PURPOSE: This study was done to examine the prophylactic effect of transparent film dressing on the sacrum and coccyx sites to reduce pressure ulcers. METHODS: The participants were 317 patients admitted to an SICU in Seoul, Korea. Of the patients, 175 were assigned to the experimental group and 142 to the control group. For participants in the experimental group, a prophylactic transparent film dressing was applied on the sacrum and coccyx. The control group received the usual care. The nurses checked for pressure ulcers on the sacrum and coccyx at least once every duty. When pressure ulcer occurred, it reported on the record form. The results were analyzed using Poisson and Hierarchical logistic regression. RESULTS: The prevalence and risk of pressure ulcer was lower in the experimental group compared to the control group but the difference was not significant. The ICU length of stay was significantly associated with pressure ulcer risk. CONCLUSION: Findings indicate that prophylactic transparent film dressing helps to reduce pressure ulcer in SICU patients.
Bandages* ; Coccyx* ; Critical Care Nursing ; Humans ; Korea ; Length of Stay ; Logistic Models ; Pressure Ulcer ; Prevalence ; Sacrum* ; Seoul ; Skin Care

PURPOSE: The purpose of this study was to develop a computer decision making support system that enables nurses to utilize the computer in selecting the best decision for pain management for patients with dementia institutionalized in nursing homes. METHODS: To formulate the protocol for the management of patients' pain, the researcher analyzed content of interviews with 30 nurses in three nursing homes and an expert group. A decision support computer program was formalized based on existing protocols. To evaluate the effectiveness and applicability of the system, analysis of data on patient pain management and nurse satisfaction with the system were done after the formalized decision support computer program was complete. RESULTS: The decision support computer program for pain management for institutionalized patients with dementia was finalized after adjustments following the evaluation. Nurse satisfaction with the program was moderate. It also provided opportunity to reassess thinking about pain and pain management. CONCLUSIONS: The results indicate that this program provides nurses with useful knowledge for pain management in institutionalized patients with dementia and aids in decision making in nursing practice in nursing home.
Decision Making ; Dementia ; Humans ; Nursing Homes ; Pain Management ; Software ; Thinking

PURPOSE: The purpose of this study was to investigate the subjectivity of Koreans about well-dying by dividing the cognition and attitudes of Koreans about well-dying into five types and analyzing and interpreting each type. METHOD: Q-methodology, which is effective in scientifically measuring individual subjectivity, was used. The result of the Q-shorting of the 34 Q-statements by 42 participants was analyzed with the PQM program. RESULT: Five cognitive types of the subjectivity about well-dying were identified and labeled as follows. Type I: Individual and preparation for the other world. Type II: Receptive to nature and fate. Type III: Oriental and family centered. Type IV: Realistic and self-independent. Type V: Altruistic and preparing for the other world. CONCLUSIONS: This study generally show that traditional family connections and blood relationship are declining, and western rationalism and the pursuit of the positive meaning of well-dying are beginning to be accepted in the cognition of modern Koreans.
Asian Continental Ancestry Group ; Cognition ; Humans

PURPOSE: The purpose of this study was to determine the meaning of the adaptation experiences of new ICU nurses who were working in a newly established university hospital. The study was based on phenomenological research methodology. METHODS: Data were collected over 3 months through in depth interview with 6 new nurses who had worked less than 1 year in a newly established ICU of university hospital of less than 1 year located in Y city. The Colaizzi analysis method was used for data analysis. RESULTS: The themes were classified into 13 themes clusters. The 13 themes clusters were finally grouped into 6 categories, 'The endlessness of a new beginning', 'Pressure of work due to lack of senior nurses', 'Wanting to quit', 'Attachment for the complete hospital and ICU', 'Preciousness of colleagues', 'Pride in self-growth'. CONCLUSION: New ICU nurses have a difficult time due to pressures of work and lack of expert knowledge, and anxiety adds to these problems making the situation more difficult. The study results indicate that professional knowledge and skills learned through repetition of difficult work, pride through self growth, recognition from others and good-fellowship are driving forces to overcome obstacles and with stand difficult daily work.
Anxiety ; Intensive Care Units ; Qualitative Research

PURPOSE: The purpose of this study was to investigate the relationship between professional self-concept, role conflict and job satisfaction of emergency department (ER) nurse. METHOD: Data were collected from a convenience sample of 200 ER nurses who worked in one of 9 hospitals in 5cities. The instrument for this study was a structured questionnaire on professional self-concept, role conflict and job satisfaction. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression. RESULTS: The mean score for professional self-concept was 2.52 (0.28), for role conflict, 3.37 (0.55), and for job satisfaction, 2.71 (0.35). There were significant differences on three variables according to total career, and satisfaction with nursing. There was a significant positive correlation between professional self-concept and role conflict, job satisfaction. Role conflict showed a significant negative correlation with job satisfaction. CONCLUSION: The results of this study indicate that the important role-related variables of professional self-concept, role conflict and job satisfaction of ER nurses are significantly related, and that as, role conflict is an important factor for job satisfaction of ER nurses, strategies to decrease role conflict need to be developed.
Emergencies ; Job Satisfaction ; Professional Role ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. METHODS: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. RESULTS: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. CONCLUSION: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.
Female ; Humans ; Leisure Activities ; Motivation ; Surveys and Questionnaires ; Sociology

