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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
Development and Effectiveness of Smartphone Application for the Medication Confirmation of High-alert Medications
Kim, Myoung Soo ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 253~265
DOI : 10.7475/kjan.2014.26.3.253
Purpose: This study was done to develop and evaluate a smartphone application for the medication confirmation of high-alert medications. Methods: A nonequivalent control group non-synchronized design was used for this study. Participants in the treatment group used the application for four weeks. Data were analyzed using descriptive analysis,
-test, and t-test for the homogeneity of participants, and a paired t-test for effectiveness in each group with the SPSS 18.0. Results: Stability of medication administration was estimated by knowledge and certainty, ranged from a score of one to three. A correct answer with high certainty was coded as high stability, low certainty regardless of correct answer was coded as a moderate stability, and incorrect answers with high certainty were rated as low stability. There were no differences in 'knowledge of high alert medication', 'Certainty of knowledge', 'stability of medication administration', 'confidence of single checking medication', and 'medication safety activities' between the treatment group and the comparison group. The treatment group reported a greater difference between pretest and post-test in 'certainty of medication knowledge' (t=3.51, p=.001) than the comparison group. Conclusion: Smartphone application for medication confirmation of high-alert medications will provide an important platform for reducing medication errors risk.
Development and Effect of Sex Education Program for the Elderly
Park, Hyojung ; Lee, Gunjung ; Cha, Hyun Su ; Shin, Sun Hwa ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 266~274
DOI : 10.7475/kjan.2014.26.3.266
Purpose: The purpose of this study was to investigate the effects of sex education for the elderly on sexual knowledge and life satisfaction. Methods: A quasi-experimental study used a non-equivalent control group pre-post test design. A seven week sex education program for the elderly was developed and offered to the treatment group. Subjects were drawn from three welfare centers in Seoul. Twenty six were selected for the treatment l group while 27 were assigned to a comparison group. Sexual knowledge and life satisfaction were measured. Results: The level of life satisfaction reported by the treatment group was greatly increased (t=2.14, p=.037). There were no statistically significant differences in sexual knowledge between both the two groups. Conclusion: A positive influence of sex education was found to increase the level of life satisfaction. Further study on customized sex education for the elderly by individual characteristics is required.
The 'Good Nursing' Experienced by Hemodialysis Patients
Yeom, Eun Yi ; Kim, Miyoung ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 275~286
DOI : 10.7475/kjan.2014.26.3.275
Purpose: The purpose of this study was to explore the meaning and essence of good nursing from the perspective of patients undergoing hemodialysis. Methods: The data were collected through in-depth interviews of five hemodialysis patients who have been dialyzed for one year or longer. The data analysis was conducted using the Giorgi's phenomenological method. Results: The findings included six constituents and 13 sub-constituents. The six constituents were 'prompt and skillful response to mitigate distress', 'careful attention to provide relief', 'individualized education to promote self-management', 'an intimate relationship to regain isolated ego', 'warmhearted support to encourage strength to live in a exhausting life', and 'providing of comfortable environment to maintain stability'. Conclusion: From the perspective of the hemodialysis patients, the concept of good nursing should stem from the integration of nurses' scientific knowledge, expert skills, and moral sensitivity. The finding suggests that strategies to develop nursing interventions for hemodialysis patients will be required on the basis of understanding of their sociocultural contexts and familism.
Factors Influencing Health related Quality of Life among Patients with Chronic Hepatitis B
Kim, Ja-Ok ; Kim, Man Woo ; Kim, Ja-Sook ; Han, Su-Jeong ; Kim, Sehyun ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 287~299
DOI : 10.7475/kjan.2014.26.3.287
Purpose: The aim of this study was to investigate the factors contributing to health-related quality of life (HRQOL) among patients with chronic hepatitis B (CHB). Methods: A cross-sectional, descriptive design was used. The sample included 114 patients in a gastroenterology outpatient department at one hospital located in G city. Data were collected using a structured questionnaire from June to December 2009. The collected data were analyzed using SPSS/WIN 15.0. Results: Health-related quality of life was most strongly related to age, sex, income, occupation, and the care provider. Old age, female gender, lower income, not having an occupation and having a non-medical person were associated with lower HRQOL (
=.03~.22, p=.041~<.001). Conclusion: CHB infection had a negative impact on HRQOL among the older, female gender, low socioeconomic status and not having medically knowledgeable care givers. Interventions beyond nursing care may be needed to improve the quality of health for patients with Chronic Hepatitis B.
