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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 21, Issue 4 - Nov 2014
Volume 21, Issue 3 - Aug 2014
Volume 21, Issue 2 - May 2014
Volume 21, Issue 1 - Feb 2014
Selecting the target year
Factors Influencing Eating Problems among Korean University Women
Byun, Yongsoon ; Lee, Nan Hee ; Lee, Kyunghee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 362~369
DOI : 10.7739/jkafn.2014.21.4.362
Purpose: The purpose of the study was to investigate factors that influence university women with eating problems. Methods: Study participants were 307 women from two universities. Self-report questionnaires which included items on eating problems, satisfaction with body shape, self-esteem, body mass index, and weight control methods were used. Data were analyzed using independent t-tests,
tests, and a multiple binary logistic regression. Results: About 20% of the undergraduate women were experiencing eating problems. The problematic eating group showed more dissatisfaction with body shape than the normal eating group, and used more diets, fasting, diet-products, and uretics/laxatives to control body weight. Significant predictors for the problematic eating group were diets, diet-products, BMI, self-esteem and dissatisfaction with body shape. The strongest predictors were diets; risk for women university students who had been on a diet was 15 times higher than their counterparts. Conclusion: It is pertinent for health professionals to start intervention programs to educate university women with eating problems. The contents should include information on healthy weight control methods, improving satisfaction with body shape and self esteem, as well as creating social atmosphere about healthy body shape for women.
Time for Young Adults to Reach Resting Blood Pressure after Walking as measured by an Automatic and a Mercury Sphygmomanometer
Choi, Min-Jung ; Sohng, Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 370~379
DOI : 10.7739/jkafn.2014.21.4.370
Purpose: The purpose of this study was to identify the time for young adults to reach resting blood pressure after walking as measured by an automatic and a mercury sphygmomanometer. Methods: Participants were 33 nursing students in their 20s. Blood pressure after walking was measured every minute on both arms simultaneously for a total of 6 times after walking for 12 minutes on a treadmill at ratings of perceived exertion (RPE) of 11. Data were analyzed using paired t-test, Bland-Altman plots and repeated measures ANOVA. Results: Systolic blood pressure after walking was the same as measurements corresponding to resting blood pressure after 3 minutes of resting if measured with the automatic sphygmomanometer and 4 minutes of resting if measured with the mercury sphygmomanometer. Conclusions: In order to measure the resting blood pressure for healthy young adults who performed low-density walking for 12 minutes on flat land, the measurement needs to be made after a resting time of at least 3 minutes in the case of an automatic sphygmomanometer and 4 minutes in the case of a mercury sphygmomanometer.
Perception of the Patient Safety Risk Factors and Safety Management by Nurses in Emergency Service, Hospitals
Yun, Jung MI ; Park, Hyoung Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 380~391
DOI : 10.7739/jkafn.2014.21.4.380
Purpose: This was a descriptive research study to examine the patient safety risk factors and the level of safety management of nurses in emergency service, hospitals and to analyze the relationship between the two factors. Method: Data for analysis were collected from 232 nurses in emergency service, hospitals in Busan and Gyeongnam from July 30 to September 7, 2013. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficients. Results: Therapeutic agents showed the highest risk level. The prevention of transfusion errors showed the highest performance. As the nurses were working in regional emergency medical centers and received education more than 7 sessions on patient safety, they readily recognized the riskiness of the safety risk factors. In addition, as the nurses were older than 40, married, having more education about safety and understood the incident report registration system well, they performed safety management better. There were significant correlations between perception of the patient safety risk factors and performance for safety management. Conclusion: Nurses in emergency service, hospitals should try to improve safety management to reduce the risk factors shown to be higher based on the results and ensure the patient safety.
Actual Disinfection and Sterilization Control in Korean Healthcare Facilities
Jeong, Sun Young ; Choi, Jeong Hwa ; Kim, Eun Kyoung ; Kim, Su Mi ; Son, Hee ; Cho, Nan Hyoung ; Choi, Ji Youn ; Park, Eun Suk ; Park, Jin Hee ; Lee, Ji Young ; Choi, Soon Im ; Woo, Jin Ha ; Kim, Og Son ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 392~402
DOI : 10.7739/jkafn.2014.21.4.392
Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities. Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics,
test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0. Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10. Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.
