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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 27, Issue 6 - Dec 2015
Volume 27, Issue 5 - Oct 2015
Volume 27, Issue 4 - Aug 2015
Volume 27, Issue 3 - Jun 2015
Volume 27, Issue 2 - Apr 2015
Volume 27, Issue 1 - Feb 2015
Selecting the target year
Development of a Medication Error Prevention System and Its Influence on Patient Safety Culture and Initiatives
Kim, Myoung-Soo ; Kim, Hyun-Hee ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 1~10
DOI : 10.7475/kjan.2015.27.1.1
Purpose: The objective of this study was to examine patient safety culture (PSC) and patient safety initiatives (PSI) according to IT-based medication errors prevention system which is constructed in this study, and to identify the relationships among system construction, perception to the usage, PSC and PSI. Methods: The subjects were 180 nurses who work at 12 different hospitals with over 300 beds. The questionnaire included the characteristics of participants, a system construction status, the perception to the usage using electric pharmacopoeia (EP), a drug dose calculation system (DDCS), a patient safety reporting system (PSRS) and a bar-code system (BS). The data were collected from July 2011 to August 2011. Descriptive statistics, ANOVA, Pearson correlation and MANOVA were used for data analysis. Results: Systems were constructed in participating hospitals; For EP and PSRS, 83.9%, DDCS, 50%, and BS, 18.3%. The perceptions on the usage of the system were marked highest in BS as 4.54 followed by EP as 3.85. There were significant positive correlations between PSI and EP construction (r=.17, p=.028); PSRS (r=.17, p=.028) and DDCS (r=.23, p=.002). Conclusion: The developed system for improving the user experiences and reducing medication errors was found out well accepted. It is hoped that the system is helpful for PSC and PSI improvement in clinical settings.
A Study on Self-efficacy, Coping, and Compliance in Patients with Kidney Transplantation
Lee, Jeong Lan ; Park, Hyojung ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 11~20
DOI : 10.7475/kjan.2015.27.1.11
Purpose: The purpose was to examine the self-efficacy, coping, and compliance in patients with kidney transplantation. Methods: Participants consisted of 300 outpatients who underwent kidney transplantation and regularly visited hospital for health check-up. A tool developed by Ahn (2000) was used for measuring self-efficacy. A modified version of the Jalowiec Coping Scale (Jalowiec, 1987) by Hwang (2004) was used for measuring coping, and a tool developed by Ryu, Kim, and Kang (2003) was used for compliance. Data were analyzed using SPSS program version 21.0 ANOVA, Pearson's correlation coefficient, and Scheff
's test for post-hoc test. Results: Coping shows significant differences according to marital status and education. Coping was used more often among patients with ABO incompatible transplantation than those with ABO compatible. Differences in compliance were significant according to donor type, ABO incompatible, period after transplantation, and admission after the transplantation. The management of life style, stress, nutrition, and exercise in self-efficacy and compliance had lower scores than the others. Conclusion: There are significant correlations between self-efficacy, coping, and compliance in patients with kidney transplant which might be helpful for health care professionals in taking care of these population.
Mindfulness Meditation Experiences among Patients with Coronary Artery Disease: A Phenomenological Study
Song, Yeoungsuk ; Song, Taeyun ; Lee, Jong Young ; Yoo, Young Sook ; Kwon, So-Hi ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 21~28
DOI : 10.7475/kjan.2015.27.1.21
Purpose: This study was aimed to explore and describe the experiences of mindfulness meditation (mindfulness- based stress reduction, MBSR) among patients with coronary artery disease (CAD) as a method of cardiac rehabilitation. Methods: In-depth interviews was conducted with 7 participants with CAD post percutaneous coronary intervention. Main question was 'what is your experiences with MBSR?' Colaizzi's seven steps of phenomenological analysis was used for eliciting embedded meanings. Results: Five theme clusters were found; rediscovery of mindfulness meditation, obtaining self-control for stress management, self-worth, feeling of happiness, and looking into myself. Conclusion: This study provides a profound picture on the experiences of mindfulness meditation among participants with coronary artery disease. MBSR can help patients with CAD in reducing stress and to enhance their cardiac rehabilitations. It is hoped that mindfulness meditation can be used in clinical setting as a part of cardiac rehabilitation program.
