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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
The Journal of Korean Academic Society of Nursing Education
Journal Basic Information
Journal DOI :
KOREAN ACADEMY SOCIETY OF NURSING EDUCATION
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Volume & Issues
Volume 5, Issue 2 - Dec 1999
Volume 5, Issue 1 - Jun 1999
Selecting the target year
A Study on Nursing College Students' Knowledge and Attitudes toward Brain Death, Organ Donation and Organ Transplantation
Kang Hee-Young ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 7~19
The purpose of this study was to examine nursing college students' knowledge of and attitudes toward brain death, organ donation and organ transplantation. The research design utilized in this study was a descriptive research design. The data were collected from September 7 to 14, 1998, by means of strutted questionnaire. To measure students' knowledge of brain death, organ donation and organ transplantation, Joo's(1995) instrument was used. The questionnaire was composed of 22 items. To measure students' attitudes toward organ donation and organ transplantation, s(1995) Instrument was used. The questionnaire was composed of 22 items. The data were analyzed by frequency, t-test, ANOVA, and Pearson's Correlation Coefficient using the SAS program. The results were as follows : 1. Students' knowledge of brain death, organ donation and organ transplantation was 9-20. The mean score was 15.36, with 22, the highest possible score. There was statistically significant difference between students' knowledge and approval on the brain death recognition group(t=9.75, p=0.002). 2. Students' altitudes toward organ do nation and organ transplantation showed is mean score of 3.61 on a 5 attitudes points Liken scale. More than 80% of respondents agreed that organ transplantation can offer a high quality of life to the recipient and is an acceptable form of medical treatment. The health care costs associated with organ transplantation are worth itif another's life can be saved. Students felt it important to help others who are very ill. Also, by donating organs, students felt a part of their own body would continue to live by making it possible for someone else to live. Only 2.9% of students objected to organ donation for religious reasons. There was statistically significant difference among students' attitudes, experienced blood donor group(t=17.04, p=0.000), approval on the brain death recognition group (t=21.06, p=0.000), organ donation agreement group(t=46.13, p=0.000).
An Effect of Guided Imagery on Pain
Kim Joo-Hyun ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 20~38
This study is conducted to test an effect of the guided Imagery program on artificially induced pain and to develop an effective nursing intervention for patients with pain. The subjects of this study were 37 normal female university students. The data were collected from September 1998 to December 1998. And two group non-equal quasi -experimental research with pre and post design was used in this study, The data were analyzed with the SPSS
program with percentage, t-test, paired t-test and ANCOVA. The results of this study were as follows : 1. There are no significant differences of systolic blood pressure between groups. 2. The experimental group showed significantly lower diastolic blood pressure than control group after treatment. 3. There are no significant differences of pulse rate between groups. 4. The experimental group showed significantly higher body temperature than control group after treatment. 5. There are no significant differences of pain intensity between groups. 6. There are no significant differences of pain sensation between groups. 7. There are no significant differences of perceived pain tolerance time between groups. 8. The experimental group showed significantly longer real pain tolerance time than control group after treatment. 9. There are no significant differences of anxiety scores between groups. 10. There are no significant differences of Self-esteem scores between groups. 11. There are no significant differences of Self-esteem scores between groups. 12. There are no significant differences of imagability scores between groups. 13. The post-experimental group showed significantly higher relaxation rate than pre -experimental group. 14. There are no significant differences of imaging depth degree between pre-experimental group and post-experimental group. From the above results, it can be concluded that 1. This guided imagery program could be recommenced as an effective nursing intervention to relieve pain. 2. A follow up study is needed to identify long-term effects.
