PURPOSE: This study was conducted to develop a curriculum model for fundamentals of nursing at the graduate level which reflects a consensus of educators and the students in Korean nursing society. METHOD: A survey was used with three groups to identify consensus on a curriculum model for fundamentals of nursing at the graduate level; 42 educators in fundamentals of nursing, 11 nurse educators whose major was not fundamentals of nursing and 70 nurses with a bachelor degree in nursing. RESULTS: Consensus on a curriculum model at the graduate level were delineated from analysis of the survey. Based on these results, a curriculum model for fundamentals of nursing at the graduate level is outlined: As one major area of nursing, fundamentals of nursing focuses on nursing practice based on basic human needs. Thus main focus of the curriculum for fundamentals of nursing at the graduate level is research performance and theory development on nursing interventions to meet basic human needs in clinical settings. CONCLUSIONS: A curriculum model for fundamentals of nursing at the graduate level suggests that its application may have a positive impact on development of distinct knowledge body for fundamentals of nursing that will differentiate the content of education for undergraduate and graduate levels of nursing. However, the suggestion for the curriculum model needs to be refined and developed for application.
Consensus ; Curriculum* ; Education ; Education, Graduate ; Humans ; Nursing* ; Societies, Nursing

Death and dying of human being is a comprehensive system, and death orientation, the subjective meaning related to every component of the death system is developed throughout life. this study was designed and carried out to identify, describe and classify the orientations of Korean adult toward the death system. In an attempt to measure the subjective meaning of death and dying, unstructured Q-methodology was used. The 65 Q-statements developed by Kim(1994), used by Kim(1994) and Park(1996) were adopted as Q-population and 39 Q-statements were selected by the three researchers for Q-items for this study. Thirty-three P-samples were sampled from P-population of literature Korean men and women, 35 and 55 years of age, lived in urban Korea for the last 10 years. Sorting of the 39 Q-items according to the level of personal agreement, and a forced normal distribution into the 9 levels were carried out by the P-samples. the Z-scores of the Q-sort data were computed, and the principal components factor analysis by PC-QUANL Program were carried out. the demographic, socio-cultural and health-related attributes of the P-samples were descriptively analysed. Eight types of death orientation were identified : Type I ; "naturalist". Six P-samples. Death is a natural phenomena, to be accepted as it is and to follow its natural course. Prefer to be informed of all facts and possibilities concerning the course of dying and death to occur to self. Type II ; "life-after-life negator". Three P-samples. Time and process of death is the destiny of each person. Death means 'darkness' and 'end to every thing, the absolute end'. Yet, wish physical integrity at the dying and after death. Type III ; "life-after-life believer". Six P-samples. Men are travellers passing by this life bound to the life-after-life. Priority concerns are on the activities. to prepare self for the eternal life ahead. Disregard premature and sudden death. Type IV ; "here-now believer". Five P-samples. Positive regard to the cremation of the body and donation of the organs on death. Regard religious and customary post-mortem rituals meaningless. Negate life-after life. Type V ; "believer of rituals". Five P-samples. Death being accepted as a part of a natural end to, and destiny of human life. Concerned to ensure a dignified end to personal life and dignified post-mortem rituals. Type VI ; "Realist"(derived from Type I). Tow P-samples. Life and death as universal reality. The abrupt death at golden age at the peak of happiness is favored to avoid inevitable physical and mental distress of self and the family. Agreed to the cremation of the body. disregard rituals. Type VII ; "Fatalist"(derived from Type II). Five P-samples. Not favored, yet, all man are destined to death, the inevitable end of all living beings. to ensure dignified end by personal consummation, information. on one's dying and imminent death are to be shared. Type VIII ; "reality avoider"(derived from Type III. One P-sample. Negative to longevity, artificial prolongation of, meaningless and distressful life. Highly positive to post-mortem organ donation.
Adult* ; Ceremonial Behavior ; Cremation ; Death, Sudden ; Female ; Happiness ; Humans ; Korea ; Longevity ; Male ; Q-Sort ; Tissue and Organ Procurement

