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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Journal of Korean Academic Society of Nursing Education
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Journal DOI :
KOREAN ACADEMY SOCIETY OF NURSING EDUCATION
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Volume & Issues
Volume 3, Issue 2 - Dec 1997
Volume 3 - Jun 1997
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A Study for the Nursing Curriculum and educational environment in 3-year college
Kim Sook-Young ; Son Haeng-Mi ; Lee Hong-Ja ; Lee Hwa-In ; Jun Eun-Mi ; Cho Kyung-Mi ; Joo Hye-Joo ; Han Young-Ran ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 125~149
The role of nurses in Korea is undergoing significant change because of the economic development, medical insurance and the change of family structure. It will be predicted that the nurse's role is extended more and more in the 21C. So the nursing curriculum in nursing education is the most important thing to prepare a good quality of nursing. Furthermore qualified curriculum calls for the development of desirable attitudes in nursing students. The purpose of this descriptive study was to collect data which can be used to facilitate the process of encouraging every college to assume greater responsibility for needed curriculum and educational conditions related to preperation of nursing students for various developed society toward 21C. A total sixty one nursing college were surveyed by mail during August and October 1997. Thirty six college(59%) responded. The data was analyzed by using SAS program. The results are as follows : 1) 32 college(88.9%) answered that they have Nursing educational philosophy and goal. 2) Total credits are 136credits, and the students who don't have teacher's course need 128 credits. 3) Nursing essential subjects comprise 84 credits, and nursing clinical practice subjects are 19 credits. 4) 15 colleges(41.7%) have their own hospital for student's clinical practice, 36 college(100%) take the community nursing practice in public health center, 34college(94.4%) take the school health nursing practice. 5 college(13.9%) have industrial nursing practice. 5) 3-year nursing college have 6.4 professor, 3.5 assistent professor, 1.9 and 3.4 full faculty and 7.4 part time faculty. We sugest that 3-year college have to have nursing educational philosophy and goal in terms of nursing educational standard. To improve the quality of nursing education every college should try to increase the number of professor and to contact qualified hospital for students clinical practice.
Perceived noise in patients and discomfort due to noise
Park Hyun-Sook ; Kim Kyung-Hae ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 150~162
The purpose of this study is to examine hospital noise level and discomfort due to noise. The subjects were 156 patients from University hospital in Taegu. The data was collected from April 10 to May 14, 1997. The collected data were analyzed by SPSS program using percentage, paired t-test, ANOVA, and Pearson Correlation Coefficient. The results were as follows ; The mean score of noise level was 1.62. There was no statistically significant difference in noise level between day and night. Patients perceived higher noise in the categories of conversation of visitors, conversation of care providers, noise of air conditioners, and the conversation of nearby patients than others during the day. Patients perceived higher noise in the categories of noise of air conditioners, conversation of visitors, conversation of care providers, and telephone ringing than others during the night. There were no statistically significant differences in noise level among the 4 wards during the day or night. Discomfort was due to the forementioned noise, categories of high scores were sleep disturbed, irritated, not so bad or not noisy, and noisy. To avoid noise, the subjects coped by putting on a quilt, going out, sleeping, opening or closing the window or door, and plugging ears. These results indicated that hospital noise have a negative influence on patients' health. So noise levels should be reduced in hospitals.
Needs Assessment of Nurses and Educators toward Gerontological Nursing Curriculum Development
Bae Young-Sook ; Lee Kap-Soon ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 163~192
As the population over the age of 65 increases, the demand for nurses who care for this group also continues to grow. Well-prepared nurses who are knowledgeable and skilled for the elderly can be prepared through systematic gerontological nursing curricula. This study was carried out to identify the needs for gerontological nursing curricular contents. The subjects for this study were two participant groups the educators who teach gerontological nursing in three-year and four-year baccalaureate nursing programs, and the nurses who are working with the elderly in hospitals, community health centers, social welfare agencies, and community health practioner's posts. The major findings of the study are as follows : 1. The differences between actual contents and essential contents of the educators : Concerning the actual contents that is actually taught, the educators showed the highest scores on the demographics of older adults and the lowest scores on the cultural variations affecting health care. Regarding the essential contents, the educators showed the highest scores on the demographics and the lowest scores on the economics of aging. Aside from the demographics, all of the items were found to have significant differences between essential and actual contents. This implies that all the content areas except demographics should be emphasized. 2. The differences between actual knowledge and essential knowledge of the nurses : Concerning the nurses' actual knowledge, the nurses showed the highest scores on the common health problems and their treatment and the lowest scores on the politics of aging. Regarding the essential knowledge, nurses showed the highest scores on the chronic illness and common health problems and the lowest scores on their roles and functions. However, they thought all the items to be essential. All of the items were found to have significant differences between actual and essential knowledge. The nurses who studied gerontological nursing in their school years and after graduating had more knowledge. However, they felt more knowledge was needed. This implies that the nurses need more education in all content areas of gerontological nursing. 3. The differences between educators and nurses : Concerning the essential contents, the educators showed higher scores on the demographics and growth and development than the nurses. Whereas, the nurses showed higher scores on the cultural variations, long-term care, economics of aging, politics of aging, legal and ethical issues, and common health problems than the educators. 4. Activities of nursing care for the elderly : Most common activities were related to direct nursing care such as giving physical care, counseling/teaching clients, and assessing and planning care for the clients. Nurses thought that all the items were critical, but they showed relatively low scores on the following :'serve on multidisciplinary committee', 'preparing reports', 'evaluation of outcomes of care', 'determine policy for nursing service', 'set patient care standards', and 'participate in nursing research' The constraints in providing better nursing service were time constraints, administrative restraints, social restraints, and inadequate knowledge.
