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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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Korean Academy of Fundamentals of Nursing
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Volume & Issues
Volume 18, Issue 4 - Nov 2011
Volume 18, Issue 3 - Aug 2011
Volume 18, Issue 2 - May 2011
Volume 18, Issue 1 - Feb 2011
Selecting the target year
Lived Experiences of Life World for Adolescents with Epilepsy
Park, Yeong-Sook ; Jeong, Eun-Nam ; Yang, Jin-Hyang ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 6~18
Purpose: This study was done to explore the meaning and nature of life world for adolescents with epilepsy. The hermeneutic phenomenological method which was developed by van Manen was used. Methods: Participants were four boys and five girls, ages 13 to 18 being seen in a neurology outpatient department. Data were collected from iterative work with in-depth interviews from during the period from February to September, 2010. Contents of the interviews were tape-recorded with participant consent. Results: Essential themes that fit into the context of the 4 existential grounds of body, time, space and other people were: an illness that makes a hurt in one's heart rather than one's body, a change in the body that is not controllable, a future like thick fog, everyday life trapped in illness, a change of relationships, learning how to live with an illness. Conclusion: Findings reveal the life world of the adolescents is affected to varying degrees by the epilepsy. It is important for nurses to identify and address developmental issues and effects of the illness and to support reorientation in a disintegrated life situation. The result of this study will provide nurses with insights into these experiences and should help promote empathetic care.
Development of a Respiratory Nursing Program Using Recorder Playing for the Patients with Asthma and Measurement of Effectiveness
Jang, Hee-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 19~27
Purpose: This study was conducted to develop a respiratory nursing program using recorder playing for patients with asthma and to determine the effects of the program. Method: Participants were 26 patients with asthma (experimental group: 13, control group: 13). The experimental group participated in the respiratory nursing program for six months from April, to October, 2007. Content included playing a recorder, group education about asthma, and educational messages including cellular phone messages. The control group received usual care during the six months. Results: In this research the respiratory nursing program using recorders was developed in 3 stages: initial stage, advanced stage, and wrap up stage. Compared to the control group, fatigue status in the experimental group improved significantly as well as level of forced expiratory volume in 1 second. However significant differences were found in sleep status, mood, or quality of life. Conclusions: These results suggest that this respiratory nursing program for symptom management of patients with asthma led to improvements in self care activity. Nursing interventions are needed to maintain and further enhance the quality of life of these patients and the interventions should be implemented over a transition period.
Effect of a New Developed Physical Restraint to Reduce Skin Injury in Intensive Care Units
Mun, Jung-Sook ; Lee, Gyeong-Nam ; Lee, Dong-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 28~36
Purpose: The purpose of this study were to develop a new restraint for the intensive care units (ICU) and to investigate the application effect in comparison with a control group using existing restraints. Method: A non-equivalent control group non-synchronized quasi-experimental research design was used. The participants were 40 (control 20, experimental 20) patients who were recruited by convenience sampling the ICU of a university hospital. To avoid contamination of the experiment, data for the control group were collected prior to the experimental group. Measurement variables were edema and skin damage (redness and abrasion) at the application site, and nurses' perceived convenience in applying restraints. Results: Three days after applying the restraint, amount of edema at the application site was small and incidence of skin damage decreased in the experimental group in comparison with the control group. Also, score for application convenience measured by the nurses was higher in for the newly developed restraint than for existing restraints. Conclusion: Results indicate that the newly developed restraint has lower effects such as edema and skin damage and is more convenient compared with existing restraints, and is therefore recommended for patients in the ICU.
