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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 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
Diabetes-related Characteristics in Men with Diabetes for the Glucose Control Group and Noncontrol Group
Kim, Kyung-Hee ; Kim, Ji-Su ; Lee, Eun-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 152~159
Purpose: This study was done to identify factors related to glycemic control in men with diabetes. Methods: Data from the Korean National Health and Nutrition Examination Survey 2007 2008 collected by the Korean Center for Disease Control were analyzed using chi-square test and t-test. Results: There was a difference in glycemic control according to the individual factor of economic status. Differences in glycemic control according to health related factors were as follows: fasting blood sugar, cholesterol, triglyceride, sleep duration, experience of depression and suicidal thoughts. Conclusion: The results of this study will contribute to improvements in management for men with diabetes through comprehensive identification of factors related to glycemic control.
Effects of an Oral Stimulation Program on the Transition from Tube to Bottle Feeding in Premature Infants
Kim, Hee-Young ; Bang, Kyung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 160~167
Purpose: The purpose of this study was to identify the effects of an oral stimulation program on premature infant's transition from tube feeding to bottle feeding, decrease in desaturation during feeding, and early discharge. Methods: This quasi-experimental study was performed in one neonatal intensive care unit (NICU) of an university hospital. The control group data (n=69) were obtained from June 2008 to May 2009, and the experimental group data (n=67), from June 2009 to May 2010. The oral stimulation program (OSP) was provided daily before feeding for the experimental group until transition to bottle feeding was completed. Results: The OSP group began bottle feeding earlier and were on complete bottle feeding earlier than control group. Discharge delay due to feeding desaturation was lower than for the control group. Conclusion: The results indicate that OSP for premature infants was helpful in transition from tube feeding to bottle feeding and early discharge and thus can contribute health and development in premature infants.
Relationship between Intake and Output Balance and Body Weight Changes in Intensive Care Unit Patients
Kim, Hwa-Soon ; Lee, Young-Whee ; Lee, Ji-Soo ; Lee, Jin-Young ; Choo, Sang-Soon ; Lee, Bo-Gyeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 168~176
Purpose: The purpose of this study was to identify differences between intake and output balance and body weight changes and to identify factors related to differences in critically ill patients. Methods: The participants for this descriptive correlational study were 65 medical surgical ICU patients. The data were collected from patient medical records. Results: Mean age of the patients was 63.80 years (
). Body weight changes for 48 hours averaged 281.54g (
). I&O balance for 48 hours corrected for insensible loss averaged 398.1ml. Differences ranged from 45mL to 7,535mL. In the distribution of absolute difference between body weight change and intake and output balance, only 40% of the patients were within less than 1,000 mL. Factors relating to accurate measure of intake and output were ventilation methods, respiration patterns, and edema status. Conclusion: Although mean values of weight change and I&O balance for all patients were very close, the range of differences was very wide indicating that, for many patients, intake and output is not an appropriate indicator of body fluid balance. Therefore, because of the frequency fever and/or hyperventilation, nurses need to use caution when using intake and output balance only to estimate current body fluid status for critically ill patients.
Effects of Tai Chi Exercise Program on Muscle Strength, Flexibility, Postural balance and Cognition in Patients with Parkinson Disease
Choi, Dong-Won ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 177~185
Purpose: To examine the effects of Tai Chi exercise (TCE) on muscle strength, flexibility of low extremities, postural balance and cognition in patients with Parkinson disease (PD). Method: A nonequivalent control-group pre and post-test 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 strength of low extremities, flexibility of ankles and shoulders, time of tandem stand with eye closed and level on the K-MMSE (Korean mini mental state examination). Conclusion: These results suggest that TCE has positive effects on physical fitness and cognition in patients with PD. Research over an extended period with the TCE intervention is recommended to identify further effects.