Efficacy of three oral gargling protocols for Prevention of oral mucositis in acute leukemia during chemotherapy
Jun Myung-Hee ; Kim Yeon-Hee ; Choi Jin-Sun ; Chae Soo-Won ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 193~206
Because the oral mucositis is often inevitable in acute leukemia patients during chemotherapy, the efforts must be made to keep these leukemia patients from oral mucositis. So we tried to develop two oral care protocols for reducing the level of oral mucositis during cytotoxic therapy through literature review and our clinical experience. This quasi-experimental study was performed to compare the prohpylatic value of these oral care protocols. Thirty-nine subjects were assigned to one of three groups. The first group performed bivon-normal saline gargling protocol, the second group performed chlorhexidine gargling protocol, and the last contrast group kept traditonal gargling protocol. The Oral Assessment Guide(OAG), the Beck's perception of oral comfort were used to assess oral status and subject's oral discomfort during chemotherapy. Each subjects were observed daily from the start of the chemotherapy until Absolute Neutrophil Count (ANC) reached
. It continued about 2-4 weeks. The data was analyzed by ANCOVA and Kruskal-Wallis one way ANOVA, chi-sqare, survival analysis. The results were as follows : The contrast group showed significantly highest mean score of the OAG and Beck's perception of oral discomfort among three groups from second week to third week. However chie-test and survial analysis showed that the incidence of severe mucositis were not significantly different among three groups. Conclusively we recommend that nurses who care acute leukmia patients use bivon-normal saline gargling protocol be careful to occur severe mucositis during chemotherapy.
Role of tutor and student in Problem Based Learning
Chung Bok-Yae ; Yi Ga-Eon ; Kim Kyung-Hae ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 207~213
Basic science teaching and clinical education should be integrated whenever appropriate, and the development of skills, values, and attitudes which are emphasized to the same extent as the acquisition of knowledge in nursing. Problem-based learning provides a students-centered learning environment and encourages an inquisitive style of learning. The purpose of this paper is to review and comment the role of tutors and students on problem-based learning. The use of problem-based learning places a high demand on faculty members' time and support. The role of tutors in Problem-based learning focuses primarily on issues of developing and teaching the curriculum and on organizational implementation and institutionalization. Tutors are an integral part of course planning. Tutors serve as a constant source of feedback on student needs and concerns to the course director and constitute an informal steering committee while the course is in progress. Tutors write cases, develop student evaluation methods, recommend resources, suggest modifications in lectures and laboratories. Students have a limited amount of time available to study what is traditionally defined as the core content of nursing. But, the role of students in Problem-based learning would be active, independent learners and problem-solvers rather than passive recipients of information. Students using a deep level approach attempt to integrate what they learn with what they already know, to understand the meaning underlying the material to be learned, and to look for explanations rather than facts. Students are encouraged, with appropriate guidance, to define their own learning goals, to select appropriate experiences to achieve these goals, and to be responsible for assessing their own learning progress. Problem-based learning is more flexible and meaningful, by encouraging student interaction, and by having a better emotional climate than the conventional learning.
Sleep pattern changes and related factors in general hospital inpatients
Chung Bok-Yae ; Kim Kyung-Hae ; Park Hyun-Sook ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 214~225
Sleep is an inevitable part of human existence and a part of the dynamic quality of life. The purpose of this study is to explore sleep pattern changes and related factors of patients hospitalized. The participants are 158 patients hospitalized in one general hospital. The questionnaire was developed by modification of VSH sleep scale (1987). Open question was used for research of related factors.
are utilized for data analysis. The results are as follows ; There is significant difference before and after admission in the sleep disturbance. There is retroverse significant difference before and after admission in the sleep effectiveness. There is no significant difference between two groups in the nap supplementation. The patients reported pain by reason of sleep latency and mid-sleep awakening and noise due to early awakening. The reasons for lack of sleep were pain and noise. The method for overcoming their sleep disturbance, most of the subjects waited with closed eyes, imaged by themselved and took medicate sleeping pills. Discomfort manifested in the case of insufficient steepness was fatigue, headache and aggressiveness.
