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Delphi Study on Introduction of Practical Skills Test in National Examination for Nursing Licensure.

Journal of Korean Academy of Fundamental Nursing.2007;14(2):157-165.

PURPOSE: The purpose of this study was to investigate the plan to introduce a practical skills test as part of the national examination for nursing licensure. METHOD: The delphi method was used. The first set of data was collected by open questionnaire from universities and hospitals nationally. The second and third were collected by structured questionnaire. RESULTS: The biggest problem for clinical practice in nursing education was reported as the lack of opportunities for direct nursing practice. The biggest performance problem in job duties for novice nurses was reported as the lack of integrated problem solving skills in a clinical situation. The biggest problem with the current national examination was reported as the use memorizing solutions to test questions. It was suggested that the best plan to resolve problems with the national examination would be to develop test questions representative of the clinical setting and increase personnel in clinical education. About the introduction of a practical skills test as part of the national examination, 56.9% were in agreement and 38.5% disagreed. CONCLUSION: The current national examination has many problems when it comes to testing clinical competency. So, a practical skills test must be deferred to a future time. There are also many difficulties in presenting a real situation, therefore further research is needed in preparation for the introduction of a practical skills test.
Clinical Competence ; Delphi Technique* ; Education ; Education, Nursing ; Licensure, Nursing* ; Nursing* ; Problem Solving ; Surveys and Questionnaires

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An Analysis of Research Trends Published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN) based on Knowledge Development Classifications of Nursing: 2006 Year of Publication Articles in JKAFN.

Kyeong Yae SOHNG ; Jong Im KIM ; Nan Young LIM ; Sung Ok CHANG ; Kyu Eun LEE ; Seung Kyo CHAUNG ; Kyung Hee KIM ; Hoon Jung PAIK ; Sun Nam PARK ; Dong Won CHOI

Journal of Korean Academy of Fundamental Nursing.2007;14(2):150-156.

PURPOSE: This study was conducted to identify the nature the research trends of articles published in the Journal of Korean Academy of Fundamentals of Nursing (JKAFN). METHOD: Comparison analysis between articles in JKAFN (Volume 13, Number 1-3) and articles in the Journal of Korean Academy of Nursing (Volume 36, Number 1-3, 5-7) based on knowledge development classification was used to identify the nature of research trends in JKAFN. RESULTS: Based on comparison with Journal of Korean Academy of Nursing, research trends in JKAFN were dominant; in personal knowledge in the pattern of knowing in nursing, in the desiderative focus in cognitive needs for nursing epistemology, in advancing of various aspects of nursing in the focus of knowledge, and practice domain in the domains for nursing. CONCLUSION: The major focuses on research trends in JKAFN were nursing practice, actions of nurses in practice and practice guideline applicable in nursing education.
Classification* ; Education, Nursing ; Humans ; Nursing* ; Publications*

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A Survey on Perception and Attitude of Patients and their Families to the Korean Shamanism.

Hyung Wha SHIM ; Jum Hee PARK

Journal of Korean Academy of Fundamental Nursing.1999;6(2):288-309.

