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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 19, Issue 4 - Nov 2012
Volume 19, Issue 3 - Aug 2012
Volume 19, Issue 2 - May 2012
Volume 19, Issue 1 - Feb 2012
Selecting the target year
Impact of Health Literacy on Disease-related Knowledge and Adherence to Self-care in Patients with Hypertension
Son, Youn-Jung ; Song, Eun-Kyeung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 6~15
DOI : 10.7739/jkafn.2012.19.1.006
Purpose: The purposes of this study were to identify the level of health literacy and to determine its impact on disease-related knowledge and adherence to self-care in adults with hypertension. Methods: This was a cross-sectional, descriptive study in which patients with hypertension were recruited from outpatient hypertension clinics in Seoul, Korea from December, 2009 to February, 2010. A total 186 patients completed series of questionnaires to assess health literacy, disease-related knowledge, and adherence to self-care. Hierarchical linear regression was used to determine whether health literacy was associated with disease-related knowledge and adherence to self-care. Results: Seventy-one (38.2%) and seventy-two (38.7%) patients had inadequate and marginal health literacy, respectively. In hierarchical linear regression, health literacy independently predicted disease-related knowledge (
= .43, p < .001) and adherence to self-care (
= .37, p < .001) after controlling for age, education level, having a job or not, and body mass index. Conclusion: These findings show that health care providers need to pay attention to patients with hypertension who have inadequate health literacy. Further, it is recommended to develop and implement new strategies for assessing health literacy in clinical practices. Interventions to improve health literacy could promote disease-related knowledge and adherence to self-care in patients with hypertension.
Obesity and Pulmonary Function in Young Adult Women
Chaung, Seung-Kyo ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 16~22
DOI : 10.7739/jkafn.2012.19.1.016
Purpose: The purpose of this study was to identify Forced Vital Capacity (FVC), Forced Expiratory Volume in 1 Second (
/FVC according to obesity in young adult women. Method: Height, weight, body mass index (BMI), and percent body fat (PBF) were obtained by using bioelectrical impedance analysis. Neck circumference (NC), waist circumference (WC) and spirometric values (FVC,
/FVC) were obtained for 135 women college students who were healthy and non smokers. Results: Mean BMI and PBF were
and 30.5%. Obesity prevalence according to BMI and PBF were respectively 13.3%, and 50.9%. Lean body mass (LBM) was positively correlated with FVC,
, and PBF was negatively correlated with FVC,
/FVC. FVC and
of the underweight or obese group were lower than those of normal weight group. Conclusion: PBF, but not BMI, is negatively associated with pulmonary function in women college students.
Respite Care for Family Caregivers of Elders with Dementia : Concept Clarification
Chang, Sung-Ok ; Song, Mi-Ryeong ; Kong, Gye-Soon ; Choen, Suk-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 23~34
DOI : 10.7739/jkafn.2012.19.1.023
Purpose: Respite care is not a discrete intervention, but encompasses a range of services. This research was conducted to clarify the phenomenon of respite care for family caregivers of elders with dementia from a nursing perspective. Method: The Hybrid Model of concept development was applied to clarify the concept of respite care for family caregivers of elders with dementia. The study was conducted in the following three steps, theoretical phase, fieldwork phase, and final analytic phase. Results: The definition of respite care for family caregivers of elders with dementia was delineated through integration of data analyses in theoretical and fieldwork phase, and has three dimensions; tailored supports for caregivers, tailored supports based on physical and cognitive function of elders with dementia and community interventions related to family care function. Conclusion: Through this study, the concept of respite care for family caregivers of elders with dementia is clarified and reformulated as nursing practice phenomena in the Korean context, which indicates ways to develop caring practice forms for a family living with an elder with dementia in a community setting.
Relationship between Perceived Patient Safety Culture and Patient Safety Management Activities among Health Personnel
Cho, Hye-Won ; Yang, Jin-Hyang ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 35~45
DOI : 10.7739/jkafn.2012.19.1.035
Purpose: This study was done to explore the relationship between perceived patient safety culture and patient safety management activities among health personnel. Methods: This study was a cross-sectional survey. Participants were 342 health personnel working in two tertiary hospitals. Self-administered questionnaires were used to collect data from a convenience sample of 254 nurses and 88 doctors. Results: Scores on participants' perceived patient safety culture and patient safety management activities were just over the mean. There were significant differences in patient safety management activities by type of occupation, nurses' position, length of service, and work week. Doctors scored perceived patient safety culture and patient safety management activities significantly lower than nurses. In addition, perceived patient safety culture was significantly related to patient safety management activities. Factors which influence participants' patient safety management activities were communication, type of occupation, overall evaluation of patient safety, supervisor/manager, frequency with which events were reported, and nurse's position. Conclusion: Findings provide significant evidence that patient safety management activities are associated with perceived patient safety culture. Therefore, to build a positive safety culture, health personnel, especially doctors and general nurses need to visibly commit to patient safety management activities and be role models to ensure patient safety.