A study on the actual condition of practical apprenticeship training for university(college) nursing education and developing reform measure in Korea
Lee Sung-Eun ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 226~245
The practical apprenticeship training is important and takes part in one fourth of the curriculum in university(college) nursing education. The quality and quantity of practical training influence the quality of nursing student ability. This study have planed to find out actual condition of practical apprenticeship training for university(college) nursing education and develop the reform measure in Korea. The questionnaires were sent for directors of nursing department in university(college) and the directors of nursing in hospitals which were chosen by systemic sampling and have over 500 beds. The response rate was 48.4% in total. The results were as follow : 1. There were 2 kinds of training system ;subject training and comprehensive training. The comprehensive training was done frequently in college education. There were gaps of subject between the lecture and the practical training education for professor, part time lecturler and assitant. 2. There was the shortage of training fields especially in college education. 3. The training content by university(college) personnel were care conference, orientation, ward rounding. The content by hospital nursing pernnels were bedside nursing skills and nursing process application. The headnurse acted the important role in training education. For improving the actual condition of training apprenticeship in university(college) nursing education, it is necessary that the Ministry of Education should make the accreditation system on the preparation of training hospitals for university(college) nursing education. The Academy Society for Nursing Education can do the central and coordination role to improve the training apprenticeship for nursing education in Korea.
Human science paradigm and Watson's theory of human caring
Han Sun-Hee ; Nam Eun-Souck ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 246~254
Nursing have been caught between the paradigm of medical science with a body part view of a person and the paradigm of medical science with an emphasis on unsurpassable control, rigor, objectivism, and neutrality of value. But it is inappropriate to apply impersonal, objective model of science for the personal unique and gestalt experiences of nursing phenomena. Jean Watson proposed a theory of human caring based on human science paradigm to explain human phenomena. This study reviewed the theory of nursing by Jean Watson and the researches based on Waton's theory. In this study the researcher examined the philosophical back ground, value system and key concepts of Watson's theory Watson's perspective of person and human existence includes humanistic and phenomenological characteristics. She also emphasized nurse-patient relationship as an intersubjective(transpersonal) caring relationship. Examination of the studies based on Watson's theory consistantly revealed Watson's theory of human caring based on the human science paradigm is more appropriate than traditional medical science paradigm for explaining nursing phenomena. For the purpose of refining the theory and promoting usefulness of the theory, it would be desirable to test the theory to the nursing phenomena and to apply the theory to practice and education.
An Effect of Sex education for Knwledge and Attitude toward Sex in Elementary School Students
Kim Yeong-Hee ; Lee Myung-Hwa ;
The Journal of Korean Academic Society of Nursing Education, volume 3, issue 2, 1997, Pages 255~275
This study was conducted to find out the effect of sexual education for knowledge and attitude toward sex are elementary school students. Therefore, the present study aims to understand the changes of the knowledge are the attitude toward sex before and after the sex education, in elementary school students and then finally to provide some basic data to suggest directions for sex education. The subjects were 500 male and female elementary students from the fifth and sixth grades of 4 public elementary schools in Pusan. The subjects were assigned to a experimental (250) and a control (250) group. The research tools were sex education program and consists of physiology(menache, ejaculation), psycological(pleasure of growth), sociological(hetero sexual relationship) are about set The sex education program was given to experimental group for 6 hours by the trained school nurse's lecture using slide film and OHP film. The data were obtained before and after the sex education. Data collection was done during the period betwen Feb. 3. 1997. to Feb. 20. 1997. The collected data were analyed using frequency, percentages,
-test, means, standard deviation, t-test, ANOVA, MANCOVA with SPSS program. The results were obtained as follows : 1. The first hypotheses attained that the experimental group(19.72) is higher than the control group(12.12) on the knowledge toward sex(F=467.30, P=.000). At the physical area, the experimental group(8.84) is higher than the control group(3.96) (F=687.39, P=.000). At the psychological area the experimental group (5.18) is higher than the control group(2.63) (F=411.66, P=.000). At the social area, the experimental group (5.70) is higher than the control group (5.54), this is not significant difference (F=.67, P=.413). 2. The second hypotheses attained that the experimental group(60.42) is higher than the control group(52.48) on the attitude toward sex(F=215.70, P=.000). At the physical area, the experimental group(23.10) is higher than the control group(20.68) (F=128.68, P=.000), At the psychological area, the experimental group(20.11) is higher than the control group(16.40) (F=108.64, P=.000). At the social area, the experimental group(17.22) is higher than the control group(16.00), this is area are significant differences (F=70.37, P=.000). 3. Knowledge toward sex according to sex, religon, atmosphere of family, mother age and educational background are significant differance (P<0.05). Attitude toward sex according to sex is significant differance (P<0.05).