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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 9, Issue 3 - Dec 2002
Volume 9, Issue 2 - Aug 2002
Volume 9, Issue 1 - Apr 2002
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An Analysis of Learning Objectives and Test Items in Fundamentals of Nursing in Korea
Kim Kyung-Hee ; Kang Kyu-Suk ; Kim Keum-Soon ; Kim Won-Ock ; Byun Young-Soon ; Shon Young-Hee ; Yang Sun-Hee ; Cho Hyun-Sook ; Sohng Kyeong-Yae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 7~15
Purpose: To analyze the learning objectives and test items for Fundamentals in Nursing which were established between 1999 and 2000 and to develop these items toward a nationwide faculty workshop for national board examination for Korean nurses Results: 1. According to Bloom's taxonomy, learning objectives established in 1999 mainly consisted of two domains, comprehension (56 1%) and knowledge (27.7%). The learning objectives established in 2000, mainly consisted of comprehension (45.2%) and application (25.4%). 2. According to McGuire's taxonomy, domain of test items established in 1999 consisted of recall (66.7%). interpretation (28.0%) and problem solving (4.9%). Domain of test items established in 2000, consisted of recall (65.1%), interpretation (22.0%) and problem solving (12.9%). 3. The proportion of learning objectives in the knowledge and comprehension domains established in 200, decreased from 27.7% to 13.5%, and from 56.1% to 45.2% respectively over that of 1999. But the domain of application Increased from 5.3% to 25.4% over that of 1999. 4. With regard to McGuire's taxonomy, the proportion for the recall and interpretation domains established in 2000 decreased from 66 7% to 65.1%, and from 28.0% to 22.0% respectively. But the proportion for the problem solving domain increased from 4.9% to 12.9% over that of 1999. For type of test items, the proportion of A type established in 2000 decreased from 47.2% to 37 6%, and K type increased from 52.1% to 60.8% over that of 1999. Conclusion: The learning objectives and test items established in 2000 showed remarkable improvement compared to those established in 1999. For better learning objectives and test items in Fundamentals of Nursing, further research is recommended on essential content and standardization of job analysis for national board examination for nurses in Korea.
Effect of Foot Reflexology on Vital Signs, Fatigue and Mood in Cancer Patients receiving Chemotherapy
Won Jong-Soon ; Jeong Ihn-Sook ; Kim Ji-Soo ; Kim Keum-Soon ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 16~26
Purpose: This study was done to investigate the effect of foot reflexology on vital signs, general fatigue, mood and foot fatigue in cancer patients receiving chemotherapy. Method: Data were collected from a convenience sample of 11 patients who were admitted at S and E University Hospital. Changes in systolic blood pressure (SBP), diastolic blood pressure(DBP), pulse rate(PR), general fatigue, mood status, and foot fatigue between pre and post foot reflexology were analyzed using Wilcoxon signed rank test and Friedman test at 0.05 level of significance. Results: There were significant differences in the SBP(p= .009), DBP(p=.014), PR(p=.015), general fatigue (p=.015) mood status(p=.007), and foot fatigue(p= .007) between pre and post foot reflexology. Conclusion: Foot reflexology can improve vital signs, general/foot fatigue and mood status, therefore we recommend to use foot reflexology as an effective nursing intervention in cancer patients receiving chemotherapy.