Association of Sleep Characteristics with Medication Errors for Shift Work Nurses in Intensive Care Units
Yi, Young Hee ; Choi, Su Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 403~412
DOI : 10.7739/jkafn.2014.21.4.403
Purpose: Shift work disrupts the synchronization between the human biological clock and the environment. Sleep disturbances are common for shift work nurses, and may threaten patient safety. This study was done to investigate the sleep characteristics and medication errors (ME) of intensive care unit (ICU) nurses who work shifts, and ascertain if there is an association between these factors. Methods: Data were collected using a self-report questionnaire from 126 ICU nurses on three shifts. Collected data included their sleep characteristics including sleep patterns and sleep disturbances, and ME for the past 2 weeks. Results: There were significant differences in sleep duration and sleep latency according to shift. Day shift nurses had the shortest sleep duration, and their sleep latency was the longest (about 49 minutes) compared to nurses on evening and night shifts; 54% reported sleep disturbances, 16% experienced ME, and among these nurses 50% were on the night shift. Logistic regression analysis revealed significant associations between nurses' sleep duration and ME (adjusted OR 0.52 [95% CI 0.32-0.85]). Conclusions: The results confirmed that shift work nurses in the ICUs experience sleep disturbance, and that less sleep is associated with ME.
Nutrition-Related Factors Predicted Pressure Ulcers in Intensive Care Unit Patients
Lee, Ha Nee ; Park, Jeong Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 413~422
DOI : 10.7739/jkafn.2014.21.4.413
Purpose: The purpose of this study was to identify the nutrition-related factors influencing the prevalence of pressure ulcers among patients admitted to an intensive care unit. Methods: Research participants were 112 patients who were admitted to the ICU of a university hospital. Data were collected through questionnaires which included general characteristics, diet-related characteristics, nutritional status, and pressure ulcer status. Multivariate logistic regression was used to identify independent factors association with prevalence of pressure ulcer Results: The prevalence of pressure ulcers was 58 patients (51.8%) at 10th day after ICU admission. In multivariate analysis, prevalence of pressure ulcers at 10th day in ICU was significantly higher in the nutritional risk group (OR=6.43), malnutrition group (OR=88.02), and deceased serum albumin group (OR=28.83). Conclusion: The results of this research indicate that scores on MNA (Mini Nutritional Assessment) and serum albumin were significant predictors of pressure ulcer prevalence in ICU patients. Therefore, regular MNA-SF and albumin checkups are needed to identify risk for pressure ulcer for ICU patients. In the case of decreased MNA-SF scores and serum albumin levels, more intensive pressure ulcer care is needed for ICU patients.
Effectiveness of Deep Breathing Exercise for Postoperative Pulmonary Complications Prevention: A Systematic Review
Lee, Worlsook ; Yang, You Lee ; Oh, Eui Geum ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 423~432
DOI : 10.7739/jkafn.2014.21.4.423
Purpose: This study was done to evaluate effectiveness of deep breathing exercise as a postoperative intervention to prevent pulmonary complications. Methods: A search of databases from 1990 to 2012 was done including MEDLINE, EMBASE, CINAHL, Cochrane Library and eight Korean databases. Ten studies met eligibility criteria. Researchers trained in systematic review, independently assessed the methodological quality of selected studies using the Cochrane's risk of bias tool. Data were analyzed using RevMan 5.2 program. Results: Among ten RCTs in four studies, deep breathing exercise was compared with an instrument using interventions such as incentive spirometry, in the other four studies deep breathing exercise was compared with non-intervention, and in last two studies bundles of interventions including coughing and early ambulation were assessed. A significant difference was found between deep breathing exercise group and non-intervention group. The odds ratio (OR) of occurrence of pulmonary complications for deep breathing exercise versus non-intervention was 0.30. However, there was no significant difference between deep breathing exercise group and incentive spirometry group (OR=1.22). Conclusion: Deep breathing exercise is vital to improving cost-effectiveness and efficiency of patient care in preventing postoperative pulmonary complications. For evidence-based nursing, standardized guidelines for deep breathing in postoperative care should be further studied.
Multiple intelligences and critical thinking disposition in nursing students
Hwang, Eunhee ; Shin, Su Jin ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 433~445
DOI : 10.7739/jkafn.2014.21.4.433
Purpose: This study was conducted to examine relationships between critical thinking disposition and multiple intelligences. Method: Participants were nursing students (N=186) who completed a questionnaire assessing critical thinking disposition and multiple intelligences. Data were analyzed using descriptive statistics, t-test, analysis of variance with post hoc comparison, and Pearson correlation coefficients. Results: For type of multiple intelligences, 32.9% of students had the strongest fit for "interpersonal intelligence" type and 20.1% for "intrapersonal intelligence" type. Mean score for critical thinking disposition was
. Factors related to critical thinking disposition were participation in club activities (F=5.962, p=.001) with a representative role in the club (t=2.140, p=.034). There were significant differences in interpersonal intelligence scores by personality traits (t=2.445, p=.015), participation in club activities (F=10.003, p<.001), and friendship (t=2.539, p=.012); and significant differences in intrapersonal intelligence scores by participation in club activities (F=3.862, p=.010), having a representative role in the club (t=2.101, p=.037), and friendship (t=2.220, p=.029). Conclusion: Results indicate that critical thinking disposition is significantly associated with multiple intelligences and suggest that multiple intelligences should be considered to enhance critical thinking disposition when tailored teaching is adopted in nursing education.