Development of Health Dieting Competency Scale for College Students
Kim, Jeongsoo ; Lee, Yumi ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 300~309
DOI : 10.7475/kjan.2014.26.3.300
Purpose: This study was to develop a Health Dieting Competency (HDC) scale to assess self-rated health dieting competence of college students. Methods: The scale was developed as follows: items generated, and tests of validity and reliability. Items were developed through a literature review, review of instruments, and interviews. A panel of four experts reviewed the scale for content validity. Factor analysis, Pearson correlation, descriptive statistics and Cronbach's
were used to analyze the data (N=183). Results: In the preliminary stage, thirty-three items were generated. Final items were fourteen that were selected through exploratory factor analysis. The HDC scale was consisted with five factors and fourteen items that were Goal-Directed (5-items), Health Support (2-items), Health Self-Efficacy (3-items), Health Perception (2-items), and Escaping from Health (2-items). The internal consistency of HDC as measured by Cronbach's
was .78. Conclusion: Content validity, construct validity, and reliability of the HDC were established. The HDC scale is a reliable and valid instrument for early adulthood youth who are willing to assess health dieting competency.
Influence of Perceived Health, Parental Stress, and Social Support on Quality of Life in Grandparent Caregivers
Joung, Woo Joung ; Yi, Myungsun ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 310~319
DOI : 10.7475/kjan.2014.26.3.310
Purpose: The purpose of this study was to examine the relationships among perceived health, parental stress, social support, and quality of life of grandparent caregivers and to identify the factors influencing quality of their life. Methods: A descriptive correlational design was used. The data were collected by questionnaires from a convenience sample of 130 participants taking care of their grandchildren from ten children's daycare centers in Seoul, Korea from August to September, 2013. Data were analyzed using t-test, ANOVA, Pearson's correlation efficients, and multiple regressions. Results: Perceived health, parental stress and social support were correlated significantly with quality of life. As a result of the multiple regression analysis, education level, age of grandchildren, perceived health, parental stress and social support accounted for 48% of the variance in quality of life. Perceived health, parental stress, and social support were identified as factors influencing quality of life and the variable that most affected quality of life was perceived health. Conclusion: The results of the study indicate that health of people taking care of their grandchildren must be promoted while relieving their parental stress with appropriate social support in order to improve quality of life.
Effect of Sexual Attitude of Aged People on Sexual Life: Moderating Effect of General Characteristics
Shin, Sun Hwa ; Park, Hyojung ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 320~329
DOI : 10.7475/kjan.2014.26.3.320
Purpose: The purpose of this study was to analyze the effect of sexual attitude among the elderly to their sexual life while exploring the moderating effect of general characteristics in the relationship between sexual attitude and sexual life. Methods: A descriptive research design was used. The subjects were 322 married elderly from four silver centers in Seoul and Gangwon-do. Aging Sexuality Attitude Scale developed by White (1982) was used to examine sexual life status and general characteristics of the subjects (gender, age, academic background, religion, economic status, and residential type). For data analysis,
-test, t-test, and ANOVA were conducted. Since the dependent variable of sexual life is a binary variable, hierarchical logistic regression was implemented. Results: There were 180 people (55.9%) who had a sexual life. Depending on gender (
=35.03, p<.001), academic background (
=29.45, p<.001), and economic status (
=7.36, p=.025), the subjects showed significant difference in terms of sexual life. Regarding sexual attitude, the subjects showed significant difference depending on gender (t=-5.47, p<.001), age (t=-2.31, p=.021), academic background (t=5.16, p<.001), economic status (F=3.17, p=.043), and sexual life status (t=4.99, p<.001). Conclusion: It is important to devise the sex education program in consideration of gender, age, and academic background that showed moderating effects.
Effects of Auricular Acupressure on Chemotherapy-induced Nausea, Vomiting, and Serum Serotonin Level
Kwon, Soon Jo ; Park, Jeong Sook ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 330~340
DOI : 10.7475/kjan.2014.26.3.330
Purpose: The aim of this study was to identify the effects of auricular acupressure on nausea, vomiting and serum serotonin level in gynecological cancer patients with chemotherapy. Methods: The research was a randomized control group pretest-posttest design. Participants were 26 patients for the experimental group, and 26 patients for the control group. Auricular acupressure in Shen men, Occiput, Stomach and Sympathetic points was administered to those in the experimental group. Data were analyzed using
-test, t-test, ANCOVA, and repeated measures of ANOVA. Results: The experimental group had reported significantly lower mean nausea NRS (Number Rating Scale), INVR (Index of Nausea, Vomiting, and Retching), and serum serotonin level than those in the control group. Conclusion: Results of the study show auricular acupressure is an effective nursing intervention for reducing chemotherapy-induced nausea, vomiting and serum serotonin level of gynecological cancer patients.
