PURPOSE: The purpose of this study was to determine undergraduate students' level of knowledge, attitude, and confidence toward patient safety. METHODS: A descriptive survey design was used. The subjects consisted of 932 senior nursing students who have had clinical practice in nursing schools in a metropolitan city in Korea. The data were collected from March 4th to 28th in 2011. Knowledge, attitude, and confidence on patient safety were measured using self administered questionnaires. Data were analyzed with SPSS 18.0 using descriptive statistics, t-test, One-Way ANOVA, and Pearson correlation coefficient. RESULTS: Knowledge of patient safety was relatively low and attitude and confidence were at moderate level. There were statistically significant differences in knowledge, attitude, and confidence toward patient safety according to gender, educational system, grades, satisfaction with nursing major or clinical practice, and experience of patient safety education or patient safety campaign. There was a significant positive correlation among knowledge, attitude and confidence on patient safety. CONCLUSION: The study findings suggests that concept and skills on patient safety need to be educated systematically during undergraduate curriculum linked with clinical practicum.
Curriculum ; Education ; Humans ; Korea ; Nursing ; Patient Safety* ; Surveys and Questionnaires ; Schools, Nursing ; Students, Nursing*

PURPOSE: The purpose of this study was to develop and evaluate e-EBPP(Evidence-based Practice Protocol) system for nursing care for patients with dementia to facilitate the best evidence-based decision in their dementia care settings. METHOD: The system was developed based on system development life cycle and software prototyping using the following 5 processes: Analysis, Planning, Developing, Program Operation, and Final Evaluation. RESULT: The system consisted of modules for evidence-based nursing and protocol, guide for developing protocol, tool for saving, revising, and deleting the protocol, interface tool among users, and tool for evaluating users' satisfaction of the system. On the main page, there were 7 menu bars that consisted of Introduction of site, EBN info, Dementia info, Evidence Based Practice Protocol, Protocol Bank, Community, and Site Link. In the operation of the system, HTML, JavaScript, and Flash were utilized and the content consisted of text content, interactive content, animation, and quiz. CONCLUSION: This system can support nurses' best and cost-effective clinical decision using sharable standardized protocols consisting of the best evidence in dementia care. In addition, it can be utilized as an e-learning program for nurses and nursing students to learn use of evidence based information.
Dementia* ; Evidence-Based Nursing ; Evidence-Based Practice ; Humans ; Life Cycle Stages ; Nursing Care ; Nursing* ; Students, Nursing

PURPOSE: This study was conducted to develop a Cancer Patient Guide with patients involvement using evidenced based practice research. The purpose of this patient guide was to help patients undergoing chemotherapy to manage their nausea and vomiting based on evidence. METHODS: The design of the research was a methodological study. The participants consisted of seven cancer patients who were asked about their' need for nausea and vomiting management, and secondly, 16 expert & 15 cancer patients to evaluate the Cancer Patient Guide using the DESCERN tool. RESULTS: 1) Sixty-four relevant research evidences based articles were reviewed. 2) Patients were interviewed as to their needs in controlling nausea and vomiting. 3) The preliminary Cancer Patient Guide utilizing the research evidenced and the cancer patients interviews was then evaluated and revised by the experts and cancer patients. Lastly, the Cancer Patient which included an overview of chemotherapy, pathophysiology of nausea & vomiting, pharmacological and non-pharmacological interventions was finalized with each intervention supported by research evidence and patients' narratives of their experience. CONCLUSION: The Cancer Patient Guide was developed using evidenced based research and cancer patients in-put and be used to improve patients' self-management skill of nausea and vomiting in chemotherapy. The guide t also provides evidence based patient friendly information and contributes as a baseline data for developing and evaluating evidence-based guide for patients.
Humans ; Nausea ; Self Care ; Vomiting

With the demanding level of care needed for people with dementia, more Korean families are institutionalizing their relatives with dementia. This presents particular concerns for the Korean culture that values family responsibility for elder care. The purpose of this study was to describe Korean family members' perceptions of stress and satisfaction with care, the caregiving role, the family-staff relations. A purposive sample of 94 family members in 10 long-term care dementia care facilities in Korea participated in the study. Family Perceptions of Care Tool and Family Perceptions of Caregiving Role developed by Maas and Buckwalter (1990) were used to investigate Korean family caregivers' perceptions of care. Findings from the study can be summarized as follows: a) family caregivers showed the lowest satisfaction level for staff management effectiveness, especially for facility's resources available for care, and (b) family caregivers showed the highest stress from staff members' control on caregiving, feeling the same responsibilities after placement, and guilt over their placement. The results contribute to the understanding of Korean family caregivers' perceptions of caregiving and the care relationship after institutionalizing their elderly persons with dementia.
Aged ; Caregivers ; Dementia* ; Guilt ; Humans ; Korea ; Long-Term Care

PURPOSE: The purpose of this study was to develop online aging and health management education for undergraduate students and to evaluate its effects analyzing the differences in knowledge and attitude toward aging and the elderly. METHOD: An Online aging and health management education program was established through analysis, planning, content framing and production, program application, and evaluation stages. The study sample consisted of 98 undergraduate students in one university in D city. The instruments used were FAQ I for knowledge of aging and a 20 item semantic differential scale for attitude toward aging and the elderly. RESULTS: The results of this study were as follows. First, undergraduate students' knowledge level was low and attitudes were negative at the baseline. Second, after the class, knowledge scores improved significantly from 14.44 to 20.12. In addition, the attitudes toward elderly and aging changed from negative to a more positive way showing a 23.57 point difference. CONCLUSION: This study shows that the online aging and health management education program was an effective educational method to improve knowledge and attitude of aging for the young generation such as college students.
Adult ; Aging/physiology/*psychology ; Curriculum ; Female ; *Health Education ; Health Knowledge, Attitudes, Practice ; Humans ; *Internet ; Male ; Program Development ; Questionnaires ; Students/*psychology

