Journal of Korean Academy of Nursing.2017;47(4):575-575. doi:10.4040/jkan.2017.47.4.575
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Journal of Korean Academy of Nursing
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Experience of Frailty in Korean Elderly: A Phenomenological Study Utilizing the Colaizzi Method.
Journal of Korean Academy of Nursing.2017;47(4):562-574. doi:10.4040/jkan.2017.47.4.562
PURPOSE: This study attempts to explore the subjective experience of frailty among elderly individuals in Korea. METHODS: From June to August in 2014, 11 elderly persons who had experienced frailty in a community were interviewed. For data analysis, the method suggested by Colaizzi was applied as a phenomenological method. RESULTS: According to the analysis, the study participants' frailty process was structured in seven categories: (a) ‘natural phenomenon with ageing,’ (b) ‘life force comes to an end,’ (c) ‘the light in my heart turns off,’ (d) ‘unavoidable situation,’ (e) ‘continuous and connected vicious cycle,’ (f) ‘the limit of recovery energy already passes,’ and (g) ‘life is supported by someones help.’ CONCLUSION: The frailty experience in the participants is a natural process of aging, which cause vicious cycle acting with each other among physical, psychological, and social health. It is said that the cycle of frailty was started from weight loss and insufficient sleep, and boostered by pain. The participants from repetition of the vicious cycle become exhausted and pass the threshold of their recovery energy at some points. If they meet with sudden accidents such as falling, traffic accident and so on, they become to live a dependent life supported by someone's help in a moment. To prevent frailty and worsening conditions in Korean elderly individuals, it is recommended to provide a interventional programs using this study's results.
Accidental Falls ; Accidents, Traffic ; Aged* ; Aging ; Frail Elderly ; Heart ; Humans ; Korea ; Methods* ; Qualitative Research ; Statistics as Topic ; Weight Loss
Accidental Falls ; Accidents, Traffic ; Aged* ; Aging ; Frail Elderly ; Heart ; Humans ; Korea ; Methods* ; Qualitative Research ; Statistics as Topic ; Weight Loss
A Model for Predicting Career Satisfaction of Nurses Experiencing Rotation.
Journal of Korean Academy of Nursing.2017;47(4):551-561. doi:10.4040/jkan.2017.47.4.551
PURPOSE: This study aimed to present and test a structural model for describing and predicting the factors affecting subjective career satisfaction of nurses experiencing rotation and to develop human resources management strategies for promoting their career satisfaction related to rotation. METHODS: In this cross-sectional study, we recruited 233 nurses by convenience sampling who had over 1 year of career experience and who had experienced rotation at least once at G university hospital. Data were collected from August to September in 2016 using self-reported questionnaires. The exogenous variables consisted of rotation perception and rotation stress. Endogenous variables consisted of career growth opportunity, work engagement, and subjective career satisfaction. A hypothetical model was tested by asymptotically distribution-free estimates, and model goodness of fit was examined using absolute fit, incremental fit measures. RESULTS: The final model was approved and had suitable fit. We found that subjective career satisfaction was directly affected by rotation stress (β=.20, p=.019) and work engagement (β=.58, p<.001), indirectly affected by rotation perception (β=.43, p<.001) through career growth opportunity and work engagement. However, there was no total effect of rotation stress on subjective career satisfaction (β=−.09, p=.270). Career growth opportunity directly and indirectly affected subjective career satisfaction (β=.29, p<.001; β=.28, p<.001). These variables accounted for 65% of subjective career satisfaction. CONCLUSION: The results of this study suggest that it is necessary to establish systematic and planned criteria for rotation so that nurses can grow and develop through sustained work and become satisfied with their career.
