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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 the BeHaS Exercise Program on Hand strength, Depression and Life Satisfaction in Institutionalized Elders with CVA
Seo, Eun Hui ; Park, Seon Il ; Kim, Jong Im ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 416~424
DOI : 10.7739/jkafn.2012.19.4.416
Purpose: This study was done to identify the effects of the BeHaS exercise program consisting of exercise, education, and cognitive supports on the hand strength, depression and life satisfaction in institutionalized elderly people with CVA. Method: A quasi-experimental design with an experimental group (n=18) and a control group (n=18) was used. The elders in the experimental group participated in the program once a week for eight weeks. Data were analyzed using descriptive statistics, Chi-square and t-test with SPSS/Win 18.0. Results: Hypothesis 1 was supported as the hand strength of the elders in experimental group significantly increased compared to those in the control group. Hypothesis 2 was also supported as depression scores for elders in the experimental group significantly decreased compared to those in the control group. Hypothesis 3 was supported as life satisfaction scores for elders in the experimental group significantly increased compared to those in the control group. Conclusion: The results of this study indicate that the BeHaS exercise program can play a useful role in improving depression and life satisfaction in institutionalized elderly people with CVA.
Sleep Patterns and Factors Associated with Excessive Daytime Sleepiness in University Students
Yi, Hyeryeon ; Shin, Mee-Kyung ; Won, Jongsoon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 425~433
DOI : 10.7739/jkafn.2012.19.4.425
Purpose: The purpose of this study was to investigate sleep patterns and predictors of excessive daytime sleepiness (EDS) in university students. Methods: Participants were 120 university students who were attending two universities in S-city and C-city. Data were collected from May 20 to June 15, 2012 using self-report questionnaires which included Johns' Epworth Sleepiness Scale, Yi's Sleep Quality Scale, and Beck Depression Inventory. Data were digitalized and analyzed using frequency, percentages, means and standard deviations, Wilcoxon rank sum test, Chi-square test, Fisher's exact test, and multiple logistic regression with SAS 9.0. Results: Mean total sleep time was 6.6 hours on weekdays, 8.1 hours on weekends. Mean sleep latency was 19.1 minutes and the score for mean sleep quality was 22.6. Prevalence of EDS was 12.5%. Depression was significantly different between EDS and Non-EDS students (t=2.17, p=.030). Multiple logistic regression showed that the only factor associated with EDS was depression (adjusted odds ratio of depression=5.33, 95% Confidence Interval=1.49-19.04). Conclusion: Results of this study indicate that university students experience short sleep time, low sleep quality, and common EDS with depression, suggesting that students with complaints of EDS should be completely assessed for depression as well as sleep problems.
Measurement of nursing students' sleep using by an automated wireless sleep tracker and subjective sleep scales
Kim, Mi Jong ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 434~443
DOI : 10.7739/jkafn.2012.19.4.434
Purpose: This study was conducted to investigate sleep patterns in nursing students as measured by an automated wireless sleep tracker and self-reported sleep scales. Methods: Data were collected from October, 2011 to May, 2012. ZQ (a symbolic number that measures the quality and quantity of sleep) was calculated from the automated wireless sleep tracker. Pittsburgh Sleep Quality Index-Korean version, Sleep scale A, and sleep satisfaction were used as self-report sleep scales. Female nursing college students (n=37) were recruited by convenience sampling. Before going to bed, they were asked to put on a head-band type sleeping sensor and to move it the next morning. Every student slept 2~4 nights with the sleep tracker. Data were collected for 86 (91.4%) of 94 nights' sleep. The students were also requested to fill in the PSQI-K, sleep scale A, and sleep satisfaction. Results: The only statistically significant correlation was between ZQ and sleep satisfaction (r=.869, p=.026). The biggest obstacle in using this device was putting on the head-band type sensor. Conclusion: Validity of the wireless sleep tracker was verified in part. The usefulness of this device in nursing research and practice was identified. Further evaluation need to be conducted with various populations.
Predictive Effects of Previous Fall History on Accuracy of Fall Risk Assessment Tool in Acute Care Settings
Park, Ihn Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 444~452
DOI : 10.7739/jkafn.2012.19.4.444
Purpose: To explore the usefulness of previous fall history as a triage variable for inpatients. Methods: Medical records of 21,382 patients, admitted to medical units of one tertiary hospital, were analyzed retrospectively. Inpatient falls were identified from the hospital's self-report system. Non-falls in 1,125 patients were selected by a stratified matching sampling with 125 patients with falls (0.59%). A comparative and predictive accuracy analysis was conducted to describe differences between the two groups with and without a history of falls. Logistic regression was used to measure the effect size of the fall history. Results: The fall history group showed higher prevalence by 9 fold than the non-fall history group. The relationships between falls and relevant variables which were significant in the non-fall history group, were not significant for the fall history group. Falls in the fall history group were 25 times more likely than in the non-fall group. Predictive accuracy of the risk assessment tool showed almost zero specificity in the fall history group. Conclusion: The presence of fall history, the fall prevalence, variables relevant to falls, and the accuracy of the risk tool were different, which support the usefulness of the fall history as a triage variable.
