Go to the main menu
Skip to content
Go to bottom
REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Korean Journal of Adult Nursing
Journal Basic Information
Journal DOI :
Korean Society of Adult Nursing
Editor in Chief :
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
Factors associated with Hepatitis A Preventative Behaviors among University Students
Choi, Jeong-Sil ; Ko, Ji Woon ; Park, Seungmi ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 127~134
DOI : 10.7475/kjan.2015.27.2.127
Purpose: The purpose of this study is to identify health beliefs and knowledge related to hepatitis A vaccination (HAV). Preventative behaviors related to HAV were also examined. Methods: The convenience sample of 332 students were drawn from a university in Chung-nam province. The results were analyzed using descriptive statistics, t-test, ANOVA, Scheff
test, Pearson's correlation coefficient, and stepwise multiple regression with SPSS for Windows 21.0 software. Results: Vaccination rates for hepatitis A were 23.4%. The mean scores of health beliefs, knowledge and preventative behaviors related to hepatitis A were
respectively. The factors found to be related to hepatitis A preventative behaviors were HAV, having the HAV antibody and health beliefs. Conclusion: An experience of HAV, having HAV antibody, and positive health beliefs related to hepatitis A may be necessary to increase voluntary hepatitis A preventive behaviors among university students. It is essential to develop the strategy of educating university students about HAV and having HAV antibody as well as reinforcing health beliefs about hepatitis A which prevent the hepatitis A occurrence.
Effects of a Colonoscopy based Simulation Education Program on Knowledge and Clinical Performance in Nursing Students
Kim, Hyo-Youn ; Kim, Hae-Ran ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 135~145
DOI : 10.7475/kjan.2015.27.2.135
Purpose: The purpose of this study was to evaluate the effects of a colonoscopy simulation program on knowledge and clinical performance among nursing students. Methods: The program consisted of a scenario with three objectives: health assessment, nursing before/after colonoscopy and emergency care for bleeding following the colonoscopy. A nonequivalent control group pretest-posttest design was used. The sample was 149 nursing students recruited from H University in G city from August, 2013 to December, 2014. The treatment group (n=71) received the simulation and the comparison group (n=78) received the usual lecture program. Data were analyzed using descriptive statistics,
test, t-test and repeated measure ANOVA using the SPSS/WIN 20.0 program. Result: Participants in the treatment group had significantly increased reported scores on both knowledge and clinical performance. Conclusion: Results indicate that the simulated program is a useful strategy for improving knowledge and clinical performance among nursing students. The development of simulation practice programs in a variety of fields are needed in order to promote the practical competence of nursing students.
Relationship between Non-technical Skills and Resuscitation Performance of Nurses' Team in in-situ Simulated Cardiac Arrest
Kim, Eun Jung ; Lee, Kyeong Ryong ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 146~155
DOI : 10.7475/kjan.2015.27.2.146
Purpose: The aim of this descriptive study was to explore the relationship between non-technical skills (NTSs) and cardiopulmonary resuscitation (CPR) performance of nurses' teams in simulated cardiac arrest in the hospital. Methods: The sample was 28 teams of nurses in one university hospital located in Seoul. A high fidelity simulator was used to enact simulated cardiac arrest. The nurse teams were scored by raters using both the CPR performance checklist and the NTSs checklist. Specifically the CPR performance checklist included critical actions; time elapsed to initiation of critical actions, and quality of cardiac compression. The NTSs checklist was comprised of leadership, communication, mutual performance monitoring, maintenance of guideline, and task management. Data were collected directly from manikin and video recordings. Results: There was a significant difference between the medians of the NTSs and CPR performance (Mann Whitney U=43.5, p=.014). In five subcategories, communication (p=.026), mutual performance monitoring (p=.005), and maintenance of guideline (p=.003) differed significantly with CPR performance in medians. Leadership (p=.053) and task management (p=.080) were not significantly different with CPR performance. Conclusion: The findings indicate that NTSs of teams in addition to technical skills of individual rescuers affect the outcome of CPR. NTSs development and assessment should be considered an integral part of resuscitation training.
The Development of a Scale Assessing the Risk of Discontinuation of Tuberculosis Treatment
Choi, Jin Ok ; Sung, Kyung Mi ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 156~169
DOI : 10.7475/kjan.2015.27.2.156
Purpose: This study identified the reasons why tuberculosis (TB) patients withhold treatment in a bid to develop a assessment scale to select patients who needs nursing intervention in the early stage and decrease the risk of discontinuation of treatment. Sample: There were two samples. A sample of 191 patients with TB and having primary treatment and a second sample of N who were under re-treatment Methods: The study design included qualitative and quantitative methods. Qualitative data were collected from in-depth interviews of TB patients under re-treatment. The quantitative data were collected from 191 patients with TB under primary treatment. Results: Exploratory factor analysis revealed 11 factors explaining 69.6% of total variance. These factors were categorized into four subgroups. A depression scale was used to establish concurrent validity. The depression scale had a positive relationship (r=54) with the discontinuing of primary treatment. The internal consistency reliability for the four subgroups was over .84. The confidence coefficient was Cronbach's
.95. The final scale was a self-reported four Likert scale including 50 items. Conclusion: Reliability and validity was established for the scale and the scale can be used to examine the risk of treatment discontinuation for TB. The scale is an important resource for nursing interventions in identifying and treating high risk clients.
