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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Adult Nursing
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Journal DOI :
Korean Society of Adult Nursing
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Volume & Issues
Volume 25, Issue 6 - Dec 2013
Volume 25, Issue 5 - Oct 2013
Volume 25, Issue 4 - Aug 2013
Volume 25, Issue 3 - Jun 2013
Volume 25, Issue 2 - Apr 2013
Volume 25, Issue 1 - Feb 2013
Selecting the target year
Effects of Health Education using Short Messaging Service of Cellular Phone
Kim, Hyun ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 241~249
DOI : 10.7475/kjan.2013.25.3.241
Purpose: The aim of the study was to identify the effects of education from using cellular phones and a short messaging service. Methods: Collected data included baseline demographics, blood pressure, abdominal circumference, total cholesterol, body mass index and health behavior index (Dietary Practice Guidelines Score, Physical Activity, Drinking frequency, Stress score, Subjective health status, and Action change stage score). Data were collected at public health centers in Chungcheongnam-do from January to December, 2011. Data obtained from Individual health counseling Programs in Chungcheongnam-do. Analysis was divided into health risk group and Disease management group, using a paired t test. Results: Following the education of using short messaging service of cellular phones Health risk group was a reduction in the systolic blood pressure, diastolic blood pressure, waist circumference. Disease management group was a reduction in the systolic blood pressure and body mass index. In both groups, there were improvement in the Health behavior index; dietary practice guidelines score, physical activity, stress score, subjective health status and action change stage scores. Conclusion: These results indicated that education using short messaging service of cellular phone for Community was effective in improving health behaviors and status. By applying the results, development of customized teaching messages for stable settlement is required.
Development and Evaluation of an Evidence-Based Nursing Protocol for Fever Management in Adult Patients
Shin, Yong Soon ; Kim, Sung Reul ; Yoo, Sung-Hee ; Kim, Sun Hwa ; Kim, Jeoung Hee ; Kim, Hyun Jung ; Na, Ra ; Chae, Jee Sun ; Lee, Hye Jin ; An, Young Hee ; Kim, Kyoung-Ok ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 250~262
DOI : 10.7475/kjan.2013.25.3.250
Purpose: This study was designed to develop, to implement and evaluate a fever management nursing protocol for adult patients. Methods: This study was conducted through seven steps following both the guideline development procedures of the Scottish Intercollegiate Guidelines Network and the Model of the Asan Medical Center Evidence-Based Practice, as follows: 1) identifying the clinical needs and composition of the protocol development group; 2) identifying and evaluating the evidence; 3) assessing the level of evidence and grading recommendations; 4) forming a protocol; 5) evaluating the protocol using an expert group validity test and identifying barriers to its implementation; 6) protocol development; and 7) evaluation of practical improvement measures following implementation of the protocol. Results: The evidence-based protocol for fever management in adult patients was completed and includes five domains and 15 items. The protocol had good content validity (CVI=.90) and nursing practice could be improved after implementation of the protocol. Conclusion: This nursing protocol can be used as a guide for nursing in febrile adult patients. We recommend that further guidelines be updated in an interdisciplinary manner in order to foster local adaptation of the best clinical practices.
Coping Styles toward Hospital Violence in Clinical Nurses: An Application of Q Methodology
Ha, Eunho ; Cho, Jinyoung ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 263~274
DOI : 10.7475/kjan.2013.25.3.263
Purpose: Clinical nurses are at high risk of incurring hospital violence during their working life. Hospital violence and its outcomes have an impact on the job satisfaction, the recruitment and retention of nurses as well as the quality of care delivered to patients. The purpose of this study was to identify coping styles toward hospital violence in clinical nurses using Q-methodology. Methods: Q-methodology, which analyzes the subjectivity of each type of attitude, and coping styles was used. The 40 selected Q-statements from each of 35 participants were classified into the shape of a normal distribution using a 9-point scale. The collected data were analyzed using the pc-QUANAL program. Results: The results revealed four discrete groups of clinical nurses toward hospital violence: take strong action and promote the recurrence prevention, appear psychosomatic symptoms, investigate the cause and focus on prevention, and request hospital assistance and keep up my duty. Conclusion: The findings indicate that development of nursing intervention program based on the four types could beneficially contribute to the violence prevention in hospital.
