PURPOSE: This study was conducted to develop a nurse-learning program for the pain management of cancer patients. METHODS: In this methodological study, a learning program was developed between January and June 2011, following the methodological procedure based on the ADDIE Instructional System Design. RESULTS: The learning program consists of 4 parts: learning goal, learning outcomes, learning method, and evaluation method. Learner-centered learning goal and learning outcomes were established, and lecture-based group learning and self-directed study were combined as the learning method. For the evaluation, we developed a written test, a nursing skill checklist, and a case report evaluation tool. After a pilot test, the learning program was assessed by an expert group for its construct validity and content-related conformance. Moreover, the effectiveness of the program was validated by the results of the learning outcomes evaluation and the achievement levels of 40 trainees who participated in the program. CONCLUSION: On the basis of the results of this study, we suggest that this unit-based core nursing practice learning program, comprising 202 nursing units developed by a research institute nursing department since 2010, be shared by all nurses in clinical nursing care settings to improve their practical performance and ensure necessary specialization.
Academies and Institutes ; Checklist ; Humans ; Learning* ; Methods ; Nursing Care ; Nursing* ; Oncologic Nursing ; Pain Management* ; Programmed Instruction as Topic

PURPOSE: This study was to explore the experiences of perioperative patients with cancer. The purpose of this inquiry was to describe the essence of such experiences, and to understand them from the patients'point of view. METHOD: Participants in this study were 9 cancer patients with ages ranging from 31 to 70 years old, living in B city, who experienced cancer operations. Data collection consisted of in-depth interviews and an observation method done from October to December in 2003. In analysing data, Colaizzi's(1978) phenomenological research method was adopted. RESULTS: Five categories emerged from ten theme clusters. The five categories were: 'shock', 'expectations & wishes', 'despair', 'feelings of burden', 'continual pain'. CONCLUSION: The results of this study showthat oncology nurses need to pay more attention to the psychosocial aspect of nursing to empathize and support the cancer patients who suffer and its treatment, and operations.
Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; Neoplasms/nursing/*psychology/surgery ; Oncologic Nursing

PURPOSE: The purposes of this study were to determine the core nursing interventions in nursing notes and the practice which was perceived by nurses of an oncology unit with patients with terminal cancer. Also, comparing interventions in nursing notes with interventions in perceived practice was done. METHOD: Subjects were 44 nursing records of patients with terminal cancer who had died from Jan. to Dec. 2002 at C University Hospital and 83 nurses who were working on an oncology unit for more than one year. Data was collected using a Nursing Interventions Classification and analyzed by means of mean and t-test. RESULTS: The most frequent nursing intervention was 'nausea management' in the nursing note and was 'medication administration : oral' in perceived practice. The frequency of nursing interventions in the nursing record was lower than in perceived practice. CONCLUSION: This study finds that nurses actually practice nursing care, but they may omit records. To correct for omitted nursing records, development of a systematic nursing record system, continuous education and feedback is recommended.
*Terminal Care ; Palliative Care ; *Oncologic Nursing ; *Nursing Records ; Nursing Care ; Neoplasms/*nursing ; Middle Aged ; Male ; Korea ; Humans ; Female ; Aged

PURPOSE: The aim of this study was to determine the prioritization of research topics by Korean oncology nurses. METHODS: A descriptive and cross-sectional survey was conducted via the website of the Korean Oncology Nursing Society, with participation sought by email from all of its members. RESULTS: Overall, 'pain' and 'quality of life' were the most important among the 74 topics, 'cancer prevention' was ranked 47th, while 'informatics' and 'telehealth' were ranked 62nd and 72nd, respectively. Korean oncology nursing research needs to be expanded to include community-based cancer prevention. In addition, research on informatics and telehealth in the oncology nursing area is necessary given the current dramatic changes in the implementation of information technology in medical services. CONCLUSION: These findings may contribute toward the development of a Korean oncology nursing research agenda and the provision of information to funding agencies with respect to setting the priorities of oncology nursing research.
Cross-Sectional Studies ; Electronic Mail ; Financial Management ; Informatics ; Korea ; Nursing ; Nursing Research ; Oncologic Nursing ; Quality of Life ; Societies, Nursing ; Telemedicine