Self-care, Social Support, and Biological Markers in Liver Transplant Recipients
Kim, Hyunkyung ; Choi, Mona ; Kim, So Sun ; Kim, Soon-Il ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 170~179
DOI : 10.7475/kjan.2015.27.2.170
Purpose: To examine the relationships between self-care, social support, and biological markers in liver transplant recipients. Methods: The participants included 118 liver transplant recipients who visited outpatient clinic at Y University Hospital in Seoul from April to May, 2013. Questionnaires consisted of self-care and social support scales. The biological markers were collected by reviewing electronic medical records. Data were analyzed with descriptive statistics, t-test, ANOVA with Scheff
post-hoc test, and Pearson's correlation. Results: The self-care score was significantly higher in a patient group within 6 months post-transplant when compared to a patient group post-transplant 3 to 5 years (F=3.10, p=.018). The self-care showed positive correlation with social support with statistical significance (r=.36, p<.001). Conclusion: As the self-care in liver transplant recipients had a positive correlation with social support from family and healthcare providers, the development of comprehensive long-term nursing intervention systems including counseling, education, and support in consideration of progress of time period after transplantation is necessary to enhance self-care behaviors among this population.
Effect of Job Embeddedness and Job Satisfaction on Turnover Intention in Nurses
Son, So-Young ; Choi, Jeong Sil ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 180~187
DOI : 10.7475/kjan.2015.27.2.180
Purpose: The purpose of this study was to analyze the effects of job embeddedness and job satisfaction on turnover intention in nurses. Methods: The study design was a descriptive survey and questionnaires were collected from May 1 to 31, 2014. Participants were 216 nurses. Data were analyzed using independent t-test, Scheff
test, one-way ANOVA, Pearson correlation coefficient and hierarchical multiple regression with the SPSS/WIN 21.0 program. Results: Job embeddedness was positively correlated with job satisfaction and negative correlations with turnover intention. Finally, job embeddedness and job satisfaction accounted for 33.1% of the variance in turnover intention. Conclusion: Results indicate that job embeddedness and job satisfaction are factors influencing turnover intention. Therefore, it is necessary to develop and make available programs embracing factors in the prevention and reduction of turnover intention.
Fatigue, Sleep Disturbance, and Quality of Life among Breast Cancer Patients Receiving Radiotherapy
Kim, Ran Young ; Park, Hyojung ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 188~197
DOI : 10.7475/kjan.2015.27.2.188
Purpose: The purpose of this study was to examine fatigue, sleep disturbances, and quality of life (QOL) among patients with breast cancer receiving radiotherapy. Methods: A cross-sectional, descriptive design was used. Data were collected through questionnaires distributed to 201 breast cancer patients in a hospital. The data were analyzed using SPSS 21.0. Results: The fatigue scores showed significant differences depending on exercise and duration since diagnosis. The sleep disturbance scores showed significant differences depending on duration since diagnosis. QOL scores showed significant differences depending on exercise, duration since diagnosis, and treatment site. Fatigue and sleep disturbances (r=.40, p<.001) showed statistically significant positive correlations, while fatigue and QOL (r=-.55, p<.001), and sleep disturbances and QOL (r=-.45, p<.001) showed statistically significant negative correlations. The multiple regression analysis, which was used to determine the variables influencing on QOL after radiotherapy, resulted in a significant regression model (F=23.88, p<.001), which accounted for approximately 45% of the explanatory power. Fatigue (
, p<.001) and sleep disturbances (
, p<.001) were revealed to adversely affect quality of life. Conclusion: The nursing intervention is necessary to reduce fatigue and sleep disturbance and to promote exercise in order to enhance QOL of patients with breast neoplasm while receiving radiotherapy.
Development and Application of a Health Promotion Program for Marriage Immigrant Women
Seo, In Ju ; Park, Jeong Sook ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 198~210
DOI : 10.7475/kjan.2015.27.2.198
Purpose: This study was to develop a health promotion program for marriage immigrant women and to evaluate its efficacy. Methods: The health promotion program was comprised of eight 100-minute weekly sessions. Each session included understanding of health responsibility, nutrition, physical activity, interpersonal relations, stress management, and self actualization. The research was conducted under the principles of nonequivalent control group pretest-post test design. The outcome variables were health promoting behavior, health status, acculturation, self efficacy, and perceived barrier. The participants were 15 immigrant women in the experimental group and 16 in the control group. Data was analyzed using
test, Fisher's exact test, Mann Whitney U-test and Wilcoxon signed rank test. Results: There was a significant improvement in health promoting behaviors (U=-3.08, p=.002), left shoulder flexibility (U=-3.02, p=.003), right shoulder flexibility (U=-3.02, p=.003), low back flexibility (U=-3.37, p=.001), social health status (U=-3.38 p=.001) and subjective health status (U=-2.17 p=.030) in the experimental group compared to the control group. Conclusion: The health promotion program for marriage immigrant women was an effective intervention for improving health promoting behavior, physical health status, social health, and subjective health status. Therefore, the developed health promotion program needs to be applied to married immigrant women in other kinds nursing care settings in future research.
