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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
Effects of Postoperative Oral Care Using Cold Therapy on Nausea, Vomiting and Oral Discomfort in Patients with Laparoscopic Myomectomy
Jung, Mi-Young ; Choi, Hyo-Sun ; Park, Kyung-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 292~301
DOI : 10.7739/jkafn.2012.19.3.292
Purpose: The purpose of the study was to evaluate the effects of postoperative oral care using cold therapy on nausea, vomiting and oral discomfort after laparoscopic myomectomy. Method: The study was conducted with an experimental group (n=29) and a control group (n=35) sampled from patients admitted to a women's hospital in a metropolitan city in Korea. Data were collected between October 10, 2011 and January 31, 2012 and analyzed using Chi-square, Fisher's exact test, t-test, and repeated measure ANCOVA with SPSS/WIN 19.0. Results: After the intervention, postoperative nausea (p<.001) and oral discomfort for patients in the experimental group were significantly lower than in the control group. There were significant differences in the presence of vomiting between both groups at 12 hours (p<.001) and 24 hours (p=.003) after leaving the recovery room. Conclusion: Oral care using cold therapy was found to be an effective nursing intervention for reducing postoperative nausea, vomiting and oral discomfort up to 24 hours after recovery in patients with laparoscopic myomectomy.
Factors Influencing Compliance with Standard Precautions in Intensive Care Unit and Emergency Room Nurses
Lee, Kyung-Ah ; Kim, Hwa-Soon ; Lee, Young-Whee ; Ham, Ok-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 302~312
DOI : 10.7739/jkafn.2012.19.3.302
Purpose: The purpose of this study was to investigate the level of knowledge, attitude and compliance with standard precautions and to identify predicting factors of compliance with standard precautions in ICU and ER nurses. Methods: The participants were 228 ICU and ER nurses working in one of three university hospitals and one general hospital. Collected data included general characteristics, features related to infection risk, and knowledge, attitude and compliance with standard precautions. For the final analysis, 218 questionnaires were used. Results: Within the previous one year, 103 (47.3%) nurses experienced pricking injury from syringe needles or other sharp materials, 111 (50.9%) nurses reported exposure to patients' blood and body fluid. In general, the scores for knowledge, attitude and compliance were all high. Compliance scores for nurses in intensive care units were significantly higher than those of nurses in emergency. There were significant correlations of knowledge, attitude, and compliance with standard precautions. Attitude and work place were significant factors predicting compliance with standard precautions. Conclusion: The results indicate that to increase nurse's compliance with standard precautions, continuous efforts to enhance positive attitudes and at the same time, improve work environments and use individualized approaches based on the work units are needed.
Influences of Perceived Behavior Control and Self-efficacy on Proper Hand Cleansing and Hand Washing Practices among Pre-practicum Nursing Students
Park, Kyung-Yeon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 313~321
DOI : 10.7739/jkafn.2012.19.3.313
Purpose: The purpose of the study was to investigate hand washing practice and proper hand cleansing among first and second year nursing students who are prone to be exposed to nosocomial infections, and to identify the influence of perceived behavior control and self-efficacy on hand washing practices and proper hand cleansing. Method: Data for 91 students were collected from a nursing college in a metropolitan city in Korea. Data were analyzed using descriptive, t-test, one way ANOVA, Pearson correlation coefficient, and multiple regression with SPSS/WIN 19.0. Result: The mean score for hand washing practice was 38.35 out of a possible score of 48, and the mean sore for proper hand cleansing was 18.63 out of a possible score of 28. The significant factors affecting student hand washing practice were 'residential type' (p=.016), 'perceived behavior control' (p=.021), and 'self-efficacy' (p=.033) which explained 19.9% of the variance. The significant factors affecting proper hand cleansing by the students were 'perceived behavior control' (p<.001) and 'regular exercise' (p=.026) which explained 29.8% of the variance. Conclusion: These results indicate a need for education programs on hand washing including strategies to improve perceived behavior control and self-efficacy to promote more effective hand washing practices.