Impact of Nurses' Job Satisfaction and Organizational Commitment on Patient Safety Management Activities in Tertiary Hospitals
Gong, Hyun Hee ; Son, Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 453~462
DOI : 10.7739/jkafn.2012.19.4.453
Purpose: The purpose of this study was to examine the impact of job satisfaction and organizational commitment on patient safety management activities of nurses. Methods: A cross-sectional design was adopted. The sample included 307 nurses working in three tertiary university hospitals. Data were collected during November and December, 2012, with a response rate of 93%. A 40-item patient safety management activities scale was used to measure patient safety activities. Job satisfaction and organizational commitment were also measured with established instruments and included general characteristics. Data were analyzed with PASW 18.0 program. Results: The mean score for patient safety management activities was 3.98 out of 5. Stepwise multiple linear regression indicated that organizational commitment (
=.20, p<.001) and job satisfaction (
=.18, p=.013) respectively predicted patient safety management activities. Especially, the addition of organizational commitment as the strongest predictor of patient safety management activities increased the associated explained variance (
change=.11, p<.001). Conclusion: It is important for managers to create an organizational climate that promotes the organizational commitment and job satisfaction of nurses. Future studies are encouraged to replicate the findings and also to better understand patient safety management activities and personal emotional stability.
Construction of Explanatory Model for Medication Adherence in Older People with Chronic disease
Min, Shin Hong ; Kim, Jong Im ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 463~473
DOI : 10.7739/jkafn.2012.19.4.463
Purpose: The main purpose of this study was to identify factors affecting medication adherence and to develop an explanatory model for medication adherence in elders with chronic disease. Method: Empirical data were collected from 312 older adults with chronic disease and the data collect period was from August 8 to 31, 2011, and were analyzed using SPSS for Windows 19.0 program and confirmatory factor analysis with the structural equation model (SEM) procedure performed with AMOS 19.0 program. Results: Results of this study showed that perceived self-efficacy was the strongest factor influencing medication adherence, and it affected also outcome expectations positively but impediments were negatively influenced by self-efficacy. Outcome expectations and impediments subsequently acted on medication adherence with the same relationship as self-efficacy. In additional results, self-efficacy and medication adherence were further significantly affected by the factors; social support, medication knowledge, and depression. Conclusion: These results show that nursing interventions to promote medication adherence in this population should focus on self-efficacy promotion including social support, education for delivery of medication knowledge, and reduction in depression.
Predictors of Compliance in Hypertensive Patients
Min, Eun Sil ; Hur, Myung-Haeng ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 474~482
DOI : 10.7739/jkafn.2012.19.4.474
Purpose: The purposes of this study were to identify knowledge, health belief and compliance in patients with hypertension and to identify the most important predictors for compliance of hypertensive patient. Method: The participants in this study were 117 patients who were receiving treatment for hypertension at E. university hospital or one of three local clinics in D-city. Data were collected using a knowledge measurement instrument, health belief scale, and an instrument on compliance. Collected data were analyzed using
test, ANOVA, multiple linear regression with PASW statistics 18.0 program. Results: There were statistically significantly positive correlations between knowledge of hypertension and health belief, health belief and compliance. But there was no correlation between knowledge of hypertension and compliance. In the multiple regression analysis, perceived barriers, perceived severity, perceived benefits were significant predictors to explain compliance and accounted for 54.1% of the variance in compliance. Conclusion: The results of the study indicate that health belief and compliance are significantly strongly correlated. Thus it is suggested that nursing interventions to improve compliance should include nursing care plans to increase health belief, perceived severity, perceived benefit and to decrease perceived barrier.
Effects of perceived health status, leisure satisfaction and loneliness on life satisfaction for elderly people
Lee, Kyu Eun ; Yom, Young-Hee ; Han, Jung Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 483~492
DOI : 10.7739/jkafn.2012.19.4.483
Purpose: This study was done to identify the relationship of perceived health status, leisure satisfaction, loneliness and life satisfaction and to identify predictors of life satisfaction for elders. Method: The research design for this study was a descriptive survey design using a convenience sample. Data collection was done using self-report questionnaires with 297 elders from 6 community health practitioner posts. Data were analyzed using ANOVA, t-test, Pearson correlation coefficients and hierarchical multiple regression with the SPSS Win 18.0 Program. Results: Life satisfaction had significant negative correlations with age (r=-.31, p<.001) and loneliness (r=-.73, p<.001), and positive correlations with monthly spending money (r=.44, p<.001), health status (r=.63, p<.001), and leisure satisfaction (r=.62, p<.001). The explained variance for life satisfaction was 72%. Variables of monthly spending money, health status, leisure satisfaction, and loneliness significantly predicted the degree on life satisfaction of these elders. Conclusion: Findings of this study provide a comprehensive understanding of life satisfaction and related factors for elders in Korea. However, further studies with a larger random sample and more detailed research design are necessary.
