PURPOSE: The purpose of this study was to develop a Problem-Based Learning (PBL) package, test its application and evaluate students' recognition of the effectiveness of PBL in nursing colleges. METHOD: Thirteen steps were used in the process developing the PBL package. After its application, the first questionnaire for self-evaluation and satisfaction with PBL class was given to 94 nursing students in December, 2005. To further evaluate the students' recognition of the effectiveness of PBL, a second questionnaire was given to 83 nursing students out of the 96 in May, 2007 after clinical practice. Data analysis was conducted using means with standard deviation. RESULTS: The results of students' self-evaluation showed high achievement in learning outcome and process using the PBL method. Also, they expressed satisfaction with the subject management, the lecturer and their peers after the PBL class. Students recognized that the PBL class had positive effectiveness in clinical practice and wanted more PBL classes and the inclusion of complex cases from well designed packages. CONCLUSION: PBL class could be considered as an opportunity to fortify student nurses' abilities to adjust to the real clinical situation.
Diagnostic Self Evaluation ; Humans ; Learning ; Nursing ; Problem-Based Learning ; Questionnaires ; Statistics as Topic ; Students, Nursing

The purpose of this study was to investigate the level of alienation, depression, suicidal ideation and delinquency in high school students and to explore the relationships between the variables. The respondents, 226 students attending a high school located in Chonnam province made up the convenience sample. Data were collected using a structured questionnaire which included the alienation scale, suicidal ideation scale, BDI, and delinquency scale. Data collection was done between June 20 and July 6, 2001. Data were analyzed with the SAS program and included descriptive statistics, t-test, ANOVA and Pearson's correlation coefficients. There were no significant association between alienation and general characteristics of the students. The scores for depression were significantly higher in female students, in students who had recently dropped in their school ranking compared to students who had improved. The scores of suicidal ideation were significantly higher in male students. Also, the scores of delinquency were significantly higher in male students, and students in the high economic class and those with low school rankings. There were significant positive correlations between alienation and other; alienation and depression (r=.432, p=.000), alienation and suicidal ideation (r=.267, p=.000), and alienation and delinquency (r=.150, p=.024). Findings from this study suggest that subsequent practical study in consideration of Korean sociocultural background is needed to identify the cause of alienation and develop supportive strategies to maintain mental health in high school students. Also, study on alienation of students should be based on family, community and popular culture in combination with improvements in school environment.
Surveys and Questionnaires ; Depression* ; Emigrants and Immigrants* ; Female ; Humans ; Jeollanam-do ; Male ; Mental Health ; Suicidal Ideation*

The main purpose of this study was to identify the effect of hand massage on pain and anxiety related to chest tube removal in patients with a lobectomy. The research design of this study was a nonequivalent control group non-synchronized design. Of the twenty nine adult subjects, fourteen were assigned to the experimental group and fifteen to the control group. The data were obtained over 3 months from a medical center in Seoul. The instruments used to assess trait state anxiety was the Spielberger Trait-State anxiety Inventory. For Pain and psychological anxiety, The Visual Analogue Scale was used. Hiko analogue sphygmo- manometer(2001) was used to check blood pressure and pulse rate as indicators of physiological anxiety. Subjects in the experimental group received hand massage for 5 minutes just before chest tube was removed, and subjects assigned to the control group did not receive hand massage. Data were analysed with x2-test and Mann-Whitney U test using the SPSSWIN 10.0 program. The results of the study are as follows; 1. Hypothesis 1: "there will be a significant difference between two groups in the level of pain after chest tube removal" was supported (u = 23.00, p<0.001). 2. Hypothesis 2: "there will be a significant difference between the two groups in the level of psychological anxiety after chest tube removal" was supported (u = 3.00, p<0.001). 3. Hypothesis 3: "there will be a significant difference between the two groups in physiological anxiety(systolic, diastolic blood pressure and pulse rate) after chest tube removal" was supported(u = 55.50, p = 0.01 ; u = 41.50, p = 0.01 ; u = 20.50, p<0.001, relatively). The findings of this study indicate that hand massage is effective for pain and anxiety related to chest tube removal in patients with lobectomy. Therefore, hand massage is recommended as an effective nursing intervention for relieving pain and anxiety in patients undergoing chest tube removal. Further research is needed to identify the proper duration and timing to achieve the optimal effect of hand massage. A larger subject population is required to apply the current findings to the general population. Further research is also needed to assess the effects of hand massage in other patient subsets. Finally, it would be interesting to see if the effects of hand massaging would be attenuated when performed by a non-medical specialist.
Adult ; Anxiety* ; Blood Pressure ; Chest Tubes* ; Hand* ; Heart Rate ; Humans ; Massage* ; Nursing ; Research Design ; Seoul ; Specialization ; Thorax*