PURPOSE: The purpose of this study was to compare the perceived importance and the perceived caring of nursing needs among oncology nurses, patients with non-terminal cancer and patients with terminal cancer. METHOD: A total of 83 oncology nurses, 56 patients with non-terminal cancer and 39 patients with terminal cancer served as subjects. Data was collected based on the 4-point Likert scale using a self-administered questionnaire from Mar. to Sept. 2004. Finally, data was analyzed using mean, SD, paired-test, and ANOVA. RESULTS: The score of the perceived importance of nursing needs was higher than that of the perceived performance of nursing needs in all three groups. There was also a difference in the degree of perceived performance of nursing needs among the three groups. In contrast, there was no difference in the total score of the perceived importance of nursing needs among the three groups, unlike the importance of informational and physical needs as a subgroup of perceived importance, where a difference was noted. CONCLUSIONS: Strategies should be developed to narrow down these gaps between nurses and patients. In particular, informational and educational programs should be designed for patients with terminal cancer.
Terminally Ill/*psychology ; *Oncologic Nursing ; Nursing Care/*psychology ; Neoplasms/*nursing/psychology ; Middle Aged ; Male ; Humans ; Female ; Adult

PURPOSE: The purpose of this study was to retrospectively examine the factors and characteristics of cancer patients who visited the emergency room, as well as to offer some educational materials for to manage acute symptoms. METHODS: Data for this study were selected from the period of January to December, 2006. A total of 564 patients were examined using the tool which we developed by ourselves for the study. The collected data were analyzed using the SAS program for frequencies and percentage. RESULTS: As for disease-related characteristics of the subjects, 28.9% of them had gastric and colorectal cancer; 66.9% were in stage 4; 51.6% had been in chemotherapy prior to visiting the emergency room; and 82.5% had their anticancer drug administrated average 1~5 times. As for the characteristics in regard to visit the emergency room, 62.9% were admitted to hospital within 2 weeks of being treated. As for chief complaints for visiting the emergency room, the worst symptom was pain, followed by symptoms such as gastro-intestinal symptoms, respiratory symptoms, high fever, and weakness. As for the disease-related symptoms, the worst symptom that gastric, colorectal, pancreatic, liver and gallbladder cancer patients complained of was pain, high fever for lymphoma patients was respiratory symptoms for lung cancer patients, and gastrointestinal symptoms for head and neck cancer and other patients. CONCLUSION: Therefore, according to their need and background, an individualized consultation and teaching program should be provided to cancer patients
Emergencies ; Emergency Treatment ; Fever ; Gallbladder Neoplasms ; Head and Neck Neoplasms ; Humans ; Liver ; Lung Neoplasms ; Lymphoma ; Oncologic Nursing ; Phenothiazines ; Retrospective Studies

PURPOSE: This study was to identify the effects of hope intervention on hope and depression of cancer patients staying at home. METHODS: The study design was a randomized control group design. The subjects consisted of forty cancer patients randomly selected who were registered at S-Gu Public Health Center. Hope intervention, which was composed of hope assessment, hope objective setting, positive self identity formation, therapeutic relationships, spiritual & transcendental process improvement, positive environmental formation and hope evaluation, was provided from November 20, 2006 to January 26, 2007. RESULTS: The 1-1 hypothesis, "The experimental group which received hope intervention will have a higher score of hope than the control group", was supported(t=-3.253, p= .003). The 1-2 hypothesis, "The experimental group which received hope intervention will have a higher level of hope index than the control group", was supported (t=-4.001, p= .000). Therefore the 1st hypothesis, "The experimental group which received hope intervention will have a higher level of hope than the control group" was supported. The 2nd hypothesis, "The experimental group which received hope intervention will have a lower level of depression than the control group", was not supported (t=1.872, p= .070). CONCLUSION: Hope intervention is an effective nursing intervention to enhance hope for patient with cancer.
Adaptation, Psychological ; Adult ; Aged ; Chi-Square Distribution ; Demography ; Depression/*psychology ; Female ; Home Care Services ; Humans ; Male ; Middle Aged ; Neoplasms/nursing/*psychology ; Oncologic Nursing/methods ; Quality of Life

