PURPOSE: The aims of this study are to provide a theoretical framework for improving the self-care of adults with severe hypertension and to examine the practical suitability of a middle-range theory of self-care for chronic illness by validating the structural model. METHODS: Data were collected at a university hospital in D metropolitan city from July 1 to August 14, 2015. A total of 224 Korean adult patients with severe hypertension were recruited. Data were analyzed using SPSS 22.0 and AMOS 22.0. RESULTS: The results show that the fit index of the hypothetical model meets the recommended level; 7 out of 8 hypothetical model paths were statistically significant. Motivation, self-efficacy, support from others, and accessibility to care showed statistical significance and explained 67.3% of the self-care process. The self-care process explained 45.3%, 63.6%, and 26.5% of quality of life, health, and illness stability, respectively. CONCLUSION: This model can be used as a theoretical framework for improving self-care among adult Korean patients with severe hypertension. Moreover, the practical suitability and validity of the middle-range theory of self-care for chronic illness is secured.
Adult* ; Chronic Disease* ; Humans ; Hypertension* ; Models, Structural ; Motivation ; Nursing Theory ; Quality of Life ; Self Care*

BACKGROUND: The purpose of this study is to investigate the influence of nursing student's communication ability, nursing professional intuition and self-esteem on clinical practice satisfaction.METHODS: Descriptive cross sectional study design was used. Data were collected from 223 nursing students using self administered surveys at a university located in a D metropolitan city in Chungcheong area. Data were managed using SPSS 20.0.RESULTS: As a result of regression analysis on clinical practice satisfaction and variables, regression analysis of clinical practice satisfaction and variables revealed that regression model was significant (F=31.80, p < .001). The adjusted coefficient of determination(adj. R2) was .358 and the explanatory power was 35.8%. The most important factors affecting the satisfaction of clinical practice were nursing professional intuition (β .371, p < .001), department satisfaction (β=.251, p < .001), communication ability (β=.166, p=.004), and grade (β=.133, p=.016).CONCLUSION: Nursing students should improve their communication ability, nursing professional intuition and department satisfaction in order to increase the satisfaction of clinical practice.
Communication ; Humans ; Intuition ; Nursing ; Professionalism ; Self Concept ; Students, Nursing

PURPOSE: The purposes of this study were to compare confidence in practice of intermittent gavage tube feeding and participants' satisfaction by three types of feedback; professor verbal feedback, professor feedback with smartphone video, and peer feedback with smartphone video. In addition, frequently failed items in the intermittent gavage tube feeding procedure were analyzed. METHODS: Data were collected from a convenience sample of 78 nursing college students in November 2014. Students were randomly assigned to the control group, experimental group I (smartphone video with professor feedback) or group II (smartphone video with peer feedback). Data were analyzed using descriptive statistics including chi-square test, ANOVA, and Scheffe test with SPSS 21.0. RESULTS: Confidence in practice of intermittent gavage tube feeding and satisfaction with feedback were highest in experimental group I that had professor feedback with smartphone video. For the procedure, the most frequently failed item was giving an explanation to patients about the purpose and the procedure of tube feeding. CONCLUSION: The results indicate that professor verbal feedback with smartphone video is the most benefit to the nursing students in acquiring core nursing practice skills.
Enteral Nutrition* ; Humans ; Nursing* ; Students, Nursing*