Effects of an Infection Control Program on Clonorchis Sinensis in People Living Near Rivers
Yang, Kyoung-Mi ; Park, Do-Soon ; Bang, So-Youn ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 37~45
Purpose: The purpose of this study was to estimate the effects of an infection control program on the Clonorchis sinensis (CS) infection ratio, CS-related knowledge and health behavior of people living near the Geum River. Method: A one-group pretest-posttest design was used with 102 participants. For 12 months the participants were provided with promotion announcements, health education, counseling, and medication. Outcome variables measured were the CS infection ratio by stool examination, CS-related knowledge and health behavior from self-report questionnaires. The pre intervention data were collected from January to February 2008 and the post intervention data during the same period in 2009. Collected data were analyzed using descriptive statistics, generalized estimating equation analysis, and paired t-test with SPSS for Windows version 15.0. Results: In the pre test 21 of the 102 participants showed infection with CS for the first time. In the post test 9 were newly infected with CS, and one was re-infected. The CS-related knowledge was significantly improved after the infection control program (p<0.05). The CS-related health behaviors did not improve. Conclusion: These results showed that an infection control program is effective in decreasing CS infection ratio and improving CS-related knowledge of people living near the river.
Effects of EMLA Cream in Intradermal Skin Test of Ampicillin Sodium Antibiotics
Kim, Jin ; Kang, Hee-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 46~53
Purpose: The purpose of this study was to identify the effects of EMLA cream (eutectic mixture of local anesthetics, lidocaine and prilocaine) on pain during ampicillin sodium intradermal (ID) skin test, and also to assess skin reaction after the skin test. Methods: Forty-three nurse-volunteers had skin tests with 0.01ml-0.05ml ampicillin sodium antibiotics. Skin tests were done on each forearm to compare the pain level of the skin test site after application of EMLA cream with the pain level when no EMLA cream was applied. EMLA cream was applied at the ID skin test site with an occlusive dressing for one hour. Pain was evaluated using a visual analogue scale and pain sensation using the short form McGill Pain Questionnaire. The transverse diameter of the wheal and redness was read right after and at 15 minutes after the skin test. The results were compared using independent t-tests. Results: Pain score and sensation with EMLA cream treatment were significantly lower than when EMLA cream was not applied. There was no difference in skin reactions; reading of the skin test was not affected by EMLA cream. Conclusions: EMLA cream was found to be an effective local anesthetic to relieve the pain of clients having ampicillin sodium antibiotics ID skin tests.
Effects of Aroma Inhalation Method on Subjective Quality of Sleep, State Anxiety, and Depression in Mothers Following Cesarean Section Delivery
Lee, Sun-Ok ; Hwang, Jin-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 54~62
Purpose: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report.
-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. Results: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). Conclusion: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.
Effects of Aroma Inhalation Therapy on Pain in Patients Following a Tonsillectomy
Lim, Eun-Jung ; Lee, Kang-Yi ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 63~70
Purpose: This study was done to examine the effects of aroma inhalation therapy on pain post tonsillectomy. Method: A non-equivalent control group pre- and post-test design was used. The research instruments used in this study were a pain perception measurement and vital signs (systolic & diastolic blood pressure and pulse rate levels). Twenty-five patients in the experimental group went through aroma inhalation therapy for ten minutes after the tonsillectomy. The aroma inhalation therapy used was a blended oil, a mixture of Lavender and Loman chamomile in the ratio of 2:1. The 25 patients in the control group did not receive the therapy. Before and after the experiment, both groups were tested for pain (pain perception and vital signs). Collected data were processed with the SPSS WIN. Ver. 14.0 program and analyzed using frequencies, percentages,
-test, Fisher's exact test, t-test and ANCOVA. Results: Pain perception of patients was not significantly reduced. However systolic and diastolic blood pressure and pulse rate were significantly reduced. Conclusion: The results of the study indicate that aroma inhalation is a partially effective nursing intervention to reduce the post-operative tonsillectomy pain.