The literature review about bladder management method given to maintain and improve health of neurogenic bladder patients was done. Because the study of neurogeinc bladder patients in nursing field is not enough, I tried to find report the study tendency through literature review. 1. There are five types of neurogenic bladder such as uninhibited neurgenic bladder, reflex neurogenic bladder, automonous neurogenic bladder, sensory paralytic neurogenic bladder, and motor paralytic neurogenic bladder. 2. The accurate assessment of neurogenic bladder is done mainly through urodynamics and especially cystometrogram and urethrogram are used. 3. As the study of therapeutic management, the effect of Desmopressin, bladder autoaugmentation, incision of external urethral sphincter muscle, subarachnoid block and pudendal never block using phenol was studied. 4. For the study of general management, the effect of bladder training program, intermittent catheterization and infection control has been studied but there has not been any obvious study in nursing field. Reviewed the study condition, it is necessary to develop bladder training program in order to increase life quality of neurogenic bladder patients.
Catheterization ; Catheters ; Deamino Arginine Vasopressin ; Education ; Humans ; Infection Control ; Nursing ; Phenol ; Quality of Life ; Reflex ; Urethra ; Urinary Bladder ; Urinary Bladder, Neurogenic* ; Urodynamics

PURPOSE: To identify the incidence of cutaneous injury in clinical nurses. METHOD: From Feb.1 to 28, 2005, 276 clinical nurses were surveyed by questionnaire. RESULTS: 1. Of the nurses, 53.6% had at least one incidence of cutaneous injury, and the mean number of injuries was 1.34. A higher incidence rate for cutaneous injury was found in nurses who were under the age of 25, unmarried and who had less than 3 years career experience. 2. The major causes of injury were syringe needles at 65.0%, and medical instrument were next followed by sharp objects or blades. The injuries occurred when the nurses were rearranging equipment after care (25.2%), taking blood samples (22.8%), separating syringes and needles (17.1%), during surgical operations (14.2%), and distribution of medications, treatments and recapping of needles (5.7% each). The hands were the most common body parts injured, and the most prevalent pathogens contaminating the instruments causing the injury were HBV, syphilis, HCV and HIV in that order. 3. Of the injured nurses, 77.9% did not report the accident and 25.8% did not receive any treatment because there were no pathogens, it was a bother or there was difficulty reporting the incident. CONCLUSION: To reduce cutaneous injuries, intensive training and supervision may be needed for those of nurses under the age of 25, unmarried and with less than 3 years career experience.
Hand ; HIV ; Human Body ; Humans ; Incidence* ; Needles ; Organization and Administration ; Surveys and Questionnaires ; Single Person ; Syphilis ; Syringes

PURPOSE: The purpose of this study was to identify body esteem, body figure discrepancy and depression in women college students. METHOD: The data were collected during April and May, 2004 using a questionnaire. The participants were 364 women college students attending universities in Seoul and Gangwon-Do. RESULTS: The BMI for under weight, normal weight and overweight for the college women were 49.2%, 48.3%, 2.5% respectively. But 52.6% of the students perceived themselves as obese and only 11.5% described themselves as being 'thin'. The mean scores for BMI, body esteem, body figure discrepancy and depression were 20.11+/-2.20, 2.36+/-.79, 1.07+/-.58 and 1.20+/-.48 respectively. Significant difference was found in body esteem score (F=26.389, p<.0001) and body figure discrepancy (F=64.167, p<.0001) according to BMI scores. There were negative correlations between body esteem and body figure discrepancy (r=-.582, p=.0001), between body esteem and depression (r=-.120, p=.028), between body esteem and BMI (r=-.422, p=.0001), and a positive correlation between body figure discrepancy and BMI (r=.630, p=.0001). Factors such as body figure discrepancy, BMI and depression explained 36.7% of the variance in students' body esteem. CONCLUSION: This study suggests that an intervention program is necessary for women college students to increase their body-esteem.
Depression* ; Female ; Gangwon-do ; Humans ; Overweight ; Surveys and Questionnaires ; Seoul