Economic Analysis and Fee Development by Relative Value Scale of Nursing Practices by Emergency Nurse Practitioner
Kim, Jin Hyun ; Kim, Kyung Sook ; Kim, Mi Won ; Lee, Kyoung-A ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 275~288
DOI : 10.7475/kjan.2013.25.3.275
Purpose: The purpose of this study was to perform an economic analysis and estimate the fee for the practices that carried out by Emergency Nurse Practitioner (ENP) using relative value scale (RVS) and its conversion factor. Methods: First, we developed ENP's RVS for 25 advanced nursing services based on ENP's workload and its time spent by survey. A cost analysis was performed to evaluate the conversion factor of ENP's RVS. The share of ENP's contribution to fee-for-service in emergency setting was also analyzed. Results: Calculation of the RVS of 25 advanced nursing practices showed a range of points from 73.4 to 296.3 and an average of 145.1 points. The relevant conversion factor for advanced nursing practices among ENP was estimated at 12.2~15.9 won. The contribution rate of ENP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 13.1~17.0%. Conclusion: The practices of ENP are not compensated separately and its reimbursement is usually included in physician fee. An estimation of nursing fee and an independent fee related to ENP's services shows the contribution rate to total revenue. It suggests that emergency nurse practitioners be considered as a revenue source the in emergency room.
A Typology: Older Women and Gender Role Identity
Kim, Myung-Ae ; Park, Euna ; Ko, Sung-Hee ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 289~297
DOI : 10.7475/kjan.2013.25.3.289
Purpose: The purpose of this study was to categorize and to understand the structure of subjectivity in the gender role identity of older female adults. The perception of gender role identity is subjective and varies according to the uniqueness of individual experiences and the value of social culture. Methods: Q-methodology, a technique for extracting subjective opinions was used. In 2010, forty participants completed the Q-sort activity, rating each statement relative to the others. The Q sample has two categories, representing masculinity and femininity, and each category has 20 statements, resulting in 40 adjectives. Results: Using the Q factor analysis, three classifications were identified: 'caring-affectionate type,', 'assertive-confident type,' and 'sensitive-affectionate type.' Despite the differences among the three types in this research, elderly females are likely to have the understanding and patience to comfort others and care for the children. Conclusion: The results of this study revealed new dimensional types of gender role identity and raise the issue of why we need to develop methods for the new dimensional types. Based on the results, further research is needed to compare the findings with those of older males or with women of different age groups.
Physical symptoms, Hope and Family Support of Cancer Patients in the General Hospitals and Long-term Care Hospitals
Chae, Seon Yeong ; Kim, Kye Ha ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 298~311
DOI : 10.7475/kjan.2013.25.3.298
Purpose: The purpose of this study was to compare reported physical symptoms, hope and family support of cancer patients between general hospitals and long-term care hospitals. Methods: Subjects were 175 patients diagnosed with cancers from two general hospitals and six long-term care hospitals located in G city. Subjects completed a questionnaire with questions about general characteristics and questions about the disease, physical symptoms, hope and family support. Data was collected from February to April and the data were analyzed using an independent t-test and one-way ANOVA. Results: The subjects in long-term care hospitals showed higher percentage in pain, nausea, fatigue, sleep disorder, and change in appearance. There was a significant difference in family support between two groups. A significant positive correlation was found between hope and family support in subjects in general and long-term care hospitals. Conclusion: Significant differences were found in some physical symptoms and family support between cancer patients in general hospitals and long-term care hospitals. Thus, nurses in long-term care hospitals need provide care suitable for the characteristics of cancer patients in long-term care hospitals.
The Comparison of Health Promotion Behavior, Post Traumatic Growth and Quality of Life according to Stages of Survivorship in Patients with Female Genital Neoplasm
Lee, Eun Sil ; Park, Jeong Sook ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 312~321
DOI : 10.7475/kjan.2013.25.3.312
Purpose: The purpose of this study was to compare health promotion behavior, post-traumatic growth and quality of life according to the stages of survivorship in patients with female genital neoplasm. Methods: Data were collected from August 1st, 2011 to September 31st 2011 from 142 gynecologic cancer patients who completed treatment or were treated at an out-patient clinic. The instrument were HPLP developed by Walker, Sechrist & Pender, PTGI developed by Tedeschi & Calhoun, and Korean C-QOL. Results: Health promotion behavior scores were significantly higher in the acute survival stage than the extended survival stage. Post-traumatic growth score was higher in the acute survival stage than the extended survival stage. The quality of life scores were higher in the lasting survival stage than the extended survival stage. Conclusion: Gynecological cancer patients in the extended survival stage reported low scores of health promotion behavior, post-traumatic growth and quality of life. Intervention needed to be developed to improve health promotion behavior, post-traumatic growth and quality of life for patients with female genital neoplasm in the extended survival stage.