Validation of Fall Risk Assessment Scales among Hospitalized Patients in South Korea using Retrospective Data Analysis
Kang, Young Ok ; Song, Rhayun ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 29~38
DOI : 10.7475/kjan.2015.27.1.29
Purpose: The purpose of the study was to validate fall risk assessment scales among hospitalized adult patients in South Korea using the electronic medical records by comparing sensitivity, specificity, positive predictive values, and negative predictive values of Morse Fall Scale (MFS), Bobath Memorial Hospital Fall Risk Assessment Scale (BMFRAS), and Johns Hopkins Hospital Fall Risk Assessment tool (JHFRAT). Methods: A total of 120 patients who experienced fall episodes during their hospitalization from June 2010 to December 2013 was categorized into the fall group. Another 120 patients, who didn't experience fall episodes with age, sex, clinical departments, and the type of wards matched with the fall group, were categorized to the comparison group. Data were analyzed for the comparisons of sensitivity, specificity, positive and negative predictive values, and the area under the curve of the three tools. Results: MFS at a cut-off score of 48 had .806 for ROC curves, 76.7% for sensitivity, 77.5% for specificity, 77.3% for positive predictive value, and 76.9% for negative predictive value, which were the highest values among the three fall assessment scales. Conclusion: The MFS with the highest score and the highest discrimination was evaluated to be suitable and reasonable for predicting falls of inpatients in med-surg units of university hospitals.
Development and Validation of the Hospital Violence Attitude Scale-18 (HVAS-18) for Clinical Nurses
Ha, Eun-Ho ; Cho, Jin-Young ; Kim, Jin-Mi ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 39~51
DOI : 10.7475/kjan.2015.27.1.39
Purpose: The purpose of this study was to develop and validate a Hospital Violence Attitude Scale-18 (HVAS-18) for clinical nurses. Methods: The HVAS-18 was developed and validated in 3 steps: Item generation through literature reviews and in-depth interviews, pilot study, and the validity and reliability tests using a test-retest technique. Forty-one items were initially extracted by 8 experts, and 18 items were finally developed by item and factor analysis. The final HVAS-18 was evaluated by 326 clinical nurses from seven general hospitals in three cities. The collected data were analyzed using factor analysis, Pearson correlation coefficient, and Cronbach's
. Results: Five discrete factors emerged, which explained 64.0% of the total variance. Each five factor was labeled: Factor 1 (6 items) 'awareness'explained 18.2%; Factor 2 (4 items) 'response' explained 12.9%; Factor 3 (4 items) 'reaction' explained 12.9%; Factor 4 (2 items) 'result-nursing' explained 10.2%; and Factor 5 (2 items) 'result-violence offender' explained 9.6%. The internal consistency, Cronbach's
, was .87, and reliability of the sub-scales ranged from .72 to .83. Conclusion: The results of this study indicate that HVAS-18 can be an useful, reliable, and valid instrument for measuring hospital violence attitude of clinical nurses.
Influence of Frailty, Nutritional Status, Positive Thinking and Family Function on Health Conservation of the Elderly at Home
Chang, Hae Kyung ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 52~62
DOI : 10.7475/kjan.2015.27.1.52
Purpose: The purpose of this study was to examine the relationships between frailty, nutritional status, positive thinking, family function, and health conservation and to identify the factors influencing health conservation of the elderly at home. Methods: The research design was a descriptive survey using a convenience sampling. Data were collected from 142 elders using self-reported questionnaires. Data were analyzed using the SPSS/WIN 20.0 program for descriptive statistics, Pearson's correlation coefficients, and multiple linear regression. Results: The average health conservation score was 98.85. There were significant correlations between frailty, nutritional status, positive thinking, family function and health conservation. As a result of the multiple linear regression analysis, positive thinking, perceived health status, spouse and frailty accounted for 69% of the variance in health conservation of the elderly at home. Conclusion: These influencing factors on health conservation can be taken into account in the development of nursing intervention programs for improving health conservation of the elderly at home.