Cross-Sectional Studies ; Humans ; Job Satisfaction ; Models, Structural ; Stress, Psychological
Cross-Sectional Studies ; Humans ; Job Satisfaction ; Models, Structural ; Stress, Psychological
Journal of Korean Academy of Nursing.2017;47(4):540-550. doi:10.4040/jkan.2017.47.4.540
PURPOSE: The aim of this study was to identify the effect of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent and to compare it with that of chlorhexidine solution (0.12% dilution). METHODS: This study employed a pretest-posttest experimental design in which a single group of patients was exposed to two different treatments over a period of time. The study included 32 patients hospitalized at a long-term care hospital in Korea. Data were collected between August 12, 2016 and September 28, 2016. The patients first used chlorhexidine solution as an oral care agent for 1 week. After an interval of 2 weeks, they used Dongchimi juice for 1 week. Each agent was applied 2 times a day depending on the protocol. The oral status of the patients was measured using Beck's Oral Exam Guide (OEG) scores. The number of pathogens in the oral cavity was counted by culture, and the patients' subjective satisfaction score for each oral agent was measured using a visual analogue scale. T-test and Mann-Whitney test were performed to identify significant differences between Dongchimi juice and chlorhexidine solution by using PASW Statistics for Windows, Version 18.0 (SPSS Inc., Chicago, IL, USA). RESULTS: The OEG score was not statistically different with the use of chlorhexidine solution and Dongchimi juice. However, decreasing number of pathogens and the subjective satisfaction score were higher with Dongchimi juice than with the chlorhexidine solution. CONCLUSION: These findings support the use of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent for Korean patients.
Chlorhexidine* ; Humans ; Korea ; Lactobacillus* ; Long-Term Care* ; Mouth ; Oral Health* ; Oral Hygiene ; Research Design
Chlorhexidine* ; Humans ; Korea ; Lactobacillus* ; Long-Term Care* ; Mouth ; Oral Health* ; Oral Hygiene ; Research Design
Journal of Korean Academy of Nursing.2017;47(4):526-539. doi:10.4040/jkan.2017.47.4.526
PURPOSE: This study was undertaken to develop and test a mastery learning program of nursing skills for undergraduate nursing students. METHODS: In this methodological study, first, the preliminary draft of a mastery learning program to provide training for nursing skills was developed based on Bloom's framework for mastery learning. Second, to test the developed program, a single-blinded, nonequivalent control group nonsynchronized study was conducted on 50 senior nursing students in a University selected by convenient sampling. Thirteen students were assigned to a control group; 13, 12, and 13 of them were assigned to intravenous therapy, transfusion, and patient transfer groups, respectively. The achievement levels and performance scores of the selected nursing skills were measured before and after the completion of the program in all the groups. Lastly, the final program was confirmed based on the results of the program testing. RESULTS: Intravenous therapy, transfusion, and patient transfer were selected as essential nursing skills for the program based on the priorities rated by clinical instructors and staff nurses. The achievement levels of selected nursing skills were determined by Angoff scores. After participating in the program, the proportion of passers and performance scores of the nursing skills in the experimental groups were significantly higher than those in the control group. The final program was confirmed which included a diagnostic test, enrichment activities for the passers and three repetitions of corrective activities and formative assessments for non-passers. CONCLUSION: The results suggest that a mastery learning program for undergraduate students can lead to better improvement and performance of essential nursing skills.
