PURPOSE: The purpose of this study was to identify self-efficacy, disposition to critical thinking and level of nursing competency in new nurses and to exam the correlation among these variables. METHOD: The sample was composed of 286 new nurses who had worked at E hospital for 1 year. Descriptive and correlation analysis using the SPSS program were used to analyze the data. RESULTS: The mean score for self-efficacy was 67.10, disposition to critical thinking, 3.01 and nursing competency,3.02. There were significant differences in scores for 3 variables between nurses with College degrees and nurses with Baccalaureate degrees. There was a significant positive correlation between disposition to critical thinking and nursing competency scores. CONCLUSION: Further study of the various components that influence nursing competency is necessary. Also based on the disposition to critical thinking, there is a need to develop education programs to strengthen curiosity and other related variables. The results of this study confirmed the necessity of developing a clinical model of nursing competency ability.
Exploratory Behavior ; Statistics as Topic ; Thinking

PURPOSE: The purpose of this study was to identify the moderating effect of leisure satisfaction on the relationship between job stress and job satisfaction. METHODS: A cross-sectional study was performed with 292 nurses having experienced shift work at least for 6 months. Data were collected from August to September in 2014. Descriptive statistics, t-test, correlation coefficient, and hierarchical regression analysis were performed. RESULTS: The study showed that job satisfaction was significantly correlated with job stress (r=.-320, p<.001) and leisure satisfaction (r=.317, p<.001). Leisure satisfaction had a significant moderating effect on the relationship between job stress and job satisfaction (F=25.087, p<.001). CONCLUSION: This study concluded that the role of leisure satisfaction may moderate the relationship between the two. That is, the nurses who perceived higher satisfaction on their leisure life tend to have higher satisfaction to their job even in stress situation. Therefore, the strategies for improving leisure satisfaction are needed to increase job satisfaction in stressful conditions.
Cross-Sectional Studies ; Job Satisfaction* ; Leisure Activities*

PURPOSE: The purpose of this study was to evaluate the quality of meta-analysis regarding exercise using Assessment of Multiple Systematic Reviews (AMSTAR) as well as to compare effect size according to outcomes. METHODS: Electronic databases including the Korean Studies Information Service System (KISS), the National Assembly Library and the DBpia, HAKJISAand RISS4U for the dates 1990 to January 2014 were searched for 'meta-analysis' and 'exercise' in the fields of medical, nursing, physical therapy and physical exercise in Korea. AMSTAR was scored for quality assessment of the 33 articles included in the study. Data were analyzed using descriptive statistics, t-test, ANOVA and chi2-test. RESULTS: The mean score for AMSTAR evaluations was 4.18 (SD=1.78) and about 67% were classified at the low-quality level and 30% at the moderate-quality level. The scores of quality were statistically different by field of research, number of participants, number of databases, financial support and approval by IRB. The effect size that presented in individual studies were different by type of exercise in the applied intervention. CONCLUSION: This critical appraisal of meta-analysis published in various field that focused on exercise indicates that a guideline such as the PRISMA checklist should be strongly recommended for optimum reporting of meta-analysis across research fields.
Databases, Factual ; *Exercise ; Humans ; Publishing/*standards ; Republic of Korea ; Research

PURPOSE: The process of designing a questionnaire is complicated. Many questionnaires on nursing phenomena have been developed and used by nursing researchers. The purpose of this paper was to discuss questionnaire design and factors that should be considered when using existing scales. METHODS: Methodological issues were discussed, such as factors in the design of questions, steps in developing questionnaires, wording and formatting methods for items, and administrations methods. How to use existing scales, how to facilitate cultural adaptation, and how to prevent socially desirable responding were discussed. Moreover, the triangulation method in questionnaire development was introduced. RESULTS: Steps were recommended for designing questions such as appropriately operationalizing key concepts for the target population, clearly formatting response options, generating items and confirming final items through face or content validity, sufficiently piloting the questionnaire using item analysis, demonstrating reliability and validity, finalizing the scale, and training the administrator. Psychometric properties and cultural equivalence should be evaluated prior to administration when using an existing questionnaire and performing cultural adaptation. CONCLUSION: In the context of well-defined nursing phenomena, logical and systematic methods will contribute to the development of simple and precise questionnaires.
Humans ; Nursing Research ; Psychometrics ; Reproducibility of Results ; *Surveys and Questionnaires

PURPOSE: The purpose of this study was to define the concept for psychological insulin resistance in the Korean population with diabetes. METHODS: The Hybrid model was used to perform the concept analysis of psychological insulin resistance. Results from both the theoretical review with 26 studies and a field study including 19 participants with diabetes were included in final process. RESULTS: The preceding factors of psychological insulin resistance were uncontrolled blood glucose and change in daily life. The concept of psychological insulin resistance was found to have three categories with 8 attributes such as emotional factors (negative feeling), cognitive factors (low awareness and knowledge, low confidence for self-injection) and supportive factors (economic burden, dependency life, embarrassing, feeling about supporters, feeling of trust in, vs mistrust of health care providers). The 8 attributes included 30 indicators. CONCLUSION: The psychological insulin resistance of population with diabetes in Korea was defined as a complex phenomenon associated with insulin therapy that can be affected by emotional factors, cognitive factors, and supportive relational factors. Based on the results, a tool for measuring psychological insulin resistance of Koreans with diabetes and effective programs for enhancing insulin adherence should be developed in future studies.
Blood Glucose ; Delivery of Health Care ; Dependency (Psychology) ; Diabetes Mellitus ; Insulin Resistance* ; Insulin* ; Korea ; Psychology

