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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
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 23, Issue 2 - May 2016
Volume 23, Issue 1 - Feb 2016
Selecting the target year
Nurses' Knowledge and Performance of Pain Management at a General hospital
Han, Ji-Young ; Park, Hyun-Sook ; Jin, Mi-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 6~11
DOI : 10.7739/jkafn.2016.23.1.6
Purpose: This study was done to describe level of knowledge and performance of pain management by nurses in general hospitals. Methods: The study was conducted from August 1 to 28, 2014 with 141 nurses from a general hospital in B city. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, and Pearson correlation coefficient with SPSS 20.0. Results: Average correct response rate for knowledge was 62.7%, indicating poor knowledge of pain management. Mean score for knowledge of pain management was
out of 50(general knowledge about pain
out of 20, knowledge on use of analgesics
out of 20, knowledge on analgesic classification
out of 10). Mean score for performance of pain management was
out of 4. There was significant difference in knowledge of pain management by age. Performance of pain management differed significantly according to age and type of working unit. No significant relationship was found between knowledge and performance of pain management. Conclusion: These findings show that nurses who have good knowledge do not always have good performance of pain management. Therefore, it is necessary to develop new strategies to promote performance as well as continued pain management education to increase ability of nurses to manage pain.
Effects of Lidocaine Patch Application to Decrease Pain and Fear during Blood Sugar Test in Elderly Patients with DM
Kim, Se Young ; Kim, Jin ; No, In Sun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 12~20
DOI : 10.7739/jkafn.2016.23.1.12
Purpose: This study was done to examine the effects of lidocaine patch application to decrease pain and fear during blood sugar testing in elderly patients with DM. Methods: The participants were 56 elderly patients admitted to J geriatric hospital in G city, Korea. Of the elderly patient, 27 were assigned to the experimental group and 29 to the control group. Participants in the experimental group applied a lidocaine patch on the fingertip for 30 minutes before a blood sugar test. The control group applied a plaster on the fingertip. Pain was evaluated using a visual analogue scale and fear using the Procedure Behaviour Check List. The results were compared using paired t-test and t-test. Results: The scores for pain and fear were significantly lower in the experimental group compared to the control group. Conclusion: The lidocaine patch was found to be an effective local anesthetic to relieve pain and fear during blood sugar test in elderly patients with DM without any severe adverse events.
Adaptation Experience of Sleep in New Nurses
Park, Hyoung-Sook ; Ha, Jae-Hyun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 21~31
DOI : 10.7739/jkafn.2016.23.1.21
Purpose: This study is a qualitative research to identify new nurses' adaptation experience to sleep changes. Method: Grounded theory methodology was utilized. Participants were 10 new nurses from one university hospital. The information was collected and analyzed using the grounded theory of Corbin and Strauss'(2008). Results: Through constant comparative analysis, central phenomenon was identified as 'Shaky daily life due to the sleep change'. A core category emerged as 'In the shaky daily life, go grab my position', Causal conditions were 'Heaviness in shift work', 'Not released after getting off work', and 'Body and mind are exhausted'. Context were 'An environment that does not tolerate mistakes' and 'Clogged breathing due to worries'. Intervening factors were 'Support of colleagues', 'Recovery volition in restoration of altered relationships due to sleep'. Action/Interaction Strategies were 'To strive for a good sleep', 'Require a reasonable duty schedule' and 'Find a breakthrough'. Consequences were 'Become the master of shaky daily life' and 'Accepting the life of a nurse'. Conclusion: New nurses experience sleep patterns changes from the hospital shift system. but throughout the process of adaptation, came to accept sleep disorder as part of the life of a nurse.
