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

PURPOSE: The purpose of this study was to analyze the actual working hours of an oncology advanced practice nurse (APN) at a university hospital according to the duties and tasks outlined in the job description. METHODS: An assessment tool for this study was created based on the job description of APN as defined by the Korean Nurses Association, and was later verified by a specialist party. Twenty-three oncology APNs recorded their nursing activity on the assessment tool. The working hours and distribution were analyzed according to specific duty and task. RESULTS: Average working hours per day for APNs totaled 9.3 hours. Time for duties was allocated as follows in order of priority: 28.0% for therapeutic intervention and 19.8% for clinical decision making. Time allotted for tasks was distributed as follows: 19.5% for special nursing care and 9.8% for planning treatment and nursing interventions. CONCLUSION: This study allowed insight into the actual time spent by oncology APNs on duties and tasks outlined in the job description. These findings should contribute to management of the changing role of oncology APNs. Furthermore, the results may be used as a basic resource for the continued professional development of the work of oncology APNs.
Advanced Practice Nursing ; Decision Making ; Job Description ; Nursing ; Nursing Care ; Oncology Nursing ; Specialization

PURPOSE: This study was performed to understand the perceived importance and performance frequencies of nursing interventions and identify the core and major interventions in oncology units. METHODS: Questionnaires using 151 nursing interventions were given to 45 nurses. The performance frequency was measured through the database of the nursing process recording system for 1 year. RESULTS: The perceived importance of the nursing interventions averaged out to be 3.5 among 4 and on average 36.5 times of nursing interventions were performed on each patient. Fifteen core nursing interventions including 'pain management' were identified and they made up 82.7% of the entire performance frequency rate. And 26 interventions including 'drug administration: Amphotericin-B' were identified as major nursing interventions and occupied 10.6% of the entire performance frequency rate. CONCLUSION: Since the core and the major nursing interventions were identified and these occupied 93.3% of the all nursing interventions, these results can be utilized as baseline data for establishing the guidelines and standards of nursing interventions and providing systematic education for oncology nurses in Korea.
Education ; Humans ; Korea ; Nursing Process ; Nursing* ; Oncology Nursing ; Tertiary Care Centers* ; Surveys and Questionnaires

PURPOSE: This study was conducted to identify and analyze the trends of theory-based research published in Asian Oncology Nursing (AON) from 2011 to 2017. METHODS: We analyzed 22 theory-based studies taken from among the 232 studies published in AON for 7years. We analyzed the framework developed by researchers, descriptive summaries of theory, keyword classification of nursing meta-paradigms, the generic character of the studies, and the type of research designs. RESULTS: A total of 23 theories were applied in the 22 (9.5%) studies. ‘Nursing’ was the most prevalent field of study (34.8%). In the field of study of theory, nursing theory was the largest with eight (34.8%), and in the method of theory utilization, all 22 studies were theoretical applications 3 middle-range theories were most prevalent. In the keyword classification using meta-paradigm in nursing, we found 83 key words. Among them, ‘Health’ related key words were most frequent (53), followed by ‘Cancer’ keywords (13). CONCLUSION: AON has a high ratio of theoretical study compared to other journals, but the ratio is still less than 10%, which is still weak. Therefore, it is believed that the attention to, utilization of, application, and institutional establishment of nursing theory should be necessary.
Asian Continental Ancestry Group ; Classification ; Humans ; Methods ; Models, Theoretical ; Nursing ; Nursing Theory ; Oncology Nursing ; Research Design

PURPOSE: The purpose of this study was to examine the cancer survivorship care practices among oncology nurses in Korea. METHODS: This study was a secondary analysis based on the Korean data from the international service-mapping study for the survivorship care for patients with cancer after treatment completion in the Asia-Pacific Region. The data, collected from 100 Korean nurses who took care of cancer patients, were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation analysis, and multiple regression. RESULTS: Statistically significant relationships were found between responsibility and frequency of survivorship care (r=-.20, p=.050), between confidence and frequency of survivorship care (r=.47, p<.001), and between impediments to organization and frequency of survivorship care (r=-.22, p=.027). The frequency of survivorship care was influenced by confidence (β=-.37, p<.001) which explained about 24% of the variance of survivorship care. CONCLUSION: These findings show that development of survivorship care education program for oncology nurses should be considered to increase confidence in survivorship care for oncology nurses.
Education ; Humans ; Korea* ; Oncology Nursing ; Professional Practice ; Survival Rate* ; Survivors

OBJECTIVETo study the effect of risk management in nursing management of head and neck oncology.

METHODSIn 2010, risk management was applied to the nursing management of head and neck oncology through risk identification, increasing awareness of risk management, defining risk management responsibilities, strengthening the capacity of specialist nurses and emergency response, and strengthening risk control measures. Patients' satisfaction, care complaints, nursing risk occurrence, nurse praised visits between 2009 and 2010 were compared.