The Influence of Job-seeking Stress, Career Decision-making Self-efficacy, Self-esteem and Academic Achievement on Nursing Students' Happiness
Kim, Soonhee ; Lee, Sunhee ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 63~72
DOI : 10.7475/kjan.2015.27.1.63
Purpose: The aim of this study was to determine whether job-seeking stress, career decision-making self-efficacy, self-esteem, and academic achievement had an influence on nursing students' happiness. Methods: The participants were 147 nursing students in D city. Data were collected with a structured questionnaire. The data were analyzed with SPSS/WIN 19.0 using ANOVA, t-test, Pearson correlation, and stepwise multiple regression. Results: Factors that had an influence on happiness included major satisfaction(highly unsatisfied
, p=.001), average monthly family income(between four and six million won
, p=.002), career decision-making self-efficacy(
, p=.010), major satisfaction(satisfied
, p=.006), and subjective health(unhealthy
, p=.020). These factors explained 33.5% of the variance in student happiness. Conclusion: The results of this study reveal that career decision-making self-efficacy, self-esteem, major satisfaction, and job-seeking stress were important intrinsic factors in the happiness of nursing students. Thus, it is necessary to help these students attain more self-efficacy, self-esteem, and major satisfaction rather than focusing on academic achievement in order to increase their happiness.
The Effects of Video-based Peer assisted Learning in Standardized Patients Simulation: Pre and Post Operative Care
Park, In-Hee ; Shin, Sujin ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 73~82
DOI : 10.7475/kjan.2015.27.1.73
Purpose: This study examined the effects of peer assisted learning (PAL) using video recordings in standardized patients (SP) simulation. Methods: A mixed-method approach was adopted, in which quantitative data were supplemented with qualitative data. Research participants consisted of 49 nursing students, 24 of whom were assigned to the experimental group, and 25 to the control group. The 12 item instrument was used to measure perioperative care knowledge, while performance confidence was assessed with the 10 item questionnaire, and clinical critical thinking skills with the Clinical Critical Thinking Skill Test (CCTS). Qualitative data were collected using a reflective journaling and in-depth interviews. Results: Participants in the experimental group exhibited significantly higher levels of knowledge than those in the control group (t=5.43, p<.001), and were significantly more confident in their performances (F=52.33, p<.001). However, no significant differences were found between the experimental and the control groups with regard to CCTS (t=0.72, p=.477). A qualitative content analysis was conducted using the interview and reflective journaling data, in which six major themes were elicited from three codes. Conclusion: PAL employing video recordings is expected to be utilized as a teaching and learning strategy in simulation-based nursing practicum with greater frequency and longer period, given the positive effects observed in this study.
Effects of Symptom Recognition and Health Behavior Compliance on Hospital Arrival Time in Patients with Acute Myocardial Infarction
Han, Eun Ju ; Kim, Jeong Sun ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 83~93
DOI : 10.7475/kjan.2015.27.1.83
Purpose: This study was to investigate the relationship among the symptom recognition, health behavior compliance, and the hospital arrival time to identify factors influencing the hospital arrival time in patient with acute myocardial infarction (AMI). Methods: The subjects of this study were 200 patients with AMI in C hospital in D city. Data were analyzed using descriptive statistics, independent t-test, One way ANOVA, Pearson's correlation coefficients, and stepwise multiple liner regression tests. Results: Level of symptom recognition and health behavior compliance was low. The median value of hospital arrival time was 4.48 hours (ST-segment Elevation Ml was 2.43 hours and Non ST-segment Elevation MI was 7.83 hours). Among the studied factors, only symptom recognition had a statistically significant positive correlation with health behavior compliance (r=0.38, p<.001). Factors influencing the hospital arrival time were MI classification, diabetes mellitus (DM) and transport vehicle to the 1st hospital, and they accounted for 13% of the variance for hospital arrival time in AMI patients. Conclusion: To prevent the delay of hospital arrival time in MI patients, a more robust nursing strategic intervention according to MI classification and DM is necessary; further education on the importance of transportation utilization is also mandated.