This study was designed to find the characteristics and patterns in subjectivity of an attitude on the induced abortion before marriage in women for a university student. Q-methodology was used as a research design and the research procedures were as follows. Q-sampling has been derived from the literature review and interview. It's credibility and validity were also tested by nursing and methodology professors. Total of 34 statements were selected. P-sampling has been drawn and 49 samples were selected. Based on 9 point scale, the selected respondents rated their operant definition on the induced abortion before marriage in women. The results of above procedures women were analyzed by PCQ program. The attitude about the induced abortion before marriage in women were analyzed based on the typal array, extreme comments, and the demographic information of study subjects. The results revealed that there were three types of attitude about the induced abortion before marriage in women. The three types were named as follows ; 1) The first type, agree of conservative perspectives, was consisted of 15 subjects. They emphasized the sanctity of human life and the right of life that will never allow the killing fetus and prevention of induced abortion. 2) The second type, agree of liberal perspectives, was consisted of 10 subjects. They insisted the right to choice for women to control their body, so women have appropriated reason, they could choice induced abortion. 3) The third type, agree of compromise perspectives, was consisted of 7 subjects. They emphasized prevention of induced abortion but allowed under social permission. As a result, this study discovered three types of the attitude about the induced abortion before marriage in women. By this study can be useful to develop efficient strategies for preventing induced abortion.
Abortion, Induced* ; Surveys and Questionnaires ; Female ; Fetus ; Homicide ; Humans ; Marriage* ; Nursing ; Research Design

In nursing research that the data is collected through clinical observation, analysis of clinical recording or coding of interpersonal interaction in clinical areas, testing and reporting interrater reliability is very important to assure reliable results. Procedures for interrater reliability in these studies should follow two steps. The first step is to determine unitizing reliability, which is defined as consistency in the identification of same data elements in the record by two or more raters reviewing the same record. Unitizing reliability have been rarely reported in previous studies. Unitizing reliability should be tested before progressing to the next step as precondition. Next step is to determine interpretive reliability. Cohen's kappa is a preferable method of calculating the extent of agreement between observer or judges because it provides beyonds-chance agreement. Despite its usefulness, kappa can sometimes present paradoxical conclusions and can be difficult to interpret. These difficulties result from the feature of kappa which is affected in complex way s by the presence of bias between observers ad by true prevalence of certain categories. therefore, percentage agreement should be reported with kappa for adequate interpretation of kappa. The presence of bias should be assessed using the bias index and the effect of prevalence should be assessed using the prevalence index. Researchers have been reported only global reliability reflecting the extent to which coders can consistently use the whole coding system across all categories. Category-by-category reliability also need to be reported to inform the possibility that some categories are harder to use than others.
Bias (Epidemiology) ; Clinical Coding ; Humans ; Nursing Research ; Prevalence

PURPOSE: The purpose of this study was to measure meaning in life of elderly and to delineate basic data for developing nursing strategies for improving the meaning in life of elderly. METHOD: Subjects were 240 elderly above 65 years old staying in Busan and Kyungnam Province. The data was collected from May to Jun 2004. The instrument was utilizing Elderly Meaning In Life(EMIL) scale developed by Choi et al.(2003). RESULTS: The mean for elderly was 100.4, the range was from 37 to 148. 63.3% of subjects were in existential vacuum. The mean of 1 phase 'acceptance and awareness of self and life' was 36.9, 2 phase 'creative value realization' was 17.8, 3phase 'experiential value realization' was 2.8, 4 phase 'contentedness of past and present' was 43.7. There were significant differences according to the gender, religion, educational level, spouse, spending money, living arrangement and disease. CONCLUSION: On the viewpoint of above results, 63.3% of subjects were in level of existential vacuum, which required logotherapy. Therefore it shows that developing nursing-logotherapy to improve the meaning in life for elderly is demanded.
Aged* ; Busan ; Gyeongsangnam-do ; Humans ; Nursing ; Psychotherapy ; Residence Characteristics ; Spouses ; Vacuum

