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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Korean Journal of Adult Nursing
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Journal DOI :
Korean Society of Adult Nursing
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Volume & Issues
Volume 26, Issue 6 - Dec 2014
Volume 26, Issue 5 - Oct 2014
Volume 26, Issue 4 - Aug 2014
Volume 26, Issue 3 - Jun 2014
Volume 26, Issue 2 - Apr 2014
Volume 26, Issue 1 - Feb 2014
Selecting the target year
The Impact of a Simulation-based Education Program for Emergency Airway Management on Self-efficacy and Clinical Performance among Nurses
Lee, Mi-Ja ; Jung, Dukyoo ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 1~10
DOI : 10.7475/kjan.2014.26.1.1
Purpose: This study was conducted to test the impact of simulation-based education program for emergency airway management on self-efficacy and clinical performance ability. Methods: A quasi-experimental non-equivalent control group pre-post test design was used. A total of 60 nurses, 30 nurses assigned to the simulation-based education group and 30 nurses to a traditional lecture group. The treatment group received a lecture, small group workshop and team simulation whereas the comparison group received lectures. Results: The participants in the simulation-based education group reported significantly higher self-efficacy of emergency airway management compared to participants in the lecture only group (t=5.985, p<.001). The simulation-based education group showed significantly higher clinical performance ability of emergency airway management compared with the lecture group (t=5.532, p<.001). Conclusion: Simulation-based education was verified to be an effective teaching method to improve the self-efficacy, clinical performance skills of nurses in the learning of emergency airway management.
Factors Affecting Core Competencies among Infection Control Nurses in Korea
Kim, Kyung Mi ; Choi, Jeong Sil ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 11~21
DOI : 10.7475/kjan.2014.26.1.11
Purpose: This study was conducted to describe core competencies and identify factors affecting core competencies among infection control nurses (ICN). Methods: Infection control nurses from hospital with more than 200 beds comprised the sample. Questionnaires were sent to the sample via e-mail. One hundred and three questionnaires were returned. Data were analyzed with descriptive statistics and stepwise multiple regression via SPSS/WIN 21.0. Results: The core competency level of healthcare workers area was the highest that of the education and research was the lowest. There were significant differences in core competencies related to demographics such as age, clinical carrier, infection control carrier, position, academic degree, infection control specialist license, hospital location, and hospital type. The explained variances for the core competency were 38.3% and the contributing factors to core competencies were infection control carrier and infection control specialist license. Conclusion: It showed various levels of core competencies depending on infection control nurses' demographics and hospital traits, therefore consistent management efforts for the licensing and career path of infection control would be required.
Effects of Yoga Exercise Program on Response of Stress, Physical Fitness and Self-esteem in the Middle-aged Women
Park, Mi Sung ; Kim, Keum Soon ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 22~33
DOI : 10.7475/kjan.2014.26.1.22
Purpose: This study examined the effects of a yoga exercise program on stress response, physical fitness and self-esteem among middle-aged women. Methods: Participants were 39 middle-aged females from District Y in Seoul who were assigned to either a treatment (N=19) or to a control group (N=20). The treatment participated three times a week in a yoga exercise program which included classes and practices. Data collection instruments included the Symptoms of Stress Inventory (1977), the Rosenberg's self-esteem scale (1965) and measurements of grip strength, flexibility and balance. The data were analyzed using the SPSS-WIN 12.0 program. Results: The treatment group had significantly lower score for stress response (t=-6.18, p<.001) and higher scores on grip strength (t=2.52, p=.018), balance (t=3.24, p=.003), and self-esteem (t=4.46, p<.001). There was no significant difference in flexibility (F=0.51, p=.479). Conclusion: The yoga exercise program can be used as a nursing intervention for middle-aged women to reduce stress and improve self-esteem.
Effect of the Laughter Therapy Combined with Cognitive Reinforcement Program for the Elderly with Mild Cognitive Impairment
Ji, Eunjoo ; Kim, Oksoo ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 34~45
DOI : 10.7475/kjan.2014.26.1.34
Purpose: The purpose of this study was to investigate the effect of laughter therapy and cognitive reinforcement program on self-efficacy, depression and cognitive functions of the elderly with mild cognitive impairments (MCI). Methods: The study design was a non-equivalent control group pre and posttest design. Thirty-six subjects over the age of 65 with a diagnosis of mild cognitive impairment were assigned either to a treatment or a comparison group. Data were collected from February 7 to March 27, 2012 in the dementia supporting center. An eight week treatment program that included laughter therapy coupled with a cognitive reinforcing program including hand exercise, laughter dance routine, laughter technic and cognitive training for attention, memory, orientation and execution skill. Results: MoCA-K (t=-6.86, p<.001) and Stroop test CW correct (t=-2.54, p=.008), self-efficacy (t=-3.62, p=.001) in the treatment group were significantly higher than those of the comparison group. Reported depression (t=2.29, p=.014), Stroop test CW error (U=53.50, p<.001) in the treatment group was significantly less than the comparison group. Conclusion: In this study, the treatment was effective in improving self-efficacy, cognitive function and reducing depression in the elderly with MCI.