The Effects of Korean DASH Diet Education with Calcium/Vitamin D Supplements on Nutrient Intakes, Food Consumption, Bone Turnover Markers and Bone Mineral Density among Korean Elderly Women
Lee, Haeyoung ; Choi-Kwon, Smi ; Choi, Seung-Hye ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 94~105
DOI : 10.7475/kjan.2015.27.1.94
Purpose: This study was aimed to investigate the effects of the nutritional intervention program including DASH diet education and calcium/vitamin D supplements in Korean elderly women. Methods: This was a quasi-experimental study employing non-equivalent control group pretest-posttest design. The experimental group (n=26) was given DASH diet education and supplements (calcium 1200mg and vitamin 800 IU) while the control group (n=16) was given only general health consults. After the interventions, differences were analyzed in nutrient intake, bone turnover markers and bone mineral density between the two groups. Results: After one year, bone mineral density was found reduced in both groups, but showed higher levels (p=.003) in the experimental group than the control group. After research, nutrient intakes of participants improved generally, yet there was no significant difference between the two groups. The experimental group was divided into subgroups after interventions according to the level of calcium intake, and bone density and bone markers were compared between the subgroups. In a subgroup whose calcium intake was in the normal range, bone mineral density was significantly high (p=.002) while CTx and osteocalcin were significantly low (p=.003, p=.006, respectively). Conclusion: This study is significant in that it provided a nutritional intervention program for one year to elderly women who are susceptible to osteoporosis and severely low in dietary calcium intake and it proved to be effective.
Effects of Music Therapy on Agitation in Dementia: Systematic Review and Meta-analysis
Kong, Eun-Hi ; Park, Myonghwa ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 106~116
DOI : 10.7475/kjan.2015.27.1.106
Purpose: The purpose of this review was to assess the quality and to evaluate the effectiveness of music interventions in reducing agitation in older adults with dementia. Methods: Randomized controlled studies and randomized crossover studies were identified by searching MEDLINE, EMBASE, CINAHL, PsycINFO, AGELINE, Cochrane Central Register of Controlled Trials, Korea Med, Kmbase, RISS, National Assembly Digital Library, KISS, and RICH. Two reviewers independently retrieved articles, extracted data, and assessed the quality of studies. Results: In total, 10 studies were selected from 1095 unique citations. All included studies were conducted in long term care settings. Overall, risk of bias for included studies was low to moderate. The weighted average effect size across studies was -0.39 (95%CI [-0.69, -0.10], p=.009,
). Music therapy was effective to reduce agitation of the older adults with dementia. Conclusion: Music intervention can be an effective non-pharmacological intervention for the reduction of agitation in dementia. Future studies need to use rigorous research method and to provide description of research methods in greater detail. In addition, future studies are required to explore the effects of music therapy according to severity of agitation and dementia.
The Impact of Cancer Diagnosis and Its Treatment on Korean Women's Lives: A Meta-synthesis Study
Suh, Eunyoung E. ;
Korean Journal of Adult Nursing, volume 27, issue 1, 2015, Pages 117~126
DOI : 10.7475/kjan.2015.27.1.117
Purpose: Korean women, who have come to the forefront at a risk of cancer, have been notable objects for qualitative nursing research in last a couple of decades. Given the imparity and varieties of those findings, this study was aimed to synthesize the impact of cancer diagnosis and its treatment on Korean women's lives using a qualitative meta-synthesis method. Methods: By searching five English-based databases and four Korean databases, 21 qualitative studies on Korean women's particular experiences of cancer diagnosis and treatment since 2000 were included. Using a meta-synthesis process by Sandelowski & Barroso (2007), the selected studies were synthesized for interpretive integration of the findings. Results: The meta-synthesis elicited three themes: detachment from the usualness, awareness of profound desires, and redefinition of every relation. With destructive experiences of a diagnosis and its treatments, Korean women felt apart from their everyday life, daily roles, and even from their own body. They then grasped a strong desire for life and for beauty, and reconfirmed the sense of mission for being a mother. Those changes made them to reconstruct all relations surrounded them. Conclusion: The findings yield a substantive portrait of the given issue, which could be helpful for health care professionals.