Factors of Sleep Disturbance and Sleep Patterns According to Age in Older Hospitalized Women Patients
Lee, Hea-Shoon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 186~194
Purpose: The purpose of this study was to investigate factors of sleep disturbance and sleep patterns of elderly hospitalized women patients between young-old (65-74 years), old (76-84 years) and old-old (85 years and above). Methods: The questionnaire included the environmental disturbance factors (Paik, 2000), degree of pain (Wang & Kim,1995), disease symptoms (Paik, 2000), depression (Kee, 1996) and sleep patterns (Oh, Song, & Kim, 1998). Data were analyzed using frequencies, means,
-test, t-test, ANOVA, Scheffe, Pearson correlation coefficients and multiple regression (SPSS 14.0). Results: The middle, and oldest group's environmental disturbance factors of degree of pain, disease symptoms, depression and sleep patterns were higher than those of the younger group. The younger, middle, and oldest group's sleep pattern had a significant negative correlation with environmental disturbance factors, degree of pain, disease symptoms and depression. The model including variables related to environmental, physical and psychological disturbance factors, explained the following variances in sleep pattern: 26.8% for the youngest group, 27.6% for the middle group and 40.7% for the oldest group. Conclusion: The result of this study offer basic data for the development of nursing intervention programs to improve sleep patterns for hospitalized women patients according to age differences.
Rates for Handwashing Adherence Before and After Nursing Contact in Intensive Care Units
Kim, Young-Jung ; Kim, Hee-Seung ; Chang, Yun-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 195~200
Purpose: The purpose of this study was to assess rates for handwashing adherence before and after nursing contact in intensive care units (ICU). Methods: The participants included 90 nurses working in intensive care units of an 800-bed university-affiliated hospital in Gyeonggi Province and 2000-bed university-affiliated hospital in Seoul. Time for handwashing was calculated using the average number of handwashings during an 8-hour day shift. Nursing contact was based on indications as defined by the Centers for Disease Control and Prevention (CDC, 2002). Data were analyzed using frequency, percent, t-test and
-test. Results: During an 8-hour day shift, the average number of times that hands were washed was 25.0. The rates were significantly lower before the nursing contact than after the nursing contact when it involved sectioning, observation or contact with a wound, cleaning enteric feeding bag, physical exam, use of gloves, or contact with contaminants. Conclusions: The results indicate that as handwashing rates were significantly lower before nursing contacts than after nursing contacts, there is need to develop strategies to address this deficiency in handwashing.
Cardiopulmonary Resuscitation Learning Experience, Knowledge, and Performance in Newly Graduated Nurses
Chun, Sun-Hee ; Oh, Yun-Hee ; Kim, Sung-Soo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 201~209
Purpose: The purpose of this study was to evaluate the learning experience, knowledge, and performance of cardiopulmonary resuscitation (CPR) in newly graduated nurses, and to identify differences related to learning experience. Methods: The participants were 114 new nurses in the hospital. They were asked to complete a questionnaire, which included CPR learning experience. They were evaluated by a written test and a skill test using a manikin and check list. Results: All participants attended CPR lectures and underwent practice while in university. Only 12.28% of participants were taught by a certified Basic Life Support (BLS) instructor. The mean scores of the written and skill tests were
, respectively. The nurses lacked CPR knowledge related to checking breathing, the frequency of 30 chest compressions, compression rate, and automated external defibrillator use. They also lacked skill in performing CPR related to checking breathing and pulse and giving 2 breaths. CPR performance differed according to learning time (p=.047) and BLS educator (p=.029). Conclusion: The findings of this study reveal that CPR performance by newly graduated nurses is poor and suggest that CPR education by trained instructors, practice-based education, and reeducation programs must be provided to newly graduated nurses in the hospital.