The Relationship of Gender Role Conflict and Job Satisfaction upon Organizational Commitment in Male Nurses
Lee, Kyoung Ju ; Kim, Miyoung ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 46~57
DOI : 10.7475/kjan.2014.26.1.46
Purpose: This study was to investigate the influence of male nurses' gender role conflict and job satisfaction on their organizational commitment. Methods: Data were collected through a mixed method design using structured questionnaires (N=162) and a sequential qualitative interviews (N=8) from 2nd October, 2012 to 7th February, 2013. Data analysis included t-test, ANOVA, regression with SPSS/WIN 19.0 program and a qualitative thematic analysis. Results: Factors affecting participants' organizational commitment were job satisfaction and marital status which accounted for 36.2% of the total variance. In particular, low job satisfaction was not correlated with low organizational commitment despite lower job satisfaction. Three main themes connoting meanings of ambivalence were extracted from the data: desiring for the better future in spite of the current difficulty, strengthening their masculinity in tandem with complementing femininity in the midst of gender role conflict, leading their organization at times, and enduring hard work with responsibility for raising their family as a head of household. Conclusion: The findings indicate that male nurses' adjustment to the organization is controlled by ambivalence. It is essential to understand sociocultural contexts of male nurses as a minority in nursing fields for further research.
Perception of Sex Life and Sexual Desire Coping Behavior according to General Characteristics among the Spouseless Aged
Choi, Eun Young ; Ha, Ju Young ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 58~66
DOI : 10.7475/kjan.2014.26.1.58
Purpose: The aim of this study was to identify factors affecting the perception of sex life and sexual desire coping behavior among the spouseless elderly. Methods: The participants were 149 elders who resided in six administrative regions of B city. Data were collected from December 1, 2012 to March 3, 2013 using a questionnaire. Data were analyzed using descriptive statistics, t-test, ANOVA, Scheff
test, Pearson's correlation coefficient, and Stepwise multiple regression in a PASW 18.0 program. Results: Stepwise multiple regression analysis of data indicated that the most likely predictor is gender. Gender, sexual relation, subjective health status and parent-child relationship explained 34% of the variance of perception of sex life. Gender, dating status and age explained 44% of the variance of sexual desire coping behavior. Conclusion: Based on the study findings, gender and current dating status should be considered to conduct comprehensive sex health care education for healthy sex life of the elderly with no spouse.
The Prevalence and the Related Factors of Metabolic Syndrome in Urban and Rural Community
Kim, Moon Jeong ; Park, Eunok ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 67~77
DOI : 10.7475/kjan.2014.26.1.67
Purpose: The purpose of this study is to investigate the prevalence of metabolic syndrome and its components and to examine the related factors in urban and rural community, South Korea. Methods: The data from the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) conducted in 2010 were utilized in this study. The subjects were 5,760 adults 20 years or over. The data were consisted with health survey questionnaire and health examination.
-test and logistic regression was used for the analysis SAS 9.3 applying sampling weights. Results: The prevalence of metabolic syndrome based on the latest definition proposed the joint scientific meeting was 23.4% and 29.0% respectively in urban and rural community. Rural community showed higher prevalence of abdominal obesity (29.9% vs 38.5%), elevated blood pressure (31.3% vs 38.5%), elevated blood glucose (24.3% vs 28.4%) than urban community. The related factors were age, marital status, high risk drinking, obesity in urban community and age, marital status high risk drinking, severe physical activity, obesity in rural community. Conclusion: This study showed there was difference in prevalence and the related factors of metabolic syndrome and these findings have important implications to prevent and manage metabolic syndrome in public health field.
Construction of the Structural Equation Model on Binge Drinking among Korean Undergraduate Students
Seo, Ji Yeong ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 78~88
DOI : 10.7475/kjan.2014.26.1.78
Purpose: The purpose of this study was to construct a structural equation model (SEM) that would describe the binge drinking among Korean undergraduate students. Methods: Model construction was based on the theory of planned behavior and prototype/willingness model, using the variables; intention, attitude, descriptive norm, and prototype perception of binge drinking, alcohol use disorders identification test (AUDIT), and binge drinking behavior. The analysis of data was done with both SPSS 20.0 for descriptive statistics and AMOS 20.0 for SEM. Results: The binge drinking intention was found to have a significantly direct effect in influencing binge drinking behavior. In addition, attitude, descriptive norm, and prototype perception of binge drinking were found to have a significantly direct effect in influencing binge drinking intention. The final modified model yielded
=374.2 (p<.001), df=174,
=2.15, GFI=.87, AGFI=.82, NFI=.89, PNFI=.73 RMSEA=.07, and CFI=.94. Conclusion: This study constructed a model that addressed the factors related to binge drinking and described the relationship of these factors in influencing binge drinking among Korean undergraduate students. Findings from this study can contribute to designing appropriate prevention strategies to reduce problem related binge drinking in undergraduate students.
