participants in this study were 127 patients with CAD hospitalized between May 2008 and July 2009. A structured questionnaire with personal interviews and chart reviews were used to collect data. Data were analyzed using the SPSS. Results: Of the relatively significant factors, including a stage of change, self efficacy, modifiable risk factor score, and perceived barriers, stage of change was found to be the most significant predictor of health behavior in patients with CAD. These variables accounted for 48.2% of the variance in health behavior. Conclusion: The results of the study indicate the necessity of developing a cardiac rehabilitation program for use in their daily lives after discharge from the hospital. Stage of change should be assessed for all patients with CAD being discharged from acute care hospitals.
Prevalence and Precipitating Factors for Delirium in Elderly Patients Admitted to Long-Term Care Hospitals or to General Hospital
Yang, Young-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 26~34
Purpose: The purpose of this study was to compare long-term hospital and general hospital for delirium prevalence and precipitating factors in elderly patients. Method: The participants were 184 patients aged 65 or older from one general hospital and 4 long-term facilities. Delirium was assessed using the Confusion Assessment Method and precipitating factors for delirium were classified as demographic, physical condition, disease and drug factors associated with delirium found in a literature analysis. Results: Delirium prevalence was 5.4% and there was no significant difference according to hospital type. Most of the patients with delirium were male, dependent and dehydrated and had sleep disturbances, diseases and drugs associated with delirium and, had multi-drugs prescriptions. Non-delirious patients also had two or more delirious symptoms and several precipitating factors. Delirious patients were more dependent, urinary incontinent and had sleep-disturbances compared to the non-delirious group. The participants in the long-term hospitals were found to have frequently previous delirium history. Conclusion: Even though the prevalence rate of delirium was not high, most elderly patients, regardless of delirium, are a very high risk group and dependent ADL, sleep disturbances, and/or urinary incontinence could be used predictive factors for delirium.
Coping Pattern of Menopause in Middle Aged Woman
Kim, Ae-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 35~44
Purpose: The purpose of this study was to explore the coping behaviors related to menopause experience in woman. Method: The research method used was Q-methodology. The statement of self-reference was derived from face to face interviews with 10 womens. Statements were categorized by the researcher according to semantics. From categories of the Q-population 27 of the self reference statement were selected and 39 of the women were selected with consideration of given to diversity in socio-demographic background. Based on a 1 to 9 point scale, the selected menopausal women were made to participated in the Q-sorting. Analysis of Q-type was obtained by use of the QUNAL program. Result: There are three type of menopause experience of Korean women. 1. The first type focused on active coping relate to menopause. 2. The second type focused on mind control related to menopause. 3. The third type focused on religious support related to menopause. Conclusion: It is suggested that the results of this study may contribute to the development strategies for the purpose of health promotion middle aged women.
An Explanatory Model of Dyspnea in Patients with Chronic Lung Disease
Bang, So-Youn ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 45~54
Purpose: The purpose of this study was to develop and test an explanatory model of dyspnea in patients with chronic lung disease (CLD). Methods: Participants were 181 patients with CLD, recruited from the outpatient pulmonary clinic of one university hospital in Korea. Data were collected using questionnaires, as well as measurement of 6-minute walking distance (6MWD), oxygen saturation (
), FEV1% predicted, and Body Mass Index (BMI). Results: The results indicated a good fit between the proposed dyspnea model and the collected data [
=91.27, p= .13,
/d.f.=1.17, Normal Fit Index= .934]. Oxygenation (
, = -.530), self-efficacy (= -.429), anxiety (= .253), depression (= .224), exercise endurance (6MWD, = -.211), and pulmonary function (FEV1% predicted, = -.178) had a direct effect on dyspnea (all p< .05) and these variables explained 74% of variance in dyspnea. BMI, smoking history, and social support had an indirect effect on dyspnea. Conclusion: The findings of this study suggest that comprehensive nursing interventions should focus on recovery of respiratory health and improvement of emotions, exercise ability, and nutritional status. From this perspective, pulmonary rehabilitation would be an effective strategy for managing dyspnea in patients with CLD.