RESULTSThere were significant differences comparing 2009 with 2010 in patient satisfaction, care complaints, nursing risk occurs, nurse praised visits in head and neck oncology (P<0.05).

CONCLUSIONApplication of risk management in nursing management will relieve care complaints and nursing risk occurrences, improve patients' satisfaction. It is worth to further promote in the clinical nursing management.

PURPOSE: This study was conducted to examine the effect of a Happiness Self-Coaching program for new graduate nurses working in cancer care units. METHODS: A quasi-experimental pretest-posttest, nonequivalent control-group design was applied to conduct the study. Study participants were new graduate nurses employed within 12 months and working as shift employees at G university hospital, located in J city. A total of 21 new graduate nurses participated in the study, 10 in the experimental group, and 11 in the control group. The happiness self-coaching program was conducted weekly for 70 minutes from February 1 to June 6, 2016 for 6 weeks. The experimental group received the Happiness Self-Coaching program through lectures, presentation, group activities, and strength card play. Data were analyzed by using repeated measure ANOVA and paired t-test. RESULTS: The experimental group demonstrated significantly higher happiness (F=6.82, p=.003) and self-efficacy (F=3.38 p=.045) levels compared to the control group.
Happiness ; Lectures ; Nursing ; Oncology Service, Hospital ; Self Efficacy

PURPOSE: This study to identify the current status of cancer centers in Korea in terms of organization ofhospital. METHODS: 21 cancer centers, from regional cancer centers to the largest hospitals, were surveyed from October to November 2014. The questionnaire was developed by the board members of the Oncology Nursing Society. RESULTS: Centers specializing in cancer treatment were either cancer hospitals or centers affiliated with larger hospitals. 81% operated wards solely for cancer patients. The average number of beds was 354.2, and each center had independent laboratories, chemotherapy infusion rooms and pharmacies. Degree of nursing staff varied from grades 1 to 3. The nursing department and ward were jointly responsible for educating new nurses. In cancer nursing, the policy varied according to institution. For patient education, the oncology Advanced Practice Nurse (APN) mainly informed patients of the adverse effects of chemotherapy and central line care. 90.5% appointed oncology APNs, who were variously designated (47.6%). 10.5% of APNs held concurrent positions. CONCLUSION: As cancer has increased medical professional organizations have shown a variety of forms of organization and human resources management. A political approach seems to be required for institutions for nursing care, patient education, the role and qualifications of APN.
Cancer Care Facilities ; Drug Therapy ; Humans ; Korea* ; Nursing ; Nursing Care ; Nursing Staff ; Oncology Nursing ; Patient Education as Topic ; Pharmacies ; Societies

The purpose of this study was to investigate the nursing needs among family members of cancer patients. A total of 101 family members participated in this study by rating the importance of 30 need statements using a four-point Likert-type scale. And the subjects recorded their needs in open question. The ages of the subjects were 17-73 years, at five university hospitals in Seoul, ChunChon, and Kyung Ge Province. The data were collected from October, 1996 to July, 1997. The instrument used for this study was the Family Needs Scale (FNS), which were composed of six factors, developed by this researcher. Content validity of the instrument was established through a review of the statements by a professor majoring in nursing and reliability by calculation of Cronbach's alpha with data of the respondents. The values of Cronbach's alpha was 0.91. Analysis of data was done by means of the SAS program using t-test, ANOVA, Scheffe test, and Stepwise multiple regression. The results were as follows : 1. The scores on FNS ranged from 75 to 120 with a mean of 99.04. Needs to be informed on the patient's condition, treatment and nursing intervention among six factors showed the highest score, but Needs to be supported emotionally were the lowest score in the families of cancer patients. It was shown from open questions in the questionnaire that Need for the use of understandable terms and Need for the explanation about the patients condition, treatment and prognosis were also viewed as important to family members. The most frequent needs of the cancer patients' families was 'proper implimentation of treatment and nursing intervention for patients'. Besides, a number of family members responded that "kindness" was one of the essential attitudes to nurses. 2. In the subjects' relationship to their patient, 47.5% were the sons and daughters, while 37.5% were the wives and the 40-49 year category than in any other category. There was a significant relationship between the needs of the family and educational level (F=3.26, P=0.025). Educational level accounted for 9% of the needs of the family, and the patient's diagnosis accounted for an additional 8% of the needs of the family. The findings in this investigation suggested that the greatest number of needs of cancer patients' families were needs to be informed about the patient's condition, treatment and prognosis. This study provides information which supports the concept of the family as the client. Because nurses must meet the challenge of family-oriented practice in cancer nursing.
Diagnosis ; Gangwon-do ; Hospitals, University ; Humans ; Nuclear Family ; Nursing ; Oncology Nursing ; Prognosis ; Seoul ; Spouses ; Surveys and Questionnaires