Effects of nursing intervention program on reducing acute confusion in hospitalized older adults
Hwang, Hea-Jeong ; Shin, Yeonghee ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 89~97
DOI : 10.7475/kjan.2014.26.1.89
Purpose: During hospitalization, confusion occurs in 15~20% of older adults and persists in 5~10% of them. This study was designed to investigate effects of a five-day nursing intervention program designed to reduce confusion in hospitalized older adults. Subjects were inpatients over the age of 60 years old and were admitted in a surgical care unit. Methods: Data were collected from 111 patients. Subjects divided into one of two groups, 58 patients of the control group which received the usual nursing care; and 53 patients of the intervention group which received the usual nursing care plus nursing intervention program for reducing acute confusion. The Delirium Observation Screening Scale (DOS) and the Korean Mini-Mental Screening Examination (MMSE-K) were utilized. Results: 1) Acute delirium was significantly reduced in the intervention group compared to the control group (
=4.22, p=.034) as well as the duration of the delirious state was significantly shortened (F=56.62, p<.001). Cognitive function of the intervention group was improved (F=21.14, p<.001). Conclusion: The nursing intervention program reduced the incidence and duration of acute delirium of the elderly inpatients, as well as it helps them keep better cognitive function than the control group.
The Effect of Glove Changing during Surgery for Colon Cancer
Park, Eunji ; Ham, Eunmi ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 98~106
DOI : 10.7475/kjan.2014.26.1.98
Purpose: The purpose of this study was to explore the effect of glove changing during surgery for colon cancer on reducing the degree of contamination of surgical gloves. Methods: The randomized posttest control group design was used. Total 72 surgeries of colon cancer in the K University Hospital in Seoul performed by the team of A-Surgeon and B-Scrub nurse were randomly assigned to one of the three groups. Glove changing with single-gloved state was implemented in the Experimental Group I and outer glove changing with double-gloved state was executed in the Experimental Group II. Single-gloved state was carried in the Control Group. Following the surgical procedure, specimens for bacterial culture were collected the from scrub nurse's gloves to compare the degree of contamination among the three groups. Data were analyzed with One-way ANOVA and the Scheff
's multiple comparison test. Results: The degrees of contamination of the Experimental Group I and II were significantly lower than that of the Control Group. There was no significant difference between Experimental Group I and II. Conclusion: Glove changing during surgery with either single or double-gloved state is effective in reducing the degree of contamination of surgical gloves, therefore these methods should be utilized in clinical practice.
Effects of Multi-mode Simulation Learning on Nursing Students' Critical Thinking Disposition, Problem Solving Process, and Clinical Competence
Ko, Eun ; Kim, Hye Young ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 107~116
DOI : 10.7475/kjan.2014.26.1.107
Purpose: The purpose of this study was to identify the effects of multi-mode simulation learning on critical thinking disposition, on the problem solving process and on clinical competence of nursing students. Methods: A non-equivalent control group with pre-posttest was designed. The participants in this study were 65 students who were enrolled in an emergency and critical nursing course at N university. The treatment group consisted of 33 juniors in 2010 and the control group 32 juniors in 2011. Collected data were analyzed using chi-square, independent t-test, and ANCOVA with the SPSS/WIN 18.0 for Window Program. Results: There were significant increases in problem solving process and clinical competence in the treatment group who participated in the multi-mode simulation learning compared to the control group who did not (t=-2.39, p=.020; F=12.76, p=.001). However, there were no significant differences in critical thinking disposition between the treatment and control group (t=0.40, p=.692). Conclusion: Multi-mode simulation is an effective teaching and learning method to enhance the problem solving process and clinical competence of nursing students. Further exploration is needed to develop and utilize multi-mode simulation for diverse scenarios, depending on emergency nursing educational goals and environments and to develop a universal method to measure outcomes.
Nurses' Self-Image Perceived by Clinical Nurses: An Application of Q-Methodology
Ha, Eun-Ho ; Hyun, Kyoung Soon ;
Korean Journal of Adult Nursing, volume 26, issue 1, 2014, Pages 117~128
DOI : 10.7475/kjan.2014.26.1.117
Purpose: The views, perceptions, and feelings of nurses themselves would be important to quality of nursing and professionalism, and turnover intentions. The purpose of this study was to identify nurses 'self-image to develop a customized program. Methods: The Q-methodology which is to create a typology was used. The 40 selected Q-statements from each of 35 participants were classified into a shape of normal distribution using a nine point scale. The collected data were analyzed using a PC-QUANL program. Results: Three types of nurses 'self-image were identified: 'proactive self-image', 'critical self-image', and 'adaptive self-image'. Two consensus items in three types were extracted: 'need to develop healing therapies to overcome the constant tension and exhaustion from work', and 'just think as a colleague than the senior-junior relationship. Conclusion: The results is the typology and this leads to further research.