The Effects of the BeHaS Exercise Program on Balance and Walking Ability in Middle-aged Women with Knee Osteoarthritis
Kim, Sun-Ae ; Kim, Jong-Im ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 55~63
Purpose: The purpose of this study was to determine the effects of the BeHaS exercise program on balance and walking ability in middle-aged women with knee osteoarthritis. Method: Participants were 36 patients (experimental group: 18, control group: 18) with knee osteoarthritis. Women with knee osteoarthritis in the experimental group participated in the BeHaS exercise program for 65 to 90 minutes per session twice a week for 12 weeks. Data were collected by a structured interview and measurement tool from September 1, 2005 to March 30, 2006. Descriptive statistics, such as frequency, percentages, means, SD and t-test, Chi square test were used with the SPSS Win 12.0 to analyze the data. Results: There was a significant difference between the two groups for dynamic balance, but differences in balance and walking ability were only partially supported. Conclusion: These findings indicate that the BeHaS exercise program could be a good nursing intervention for health maintenance and promotion of patients with knee osteoarthritis. Further research is needed in order to confirm these findings in elderly people with osteoarthritis.
Relationship between Hospital Nurses' Perceived Patient Safety Culture and Their Safety Care Activities
Choi, Jeong-Hwa ; Lee, Kyung-Mi ; Lee, Mi-Aie ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 64~72
Purpose: This study was performed to measure hospital nurses' perceived patient safety culture and their safety care activities, and to investigate the relationship between these two factors. Method: This study was a cross-sectional survey. The participants were 301 nurses working at 4 general hospitals, and data collection was done from June 22 to June 30, 2009 by self-administrated questionnaires. Results: With a possible score of 5 points, the average score for nurses' perceived patient safety culture was 3.34, and for their safety care activities, 4.25. There were perceived differences in patient safety culture and safety care activities according to age, position, length of work experience and number of patient safety education sessions attended. All sub-factors in patient safety culture had a positive relationship with safety care activities. Factors influencing nurses' safety care activities were number of patient safety education sessions attended, hospital environment, and supervisor/manager. These factors explained 58.2% of the variance. Conclusion: The findings indicate that patient safety education is very important to improve nurses' safety care activity. So nursing supervisors/ managers should develop strategies encourage patient safety education, and make nurses' working environment safer.
Knowledge of and Compliance with Standard Precautions by Nurses in Intensive Care Unit
Cho, Gwi-Lae ; Choi, Jeong-Sil ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 73~81
Purpose: This study was done to identify the intensive care unit nurses' knowledge of and compliance with the standard precautions (universal precaution) as stated in infection control guidelines. Method: From September 14 to September 28, 2006, data were collected via a questionnaire survey from 189 Intensive Care Unit nurses working at three university branch hospitals and one general hospital in Gyeonggi province. Results: The mean knowledge score was 18.8/20.0 (93.9%). The mean compliance score was 3.4/4.0 (85.8%). Two factors influencing compliance were perception of the standard precautions and experience of needle stick injuries over the past year (p<.05). Two factors influencing knowledge were support of co-workers in the use of protective devices and the availability of hand-washing device or waterless alcohol gel (p<.05). Conclusion: In order to improve knowledge and compliance with standard precautions, all factors of importance for knowledge and compliance must be taken into consideration in the clinical work place and in education.
Effects of Problem-Based Learning of Nursing Student
Son, Young-Ju ; Song, Young-A ; Choi, Eun-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 82~89
Purpose: The purpose of this study was to compare nursing students before using problem-based learning and after the experience in: class satisfaction, tendency to critical thinking, learning attitude and motivation. Method: The data were collected on March 20 and June 5, 2008. The PBL study was given for 15 weeks from March through June involving 216 junior nursing students. To test effects of PBL, a one group pretest-posttest design was used. Statistical analysis was performed with SPSS 13.0. Paired t-test,
-test, and Pearson correlation coefficient were performed. Results: The results are summarized as follows: Following PBL, the students scored significantly higher on the class satisfaction (t=-3.321, p= .001), tendency to critical thinking (t=-2.218, p= .034), learning attitude (t=-2.910, p= .004) and motivation (t=-4.407, p<.001). The Pearson correlation coefficients among the three variables were significantly positive. Conclusion: This study contributes to our understanding of outcomes from the PBL approach. The students undertaking PBL showed that they developed a more positive attitude with their educational experience. Also, students' tendency to think critically improved through the use of the PBL approach.