Critical Thinking Disposition, Problem Solving Ability, and Clinical Competence in Nursing Students
Chaung, Seung-Kyo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 71~78
Purpose: The purpose of this study was to investigate the critical thinking disposition, problem solving ability, and clinical competence of nursing students in a 4-year baccalaureate university program. Methods: In this study, a descriptive survey design was used with convenience sample of 228 nursing students at a University in Chungbuk Province. Data were analyzed using descriptive statistics, independent t-test, ANOVA, Pearson correlation coefficient, and multiple stepwise regression. Results: The mean scores for critical thinking disposition, problem solving ability, and clinical competence were at the intermediate level. Significant positive correlations among critical thinking disposition, problem solving ability, and clinical competence were found. The regression model explained 46.8% of clinical competence. Problem solving confidence was the most significant predictor of clinical competence, other variables were intellectual fairness, intellectual eagerness/curiosity, and prudence. Conclusion: The study findings suggest that nursing students with higher levels of critical thinking disposition and problem solving ability will have a higher level of clinical competence. Furthermore, problem solving confidence might be the most important predictor in clinical competence. Therefore, it is necessary to introduce the new teaching strategies in nursing education, strategies that will improve critical thinking disposition, problem solving ability, and clinical competence.
The Study of Yangsaeng and Fatigue in Adult Men
Kim, Ae-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 79~86
Purpose: The purpose of this study was to investigate the relationship of fatigue and Yangsaeng in Korea. Yangsaeng as a traditional health care regimen for the promotion of health and prevention of illness by means specific principles and methods, whose purpose was to improve longevity and healthy life. Method: The subjects of this study were 196 male adults in Korea. Data were collected by using a self-reported questionnaire and analyzed through descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and multiple linear regression. Results: There was statistically significant difference in Yangsaeng and fatigue according to age and education. The relationship between Yangsaeng and fatigue had a significant negative correlation. Exercise, sleep, mind Yangsaeng were found to be significant predictors (28%) of fatigue. Conclusion: To prevent fatigue of adults, nurse should focus on the factors identified in this study when she develop nursing intervention programs for health promotion.
A Study on the Subjectivity of Koreans about Well Dying - Q Methodological Approach -
Shim, Hyung-Wha ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 87~96
Purpose: The purpose of this study was to investigate the subjectivity of Koreans about well-dying by dividing the cognition and attitudes of Koreans about well-dying into five types and analyzing and interpreting each type. Method: Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. The result of the Q-shorting of the 34 Q-statements by 42 participants was analyzed with the PQM program. Result: Five cognitive types of the subjectivity about well-dying were identified and labeled as follows. Type I: Individual and preparation for the other world. Type II: Receptive to nature and fate. Type III: Oriental and family centered. Type IV: Realistic and self-independent. Type V: Altruistic and preparing for the other world. Conclusions: This study generally show that traditional family connections and blood relationship are declining, and western rationalism and the pursuit of the positive meaning of well-dying are beginning to be accepted in the cognition of modern Koreans.
Social Support and Health Status based on Characteristics of Leisure Activity of Middle-Aged Women
Chung, Myung-Sill ; Song, Ji-Ho ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 97~106
Purpose: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. Methods: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. Results: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. Conclusion: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.
The Relationships of Professional Self-Concept, Role Conflict and Job Satisfaction on Emergency Department Nurses
Sung, Mi-Hae ; Oh, Myung-Ok ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 107~115
Purpose: The purpose of this study was to investigate the relationship between professional self-concept, role conflict and job satisfaction of emergency department (ER) nurse. Method: Data were collected from a convenience sample of 200 ER nurses who worked in one of 9 hospitals in 5cities. The instrument for this study was a structured questionnaire on professional self-concept, role conflict and job satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. Results: The mean score for professional self-concept was 2.52 (0.28), for role conflict, 3.37 (0.55), and for job satisfaction, 2.71 (0.35). There were significant differences on three variables according to total career, and satisfaction with nursing. There was a significant positive correlation between professional self-concept and role conflict, job satisfaction. Role conflict showed a significant negative correlation with job satisfaction. Conclusion: The results of this study indicate that the important role-related variables of professional self-concept, role conflict and job satisfaction of ER nurses are significantly related, and that as, role conflict is an important factor for job satisfaction of ER nurses, strategies to decrease role conflict need to be developed.
Development of a Decision Support Computer Program for Pain Management in Institutionalized Patients with Dementia
Chang, Sung-Ok ; Lim, Se-Hyun ; Lee, Su-Jung ; Kim, Mi-So ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 1, 2011, Pages 116~129
Purpose: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. Methods: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. Results: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. Conclusions: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.