Diagnostic Tests, Routine ; Humans ; Learning* ; Methods ; Nursing* ; Patient Transfer ; Program Development ; Students, Nursing*
Diagnostic Tests, Routine ; Humans ; Learning* ; Methods ; Nursing* ; Patient Transfer ; Program Development ; Students, Nursing*
Journal of Korean Academy of Nursing.2017;47(4):514-525. doi:10.4040/jkan.2017.47.4.514
PURPOSE: The purpose of this study was to construct and test a structural equation model for Diabetes self-management (DSM) behavior and Quality of life (QoL) in older adults with diabetes who use Citizen Health Promotion Centers. The theory used this study was a combination of the Information-Motivation-Behavioral Model (IMB) and Self-Determination Theory (SDT) to reflect autonomous characteristics of participants. METHODS: Data were collected from April 20 to August 31, 2015 using a self-report questionnaire. The sample was 205 patients with type 2 Diabetes who regularly visited a Citizen Health Promotion Center. SPSS 22.0 and AMOS 22.0 programs were used to analyze the efficiency of the hypothesized model and calculate the direct and indirect effects of factor affecting the participants' DSM behavior and QoL. RESULTS: The supported hypotheses were as follows; 1) The variable that had a direct effect on QoL was health behavior adherence (γ=.55, p=.007). 2) The variables that had a direct effect on DSM behavior were DSM information (γ=.15, p=.023), DSM confidence (γ=.25, p<.001), and autonomous motivation (γ=.13, p=.048). 3) The variable that had a direct effect on DSM confidence was autonomy support (γ=.33, p<.001). CONCLUSION: The major findings of this study are that supporting patient's autonomous motivation is an influential predictor for adherence to DSM behavior, and integrative intervention strategies which include knowledge, experience and psychosocial support are essential for older adults with diabetes to continue DSM behavior and improve QoL.
Adult* ; Health Behavior ; Health Promotion* ; Humans ; Motivation ; Personal Autonomy ; Quality of Life* ; Self Care*
Adult* ; Health Behavior ; Health Promotion* ; Humans ; Motivation ; Personal Autonomy ; Quality of Life* ; Self Care*
A Concept Analysis of Uncertainty in Epilepsy.
Journal of Korean Academy of Nursing.2017;47(4):499-513. doi:10.4040/jkan.2017.47.4.499
PURPOSE: This concept analysis was done to clarify ‘uncertainty in epilepsy’. METHODS: Walker and Avant's methodology guided the analysis. In addition, the concept was compared with uncertainty in other health problems. RESULTS: ‘Uncertainty in epilepsy’ was defined as being in the condition as seen from the epilepsy experience where cues were difficult to understand because they changed, were in discord with past ones, or they had two or more contradictory values at the same time. Uncertainty in epilepsy is evolved from appraisal of the epilepsy experience. As a result, uncertainty leads epilepsy patients, their family or health care providers to impaired functioning and proactive/passive coping behavior. CONCLUSION: Epilepsy patients with uncertainty need to be supported by nursing strategies for proactive, rational coping behavior. This achievement has implications for interventions aimed at changing perception of epilepsy patients, their families or health care providers who must deal with uncertainty.
Adaptation, Psychological ; Cues ; Epilepsy* ; Health Personnel ; Humans ; Nursing ; Uncertainty* ; Walkers
Adaptation, Psychological ; Cues ; Epilepsy* ; Health Personnel ; Humans ; Nursing ; Uncertainty* ; Walkers
Patterns of Health Behavior for Weight Loss among Adults Using Obesity Clinics.
Journal of Korean Academy of Nursing.2012;42(5):759-770. doi:10.4040/jkan.2012.42.5.759
PURPOSE: This ethnography was done to explore patterns of weight management behavior among adults using obesity clinics. METHODS: The participants were 12 adults who were overweight or obese and 2 family members. Data were collected from iterative fieldwork in the obesity clinics of two hospitals. Data were analyzed using text analysis and taxonomic methods. RESULTS: Weight management behaviors among participants varied according to the recognition of the body and motivation for weight control, Participants' behavior was discussed in the socio-cultural context of obesity. Patterns of weight management behavior among participants were categorized by focus: strategic self-oriented type including managements for the body as a social asset and for health, selective neglect type, and passive group value-oriented type including type dependent on others and managements for beauty. CONCLUSION: Participants' weight management behavior was guided by folk concepts of body and health. and constructed within the socio-cultural context. It is necessary for health care providers to understand physical and psychological problems arising from the repeated trials, excessive control of weight, and Western cultural discourse on beauty ideals among adults who are overweight or obese. Therefore, interventions should be tailored to address individual and community needs.