This survey was done to construct a nursing theory according to Korean culture and to identify the Korean traditional view. From ancient time until now, shamanism has played an important role as determinant of Korean culture and of the personality formation of Korean people. The subjects are 321 patients and member of their families who were over 18 years old, and who are living in five large cities and two rural communities on Korea. Data collection was done from March, 8th to April, 29th in 1999. The tool developed by the investigator through literature review was used to measure the perception and the attitude of patients and their families to Korean shamanism. Collected data were analyzed by frequency, percent and test with SPSS program. The results are summarized as follows : 1) While 35% of respondents answered that the destiny or fate was only relied on the abilities and endeavor of individual, 65% of respondents were fatalists or eclectic are compromised between the fate and endeavor. 2) While half of the respondents belief in divination to some degree, the rest of them reported hardly any belief in divination. 3) There were almost twice as many respondents who directly consulted fortunetellers were as respondents who did not consult fortunetellers. 4) The reasons for consulting fortunetellers were job problems, home problems, health problems by in that order. 5) The respondents almost always interpreted the cause of physical disease and mental disease as being psycho-sociological, but 1% of them explained mental disease as a shamanistic manifestation. 6) In case of disease, the reasons for consulting a fortuneteller was a) no hope of recovery from the sickness in any other way, b) the chronic disease in that order. 7) Of the respondents, 65% answered that disease could not be cured by a 'Gut'(the performance done by the shaman), but 27% of respondents thought that disease could be cured by a 'Gut' in the case of mental disease. 8) Sixty six percent of the respondents answered that they have experienced praying for their wishes with clean water. 9) While 54% of the respondents answered that they have seen or heard the 'Beung Gut'(the performance to pray for recovery of sickness done by the shaman), 46% responded that they have they have never seen or heard it. 10) To the question, "do you intend to have a 'Beung Gut'", 51.7% of respondents answer "no" stongly, but 48% of them say "yes" or took a compromising attitude. 11) Generally the respondents differed in perception and attitude to shamanism. In short, females more than males, old aged more than younger aged, lower educated more than higher educated, believers in Buddhism more than believers in any other religion, and blue color more than white color have more positive attitudes to shamanism. Also men living in rural communities have more positive attitude to shamanism than men living in the large cities. Consequently, Shamanism can be understood as an anxiety relieving cultural system even though Shamanism itself looks like a cultural complex.
Adolescent ; Anxiety ; Buddhism ; Chronic Disease ; Surveys and Questionnaires ; Female ; Hope ; Humans ; Korea ; Male ; Nursing Theory ; Research Personnel ; Rural Population ; Shamanism* ; Water

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Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection.

Ju GONG ; Jiyeon KANG

Journal of Korean Academy of Fundamental Nursing.2012;19(1):122-133.

PURPOSE: The purpose of this study was to develop a web-based education program on control vancomycin-resistant enterococci (VRE) infections and to identify the effects of the program on knowledge and performance of nursing students. METHODS: The web-based VRE infection control education program was developed by using the network-based instructional systems design model. The nursing students in the experimental group could access this web-based education program at any time, and as many times as they wanted, during the clinical training period. Effects were evaluated by assessing knowledge and performance of VRE infection control measures during the clinical training period. RESULTS: The contents of the education program included diagnosis, transmission, and treatment of VRE, contact precautions, hand washing, personal protective equipment, environment management, and quizzes. The lecture portion was filmed in a virtual screen studio using flash animation, video, and sound effects, and it was uploaded on an internet site. The knowledge and performance scores of the experimental group after using the education program were significantly higher than those of the control group. CONCLUSION: The results suggest that the web-based VRE infection control education program is an effective educational method to enhance knowledge and performance of VRE infection control measures.
Computer-Assisted Instruction ; Enterococcus ; Hand Disinfection ; Humans ; Infection Control ; Internet ; Program Development ; Students, Nursing ; Vancomycin Resistance

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Relationship of Activity of Daily Living(ADL) and Psychological Factor in Rheumatoid Arthritis.

Jong Im KIM ; In Ja KIM

Journal of Korean Academy of Fundamental Nursing.1995;2(2):155-168.

Many arthritis patients experience physical and psychological impairment. The influence of psychological factors on physical functioning beyond disease & demographic factors had been investigated. Unlike others studied the relationship between just two variables(i. e., depression & helplessness or self-efficacy & depression), the relationships among several variables such as depression, helplessness and self-efficacy were examined altogether. Forty-two patients were examined to identify the relationship between the variables. It was found that ADL is significantly negatively related to depression and helplessness, and positively related to self-efficacy. And ADL was more strongly correlated with self-efficacy and helplessness than depression, Contrary to ADL, pain was significantly negatively related to self-efficacy, and positively related to depression and helplessness. Then stepwise regression analysis was performed to identify the variables to predict ADL. It revealed that helplessness was the only significant predictor of ADL. Finally, it is suggested that the inclusion of the method to increase self-efficacy & to decrease helplessness in any nursing intervention is very important.
Activities of Daily Living ; Arthritis ; Arthritis, Rheumatoid* ; Demography ; Depression ; Humans ; Nursing ; Psychology*

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Nurses' Perceptions Regarding Sign & Symptom Management in End of Life Care in Nursing Homes.