Analysis of Trends in Self-assessment of Performance of Clinical Skills in Nursing Students after OSCE
Han, Mi-Hyun ; Park, Seok-Gun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 210~216
Purpose: The self-assessment ability of students is important in acquiring clinical skills. The study explored the self-assessment behavior of nursing students after OSCE (Objective Structured Clinical Examination). Methods: The participants were 90 nursing students. They assessed their performance just after an OSCE (assessment 1). They were given OSCE checklists and re-assessed their performance level (assessment 2). Assessments 1, 2, and an assessment by professor were compared and analyzed. Results: Students assessed themselves higher than professor. But, when students were divided into three groups according to score level, different behaviors were evident between the groups. The high-score group assessed themselves lower than the professor, while the mid-and low-score groups assessed themselves higher than the professor. Students' self-assessment more closely approximated the professor's assessment when they were given checklists. The correlation between assessments 1 and 2 was stronger in high-score group and weak in low-score group. Conclusion: The study results indicate that students tend to assess their skills higher than the professor, but their scores were more in line with the professor when they were provided with checklists, and students' self-assessment behavior differed in the different score groups, suggesting a need for customized feedback and a concern for students with low scores.
Factors Influencing Health Promoting Behavior in Patients with Multiple Myeloma
Choi, Geon-Hui ; Kang, Hee-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 217~225
Purpose: The purpose of this study was to analyzing the relationship between perceived health status, health locus of control, self-esteem, self-efficacy and HPB in patients with multiple myeloma to identify factors influencing health promoting behavior (HPB). Methods: One hundred patients were recruited into the study. The data were collected by personal interviews using questionnaires. Descriptive statistics, Pearson's correlation coefficients and stepwise multiple regression analysis were used with SPSS program to were analyze the data. Results: There were significant relationships between self-esteem (r=.787, p<.001), self-efficacy (r=.681, p<.001), internal health locus of control (r=.557, p<.001), powerful others health locus of control (r=.517, p<.001), chance health locus of control (r=-.251, p=.012), perceived health status (r=.532, p<.001) and HPB. Significant factors in explaining HPB were self-esteem, powerful others health locus of control, self-efficacy and perceived health status and together they accounted for 71% of variance. Conclusion: The study findings indicate that self-esteem, powerful others health locus of control, self-efficacy, and perceived health status were important factors in explaining HPB in patients with multiple myeloma. As self-esteem was an important variable in HPB, health promotion program designed for this population should focus on self-esteem and these other factors to enhance effective health promotion behavior.
Lived Adaptation Experiences of New ICU Nurses Who are Working in a Newly Established University Hospital
Park, Hyoung-Sook ; Kim, Kyoung-Nam ; Kang, Eun-Hee ; Lee, Jeon-Ma ; Park, Soon-Mi ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 226~236
Purpose: The purpose of this study was to determine the meaning of the adaptation experiences of new ICU nurses who were working in a newly established university hospital. The study was based on phenomenological research methodology. Method: Data were collected over 3 months through in depth interview with 6 new nurses who had worked less than 1 year in a newly established ICU of university hospital of less than 1 year located in Y city. The Colaizzi analysis method was used for data analysis. Results: The themes were classified into 13 themes clusters. The 13 themes clusters were finally grouped into 6 categories, 'The endlessness of a new beginning', 'Pressure of work due to lack of senior nurses', 'Wanting to quit', 'Attachment for the complete hospital and ICU', 'Preciousness of colleagues', 'Pride in self-growth'. Conclusion: New ICU nurses have a difficult time due to pressures of work and lack of expert knowledge, and anxiety adds to these problems making the situation more difficult. The study results indicate that professional knowledge and skills learned through repetition of difficult work, pride through self growth, recognition from others and good-fellowship are driving forces to overcome obstacles and with stand difficult daily work.