Effects of Tailored Water Drinking on the Orthostatic Hypotension in the Elderly
Lee, Eun-Joo ; Kim, Eun Hee ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 341~351
DOI : 10.7475/kjan.2014.26.3.341
Purpose: The purpose of the study was to examine preventive effects of tailored water drinking on orthostatic hypotension and heart rate variability in the elderly. Methods: A non-equivalent control group pre and post time-series design was adapted. Among a total of 64 elderly people admitted to two nursing homes, 35 elderly were assigned to the experimental group and 29 were assigned to the control group. As for the elderly people in the experimental group, tailed water drink was provided according to the scheduled time for six weeks. Blood pressure and heart rate were measured twice before the intervention in both groups. The data were analyzed with SPSS program using t-test,
-test, and repeated measure of ANOVA. Results: There were significant differences in blood pressure and heart rate variability between the two groups. Conclusion: Tailored water drinking had preventive effects on decreasing blood pressure fall as well as prevalence of orthostatic hypotension in the elderly people.
Intensive Care Unit Nurse's Communication Experience
Won, Youn-Hui ; Kang, Jiyeon ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 352~361
DOI : 10.7475/kjan.2014.26.3.352
Purpose: The purpose of this study was to explore the communication experience of intensive care unit (ICU) nurses in the workplace. Methods: The present study utilized a qualitative approach using focus group interview method. A total of three focus groups of 15 ICU nurses from two university hospitals were formed. The conversations during the focus group interviews were recorded and analyzed through Colaizzi's phenomenological method. Results: As a result of analyzing participants' conversation, Five theme clusters were elicited, namely, "one-way communication", "differences in the position of senior and junior nurses", "communication crisis", "beginning of understanding", and "movement toward change" out of 15 themes and 138 significant sentences. Conclusion: ICU nurses report having experienced communication crisis because of the one-way communication of the ICU nursing environment and the hierarchical differences in junior and senior nurses' position. Systematic education and continuous training on communication skills need to be provided to improve interpersonal relationship among nurses and work environment in the ICUs.
A Study of the Relationship between Compassion Fatigue, Somatization and Silencing Response among Hospital Nurses: Focusing on the Mediating Effects of Silencing Response
Kim, Sun Hwa ; Lee, Tae Wha ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 362~371
DOI : 10.7475/kjan.2014.26.3.362
Purpose: The purpose of this study was to identify Compassion Fatigue (CF), Somatization, and Silencing Response (SR) among nurses and understand intermediate effects between the variables. Methods: The sample of 240 nurses who were working three shifts in medical and surgical wards, and emergency room were recruited in three hospitals with over 700 beds. A structured questionnaire was used which included CF, Somatization and SR scales. The data were analyzed using descriptive statistics, ANOVA, Pearson's correlation coefficients and stepwise multiple regression. Results: There were statistically significant differences in CF, Somatization and SR depending on perceived personal health condition, experience of turnover, co-worker support. There were significant correlations between those study variables. The result also indicated that burnout (
=.81, p<.001) which is a part of Secondary Traumatic Stress and Somatization (
=.79, p<.001) have the role of partial mediator in the relationship between Secondary Traumatic Stress and Silencing response. Conclusion: The results of study show that an intermediary role by Burnout and Somatization in Silencing response of nurses is important for effective human resource management in hospital nursing staffs. Effective human resource management which includes mentoring and social support system can enhance the professional quality of life of nurses, which will eventually contribute to the quality of care by those care providers and counselors.
Sleep Duration and the Related Factors of Hypertension among Korean Middle-aged Adults
Park, Eunok ;
Korean Journal of Adult Nursing, volume 26, issue 3, 2014, Pages 372~381
DOI : 10.7475/kjan.2014.26.3.372
Purpose: This study investigated the prevalence of hypertension, explored sleep duration, and examined the related factors to hypertension in Korean middle-aged adults. Methods: Using raw data from the Korean National Health and Nutritional Examination Survey (KNHANES) conducted from 2008 to 2010, a secondary analysis was performed with data from 13,230 adults aged 30~64 years.
-test and multiple logistic regressions was used for the data analysis. Results: The prevalence of hypertension among Korean middle-aged adults was 21.8% and 40.3% among participants reported that their average sleep duration was below six hours a night. Risk factors for hypertension include: female (the odds ratio (OR) 1.66 for male), 50~64 years age group (OR 3.66 for 30~49 years age group), education level of elementary school (OR 1.84 for university level), low household income (OR 1.27 for upper), obesity (OR 2.41), high risk drinking (OR 1.64), and sleep duration
hrs (OR 1.16 for 8 hrs of sleep). Conclusion: High risk population of hypertension could be male, aged, low education, and low income. Obesity, high risk drinking, and short sleep duration should be considered as risk factors for hypertension. Interventions for obesity management, adequate alcohol drinking and sleep duration could be considered for preventing hypertension.