PURPOSE: The purpose of this research was to evaluate the effects of PBL on ability of nursing students in Self-Directed Learning, Critical Thinking Disposition and Problem Solving Process. METHODS: The research design was a nonequivalent control group pretest-posttest design. For the experimental group PBL was used during one semester (14 weeks). Instruments for data collection were Self-Directed Learning Readiness Scale (Kim, 1997), Critical Thinking Disposition Scale (Kwon et al., 2006) and Problem Solving Process Scale (Lee, 1979). The data were analyzed by repeated measure ANOVA. RESULTS: There were statistically significant improvements in Self-Directed Learning and Critical Thinking between the two groups after PBL. But there was no statistically significant improvement in the Problem Solving Process. CONCLUSION: These results suggest that PBL has a positive effect on nursing students' education. Therefore, PBL should be used for more subjects in the nursing curriculum.
Surveys and Questionnaires ; Humans ; Learning ; Problem Solving ; Problem-Based Learning ; Research Design ; Students, Nursing ; Thinking

PURPOSE: The purpose of this study was to examine self care compliance, family support, and depression in patients with congestive heart failure. METHOD: The participants were 105 outpatients with congestive heart failure. Data were collected using a questionnaire survey on self care compliance, family support, and depression. The collected data were analyzed using the SPSS Win 10.0 program. RESULT: 1. The total score for Self care compliance was 78.34 out of a possible 120 and was significantly high for people in ages between 70~79 years and people who were not employed. Exercise compliance was significantly high in men and classifications I & II of the NYHA class. Compliance with smoking and alcohol cessation were significantly high in women. Medication compliance was significantly high in the group which had experience with hospitalization. Family support was 31.75 out of a possible 40 and showed significant differences depending on spouse status and religion. Depression was 30.18 out of a possible 64 and was significantly high in the group whose educational level was above college graduation or who were under 65 years of age. CONCLUSION: The results suggest that nurses have to emphasize smoking and alcohol cessation for men, exercise for women and total self care compliance for patients under 65 years of age.
Classification ; Compliance* ; Depression* ; Estrogens, Conjugated (USP)* ; Female ; Heart Failure* ; Hospitalization ; Humans ; Male ; Medication Adherence ; Outpatients ; Surveys and Questionnaires ; Self Care* ; Smoke ; Smoking ; Spouses

The purpose of this study were to identify the characteristics of urinary incontinence in adult women and to identify it's relating factors, daily living and sexual problem related urinary incontinence. Subjects were 60 community dwelling women in the age of 25-60 years old at 1 city in Korea. The data were collected from January 1988 to May, 1988. Subject were interviewed with structured questionnaire. Questionnaire was composed of item of general characteristics, obstetrical characteristics, measuring tool of severity of urinary incontinence, discomfort due to urinary incontinence. The data were analyzed with SAS program, descriptive statistics, T-test, ANOVA tet. The results of study were as followings. 1) Most of incontinence women were mildly incontinence subjects(mean = 7.40). 2) The common activity related to the urinary incontinence were coughing, sneezing, laughing a loudly exercising. 63.5% of women reported small volume accidents of only 1 to 2 drops. 3) The incidence of urinary incontinence was significantly higher in woman who had more parity and older age of last delivery, menopause, itching sense of vagina. 4) 73.3% of the episodic urinary incontinence were not treated because the felt that urinary incontinence was not disease(70.4%) was shameful(18.12%), was incurable in spite of treatment attempt(4.5%). 5) Daily living problem related to urinary incontinence were as follows ; voiding before going out(66.6%), odor of urine(10.0%), frequent underwear change(88.3%). 6) Sexual intercourse problem related to urinary incontinence were as follows : Pain during sexual intercourse(30.0%), sexual life trouble(8.3%), urine leakage(11.7). The results indicate that urinary incontinence is common in adult women. Health care provider should develop and provide adequate nursing intervention for prevention and early treatment of urinary incontinence.
Adult* ; Coitus ; Cough ; Female ; Health Personnel ; Humans ; Incidence ; Korea ; Menopause ; Nursing ; Odors ; Parity ; Pruritus ; Surveys and Questionnaires ; Sneezing ; Urinary Incontinence* ; Vagina