A Preliminary Study on the Standardization of Fundamental Nursing Practice Education
Chang, Sung Ok ; Won, Jong Soon ; Park, Jin Hee ; Lee, Hea Shoon ; Park, Hyoung Sook ; Lim, Sun Young ; Song, Mi Ryeong ; Paik, Hoon Jung ; Kim, Kyung Hee ; Sohng, Kyeong-Yae ; Lim, Se Hyun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 446~456
DOI : 10.7739/jkafn.2014.21.4.446
Purpose: Purpose: This study was undertaken to develop directions for research on nursing practice education and also for standardization of contents of Fundamental Nursing Practice (FNP) by identifying and analyzing the present content and inconsistency in FNP textbooks. Method: Eleven FNP textbooks published between 2007 and 2013 were selected and itemized nursing contents were compared and analyzed. Nursing professors and practicingnurses prioritized contents identified from an actual condition survey based on theoretical reason and clinical guides for each item. Results: Inconsistencies were found for 34 domains with 219 sub items and of them, 21 domains and 84 items needed to be standardized. Number of items that showed consistency between professors and nurses (
) was 29 (34.5%) and for complete consistency (ICC=1), 4 (4.8%). Number of items that showed inconsistency between the groups (ICC<.600) was 30 (35.7%) and very low consistency (ICC=0), 10 (11.9%). Conclusion: The results indicate a difference between understood validity of content by professors and by nurses and technical differences among FNP textbooks. Therefore confirmation of the items needing to be standardized and differences in understanding content by professors and by nurses shows a need for standardization of practice education between course and clinical practice. These results provide basic data for developing standardized form of FNP education.
Factors Associated with Intention to receive Human Papillomavirus Vaccine in Undergraduate Women: An Application of the Theory of Planned Behavior
Lee, Kyu Eun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 457~465
DOI : 10.7739/jkafn.2014.21.4.457
Purpose: The purpose of this study was to apply Ajzen's theory of planned behavior to identify factors that affect undergraduate women's decisions to receive human papillomavirus(HPV) vaccination. Method: The research design for this study was a descriptive survey design using convenience sampling. Data collection was done using self-report questionnaires with 254 undergraduate students in G city. Data were analyzed using percentage, mean, standard deviation, t-test, ANOVA, Mann-Whitney U test, Pearson correlation analysis and multiple regression with the SPSS Win 20.0 Program. Results: The mean score of intention to receive HPV vaccine was
out of a possible 7. Intention to receive HPV vaccine showed a significantly positive correlation with attitudes (r=.26, p<.001), subjective norm (r=.51, p<.001), perceived behavior control (r=.41, p<.001) to receive HPV vaccination. In the multiple regression analysis, subjective norm and perceived behavior control to receive HPV vaccine were significant predictors and explained 33.7% of intention to receive HPV vaccine. Conclusion: Results of this study show that there are significant factors affecting the intention of undergraduate women to receive HPV vaccination. Also, strategies emphasizing subjective norm and perceived behavior control in obtaining HPV vaccination should be taken into account in developing educational programs.
The Relationship between Emotional Intelligence and Stress Coping of Nurses
Park, Hyoung-Sook ; Ha, Jae-Hyun ; Lee, Mee-Hun ; Lee, Hyun-Ju ;
Journal of Korean Academy of Fundamentals of Nursing, volume 21, issue 4, 2014, Pages 466~474
DOI : 10.7739/jkafn.2014.21.4.466
Purpose: The purpose of this study was to identify the relationship between emotional intelligence and stress coping of nurses in hospitals. Method: The study was a descriptive-correlational study with a convenience sample of 298 nurses. Descriptive statistics t-test, Mann-Whitney U, One-way ANOVA and Pearson correlation coefficients were used for data analysis. Results: The results of this study were as follows; Emotional intelligence was higher in married nurses than unmarried nurses (t=-2.90, p=.004). Nurses with a clinical career of 4~7 years had better stress coping than nurses with shorter careers (F=5.60, p=.004). Ward nurses better stress coping than nurses in emergency rooms and Intensive care units (F=4.43, p=.013). Fixed shift nurses had better stress coping than nurses on rotation shifts (t=-2.37, p=.019). There was a significant positive correlation between emotional intelligence and stress coping(r=.29, p<.001). Conclusion: The results indicate that stress coping is better in nurses with higher emotional intelligence, 4~7 year clinical experience, working on ward a as well as having a fixed shift. However further development and application of programs which can improve nurses' emotional intelligence are needed.