Development of Resilience Scale for Nurses
Park, Mi Mi ; Park, Jee-Won ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 32~41
DOI : 10.7739/jkafn.2016.23.1.32
Purpose: This study was done to develop a measure resilience in nurses. Method: Forty preliminary items were extracted from a view of the literature on concept analysis and scale development, and from in-depth interviews with nurses. These items were examined for content validity, reliability and validity. The scale was verified with 496 nurses working in three advanced general hospitals located in Seoul and Gyeonggido. Results: Factor analysis resulted in the creation of the final scale, which consisted of 30 items that were grouped into 5 factors: dispositional pattern, relational pattern, situational pattern, philosophical pattern and professional pattern. The explanatory variance was 56.25%. The reliability of the scale was Cronbach's
. Correlation of the scale with the Korean version of the Connor-Davidson Resilience Scale (K-CD-RISC), established its construct and concurrent validity (r=.74, p<.001). Conclusion: The resilience scale for nurses was found to have reliability and validity, and as developed in this study reflects nurses' disposition and was confirmed as a basis for developing and evaluating programs to increase nurses' resilience.
Clinical Competence and Organizational Socialization according to Communication Style of Preceptors as Perceived by New Nurses
Park, Young Choon ; Park, Hyoung Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 42~50
DOI : 10.7739/jkafn.2016.23.1.42
Purpose: The purpose of this study was to examine clinical competence and organizational socialization according to communication style of preceptors as perceived by new nurses. Methods: From May 1 to July 31, 2014, data were collected from 180 new graduated nurses who had been working for 3~12 months in hospitals in Busan and one in Gyungnam. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients. Results: Preceptors's communication style perceived by the new nurses included supportive type, reflective type, emotive type, and directive type in order of precedence. The average score for clinical competence was
, and the average score for organizational socialization was
. There were significant differences in nurses' clinical competence(F=9.087, p<.001) and organizational socialization (F=30.129, p<.001) according to preceptor's communication style. Conclusion: Results indicate that supportive and emotive communication styles of preceptors were important factors in the success of the preceptees' clinical competence and organizational socialization.
Factors Influencing Intention to Use Smart-based Continuing Nurse Education
Kim, Myoung Soo ; Kim, Sungmin ; Jung, Hyun Kyeong ; Kim, Myoung Hee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 51~60
DOI : 10.7739/jkafn.2016.23.1.51
Purpose: There is increasing attention to smart-learning as a new education paradigm. The purpose of this study was to identify the level of intention to use smart-based Continuing Nurse Education (CNE) and factors influencing intention to use smart-based CNE. Methods: Participants were 486 nurses from 14 organizations, including 12 hospitals, a nurses association, and an office of education. Data were collected from November 5 to 18, 2014 using self-report questionnaires. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression. Results: The mean score for intention to use smart-based CNE was 6.34 out of 10. The factors influencing intention to use smart-based CNE were nursing informatics competency, current unit career, and smartphone addiction. These variables explained 10% of variance in intention to use smart-based CNE. Conclusion: The findings of this study suggest that efforts to enhance the nursing informatics competency of nurses could increase usage rate of smart-based CNE. The CNE policy makers will find this study very useful and the findings of this study will help to provide insight into the best way to develop smart-based CNE.
Cognitive Function, Physical Function, Problematic Behaviors of Elders using Dementia Daycare Service and Reasons for Stopping Daycare
Kim, Hwasoon ; Lee, Young Whee ;
Journal of Korean Academy of Fundamentals of Nursing, volume 23, issue 1, 2016, Pages 61~72
DOI : 10.7739/jkafn.2016.23.1.61
Purpose: Purpose of this retrospective study was to investigate cognitive function, physical function, and problematic behaviors of elders who attended dementia daycare centers, and to identify reasons why they stopped using the center. Methods: Participants were 176 elders, 60 years or over, attending one of four dementia daycare centers in Incheon. Data were collected from center documents. Results: Mean age was 80.5 years. When admitted to the centers mean scores for the mini-mental status examination, activity of daily living, and instrumental activity of daily living (IADL) were 12.31, 9.53, and 25.09 respectively. Participants received day care service for an average of 17.98 months. The reasons for leaving the center were worsening dementia and health (40.2%), and problematic behaviors (20.1%). Conclusion: Results show that elders began to use day care services when their cognitive function and IADL had declined considerably. As the ultimate goal of dementia daycare service is to delay the worsening of cognitive capability and decreases in activities daily living, the effect of the service can be maximized when the service is provided as early as possible in the course of progressively severe dementia. Active promotion should be exerted in the community to encourage early use of this service.