Professional Self-Concept, Critical Thinking Disposition and Clinical Competence in Nursing Students
Shin, Kyung-Ah ; Cho, Bok-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 46~56
DOI : 10.7739/jkafn.2012.19.1.046
Purpose: The purpose of this study was to identify the relationships among professional self-concept, critical thinking disposition and clinical competence in nursing students. Method: The participants in the study were 505 nursing students, 262 associate degree nursing students and 243 baccalaureate nursing students, all in schools in Gwangju or South Jeonla Province. A questionnaire survey was conducted from April 25 to May 27, 2011. Statistical processing was performed with SPSS 18.0 Version and the data were analyzed using t-test, ANOVA, Scheff
test, Pearson correlation coefficients, and multiple stepwise regression. Results: There was a positive correlation among clinical competence and professional self-concept, critical thinking disposition. The most effective factor for clinical competence was professional practice in professional self-concept, followed by prudence and objectivity in critical thinking disposition. The total explanation of clinical competence was 46.2%. Conclusion: The results of this study indicate confirm that professional self-concept and critical thinking disposition have an effect on clinical competence in nursing students. Accordingly in order to improve clinical competence, it is necessary to provide practice environment and educational curriculum that enhance the professional self-concept and critical thinking disposition of nursing students.
Effects of an Education Program on Knowledge about Environmental Health and Allergy Symptoms among Elementary School Students
Jo, Hae-Kyung ; Kang, Myung-Hwa ; Park, Joon-Soo ; Song, Mi-Ryeong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 57~65
DOI : 10.7739/jkafn.2012.19.1.057
Purpose: The purpose of this study was to analyze the effects of a health education program to improve knowledge about environmental health and allergy symptoms among elementary school students. Methods: This study has nonequivalent control group pre-post test design. Participants of this study were 60 elementary students (30 experimental and 30 control) who agreed to participate in the study. The education program consisted of information on environmental health and allergies, the atmosphere, indoor environments, food and allergies, and activities with parents. The program was carried out one time (50 minutes) per week during 6 weeks. Knowledge and symptoms of allergies were recorded before and after the program among both groups. The collected data were analyzed by ANCOVA and t-test using SAS program. Results: There was a significant increase in knowledge about allergies in the experimental group compared to the control group, but allergic symptoms were similar in the two groups. Conclusion: These findings suggest that environmental health education programs are effective in the area of school health nursing for increasing knowledge about environmental health and allergies. Further research is needed to develop programs for reducing allergic symptoms as an environment health problem among children.
Effectiveness of web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure
Lee, Sook-Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 66~73
DOI : 10.7739/jkafn.2012.19.1.066
Purpose: This study was done to identify the effectiveness of a web based learning program on self efficacy, knowledge, and competence in measurement of blood pressure in college nursing students. Method: This study was an experimental research study. Data were collected from April 20 to June 1. 2011. The participants were 68 first year nursing students (experimental group 37, control group 31). The collected data were analyzed with the PASW 18.0 program, using
-test, t-test, and Cronbach's
. Results: The mean score for self efficacy in blood pressure measurement in the experimental group was 61.9 and in the control group 60.7. This result was statistically significant (t=3.301, p=.002). The mean score for knowledge of blood pressure measurement in the experimental group was 11.5 and in the control group 10.8. This result was statistically significant (t=2.910, p=.005). But effectiveness of competence in blood pressure measurement was not significant. Conclusion: The study results show that the web based learning program was effective for self efficacy and knowledge in blood pressure measurement but not for competence indicating.-a need to develop strategies to improve competence in blood presessure measurement for these students.
Development of a Comprehensive Self-Management Program Promoting Self Efficacy for Type 2 Diabetic Patients
Park, Ju-Young ; Ko, Il-Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 74~86
DOI : 10.7739/jkafn.2012.19.1.074
Purpose: The purpose of this study was to develop a comprehensive self-management program promoting self efficacy for Type 2 diabetic patients. Methods: The study was a methodological research design in which previous related research was reviewed to develop the comprehensive self-management program promoting self efficacy using self efficacy theory. Results: Comprehensive self-management programs promoting self efficacy included the whole range of eight self-management domains: diet, exercise, medication, self-testing of blood glucose, complication or foot, stress, time, and general health, and consisted of four sources of self efficacy: enactive mastery experience, vicarious experience, verbal persuasion, and physiological and affective states, as strategies to promote self efficacy. Developmental methods included, in addition to large and small group education, individual education or counseling, and telephone counseling. Conclusion: Further studies are needed in community health centers or hospitals to establish the effects on self-management compliance and glycemic control of the comprehensive self-management program promoting self efficacy.