Influence of Hope, Core beliefs and Social support on Posttraumatic growth in Mothers of Chronically Ill Children
Kim, Mi Young ; Kim, Keum-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 493~502
DOI : 10.7739/jkafn.2012.19.4.493
Purpose: The purpose of this study was to identify the influence of hope, core beliefs, and social support on the posttraumatic growth of mothers with chronically ill children. Methods: In this study, 94 mothers who gave written consent completed the questionnaires between July 21 and July 31, 2012 when they visited a university hospital in Seoul, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression. Results: Hope, core belief and social support had positive correlations with posttraumatic growth. Models including these variables explained 64.8% (F=55.276, p<.001) of the variance for posttraumatic growth. Hope (
=.441, p<.001) was the most influential factor. Conclusion: The findings demonstrate that it is essential for nurses to mediate and facilitate posttraumatic growth of mothers caring for chronically ill children. Furthermore, there is an need to develop and implement new strategies in clinical practice that will result in improvements in posttraumatic growth.
Factors Influencing Turnover Intention in Emergency Department Nurses
Cho, Soo Yeon ; Sung, Mi Hae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 503~510
DOI : 10.7739/jkafn.2012.19.4.503
Purpose: The purpose of this study was to identify the factors influencing emergency department (ED) nurses' turnover intention. Methods: The study was conducted with 241 nurses from ED of 20 general hospitals in Busan. The survey data were collected from May 1 to July 31, 2010 and were analyzed using frequencies, percentages, means, t-test, ANOVA, Pearson correlation coefficient and stepwise multiple regression with the SPSS Win 17.0 program. Results: There were statistically significant differences in turnover intention depending on age, regular change in department, and nursing experiences. A significant positive correlation was found between job stress and turnover intention and a significant negative correlation between organizational commitment and turnover intention. The significant factors influencing turnover intention were regular change in department, job stress, and organizational commitment, which explained about 13.7% of the variance. Conclusion: Considering this results, nursing managers should analyze these main factors which affect turnover intention and create ways to decrease turnover intentions, and thus decrease high turnover intention.
Analysis of Family Function, Self-Efficacy and Self-Leadership in Adolescents
Byeon, Young Soon ; Oak, Ji Won ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 511~518
DOI : 10.7739/jkafn.2012.19.4.511
Purpose: This study was done to identify the relationship of family function, self-efficacy and self-leadership, and to identify factors affecting self-leadership in adolescents. Method: Sampling was done using a convenience sampling method and 779 adolescents were recruited between June 4 and 15, 2012. Data were collected using self-report questionnaires which included general characteristics, family function, self-efficacy and self-leadership. Data were analyzed using descriptive, t-test, one way ANOVA, Scheffe test, Pearson correlation coefficient, and stepwise regression analysis with SPSS/WIN 19.0. Results: The major findings of this study were as follow; 1) There were significant relationships between self-leadership and family function (r=.36, p<.001), and self-efficacy (r=.51, p<.001). 2) Self-leadership was significantly associated with self-efficacy (
=.42, p<.001), family function (
=.20, p<.001), satisfactory relationships with teachers (
=.12, p<.001), experience as a leader (
=.10, p=.001), higher school records (
=.17, p<.001), and medium school records (
=.11, p=.001). These variables explained 40.4% of variance in adolescents' self-leadership. Conclusion: The results of this study indicate that there is a relationship between family function, self-efficacy and self-leadership in adolescents and that in developing intervention programs to promote self-leadership, in adolescents, these variables should be considered.
Factors Influencing Customer Orientation of Nurses
Do, Eun Su ;
Journal of Korean Academy of Fundamentals of Nursing, volume 19, issue 4, 2012, Pages 519~527
DOI : 10.7739/jkafn.2012.19.4.519
This study was done to identify the factors influencing customer orientation of nurses. Method: The participants were 505 nurses who were working in 13 hospitals. Data were collected with structured questionnaires in Feb., 2012, and analyzed using descriptive statistics, t-test, one way-ANOVA, Scheffe test, correlation coefficient, and hierarchical regression with PASW (SPSS) 18.0 program. Result: The average score for internal marketing was 3.07 points, for job satisfaction, 3.06 points, for organizational commitment, 3.25 points, and for customer orientation, 3.53 points. Customer orientation was positively correlated with internal marketing, job satisfaction and organizational commitment. The significant predictors of customer orientation were professionalism, interaction with job satisfaction, affective commitment, continuous commitment to organizational commitment and length of career. These variables had an explanatory power of 45.2%. Conclusions: The study findings suggest that internal marketing, job satisfaction, and organizational commitment should be reinforced to improve the customer orientation of nurses.