Correlations between Motivation to Achieve, Clinical Competency and Satisfaction in Clinical Practice for Diploma and Baccalaureate Nursing Students*
Sung, Mi-Hae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 90~98
Purpose: This study was done to compare the relationships between motivation to achieve, clinical competency, and satisfaction on clinical practice in diploma and baccalaureate nursing students. Method: A descriptive research design was used in this study. The participants were 181 nursing students in B city who were surveyed between June 2 and June 30, 2008 using self-report questionnaires. The collected data were analyzed using the SPSS WIN 14.0. Results: There were significant difference in clinical competency according to satisfaction with college life, and motivation for choice of nursing for baccalaureate students. There was a positive correlation between motivation to achieve and clinical competency. Motivation to achieve and satisfaction in clinical practice, and clinical competency and satisfaction were correlated with clinical practice for students in both diploma and baccalaureate programs. The predictors influencing clinical competency for the nursing students were motivation to achieve, and satisfaction in clinical practice, and education level. Three factors explained 26.8% of clinical competency for nursing students. Conclusion: It is necessary to enhance individual motivation to achieve to improve clinical competency of nursing students. Motivation to achieve needs to be considered in planning programs to enhance clinical competency in nursing students.
The Relationships among Hostility, Perceived Social Support and Health Behavior Compliance of Patients with Coronary Artery Disease
Oh, Jung-Eun ; Park, Hyoung-Sook ; Kim, Dong-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 99~108
Purpose: This study was done to measure the degree of the hostility, perceived social support and health behavior compliance among patients with coronary artery disease and to identify the relationship among those variables. Methods: The participants were 145 hospitalized patients with coronary artery disease. Data were collected from December 15, 2007 to March 15, 2008 using a questionnaire and medical record. Results: Mean scores for hostility, perceived social support and health behavior compliance were 54.80, 53.03 and 59.38 respectively. Differences in the degree of hostility were significant for marital status and serum total cholesterol. There were significant differences in the degree of health behavior compliance according to body mass index, serum total cholesterol, smoking, drinking, exercise and regular diet. Health behavior compliance was correlated with hostility and perceived social support, and hostility was correlated with perceived social support. Conclusion: Intensive programs to enhance perceived social support but to reduce hostility are warranted to improve health behavior in patients with coronary artery disease.
A Study of Nurses' Characteristics and their Perception of Seriousness of Elder Abuse
Ko, Chung-Mee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 17, issue 1, 2010, Pages 109~118
Purpose: This study was designed to examine the relationship between nurses' characteristics and perception of seriousness of elder abuse. Method: A cross-sectional survey design was used to describe the perception of elder abuse by 301 nurses. Data were collected by convenience sampling. The research instruments utilized in this study were 12 scenarios adapted by Yoo & Kim from the 13 senarios to measure the perception of elder abuse developed by Moon and Williams (1993), a seven item questionnaires related to elder abuse law, and a Semantic Differential Scaling to measure attitudes toward elderly people. Data were analyzed with descriptive statistics, t-test, ANOVA and Pearson's correlation. Results: The mean score for perceptions of elder abuse was 3.07. Among the types of abuse, sexual abuse was perceived as the most severe type of abuse followed by physical abuse, neglect, financial abuse, and emotional abuse in that order. Education, job position, experience of gerontological nursing course, and education on elder abuse, exposure to elder abuse information, and attitudes toward elders were significantly related to the perception of seriousness on elder abuse. Conclusions: The results of this study suggest that provision of elder abuse education is needed for nurses, to enable them to identify elder abuse and address their legal and professional responsibilities.