Nurses' Experiences of Do-Not-Resuscitate (DNR) by the Narrative Inquiry
Woo, Mi Kyung ; Kim, Miyoung ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 322~331
DOI : 10.7475/kjan.2013.25.3.322
Purpose: This study was conducted to understand the meaning of the DNR experiences of nurses. Methods: The data were collected through in-depth interviews, observation, and field records with five nurses from November 2009 to February 2011. The data were analyzed using narrative inquiry methodology. Results: Three fundamental themes were derived from data analysis as following: 'faithfulness to care for comfort,' 'helping for peaceful farewells between the patient and the family,' 'reflecting one's lives with a collision of feeling toward the death.' Conclusion: The results indicate that nurses take a role of an advocate in caring for DNR patients and being concerned about their families' conflict and anguish. In addition, this study indicates the importance of education on living will, advanced directives and preparation for the death tailored to the public including healthcare professionals.
Analysis of Research Trends about Spiritual Care in Korea
Yoo, Seung-Yeon ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 332~343
DOI : 10.7475/kjan.2013.25.3.332
Purpose: The purpose of this study was to analyze the research trends of spiritual care in Korea and to make suggestions for future studies. Methods: 209 researches from 1981 to 2012 were analyzed. Results: Among the 209 studies reviewed. 74 were thesis studies and 135 for reported research in academic journal. There were 169 quantitative studies, 11 qualitative studies and 29 other types studies. The most frequently used study design was correlational. The majority of study participants were patients, followed by nursing students, nurses or non-medical participants. In the correlation studies, the variable of spiritual well-being had a positive correlation with hope, self-esteem and spiritual nursing care and a negative correlation with depression, anxiety and loneliness. In the experimental studies, the independent variables were spiritual nursing intervention, spiritual care education program and spiritual promoting intervention. The main theme of qualitative studies were the experience of spiritual care, spiritual experience and the most frequent designs were grounded theory, phenomenology and interpretative phenomenology. Conclusion: The domestic research about spiritual care needs to utilize a variety of approaches including concept or tool development study suitable for Korean peoples, multi-disciplinary research, qualitative study and program development study.
Perceptions of Family Care-givers toward Use of Physical Restraints: An Application of Q-methodology
Yeun, Eun Ja ; An, Jeong Hwa ; Kim, Jung A ; Jeon, Mi Soon ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 344~355
DOI : 10.7475/kjan.2013.25.3.344
Purpose: The purpose of this study was to identify on the perceptions of family care-givers toward use of physical restraints according to their values, beliefs, and perceptions using Q methodology. Methods: Thirty-three family care-givers classified 41 selected Q-statements into 9 points standard. The obtained data were analyzed by using a pc QUANL program. Results: Principal component analysis identified 4types of the perceptions of family care-givers toward the use of physical restraints. Type I is 'Rational accepted', which means that they perceived the restraints are essential therapeutic devices and had cooperative attitude to use of medical staffs' restraints. Type II is 'Sardonic sensibility', which means that they have a negative and a cynical attitude to use of physical restraints. Type III is 'Ambivalent', which means that they have conflicts between rationality and emotion, and type IV is 'Practical claim of a right', which means they insist that patients and their family members must be provided with a detailed explanation regarding the application of physical restraints. Conclusion: The findings of this study suggest that perceptions toward the use of physical restraints among family care-givers should be understood for patients' safety and dignity in medical circumstance. Based on the results, this study will be useful in developing the customized nursing intervention for supporting family care-givers' subjectivity considering the Korean context.
Effects of Auricular Acupressure on Menstrual Pain, Dysmenorrhea, and Academic Stress in Women College Students
Ro, Seung-Ok ; Lee, Hea-Young ; Lee, Jaeon ; Kim, Miyoung ;
Korean Journal of Adult Nursing, volume 25, issue 3, 2013, Pages 356~364
DOI : 10.7475/kjan.2013.25.3.356
Purpose: The purpose of this study was to determine the effects of auricular acupressure on menstrual pain, dysmenorrhea and academic stress among college students. Methods: A non-equivalent pretest-posttest design was used. Participants were 57 female students recruited from one college. The treatment group (n=30) received an auricular acupressure on a valid zone and the control group (n=27) received an auricular acupressure on an invalid zone (placebo). The independent t-test and
-test were used to examine group differences by using SPSS/Win18.0. Results: Subjects in the treatment group reported much less menstrual pain of premenstrual day (p=.001), 1st day (p<.001), 2nd day (p=.003), and dysmenorrhea (p=.003). Of significance, participants in the treatment group reported much less academic stress (p=.049) following auricular acupressure. Conclusion: The findings support that auricular acupressure is effective in controlling menstrual pain and academic stress related to menstruation. As the method is simple it would be useful for women students to be taught and encouraged to utilize this method to mitigate the symptoms related to menstruation through self care.