The Path Model based on Senescent Sleep Model for Sleep in Community-dwelling Older Adults
Kim, Ahrin ; Kim, Oksoo ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 211~222
DOI : 10.7475/kjan.2015.27.2.211
Purpose: This study was conducted to test the model for sleep in community-dwelling older adults. The hypothetical model based on a senescent sleep model was constructed using the multiple influencing factors of sleep and associated adverse outcomes of changes in sleep in the older adults. Methods: Data were collected from 203 community-dwelling older adults living in Korea, and analyzed using IBM SPSS 21.0 and AMOS 21.0. Results: Increased age and multiple comorbidities were associated with decreased physical activities. Decreased physical activities were associated with smaller social networks, and smaller social networks were associated with higher level of loneliness. Multiple comorbidities, decreased physical activities, larger social networks, and higher level of loneliness were associated with maladaptive sleep hygiene. Decreased physical activities, higher level loneliness, and shorter actual sleep duration were associated with worse sleep quality. Smaller social networks and shorter actual sleep duration were associated with lower cognitive functions. Smaller social networks, higher loneliness, and worse sleep quality were associated with more severe depressive symptoms. Conclusion: These findings suggest that the sleep improvement interventions not only with physical perspectives but psychosocial ones for older adults may improve depressive symptoms as well as sleep quality.
Effect of a Telephone-administered Cognitive Behavioral Therapy for the Management of Depression, Anxiety, and Chronic Illness Anticipated Stigma in Parkinson's Disease
Bae, Eun Sook ; Yeum, Dong Moon ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 223~232
DOI : 10.7475/kjan.2015.27.2.223
Purpose: Parkinson's disease (PD) has a high incidence of psychiatric comorbidity, specifically depression and anxiety. This study examined the effectiveness of group cognitive behavioral therapy (CBT) in treating depression and anxiety. Methods: The study included 42 participants, aged between 52 and 77 years, who were diagnosed with idiopathic Parkinson's disease (IPD) and reported suffering from depression and anxiety. Patients were attending a department of outpatient neurology at D University Schools of Medicine in B Metropolitan city. A structured telephone-administered cognitive behavioral therapy was conducted for eight weeks. A repeated measure ANOVA was used to analyze results at pretest, post-test, and four weeks follow up. Results: According to service method, there were significant differences between the two groups in depression, anxiety and stigma was significant difference between time (p<.05). Analysis of the interaction between time and service method revealed significant differences in depression and anxiety (p<.05). Conclusion: The results suggest that telephone-administered cognitive behavioral therapy may be effective and may provide opportunity to adapt to individual needs for treating depression and anxiety in patients with Parkinson's disease.
The Effect of Position Change on Discomfort and Bleeding after Liver Biopsy
Yun, Mi-Jeong ; Min, Hye Sook ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 233~241
DOI : 10.7475/kjan.2015.27.2.233
Purpose: This study examined the effects of e position change upon reported discomfort and bleeding complications during bed rest following a liver biopsy. Methods: The research design for this study was a non-equivalent control group quasi-experimental design. Twenty-nine participants were assigned to the treatment group and twenty seven participants were in the comparison group. Following the biopsy, the treatment group participants had a position change from the supine without compression for two hours followed by compressive right lateral position for two hours. The comparison group maintained continuously the compressive right lateral position with sandbag for four hours. Results: There were statistically significant differences in reported discomfort between the treatment and comparison groups following the intervention. No significant differences were found in bleeding complications between the two groups. Conclusion: The results of the study suggest that the positional change is an effective nursing intervention in reducing discomfort without risk of bleeding following a liver biopsy.
Factors Affecting Adherence to Self-care Behaviors among Outpatients with Heart Failure in Korea
Ok, Jong Sun ; Choi, Heejung ;
Korean Journal of Adult Nursing, volume 27, issue 2, 2015, Pages 242~250
DOI : 10.7475/kjan.2015.27.2.242
Purpose: To evaluate heart failure knowledge and adherence to self-care behaviors, and to identify factors affecting adherence to self-care behaviors among Korean patients with heart failure. Methods: Correlational research using the European Heart Failure Self-care Behavior Scale, the Duke Activity Status Index, the Dutch Heart Failure Knowledge Scale, the New York Heart Association Functional Classification, and the Medical Outcomes Study Social Support Survey was conducted. A total of 280 outpatients with heart failure responded to the five questionnaires. Results: The mean scores for self-care adherence and heart failure knowledge were
, respectively, indicating lower adherence and knowledge than those previously reported. Subjects with lower functional status, more social supports, and greater knowledge of heart failure are more likely to adhere to prescribed regimens. Conclusion: Nurses should focus on patient education and support to improve their adherence to self-care behaviors.