Evaluation of Applications of Adaptation of the Evidence-Based Nursing Practice Guidelines Patients with Acute Stroke
Song, So-Lee ; Cho, Myoung-Sook ; Kim, Ji-Hyun ; Han, Yun-Kyang ; Yan, Hye-Min ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 87~97
DOI : 10.7739/jkafn.2012.19.1.087
Purpose: This study was done to evaluate nursing guidelines for patients with acute stroke, developed by adapting the guidelines of Registered Nurses Association of Ontario, Canada to clinical settings on a large scale and evaluating the effectiveness as a research study. Method: The general characteristics of the 319 patients and the effectiveness of guideline application were evaluated in terms of structure, process, and outcome using questionnaires on the guidelines application with reference to the medical records of patients with acute stroke hospitalized on a ward of the stroke center of S General Hospital in Seoul. Results: Structures as a guidance system for assessment were consistent with the recommendations. With respect to the process of the guidelines, for items on nursing assessment, improved performance was found to be statistically significant. For outcomes of the guidelines, complications occurred in 8 patients (5.3%) prior to application of the guidelines and 11 patients (6.5%) after application of the guidelines, but this result was not statistically significant (p=.841). Conclusion: The results of the study indicate that for the effectiveness of the guidelines, accessibility to the guidelines and effectiveness of quality improvement need to be evaluated, in addition to complications of a stroke.
Gender differences in factors affecting Hwa-byung symptoms with middle-age people
Kim, Nam-Sun ; Lee, Kyu-Eun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 98~108
DOI : 10.7739/jkafn.2012.19.1.098
Purpose: This study was done to examine differences in the factors affecting Hwa-byung symptoms in middle-aged men and women. Method: There search design for this study was a descriptive survey design using a convenience sampling. Data collection was done using self-report questionnaires with 381 middle age people (169 men and 212 women) in Seoul and G city. ANOVA, t-test, Pearson correlation coefficients and stepwise multiple regression were used to analyze the data with SPSS Win 18.0 Program. Results: There were significant differences in Hwa-byung symptoms and life stress between men and women. However anger rumination and mood states were not significantly different by gender. In multiple regression analysis, mood states, religion, and employment were significant predictors and explained 36% of Hwa-byung symptoms for men. In women, mood states, life stress, anger rumination and employment were significant predictors and explained 41% of Hwa-byung symptoms. Conclusion: Findings of this study provide a comprehensive understanding of Hwa-byung symptoms and related factors between men and women in Korea. However, further study with a larger random sample from various living environment is necessary.
The Analysis of Trends and Contents of Nursing Intervention Research for Stroke Patients in Korea
Hong, Myung-Sun ; Jo, Hyun-Sook ; Yom, Young-Hee ; Kim, Geun-Myun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 109~121
DOI : 10.7739/jkafn.2012.19.1.109
Purpose: This study was conducted to provide background information on nursing interventions to further enhance the quality of nursing practice and related professions, based on those performed for stroke patients. Methods: The analysis was performed in light of 84 researches papers on nursing intervention published between 1990 and 2010, and based on NIC(Nursing Interventions Classification) and NOC(Nursing Outcomes Classification). Results: 1. The quasi-experimental design was used as the most primary form of research design across 69 papers that constitute 82% of the total. 2. The number of nursing intervention methods identified throughout 84 research papers was 144. Based on the NIC that 90(62.5%) of those interventions fell into the physiological basic domain while 53(36.8%) belonged to the behavioral domain. 2) Interventions on activity and exercise management, physical comfort promotion, patient education conducted by class level of NIC were 40(27.78%), 34(23.61%), and 31(21.53%) respectively. 3) Outcomes of mobility, psychological well-being, energy maintenance, health & life quality measured by class of NOC among 317 dependent variables 79(24.92%), 64(20.19%), and 63(19.87%) respectively. Conclusion: Most interventions were classified as belonging to few particular domain types, which triggers needs for the development and application of multidisciplinary intervention methods through a more collective approach.
Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection
Gong, Ju ; Kang, Ji-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 1, 2012, Pages 122~133
DOI : 10.7739/jkafn.2012.19.1.122
Purpose: The purpose of this study was to develop a web-based education program on control vancomycin-resistant enterococci (VRE) infections and to identify the effects of the program on knowledge and performance of nursing students. Methods: The web-based VRE infection control education program was developed by using the network-based instructional systems design model. The nursing students in the experimental group could access this web-based education program at any time, and as many times as they wanted, during the clinical training period. Effects were evaluated by assessing knowledge and performance of VRE infection control measures during the clinical training period. Results: The contents of the education program included diagnosis, transmission, and treatment of VRE, contact precautions, hand washing, personal protective equipment, environment management, and quizzes. The lecture portion was filmed in a virtual screen studio using flash animation, video, and sound effects, and it was uploaded on an internet site. The knowledge and performance scores of the experimental group after using the education program were significantly higher than those of the control group. Conclusion: The results suggest that the web-based VRE infection control education program is an effective educational method to enhance knowledge and performance of VRE infection control measures.