OBJECTIVE: The purpose of this study was to develop and apply a web-based interactive multimedia instruction in aging education for college students. METHODS: The development of the program involved the coordinated actions of the researcher as a content expert and a multimedia designer responsible for animation, simulation, and game production. An adaptation of the model for developing interactive multimedia, described by Ribbons(1998), was used to guide program construction: Analysis - Planning - Design - Production - Operation - Evaluation phase. RESULTS: The interactive multimedia program was entitled as virtual aging and composed of a total of 8 interactive multimedia lessons. Interactive learning activities consisted of simulations, games, as well as online pedigree and life timeline drawing to facilitate the cognitive and emotional interactional learning of aging process. CONCLUSION: Interactive multimedia could be an effective teaching media of aging education and be used in a variety of learners including health care professionals caring for older adults as well as lay persons.
Adult ; Aging* ; Delivery of Health Care ; Education* ; Humans ; Learning* ; Multimedia* ; Pedigree

Current reviews have shown that the mere existence of paper-based guidelines does not necessarily lead to changes in practice. One response to the guideline dissemination problem has been to increase accessibility by making highly structured practice guidelines available online. Therefore, the purpose of this study was to develop an online evidence based nursing practice guideline document model that includes a comprehensive set of concepts to be useful throughout the guideline life cycle. The primary models used to form the core set of this study's guideline document were Iowa model, Guideline Elements Model(GEM), and National Guideline Clearinghouse(NGC) model. The major concepts in the model hierarchy below the upper category level are identity, developer, purpose, intended audience, target population, development method, testing, knowledge, and appendix. Each of these elements, in turn, comprises one or more additional levels of guideline constructs. This model can be used as a first step in translating paper based, narrative guidelines into formats that can be electronically. Next steps in our work with this model will involve refining the model, and building and disseminating the online evidence based nursing practice guidelines with the model developed in this study.
Appendix ; Evidence-Based Nursing* ; Health Services Needs and Demand ; Iowa ; Life Cycle Stages ; Translating

PURPOSE: This practice study was done to describe the process and outcomes of application of Evidence Based Nursing (EBN) Education to nursing management clinical practicum and suggest strategies to diffuse EBN into nursing management education. METHODS: Education on the evidence based nursing management process was provided to 65 senior nursing students from a university. Nursing management clinical practicum integrated with EBN. The setting was a five full day-clinical practicum. Group and individual training on EBN process with lectures, small group discussions, conferences, and educational prescription were provided. Outcomes were analyzed using paired t test for 65 participants. RESULTS: Evidence based nursing competency increased significantly showing improvement in understanding EBN, formulating clinical question, searching & classifying the evidence, recognizing level of evidence, considering patient preference, and evaluating outcomes. Nursing students' access and use of evidence based information resource also improved. CONCLUSION: The results of this study indicate that the application of EBN to nursing management clinical practicum is effective to improve EBN competency in undergraduate students and should be further applied in nursing education using the systematic strategies.
Congresses as Topic ; Diffusion ; Education, Nursing ; Evidence-Based Nursing ; Humans ; Lectures ; Patient Preference ; Prescriptions ; Students, Nursing

PURPOSE: This study was to explore family member's caregiving stress and satisfaction of care for patients with dementia in long term care facilities and day care centers. METHODS: The subjects were 129 family members of elders with dementia from ten long term care facilities and eight day care centers in Daegu and Kyungsangbukdo. Data were collected from August to October, 2007. The instruments were self administered questionnaires and included. The Family Perceptions of Caregiving Role (FPCR) and the Family Perceptions of Care Tool (FPCT) which were developed by Maas and Buckwalter (1990) and translated by Park (2002). RESULTS: Family member's care giving stress in day care centers were higher than that of long term care facilities (t=-2.89, p=.005) especially in the categories of captivity (t=-3.27, p=.001), guilty (t=-2.93, p=.004), and loss (t=-2.44, p=.016). Family member's satisfaction of care in day care centers was higher than that of long term care facilities (t=-3.21, p=.002) in the (use - categories or measures since you are referring to the instrument and delete aspects) aspects of effective management (t=-3.69, p=.000) and activity (t=-2.00, p=.045). CONCLUSION: The results of this study showed that family members' perceptions toward their care giving roles and satisfaction of care differ whether the facilities are long term care or day care centers. This study provides baseline data that could be used for improving the quality of long term care services.
Day Care, Medical ; Dementia ; Humans ; Long-Term Care ; Surveys and Questionnaires

Shared decision making is globally recognized as an important concept in healthcare research, policy, education, and practice that enhances person-centered care. However, it is becoming increasingly evident that shared decision making has not been successfully translated into healthcare practices, especially in gerontological nursing. Central to person-centered and shared decision making is the need to recognize the importance of life experiences to inform decision-making processes. With the world’s aging population and older adults facing more complex decisions and transitions in care, it is important to integrate shared decision making into person-centered care for older adults. This invited paper reviews the key issues in shared decision making in the context of older persons and the role of nurses. The review was divided into three parts. The first describes and comments on the main theoretical frameworks, while the second and third deal with barriers and facilitators to shared decision-making of older persons and issues related to their practice. There is a critical demand for focused research on older individuals with intricate needs and family-centered approaches to shared decision making. The tools and resources that support shared decision-making such as adequate time, consultation services, culturally appropriate decision aids, and systems that track patient progress, are essential for effective decision-making. As shared decision making involves various community resources, nurses must not only educate patients about these resources, but also provide patients with advice and support to ensure that the patients can effectively access and utilize these resources.