A Study on Self-care Behavior Types of Hypertensives : Q-methodological Approach
Park Young-Im ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 39~57
Essential hypertension is a typical chronic disease requiring adequate and continuous management. And many studies supported that self-care was the essential factor to promote the wellbeing. The purpose of this study is to identify and understand the behavior patterns of self-care in hypertensives. As a research method, 35 Q-statements were collected through Individual interviews and review of the related literatures. 21 subjects were interviewed and the data were analyzed by the PC QUANL program with principal component analysis. There were 6 different self-care types classified as follows 1) Type 1 was the self-oriented control type, monitoring the blood pressure and taking the low salt diet. But they didn't take the anti -hypertensive drug and visit the health agency regularly. 2) Type 2 was the stress-control type. Their main activities were meditation to relieve the stress and communication with family. 3) Type 3 was called daily-life control type. This type tried to make their mind comfort and think positively. They also preferred walking and exercise regularly. 4) Type 4 was the medical-oriented control type, taking the anti-hypertensive drug, visiting the medical personnel and following the medical regimens. 5) Type 5 was the medication-oriented type. They only took the anti -hypertensive drug regularly and didn't any other self-care like as monitoring the blood pressure, taking the low salt diet and exercise. 6) Type 6 was called non-medication control type. This type had no medication, but tried to visit the health agency and health personnel. From the above results, it can be concluded that the self-care types were very various and self-care education have to provide individually according to the characteristics of self-care type. Another repeated study can be recommended to improve the nursing intervention the self-care behavior in chronic patient like as diabetics or rheumatoid arthritis.
The Problems for Application of Nursing Process in Clinical Experience of Nursing Students
Yang Young-Hee ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 58~71
Nursing process is an essential part for nursing practice. Nursing faculty members must focus on the clinical application for students and try to identify the possible problems that students might face in the fields. The purpose of this study is to examine the actual condition of nursing process education in curricula and to investigate the response of students in clinical experience of nursing process. From 462 students in the 6 associate programs(ADN) and the 6 baccalaureate programs (BSN) data was collected by questionnaire. The results were as followed. 1. Seven programs (58.3%) opened the nursing process in mainly sophomore (BSN) or freshman(ADN). If not opened, the nursing process was taught at the major subjects(espcially fundamental nursing or adult nursing). 2. All Students responded they we supposed to use nursing process in preparing the case report. The majority(94.6%) used NANDA lists for nursing diagnosis and 55.7% of subjects consulted the Korean terms by KNA when translating. The tutors for nursing process in clinical settings were the professor in charge of the subject (68.6) or clinical instructors (48.1%) , assistants(34%). 3. The problems in clinical application that students experienced consisted of 17 items and the mean was 2.27. The biggest problem was 'the lack of the model for RN of applying the nursing process in clinical settings'(2.97). Next the big problem was 'the lack of the competency for implementing the established nursing plans'(2.69). All items were significantly different according to the level of educational programs(ADN or BSN). ADN students had more problems in applying the each step of nursing process and BSN students perceived the NANDA as a guidance of nursing diagnosis and the inconsistency of advices from several instructors or practicum to be mere problematic. 4. The mean of merits after application of nursing process was relatively fair (2.82). The best merit was 'they can identify nursing problems more exactly'(3.07). The second high merit was 'they can study the rational of nursing action' (3.03). BSN than ADN and the subjects of second year than of one year in clinical experience perceived the use of nursing process to be better. Based on this results we need to enforce the application of nursing diagnosis in the class. The use of sample cases can be the efficient method. Students can identify the possible health problems for patient from the cases in imaginary world and discuss them each other. Also we can use the discussion session after practice every other day or as needed. All this is on the good interaction between tutor and student. We must consider to have enough time for student to seize the essence of the nursing process.
A Review of Minimum Data Sets and Standardized Nursing Classifications
Yom Young-Hee ; Lee Ji-Soon ; Kim Hee-Kyung ; Chang Hae-Kyung ; Oh Won-Ok ; Choi Bo-Kyung ; Park Chang-Sung ; Chun Sook-Hee ; Lee Jung-Ae ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 72~85
The paper presents a review of three data sets(Uniform Hospital Discharge Data Set, Nursing Minimum Data Set, and Nursing Management Minimum Data Set) and six major nursing classifications(the North American Nursing Diagnoses Association Taxonomy I, Omaha System, Nursing Interventions Classification, Nursing Intervention Lexicon and Taxonomy, Nursing Outcome Classification, Nursing Outcomes Classification, and Classification of Patient Outcome). The reviewed data sets and nursing classifications were different from each other in the purpose, structure, and user. Nursing Interventions Classification and Nursing Outcomes Classification were linked to North American Nursing Diagnosis Association, but others not. The data set and nursing classifications need to be linked to other data sets and classifications.