Adult ; Aged ; Attitude to Health ; Female ; *Health Behavior ; Health Promotion ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Motivation ; Obesity/*psychology ; Weight Loss
Adult ; Aged ; Attitude to Health ; Female ; *Health Behavior ; Health Promotion ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Motivation ; Obesity/*psychology ; Weight Loss
Journal of Korean Academy of Nursing.2012;42(5):749-758. doi:10.4040/jkan.2012.42.5.749
PURPOSE: The purpose of this study was to develop a tool for measuring the intra-operative caring as perceived by regional anesthesia patients. METHODS: A preliminary instrument with 54 questions, based on a literature review and semi-structured interviews with 11 regional anesthesia patients, was developed. A group of experts revised individual questions, and 34 questions were finally selected. This tool was tested with 137 regional anesthesia patients admitted to D university hospital in B city from August to October 2008. RESULTS: The validity and reliability of the tool were tested using factor analysis. After item analysis, one question with a correlation coefficient under .30 was discarded After performing factor analysis on the final 33 questions, 7 factors were identified; holistic needs fulfillment, consideration, protective environment, cautiousness, concern, information, physical comfort. The total variance shown in the test was 73.5%. A Cronbach alpha of 0.96 showed the reliability of the instrument. CONCLUSION: Results of this study indicate that the tool is statistically reliable and valid to measure the intraoperative caring perceived by regional anesthesia patients. This tool can be utilized usefully in assessing the effects of nursing interventions for regional anesthesia patients.
Adult ; Anesthesia, Conduction ; Female ; Humans ; Interviews as Topic ; Intraoperative Care ; Male ; Middle Aged ; Nursing Evaluation Research ; Nursing Staff, Hospital/psychology ; Patients/*psychology ; *Program Development ; Questionnaires
Adult ; Anesthesia, Conduction ; Female ; Humans ; Interviews as Topic ; Intraoperative Care ; Male ; Middle Aged ; Nursing Evaluation Research ; Nursing Staff, Hospital/psychology ; Patients/*psychology ; *Program Development ; Questionnaires
Development of a Coping Scale for Families of Patients with Schizophrenia.
Journal of Korean Academy of Nursing.2012;42(5):738-748. doi:10.4040/jkan.2012.42.5.738
PURPOSE: The purpose of this study was to develop and evaluate a coping scale for families of patients with schizophrenia(CSFPS). METHODS: Item construction was derived from literature reviews and interviews with family members and psychiatric nurses. Content validity was tested by experts. Each item was scored on a four-point Likert scale. The preliminary questionnaire was administered to 188 family members of patients with schizophrenia. The data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's alpha. RESULTS: From the factor analysis, 32 items in five factors were derived. The factors were named active coping strategies, avoidance coping strategies, hospital treatment-oriented coping strategies, emotional coping strategies, and suppressive coping strategies for problematic behaviors. The five factors explained 49.7% of the total variance, Cronbach's alpha of the total items was .83 and the factors ranged from .66 to .86. CONCLUSION: The results of this study suggest that CSFPS is a reliable and valid instrument to measure coping in families of patients with schizophrenia.
*Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Caregivers/*psychology ; Factor Analysis, Statistical ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; *Program Development ; Psychometrics ; Questionnaires ; Schizophrenia/*pathology
*Adaptation, Psychological ; Adult ; Aged ; Aged, 80 and over ; Caregivers/*psychology ; Factor Analysis, Statistical ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; *Program Development ; Psychometrics ; Questionnaires ; Schizophrenia/*pathology
Country
Republic of Korea
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http://synapse.koreamed.org/LinkX.php?code=0006JKANEditor-in-chief
Abbreviation
J Korean Acad Nurs
Vernacular Journal Title
ISSN
2005-3673
EISSN
2093-758X
Year Approved
2007
Current Indexing Status
Currently Indexed
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