PURPOSE: To develop and validate a scale suitable and efficient scale for use in clinical practice as to assess pain in premature infants. METHOD: Pain indicators identified by observation of preterm infants. A cohort of preterm infants was studied prospectively to determine the construct validity, inter-rater reliability, and internal consistency of the scale. The PIPS uses four indicators of pain: corrected gestational age, heart rate, oxygen saturation, behavioral state. The validation study included 45 premature infants with gestational age of 37 weeks or less. RESULTS: The inter-rater reliability of the PIPS was acceptable, with Pearson correlations ranging from .720 to .970. Internal consistency was high: Cronbach's alpha coefficients ranged from .551 to .653. There was a strong correlation between the PIPS and PIPP scores (each researcher's r=.743, each indicator's r=.914). Although gestational age showed no association between these factors and the sum, the other variables were positively associated with the sum. Time needed to calculate PIPS scores is was less than Premature Infant Pain Profile (PIPP) scores(p<.000). CONCLUSION: The validation data suggest that the PIPS is appropriate and efficient for assessing pain in premature infants. Further studies are required about to determine appropriate interventions for each pain score on the PIPS.
Cohort Studies ; Gestational Age ; Heart Rate ; Humans ; Infant, Newborn ; Infant, Premature* ; Oxygen ; Prospective Studies

PURPOSE: This study was done to investigate the relationship between health related lifestyle and health status. METHOD: A survey was conducted with a questionnaire. Participants were 220 student nurses who were selected from G College, Incheon, Korea. ANOVA, t-test, Pearson correlation coefficient were used to analyze the data on health related lifestyle and health status. RESULTS: First year student nurses had significantly higher score on health related lifestyle than senior students. But the social health status of senior students was significantly higher than that of first year students. Social health status was shown to be high for the students who had never been ill, who lived in their own house, and whose economic status was at the median level. There was a statistically significant correlation between health related lifestyle and health status (physical, emotional and social). CONCLUSION: Health related lifestyle has a significant influence on physical, emotional and social health. Also health conception, disease experience and economic status are related to physical, social health, and where the student lives has an effect on health related lifestyle.
Fertilization ; Humans ; Incheon ; Korea ; Life Style* ; Nursing ; Surveys and Questionnaires

PURPOSE: This research was done in order to provide basic data for future research on communication and development of programs. Research methods and key areas of previous nursing research on communication in Korea were analyzed. METHOD: Journals with themes or titles 'nurse-patient communication', 'nursing and communication' and 'interaction between nurse-patient' were searched through internet search engines. RESULTS: The most prevalent research design was survey and nurses were the main participants. Questionnaire was the most frequently used method to obtain the necessary data for the research. The most frequent nursing research topic regarding communication in Korea was the form of the communications such as 'types of communication', and 'organizational communication'. CONCLUSION: For future nursing research regarding communications in Korea, the participants and themes should be broadened. There is also a need to develop objective methods to measure and assess the results of communication so as to enable actual application of the results of the studies.
Internet ; Korea* ; Nursing Research* ; Nursing* ; Surveys and Questionnaires ; Research Design ; Search Engine

PURPOSE: The purpose of this study was to identify body satisfaction and weight loss experience according to individual's discrepancy between obesity by BMI (body mass index) and self-assessment. METHOD: The data were obtained by measuring height, weight and using a questionnaire to obtain data on self-assessment of obesity, body satisfaction and weight loss experience. The participants were 286 women college students in J city, Chungbuk. RESULTS: The mean BMI of the women college students was 21.4+/-2.93kg/m2 which is within the normal range. The concordance rates between obesity by BMI and self-assessment were 54.1%, 39.9%, 61.5%, 78.6% (Kappa=.29) in underweight, normal, overweight, obese students respectively. Forty seven percent of students who were not obese (BMI <23kg/m2) assessed themselves as obese. The mean body satisfaction of college students was very low and 64.3% of the students had a weight loss experience. The students who perceived themselves to be 'obese' even when their BMI was under 23kg/m2 reported lower body satisfaction and higher weight loss experience than other students. CONCLUSION: There were significant discrepancies between obesity by BMI and self-assessment in women college students. The self-assessment of obesity had a greater effect on body satisfaction and weight loss experience than actual BMI in women college students.
Body Mass Index ; Chungcheongbuk-do ; Female ; Humans ; Obesity ; Overweight ; Surveys and Questionnaires ; Reference Values ; Self-Assessment ; Thinness ; Weight Loss*