Effectiveness of Video-Record Method on Fundamental Nursing Skill Education - Focused on Intramuscular Injection Practice -
Yeun Eun-Ja ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 86~96
Effectiveness of the videotaped-record learning method in teaching intramuscular injection skill was investigated using an experimental research methodology. Data was collected from 57 female students attending Fundamental nursing class from two depts. of nursing in Chung-ju and Seoul. The subjects were assigned to two groups, the experimental group of 30 and the control group of 27. The independent variable was videotaped-record learning method and the dependent variable were the degree of knowledge achivement, nursing skill achivement, competence on practicing intramuscular injection skill and satisfaction about the learning method. Data was analyzed using descriptive statistics, chi-square test, t-test and Pearson's correlation coefficient with SPSS-PC program. The results were summarized as follows ; 1. There was statistically significant difference between the experimental group and control group in knowledge achievement about intramuscular injections (t=4.721, P=.000). 2. There was statistically significant difference between the experimental group and control group in nursing skill achievement(t=3.542, P=.001). 3. There was no statistically significant difference between the experimental group and control group in competence on practicing intramuscular injection skill (t=.627, P=.533). 4. There was statistically significant difference between the experimental group and control group in satisfaction about learning method(t=4.708, P=.000). 5. There was significant correlation between nursing skill achievement and knowledge achievement(r=.233, p<.05). In conclusion, this study suggests that videotaped-record learning method is an effective learning method for achieving intramuscular injection skill as a basic nursing skills. Therefore, further study with more developed research design and other fundamental nursing skill practice will be needed to investigate the effectiveness of videotaped-recored learning method.
Nurse Practitioner Roles and Curriculums in the United States
Lee Sun-Ock ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 97~105
Based on literature, status and role of the NP in America was reviewed. The process of developing NP program in America suggests us many things. In America, nurse practitioners have sustained a mutually beneficial status with their patients for over thirty years. Excel fence in academic education and clinical training will enable nurse practitioners to continue to provide quality health care. The magnitude changes in the health care system of the United States, the challange of providing real access of health care continues. Lack of access to adequate primary care was the driving force in the initial 1965 Federal Involvement in developing the NP role. In 1993 President Bill Clinton's health care reform initiative provided policy support for NPs as primary care providers. The Institute of Medicine explicitly recognized NPs as an integral part of the primary care team. In addition, several national reports recognized NPs as affordable, accessible, high-quality care providers. The recent passage of direct Medicare reimbursement for NPs reflected public policy statements coincided with and likely contributed to a growth spurt in the NP workforce. From 1965 to 1977 NP programs offered traditional primary care clinical tracks(adult, family, woman's health, and pediatrics) for relatively small clusters of students in a variety of institutional settings. From 1978 to 1990 these educational programs were incorporated into graduate schools of nursing. By 1990 the majority of NPs received educational preparation in master's-level nursing programs. A new emphases was placed on postmaster's NP programs designed for master's prepared clinical nurse specialists and nurse managers. he the health care system shifted hospital nursing resources toward community-based care, these master's -level nurses sought additional NP preparation. NP educational programs are defined as the educational structure in which one or more NP clinical tracks are offered. NP clinical tracks, in turn, offer curriculum and supervised clinical experiences that match standards in specific practice areas such as family(FNP), adult(AUP), geriatrics(GNP), pediatrics(PNP), women's health (WHNP), neonatal (NNP), and acute care(ACNP). There were indications that NP practice was expanding into new clinical areas as evidenced by new types of tracks, particularly in acute care and psychiatry. The increase in acute care NP students likely reflects the increased demand from hospitals and other acute care settings. In Korea, change of nurse's role into nurse practitioner's role may have many difficulties. The need of health consumer, policy support of government, approval of medical care team are all essential component. Every nursing personnel make effort to planning the new health care delivery system.