The Effect of Hand Massage on Pain and Anxiety Related to Chest Tube Removal in Patients with a Lobectomy
Song Yeoung-Suk ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 27~44
The main purpose of this study was to identify the effect of hand massage on pain and anxiety related to chest tube removal in patients with a lobectomy. The research design of this study was a nonequivalent control group non-synchronized design. Of the twenty nine adult subjects, fourteen were assigned to the experimental group and fifteen to the control group. The data were obtained over 3 months from a medical center in Seoul. The instruments used to assess trait state anxiety was the Spielberger Trait-State anxiety Inventory. For pain and psychological anxiety. The Visual Analogue Scale was used. Hiko analogue sphygmo-manometer(2001) was used to check blood pressure and pulse rate as indicators of physiological anxiety Subjects in the experimental group received hand massage for 5 minutes just before chest tube was removed, and subjects assigned to the control group did not receive hand massage. Data were analysed with
-test and Mann-Whitney U test using the SPSSWIN 10.0 program. The results of the study are as follows : 1. Hypothesis 1: 'there will be a significant difference between two groups in the level of pain after chest tube removal' was supported (u = 23.00, p < 0.001). 2. Hypothesis 2: 'there will be a significant difference between the two groups in the level of psychological anxiety after chest tube removal' was supported (u = 3.00, p < 0.001). 3. Hypothesis 3: 'there will be a significant difference between the two groups in physiological anxiety(systolic, diastolic blood pressure and pulse rate) after chest tube removal' was supported(u =55.50, p = 0.01 ; u = 41.50, p = 0.01 ; u = 20.50, p < 0.001, relatively). The findings of this study indicate that hand massage is effective for pain and anxiety related to chest tube removal in patients with lobectomy. Therefore, hand massage is recommended as an effective nursing intervention for relieving pain and anxiety in patients undergoing chest tube removal. Further research is needed to identify the proper duration and timing to achieve the optimal effect of hand massage. A larger subject population is required to apply the current findings to the general population. Further research is also needed to assess the effects of hand massage in other patient subsets. Finally, it would be interesting to see if the effects of hand massaging would be attenuated when performed by a non-medical specialist.
A Study of the Relationship between Facility Satisfaction, Depression and ADL in the Elderly People Residing in Nursing Homes
Byeon Young-Soon ; Lee Jung-In ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 45~55
The purpose of this study was to investigate the relationship between satisfaction with facility, depression and ADL in elderly people residing in nursing homes. Data were collected between April 4 and 16, 2001 using a structured questionnaire which included general characteristics, facility satisfaction, depression and ADL scales. The results of this study are summarized as follows : 1. Depression and ADL showed a significant relationship(r=0.340, p=0.004). 2. ADL and satisfaction with facility also showed a significant relationship(r= 0.401. p=0.001). 3. There was no direct relationship between depression and satisfaction with facility (r=0.133. p=0.269). In conclusion, the following suggestions are made : First there is a need for continuous study on the relationship between satisfaction with facility. depression and ADL in elderly people residing in nursing homes. Second, a wide range of study on elderly people who live in home and stay at hospital in addition to those who reside in nursing homes is required.
Correlation Between Alienation and Depression, Suicidal Ideation and Delinquency in High School Students
Lee Eun-Ju ; Lee Eun-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 56~65
The purpose of this study was to investigate the level of alienation, depression, suicidal ideation and delinquency in high school students and to explore the relationships between the variables. The respondents, 226 students attending a high school located in Chonnam province made up the convenience sample. Data were collected using a structured questionnaire which included the alienation scale, suicidal ideation scale, BDI, and delinquency scale. Data collection was done between June 20 and July 6, 2001. Data were analyzed with the SAS program and included descriptive statistics, t-test, ANOVA and Pearson's correlation coefficients. There were no significant association between alienation and general characteristics of the students. The scores for depression were significantly higher in female students, in students who had recently dropped in their school ranking compared to students who had improved. The scores of suicidal ideation were significantly higher in male students. Also, the scores of delinquency were significantly higher in male students, and students in the high economic class and those with low school rankings. There were significant positive correlations between alienation and other ; alienation and depression (r= .432, p= .000), alienation and suicidal ideation (r= 267. p= 000), and alienation and delinquency (r= 150, p= .024). Findings from this study suggest that subsequent practical study in consideration of Korean sociocultural background is needed to identify the cause of alienation and develop supportive strategies to maintain mental health in high school students. Also, study on alienation of students should be based on family, community and popular culture in combination with improvements in school environment.