This scoping review focused on the application of simulation education for nursing college students and analyzed studies measuring problem-solving ability to present an overview of research trends and future directions. Methods: The scoping review followed the review guideline. The study was conducted independently by two reviewers, who searched the literature through electronic databases (DBpia, KISS, Science on, RISS, and Google Scholar). Results: In total, 32 studies were included in the final analysis, and each study was analyzed according to the following domains: general characteristics, simulation-related characteristics, and instrument-related characteristics. Simulation-based learning was primarily conducted for third- and fourth-year nursing students using various scenarios and high-fidelity simulators. However, the effect of simulation education on problem-solving ability was somewhat inconsistent, and some studies reported different names of tools and numbers of items by sub-area from the original instruments. Conclusion: It is necessary to critically reflect upon whether “Process Behavior Survey” tool can be used for simulation education. Therefore, conceptual analysis or instrument development research is needed in the future to accurately measure the problem-solving process or problem-solving ability.

PURPOSE: The purpose of this study was to analyze the attributes and psychometric properties of newly developed diabetic foot complication assessment tools. The attributes of diabetic foot complication assessment tools were evaluated using a systematic review. METHODS: The search terms: “diabetes mellitus” and “foot ulcer” were retrieved using Boolean operators of “and”, “or”, and “not”. The search was limited to articles published between 2007 and 2016. The literature was analyzed by division of methodological characteristics, instrumental characteristics, and item and stratified outcome characteristics. RESULTS: Six assessment tools were found for diabetic foot complications. Only three of the six tools presented the evidence in terms of validity and reliability. In all six tools, “ulcer” was the measured item with the highest frequency, but the contents of items varied. The six identified tools focused on assessing current physical symptoms, but not on predicting diabetic foot complications. CONCLUSION Preventive foot self-care should be used to predict diabetic foot complications before symptoms appear. Moreover, the reliability and validity of existing tools should be verified in terms of discrimination, prediction, and evaluation.

Purpose: Health information protection policy has received increased emphasis in the medical environment. Nursing students are required to access personal health information in practical training to achieve the necessary credits. This study was done to identify the effects of nursing students’ ethical index and their awareness of health information protection on their practice in terms of health information protection. Methods: Participants for this cross-sectional descriptive design study were 238 nursing students who had undergone clinical practice at four universities in J province. Information ethics index, awareness of health information protection, and its practice were measured using self-report questionnaires. Collected data were analyzed using descriptive statistics, Pearson correlations, and multiple regression analysis. Results: Among the participants, 88.2% were female and 55.0% identified as religious. A positive correlation was found between awareness of health information protection and the information ethics index (r=.60, p<.01). In the multiple regression model, 37.4% of the variance in students’ health information protection behavior was predicted by religion (β=.13, p=.033), the respect domain of the information ethics index (β=.22, p=.033), and awareness of health information protection (β=.61, p<.001). Conclusion To improve health information protection behavior in nursing students, religion, awareness of health information protection, and the respect component of the information ethical index should be considered when developing systematic education programs.

Purpose: The purposes of this study were to analyze and compare the textbooks of fundamentals of nursing and practice in order to standardize them for medication administration, infection control, and pressure injury. Methods: The current study is a literature review of the ten textbooks published after 2013. Ten textbooks were the ones selected by the Korea Health Personnel Licensing Examination Institute as major textbooks. Three items were reviewed: medication administration, infection control, and pressure injury, with a focus on differences in numbers, range, direction, and others. Results: For medication administration, there were some discrepancies in the size of needle and syringe, maximum dosage depending on injection methods, replacement period of catheter and infusion set, depth of insertion for vaginal medication administration. For infection control, items with discrepancies included length of time for hand washing, concentration of chemical sterilant, frequency of ventilation to prevent airborne disease, distance to prevent droplet-borne infection, the latent period of infectious disease, and methods to treat medical wastes. For pressure injury, the discrepancies were exhibited in the degree and duration of pressure for pressure injuries, range of scores for risks in pressure injury assessment tools, and temperature of the solution to irrigate pressure injuries. Conclusion Standardized textbooks for these three parts will be useful teaching aide for students and nurses to carry out consistent and professional nursing for patients’ safety.

Purpose: The purpose of this study was to identify the influencing factors on Predictors of depression in disability with hearing impairment. Methods: Data from the secondary data (The 2014 National Survey of the Disabled Persons) were obtained, and subjects of hearing impaired 190,323 who responded certainly yes or no answer to the question were selected. x2 and t-test analysis were used to compare the potential predictors between depression and non-depression group. Significant factors were entered in Logistic regression analysis to identify the predictors of depression. Results: The prevalence of depression was 5.7% (n=10,769) in disability with hearing impairment. Life satisfaction, go out alone, subjective economic status, medical examination, level of disability, disability aids from social services, satisfaction of leisure activities, awareness of discrimination, disability awareness in healthcare provider, hearing aids use and age were shown significant differences in depression and non-depression. Life satisfaction (OR=11.04 [10.20~11.96]) and go out alone (OR=3.52 [3.22~3.83]) were found to be the most influential risk factors for depression in disability with hearing impairment. Conclusion To prevent depression in disability with hearing impairment, affected factors such as life and leisure activities satisfaction, level of physical dependence, economic status, hearing aids, and social inequalities should be monitored.