Se Hyun LIM ; Sung Ok CHANG ; Mi So KIM

Journal of Korean Academy of Fundamental Nursing.2010;17(2):209-219.

INTRODUCTION: The phenomenon related to sign & symptom management for end of life of the patients is of interest to researchers in nursing society today. This study was conducted to clarify and to conceptualize the factors of sign & symptom management in end of life care though nurses' perceptions on this phenomena. METHODS: The qualitative study method was used to explore the experienced nurses' perceptions related to sign & symptom management in end of life care. It included a field study carried out in South Korea using in-depth interviews with 30 experienced nurses from three nursing home facilities. RESULTS: This study identified the following categories related to end of life care with sub-categories for each category: (1) nurses' modes in identifying the signs related to patients' end of life, (2) nurses' perceived directions on patients' end of life care, (3) nurses' perceived strategies in end of life care and (4) nurses' perceived barriers in end of life care. CONCLUSION: Through this study, characteristics of the way nurses' provide for patients' end of life care are identified, along with how nursing decisions are made to manage the sign & symptom indicating patients' end of life.
Humans ; Nursing Homes ; Republic of Korea ; Societies, Nursing ; Terminal Care

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Rewarming Intervention Program for Abdominal Surgery Patients.

Hye Young AHN ; Mi Ran EOM

Journal of Korean Academy of Fundamental Nursing.2010;17(2):220-230.

PURPOSE: This study was done to identify differences in three groups of operative patients (Forced Air Warming, Electrical Blanketrol, Control) for discomfort and pattern of body temperature during surgery and post operatively. METHODS: The sample consisted of 3 randomized 3 groups of abdominal surgery patients admitted to an university hospital in D-city : The Bair Hugger and upper body blanket were used with the first group, electrical blanketrol with PVC Film with the second, and the third group was the control. ANOVA was used with the WIN SPSS 17.0 program to analyze the data. RESULTS: Significant differences were found among the three groups for tympanic and esophageal body temperature at 1 hour after starting surgery. There was significant difference in tympanic body temperature during the 15 minute stay in the post anesthetic room. There were no significant differences in thermal discomfort while in the post anesthetic room. or There among the three groups for serum cortisol during surgery. CONCLUSION: According to the results of this study, application of a Bair Hugger or electrical blanketrol improves maintenance of body temperature of operative patients as well as body temperature of post operative patients, and is a clinically significant warming method providing a more consistent body temperature.
Body Temperature ; Humans ; Hydrocortisone ; Hypothermia ; Rewarming ; Shivering

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Pre and Post Operative management of Living Kidney donor: Focus on bioethical aspect.

Myung Hee KIM

Journal of Korean Academy of Fundamental Nursing.1995;2(2):139-154.

The purpose of this study was presented basic data for management of living kidney donor to make bioethical decision. The research subjects were the documents and progress notes of Doctor's and Nurses in medical records related to kidney donation and nephretomy of 20 kidney donors who received nephretomy at 4 general hospitals in Pusan. The result of this study, a desirable documents to help the living kidney donor might include following : 1st, identification of the donor and the guardian. 2nd, confirmation f the intension of kidney donor which is based on humanity or not and 3rd, a written oath about Nephrectomy. Especially it is more desirable to participate of paramedical personnels such as the religious, the social workers, the counsellors, and etc when assess the motivation of kidney donor and to use of a formulated visual educational materials about renal angiography and nephrectomy which required written consent of kidney donor. Further more, the donor should be educated sufficiently about the kidney itself and procedure for nephrectomy-the anatomical position of kidney, the function of the kidney, the operative maneuver, pre and post operative complication, the prevention of the complication, the possibility of rejection phenomenon and liss of the transplanted kidney etc. In conclusion, medical team members for kidney transplantation must suggest not only physical problem but also psychological problem And the educated donor ought to have enough time before a making decision and all these process should be recorded in medical records.
Allied Health Personnel ; Angiography ; Busan ; Hospitals, General ; Humans ; Kidney Transplantation ; Kidney* ; Medical Records ; Motivation ; Nephrectomy ; Research Subjects ; Social Workers ; Tissue Donors*

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A Clinical Trial on the Method of Urine Sampling for Urinalysis.