Effects of Video-guided Education for Primary Family-caregivers of Stroke Patients
Cho, Bok-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 237~246
Purpose: Family-caregivers of stroke patients usually go through hardship and life style changes during the protracted course of a family member's rehabilitation. There is need for programs to educate family-caregivers to better manage the medical crisis. In this study an evaluation was done of the degrees of burden and well-being experienced by primary family-caregivers following video-guided education (VGE) on rehabilitation and family lifestyle changes. Method: Fifty-eight primary family-caregivers of stroke patients on a neurological ward were divided into VGE (29) and control (29) groups. VGE was started within 7 days of patient admission. Interventions included VGE, counseling, and demonstration - re-demonstration. The control group received standard education but not VGE. Data were analyzed using Chi-square test, t-test, ANCOVA, and Pearson correlation coefficients with the SAS program. Results: The VGE group had a significantly lower score for total burden (F=7.19, p=.010) and for sub-scale of time-dependent burden (F=8.44, p=.005) than the control group. There was a negative correlation between primary family-caregiver burden and well-being (r=-.7151, p<.001). Conclusion: Results suggest that the rehabilitation program using VGE was an effective nursing intervention to reduce the burden of primary family-caregivers of stroke patients.
Nurses' Question and Explanation Strategies for Effective Communication with Cancer Patients
Lee, Hwa-Jin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 247~257
Purpose: This study was conducted to identify communication principles for nurses in cancer units according to Grice's theory. Method: This study was a secondary analysis of qualitative research using conversational analysis. Results: The principles consisted of four maxims: Quality, quantity, relevance and manner and 14 strategies. For the quality maxim, 'asking what you believe to be true' and 'saying the facts you know' strategies were identified. In the quantity maxim, the strategies were 'asking single questions', 'asking open questions' and 'asking optimistic questions'. In the relevance maxim, 'asking about the same theme' and 'giving relevant explanations' strategies were identified. In manner maxim, the strategies were 'using clear expressions in asking questions', 'asking in an orderly way', 'verifying answers', 'using clear expressions in explanations', 'explaining in an orderly way' and 'verifying understanding'. Conclusion: It is expected that these strategies will help and increase the degree of cooperation for nurses in effectively communication with cancer patients.
The Relationship of Negative Emotion, Emotion Suppression, and Job Satisfaction to Organizational Commitment in Hospital Nurses
Sung, Mi-Hae ; Choi, Won-Joo ; Chun, Hye-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 258~266
Purpose: The purpose of this study was to examine the relationships among negative emotion, emotion suppression, job satisfaction and organizational commitment in Hospital Nurses. Method: The participants were 155 registered nurses working in 1 hospital in Seoul. Data were obtained by self-report questionnaires. Data were collected from October 1 through October 9, 2010. Data were analyzed using frequency and percentage, t-test, ANOVA and Scheffe's test and stepwise multiple regression. Result: The influencing factors for organizational commitment of hospital nurses were job satisfaction, position, total clinical career, and negative emotion. These variables explained 56.6% of the variance of the organizational commitment. Conclusion: These results indicate that improving job satisfaction is the best way to enhance nurses' organizational commitment and thus, a need to improve the job satisfaction of hospital nurses.
A Study to Identify Contents of the Journal through Review of Classification of Sectional Editorship
Kim, Jong-Im ; Kim, Kyung-Hee ; Paik, Hoon-Jung ; Eom, Mi-Ran ; Chang, Ock-Ja ; Lee, Woo-Sook ; Jeon, Hyeon-Sook ; Min, Hyo-Suk ; Oh, Sei-Young ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 18, issue 2, 2011, Pages 267~276
Purpose: The purpose of this study was to provide data for development of the Journal of Fundamentals of Nursing through reviewing classification of sectional editorship. Method: Descriptive statistical analysis was used, to identify content then, the classifications of sectional editorship were reviewed. Results: The categories, "Basic concepts of nursing" (30.2%:17.9%), "Needs for comfort" (15.9%:13.1%), "Nursing education" (12.7%:12.7%), and "Needs for activity and exercise" (7.1%:7.1%) were most frequent through both the 1st and 2nd sectional editorship. Conclusion: Classification of sectional editorship was developed to clarify the educational purpose of fundamentals of nursing, and was modified through reflections by researchers. The current classification of sectional editorship is not a permanent formula, so using various viewpoints in further examination is needed.