The purpose of this study were to identify nurse's recognition and performance and to represent the factors of hindrance in the IV therapy management. The subjects were 420 nurses who worked at five general hospitals in Pusan. The data were collected using a questionnaire and the period of data collection was from January 1 to January 31, 1998. The instrument for this study was made by author oneself on the basis of guidelines Simmons et al., CDC' Stanley' and Kurdi' guideline, Clinical Nurses's Association' that consist of 68 items for 5 fields ; pre-injection, just before-injection, needle-injection, during injection, post-injection field. Cronbach Alpha coefficient of recognition and performance in the IV therapy management was .93 and .87. The data were analyzed by a SPSS program using frequency, percent, paired t-test, t-test and oneway ANOVA. The results obtained were as follows : 1. The mean score of recognition in IV therapy management was significantly higher than that of performance(t=5.86, P<.001). 2. The items of lower than mean score of each fields in performance were the identification of drugs, hands washing, patient methods of the injection site and the rubber stopper in bottle, the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, use of tape and armboard, changing the IV tubing, labeling the dressing over the injection site, observation and recordings of patient's condition after medication and confirmation of the needle length at the needle removal. 3. The factors of hindrance on IV therapy were "having no time", "insufficiency of goods", "unknowing of methods", "no disadvantage", and "factors of doctor's doing". the most important factor was "have no time", especially item of hands showed high frequency in the following items ; "insufficiency of goods" in the use of disposable gloves, mask and eye goggles at the chemotherapy preparation, "unknowing of methods" in the certification of drugs compatibility, "no disadvantage" in the labeling the dressing over the injection site, and "factors of doctor's doing" in the changing the subclavian catheter dressing and checking the glucose level during the TPN infusion. In conclusion, there is necessity of educational program which can improve the nurse's knowledge of drugs, disinfection methods, comfort of patient and recordings in IV therapy management and financial aids such as setting up the sink, giving of paper for reducing the factors of hindrance for IV therapy management.
Bandages ; Busan ; Catheters ; Certification ; Surveys and Questionnaires ; Disinfection ; Drug Therapy ; Eye Protective Devices ; Glucose ; Hand ; Hospitals, General ; Humans ; Masks ; Needles ; Rubber

PURPOSE: This study was done to use preceptorship in an ordered elective clinical nursing practice and to evaluate the effects on student nurses, nurses managers and preceptors. METHOD: The participants in this study were 208 students who were majors in the department of nursing, G college located in Inchon Metropolitan City, 54 nurse managers and 187 preceptors from 11 general hospitals. The instrument was a questionnaire which included general characteristics of participants, and 21 items to evaluate the ordered elective clinical nursing practice on a scale of 1 to 4. Data were collected from October 23 to November 7. 2004. Data analysis was done using SPSS WIN with the following statistics: frequency, percentage, mean, standard deviation, and ANOVA. RESULTS AND CONCLUSIONS: The results of data analysis were as follows: There were meaningful differences in the evaluation scores of the ordered elective clinical nursing practice with preceptors between students (3.33+/-.39) and nurse managers (3.33+/-.28) and preceptors (3.23+/-.38). Evaluation scores for the ordered elective clinical nursing practice with preceptors were categorized as follows: necessity and appropriateness, practice control and management, material for practice, practice report assignment and evaluation, practice ability improvement and connection with getting a job, and contribution to the hospitals.
Hospitals, General ; Humans ; Incheon ; Nurse Administrators ; Nursing Education Research ; Nursing* ; Preceptorship* ; Surveys and Questionnaires ; Statistics as Topic