The Relationship between Health Education Competency and Satisfaction of Professional Nursing in Nursing Students
Ju He-Kyoung ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 106~117
A study was conducted to identify the perceptions about health education competence and satisfaction of nursing profession, and the relationship between health education competency and satisfaction of nursing profession in nursing students. The subjects were 118 nursing students who were third year at a diploma course. The results of this study are as follows : 1) In domain of health education process, the highest level of competency was the need assessment of the individual health education(mean : 3.62) and the lowest level of competency was the evaluation of heath education program(mean : 2.93. 2) In domain of health education method, the level of competency was estimated ordered as counselling and interview (mean : 3.53), health campaign(mean : 3.42), demonstration(mean : 3.30), role play (mean : 3.28), group discussion (mean : 3.25), lecture(mean : 3.10). 3) In domain of health education place, the level of competency was estimated ordered as of patient education while giving individually care(mean : 3.68), at home(mean : 3.67), in the classrom(mean : 3.67), in the community(mean : 3.35), while teaching with group patients at hosital(mean : 3.30). 4) In domain of activities of health educator, the level of competency was ordered as collaborator(mean : 3.59), coordinator(mean : 3.31), material developer(mean 3.14), program evaluator(mean : 3.13), program designer(mean 3.10). 5) Health education competency was found to be significantly related to satisfaction of professional nursing.
Evaluation on Effectiveness of Public Health Personnel Training
Hwang Keum-Bok ; Jeon Mi-Soon ; Kim Tae-Sook ; Yang Byung-Guk ; Jeong Eun-Kyung ; Yang Sook-Ja ; Kim Kwuy-Hyang ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 118~132
To improve the effectiveness and efficiency of public health personnel training, we evaluated not only how appropriate the students felt the objectives, contents, methods and multimedia used in the train ing courses, but also how much the students accomplished the objectives and applied skill and knowledge to their own works. We selected 5 courses for the study : Tuberculosis control, Radiological technique, Public health information, Immunization, Mental health management courses used by Kirkpatrick's evaluation model. Reaction evaluation was carried out in final day by questionnaire. The results showed that all of them were very satisfied with educational input and curricula, learn Ing environment. Secondly, we measured the degree of learning achievement on pre and post training by questionaire of specific behavioral objectives. The degree of learning achievement was statistically higher just after training than pre training (paired t-test, p<0.01). Thirdly, evaluation of behavioral change to job was conducted to find out how much students applied skill and knowledge to their own job in 3 months after training by questionnaire. The results of behavioral change evaluation showed that 43.5% of the students who were performing job related with the training courses in 3 months after training applied the learned skill and knowledge to their own job quite well and 37.8% of them applied relatively well, therefore total 81.4% of them applied to their own job. And effectiveness of training for the above mentioned students showed that 41.9 % of them had improved or enforced their jobs after training, 35.5% of them had had no remarkable changes, and 15.7% had newly applied the learned skill and knowledge to their jobs. For evaluating the degree of usefulness of material predistribution in two weeks before training, we compared experimental groups with control groups. The results showed that general reactions are helpful but the degree of learning achievement is no discrepancy.
Educational Needs of Hospital-based Staff Nurses in Quality Improvement Activities
Hwang Jee-In ;
The Journal of Korean Academic Society of Nursing Education, volume 5, issue 1, 1999, Pages 133~141
Recently there are increasing concerns on quality improvement activities related to difficult economic situations, more competitive environment, health professional's emphasis on quality, and customer's needs in health care. The purpose of this study was to identify educational needs in the quality improvement for staff nurses. Study setting was an acute care hospital having more than 1000 bed in Seoul, Korea. The subjects were 40 staff nurses who participated in the first Quality Assurance(QA) inservice education. Data were collected by self-administered questionnaire which consisted of four parts : QA knowledge and attitude(ten items, by five Likert scale), contents of QA education(ten items, by setting the priority), evaluation of the program(structure, time allocation, place, educational method), and general characteristics of respondents (age, duration to work for hospitals etc.) The response rate was 85%(34/40), Most had positive perspective and attitude about QI/QA activities, but 9% had negative impression and knowledge about this activities. Also they'd like to know the plan of hospital-level QI/QA activities, QI/QA current practice, general hospital system, the role of QA specialist and so on. Consequently, for building the quality improvement activities that is customer-focused, coordinated, outcome-oriented, resource-efficient, collaborative in Korea, at first the education about philosophy, theory, and implementation process of QI/QA should be conducted, and then that on QI/QA terminology, quality indicators development, the analysis and presentation of quality-related data and so forth be followed.