The Effectiveness of Standardized Patient Managed Instruction in Teaching Foley Catheterization Skills, Communication Skills and Learning Motivation
Yoo Moon-Sook ; Yoo Il-Young ; Son Youn-Jung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 66~75
The main purpose of this study was to develop and evaluate the effectiveness of the standardized patient method in teaching catherization skills, communication skills and students' learning motivation in undergraduate nursing students. The study employed a quasi-experimental method using a non-equivalent control group post-test design. Data were collected over 2 years from August 2000 to September 2001 with 75 sophomore student nurses in one baccaleureate program. The results are summarized as follows ; The scores in catheterization skills and communication skills were statistically significantly higher in the experimental group than the control group. Learning motivation score were also statistically significantly higher in the experimental group than the control group. In conclusion, this study suggests that a standardized patients managed instruction which emphasize authenticity and contex-tualization is very effective in teaching nursing students, the mastery and application of nursing skills, and the utilizing therapeutic communication skills. It is recommended that more standardized patients cases be developed for wider areas of nursing education and this study be replicated with more students using a longitudinal design.
The Study of Attitude to Passive Euthanasia among Korean Nurses
Kim Ae-Kyung ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 76~85
Purpose: This study has been designed to identify attitudes to euthanasia held by Korean nurses. Method: Data were collected through a survey, and the participants in the study were 234 Korean nurses. Convenience sampling method was used and analysis of the data was done with SPSS PC for descriptive statistics, t-test and ANOVA. Results : 1. The mean score for euthanasia was 2.80. and the sub dimension mean scores were, patients' rights. 3.24, quality of life, 2 78, respect for life, 2.68, medical ethics, 2.50. 2. With respect to the general characteristics of participants there were statistically significant difference in total score according to religion (P= .01), and degree of influence of religion on behavior (P= .00). 3. There were statistically significant difference in score of quality of life according to religion (P= .04), degree of influence of religion on behavior (P= 00), decisions in euthanasia (P=.04), and legal permission (P= .04). 4. There was statistically significant difference in score of patient's right according to legal permission (P = .04). 5 There were statistically significant difference in the score of respect for life according to religion (P= .00), degree of influence of religion on behavior (P= .00), decision in euthnasia (P= .00), and legal permission (P= .00).
A Study on Nursing Needs of Patients in the Recovery Room
Kim Eun-Kyoung ; Chae Soon-Ok ; Kwon Kun-Sook ; Kim Yun-Jeung ; Hong Mun-He ; Kim Me-Hee ; Kim Nam-Sun ; Lee Kyu-Eun ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 86~100
Purpose: The purpose of the study was done to identify the nursing care needs of patients in the recovery room. Method: The subjects in this study were 127 patients in a recovery room between 6/9/2001 and 24/9/2001. The instrument used for this study was the descriptive questionnaire developed by Shin Hyun-Jin (1999). The data was analysed by frequency, percentage, mean, standard deviation, t-test, ANOVA, and factor analysis using the SPSS program. Result: 1) Kaiser - Meyer -O1kin sample appropriateness was 799 and Bartlett's test of sphericity significant probability was .000. 2) The mean score for nursing care need of patients in the recovery room was
of a total possible score of 5. The score of nursing need for different parameters was as follows : Educational need (
), physical need (
), emotional need (
), environmental need (
). 3) Differences in the needs for nursing care according to the demographics were significant for gender, marital status, operation experience, and departments consulted. General characteristic variables significantly related to nursing need were as follows: Physical need significantly related to the departments consulted (F=2.23, p=.036). Educational need significantly related to the marital status (F=2.55. p=.012), departments consulted (F=2.30, p= 031). Emotional need significantly related to the marital status (F=2.22, p=.028). Environmental need significantly related to the gender (t=-2.44, p= .016), marital status (F=2.01, p= .046). operation experience (t=-1.99. p= .048). Conclusion: Nursing care needs of patients in the recovery room are significantly related to educational need, physical need, emotional need and environmental need. Intervention plans and program need to be developed to improve strategies to meet nursing needs of patients in the recovery room.
Clinical Evaluation of the Accuracy of Electronic Home Blood Pressure Measuring Devices
Choo Ji-Na ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 101~112
Purpose: This study evaluated the accuracy of electronic devices compared with mercury sphygmomanometer. Of 132 outpatients with electronic devices. 77 who possessed oscillometric cuff devices participated in this study. Method: When the blood pressure was measured, all electronic devices were connected by means of a Y-connector to a mercury sphygmomanometer. Using the simultaneous same arm approach, each comparison was carried out three times at 2-minute intervals. Results: Compared with the mercury sphygmomanometer, the electronic devices underestimated systolic and diastolic blood pressure, respectively by
, which satisfies the standard error range of the American Association for the Advancement of Medical Instrumentation. According to the British Hypertension Society criteria, these differences achieved C grade for both systolic and diastolic pressure. For the graphical analysis, the differences had a tendency to fulfill the permitted error limits in both diastolic and systolic blood pressure. Moreover, the purchase duration was not correlated with the accuracy of electronic devices. Conclusion: These results indicate that difference in blood pressure between electronic devices and mercury sphygmomanometer is within the standard error. Therefore, electronic blood pressure measuring devices may be useful for therapeutic self-management of hypertension.