The Development and Evaluation of a New Educational Program, Introduction to Clinical Nursing, for Third Year Nursing Students
Song, Kyung-Ae ; Park, Hyun-Jung ; Yeom, Hye-A ; Lee, Jong-Eun ; Joo, Ga-Eul ; Kim, Hee-Ju ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 322~333
DOI : 10.7739/jkafn.2012.19.3.322
Purpose: The purpose of this study was to evaluate the effects of a newly developed Introduction to Clinical Nursing (ICN) program on critical thinking skills, communication competence, self-efficacy, and clinical performance self-confidence in nursing students in their third year. Methods: One group pre-test and post-test design was used with three data collection time points (pre-test, post-test1 and post-test2). Participants were 74 third year nursing students approaching their first clinical practicum. The new program included (a) simulated clinical encounters regarding situations of assessing hospitalized patents and caring for patients with oxygenation needs, (b) objective structured clinical examination of skills, (c) lectures, and (e) field trips. Data were analyzed using paired t-tests. Results: After the ICN course, critical thinking skills(significant only between pretest and post-test2), communication competence, and clinical performance self-confidence improved significantly (p<.05). There was no improvement in the self-efficacy total score but there was significant improvement in the subscale, self-regulatory efficacy. Conclusions: The study results indicate that the ICN course may be effective in increasing critical thinking skills, communication competence, and clinical performance self-confidence in nursing students. However, the effect size was very small and modifications of this program should be considered to develop more cost-effective educational programs.
Academic Achievement, Self-directed Learning, and Critical Thinking Disposition According to Learning Styles of Nursing Students
Yang, Sun-Hee ; Ha, Eun-Ho ; Lee, Og-Cheol ; Sim, In-Ok ; Park, Young-Mi ; Nam, Hyun-A ; Kim, Jeong-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 334~342
DOI : 10.7739/jkafn.2012.19.3.334
Purpose: This descriptive study was done to identify the academic achievement, self-directed learning (SDL), and critical thinking disposition (CTD) of nursing students according to their learning styles. Method: The participants were 240 nursing students. Data were collected using structured questionnaires which included Kolb's Learning Style Inventory, Academic Achievement in Fundamental Nursing and Health Assessment, Self Directed Learning Readiness Scale, and California Critical Thinking Disposition Inventory. Data were analyzed using
test, ANOVA, Pearson' correlation coefficients, and Spearman rank correlation coefficient. Results: One third of respondents were shown to be Convergers in their learning style (33.3%). The Academic Achievement of students who were Convergers was significantly higher than those who were Divergers or Accommodators (F=5.95, p=.001). The SDL and CTD of students who were Convergers were significantly higher than Divergers and Assimilators (F=9.67, p<.001 and F=8.42, p<.001). No significant correlations were found between Academic Achievement and SDL or CTD, but a statistically significant positive correlation was found between SDL and CTD (r=.68, p<.001). Conclusion: The findings of this study indicate that learning style influences academic achievement, SDL and CTD.
A Structural Equation Model on Health Behavior Adherence for Elders with Prehypertension: Based on Self-Determination Theory
Lee, Eun-Ha ; Park, Jee-Won ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 343~352
DOI : 10.7739/jkafn.2012.19.3.343
Purpose: The purpose of this study was to develop and test a hypothetical model which explains health behavior adherence in elderly people with prehypertension. The model was based on self-determination theory (SDT). Methods: Data were collected from June 21 to July 15, 2010, using self-report questionnaires. The participants were 140 elders with prehypertension who lived in D Metropolitan City. Collected data were analyzed using PASW 18.0 for descriptive statistics and correlation analysis and AMOS 5.0 for covariance structure analysis. Results: It appeared that the overall fit index was good with a
score of 13.23 (p<0.05), GFI of 0.97, AGFI of 0.79 and RMR of 0.28 in the modified model. The results revealed that significant main effects of both health provider's autonomy support and autonomous motivations were found on the measure of health behavior adherence. These factors explained 72% of variance in the participants, health behavior adherence. Conclusion: The overall findings may provide useful assistance in developing effective motivation-enhanced programs for health behavior adherence.
Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients
Jeong, Young-Min ; Kim, Mi-Young ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 353~362
DOI : 10.7739/jkafn.2012.19.3.353
Purpose: The objective of this study was to examine the correlation between HbA1C, self-care behavior, and quality of life among depressed and non-depressed patients with type II diabetes Methods: Data were collected between May 26 and July 5, 2011 using a questionnaire. The questionnaire included depression (CES-D), self-care behavior and quality of life. Hemoglobin A1C was ed from medical records. Data were analyzed by descriptive statistics, t-test,
-test, ANCOVA and Pearson's correlation coefficient. Results: In this study sample (n=301), 20.9% of diabetic patients (n=69) were depressed. After adjustment for relevant covariates, depressed patients showed to have lower self-care behavior (2.8 vs 3.4, p<.001) and quality of life (2.8 vs 3.5, p<.001) scores, but the difference in HbA1C was no longer significant. Conclusion: This study suggests that the assessment and intervention for depressed diabetic patients can result in effective self-care behavior, which accordingly leads to improvement of the quality of life.