PURPOSE: To examine the details of lymphedema, upper limb morbidity, and its self management in women after breast cancer treatment. METHODS: Using a cross-sectional survey design, 81 women were recruited from a university hospital. Lymphedema was detected by a nurse as a 2-cm difference between arm circumferences at 6 different points on the arm. Degrees of pain, stiffness, and numbness were scored using a drawing of upper limb on a 0~10 point scale. Aggravating conditions and self-management for lymphedema were also recorded. RESULTS: The mean age of the participants was 52.5 years; the average time since breast surgery was 29.7 months. Histories of modified radical mastectomy (55%) and lymph node dissection (81%) were noted. Lymphedema was found in 59% of women, then pain and stiffness were prevalent most at upper arm while numbness was apparentat fingers, and the symptom distress scores ranged 3.9~6.7. Women experienced aggravated arm swelling after routine housework with greatly varied duration. Self-management was conservative with a wide range of times for the relief of symptoms. CONCLUSION: Lymphedema education for women with breast cancer should be incorporated into the oncologic nursing care system to prevent its occurrence and arm morbidity. Risk reduction guidelines, individually tailored self-care strategies, and self-awareness for early detection need to be refined in clinical nursing practices.
Arm ; Breast ; Breast Neoplasms ; Cross-Sectional Studies ; Female ; Fingers ; Housekeeping ; Humans ; Hypesthesia ; Lymph Node Excision ; Lymphedema ; Mastectomy, Modified Radical ; Oncologic Nursing ; Risk Reduction Behavior ; Self Care ; Upper Extremity

PURPOSE: The purpose of this study was to determine the concept of critical thinking and clinical reasoning and to propose a strategy to improve clinical reasoning for oncology nurses. METHODS: A literature review was used. The concept of clinical reasoning and critical thinking in nursing was reviewed. Results of research of its area in Korea was evaluated. RESULTS: A summary of the literature review for critical thinking, clinical reasoning, and research of critical thinking in clinical nurse in Korea was described. The concept of clinical reasoning was not established in nursing and thirteen articles were reported from 2000 to 2014 in Korea. CONCLUSION: Several strategies to improve the clinical reasoning in oncology nursing setting were proposed. First, personal effort to develop thought ability by using good questions. Second, nursing administration should offer support to the oncology unit to relieve the burden and to change the nursing delivery system to fit the oncology unit. Finally, nursing school has to teach teach critical thinking in the junior grade and develop clinical reasoning ability in the senior grade of clinical practice. it is necessary to teach not only the right practices but also the right questions and reasoned thinking to novice nurses during training by preceptors.
Humans ; Korea ; Nursing ; Nursing Process ; Oncology Nursing ; Schools, Nursing ; Thinking

PURPOSE: The purpose of this study was to describe the level of satisfaction with the role of Korean oncology advanced practice nurses (KOAPNs) among cancer patients, physicians, and nurses. METHODS: This study was conducted with 176 patients who had experienced KOPANs' care more than three times, as well as 82 physicians and 190 nurses who have worked with KOAPNs at four hospitals in Korea. RESULTS: The results indicate that 1) Overall satisfaction in the patient group was high (3.61) and they were most satisfied with the 'attentiveness' domain; 2) Overall satisfaction in the physician group was also high (3.61), however, that in the nurse group was relatively low (3.28); 'coordination & cooperation' showed the highest score for satisfaction in both groups, while 'research' domain showed the lowest score; 3) Cancer type in patients, working department in physicians or nurses, and duration working with KOAPNs in nurses showed significant association with satisfaction; and 4) The ratio of KOAPNs-to-patient, time since introduction of the KOAPNs policy, and incentive system were institutional factors showing significant association with it. CONCLUSION: These findings suggest the necessity for identification and standardization of the roles of KOAPNs, as well as promotion of awareness of KOAPNs' care.
Advanced Practice Nursing ; Humans ; Korea ; Motivation ; Oncology Nursing