Hae Sung AN ; Sung Eun LEE ; Hyun Ok PARK

Journal of Korean Academy of Fundamental Nursing.1995;2(2):131-137.

Improving validity and reliability is the important components of clinical laboratory tests. And the quality control of the test should be started with the accurate collection of specimen. Urinalysis is one of the useful and common tests in diseases diagnosis and determining the process of medical treatment. Since urinalysis is requested routinely in hospital setting, the importance of the quality control for urine specimen is often ignored. To improve the validity of urinalysis, a clinical trial was done on the method of collection urine specimen. The result was as follows : 1. The rate of presumtive UTI(urinary tract infection) was decreased in 21.6% with experiment method for collecting urine specimen. 2. The rate of presumtive UTI in female patients was decreased in 43.2% with the experiment method. 3. The rate of negative urine culture was decreased in 6.6% with the experiment method.
Diagnosis ; Female ; Humans ; Quality Control ; Reproducibility of Results ; Urinalysis*

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The Survey of mouth care among cancer patients received chemotherapy.

Young Soon BYUN ; Ae Kyoung KIM

Journal of Korean Academy of Fundamental Nursing.1995;2(2):115-130.

The incidence of oral complications among adult cancer patients undergoing chemotherapy varies from 12 to 80%. Adequate oral hygiene has been shown to be important in prevention of oral complication and an essential role is reserved for the nursing staff. These considerations prompted the decision to survey by means of a questionaire, the nurses who give care to cancer patients. The Questions were included multidisciplinary treatment, inspection skill, nursing intervention, nursing education, problem in mouth care, solution for problem solving. Results are follow : 1. A total of 116 the nurses returned the questionaire. 2. According to 88.2% of the respondents, the policy with regard to oral hygine in determined by the physician and the nurse. 62.1% of nurses do not consult the dentist When oral complication is occurred. 3. In only 34.5% of case was a penlight used to provide the necessary extra illumination nursing Inspection of oral cavity. 4. Frequency of oral complication observed by the respondents is that they observed complications in < 25% of patients. The nature of the complication varied from ulcer, stomatitis, infection, dry mouth, candidiasis, herpes simplix, bleeding. 5. Percentages of respondents who use the intervention indicated 1) to prevent oral complication : 0.9% normal saline gargling(44%), 0.02% chlorhexidine gargling, oral dressing(38.8%), observation, nutrition, restriction of alcohol and tabaco(23.2%) 2) to deal with the early symptoms : 0.9% normal saline gargling(47.4%), cryotherapy(37.9%), 0.02% chlorhexidine gargling(20.7%) 3) to help alleviate severe complications : dental consult, holding the chemotherapy(34.5%), 0.9% normal saline gargling(31.1%), cryotherapy(18.0%) 6. According to 70% of the respondents, insufficient attention is given to oral complication during nursing education classes only 8.6% said that both the theory and the practical aspects had been deal with in sufficient detail during their training. The results of the survey indicate that oral care in cancer patients undergoing chemotherapy has a number of problem. There are not enough dentist to provide the necessary care for patients undergoing chemotherapy. The expertise of the nurses with respect to the pathogenesis of the complication is limited. In the training of nurses, additional attention to oral examinations and oral hygine is warranted. The care of patients should be the responsibility of a multidisciplinary team approach. The nurse occupies a key position with in this team, which includes the medical oncologist, a dentist.
Adult ; Candidiasis ; Chlorhexidine ; Surveys and Questionnaires ; Dentists ; Diagnosis, Oral ; Drug Therapy* ; Education, Nursing ; Hemorrhage ; Humans ; Incidence ; Lighting ; Mouth* ; Nursing ; Nursing Staff ; Oral Hygiene ; Problem Solving ; Stomatitis ; Ulcer

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