Comparison of Factors Affecting Nursing Professionalism Perceived by Nursing Students Anticipating Graduation According to Nursing Educational System
Ham, Youn-Suk ; Kim, Hwa-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 363~373
DOI : 10.7739/jkafn.2012.19.3.363
Purpose: The purpose of this study was to compare nursing professionalism between diploma students and bachelor students and to identify differences in factors affecting nursing professionalism according to nursing educational system. Methods: The participants were 462 nursing students who had completed all clinical practicum courses. Of these students, 255 were from one of 2 diploma degree colleges and 207 were from one of 3 bachelor degree universities. Collected data included general characteristics, professionalism, nursing image, self-efficacy, satisfaction with nursing as a major, and satisfaction with clinical practice. Results: Age, religion, grade point average, motivation for admission, nursing professionalism and satisfaction with clinical practice were significantly different between diploma and bachelor students. Image of nurse, satisfaction with nursing as a major and satisfaction with clinical practice were common factors influencing nursing professionalism in both groups. Self-efficacy was a significant factor only for diploma degree students and religion was a significant factor only for bachelor degree students. Conclusion: For more positive nursing professionalism by students, more attention should be paid to enhancing positive nurse images, satisfaction with nursing as a major and satisfaction with clinical practice during the students' period of study.
Effects of Family Function and Depression on Impulsive Behavior in Adolescents
Lee, Hea-Shoon ; Oak, Ji-Won ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 374~382
DOI : 10.7739/jkafn.2012.19.3.374
Purpose: The study was done to influence of family function and degree of depression on impulsive behavior in adolescents. Method: Using convenience sampling 780 adolescents were recruited from October 29 and November 9, 2011. Data were collected using self-report questionnaires which included items on general characteristics, family function, depression, and impulsive behavior. Data were analyzed using t-test, ANOVA, Scheffe test, Pearson Correlation Coefficient, and hierarchical regression analysis. Results: The major findings of this study were as follow; 1) There was a significant negative relationship between family function and impulsive behavior (r=-.236, p<.001) and a positive relationship between depression and impulsive behavior (r=.342, p<.001). 2) Factors with a significant negative association with impulsive behavior were higher school records (
=-.112, p<.001) and family function: positive resolution of family problems (
=-.213, p=.008), while a significant positive association was found for unsatisfactory school life (
=.103, p=.016), family function: emotional reactivity (
=.159, p=.028), and depression (
=.301, p<.001). These variables explained 20.1% of variance for impulsive behavior. Conclusion: The results of this study identify a relationship between family function, depression, and impulsive behavior in adolescents indicating variables to be addressed to reduce impulsive behavior. These variables can be used in developing intervention programs.
Trends in Research Studies Published in Journal of Korean Academy of Fundamentals of Nursing: 2009-2011
Kim, Kyung-Hee ; Chang, Sung-Ok ; Kang, Hyun-Sook ; Kim, Keum-Soon ; Kim, Jong-Im ; Kim, Hwa-Soon ; Park, Jin-Hee ; Eom, Mi-Ran ; Won, Jong-Soon ; Youn, Mi-Sun ; Lee, Og-Cheol ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 3, 2012, Pages 383~391
DOI : 10.7739/jkafn.2012.19.3.383
Purpose: The purpose of this study was to identify the trends in research studies published in Journal of Korean Academy of Fundamentals of Nursing from 2009 to 2011. Methods: A total of 156 studies published between 2009 and 2011 were reviewed using analysis criteria developed by the researchers. Results: Quantitative studies accounted for 90.4% and qualitative studies, 8.3%. The research designs for the quantitative studies were experimental, 28.0% and survey, 63.8%. IRB approval was received for only 25.6% of the studies and 61.0% of studies presented participant criteria. Questionnaires were used for data collection in 90.8% of studies. Individual or group education was the most frequent intervention in the experimental studies. Conclusion: The results indicate that more randomized controlled trials with a low risk of bias are needed to support greater evidence-based nursing practice. Considering the low rate of ethical consideration, it is important that stricter application of research methods needs to be encouraged to improve the quality of Journal of Korean Academy of Fundamentals of Nursing.