A Study on Serum Ferrum, TIBC, and Ferritin's Circadian Rhythm in Normal Adults
Jeong Suk-Heui ; Kim Myung-Ae ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 113~122
Purpose: The purpose of this study was to identify characteristics of serum ferrum, TIBC and ferritin's circadian rhythm in normal adults and to prepare a standard to determine the examination material extraction time. Method: Nine women and ten men made up the convenience sample for this study they were from the staff of D university hospital and students in D medical School located in K city who met the qualifications for inclusion in the sample. The value of serum ferrum, TIBC and circadian rhythm were calculated as follows : First. each variable's amplitude. the acrophase and average were measured for a 24 hour cycle using the cosinor method, and then each person's rhythm was analyzed. Results: There were significant serum iron circadian rhythm for both men and women (p<.05). For the men, mesor was
. amplitude was
, and the acrophase was 9.76 hour. For the women, mesor was
, amplitude was
, and the acrophase was 11.42 hour The rhythm change of TIBC was only significant for the women (p<.05), mesor was 383.39mg/dl, amplitude was 60.29mg/dl. and the acrophase was 14.93hour. As for the circadian rhythm of the ferritin, there are no diurnal variation in either sex, men were between 134.0ng/ml and 137.4ng/ml, and women, between 29.1ng/ml and 30.1ng/ml. Conclusion: To help diagnose the boundary line between normal or deficiency in iron, measurement should be carried out at a fixed time in the morning and evening, or a more proper time would be in the afternoon at the time when the width of amplitude is the least.
Development of a Exercise Intervention Program Based on Stage of Exercise Using the Transtheoretical Model in Patients with Type 2 Diabetes Mellitus
Kim Chun-Ja ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 123~132
Purpose: The purpose of this study was to develop an exercise intervention program based on stage of exercise using the Transtheoretical Model (TTM) for patients with type 2 diabetes mellitus (DM). Method : A methodological research design was used to develop the exercise intervention program based on stage of exercise using TTM. Result: The exercise intervention program consisted of theoretical background and goals of program, assessment tool for stage of change, and an exercise intervention program based on stage of exercise. Details for the exercise and a glossary are included, Conclusion : The exercise intervention based stage of exercise can apply for DM patients who are in any stages properly.
Factors Influencing Health Promoting Behavior in the Elderly People : Perceived Conception of Health and Family Support
Kim Chun-Gill ; Sung Myung-Sook ;
Journal of Korean Academy of Fundamentals of Nursing, volume 9, issue 1, 2002, Pages 133~143
Purpose: The purpose of this study was to describe perceived conception of health, family support and health Promoting behavior; as well as to assess factors that influence health promoting behavior. Method: Study participants were 165 elderly people over the age of 65, living in C city. The instruments were Laffery's health concept scale, the family support scale by Kang, and the health promoting behavior scale by Walker et al. Results : 1. The scores for level of health concept ranged from 28 to 112, and had a mean score of 75.16. The scores for level of family support ranged from 11 to 55, and had a mean score of 41.55. The scores for health promoting behavior ranged from 40 to 160 with mean score of 98.07. For health promoting behavior the participants revealed that the most frequent practices were in nutrition, and the least frequent, in exercise. 2 Higher levels of health conception and family support were correlated with an improving level of health promoting behavior. 3. The factor most influencing health promoting behavior in elderly people was family support. Family support accounted for 11% of the variance in health promoting behavior. A combination of health conception, education level and dwelling pattern accounted for 23% of the variance in health promoting behavior. Conclusion : Perceived health conception and family support were identified as important variables for health promoting behavior in elderly people.