PURPOSE: The purpose of this study was to investigate the relationship of fatigue and Yangsaeng in Korea. Yangsaeng as a traditional health care regimen for the promotion of health and prevention of illness by means specific principles and methods, whose purpose was to improve longevity and healthy life. METHOD: The subjects of this study were 196 male adults in Korea. Data were collected by using a self-reported questionnaire and analyzed through descriptive statistics, Pearson's correlation coefficient, t-test, ANOVA and multiple linear regression. RESULTS: There was statistically significant difference in Yangsaeng and fatigue according to age and education. The relationship between Yangsaeng and fatigue had a significant negative correlation. Exercise, sleep, mind Yangsaeng were found to be significant predictors (28%) of fatigue. CONCLUSION: To prevent fatigue of adults, nurse should focus on the factors identified in this study when she develop nursing intervention programs for health promotion.
Adult ; Delivery of Health Care ; Fatigue ; Health Promotion ; Humans ; Korea ; Longevity ; Male ; Surveys and Questionnaires

PURPOSE: This study was done to examine the effects of aroma inhalation therapy on pain post tonsillectomy. METHOD: A non-equivalent control group pre- and post-test design was used. The research instruments used in this study were a pain perception measurement and vital signs (systolic & diastolic blood pressure and pulse rate levels). Twenty-five patients in the experimental group went through aroma inhalation therapy for ten minutes after the tonsillectomy. The aroma inhalation therapy used was a blended oil, a mixture of Lavender and Loman chamomile in the ratio of 2:1. The 25 patients in the control group did not receive the therapy. Before and after the experiment, both groups were tested for pain (pain perception and vital signs). Collected data were processed with the SPSS WIN. Ver. 14.0 program and analyzed using frequencies, percentages, chi2-test, Fisher's exact test, t-test and ANCOVA. RESULTS: Pain perception of patients was not significantly reduced. However systolic and diastolic blood pressure and pulse rate were significantly reduced. CONCLUSION: The results of the study indicate that aroma inhalation is a partially effective nursing intervention to reduce the post-operative tonsillectomy pain.
Aromatherapy ; Blood Pressure ; Chamomile ; Heart Rate ; Humans ; Inhalation ; Lavandula ; Pain Perception ; Respiratory Therapy ; Tonsillectomy ; Vital Signs

This study was undertaken to identify the health-promoting behavior and to explore the relationship between health-promoting behavior, self-efficacy, self-esteem and climacteric symptoms among the middle-aged women. The subjects for this study were 101 women and data were obtained using a self-reported questionnaires. The Questionnaire was composed of a health promotion life styles profile, self-efficacy scale, self-esteem scale, and, climacteric symptoms check-list. Data was analyzed by the SAS program using ANOVA, Pearson correlation and stepwise multiple regression. The results are summarized as follows : 1. The scores on the health-promoting behavior scale ranged from 46 to 114 with a mean score of 77.95(SD=12.99). 2. The scores on the health-promoting behavior of housewives were significantly higher than working women. 3. Stepwise multiple regression analysis showed that : 1) self-esteem was the main predictor and accounted for 21.75% of the total variance in health-promoting behavior. 2) Self-esteem, climacteric symptoms and health-promoting were contributors to quality of life. 4. In the relationship between variables, self-esteem was positively correlated with health-promoting behavior and negatively with climacteric symptoms. In conclusion, self-esteem, age and occupation were important variables in health-promoting behavior. The results of this study can be used for the management of health in middle aged women to increase their quality of life of them.
Climacteric ; Female ; Health Promotion ; Humans ; Life Style ; Middle Aged ; Occupations ; Quality of Life ; Surveys and Questionnaires ; Women, Working

PURPOSE: The aim of this study was to identify Russian inpatients' expectation and satisfaction with nursing service, and further, to analyze the relationship between these variables. METHODS: A structured questionnaire was used to survey for 81 Russian inpatients. The survey was conducted from January to June, 2014. RESULTS: Empathy and assurance significantly influenced nursing service expectation and satisfaction. Nursing service expectation was statistically significant for the number of visit to Korea, and nursing service satisfaction was statistically significant for gender, monthly income and primary care giver during hospitalization. Revisit intention was significantly different according to religion, medical department and primary care giver during hospitalization. There were positive correlations between nursing service expectation and satisfaction, and between nursing service satisfaction and intention to revisit the hospital. CONCLUSION: The results of this study show that the level satisfaction with nursing service influences Russian inpatients' intention continue using the hospital. Therefore, in order to increase the intention to revisit the hospital Korea hospital employees, especially nurses, need to develop nursing service strategies according to general characteristics, culture and nationality of foreign patients.
Empathy ; Ethnic Groups ; Hospitalization ; Humans ; Inpatients ; Intention* ; Korea ; Medical Tourism ; Nursing Services* ; Nursing* ; Patient Satisfaction ; Primary Health Care